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Le Ragotin de Scarron ou la vitalite du comique de repetition. Volume 38 , Numero 2–3 , hiver, 2007 , p. Ar Supervisor Resume! 115–126 Le comique de repetition. Tous droits reserves © Universite Laval, 2007. Salons. Practice Inquiry Dissertation! Un eclairage sur la societe par les revues savantes. Le parti pris burlesque du Roman comique est signale par le personnage de Ragotin qui reunit tous les types du comique de repetition decrits par Henri Bergson : le diable a ressort, le pantin, l’effet boule de neige. Ar Supervisor Resume! Cet anti-heros se situe au coeur des enjeux esthetiques et ethiques de l’oeuvre. 8! Sa mecanisation permet a Scarron de denoncer tous les comportements rigides, l’absence de distance critique et d’humour.

La parodie devient aussi une facon de contester le raidissement du genre romanesque et de traduire une aspiration a la liberte. Ar Supervisor Resume! Paradoxalement, ce personnage repetitif revelerait la vitalite d’une oeuvre experimentale. Ragotin, the 8 burlesque character of ar supervisor resume Scarron’s Roman comique , combines the on the of religion today usual processes of resume comic repetition that Henri Bergson describes in writing a paper, his essay on resume, laughter: Jack-in-the-Box, the good college puppet on resume, a string, the practice inquiry snowball effect. Ar Supervisor Resume! This anti-hero is at performing help, the heart of ar supervisor resume Scarron’s aesthetic and performing arts coursework ethical reflection. Ar Supervisor Resume! His stiffness enables the writing a paper author to resume criticize all rigid attitudes, and practice dissertation the lack of ar supervisor critical distance and inquiry humour.

Parody is ar supervisor resume also a way to inquiry dissertation contend with traditional literary forms and to resume claim more freedom. Writing A Paper! Paradoxically, this mechanical character reveals the resume vitality of college admission essay Scarron’s experimental novel. Selon la definition bien connue de Charles Perrault, le burlesque, qui est une espece de ridicule, consiste dans la disconvenance de l’idee qu’on donne d’une chose d’avec son idee veritable […] Cette disconvenance se fait de deux manieres, l’une en parlant bassement des choses les plus relevees, et l’autre en parlant magnifiquement des choses les plus basses [1]. Cette ecriture parodique implique ainsi la reprise, sur un mode tantot degrade, tantot grandiloquent, d’un topos heroique ou d’un motif « realiste ». Ar Supervisor! Et cette discordance est rendue sensible par un effet d’intertextualite plus ou moins explicite, par une amplification systematique des procedes parodies. Performing Coursework Help! Le rire que provoque le burlesque est donc etroitement lie a la problematique de la repetition. Resume! S’il est le fruit d’une variation en ce qu’il nait de la rencontre de deux registres, il est aussi le produit d’un contrepoint jouant de l’imitation et de la difference. Essay On The Of Religion! En intitulant son ouvrage Le roman comique , Scarron rapproche ainsi deux genres distincts tout en se reclamant d’une tradition litteraire qui lui permet de proposer un discours a la fois critique et ludique. Ar Supervisor Resume! On ne s’attardera pas sur les phenomenes d’intertextualite, deja bien etudies, mais on writing a paper, s’interessera a l’usage recurrent du comique de repetition qui sert l’esthetique burlesque du roman et qui est essentiellement represente par le personnage de Ragotin. Ar Supervisor Resume! Si les gesticulations clownesques du Manceau ont indeniablement une portee morale, le rire fustigeant les pretentions heroiques du petit avocat, ses echecs systematiques signalent peut-etre aussi une gageure, un « exploit a rebours [2] » qui participerait d’une subversion generale des regles. Research Paper Grade! Le comique de repetition contribuerait alors au brouillage des frontieres generiques annonce par le titre et a la reflexion que mene l’auteur sur les possibilites de l’ecriture romanesque.

La premiere apparition de Ragotin prend une valeur programmatique. Ar Supervisor Resume! Elle revele en effet que le personnage est immediatement marque par cette rigidite propre a nourrir le melange risible du vivant et du mecanique telle qu’a pu l’analyser Henri Bergson. Writing A Paper! Des le chapitre 8 de la premiere partie, le soupirant de M lle de l’Etoile est place sous le signe de la reduction : Il y avait entre autres un petit homme veuf, avocat de profession, qui avait une petite charge dans une petite juridiction voisine […] C’etait le plus grand petit fou qui ait couru les champs depuis Roland. Ar Supervisor! Il avait etudie toute sa vie ; et, quoique l’etude aille a la connaissance de la verite, il etait menteur comme un valet, presomptueux et opiniatre comme un pedant et assez mauvais poete pour etre etouffe s’il y avait de la police dans le royaume [3]. La repetition de l’adjectif « petit », puis l’enumeration de termes et de cliches dysphoriques signalent d’emblee sa vocation au rabaissement et le rapprochent du raidissement qui caracterise le type theatral. Practice Dissertation! C’est signifier que Ragotin incarnera ce fantoche reductible a un pli caricatural, a un enchainement de gags, de « disgraces » qui vont rythmer l’intrigue tout en temoignant de la rencontre de la farce et du roman, du theatre et de la vie, c’est-a-dire du renouvellement du genre romanesque. Ar Supervisor! Dans ce meme chapitre, Ragotin est ainsi qualifie de « godenot [4] », qui se dit selon Furetiere « par derision des personnes laides et malfaites ». Inquiry! La laideur du petit avocat, signalee a maintes occasions tout au long de l’intrigue, contribue en effet a le ramener a un corps ridicule, grimacant, qui le cantonne a la caricature tout en appelant les brimades. Ar Supervisor Resume! Mais « godenot » designe egalement une « petite figure ou marionnette dont se servent les Charlatans pour amuser le peuple ». In The Essay Topics! Rattache a l’univers du cirque et aux tours de passe-passe, le personnage va devenir le clown de la troupe, le pantin de Scarron qui l’utilisera pour divertir son lecteur et pour demystifier certains codes litteraires. Resume! Ragotin, qui aspire a rejoindre la troupe des comediens, se presente en effet comme un dramaturge amateur, comme l’auteur d’une epopee carolingienne [5] adaptant la Chanson de Roland , et confirme ainsi sa fonction burlesque. Cette premiere occurrence determine donc le personnage a cette « raideur de mecanique [6] » qui provoque le rire et qui se decline dans divers domaines.

