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marv brehm resume Compiled by Don Barrett. Fabrice : KIIS, 1998-99. One half of the Best place to buy clothes, Milli Vanilli team, Fabrice hosted a noon request hour at KIIS until the home, summer of 1999. Fahy , Terry: KKLA, 1985-17. Terry was appointed gm for the Salem/LA cluster in late 2003. He had served for Best place to buy clothes online, years as general sales manager. In late 2014 Terry was promoted to an operational vice president role overseeing most of the company’s stations west of Phoenix. Fain , Mary: KFAC, 1987-89. Mary worked for Classical KING/fm-Seattle.

Fair , Don: KFWB, 1996-98. Don freelances for ABC Radio and Fox News Channel. Fair , George: KCSN, 1990-2004. George is Buy assignment president of Classic Country and Western online radio station www.ClassicHeartland.com. He, along with his wife, also runs a Website and graphic arts business that specializes in place to buy clothes, streaming media. Fairchild , Johnny: KEZY, 1959. Johnny has passed away.

Fairly , Ron: KMPC, 1982-86. The former California Angels broadcast announcer announced his retirement in September 2006 from the Seattle Mariners broadcast team. Ron spent a total of 28 years as a major league baseball broadcaster, the last 14 in Seattle. He and his wife reside in Southern California. FALKENSTEIN , Glenn: KGBS , 1974. Glenn was a renowned mentalist who came to fame in the 1970s at the Hollywood Magic Castle. He had been struggling with Alzheimer’s disease for the last four years of his life.

At the height of Civil services essay age limit, his career in the 70s, he had an evening call-in show at KGBS, broadcast from a theater at Universal studios. He died in Best place clothes online york, July 4, 2010, at the age of 78. In the LA Times obit, Dennis McLellan wrote: “A fast-paced, dynamic performer with crisp diction, Falkenstein was known for his signature blindfold mind-reading act, which he performed around the world, including Las Vegas, and on The Tonight Show and other tv shows. With half dollars secured over each eye with adhesive tape and wearing a curved steel mask, Falkenstein would pick up a card that had an audience member’s name and a question written on it, crumple it and hold it over his head. Essay Xare! He’d then answer the question on the card and proceed to recite the audience member’s Social Security number or address, give the maiden name of the Best place online york, person’s mother and answer personal questions they were thinking such as naming a favorite food or movie.” Fantabulous , Fuzzy: KPWR, 1998-2010.

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Farrell , Rod: KPOL; KBIG, 1967. Unknown. Farren , Shannon: KFI, 2005-17. Shannon started as a news anchor at Buy narrative KFI. In early 2015, she began hosting a Sunday morning show. By October she joined Gary Hoffmann for the midday show at KFI. Fast , Greg: KYMS, 1985. Greg owns GSF, a Christian radio agency in Nashville.Los. Faulk , Marshall: KOCM, 1987. Unknown. FAUST , Lou: KPOL , 1965-67; KIIS , 1970.

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Lou also headed Selcom Radio Reps in experience essay, New York, gm of to buy clothes, WKBW-Buffalo and executive vp of Describing personal experience essay, Blair Radio. To Buy Clothes! He went on to KCMJ-Palm Springs. Lou was born September 4, 1925 in Buy assignment, Orange, New Jersey. He was a 2 nd Lt in place online, the United States Marine Corp 1943 to 1946. Lou received his BA degree from Princeton University, Class of 1949. FEATHER , Leonard: KBCA , 1972-74; KUSC , 1979; KKGO , 1982. Leonard was a noted jazz critic of the LA Times . He authored several books on the idiom. Leonard was best-known as easily the most famous jazz critic in the world, writing at Buy narrative essay least ten jazz books (including the famed Encyclopedia of Best to buy clothes york, Jazz series) and thousands of liner notes along with articles and reviews for all of the jazz magazines and most of the daily newspapers. Leonard, who was very modest about his piano playing, produced many important sessions from the Buy narrative xare, late '30s on place online york, but his inclusion in this book is book due to his skills as a lyricist/composer. He was responsible for such songs as Evil Gal Blues (a hit for Dinah Washington ), Blowtop Blues , the Best place to buy clothes online, memorable Mighty like the Blues , I Remember Bird , Signing Off , Twelve Tone Blues and How Blue Can You Get . Services! He passed away September 22, 1994.

Fedderman , Jerry: KFWB, 70s. Best Place To Buy York! Jerry owns a super book store in Buy assignment, Maine. FEDERMAN , Jeff: KCBS/fm / KROQ , 2003-08. Jeff was appointed general manager at Arrow 93 in late 2003. Place To Buy York! Station flipped to JACK/fm on St. Patrick's Day 2005.

Jeff became market manager for xare, CBS/LA in Best to buy online, early 2006. He exited the company in late summer 2008. He's the ceo at MojoPages and Buy assignment, co-founder of MOGL. Federman joined CBS in January 2004 from Emmis Communications where he served as vp/DOS for the company's two radio stations in Los Angeles, KPWR and KZLA, for almost five years. During his tenure, he oversaw all sales operations and also was responsible for many of the stations day-to-day operations. Federman also worked as sales manager for KBIG and KLAC (1996-99). Prior to clothes online that, he was director/sales and marketing for KROQ (1995) where he served as the mean civilized, liaison between the sales, programming and promotion departments.

From 1992 to 1995, Federman was nsm for online york, KFMB-AM/FM in San Diego. He began his career at KKLQ-AM/FM in San Diego where he served in various capacities, including account executive, nsm and marketing/promotion director from 1988 to 1992. Federman was born and raised in Los Angeles and currently resides in Calabasas. He graduated in 1988 with a degree in journalism and advertising from San Diego State University. Federoff , Nick: KFI, 1989-2003; KPLS, 2003; KRLA, 2005. Nick left his long-running gardening show at KFI in early 2003 and is now heard at 870 AM KRLA. He is syndicated across the county.

His tv show, Things Green, airs Saturday mornings on KLCS/TV 58. Feinstein , Steve: KLOS, 1984. The AOR editor for RR magazine between 1983 and 1987 had an oldies show on KLOS called Rock and Roll Roots. Buy Narrative Xare! He started his radio career doing overnights at place to buy clothes online WIOQ-Philadelphia. Steve arrived in the Southland in 1983 from a pd slot at WYSP-Philadelphia. In 1987 Steve went to program KKSF-San Francisco.

On September 26, 1996, Steve jumped to his death from the 30th floor of the Westin St. Francis Hotel. He was 40. Fel , Felli: KPWR, 2000-11. Felli worked evenings at Power 106 until a promotion to music coordinator at KPWR in early 2006. He's now afternoon drive and a contributor to FOX's Dish Nation . Felde , Kitty: KLON, 1984-92; KCRW, 1992-96; KPCC, 1997-2009. Kitty is a special correspondent at KPCC. Feldman , Charles: KNX, 2004-17. Describing Experience Essay! Charles is a reporter at all-News KNX. Felz , John: KMPC, 1971-94; KMAX, 1995-96; KIEV, 1999. John is Best place online a noted sports producer in Los Angeles radio.

He's working at California State University, Northridge. Femino , Tony: KMPC, 1992-94. Tony broadcasts sports on the Phoenix CBS/TV station. Fennell , George: KJOI, 1962. Unknown.

(Kevin Fleming, Ricci Filiar, Gary Franklin, and Civil services essay, John Fricke) Fennoy , Dave: KACE, 1992; KAJZ/KACD, 1992-94. Dave has an active voiceover career. Ferguson , Gene: KPOL; KFWB; KPOL, 1973-86. Unknown.

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She moved on to 790AM The Ticket in Miami. A year later she returned to Los Angeles and married her boyfriend and LA Dodger pitcher, Darren Dreifort. Ferreri , Carmy: KKBT, 1989-90; KRLA, 1995-96; KIBB, 1996-97. Carmy was vp of programming for Royce International Broadcasting until the summer of 2012. He oversaw four stations in personal, Las Vegas, San Francisco and Palm Springs. Ferris , Bob: KMPC; KNX, 1957-67. Bob has passed away. Ferro , Jennifer: KCRW, 1994-2017. Jennifer was promoted to general manager at to buy clothes online york KCRW in February 2010 from county assistant gm.

Ferro , Pio: KTNQ/KLVE, 1995-97. Pio was the program director for KMVK-Dallas and CBS Radio's vice president of Spanish programming until late 2012 when Pio was appointed program director at WPOW-Miami. FERTIG , Craig: KLSX , 2001. The former USC QB was part of the football Xtreme broadcast at place clothes KLSX. He died October 4, 2008 of kidney failure at the age of 66. He was born on May 7, 1942. Craig attended the University of Southern California where he was a star quarterback for the Trojans. In 1964, he set eight school passing records and threw the game-winning touchdown against Notre Dame.

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F eser , Phil: KJOI/KXEZ, 1985-92; KUSC, 1993. Phil was the production director at KJOI and KXEZ. Place To Buy Clothes! He went on to work at book Premiere Radio Networks. Field , Elliot: KFWB, 1958-64. To Buy Online! Elliot runs a PR/Ad agency in Palm Springs. He's writing a book on his life. Fields , Lady Fay: KAGB, 1975. Unknown. FIELDS , Rich: KNX/fm/KKHR/KODJ/KCBS, 1983-92; KNX, 2012-17.

Rich was the Describing, announcer on The Price is Best to buy york Right for many years and Work home ventura, left the production in the summer of 2010. He's seen as the weatherman at KCBS/Channel 2. FIELDS , Sam: KBCA , 1972-80; KROQ ; KMET ; KLAC ; KKGO , 1980-89; KKJZ , 1990; KLON/KKJZ , 1990-2005. Sam died September 23, 2005, at Best clothes online york the age of 55. Sam was one of Does mean civilized ultra-civilized, L.A.’s jazz music personality veterans. Sam joined KLON (now KJZZ), based at Cal State Long Beach, in Best clothes, 1990. He started his radio career at Does mean essay ultra-civilized KBCA in 1972 and worked at Saul Levine’s Jazz station for almost a decade.

It's a terrible shock and loss, said Saul. He contributed so much to the field of jazz. In announcing his death, the KKJZ website stated: “His voice, insight and excellent musical taste will be deeply missed by all who knew him both on and off the clothes york, air.” Joni Caryl was a colleague of at magazine KKJZ and clothes, wrote the following about Sam: “Although I didn't know him well, the man I knew was a quiet, sweet, giant of a man who loved the Buy assignment, music. Sam wasn't about ego or being on the radio - he was about the individual songs and place to buy york, the musicians who created them. Jazz was his life, he was a solitary man, and everything he did was in service to the music. Home Magazine! He always stood quietly in the corner of the room at events and let his radio show be the york, way he expressed himself. I still don't quite believe that he is gone, or that we have lost two of the Sam cengage book, legendary voices of Jazz Radio in less than a year and Best to buy clothes online york, a half. I've always believed that the Buy narrative essay xare, best way to honor someone's memory is to treat the york, thing they loved most, with respect and reverence and a commitment to make sure that it continues to grow and thrive.

I hope we will all honor the memory of Describing personal experience, Sam Fields by doing everything we can to support and nurture Jazz, as the place online york, American Treasure that it truly is, and Public Radio, as the voice of the community.” Sam went to LA High School and, hard to believe, he was a track star. Aside from Does essay working at Thrifty Drug Store he also worked at a liquor store on Best online, Pico and Hauser. ‘Man, I needed the bread so I took the job,” remembered KNX’s Raul Moreno when asked to salute his friend. Grudt continued: “Two things I'll remember most about Sam is his great laugh that he would try to services essay age limit stifle as he was about to bust out. He also new how to pick the place clothes online, best tracks from any jazz album and made it look effortless as he programmed his daily shows.” Fields , Tony: KACE/KEAV, 1992-93. Tony was operations manager/pd at WEDR/WHQT-Miami until October 2006. Fife , Jeff: SEE the Woody Show.

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And then he marries Christy Knorr, a producer at Describing KCAL/Channel 9. To Buy! He told me frequently that she was the age limit, best thing to ever come into Best to buy online york, his life. We both started Web sites about local media at about the same time. Ron saw his role with RonFineman.com as a conscience for the tv news business. He cared so much about the business of reporting – when he saw reporters do less than a professional job, he said so. It was never the Describing, glass is half-empty or half-full, it was always about the professional presentation and the standards of responsible reporting, done in to buy york, a clear, concise and informative way. Many broadcasters were not up for the criticism he dished out. Work Magazine Ventura County! Eventually a tv executive put the pressure on a KNX executive to stop hiring Ron as a per diem reporter. When his work ended at KNX, the Web site became his sole income.

Ron fought a long battle with cancer. When he was diagnosed with colon cancer in the Spring of 2003, he was only Best place clothes york, months away from his 3-year colonoscopy ritual. His father died of colon cancer, so Ron went to the doctor for his colonoscopy every three years since he was 40. When the unexpected diagnosis was made, Christy insisted they get married and they did in December of 2003. “Shortly after being removed from his respirator, Ron spoke to Scott Martelle of the Los Angeles Times via telephone on ventura county, December 21. “As far as I'm concerned, I'm leaving this world having contributed something important, and I hope people remember me for that. Best Online! Some people were angry with what I wrote, some people took it in stride, and professionally.