Ragotin est tout d’abord designe comme le destinataire privilegie des mauvaises plaisanteries de son entourage et comme un personnage dont le vouloir demesure entre en contradiction avec un pouvoir limite. Admission Essay! Ses mesaventures, qui reprennent systematiquement le meme schema, fondent bien la dynamique narrative sur un comique de repetition mais celui-ci ne fait qu’amplifier un ridicule d’emblee mis en place. Ar Supervisor! Ragotin figure en outre l’ecrivain rate, le plagiaire, celui qui imite les ouvrages des autres sans parvenir a cette emulation, a cette innutrition permettant de depasser les modeles et de proposer une creation originale. Research Paper Grade 8! Le personnage se situe ainsi au croisement d’enjeux satiriques et esthetiques. Resume! La question qui se pose alors est de savoir comment Scarron parvient a mener une reflexion litteraire feconde a partir d’un personnage a ce point fige et redondant. Ragotin se trouve en effet illustrer toutes les situations du comique de repetition recensees par Bergson.

Dans l’episode du livre vole, il evoque le « diable a ressort » qui se tend et se detend pour attraper l’ouvrage derobe : […] malgre Ragotin, il le mit entre les mains d’un autre que Ragotin saisit aussi vainement que le premier. Paper! Le livre ayant deja convole en troisieme main, il passa de la meme facon en cinq ou six mains differentes, auxquelles Ragotin ne put atteindre parce qu’il etait le plus petit de la compagnie. Ar Supervisor! Enfin, s’etant allonge cinq ou six fois inutilement, ayant dechire autant de manchettes et egratigne autant de mains, et le livre se promenant toujours dans la moyenne region de la chambre, le pauvre Ragotin, qui vit que tout le monde s’eclatait de rire a ses depens, se jeta tout furieux sur le premier auteur de sa confusion [7]. Les vains efforts du personnage, mis en valeur par la repetition de la meme scene et des memes termes, nous donnent bien a voir « une force qui s’obstine et un autre entetement qui la combat [8] ». Arts Help! Il en va de meme dans le chapitre 7 de la seconde partie ou, a peine sorti du coffre et remis sur ses pieds, il cherche a « s’elancer comme un serpent contre sa redoutable ennemie [9] ». Resume! Le schema actantiel permet de mettre en valeur la reprise systematique des memes parametres et le caractere echangeable des divers adversaires de Ragotin qui sont tous qualifies par le meme grandissement epique [10] pour rabaisser d’autant les pretentions heroiques du « demi-homme ». Essay! Si la colere de Ragotin change d’objet au cours du combat, elle se manifeste toujours de la meme facon : personnage aux reactions previsibles, il est bien identifie a une sorte de bouc emissaire, objet d’un rire collectif. Resume! Transforme en machine constamment relancee, Ragotin devient le souffre-douleur qui ne suscite aucune compassion car il a perdu toute humanite. Performing Help! Il n’est plus qu’un corps malmene, prisonnier de sa materialite pesante et alienante. La reification du personnage est plus manifeste encore lorsque s’impose l’image du « pantin a ficelles ». Resume! Ce meme chapitre 7 est rythme par les diverses vexations que subit l’avocat (le coffre, les chausses rompues, le pot de chambre) et par les interventions successives de ses opposants (la servante, l’Olive, La Rancune) qui semblent s’etre donne le mot pour l’humilier. Writing A Paper! La scene repose donc sur l’enchainement de situations repetitives de plus en plus triviales qui mettent en evidence la structure circulaire du passage : Ragotin, coince d’abord dans un coffre a linge, se retrouve finalement avec un « pied de metal [11] ». Ar Supervisor Resume! Ce retour au point de depart signale combien sont vains ses efforts pour echapper a son destin burlesque.

La metaphore du pied ferre fait ainsi echo au neologisme « encoffre [12] » pour reduire le personnage a un objet. Good Essay! Les comparaisons animalieres [13] et l’infantilisation du combattant fesse par l’Olive accentuent encore ce processus de deshumanisation. Ar Supervisor Resume! Ragotin, jete de bras en bras, se voit depossede de sa vengeance et totalement manipule. On The Place Today! Le narrateur manifeste lui-meme sa toute-puissance a l’egard de sa marionnette lorsqu’il feint de l’abandonner a sa situation humiliante, « foulant l’etain d’un pied superbe [14] » ou assis sur le pommeau d’une selle « comme sur un pivot [15] ». Ar Supervisor Resume! On songe a la fin du roman ou la machine infernale semble s’emballer : Ragotin, pris pour un fou, est devetu et ligote. Research Paper Grade 8! Une digression permet alors au narrateur de figer un moment le personnage dans cette posture inconfortable, ce qu’il ne manque pas de souligner comme pour rappeler que Ragotin est bien « sa chose » : Retournons a Ragotin, le corps crotte et meurtri, la bouche seche, la tete pesante et les mains liees derriere le dos [16].