The real pros looked at the content of what I wrote and Buy narrative essay, realized there was merit to what I was saying,” said Ron. Fink , Bill: KZLA, 1996-99. Place To Buy Clothes Online York! Bill is operations manager for Describing, the six-station Regent Communications in Best online, St. Cloud, Minnesota. Fischler , Alan: KBIG, 1966-72. The former vp/general manager of KBIG passed away October 5, 1985. Alan also owned KNJO/fm after leaving KBIG for age limit, several years in Thousand Oaks. Fisher , Steve: KFWB, 1986-90. Steve was general manager at KFWB and now he is cfo at place to buy Entercom. Fistell , Ira: KABC, 1977-95; KKGO/KNNS, 1996-98; KRLA, 1999-2000; KABC, 2000-06.

Ira worked weekends at KABC until late Spring of 2006. He is a history teacher. FitzRandolph , Chris: KNX, 1981-91. Work Home! Chris lives in Denver and owns Denver Film Digital. Flaherty , Bob: KGIL, 1980; KMGG; KMPC. Bob Flaherty started flying in 1962 and went to work at KGIL in Best to buy online, 1980. Over the Buy narrative, years he worked with Robert W. Morgan at Magic 106, and KMPC. Best Place To Buy Clothes Online York! Bob was born in Oakridge, Tennessee, and Describing personal, his father was involved in the Manhattan Project where they built the A-bomb. He went to high school and college in L.A. My last year of Best online, high school I broke my back skydiving, decided those planes were fun prior to jumping.

Pamela McInnes asked if I would be interested in radio, being I had the face for it. Ten years was enough. He also worked at KNX to help Bill Keene. I have two kids, Sean, 17 and Meghan, 15. I have flown most of my life, 15,000 hours, and Describing personal experience essay, I have flown a lot of great aircraft, wrote Bob. Flanagan , John Mack: KHJ, 1975. John works weekends at KFRC/fm-San Francisco. During the Best clothes online, week he is a security officer for a 30-story high rise in San Francisco. In late 2015, he published his memoirs, Tight Bright: A Diskjockey · Vietnam Memoir . Flavio , Silva: KTNQ, 1993-94. Silva died in April 2004.

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FLYNN , Howard: KGFJ ; KMPC , 1946-77. Best Online York! Howard was the morning news voice at 710/KMPC from 1953-79. He died October 26, 2011, at the age of 96. Howard delivered a half-hour newscast in morning drive for book, Harris Frank clothiers for a quarter century. He played Wheezing Upton Peter Dunkel on Dick Whittinghill 's Helen Trump spoof for years.

Fondo , Denise: Denise is anchoring traffic reports on KNX. Forbes , Ross: KORJ, mid-1970s. Ross was program director at KORJ. Unknown. Ford , Ed: KEZY, 1985-97.

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Ford , Mark: SEE Marv Howard. (Steve Futterman, Fuzzy Fantabulous, Kitty Felde, Mike Fright, and Tom Franklin) Forgione , Pete: KJOI, 1989. Pete worked mornings at KWXY-Palm Springs until retiring in early 2006. He now lives in Pennsylvania. Forman , Dave: KYMS, 1974; KWIZ, 1975; KEZY, 1976-82; KFWB, 1986-88. Dave, former executive producer and Best to buy york, host of On Scene: Emergency Response , died June 7, 2004, of apparent heart failure. He was 52. (Tony Fields, Sonny Fox, Lisa Foxx, and county, Stan Freberg) Bob went on place online, to be pd of Does ultra-civilized, KECA/Channel 7. First thing we did was change the call letters to KABC/TV.” In 1956 the gm of Best place clothes online york, KMPC, Bob Reynolds, offered Bob an opportunity to rejuvenate the station.

KMPC was the first radio station to broadcast the Buy assignment, Dodgers’ games after they moved to Los Angeles from Brooklyn in 1958. In 1961, Bob joined KLAC as gm until John Kluge/Metromedia bought the station in 1963. He remained with Metromedia as a consultant for several years. In 1968, Bob became one of the first writers on Adam-12, then he produced for NBC/TV. He played the hospital administrator on Marcus Welby, M.D. for two seasons, and many featured roles in other series and movies.

Bob became vp of clothes online york, Goodson-Todman Broadcasting, responsible for Describing, reviving KOL-Seattle. Then in 1978, he was appointed executive vp/gm of KRLA. “In 1987, I re-married and moved to to buy online york San Diego I thought, for evermore. Unfortunately, my wife developed Alzheimer’s Disease and passed away in March 1997.” “I loved the business. I had great rapport with the troops. I loved the people I worked with.” Bob died January 30, 2001, of leukemia. He was 85. Forzonn , Pam: KRLA, 1963-65. Pam was the Describing personal experience essay, husky voiced sidekick heard during Emperor Bob Hudson's morning drive show.

Foster , Bill: SEE Ron Shapiro. Foster , John: KACE, 1970. John was pd at Best place to buy york KACE. Unknown. Foster , Louise: KJLH, 1979-86; KGFJ, 1994-96; KPFK, 2004-05. Louise hosts a blues show at KPFK. Foster , Rod: KPCC, 1986-98.

Rod was gm at KPCC and now teaches communications at Pasadena City College. Foster , Ron: KIIS, 1977-80; KPRZ, 1980-85. Ron passed away October 2, 2002, after a battle with cancer. Foster , Sean: SEE Don Murray. Foster , Terry: SEE Pat Evans. Fox , Al: KNOB, KTYM. The Jazz format at KTYM was pioneered by Al. Fox , Bob: The longtime owner of KVEN and KHAY-Oxnard/Ventura is a past chairman of the SCBA and mean essay, radio chairman of the NAB. Fox , Charlie: KWIZ, 1975-77; KFI, 1977-79; KHJ, 1979-80; KUTE, 1982-84; KMGG, 1985; KRLA, 1992-93.

Unknown. (John Mack Flanagan, Gerry Fry, and Best place york, Al Franken) Fox , Cynthia: KMET, 1977-87; KMPC/fm/KEDG, 1987-89; KLSX, 1993-95; KLOS, 2003-13; KSWD, 2013-17. Cynthia worked middays at KLOS until the summer of 2013. Before the summer was over, 100.3/The Sound hired Cynthia for weekends and fill-in. In the Work home, fall of 2016, she took over afternoons at Best place clothes KSWD. Fox , Jim: For the essay age limit, 1990-91 season, Jim joined Bob Miller for the LA Kings broadcasts.

Fox , Jimi: KTNQ, 1976-77. Best Place Online York! When Jimi got out of Buy assignment, his daily involvement with radio, he followed his hobby and second love - orchids. He grew world class highly awarded orchids and has been responsible in Best place clothes, setting new trends in hybridizing. Fox , John: KEZY, 1993-99; KFWB, 1999-2000. Services Age Limit! John is the Best to buy clothes york, Internet Field Manager for Simpson Buick, Pontiac, GMC in Buena Park. Fox , Melody: KODY, 1989. Unknown. Fox , Michael: KABC, 1981-91.

The former pd at KABC is operations director for Shadow Traffic. Fox , Rosalie: KZLA/KLAC, 1988-94; KFI, 1996. Rosalie was the AP Radio Entertainment editor until a company downsizing in home magazine, early 2012. (Amy Freeman, Von Freeman, lan Fuller, Dave Fennoy, and Krystal Fernandez) FOX , Ryan: KKGO , 2011-12. Ryan Fox took over Best clothes online morning drive at KKGO “GO COUNTRY 105,” in early 2011 and moved to middays in the early fall of 2012. Personal Experience! Fox came back to Best to buy clothes online york the Southland (graduated from USC School of Work home ventura county, Cinema/Television) from a successful run working afternoons at the Dallas Country station, “The Wolf,” where he was voted DJ of the Year by fans at the Texas Music Awards in 2009. “Ryan is a very likable personality with a love of Best to buy clothes online, Country music and a proven ability to mean connect with listeners,” says Saul Levine , president and owner of KKGO/Mt. Wilson FM Broadcasters when Ryan was hired. Place To Buy Clothes York! “We’re pleased to bring him back to Southern California and confident that he will be very successful in this market.” “When I was going to school at Work county USC a few years back, I dreamed of one day being on the radio in Southern California,” said Ryan. “And now, with the dream finally being realized, it's nothing short of surreal. I am truly blessed and couldn't be more excited to be a part of the team.”

Ryan joined “The Wolf” in Dallas in 2005. From “The Wolf” website, we learn this about Ryan: “In his spare time, he enjoys hanging out with his lovely wife Amber, watching movies, and college football. He also enjoys attending church, spending time with family and place clothes, friends, and Buy assignment, wrestling with his fun-loving beagle-terrier, Max. Best Place Online York! He’s a big fan of Buy assignment, everything pop culture.” Ryan left the Country station in late 2012. Fox , Sonny: KHJ, 1972-73. Best To Buy Online! Sonny is the md of the essay, FM Album Rock channel at place XM Satellite Radio.

He also works on-air in afternoon drive. Foxx , Holly: KSCA, 1996. Holly worked swing at KSCA. Foxx , Lisa: KYSR, 1997-2008; MY/fm, 2008-17. Buy Assignment! Lisa works at MY/fm and voice tracks Star 101.3-San Francisco and Star 94.1-San Diego. She is part owner of Cache Restaurant in Santa Monica. In 2010, Lisa was honored with a Genii Award from the AWRT. Frail , Matthew (Doc): KRLA, 1974-76. Matthew had two runs on KRLA: one as Lee Simms and another as Doc Frail on mornings. Francis , Rob: KOCM/KSRF, 1991-92.

Rob was part of the place to buy clothes york, launch of the techno-Rock format at MARSfm on book, May 24, 1991. He has returned to the Bay Area. Francois , Dean: KCRW, 1992-2001. Dean is a Public Information Officer with the American Red Cross in Los Angeles. To Buy Online York! He is book a Pacifica Radio Activist.

Frankel , George: KFWB, 1995. Unknown. Franken , Al: KTLK, 2005-07. Al left the Air America network in February 2007 to run for Best place clothes york, the US Senate in Does mean, Minneapolis. He was declared the winner in a very tight race in the summer of 2009.

Franklin , Brenda: KIKF, 1992-93; KACD, 1993; KEZY, 1993-99. Unknown. Gary started out at place online york WTAR-Norfolk and then went to Johns Hopkins University on a fellowship to study network news theory. Buy Assignment! A series of to buy online york, radio and Describing personal experience essay, tv assignments followed including WJZ-Baltimore, WGBH-Boston, KYW-Philadelphia, WIND-Chicago and KYW-Cleveland. In New York, Gary worked for ABC as a radio writer during the day and tv writer in the evening. He produced the Jules Bergman space reports and the evening news with Peter Jennings.

I got out of entertainment because the product got so bad. I blame tv and the film industry for Best to buy online, the plight of young people. Franklin , Peter: KYMS, 1969-71; KPPC, 1971-73. Unknown. Franklin , Robert: KFOX, 1972. Buy Assignment! Bob died in the fall of 1996.

(Elliot Field, Ted Ferguson, Jimi Fox, Steve Fredericks, and Charles Feldman) Franklin , Tom: KFAC, 1970-87. Tom died of a stroke in to buy online york, 2004. Fraud , Art: KPFK, 1979-80; KCRW, 1984-88. Buy Narrative Essay Xare! Art and Vic Tripp hosted the Cool and Best place york, the Crazy every weekend at KCRW. The LA Times described the show as an eccentric rollercoaster ride down pop's memory lane. Freberg , Stan: Stan's latest release, The United States of Buy narrative essay, America Vol. 2, was released on Rhino Records.

Frederick , Miranda: KIQQ, 1980-81. Unknown. Fredericks , Paul: KMPC, 1979-81. Paul (Fred Chenevey) is retired and living in online york, Englewood, Florida. Fredericks , Steve: KPOL; KIIS, 1970-71; KDAY, 1971-73; KPOL, 1973-74; KRTH, 1974-78. Steve (Liddick) is retired from radio and has written three novels and a memoir of his nearly half-century in essay, radio. Free : KKBT, 2006. Free worked at the BEAT for less than a year. Free , Laurie: KNAC, 1989-94; KIIS, 1994-95. Laurie works afternoons at place clothes online york KEZR-San Jose.

Free , Scott: KEZY, 1992-99. Scott worked at Westwood One Hot Country format and late nights at KFRG/KXFG/KVFG-Inland Empire. He died July 29, 2011, at book the age of 55. Freebairn-Smith , Ian: KFAC, 1987-89; KKGO, 1992-97; KGIL, 1997-98; KCSN, 2008-09. To Buy Clothes! Ian was the midday personality at KCSN until the Classical station automated in late September 2009. (Terry Fahy, Alan Freed, Dave Forman, and Civil essay age limit, Nick Federoff) Freed , Alan: KDAY, 1960-61; KNOB, 1964-65. Alan died January 20, 1965, of uremia at place online the age of Does mean essay, 43. Alan was elected to the Emerson Radio Hall of Fame in Best place clothes online, 1988. Freed , Bob: KHJ, 1965.

Bob was a 20/20 newsman at the start of book, 93/KHJ Boss Radio. Freedman , Howard: XTRA, 1990-96; KKLA/KRLA/KFSH, 1997-2003. The former vp of Best online, programming for XTRA Sports 690 and Salem's KKLA/KRLA/KFSH retired from radio at the end of 2003. He's selling real estate in Ventura County. Freeman , Dave: KNNS, 1995-96.

Dave is an announcer at KQED-San Francisco. Freeman , J.D.: KNOB, 1987; KZLA/KLAC, 1993-96. J.D. ran the Clear Channel cluster in San Francisco until late spring of 2014. He's retired. Freeman , Jim: KHTZ/KLSX/KRLA, 1979-83. Does Mean Civilized Essay Ultra-civilized! Jim went on to San Diego to work for a radio promotion company. (Nathan Fast, Ira Fistell, Judy Ford, and Felli Fel) Freeman , Paul: KEZY, 1970-76; KHJ, 1976; KIIS, 1976-89; KODJ/KCBS, 1989-92; KZLA/KLAC, 1992-93; KYSR, 1993-96; KBIG, 1996-97; KZLA, 1998-2006; KMLT, 1998-2005; KKGO, 2006-16. Paul worked afternoon drive at place to buy KKGO, Go Country. He retired in the summer of 2016 and returned to his hometown of Spokane. Freeman , Amy: KIIS, 1999-2006.

Amy was Director of essay, Sales for Clear Channel Los Angeles. Before arriving in the Southland she worked at Q104 in Kansas City, 91x in San Diego and Q102 Cincinnati. Place To Buy Online York! Since 2012, Amy has been regional sales manager at personal experience essay 101.5 LITE FM and Magic 102.7 in Miami. Best Place Clothes Online York! In early 2016, Amy was promoted to general sales manager of the two Entercom stations. Freeman , Von: KIIS, 1996-2006.

The vp of Marketing at KIIS worked his marketing magic in Kansas City, San Diego, Cincinnati before arriving in magazine ventura county, los Angeles. He was co-owner of the NBC TV Radio Music Awards from 1998 to 2005. Since 2012, Von has been head of marketing at 101.5 LITE FM, Magic 102.7 and Best to buy clothes york, The Ticket radio in Miami. Sam was born September 19, 1960. French , Don: KFWB, 1961-65. Don was working at KTSA-San Antonio in the late 1950s. In 1961 he left programming chores at KDWB-Minneapolis for sister Crowell-Collier station KFWB, working the nine-to-noon shift during the infamous strike that affected newsmen and the personalities. Don became the pd in essay ultra-civilized, 1964. Bobby Dale described Don as the nicest guy. When he left Southern California, Don went to KJOY-Stockton, KNEW-San Francisco and to program WGR-Buffalo.

In 1971 he was the manager of the San Antonio Columbia School of Best, Broadcasting. By 1975, Don was in Anchorage radio. Does Civilized Ultra-civilized! He died on November 28, 1982, in Minneapolis, after a prolonged illness. During his career he worked for Gordon McLendon, Crowell-Collier, WNBC-New York, WDAF-Kansas City and WTAE-Pittsburgh. Freshman , Howard: KMGG / KPWR, 1983-88; KSRF (MARS/fm), 1990; KKHJ, 1992; KRTH, 1993-2000; KNX/KFWB/KTWV/KRTH, 2006-16.

Howard was marketing director for CBS Radio’s KNX, KFWB, KTWV and KRTH in Los Angeles until late February 2016. (Kimberly Fletcher, Chris FitzRandolph, Charese Fruge, and Best, Andre Fernandez) Freund , Sue: KKBT, 1999-2006; KRTH, 2006-08. Sue was made general manager of The BEAT on ventura, April 15, 2003. Place To Buy! She exited the station in October 2006 and within weeks joined KRTH as general sales manager. In February 2008, Sue left KRTH following a major downsizing at CBS Radio. She now works for Sirius Satellite Radio. Fricke , John: XPRS, 2003-04. John was part of the new sports line-up of the Mighty 1090 in the spring of 2003. Fricke , Jonathan: KFOX, 1973.

While at KFOX, Jonathan worked for Bob Wilson as RR 's first Country Editor, including doing the Country Charts. He was hired by Warner Bros. to open the country division in Nashville. Jonathan now owns a publishing company in Nashville, MusicWorks International. Friedman , Andy: KFI, 1989-95. Andy is head of Content operations for Patch. FRIEDMAN , Sonya: KABC , 1986-87. The following is excerpted from home a People Magazine profile of Sonya in 1986: Sonya, posture-perfect behind her Cable News Network desk. In less than a year Sonya Live in L.A. has made its mark with such moments. Small wonder. This is, after all, the pop psychologist who sold America the notion in 1985 that Smart Cookies Don't Crumble (one of a trio of Sonya bestsellers).

Watch her bristle if you even call her a talk show host. She considers herself more a serious news person. If you compare me to Oprah, my producer will bite you. Sonya Elaine Kiel met Stephen Friedman on a Coney Island beach when she was 14; six years later they wed. Black curly hair and clothes york, chipmunk cheeks characterized the young bride, who after graduating from Brooklyn College in 1956 worked as a speech therapist to help her husband through school.

When we were first married, she recalls, we were 1½ people—I was the half. Soon enough, however, Friedman was also hitting the books, earning a doctorate in psychology at Michigan's Wayne State University in 1967. Starting with a column in a community newspaper, Dr. Sonya Friedman gravitated toward television and A.M. Work Ventura County! Detroit . (Art Fraud and Vic Tripp, Hugh Fuller, Reb Foster, Paul Fredericks, and Shannon Farren) Fright , Mike: KOCM/KSRF, 1992; KWIZ, 1993; KACD, 1996-97. Born Mike Ivankay, he hosted Renegade Radio KWIZ featuring rave, techno and alternative music and at Groove Radio under his real name. Fritz , John: KGBS, KBIG, KRKD. Unknown.

FRITZINGER , George. KFAC . George owned and ran Classical KFAC. At one point he was part owner or president of 12 radio and tv stations around the Best place to buy clothes online, country. He was chief executive officer of National Media Ventures Inc, which owned KAZN with and two stations in Fresno. He was chairman of Sam cengage, U.S. Cellular Co. He was a diector of Queen of Angels-Hollywood Presbyterian Medical Center, Pepperdine University and Pauist Productions. George died March 30, 1991, at the age of 53. In 1982, Fromson joined USC’s journalism faculty directed the Center for International Journalism. The program recruited and trained more than 100 journalists specializing in reporting on Cuba, Mexico and other Latin American nations. He was director of USC's School of to buy online, Journalism in the USC Annenberg School for Communication for five years from 1994-99 when he stepped down to work on a memoir about the Cold War.

He died January 9, 2011, at Civil services essay age limit the age of 66, of a cerebral hemorrhage caused by a fall in Managua, Nicaragua, during a heart attack. At the time of his death he was operating a bed and breakfast called Passages Inn in Gettysburg, Pennsylvania. Frost , John: KROQ, 1987-2000. John was responsible for the multi-award-winning jingles, promos and i.d.'s that image KROQ. He left in late 2000 and Best place to buy, does freelance production. Fruge , Charese: KYSR, 2006-07.

Charese was appointed pd at STAR 98.7 in late Spring of 2006 and left the station in home, late 2007. She went on to be pd at Energy-San Diego and Hot AC KLLC-San Francisco. In the winter of 2016, she exited the Houston CBS music cluster. Fry , Donald: KRLA, 1979. Donald is a CPA who was an interim gm during the Bob Hope licensing dispute at KRLA. Fry , Gerry: Gerry was Armed Forces Radio Television director of place to buy clothes york, programming from 1982-96. He serves o n the board of Buy assignment, Pacific Pioneer Broadcasters and working as background in films and Best place to buy clothes york, tv. Fry , Greg: KYSR, 1999-2005.

Greg worked weekends at Star 98.7. After 'Star,' Greg started a Website and Graphic Design company in L.A. Essay Xare! He also volunteers as a medic for Best york, LAPD's Search Rescue team.. Fuentes , Mario: KMVN, 2007-08. Mario worked afternoon drive at Movin' 93.9/fm.

He left the Does mean civilized essay ultra-civilized, station in February 2008. Fuentes , Ricky: KPWR, 1998. Unknown. (Jennifer Ferro, Jeff Federman, Howard Freshman, and Julio Flores) Fuhr , Paul: KNAC, 1978-81. Best To Buy Clothes Online York! Paul is director of Exodus Communications in New York. Fuller , Alan: KPLS, 2001-03; KMXE/KLAA, 2006-07. Alan was the home magazine, gm of 830AM until late 2007.

Fuller , Bob: KMPC, 1971-73. Bob lives in Palm Springs and to buy clothes online, Portland, Maine, depending on the seasons. He owns five stations in Buy assignment, Portland. Bob's son, William is a sales rep for the ABC/TV station in Palm Springs. Fuller , Hugh: KTWV, 2003-07; KJLH, 2010-17. Hugh works weekends and to buy clothes, fill-in at Stevie Wonder's KJLH. Fuller , Randy: Randy is a traffic reporter at KABC and KMLT. Fuller , Shelly: KCBS, 1997. Unknown.

FULTON , Liz: KIIS , 1979-84 and 1987-90; KOST/KFI , 1990. Liz, best known for being Rick Dees ’ sidekick at KIIS/fm during the 80s, died on May 7, 2014, at her home in Mckinleyville, on the North Coast of California. Buy Assignment! Liz died of Best clothes online, natural causes. She was 61. A note from Liz’s sister, Marianne, was forwarded by her husband, Rick Reed. Elizabeth Fulton was born in Mobile, Alabama on December 19, 1952, to Samuel Sylvester and magazine ventura, Elisabeth Fulton. A fraternal twin, her older sister Marianne was born eight minutes before Elizabeth.

They were a US Air Force family and their daughters were raised overseas during service at bases in England, Spain and Germany. The family returned to Best place to buy york the US and settled in Chandler, Arizona where both daughters graduated from high school in 1971. After her father retired from the service at home magazine Beale AF base outside Yuba City, Elizabeth attended Yuba College as a Drama and Theater arts major. It was while performing in plays as a student she became interested in broadcasting. After breaking in at KOBO in Yuba City, her talent took her to Sacramento where she reported news for KROY AM.

After leaving the capital city for place to buy clothes, Los Angeles, Liz Fulton became newscaster for the number one radio program in America working at KIIS/fm until leaving Los Angeles to retire on essay xare, the North Coast, where she produced personal podcast streaming radio shows online. Rick Dees was shocked at the news. “I had a wonderful re-connection with Liz at our studios in L.A. in early 2014, and she recorded some promos and voiceovers,” wrote Rick. “Liz was fabulous. Her voice and infectious laugh take me to a place of joy in radio. So many of us will miss her energetic spirit. I remember the quote I shared with Liz as I gave her a hug at our last meeting: ‘Yesterday is history.

Tomorrow is a mystery. Today is a gift. That's why it’s called THE PRESENT.’ And the memory of Liz Fulton is a gift,” concluded Rick. Liz started doing news at KIIS in 1979. She became a part of the morning team when Dees arrived, with Liz being named news director in 1981. She left in 1984 to work for a small station in Northern California, where Samantha, her first daughter, was born.

She returned to KIIS/fm and the highly rated morning drive show in 1987. In 1990, represented by attorney Gloria Allred , she filed a sex discrimination suit, seeking judgment on specified damages and charged Rick Dees and Gannett with breach of contract and invasion of privacy. She contended that she was often the object of Dees’ on-air sexual jokes while employed at the station. Liz went on to say that she and Rick hardly spoke to to buy clothes each other unless they were on the air. She said she didn’t complain to Dees or station management about the sexual jokes because she feared she would be fired. Rick referred to her as Liz “Rugburns” Fulton. Essay! In the mid-1990s Liz worked at KTMS-Santa Barbara and Best place online york, later moved to Lake Tahoe to work news at KRLT/KOWL. Funkhouser , Barry: KOCP, 1999-2001; KROQ, 2000; KTWV, 2002-06; KROQ, 2004-06; KLSX, 2005-06; KBBY, 2003-05; KCXX, 2005-07; KMVN, 2006-07.

Barry was working weekends at KBZT-San Diego. Fusco , John: KRLA, 1999-2001. The former co-host of Daniels and Work home magazine ventura, Fusco is now at WDBO-Orlando and produces and performs in Best place clothes online york, Radio Sci Fi. Civil Essay! He's also the broadcast engineer for the Orlando Magic. Fusion , Ken: KPCR, 1983-84; KROQ, 1984-1990; KRVM, 1994-97. Ken hosted the KROQ Kalendar from 1985-90 and he was md for three years.

He now lives in Oregon and is a Systems Engineer at a large software company. Fuson , Gene: KFWB, 1970-77. Gene was editorial director at KFWB where he won the Best to buy clothes, National Headliner Award for Describing personal essay, Editorials two years in a row, two Golden Mikes and Best to buy clothes online york, several other awards. He went on to Channel 2 for 16 years where he was editorial director. Sam Cengage Book! Gene was often credited with introducing the authors of Proposition 13 to Best to buy clothes online each other.

Among his efforts to create change in California was his pairing of the late Howard Jarvis and Sam cengage, Paul Gann, who created Proposition 13, the 1978 initiative that limited property taxes. Fuson also led editorial campaigns for york, laws that now provide that the state ballot be written in services, language the average person can understand, that freeway off-ramp signs note destinations such as Disneyland or Universal Studios as well as streets and that school social studies curricula include law. In San Diego, he led the campaign to to buy clothes york build Jack Murphy Stadium in Mission Valley. A ninth-generation Californian descended from one of the first visitors to essay the San Gabriel Mission in 1775, Fuson wrote two books on Best clothes online york, state history, The Silver Dons and The Glory Years , and was co-author of the mean civilized essay ultra-civilized, Hollywood Chamber of place to buy online, Commerce's book on Describing personal experience essay, the 100th anniversary of Hollywood. He died in to buy, July 1993, of kidney cancer, at the age of 71. Futterman , Steve: KNX; KMPC, 1996; KABC, 2001; KNX, 2005-17. Steve is covering west coast news for CBS Radio.

Send mail to: db@thevine.net with questions or comments about this website. Copyright © 1997 - 2017 - Los Angeles Radio People.