L’enumeration des complements circonstanciels, sous couvert de proposer un rappel de la situation, fait patiner le texte a l’instar de Ragotin prisonnier de ses malheurs [17]. Ar Supervisor Resume! Puis les disgraces s’abattent sur lui : devore par les moustiques, il est fouette par un cocher, mordu par un chien, pique par des abeilles au point de perdre figure humaine et de ressembler a « un petit ours nouveau-ne qui n’a point encore ete leche de sa mere [18] ». Writing A Paper! Le corps de Ragotin apparait malleable a merci comme une poupee de chiffon. Le troisieme procede mentionne par Bergson est egalement bien represente : les mesaventures de Ragotin obeissent souvent a l’effet « boule de neige » en impliquant son entourage immediat. Resume! Ainsi en est-il du chapitre 17 de la premiere partie ou Ragotin, faisant assaut de civilite, entreprend de raccompagner jusque dans les escaliers M lle de la Caverne et sa fille Angelique. Performing Arts Coursework Help! Un faux pas de l’avocat entraine la chute des deux comediennes tandis qu’un valet deverse sur eux un sac d’avoine : L’hote y arriva qui pensa enrager contre son valet, le valet enrageait contre les comediennes, les comediennes enrageaient contre Ragotin qui enrageait plus que pas un de ceux qui enragerent, parce que mademoiselle de l’Etoile, qui arriva en meme temps, fut encore temoin de cette disgrace [19]. L’anadiplose, renforcee par les polyptotes, permet de reconstituer la chaine des personnages et des reactions pour mettre en lumiere le renversement comique de situation qu’annoncait le titre : « Le mauvais succes qu’eut la civilite de Ragotin [20] ». Ar Supervisor Resume! Ce dispositif mecanique est plus largement exploite dans la querelle qui oppose « le petit Ragotin et le grand Baguenodiere [21] ». Paper! L’isotopie de la grandeur et de la petitesse, declinee dans tout l’extrait, attire l’attention du lecteur sur l’amplification mecanique et irresistible de la scene. Ar Supervisor Resume! La dispute qui degenere d’abord entre les deux protagonistes finit par s’etendre aux autres spectateurs et par provoquer une bataille generale : [Baguenodiere] se voulut reculer et il tomba a la renverse, lui et son siege, sur le malheureux Ragotin, qui fut renverse sur un autre, qui fut renverse sur un autre, qui fut aussi renverse sur un autre, et ainsi de meme jusqu’ou finissaient les sieges, dont une file entiere fut renversee comme des quilles. Good College Admission! Le bruit des tombants, des dames foulees, de celles qui avaient peur, des enfants qui criaient, des gens qui parlaient, de ceux qui riaient, de ceux qui se plaignaient et de ceux qui battaient des mains fit une rumeur infernale. Ar Supervisor Resume! Jamais un aussi petit sujet ne causa de plus grands accidents [22]. La repetition de la proposition relative, la comparaison explicite avec le jeu de quilles puis l’accumulation des complements du nom rendent bien compte d’une situation qui s’aggrave et s’emballe pour generer un chaos grotesque.

Ragotin constitue donc a lui seul un veritable repertoire des situations comiques. Coursework Help! On est meme en droit de parler d’un hypercodage stylistique, le comique de repetition mettant en place une certaine dynamique narrative, voire un determinisme. Ar Supervisor! Faut-il voir dans cette surdetermination du personnage un simple procede textuel, un effet de style porte a son paroxysme ? Dominique Froidefond, qui etudie l’evolution narrative du personnage, conclut par exemple a sa reification croissante et caricaturale : Devenu une pure mecanique, Ragotin n’existe plus : il fonctionne seulement au niveau textuel […] Ragotin ne peut pas mourir puisqu’il subsiste uniquement sur le mode de la chose [23] Il est indeniable que l’enchainement previsible et attendu de ses disgraces mecanise l’ecriture en creant une visibilite du code et que cet automatisme detruit tout effet-personne. Inquiry Dissertation! D’autre part, cet hypercodage ne peut que contribuer a l’entreprise parodique d’un auteur se proposant de bouleverser la conception sclerosee de la poetique romanesque. Ar Supervisor! Mais c’est aussi en ce qu’il est traite comme un objet semiotique, comme un signe, que Ragotin fait sens et retrouve une certaine consistance narrative.

Sa vocation a l’echec et a la derision prend evidemment une signification morale que l’on ne saurait toutefois separer des enjeux litteraires de l’oeuvre. Le comique de repetition permet en effet d’identifier le petit avocat au paradigme d’une humanite mediocre s’acharnant a repeter indefiniment des gestes et des attitudes mecaniques. 8! Dans une perspective morale, Ragotin offre ainsi a Scarron l’occasion de decliner les defauts qu’il convient d’eviter : sa rigidite physique manifeste son egocentrisme, son incapacite a tenir compte des desirs d’autrui et a evoluer, son absence de distance critique et d’humour. Ar Supervisor! La recurrence ineluctable de ses disgraces temoigne bien de son manque de jugement et de perspicacite. On The Place Of Religion In India Today! Il est significatif a ce propos que Scarron ne s’appesantisse pas sur les consequences de ses maladresses : bien souvent Ragotin sort de scene avant d’avoir pris conscience de sa betise ou poursuit son chemin sans tirer lecon de ses malheurs [24]. Ar Supervisor Resume! On songe alors volontiers aux fantoches de La Bruyere, a ces automates, reduits a une collection de comportements et d’anecdotes, qui ne semblent jamais vraiment affectes par le monde exterieur. Coursework Help! Si le personnage de Scarron parait avoir un peu plus d’epaisseur psychologique que les monomaniaques du moraliste, son entetement a suivre, quoi qu’il arrive, la pente de ses desirs le conduit de la meme facon a agir par reflexe et sans reflexion.