Jan 27, 2018 Best place to buy clothes online york, order essay -

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Essay: Evaluating compliance to Surviving Sepsis Campaign (SSC) resuscitation bundles in hospitals across the UK and implications for nursing practice: An Extended Literature Review. This literature review aims to evaluate hospitals’, and york, more particularly nurses’ capacity to comply with Surviving Sepsis Campaign (SSC) sepsis resuscitation bundles across the UK, as SSC guidelines have proven to Civil services essay increase sepsis survival rates when implemented properly. Using LibrarySearch, a methodical review of the existing literature was performed. Clothes? A variety of health related databases and journals were searched and Boolean logic was applied to Describing personal essay specific search terms (Lobiondo-Wood and Haber, 2014). Best Online York? Eight relevant articles were then appraised for quality and Work ventura, the findings discussed. A lack of resources such as equipment and supplies, lack of appropriate referrals due to poor SSC education of medical and nursing staff, and the inconsistent use of SSC guidelines are all associated to with generally poor compliance with SSC sepsis resuscitation bundles in the UK.

Overall, the extent of hospitals’ compliance to SSC sepsis resuscitation bundles depends on the availability of the resources and equipment, education of medical and nursing staff, and consistent use of the SSC guidelines. Best Place Online York? Importantly, eight articles evidence that SSC awareness by medical and nursing staff plays a vital role in overall compliance. Chapter 1: Introduction. Hart (1998, p. 26) defines a literature review as a summary and ‘critical analysis of relevant available’ studies related to essay xare the chosen topic being reviewed. A literature review can aid in improving nursing practice in particular, by identifying themes and causation around a given issue in the field of nursing (Moule and Goodman, 2014). Best Place York? Hence, it is critical to gather evidence-based information through a literature review of the latest available research to help improve one’s practice and Sam cengage, make decisions that is based on the best available evidence (Aveyard, 2014). Florence Nightingale (1860) emphasised that nurses are knowledgeable when it comes to patients’ care.

Therefore, in the nursing profession there is no way to stop learning, but instead there are ways to update what has been learned from the past according to present conditions, and to gain new insights in order to provide the best available evidence-based practice to patients’ care (NMC, 2010; CRD, 2007). Moreover, it is the to buy responsibility of Describing personal experience essay, a nurse to learn new information concerning his or her patients and the environment he or she directly works in, in order to be prepared for new challenges and changes in to buy online delivering evidence-based nursing care to Civil age limit patients (Spencer, 2011). The next chapter will briefly discuss the background and rationale of the focus question of this literature review, which is: ‘To what extent can hospitals in the UK comply with SSC resuscitation bundles, and what are the implications for nursing practice’? The following chapter will outline the methodology of research, including how relevant literature was searched, tabulated, and Best to buy clothes online york, analysed, and Buy narrative, how the three themes emerged from the chosen articles (Parahoo, 2006). This is followed by the discussion and analysis of themes that arose from the chosen articles, and the implications and recommendations for nursing practice.

Lastly, conclusions drawn from the chosen articles reviewed will be made. Chapter 2: Background and Rationale. 2.1 What is Sepsis? Sepsis is the reaction of the body to an infection, meaning that the ‘body attacks its own organs and tissues’ as defined by UK Sepsis Trust Organisation (2014). Sepsis was previously known as septicaemia or blood poisoning (Bone, 1991). Best To Buy York? It starts from an uncomplicated infection that develops into severe sepsis, wherein the infection becomes associated with organ dysfunction and Buy narrative, leads to clothes york an increased risk of death (Mackenzie and Lever, 2007). According to the UK Sepsis Trust Organization (2014), sepsis can quickly lead to Buy assignment shock, multi-organ dysfunction and eventually results in death if the sepsis is Best place online, not detected immediately and not treated promptly.

Sepsis is one of the Buy assignment primary reasons of death worldwide. This is place york, why Surviving Sepsis Campaign guidelines have been introduced worldwide. 2.2 Surviving Sepsis Campaign (SSC) sepsis resuscitation bundles. In 2004, Dellinger et al. launched Surviving Sepsis Campaign (SSC) international guidelines in Civil services essay age limit the United States for the management of severe sepsis as an place clothes online york effort to essay reduce the mortality rate associated with sepsis (Dellinger et al., 2004a). It encompasses the creation of evidence-based guidelines sponsored and endorsed by 11 international organisations. It was revised in place clothes 2008 and the latest revision was in 2013. Subsequently, numerous research studies worldwide had proven its success in reducing mortality rates. The SSC guidelines are composed of 3-hour, 6-hour, and 24-hour resuscitation bundles for managing severe sepsis and septic shock (Dellinger et al., 2013c), which need to be delivered within a certain timeframe immediately following the identification of sepsis symptoms.

These bundles are a group of Does mean essay ultra-civilized, three or more elements of care specifically related to the disease, that when implemented together will improve patient outcomes (Surviving Sepsis Organization, 2014b; Institute for Healthcare Improvement, 2014; Dellinger et al., 2013c; Daniels et al., 2011). 2.3 SSC guidelines and United Kingdom. In 2005, the Best to buy United Kingdom launched the SSC guidelines in an attempt to reduce the sepsis mortality rate in the UK (Bray and Murphy, 2006). The National Institute for Health and Clinical Excellence (NICE) (2007) recommended to carry out Civil age limit, a set of observations or vital signs systematically using the to buy clothes Early Warning Score (EWS) and the SSC resuscitation bundles (Dellinger et al., 2013c) for management of severe sepsis and septic shock. These are currently recommended on a national scale to address the issue. However, despite of the introduction of the campaign a decade ago, the mortality rate in UK remains unacceptably high, ‘There are 102,000 cases of xare, sepsis arise annually, 36,800 deaths every year as a result of severe sepsis’ (Daniels et al., 2011, p. 508). ‘Putting this into perspective, lung cancer (the biggest killer after cardiovascular disease) claims just fewer than 35,000 lives per year, bowel cancer 15,000 and breast cancer 9,000? (Richards, 2013, p. 3).

Hence, it is to buy york, important to Sam cengage identify the to buy online limitations to county compliance and determine how medical and nursing staff can best help patients survive sepsis (NPSA, 2007). Best Place Clothes? In any hospital setting, there are different patients with many different kinds of illnesses, and nurses play a vital role in ensuring that patients receive the best and most appropriate possible care, thus preventing patients’ deterioration (Aitken et al., 2011). Moreover, rapid diagnosis and treatment saves lives when done as quickly as possible (Parliamentary and Buy assignment, Health Service Ombudsman, 2013). Thus, the aim of clothes online, this literature review is to Buy narrative essay xare evaluate hospitals’ compliance to SSC sepsis resuscitation bundles across the UK as well as to identify the role of the nurse in helping to improve overall SSC compliance (Surviving Sepsis Organization, 2014a). The following focus question was formulated to address the abovementioned concerns and to guide the literature search of this review: ‘To what extent can hospitals in Best place clothes online york the UK comply with SSC resuscitation bundles, and what are the implications for nursing practice’? The next chapter will discuss in further detail the xare methodology used for conducting research in order to address the most appropriately respond to this question.

Chapter 3: Methodology. This chapter will discuss the selection criteria, search strategy, and Best to buy clothes online, the search outcome of the Buy assignment literature search. How and why the articles were chosen to be included in this literature review will be explained. 3.1 Selection Criteria. The inclusion and exclusion criteria were determined using the Population, Intervention, Comparison or Comparator and Outcome (PICO) tool. The PICO acronym is used to articulate the research question and structure the search strategy (CRD, 2007; Higgins and Green, 2008; Whitlock et al., 2010). Studies evaluating compliance to the Surviving Sepsis Campaign (SSC) sepsis resuscitation bundles across hospitals in Best place online york the United Kingdom (UK) were considered. Hospital settings allow for a wider sample in evaluating nursing and medical staff’s adherence to Work home magazine ventura county the guidelines of the Best place to buy clothes online york SSC rather than in specialist clinics or GPs settings. Articles focusing on adult hospital settings across the United Kingdom, and written in the English language were included. Studies evaluating the use of sepsis resuscitation bundles in paediatric and maternity settings were excluded, as these are less relevant to the adult field of nursing, and paediatrics and maternity wards require different interventions for the treatment of sepsis recommended by the SSC. Many studies started within different timeframes in different places when the SSC guidelines had been introduced worldwide; hence, studies outside United Kingdom were excluded.

The literature review focuses solely on the UK, since it is Work ventura, easier to recognise the place to buy clothes limitations of the sepsis care bundles when evaluating sample populations in one country rather than across many countries. Studies assessing the compliance to the Surviving Sepsis Campaign guidelines (Dellinger et al., 2013c) comprising severe sepsis, septic shock resuscitation care bundles and essay age limit, early goal directed therapy (EGDT) were included, as these are elements of the established bundles and interventions used to manage patients with severe sepsis and septic shock in the UK (Surviving Sepsis Organization, 2014b). Studies assessing severe sepsis and septic shock cases without using the Best clothes online recommendation of SSC guidelines were excluded, as this paper aims to identify issues and determine possible reasons as to why and how non-compliance is occurring despite the proven effectiveness of services age limit, sepsis resuscitation bundles under the Surviving Sepsis Campaign (Daniels et al., 2011). As the United Kingdom launched its Surviving Sepsis Campaign in 2005 (Bray and Murphy, 2006), only studies assessing compliance to the SSC guidelines to address severe sepsis and to buy clothes york, septic shock in the UK from 2005 onward were included in this literature review. Studies evaluating the relationships between awareness, resources, and compliance to the SSC sepsis resuscitation bundles, as well as correlative evidence of decreasing mortality rates associated with compliance in sepsis were included. 3.1.4 Study Design. Due to the nature of the focus question, which is to evaluate the compliance to the SSC sepsis resuscitation bundles, quantitative studies were included that include prospective observational studies, retrospective cohort studies, questionnaires, and surveys. The focus of this paper is across the United Kingdom in order to Sam cengage book establish general determining factors regarding the clothes online york limitations, barriers, and solutions for successful implementation of SSC sepsis resuscitation bundles (Surviving Sepsis Organization, 2014a). Case reports and Describing experience essay, case series were excluded because they tend to Best clothes york focus on one case study, which is more likely to be very specific and less widely applicable than evidence across a more random sample population (Jolley, 2013).

The SSC guidelines were published in 2004, hence, publication dates from the personal experience essay years 2004 to December 2014 were included, and dates before 2004 and place york, beyond 2014 were excluded from this literature search. In terms of hospital studies in the UK, only Buy narrative essay xare articles published between 2005 and 2014 were included, since the SSC guidelines were launched in the UK in 2005. 3.2 Search Strategy. After establishing the focus question this paper aims to answer, the first step was to identify the Best place to buy clothes online necessary databases for accessing a wide range of data sources in the Internet (Younger, 2004). University librarians’ assistance was sought to access different e-journals. Upon learning the ways to access databases, the researcher used a range of databases from the LibrarySearch engine. LibrarySearch is the University’s search and retrieval tool designed to search for databases and e-journals. Essay? This search was performed to reduce bias of the review, and to retrieve articles containing the search terms used. Place To Buy Clothes Online? Minimising bias was endeavored by Sam cengage book, using many appropriate databases to Best place clothes online broaden the selection criteria (Newell and Burnard, 2006).

A worldwide search was not included, as only the population of the magazine ventura county United Kingdom was relevant to the research question and only articles written or translated in English were considered for review in the study. To Buy Clothes York? However, this risk bias, resources for translating articles are not accessible (Khan et al., 2003). Jolley (2013) explains how accessing a wide-range databases aids in acquiring the best and most current research articles. The chosen databases used in Sam cengage book this literature search are the British Nursing Index, Internurse, Medline (Ovid), Pubmed, SAGE journals, and Wiley Online Library. The British Nursing Index was chosen because this database covers all aspects of Best york, nursing from Does mean civilized essay ultra-civilized, 1994 to place clothes present, which meets the inclusion criteria for articles from 2004 to 2014. Internurse database was chosen, as it is the UK’s largest collection of nursing journals. Furthermore, as the Civil essay UK is Best place to buy clothes, home of the British Journal of Civil essay age limit, Nursing, the journal was used for its main focus on research conducted in UK.

The Medline and Pubmed databases were included, as these two cover academic journals from medical, nursing and health care publications. Wiley online library was used since it provides over 4 million articles from across different countries that include the United Kingdom. Lastly, the SAGE online journal database was included, as it is the world’s independent academic and professional publisher of over 560 journals (SAGE Publications, 2014). After selecting databases, the next step was to decide which search terms were to be used in online york accessing literature that would provide the most appropriate evidence for Buy narrative, the research question. The following are the search terms that were used: UK, surviving sepsis campaign, compliance, severe sepsis, nurses, impact, and implementation. Best Online? To increase the search sensitivity, Boolean logic was applied using the words ‘AND,’ ‘OR’ and ‘NOT’ (Khan et al., 2003). 3.3 Search Outcome. This section will describe which databases successfully produced relevant results based on the search terms and selection criteria. It will further illustrate the number of articles retrieved, and of the articles retrieved, which were identified as the most relevant to the focus question.

This literature search took place between October and Describing personal experience essay, December 2014. Using the Search Scope in LibrarySearch engine, six databases were selected to Best clothes online gather articles by applying various search terms relevant to the focus question of this paper. University journal archives and online access privileges, such as subscribing for a free 14-day trial were also used to obtain relevant literature. Initially, the first group search terms used were ‘Surviving Sepsis Campaign,’ ‘compliance’ ‘AND’, ‘impact,’ and ‘UK’. Buy Narrative Xare? From these search terms, 694 items resulted, with different material types, any year, and any language type (Figure 1). Best Place Clothes Online York? This was then narrowed down from 694 to 3 items by applying the Buy assignment selection criteria wherein the publication date range of the Best place online retrievable articles was limited to filter inclusion of only Describing experience literature relevant for the review, given that Surviving Sepsis Campaign guidelines were first published in 2004. Therefore, only articles published between 1st January 2004 and 31st December 2014 were considered in order to filter the most current available evidence. Moreover, English language type, and articles as the Best place to buy clothes online material type were chosen (Figure 2). The next group of search terms used were ‘Surviving Sepsis Campaign,’ ‘AND’, ‘nurses’ and ‘UK.’ From these search terms, 4 articles were chosen as the most relevant to the focus question. Sam Cengage Book? Furthermore, from these 4 articles retrieved using the Best to buy online selection criteria as shown in Figure 3, these were narrowed down from 4 to 1 article, as the other 3 were not research articles. ‘Severe sepsis,’ ‘guidelines,’ ‘AND’, ‘nurses’ and ‘UK’ were the third group of search terms used in the LibrarySearch engine that resulted in 69 articles (Table 4).

To filter results to match the most relevant criteria of the focus question of Buy narrative, this review, the subject was refined to ‘Great Britain,’ hence the search was narrowed down from Best to buy clothes york, 69 to 2 articles (Table 5). Finally, the following search terms: ‘Surviving Sepsis Campaign,’ ‘AND’, and ‘UK’ were used to find further literature, which resulted in 1,295 items (Figure 6). A collection of journals ‘ namely: Intensive Critical Care Journal, Journal of services, Clinical Nursing, and Nursing Critical Care Journal ‘ were chosen to clothes online narrow down the search from 1,295 to 6 articles (Figure 7). In total, 12 articles were retrieved utilizing the search terms relevant to book the focus question. Place To Buy Clothes Online York? These were then evaluated for relevant titles and abstracts. Two of the articles retrieved had no full text access and the other two articles were duplicated using different search terms (Khan et al., 2003). The eight articles were tabulated that met the selection criteria. Xare? The reviewer found that seven articles have used additional and often overlapping sepsis research studies as references.

For example, 6 articles referenced Gao et al. (2005), 1 referenced Simmond et al. (2007), and 1 referenced Robson et al. (2007) which were also helpful in determining the academic legitimacy and relevance of the articles (Polit and Beck, 2006; Whittaker and place online, Williamson, 2011). In order to home minimise bias, Glasziou et al. Best Place To Buy Clothes Online York? (2001) suggest having a second reviewer, however this was not feasible in this literature review. Finally, quantitative research was included as it relates to the focus question of the Sam cengage review, which is to evaluate the compliance to the SSC sepsis resuscitation bundles as recommended by Dellinger et al. (2013c). Best Place To Buy York? Evaluation is primarily conducted with the use of quantitative targets and measurements (Coughlan, Cronin and home magazine ventura county, Ryan, 2007). Ultimately, eight articles were included in this literature review. These eight articles are primary articles, published in United Kingdom between 2005 and 2011.

All of these studies concern hospitals’ implementation and compliance to the ‘sepsis resuscitation bundles adapted from the Surviving Sepsis Campaign’ (Dellinger et al., 2013c; Surviving Sepsis Organization, 2014a; Surviving Sepsis Organization, 2014b), particularly for adult patients identified as having sepsis in the UK. 3.4 Critical Appraisal Skills Programme (CASP) and Hierarchy of Evidence. Reviewing research is a ‘mechanism used to provide feedback for improvement’ as noted by Polit and Best place to buy clothes york, Beck (2006). After articles were selected, a CASP framework was chosen to Sam cengage critically appraise each article according to its validity, credibility, and Best place online, implication to practice by following the Case-control and Cohort Studies Appraisal Checklists (CASP, 2013). Mean Civilized? This helped the Best place clothes york reviewer to scrutinise the individual work and to underline the strengths and weaknesses of each article in order to identify the best examples of evidence-based practice (Coughlan, Cronin and Ryan, 2007). The Canadian Task Force on Periodic Health Examination in services late 1979 was the first to disseminate the Best to buy Hierarchy of Evidence, until which point different, hierarchies had been established and used (The Canadian Task Force on the Periodic Health Examination, 1979; Evans, 2003). Hierarchy of Evidence is a tool used in ultra-civilized determining the effectiveness, appropriateness, and feasibility of evidence (Evans, 2003). To Buy Clothes? It additionally identifies evidence in order to rank the articles according to xare the research method most relevant to the focus question. Of the Best york eight articles, five articles employ cohort studies and the other three articles use case-controlled studies.

All of the articles chosen were published in personal experience essay the United Kingdom and are peer-reviewed. The Systematic Review is the highest level of to buy online, hierarchy, followed by the Random Controlled Trial (RCT) as the second level of evidence. Buy Narrative Xare? All of the articles collected within this study are ranked level three according to the Hierarchy of Evidence because the Best clothes york methods used are Cohort Studies and Case-controlled Studies. 3.5 Themes for Buy assignment, analysis. The next step after determining the Best place to buy york appropriate literature for this review was an analysis of the literature. Upon undertaking the analysis, three themes have been identified: equipment and supply limitations, a lack of appropriate referrals due to poor education of medical staff and nurses on SSC sepsis resuscitation bundles, and the inconsistent use of SSC sepsis resuscitation bundles from hospital to hospital. The following chapter critically discusses the three themes that emerged from the literature analysis of the essay eight selected articles, as well as the implications for the field of nursing as related to the SSC. Chapter 4: Literature Analysis. This literature analysis will critically consider the eight articles in order to judge the strengths, weaknesses, and the significance of each study (Burns and Best place to buy clothes online york, Grove, 2009) in addressing the research question: ‘To what extent can hospitals in the UK comply with SSC resuscitation bundles, and what are the implications for nursing practice’? The first theme that emerged from the literature analysis will be examined below.

4.1 Resource limitations. Compliance with the SSC sepsis resuscitation bundles requires that serum lactate be obtained and that this is measured using an Arterial Blood Gas (ABG) machine (Dellinger et al., 2013c). Other requirements include the use of an ultrasound scan for Central Venous Pressure (CVP) insertion; blood cultures to be sent to Pathology before starting antibiotics; crystalloid or colloid intravenous fluid challenge, and resuscitative medicines such as steroids, vasopressors and inotropic therapy (Dellinger et al., 2013c). However, five of the articles reviewed evidence that this necessary equipment is lacking in a number of hospitals in the UK. 4.1.1 Equipment and medication. Three of the research articles specify that in some cases there has been lack of necessary resources that are used to meet compliance to the SSC sepsis resuscitation bundles. This not only limits the Work home county ability of medical and nursing staff to manage sepsis, but it also limits the place to buy clothes online york reviewer’s ability to evaluate compliance with the SSC sepsis resuscitation bundles. Gao et al.’s (2005) study aligns with previous studies that demonstrate how compliance with evidence-based SSC sepsis resuscitation bundles significantly reduces mortality. The study comprises ‘101 consecutive adult patients with severe sepsis and septic shock on medical or surgical wards, or in accident and emergency areas at two acute National Health Service (NHS) Trust Teaching hospitals in England’ (Gao et al., 2005, p. R764). The findings evidence poor ward care in critically ill patients, evidencing that eight percent of patients had no oxygen administrated, fourteen percent had no IV access, and fourteen percent of patients ‘had no observation monitoring of blood pressure, heart rate, respiratory rate, temperature, oxygen saturation, urine output, or conscious level’ (Gao et al., 2005, p. R766). Since the aim of Gao et al.’s (2005) study is to assess the Buy narrative xare relationship between compliance with SSC guidelines and a decreased sepsis mortality rate, reasons for non-compliance are beyond the scope of Best to buy online, this study.

However, the authors importantly note that the hospital’s resource limitation led to essay age limit a deviation from the SSC sepsis resuscitation bundle ‘in the short term’ (Gao et al., 2005, p. R764). This includes limited ‘ultrasound-guided access, training and staffing that prevented the safe and early placement of central venous catheters outside the critical care environment’ (Gao et al., 2005, p. R766). The ultrasound-guided access is essential to insert the Best to buy clothes york CVP, therefore even if the Buy assignment staff has the knowledge to comply with SSC guidelines, with limited resources available, compliance is not possible. In hospitals such as these two NHS Trust Teaching hospitals, resource limitations forced the staff to deviate from ‘the benchmark for persistent hypotension despite fluid resuscitation, adapting a target haemoglobin of 7 to 9 g/dl and/or vasopressors but exluding the to buy york requirement to achieve a target of 8mmHg and ScVO2 of’ 70% central venous pressure’ (Gao et al., 2005, p. R768). Similarly, McNeill, Dixon and Jenkins’ (2008) study highlights the issue of resource limitations. McNeill, Dixon and Jenkins, (2008) investigates the implementation of the Buy assignment 6-hour resuscitation care bundle as advocated by Dellinger et al. (2004) in 265 Acute Medicine Units (AMUs) in the United Kingdom. The research methodology is Best place to buy online york, a questionnaire with 10 questions about the delivery of the 6-hour SSC sepsis resuscitation bundle, sent to each of the participating AMUs.

The data was collected and tabulated per percentage by Sam cengage, region. Thirty-five percent of the 162 respondents claimed to place york have implemented the ventura 6-hour sepsis resuscitation bundle in place online york their own hospital, although seventy-one percent had access to outreach teams, and only forty percent had enhanced care beds. Moreover, ‘the minimum facilities to comply with the 6-hour resuscitation bundle were the availability of enhanced care beds, ability to measure arterial blood gas lactate, measure CVP and to administer inotropes’ (McNeill, Dixon and Jenkins, 2008, p. 164). These minimum facilities varied in Civil essay age limit different regions in UK. The findings of McNeill, Dixon and clothes online york, Jenkins’, (2008) study identified that only six hospitals had successfully implemented the complete sepsis resuscitation bundle and Buy narrative essay, that thirty-five percent AMUs claimed to have implemented the place to buy clothes york SSC guidelines despite eighty-eight percent of AMUs lacking the minimum facilities to comply. Although resource availability is not the Civil services essay age limit main focus of either of the abovementioned studies, this emphasis on limitations indicates that the extent to which a hospital can comply with the SSC sepsis resuscitation bundles depends largely on clothes york the resources available. McNeill, Dixon and Jenkins, (2008) results indicate that in Work magazine county contrast to the evidence of resources limitations presented by Gao et al.’s (2005) study, it is apparently possible to comply even when there is a lack of resources. However, the respondents’ claims based on the questionnaire alone are unverifiable, as the results were based on participant’s subjective responses. McNeill, Dixon and Jenkins (2008) have no way of proving that the participants responses are honest, although they do suggest that clinical audits to to buy online be conducted for future studies. Nevertheless, McNeill, Dixon and Jenkins’ (2008) study identifies the importance of the Civil services essay age limit facilities needed to effectively deliver the 6-hour sepsis resuscitation bundle across AMUs in UK, and finds that resources are lacking overall.

This includes sixty percent with no access to enhanced care beds, and only twelve percent of AMUs having the minimum facilities available to fully comply with SSC guidelines. Baldwin et al.’s (2007) audit in Kent determines compliance with the 6-hour sepsis resuscitation bundle according to appropriate referrals between nurses and relevant medical staff. It finds that even where communication was adequate between nurses and Best place to buy online, doctors, ‘there were instances when the appropriate antibiotics was out of stock in A#038;E’ (Baldwin et al., 2007, p. 255) particularly with a shortage of the antibiotic Tazocin. It is evident therefore, that compliance with the SSC guidelines not only requires that one follow all of the elements of the sepsis resuscitation bundle, but also that nursing staff monitor and communicate the need for essential medicine supplies more frequently. 4.1.2 Financial resources. Another significant resource limitation relating to SSC compliance is the financial capacity of Sam cengage, a given hospital. Gao et al. (2005, p. Place To Buy? R765) state that ‘severe sepsis is expensive, such as in USA average cost per is $22,100’. Even ‘in an age of financial austerity,’ Page et al. (2011, p. 314) suggest on Describing personal one hand, that a sticker and poster program could provide an affordable means of Best online, ensuring universal SSC compliance. Robson, Beavis and Spittle (2007) on the other hand, suggest that there should be funds for Sam cengage book, nurse education and training as solutions to ensure compliance.

Regardless of which authors are more justified in their claims, both suggestions are made in reaction to resource constraints within hospitals in the UK. Page et al.’s (2011) study further implies that staffing levels particularly influence compliance to the SSC sepsis resuscitation bundles (Dellinger et al., 2013c). The study notes that ‘compliance was better in Accident #038; Emergency (A#038;E) than in the Clinical Decisions Unit (CDU) due to a sixty-three percent staffing level in A#038;E as compared to the low staffing level of thirty percent in CDU’ (Page et al., 2011). Best? A#038;E doctors moreover had ‘continuous support of their nurse’ (Page et al., 2011, p. 314). This study therefore indicates that a major influencing factor for ensuring compliance is adequate staffing levels, which is particularly challenging given hospitals’ current funding limitations (Hurst and Williams, 2012). Furthermore, findings suggest that compliance to the SSC sepsis resuscitation bundles depends on the nurse’s role in Work magazine ventura county performing the initial triage for patients. 4.1.3 Implications for Best place to buy york, nursing practice.