La derniere scene du roman le montre ainsi aux prises avec un belier qui, accoutume de charger ses adversaires, frappe violemment le crane de l’avocat a deux reprises. Resume! Le parallele etabli entre l’animal obtus reproduisant par habitude le meme comportement et le personnage burlesque rappelle au lecteur la symetrie non moins significative que menage La Bruyere entre Menalque, ferme a son entourage, et l’aveugle qu’il heurte. Performing! Tous deux tiennent du stereotype qui eclaire la satire sociale. Ainsi, les travers de Ragotin concernent d’autres personnages du roman et Scarron ne manque pas d’etablir entre eux des correspondances explicites. Ar Supervisor! On songe par exemple au chapitre 19 de la premiere partie. Writing A Paper! Faisant suite au recit romanesque des amours de Destin et de l’Etoile, il propose un contrepoint ridicule en tournant en derision les pretentions sentimentales de personnages moins prestigieux : le colerique Ragotin, le susceptible la Rappiniere, le vaniteux Roquebrune et le misanthrope la Rancune, qui partagent tous la meme initiale, portent leur vue sur les memes femmes. Ar Supervisor! Le comique de situation est renforce par le fait que la Rancune devient le complice et le confident de chacun de ses rivaux qui viennent le voir tour a tour dans l’espoir d’acheter les faveurs de leur belle. Of The Butterflies Topics! La repetition du meme scenario contribue a mettre tous ces personnages en serie, a les confondre dans la meme mesquinerie, a enseigner finalement la navrante banalite de la nature humaine et de la vie, la vanite des fantasmes qui se terminent en fiasco. Resume! Dans une perspective generale, la mecanisation systematique de Ragotin permettrait donc d’attirer l’attention sur tous les caracteres susceptibles de se figer, de se reproduire sans jamais se renouveler. Aussi l’avocat du Mans est-il particulierement representatif de l’ensemble des Manceaux et des provinciaux qui singent par snobisme la societe parisienne et les moeurs de la cour.

Le chapitre 17 de la seconde partie est construit sur un jeu de miroirs qui fonde la satire de la vanite et de l’etiquette sur l’imitation. Practice Inquiry! L’episode est en outre encadre par deux disgraces de Ragotin qui le mettent en perspective et invitent a operer un parallele. Ar Supervisor! Comme Ragotin que la proximite des comediens excite et qui cherche a aligner son attitude sur les heros de roman, les provinciaux profitent aussi du theatre pour essayer d’echapper a leur quotidien routinier en copiant les manieres parisiennes : Le bourgeois du Mans se rechauffa pour la comedie. Inquiry Dissertation! Les dames de la ville et de la province etaient ravies d’y voir tous les jours des dames de la cour, de qui elles apprirent a se bien habiller, au moins mieux qu’elles ne faisaient, au grand profit des tailleurs a qui elles donnerent a reformer quantite de vieilles robes. Resume! Le bal se donnait tous les soirs, ou de tres mechants danseurs danserent de tres mauvaises courantes et ou plusieurs jeunes gens de la ville danserent en bas de drap de Hollande ou d’Usseau et en souliers cires [25]. Les derivations lexicales, les repetitions de mots, l’enumeration des personnages correspondant a autant de types ou de roles esquissent une mise en abyme theatrale qui revele le ridicule de la comedie sociale : la Province se donne comme l’image contrefaite, deformee et burlesque de la cour.

Elle en est le reflet caricatural, la copie decalee. Research Paper 8! Or cet enchassement rappelle que, dans ce « roman comique », la satire va de pair avec une reflexion litteraire. Resume! Cette imbrication du discours ideologique et de l’hypercodage stylistique que constitue le comique de repetition est particulierement bien mise en lumiere dans le passage qui oppose « le petit Ragotin et le grand Baguenodiere ». L’episode est construit sur un jeu speculaire demultiplie. 8! La troupe interprete sur scene Dom Japhet d’Armenie , une comedie d’intrigue a l’espagnole que Scarron ecrit en meme temps que le Roman comique et ou il relate les mesaventures d’un personnage fantasque, vaniteux et ridiculise par son rival.

La piece, « aussi enjoue[e] que celui qui l’a fait[e] a sujet de l’etre peu [26] », entre en resonance avec les infortunes de l’avocat. Ar Supervisor! De plus, le narrateur precise qu’elle divertit tout le monde « a la reserve du desastreux Ragotin [27] ». Writing A Paper! L’intertextualite invite ainsi a interroger la finalite du comique : pourquoi et de quoi rit-on ? Elle incite egalement a considerer la litterature comme un exutoire permettant de rire de soi ou de mettre ses malheurs a distance. Resume! Ragotin serait a ce titre un anti-Scarron dans la mesure ou il vit sa vie au premier degre, sans distance critique, tandis que le romancier transforme ses souffrances en comedie. Le passage opere en outre un deplacement du rire de la scene a la salle, les deux protagonistes rejouissant les spectateurs en interpretant malgre eux une farce grotesque. Essay On The Place In India! La reprise du meme scenario donne alors lieu a un comique de repetition appuye [28]. Ar Supervisor! En exhibant ainsi ses procedes, la scene se designe ostensiblement comme une comedie. Inquiry Dissertation! Le mouvement de va-et-vient qu’opere la Baguenodiere en regardant tantot Ragotin et tantot le theatre confirme en outre le jeu de miroir : le spectacle est bien dans la fiction theatrale et dans la realite.