The level of effectiveness of compliance to mean essay SSC sepsis resuscitation bundles in the UK is partially, but also significantly contingent on levels of resource availability. This integrates into nursing practice, as it is important for nurses to Best place to buy clothes york know how limited resources can impact compliance to book the sepsis resuscitation care bundles for the management of severe sepsis and septic shock. Additionally, it is the nurse’s responsibility to ensure that ‘medication ordering systems are in place to minimize dose omissions and delay; utilize staff resource efficiently’ (NHS Greater Glasgow and Clyde Prescribing Organisation, 2008). Assuring that there is proper inventory of medical supplies and medication, and that the proper equipment is in working order and within easy access for use by medical staff are all within the scope of responsibilities and duties of a nurse. In essence, nursing is an act of utilising the environment to assist patient’s recovery (Nightingale, 1860), and compliance with SSC guidelines to decrease patient mortality rates is no exception to this duty. McNeill, Dixon and Jenkins’ (2008) study highlights the Best online york issue of resource limitations in addressing sepsis. However, further investigation is recommended to determine the reasons for the lack of resources and solutions as to Describing essay how resource availability could be improved to place to buy ensure that compliance is feasible not only with the 6-hour resuscitation bundle, but also to identify sepsis in the first place. Additionally, an audit of the 265 AMUs surveyed is recommended in order to increase accuracy of results. Home Ventura County? This would also help to explain the reasons why despite having limited resources, some hospitals have found it possible to comply with the SSC sepsis resuscitation bundles. The next section will discuss the second theme identified in addressing the research question, which is a lack of Best place to buy clothes online, appropriate referrals due to Describing personal essay poor education of place online york, medical and nursing staff on mean the implementation of SSC sepsis resuscitation bundles. 4.2 Lack of appropriate referrals due to Best place to buy york poor SSC education of magazine ventura, medical and Best to buy york, nursing staff.

One of the evident reasons for general poor compliance with SSC sepsis resuscitation bundles across the UK is a lack of referrals for patients displaying symptoms of sepsis. Seven of the eight articles reviewed evaluated compliance of the personal experience medical and nursing staff’s implementation of the Best clothes sepsis resuscitation bundles as related to SSC education. Only one article evaluated the compliance of the medical staff alone. The articles under review evidence that better compliance outcomes of SSC sepsis resuscitation bundles relies largely on medical and nursing staff having a proper awareness of the Work magazine ventura SSC guidelines for the management of severe sepsis and to buy, septic shock, particularly in terms of mean essay, identifying sepsis, and subsequently in providing appropriate referrals. 4.2.1 Identifying sepsis. Robson, Beavis and Spittle (2007) audited seventy-three registered nurses in place clothes york ‘medical, surgical and orthopaedic wards’ in Chesterfield Royal Hospital. The audit took place in 2005 over the three-month period and identifies the mean ultra-civilized extent to which nurses understand ‘definitions of Best place online, sepsis, and the recommendations for its initial management’ (Robson, Beavis and Spittle, 2007, p. 86). It was reported as an audit because the nurses were tested against the ‘standard definitions and evidence-based management guidelines’ of the SSC (Robson, Beavis and Spittle, 2007, p. 87). Similarly, McNally, MacKinnon and Hawkins’ study evaluates the ‘key critical care skills and knowledge required to’ (McNally, MacKinnon and Hawkins, 2009, p. 22) implement the early goal directed therapy (EGDT) as recommended by services, the Surviving Sepsis Organization (2014b) in Specialist Registrars (SpRs) in anaesthetics, ‘general surgery and general medicine throughout Scotland’ (McNally, MacKinnon and Hawkins, 2009, p. 22). However, this is the only article that does not include nursing staff in their study, amongst the eight articles in this review. Seventy-three nurses from junior to Best to buy online york senior grades completed the questionnaire created by Robson, Beavis and Spittle (2007) in Does essay the form of test.

The questions included diagnosing patients with sepsis or severe sepsis based on the signs and symptoms, five case studies to explain management plans, and ten ‘true or false’ statements (Robson, Beavis and Spittle, 2007, p. Best Place Online York? 86). Book? In the first phase of the questionnaire, six systemic inflammatory response syndrome (SIRS) criteria could indicate that a patient has sepsis. Of the respondents, ninety-seven percent correctly indicated an increased temperature above 38??C and place york, only nineteen percent correctly answered that higher than 4 white blood cell count is an indicator of sepsis. Moreover, ninety-one percent wrongly identified a suspected infection as an indicator (Robson, Beavis and Spittle, 2007). This study shows that ward nurses appears to have ‘general lack of Work home county, awareness that low temperature, low white blood cells are signs of sepsis’ (Robson, Beavis and york, Spittle, 2007, p. 87).

McNally, MacKinnon and book, Hawkins’ (2007, p. 23) questionnaire ‘was open for completion within a 3-month period and place to buy clothes online, a single email reminder was sent’. This study aimed to ‘survey at least fifty percent of Buy narrative xare, general surgical trainees and an equivalent number from place to buy york, other specialities, and a statistical analysis was performed with SPSS 13 using the Chi-squared test’ (McNally, MacKinnon and Hawkins, 2009, p. 23). The respondents were asked about the years of training, previous critical care experience, their attitudes towards the awareness of EGDT and the SSC guidelines. ‘A power calculation ‘indicated that 30 replies per personal essay, specialty would’ (McNally, MacKinnon and Hawkins, 2007, p. 23) be required to Best online york detect a thirty percent difference between specialties. Overall, although McNally, MacKinnon and Hawkins (2007) did not focus on nurse’s SSC protocol knowledge, they similarly found that medical staff in experience essay Specialist Registrars lacked knowledge of EGDT elements. A number of nurses surveyed by Robson, Beavis and Spittle (2007) had reportedly taken some life-support courses such as the Acute Life-threatening Events Recognition and Treatment (ALERT) course by Smith, Osgood and Crane (2012) where any patient with low BP should receive 500-1000ml of fluid, and may be repeated as necessary. However, there is no specification on to the Best place to buy york length of courses or the extent, which sepsis was studied. In the ALERT book, sepsis is discussed in Buy assignment a separate chapter, which means that nurses may not have been educated on place to buy clothes online sepsis. According to McClelland and Moxon (2014), the nurse’s role is vital in early detection and recognition of sepsis, hence nurses ought to mean essay possess a full awareness of identifying sepsis and managing it beyond identification.

Since grade doctors provide immediate care and resuscitation to patients with severe sepsis or septic shock, McNally, MacKinnon and Hawkins (2007) focused only on Specialist Registrars (SpRs) in anaesthetics, general surgery and general medicine. Although McNally, MacKinnon and Best to buy clothes, Hawkins (2007) suggest the Buy narrative essay development of working relationships amongst anaesthetic staff, trainee physicians and surgeons in Best to buy clothes order to ensure proper referrals and compliance with the Buy assignment SSC sepsis resuscitation bundes, nursing staff are absent from the study. This inaccurately assumes that only grade doctors can give provision of immediate care and resuscitation to Best clothes online york patients with severe sepsis or septic shock, despite the researchers’ admittance that nurses are the first to Buy assignment identify a deteriorating patient and inform the doctors to come and Best online york, see the patient. Page et al.’s (2011) study took place in Blackpool Victoria Hospital, wherein it showed that within 48 hours of admission, there was a high patient mortality rate; hence SSC sepsis resuscitation bundles were implemented, which included a heavy focus on educating staff in their hospital. During the study, they introduced an education campaign to motivate the staff in book implementing the sepsis resuscitation bundles. Activities within the education campaign included lectures for all the junior doctors, pocket cards detailing the SSC sepsis resuscitation bundles and small group tutorials to all nurses. In addition, posters were placed in every department. Page et al. To Buy Clothes York? (2011) proved the effectiveness of this ‘sticker campaign’ in magazine ventura county improving the identification and treatment of sepsis by comparing the place to buy clothes online york hospital’s sepsis compliance with nearby Preston Royal Hospital that did not implement the same campaign, and where compliance with all the elements ‘was not achieved in personal essay any patient’ (Page et al., 2011). The authors thus fail to provide a strong comparison based on controlled variables (examples are the number of place clothes online, patients, staff members, and sepsis protocols). Nevertheless, they propose that the Describing essay sticker programme should be transferrable to almost any acute hospital and that the SSC sepsis resuscitation bundles could be achieved in a district general hospital. Page et al. (2011) started staff member SSC education during their study whilst Baldwin et al. (2007) indicated that there was education across their Trust, particularly for the critical care outreach nurses and Best place online, ICU consultants where educational sessions outlining the surviving sepsis campaign and its components were conducted.

Robson, Beavis and Spittle (2007); Simmonds et al. (2008); McNally, MacKinnon and Hawkins (2009); McNeill, Dixon and personal essay, Jenkins (2008) do not state if there were education campaigns occurring in Best clothes york the UK hospitals studied, despite the fact that they all suggest better staff education about sepsis and Does mean ultra-civilized, its management. Lack of Best place to buy york, staff education on sepsis is evident across all articles reviewed; however, the reason for this lack is not clearly explained, and requires further research. 4.2.2 Critical care referral. None of the eight articles evidence a hospital that achieved 100% compliance with the SSC guidelines, and all reviewed articles mention the importance of Does civilized ultra-civilized, education and awareness of the sepsis care bundle across all disciplines in terms of appropriate and timely patient management and referral. Simmonds et al.’s (2008) study took place in Queen’s Medical Centre (QMC) in Nottingham, under informed consent by the Trust Audit Committee. The study comprises 229 adult patients with significant positive blood cultures. Simmond et al. (2008, p. 124) used an expanded version called the QMC Sepsis Measurement Tool, which includes: the ‘timing of sepsis resuscitation bundles interventions, seniority of doctors and the level at which care was given.’ The findings were that patients experiencing severe sepsis were only place clothes online york seen by Sam cengage book, any doctor after a median of 1.1 hours. Similarly, Cronshaw et al.’s (2011) study shows that patients’ waiting times exceeded an hour to see a doctor in Best clothes york the Emergency Department (ED).

Of the 255 severe sepsis patients (SS), seventy-one percent of SS had no documentation discussion regarding the ITU referral (Cronshaw et al., 2011), hence noted that communication between ED and intensive care colleagues need to develop. ‘[D]espite severely abnormal physiology’ (Simmonds et al., 2008, p. 125), only Buy assignment sixty-one percent were referred for critical care opinions and only sixty percent of those patients were reviewed by a specialist in place clothes york critical care within 12 hours of meeting severe sepsis criteria according to the SSC. Of the 46 patients, 19 received level 3 care (Intensive Care Unit) within a six-day median stay, and 19 received level 2 care (High Dependency Unit) within a five-day median stay. Thirty-three percent of the sepsis patients died within 90 days and Civil essay, thirty-five percent within a year (Simmonds et al., 2008, p. 126). This analysis of different levels of care indicate that mortality is higher outside of critical care and this correlates to the authors’ findings that there is a lack of york, sepsis resuscitation bundle compliance outside of critical care areas. Describing Essay? Cronshaw et al.’s research study evidences that only twenty-nine percent of the Best place to buy clothes online york patients were referred to ITU staff, and were considered not suitable or were labeled ‘do-not attempt resuscitate’ and seventy-one percent of severe sepsis patients had no documented discussions for referrals to the ITU (2011, p. Civil Essay Age Limit? 671).

Simmonds et al.’s (2008) and Cronshaw et al.’s (2011) findings therefore, demonstrate that a lack of referrals is one of the factors that contribute to poor SSC sepsis resuscitation bundle compliance. Simmond et al. Place To Buy Clothes? (2008) suggest that SSC sepsis resuscitation bundles are to be investigated beyond the intensive care in order to improve the capacity of the entire hospital system to address sepsis. McNeill, Dixon and Jenkins, (2008) study supports Simmond et al.’s (2008, p. 165) suggestion, because the findings of McNeill, Dixon and Jenkins, indicate that only Civil age limit ‘few AMUs across the UK hospitals can comply with the sepsis care bundle that have systems in place to clothes online york resuscitate a patient with sepsis’. AMU is categorised as first level of personal essay, care; therefore, it is essential to survey the compliance of the SSC sepsis resuscitation bundles at this level. Although SSC sepsis resuscitation bundles ought to theoretically be implemented in any level of online, care in the hospital setting, implementation at different levels of care does not guarantee overall compliance with SSC sepsis resuscitation bundles, as proven by Cronshaw et al. (2011); Simmonds et al. (2008); McNeill, Dixon and Jenkins (2008); Robson, Beavis and home magazine ventura, Spittle (2007); Page et al. (2011). Nevertheless, one essential factor for ensuring compliance with the SSC sepsis resuscitation bundles is the awareness of place to buy clothes online york, staff members on how and services age limit, when to refer the patient as quickly as possible from the place clothes online york point at which the patient is diagnosed as having sepsis. 4.2.3 Communication between levels of care. Baldwin et al. (2007) argue that the reason fifty percent compliance to the administration of the antibiotics is due to poor communication between the prescribing doctor and the nurse who is meant to administer the antibiotics.

The study claims that some elements of the Buy assignment SSC sepsis resuscitation bundles were not implemented due to issues around the doctors wherein junior medical staff were primarily attending to the patients’ treatment (Baldwin et al., 2007, p. Best To Buy Clothes? 255). 4.2.4 Implications for book, nursing practice. Robson, Beavis and Spittle’s (2007) questionnaire particularly affirms that ward nurses generally fail to recognise patients as having severe sepsis or septic shock and are not confident to give intravenous fluid to Best place york those patients with lowered systolic BP or urine output as they may have fears of causing fluid overload for the patient. Simmonds et al. (2008, p. Buy Assignment? 127) recommend that this lack of awareness could be addressed through the recent advent of course initiatives such as the ‘Ill Medical Patients Acute Care and Acute Care Undergraduate Teaching needs to be routinely part of postgraduate medical and nursing education.’ Equally, McNeill, Dixon and Best place online, Jenkins, (2008) suggest that education of nursing staff is needed, and similarly, Robson, Beavis and essay, Spittle’s (2007, p. 89) study identifies that a ‘deficit in knowledge of nurses could lead’ to poor compliance to SSC sepsis resuscitation bundles. A nurse’s capacity to render the best possible care for a patient with severe sepsis is Best clothes online, achievable through education. This is a key to implementing the SSC sepsis resuscitation bundles, and patients’ survival relies on the healthcare professionals who will accurately execute the SSC sepsis resuscitation bundles. Mean Civilized Essay? Moreover, it is essential that a nurse has good communication skills (Webb, 2011) coupled with improved collaboration with multidisciplinary teams (Goodman and Clemow, 2010). Good communication skills and collaboration are the result of staff education and awareness on compliance to SSC sepsis resuscitation bundles, and are essential in ensuring the patient’s continuity of care. Robson, Beavis and Spittle’s (2007) evidence implies that nurses’ awareness of sepsis management demonstrated limited awareness, with less than half of respondents knowing each of the sepsis symptoms, however there is a lack of confidence on implementing the interventions specified in the SSC guidelines. Therefore, it is worth recommending that nurses require more exposure and opportunity to practice their skills on managing sepsis, through utilisation of the SSC sepsis resuscitation bundles.

Page et al. (2011) state that their sticker programme and posters may be an place york efficient alternative to costly education and training programmes as these are affordable and consistent means of educating staff. However, the authors would have more effectively proven that their methodology was successful in preventing high sepsis mortality rates had the comparison between this campaign’s compliance results been made with past SSC interventions in the same hospital rather than with a nearby hospital that did not undertake the same campaign. Whichever hospitals endeavour to Work home magazine ventura implement the sticker programme should evaluate SSC compliance by Best place clothes york, comparing the present sepsis related mortality rate with the sepsis related mortality rate achieved through said programme in order to achieve more accurate measurements of compliance. Also there should be tangible training on how to Buy assignment use the Best place to buy york sticker programme. McNally, MacKinnon and Hawkins (2009) suggest that a minimum education on how to initiate EGDT is important, however what exactly covers a ‘minimum education’ ought to be clarified. Hence this cannot be recommended. Buy Assignment? Awareness and place york, education without good communication and collaboration will affect the effectivity of compliance to the SSC sepsis resuscitation bundles, therefore, further study to evaluate the multidisciplinary team collaboration in relation to SSC sepsis resuscitation bundles is recommended. The next section will address the third and final theme, which is the inconsistency of the use of SSC sepsis resuscitation bundles. 4.3 Inconsistent use of Work home ventura, Surviving Sepsis Campaign guidelines. The SSC sepsis resuscitation bundles compliance is evident when there is consistency on the use and implementation of the standard guidelines. Below are findings that indicate inconsistency in the use of SSC guidelines as influencing factors on the extent to which compliance with SSC resuscitation bundles can be evaluated in place to buy clothes york the UK.

4.3.1 Management in addition to SSC sepsis resuscitation bundles. Three of the articles reviewed that took place in hospitals across the Sam cengage UK have added different forms of place to buy clothes, management to the existing SSC guidelines, which creates difficulty challenge in evaluating overall compliance. Simmond et al. (2008, p. Buy Assignment? 125) used a ‘QMC Sepsis Measurement Tool’ regarding the timing and seniority of doctors and the level of care given. Online? The tool, which is not part of the SSC recommended guidelines, was used to determine the entry levels of care for patients suspected to have sepsis. Gao et al. (2005) added to the SSC’s ‘6-hour basic ward care’ using the median Modified Early Warning Score (MEWS) (Heart of England, 2010). Buy Assignment? However, these authors’ modifications are helpful as far as the MEWS helped to identify that less than 15% of the to buy clothes online york patients received basic ward care. Cronshaw et al. Civilized? (2011) followed the College of Emergency Medicine (CEM) guidelines to manage sepsis. To Buy Clothes York? The CEM require 1, 2, and 4-hour targets depending on the standard of care, and when a patient is within the 6-hour bundle, the practitioner then follows the SSC standard guidelines. The CEM standards for the management of severe sepsis (SS) and septic shock (SS) are ‘eight recommendations to the Emergency Department (ED) within 4-hours’ (Cronshaw et al., 2011, p. 670). Additionally, 1-hour ‘sepsis six’ protocol comprises six standards: oxygen administration, serum lactate measurement, IV fluid administration, blood culture, IV antibiotics, and urine output measurement (Cronshaw et al., 2011, p. 671).

Even if the CEM guidelines and Civil, sepsis six protocol add incongruity to to the SSC sepsis resuscitation bundles, there is still consistency on implementation of the six-hour sepsis care bundle under the Surviving Sepsis Campaign (SSC). Nevertheless, none of the aforementioned studies are easily transferable across a range of hospitals in clothes the UK, as they have all altered the SSC guidelines in some way. 4.3.2 Modified elements under the SSC guidelines. Two articles were found to have changed particular elements within the SSC sepsis resuscitation bundles. Gao et al. (2005, p. Buy Assignment? R765) used ‘haemoglobin target instead of haematocrit and used remaining hypotension after fluid resuscitation for threshold of inotropes instead of central venous oxygen saturation’, which is the standard for the sepsis care bundle. Likewise, Page et al. (2011) mention that there were some doctors who opted not to apply certain elements of the SSC sepsis resuscitation bundles, such as giving the full 20 ml/kg bolus to Best clothes online the patient, and documented the Buy assignment reason for Best to buy online york, not giving it as professional discretion. Gao et al. (2005) could have provided clarification as to the altered SSC guidelines by providing rationale, such as the Buy assignment discretionary reasons distinctly explained by Page et al. To Buy Clothes Online York? (2011). In nursing practice, any decision about the care for individual patient must be evidence-based (Sacket et al., 1996) and any clinical judgment made by the doctor if agreed upon by the team and clearly documented is the right decision to take.

This is evidently emphasized by the SSC, which states: ‘these guidelines cannot replace the Buy assignment clinician’s decision-making capability’ (Dellinger et al., 2008b, p. 19) hence, clinician can use own discretion. However, the extent to which a clinician alters the SSC care bundles either in writing or in practice will still have a significant impact on researchers’ capacity to evaluate SSC compliance across hospitals in Best clothes the UK, as is the discrepancy in this particular literature review. While three studies have used different formats of the SSC sepsis resuscitation bundles and two studies modified the Sam cengage book elements, five of the articles reviewed found overall consistency in the use of the SSC guidelines and have positive implications for compliance. Cronshaw et al. (2011); Baldwin et al. (2007); Page et al. (2011) adhere to the SSC’s 6-hour sepsis bundle guidelines, and McNally, MacKinnon and Best place clothes york, Hawkins’ (2009) study follows each element of Sam cengage book, Early-goal Directed Therapy (EGDT) (Rivers et al., 2001) through the SSC. Finally, Robson, Beavis and Spittle (2007) test the ‘ward nurses’ knowledge of standard sepsis definitions according to the Surviving Sepsis Campaign management guidelines. 4.3.3 Implications for nursing practice. In nursing practice, a systematic approach that comprises evidence-based management for patients suffering from severe sepsis or septic shock, or critically ill patients, that is universal and can be transferrable from one hospital to Best place to buy clothes online another is desirable (Gerrish, 2010).

But given the Does mean civilized essay ultra-civilized apparent inconsistency of SSC care bundles due to different formats used and implemented beyond the SSC guidelines, nurses and medical staff will encounter difficulty in complying with SSC recommended sepsis resuscitation bundles from hospital to hospital. Best To Buy Clothes? Moreover, the continuity of care for the patient will not be consistent, especially in cases where a patient must be transferred from one hospital to another. An updating of book, skills and Best place, fostering nursing knowledge about SSC guidelines, sepsis recognition, assessment, interventions and management, is essential because most of the time nurses are the bedside clinicians of the patients. It is therefore fundamental for nurses to be given initiatives to update and enhance their knowledge and Describing personal experience, skills regarding the SSC guidelines. One hospital might have different sepsis management from another hospital as demonstrated by Best place to buy clothes york, the studies of Gao et al. Describing Essay? (2005); Cronshaw et al. Best Place To Buy Online? (2011); Simmonds et al. (2008). Hence the health outcomes will vary from one hospital’s version of the SSC guidelines to another’s. If the SSC sepsis resuscitation bundles were implemented universally then it would be much easier to identify evidence and determine trends pertaining to compliance. Seven articles in this literature review have rated their study compliance with the SSC sepsis resuscitation bundles by Sam cengage book, the use of percentage, whereas Gao et al. (2005) rated compliance by clothes york, the use of ‘all’ or ‘none’ as pass-fail for the elements of the sepsis care bundle. Had Gao et al. (2005) rated compliance by the use of percentage, it would be easier to discern which criterion of the SSC sepsis resuscitation bundles needs to personal be implemented or may not work for patients with sepsis.

This would provide specific evidence of compliance and effectiveness according to the 6-hour and 24-hour sepsis resuscitation bundles (Surviving Sepsis Organization, 2014b). Despite adding inconsistency to the SSC guidelines, Gao et al.’s (2005, p. R765) ‘6-hour basic ward care’ using the median MEWS is particularly helpful. Because basic ward care is a crucial obligation that every nurse must undertake, and these include the ability to recognise and prevent delay in intervention or transfer of Best to buy, critically ill patient to essay an appropriate place for patient’s safety (NPSA, 2007). Best Place Clothes Online? Moreover, the one-hour sepsis six protocol in Cronshaw et al. Sam Cengage Book? (2011) study, which was originally formed by Daniels et al. (2011) is Best to buy, worth recommending to include in experience the SSC sepsis resuscitation bundles internationally as this protocol has already been implemented in some hospitals across the UK. The sepsis six management for Best clothes york, patients is Buy narrative, also being taught in the ALERT course (Smith, Osgood and Crane, 2012) as part of the nursing degree final year curriculum in some universities across the UK, hence a newly qualified nurse is expected to be knowledgeable on the sepsis management, particularly of sepsis six. Therefore, it is clothes, worth suggesting to book conduct further enquiry into student nurses’ knowledge towards SSC sepsis resuscitation bundles across the UK.

Chapter 5: Strengths and limitations of Best place to buy clothes online, this extended literature review. The reviewer included articles measuring compliance of SSC sepsis resuscitation bundles across the mean essay ultra-civilized UK. The publications are recent articles and hence provide good evidence and insights of Best clothes, clinical practice regarding SSC sepsis resuscitation bundles in ventura hospitals across the UK (Aveyard, 2014). All articles included in the review are primary articles and represent a variety of hospitals across the to buy clothes UK with larger sample sizes (Burns and Grove, 2009). This includes adult patients with sepsis in Work magazine ventura county Birmingham, Blackpool, Derbyshire, Edinburgh, Kent, and Nottingham, thus helping to place clothes online york determine overall compliance trends across the UK. All eight articles reviewed suggested the Sam cengage book importance of education and awareness of the sepsis resuscitation bundles across all disciplines.

The overall strength of the findings from online, this review is that the evidence from the articles helped to determine that nurses play a critical role in essay xare improving the Best to buy online ‘golden hour’ in the delivery of sepsis care bundles, in terms of identifying, prioritising, and Sam cengage, rapidly referring the patient diagnosed with sepsis (Lovick, 2009). Four articles have added some interventions aside from the SSC guidelines. Furthermore, studies by Robson, Beavis and Spittle (2007); Simmonds et al. (2008); McNeill, Dixon and Jenkins (2008) stress that education is needed, but do not elaborate upon to buy clothes online any specific training that the nursing and medical staff have undergone before the Work study, or what kind of education the Best clothes authors are recommending. Civil Services Essay Age Limit? Page et al. (2011) claim that a sticker education program is equal to greater compliance; however, the authors’ fails to compare with past SSC compliance ratings within the place to buy clothes same hospital, which weakens their argument and how responses to questionnaires regarding compliance cannot be verified, whereas an audit provides a more thorough indication of compliance in a given hospital. Chapter 6: Conclusions. The aim of this literature review was to evaluate hospitals’ compliance to the SSC sepsis resuscitation bundles across the UK as well as to essay identify implications for the role of the nurse in complying with the SSC guidelines. Three main factors that influence overall compliance with the SSC guidelines were found through a critical analysis of the studies included in this literature review. Place To Buy Clothes York? Firstly, the availability of resources and equipment such as enhanced care beds and medicinal supplies within the hospital appears to be limited in Baldwin et al., (2007); McNeill, Dixon and magazine, Jenkins, (2008).

Secondly, at the very least, the lack of SSC awareness by hospital nursing staff is a significant concern, because nurses are the first point of contact for Best place clothes online york, patients, and are therefore largely responsible for identifying sepsis. Trainee doctors and Sam cengage book, medical staff also need proper SSC education, as McNally, MacKinnon and Hawkins’ (2009) evidence that only anaesthetic staff are sufficiently knowledgeable about sepsis resuscitation bundles. Lastly, inconsistency in the use and subsequently in the implementation of the SSC guidelines ‘ such as a change or elimination of certain SSC elements, whether due to lack of Best place online, resources or practitioner discretion ‘ significantly limit researchers’ capacity to evaluate SSC compliance across the UK. If hospitals seek to demonstrate evidence of overall compliance with the SSC guidelines as compared with other hospitals in the UK, then the book entirety of the SSC guidelines must be followed, even if Dellinger et al. (2008b) have only to buy clothes online york highly recommended it. Sam Cengage? A uniform reference to the entirety of the criteria will help researchers to evaluate medical practitioners’ and nurses’ compliance with the SSC guidelines. Moreover, adherence with the SSC guidelines will help hospitals to determine the relevance of each element for sepsis management, and therefore provide a rationale as to place online whether an element may be appropriate or not, rather than modifying the guidelines from the outset.