Le theatre a bien pour vocation de repeter la vie, de la mecaniser et d’en faire la caricature lorsqu’elle tend a tourner en rond. Resume! Le dialogue de sourds qui s’instaure entre Ragotin et la Baguenodiere exacerbe en effet la vacuite des rapports humains dans cette societe mancelle depourvue d’interet et de consistance. Writing Good College Admission! Le comique de repetition fait bien apparaitre la dependance des deux protagonistes, images inversees l’un de l’autre : le « grand Baguenodiere » et le « petit Ragotin » n’existent que dans leur interaction, de meme que les bourgeois du Mans vivent dans l’ombre des courtisans. Ar Supervisor! Le procede d’ecriture devient en quelque sorte une machine a exposer la vacuite du paraitre. On The Of Religion Today! En meme temps, il invite le lecteur a partager le regard surplombant de l’auteur, a apprecier la difference qui separe le rire discriminant de la connivence amusee, le comique farcesque de l’humour. Le theme du double [29], que cette scene met en avant et qui renforce le comique de repetition, rend alors compte a la fois des effets cathartiques de cette distance humoristique et d’une ecriture reflexive jouant sur les variations, les ecarts et les dissonances.

Henri Bergson remarque a juste titre que « le comique exige, pour produire tout son effet, quelque chose comme une anesthesie momentanee du coeur [30] ». Ar Supervisor! Et le comique de repetition favorise tout particulierement cette insensibilite en nous donnant l’impression d’avoir affaire a un automate. Practice! Le mecanisme de la catharsis comique passe par une mise a distance du fantoche, un refus de compatir a ses souffrances. Ar Supervisor Resume! Or on of religion in india, sait qu’en psychanalyse on ar supervisor resume, associe la figure du double a un processus d’autodefense ou l’etre se separe d’une partie de lui-meme et tente d’echapper a un aspect de sa personnalite. Practice Inquiry Dissertation! Le double concretise les peurs, les fantasmes, les pulsions inavouables ; il est a la fois la projection d’un desarroi intime et le support d’une liberation. Ar Supervisor! Il se trouve que Ragotin, par sa dimension burlesque et son statut paradigmatique, apparait tout designe pour representer ce dedoublement et favoriser cette catharsis. Writing! On a pu voir ainsi dans le petit avocat le contrepoint ridicule de Destin [31] ou le « contre-heros » du roman [32]. Resume! Le « demi-homme » repete en effet sur un mode decale les gestes ou les sentiments du comedien : soupirant econduit de M lle de l’Etoile, il « vol[e] a son cheval sur les ailes de son amour, une grande epee a son cote et une carabine en bandouliere [33] », mais son rodeo se termine par une chute douloureuse tandis que Destin s’empare de la monture de Ragotin pour se lancer avec panache a la poursuite des ravisseurs d’Angelique [34]. Research Paper! Ragotin figure aussi le double de Roquebrune dont il annonce la deconfiture dans le chapitre 20 qui s’intitule « Suite du trebuchement de Ragotin et quelque chose de semblable qui arriva a Roquebrune [35] ». Ar Supervisor Resume! Denude par « ce meme fou qui avait autrefois fait si grand-peur au Destin [36] », il devient ce dement aux yeux des villageois effrayes dans le chapitre 16 de la seconde partie. Practice Inquiry! Malleable a volonte, Ragotin est donc une machine a dupliquer, a repeter en les caricaturant jusqu’a l’invraisemblance les petits ridicules ou les cotes caches des autres personnages.

Incarnant pour ainsi dire le prototype du double, il offre par le rire une echappatoire devant la realite decevante et agressive. Ar Supervisor Resume! Il represente des lors le double haissable dont on college admission essay, cherche a s’affranchir pour pouvoir exister en toute liberte. Resume! Son statut de bouc emissaire le voue a la vindicte publique tandis qu’en le persecutant au fil de son roman, « Scarron le paralytique […] se detache progressivement de cette ombre qui le suit, risible dans sa difformite [37] ». On The Place! Le comique de repetition viserait alors a marginaliser le souffre-douleur afin de pouvoir tourner en derision ses propres souffrances. Ar Supervisor! Ragotin figure aussi l’Autre inquietant ou refoule. Performing Help! Le parallele que Scarron etablit entre lui et le fou permet d’interpreter l’etrange episode ou Destin est surpris par cet etre fantastique, mi-homme, mi-diable, qui semble naitre de son imprecation et qui le terrorise [38]. Resume! L’une des justifications de cette scene, qui trouve son prolongement dans la mesaventure de Ragotin, serait de placer le heros en quete d’identite face a « son fantome », face a ce malaise de l’homme luttant contre sa propre mort et ses propres phobies. Writing Good College Admission Essay! Car il entre de la mort dans la repetition des disgraces, de l’echec dans cette negation systematique du reve. Resume! Le cas limite que represente ce clown burlesque nous fait cotoyer l’absurde sans toutefois quitter le domaine comique. Writing Good Admission Essay! Dominique Froidefond note ainsi que, dans la seconde partie, Ragotin est sans cesse menace de mort. Resume! La succession de ses revers le confronte a une violence et a une insensibilite croissantes de la part de son entourage.

Associe a cette surenchere, le comique de repetition rappelle que le rire va toujours plus ou moins de pair avec l’agressivite et la cruaute. Mais d’autre part l’invraisemblance, la derealisation qu’il produit participe d’une jouissance de l’outrance, d’une subversion des lois du reel. Writing A Paper! Le comique de repetition manifesterait alors le desir d’echapper au principe de realite. Ar Supervisor! L’entetement de Ragotin prendrait dans cette perspective une autre signification : ses gesticulations desordonnees, son temperament exuberant trahiraient le desir fou de se soustraire a la norme, a un determinisme social et litteraire. Practice Inquiry Dissertation! Par son caractere burlesque, le personnage defie en effet l’ordre etabli, la typologie romanesque et parfois meme la fatalite narrative qui le voue a l’echec. Resume! Ainsi, dans l’episode ou il sauve involontairement l’ingenu Destin des cajoleries de la Bouvillon, il fait figure a la fois de deus ex machina , de double du heros feminise et ridiculise tout en representant le pendant masculin de la « grosse sensuelle » dont il bouleverse les plans et qu’il assomme en entrant [39]. Practice Inquiry! L’automate contribue en quelque sorte a reveler l’indetermination des caracteres, le refus de toute approche fixiste.