Nevertheless, since the SSC guidelines were published in home magazine ventura 2004 and Best place clothes online york, has been revised every two years, there is still time and opportunity to gather all current evidence-based data regarding the implementation of the SSC guidelines. Even in a time of economic austerity recommendations for sepsis management could be replicated in hospitals across the UK through the appropriate and Civil essay age limit, more consistent use of SSC guidelines by nursing and medical staff in place online order to both benefit patients’ health conditions and services essay, decrease mortality rates. Search our thousands of essays: If this essay isn't quite what you're looking for, why not order your own custom Health essay, dissertation or piece of coursework that answers your exact question? There are UK writers just like me on hand, waiting to help you.

Each of us is qualified to Best clothes online york a high level in our area of expertise, and we can write you a fully researched, fully referenced complete original answer to your essay question. Just complete our simple order form and you could have your customised Health work in your email box, in as little as 3 hours. This Health essay was submitted to Buy assignment us by a student in order to help you with your studies. This page has approximately words. If you use part of place online york, this page in essay your own work, you need to provide a citation, as follows:

Essay UK, Essay: Evaluating compliance to Surviving Sepsis Campaign (SSC) resuscitation bundles in hospitals across the UK and implications for nursing practice: An Extended Literature Review . Available from: http://www.essay.uk.com/essays/health/essay-evaluating-compliance-to-surviving-sepsis-campaign-ssc-resuscitation-bundles-in-hospitals-across-the-uk-and-implications-for-nursing-practice-an-extended-literature-review/ [05-10-17]. If you are the place online original author of this content and no longer wish to have it published on our website then please click on the link below to request removal: 11-08-17 - Smoking habits of university students - CARDIOVASCULAR GENE TRANSFER EFFICIENCY 01-08-17 - Effects of stress and anxiety-related disorders on the brain - Autism Spectrum Disorder (ASD) 09-07-17 - Enzyme instructed self-assembly (EISA) 28-05-17 - Glaucoma, Diabetes mellitus and Intra ocular pressure 23-05-17 - Seven functions of self-injury 18-05-17 - Neurodegenerative diseases 14-05-17 - Warafin genotyping in patients 04-05-17 - Acute lymphoblastic leukaemia. We offer professional custom essay writing, dissertation writing and Buy narrative essay, coursework writing service. Our work is high quality, plagiarism-free and delivered on time. Essay UK is a trading name of Student Academic Services Limited , a company registered in England and Wales under Company Number 08866484 .

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3°-Que signifie le terme fantastique dans ce rcit ? Il signifie apparition, d'o imagination, image qui s'offre l'esprit, et il a galement donn au franais fantaisie, fantme. 4°-Citez quelques points communs qui unissent ces trois versions ? Les points communs sont : la caractrisation du narrateur et de l'espace dans lequel il vit, mais aussi au personnel qui l'entoure, qu'il s'agisse de ses domestiques ou des mdecins qui il finit par s'adresser. 5°-A qui s'adresse l'auteur dans la premire version (Lettre d'un fou) ? Elle s'adresse un mdecin pour lui faire part de ses inquitudes. 6°-Sur quelle dure s'tend la partie de journal que l'on peut lire dans la troisime version du Horla ? Elle s'tend environ sur quatre mois, mai-juin-juillet et septembre. 7°-Que signifie le titre le Horla ? Le Horla est une crature monstrueuse issue des tnbres, un spectre qui agit par vampirisme, suggestion, magntisme. 8°-Qui est le hros de l'histoire ? Le hros de l'histoire est un jeune officier de 26 ans qui est incrdule, insouciant et provocateur. 9°-A quel temps l'auteur crit-il le plus souvent ? Il crit le plus souvent au prsent. 10°-O se situe essentiellement l'action dans le rcit ? Elle se situe essentiellement prs de Rouen. Le livre est compos de 3 versions : 1) Lettre d'un fou (1885) 2) Le Horla ( premire version, 1886)

3) Le Horla (1887) Genre de l'œuvre : Oeuvre classe dans le genre du fantastique. Thme de l'ouvrage : la rencontre de l'invisible. Cet ouvrage certes fantastique du Horla peut tre simplement associ au rcit d'un homme malade, rong par l'existence d'un tre invisible, mais on Best online peut tout aussi bien tablir un lien entre ce rcit et la vie de son auteur. Civilized? En effet, Maupassant tait lui-mme sujet des hallucinations et par la suite finira fou.

On peut donc penser que c'est pour cette raison que l'auteur peut dcrire avec autant d'exactitude l'angoisse du personnage qui est en fait le narrateur de ce rcit. Best Online? Et c'est probablement aussi pour cette raison que l'auteur rcrit trois fois la mme scne. RESUME et ETUDE DU PERSONNAGE PRINCIPAL. Dans la dernire version de 1887 le rcit est prsent sous la forme d'un journal intime. Magazine Ventura? On peut remarquer que cette version, la plus dtaille, est la plus complte. To Buy York? C'est pourquoi il est plus judicieux d'tudier cette version plutt que les prcdentes. L'histoire est celle d'un homme de quarante-deux ans qui vivait dans une demeure se situant au bord de la Seine. Un jour, sans raison apparente, il fut pris d'tranges sensations et de malaises qui lui laissrent penser qu'il n'tait pas seul, qu'on le suivait quoi qu'il fasse, qu'il tait pourchass par un tre qu'il ne pouvait voir. Le narrateur nous dcrit son angoisse et l'instabilit du fonctionnement de ses sens. Civil Essay? Un jour il s'endormit en laissant prs de son lit une carafe remplie d'eau. A son rveil, qu'elle ne fut pas sa surprise lorsqu'il la trouva vide, persuad que personne n'avait pu pntrer dans sa chambre.

Pensant tre fou, l'homme dcide de fuir vers le Mont-Saint-Michel, o il visita le monument mdival et parla avec un moine de l'existence des choses invisibles. Pensant tre guri, il retourne chez lui, mais trs rapidement sa folie le reprend. Best Online? Ne sachant plus quoi penser l'homme dcida donc de mener des expriences : la nuit avant de se coucher, il place divers aliments cot de son lit (du lait, de l'eau, du pain, du vin et enfin des fraises). Personal Essay? A son rveil, les aliments qui le dgotaient n'taient plus ct de son lit. Place To Buy Clothes Online York? Il aboutit donc la conclusion effrayante que quelqu'un tait prsent dans sa chambre chaque nuit et que cette personne buvait son eau et mangeait les aliments qui le dgotaient le plus. Plus tard, il se rend Paris o il reste trois semaines. Civil Services? Dans cette ville, il assiste une sance d'hypnotisme qui rend ses penses confuses, tout en alimentant la question que son esprit se pose sans arrt : l'invisible pourrait-il exister ? Un beau jour de printemps, lorsque l'homme se promne dans le jardin de sa demeure, il voit devant lui une rose se casser et s'lever en l'air. Place Clothes Online? Rentr chez lui, angoiss par ce qu'il vient de voir, il s'assoit dans un fauteuil pour rflchir. Sam Cengage Book? C'est alors qu'il voit une page de son livre, qu'il avait auparavant pos, se tourner comme si une personne tait l en train de lire sans pour autant pouvoir la distinguer.

Maintenant, l'homme en est sr, un tre invisible est quelques pas de lui, l'envahissant de sa prsence pesante ; il baptisa cet tre le horla. Aprs de multiples tentatives il finit par le voir, lorsqu'un soir il se retourne vers son miroir comme il avait l'habitude de faire, sauf que cette fois il fut surpris de ne pas voir son reflet, celui-ci avait disparu. Puis lentement il rapparut comme si quelque chose tait pass devant lui. Il l'avait donc vu, cet tre si envahissant qui lui dtruisait sa vie. On a pu remarquer dans le rcit que les domestiques du personnage principal sont eux aussi atteints par la mme folie que lui, ce qui nous laisse penser que cette folie est extrmement contagieuse. Le personnage principal se met rflchir sur un sujet que l'humanit redoute : existe-t-il un tre plus perfectionn que l'homme, serait-il son successeur ? Le narrateur rpond ce sujet par l'existence du horla.

Plus tard le personnage apprend que la province de So Paulo au Brsil est touche par une pidmie de folie dont les symptmes sont semblables ceux qu'il possde. Il se souvient alors que juste avant que sa folie le prenne, il avait vu passer sur la Seine un bateau brsilien. Pour en finir avec sa folie, le personnage dcide de tuer le horla par le feu : il l'enferme dans sa chambre et met le feu sa demeure, tout en observant l'incendie depuis son jardin. Tout coup, il entend des cris qui lui rappellent qu'il avait laiss ses serviteurs dans sa demeure… Il se pose alors la question si le horla aurait pu chaper une mort si certaine pour un homme.

Il prit alors conscience que cet tre invisible qu'il nommait le horla faisait partie intgrante de son esprit et de son corps. LES TEMPS DU RECIT : Extrait (4e paragraphe page 64) : Je me dressai, les mains tendues, en me tournant si vite que je faillis tomber. Best Place To Buy? Eh bien . on ultra-civilized y voyait comme en plein jour, et je ne me vis pas dans ma glace . Best Clothes Online York? Elle tait vide, claire, profonde, pleine de lumire ! Mon image n'tait pas dedans. Personal? et j'tais en face, moi ! Je voyais le grand verre limpide du haut en bas. Best Place Clothes York? Et je regardais cela avec des yeux affols ; et je n'osais plus avancer, je n'osais plus faire un mouvement, sentant bien pourtant qu'il tait l, mais qu'il osait encore, lui dont le corps imperceptible avait dvor mon reflet. J'ai choisi cet extrait, car il particulirement reprsentatif des temps utiliss dans l'œuvre, et du style qu'utilise l'auteur pour dcrire les sentiments du personnage principal. On peut remarquer dans cet extrait, et plus gnralement dans l'intgralit du livre, que le rcit est crit majoritairement l'imparfait (tait, regardais, osais, voyait. Buy Assignment? ). Il y a cependant quelques emplois du pass simple dans ce livre mais la supriorit de l'imparfait se fait ressentir, puisque ce temps est souvent utilis dans par les crivains pour crire des oeuvres fantastiques, ici l'imparfait a deux valeurs ; une valeur durative et une valeur descriptive. Un livre plus qu'intressant qui doit cet effet son sujet : la perception de l'imperceptible.

Un sujet plus que difficile traiter pour l'auteur car il s'agit de dcrire l'invisible ! Dans la ligne du clbre Dr Jeckyl et Mister Hide ce livre satisfera les amateurs de fantastique. Un livre court mais sensationnel, car au fil de l'histoire on Best place to buy online york est plong dans l'angoisse du personnage allant mme jusqu'a s'identifier lui. Ce livre m'a fait rflchir sur l'existence de l'humanit et les tres qui succderont la race humaine. Profondment touch par l'angoisse ressentie par le personnage du livre, j'ai vite t sduit par cette oeuvre. Et je la recommande vivement ceux qui s'interrogent sur l'existence du monde qui nous entoure. Questionnaire de Lecture : 1) Quel est le genre de l' oeuvre ? Cette oeuvre est classe dans le genre du fantastique. 2) Quel est le sujet de cette oeuvre ? Le sujet de cette oeuvre est : L'existence de l' invisible. 3) Quel est le lieu principal dans lequel ce passe l' histoire ? Le lieu principal est la demeure du personnage principal. 4) Quels champs lexicaux retrouve-t on ultra-civilized dans cette œuvre ? On retrouve souvent le champ lexical de la Perception (claire,voir,lire,regarder,yeux,apercevoir,distinguer). Le champ lexical de l'angoisse et de l'effroi : (dvorer, Comme j'eus peur !, pouvante, frissonner ) 5) Sous quelle forme est prsente la premire version du Horla ? La premire version du Horla est prsente sous forme d'une lettre du personnage principal adresse a un mdecin. Best To Buy Clothes Online? D'o le titre Lettre d'un fou . 6) A quel temps le texte est t-il majoritairement crit ? Le texte est principalement crit l'imparfait.

7) Qui est le Horla ? Le personnage principal est poursuivit par un tre invisible qu'il nomme : le Horla. 8) Quels autres personnages sont impliqus dans l'histoire ? Les domestiques du personnage principal sont particulirement impliqus car ils ont t « contamins » par celui-ci. 9) Comment est dsign le personnage principal dans l'œuvre ? Le personnage principal tant le narrateur, il est dsign par je dans le rcit et plus particulirement dans la dernire version du Horla, qui a une structure semblable celle d'un journal intime. 10) Le personnage est t-il impuissant face sa maladie ? Il l' est totalement, car malgr les voyages qu'il effectue pour se dtendre son retour chez lui sa maladie rapparat. Le 16 Mars 2008. Je pense que pour plus de lisibilit, il faudrait sparer les lectures en deux doc distincts. Work Magazine Ventura? C'est un gros travail! Par ailleurs, afin que l'on vous retrouve plus facilement, il faudrait changer le titre de votre document et incorporer dans celui-ci le titre de l'ouvrage: le Horla.

Ex de titre: Le Horla de Maupassant, rsum et questionnaire Le 31 Décembre 2010. Merci beaucoup :grce toi je vais avoir 20/20 ! =D.