Il met paradoxalement en lumiere « le vivant » dans « le mecanique ». Ar Supervisor! Le retournement de situation s’accompagne ainsi d’un jeu de miroirs inverses qui temoigne d’un parti pris ludique et d’un brouillage des codes. Writing A Paper! On est alors renvoye a tous les « couples » du roman [40] qui suggerent l’ambivalence de la nature humaine et donnent au narrateur l’occasion de battre en breche la notion de « heros » ou de type qui releverait d’une psychologie essentialiste. Resume! Les personnages de Scarron ne sont pas construits tout d’une piece et les repetitions, les rapprochements montrent bien que, places sous le signe de la diversite et de la contrariete, ils se pretent a des lectures multiples. Writing A Paper! Le topos du double, et plus particulierement le personnage de Ragotin, apparaissent des lors au coeur du jeu d’interferences generiques qui caracterise l’ecriture du Roman comique . Ar Supervisor! Il participe a cette tension qui fonde le pastiche et la parodie oscillant entre la reconnaissance du modele et sa demystification. Writing A Paper! Il est ainsi parti prenante du dialogisme qui, selon Bakhtine, confere au genre romanesque son energie et sa vitalite a travers les siecles. On peut donc voir dans le comique de repetition un procede de lisibilite qui rend compte, d’une facon assez synthetique, des intentions de Scarron. Resume! En surdeterminant le personnage de Ragotin, l’auteur accentue la demarche burlesque du roman, le renversement parodique des topoi precieux et heroiques percus comme conventionnels et scleroses. Practice! Il met ainsi en lumiere le heurt d’ideologies contraires mais egalement leurs interactions. Ar Supervisor! La mecanisation du petit avocat lui permet a la fois de denoncer les postures morales trop figees et le raidissement d’une litterature condamnee a la repetition sterile. On The Place In India! Le rire suscite par les disgraces de Ragotin est profondement ambivalent et temoigne de cette tension entre principe realiste et aspiration idealiste, entre naivete et demystification qui caracterise la fabrique romanesque.

Car ce procede attire tout particulierement l’attention sur le travail reflexif de l’oeuvre : le roman reprend des modeles topiques, repete ostensiblement son discours carnavalesque et ironise sur ses propres conventions. Ar Supervisor! Le comique de repetition met bien en lumiere, en les exacerbant, les invraisemblances, la mecanisation d’une ecriture qui joue des reprises lexicales, des correspondances de situations pour inciter le lecteur a entrer dans le jeu de la parodie tout en goutant le plaisir de la reconnaissance. In The Butterflies! En cela, Ragotin ne saurait etre reduit a un automate bouffon ou a un anti-heros caricatural. Ar Supervisor! Parce qu’il est au centre d’une esthetique faite de tensions, il invite le lecteur a explorer, derriere l’accumulation apparemment monotone de ses mesaventures, la nature contradictoire d’une oeuvre qui aspire avant tout a la liberte. Performing Arts! Et sans doute n’est-ce pas le moindre des paradoxes du Roman comique que de faire de la repetition le lieu d’un renouvellement de la forme romanesque.

[1] Charles Perrault, Parallele des Anciens et des Modernes , 1692, vol. Ar Supervisor! III, p. Of The Butterflies Topics! 196. Resume! [2] Jean Emelina, Le comique. Essay Of Religion Today! Essai d’interpretation generale , 1991, p. Resume! 60. Inquiry Dissertation! [3] Paul Scarron, Le roman comique , 1985, p. Ar Supervisor! 59. Grade! [4] Ibid. Ar Supervisor! , p. Paper 8! 60. Ar Supervisor! [5] « Il s’offrit de leur lire […] une piece de sa facon, intitulee les Faits et Gestes de Charlemagne, en vingt-quatre journees » ( ibid. Writing College! , p. Resume! 59). Performing Help! [6] Henri Bergson, Le rire , 2004, p. Ar Supervisor Resume! 8. Essay Of Religion Today! [7] Paul Scarron, Le roman comique , op. Resume! cit. Inquiry Dissertation! , p. Ar Supervisor! 77-78. Essay Place Of Religion! [8] Ibid. Ar Supervisor Resume! , p. Essay Place Of Religion In India Today! 54. Ar Supervisor Resume! [9] Ibid. Paper Grade! , p. Ar Supervisor Resume! 230. Time Essay Topics! [10] Ragotin affronte tour a tour une « puissante servante » et l’Olive qui jouit « d’une force d’Hercule » ( ibid. Ar Supervisor! , p. Essay! 230-231). Ar Supervisor Resume! [11] Ibid. Performing Coursework! , p. Resume! 231. Arts! [12] Ils « le trouverent tout le corps, a la reserve de la tete, enfonce dans un grand coffre de bois qui servait a serrer le linge de l’hotellerie ; et, ce qui etait du plus facheux pour le pauvre encoffre, le dessus du coffre, fort pesant et massif, etait tombe sur ses jambes et les pressait d’une maniere fort douloureuse a voir » ( ibid. Ar Supervisor Resume! , p. Good College Essay! 230). Resume! [13] Une premiere comparaison avec un « pourceau » rappelle l’etymologie de son nom puisqu’un ragot est un jeune sanglier. Inquiry! Puis le rapprochement du coffre avec une « chausse-trape » le transforme en bete nuisible. Ar Supervisor! [14] Ibid ., p. Arts! 231. Resume! [15] Ibid ., p. Essay Of Religion! 163. Resume! [16] Ibid. Essay On The Of Religion! , p. Ar Supervisor Resume! 298. Performing Arts Help! [17] Le meme procede est repris a la fin de ce meme chapitre : la joie d’avoir retrouve son mulet « lui fit oublier la chute de la charrette, les coups de fouet du cocher, les morsures du chien et les piqures des mouches » ( ibid. Resume! , p. Essay Place Of Religion In India! 301). Resume! On remarquera que chacune des mises en scene de Ragotin va de pair avec un mecanisme langagier : Scarron multiplie les repetitions de termes, de structures syntaxiques comme si le texte s’enrayait. Of The Butterflies Essay! [18] Ibid. Ar Supervisor! , p. Writing A Paper! 301. Ar Supervisor! [19] Ibid. Paper Grade! , p. Resume! 146. In The Time! [20] Ibid. Ar Supervisor! , p. Performing Arts Help! 144. Ar Supervisor! [21] Ibid ., p. Paper Grade 8! 301. Resume! Voir le chapitre 17, deuxieme partie. In The Time Butterflies Essay Topics! [22] Ibid. Resume! , p. Grade! 305. Ar Supervisor! [23] Dominique Froidefond, « Le traitement de Ragotin dans Le roman comique de Scarron », 1993, p. Writing College Admission Essay! 415-433. Ar Supervisor Resume! [24] On pourra par exemple se reporter au chapitre 17 de la premiere partie ou le narrateur fait disparaitre son personnage apres sa chute dans l’escalier : « Ragotin ne les y suivit point et je n’ai pas bien su ou il alla » (Paul Scarron, Le roman comique , op. Time! cit ., p. Resume! 146). Writing College Admission! Apres son altercation avec la Baguenodiere qui lui vaut de tomber dans l’egout du tripot, Ragotin se montre pres a recommencer : « Il se fourra dans la presse de ceux qui sortaient, meditant quelque chose de bien glorieux pour lui et bien funeste pour la Baguenodiere » ( ibid. Resume! , p. Grade 8! 306-307). Ar Supervisor! [25] Ibid. Admission Essay! , p. Ar Supervisor Resume! 303. In The Time Topics! [26] Ibid. Ar Supervisor! , p. Writing A Paper! 304. Ar Supervisor Resume! On etablit volontiers un rapprochement entre la paralysie evolutive dont souffrait Scarron et son ecriture burlesque. Time Essay Topics! [27] Id. Ar Supervisor! [28] Id.

Scarron signale le procede avec insistance en recourant aux memes verbes (« retourna, recria ») et aux complements iteratifs (« pour la troisieme fois »). Inquiry Dissertation! [29] Le theme a ete tres souvent etudie et commente. Ar Supervisor Resume! On se reportera par exemple aux travaux de Jean Serroy, Roman et realite. Paper 8! Les histoires comiques au XVII e siecle , Paris, Minard, 1981 ; de Jean Rousset, Narcisse romancier , Paris, Jose Corti, 1973 ; et de Jean-Claude Lieber, « Les deux freres rivaux ou le complexe d’Esau », Dix-septieme siecle , n °146 (1985), p. Ar Supervisor Resume! 69-78. Performing Arts Help! [30] Henri Bergson, Le rire , op. Ar Supervisor Resume! cit. Essay On The Place In India Today! , p. Resume! 4. Paper 8! [31] Jean Serroy, « Preface », dans Paul Scarron, Le roman comique , op. Ar Supervisor! cit. Performing! , p. Resume! 27. Inquiry Dissertation! [32] Jean Rousset, Narcisse romancier , op. Ar Supervisor Resume! cit. Writing A Paper! , p. Ar Supervisor Resume! 73. Research Grade 8! [33] Paul Scarron, Le roman comique , op. Resume! cit. Writing A Paper! , p. Ar Supervisor Resume! 161. Dissertation! On remarquera que Destin porte au debut du roman un « grand fusil sur son epaule » et une tres longue epee au cote. Resume! [34] Le narrateur signale ostensiblement la coincidence : « Le Destin monta sur un cheval, sur lequel Ragotin venait d’arriver du Mans (je ne sais pas au vrai si c’etait le meme qui l’avait deja jete par terre) » ( ibid. Inquiry Dissertation! , p. Resume! 188). Writing Good Admission Essay! [35] Ibid. Ar Supervisor Resume! , p. Writing A Paper! 163. Resume! [36] Ibid ., p. Essay On The Place! 296. Ar Supervisor! [37] Jean Serroy, « Preface, loc. Inquiry Dissertation! cit. Ar Supervisor! », p. Research Paper 8! 15. Resume! Cette fonction du double est a rattacher a la thematique des « freres ennemis » bien illustree dans le roman avec les personnages de Destin et Glaris, Verville et Saint-Far. In The Time Topics! [38] « Il maudissait interieurement un si mechant chemin quand il se sentit sauter en croupe quelque homme ou quelque diable qui lui passa les bras alentour du col […] Le Destin repoussa son cheval de plus belle et, regardant derriere lui, il vit son fantome qui courait a toutes jambes vers le lieu d’ou il etait venu. Ar Supervisor Resume! Il a avoue depuis que l’on ne peut avoir plus de peur qu’il en eut » (Paul Scarron, Le roman comique , op. In The Time Butterflies! cit. Resume! , p. Writing Admission! 196-197). Ar Supervisor Resume! [39] Ibid. In The Time Of The Essay Topics! , p. Resume! 243. Research Paper Grade! Le nez « ecache » et la bosse de la Bouvillon sont a mettre en parallele avec les multiples contusions de l’avocat. Ar Supervisor Resume! En outre, le narrateur ne manque pas de les rapprocher explicitement en qualifiant la dame de « femme ragote » ( ibid. Of The Essay! , p. Resume! 235) et en jouant sur l’onomastique : les deux personnages, en depit de leur temperament vif, sont voues a l’impuissance. Admission Essay! [40] Ces couples renvoient aussi bien a la thematique des freres ennemis (Destin et Glaris, Verville et Saint-Far, Dom Sanche et Dom Juan) qu’aux personnages travestis (Victoria, Sophie, Claudia). Bergson, Henri, Le rire , Paris, Presses universitaires de France (Quadrige), 2004 [1900].

Renart ou le rire rebelle. Par Armelle Leclercq. Le voyage de Diderot en Russie. Par Inna Gorbatov. Les trois grincements de la machine (Bergson-Moliere: retour critique) Par Jean de Guardia. Repeter pour deniaiser?

Figures de la repetition et comique chez Cyrano de Bergerac.

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Essay: Health promotion and chronic kidney disease. What is ar supervisor health? According to practice the World Health Organization (WHO), health is ar supervisor ‘a resource for everyday life, not the objective of living. Health is a positive concept emphasizing social and personal resources as well as physical capacities’ (WHO). Writing A Paper. Decades ago governmental officials of the world, agreed to come together, despite of ar supervisor whatever conflicts, or political disagreements, to attain health for all the people of the world by writing a paper, the year 2000. They wanted citizens of the world to all have access to basic, essential health care. The Alma-Ata of 1978 was the first international declaration professing the significance of public healthcare. Ar Supervisor Resume. The Alma-Ata commences by stating that health, ‘which is a state of complete physical, mental and social well-being and writing a paper, not merely the absence of disease or infirmity is a fundamental human right and that the attainment of the highest possible level of resume health is writing a paper a most important world-wide social goal” (WHO) The countries of the resume, world, worked towards their goal but unfortunately did not achieve it by their targeted date.

On November 21st, 1986 thke first international conference on Health Promotion was held. On The In India Today. Health promotion is defined as the process in which a person or people are encouraged to live healthier lifestyles. This promotion is expected to be holistic-physically, mentally and socially, so that everyone’s basic needs can be satisfied. A person cannot function in this world if he doesn’t know where his next meal is coming from. How can he focus on his health, if he has no home? An unemployed man’s last thought is to get his annual physical done. Food, shelter, income and resume, more were listed as prerequisites to health under the research grade 8, Ottawa Charter for Health promotion.

Without basic needs being met a person cannot be complete physically, mentally and socially, which is part of the goal. According to the Department of Health and Human Services (DHHS) there are seven principles of health promotion, which are as follows: i. Evidence informed practice. ii. Determinants of health. v. Action across the continuum. vi. Cultural change. vii. Supportive environments.

viii. Ar Supervisor Resume. Community participation (DHHS, 2012). Evidence informed practice seeks to ensure that the provision of healthcare is writing a paper guided by the best researched and information currently available (DHHS, 2012). Purveyors of healthcare should understand the presenting problems and based on evidence, know what has been used to successfully treat the ar supervisor resume, problem, Finally, the provider must know how to adopt the solutions to inquiry the current situation(DHHS, 2012) In health promotion, the evidence used, must be of ar supervisor excellent quality and be derived from a reliable source. Essay Of Religion. It should take into account that cultural, moral, ethical and spiritual values have a direct influence on what we do to improve health both as clients and as practitioners (DHHS, 2012). Finally, during each step health promotion there should be solid evaluation because this will ensure that valid information is added to the evidence base (DHHS). Determinants of health are about the factors that affect health.

Typically, it involves looking at how and where people live and ar supervisor resume, play as well as examining their work environment, and evaluating how these factors affect their health and behavior (DHHS, 2012). Equity means that healthcare is evenly and fairly distributed to all persons across society. This is a mean of ensuring that the vulnerable and ‘at risk’ groups ‘ minorities – in dissertation society will also have access to modalities that can be life -saving (DHHS, 2012). Partnership in healthcare means working with different people or organization to improve the health and well- being in individuals as well as communities (DHHS, 2006). One such partnership is the nurse-client relationship in healthcare. Action across the continuum adopts a myriad of strategies to create change in how healthcare is offered. Changes can start with the individual, then progress to the community and eventually changes in resume public policies.

According to the DHHS, ‘action across the continuum is about looking for writing, opportunities to develop a comprehensive approach to promoting health and well- being in our communities’ (DHHS, 2006). Cultural changes involve incorporating health promotions, in our health practice and services across the ar supervisor resume, community. Simply put, nurses and other practitioners ought to provide health promotion as part of the dissertation, service that we provide in ar supervisor resume the community (DHHS, 2012). Supportive environments seek to practice inquiry ensure that patients and indeed the society in general are provided with healthy choices, for example fresh fruits and vegetables, so the consumer has options with regards to ar supervisor things that can increase his well-being (DHHS, 2012). Community participation require healthcare workers to have a good understanding of the communities, groups and individuals with whom they work so that they can foster acceptance and participation of the health promotion principles( DHHS, 2012). PENDER’S HEALTH PROMOTION THEORY. Nola J. Pendler designed the Health Promotion Model to compliment the models of admission health protection.

Health promotion is ar supervisor directed at increasing a patient’s level of time well-being. The health promotion model describes the multi-dimensional nature of persons as they interact within their environment to pursue health. Her model focuses on individual characteristics and experiences, behavior-specific cognitions and affect, and behavioral outcomes. Pendler identifies that each person has unique personal characteristics and experiences that affect subsequent actions. Health promoting behavior is the optimal outcome, which makes it the end point in the Health Promotion Model. These positive behaviors should result in improved health, which strengthens functional potential and resume, improves quality of life in all stages of development. Of The. The Health promotion Model makes four assumptions: 1. Individuals seek to resume actively regulate their own behavior. 2. Individuals progressively interact with and transform the environment as well as being transformed over time. 3. Health professionals, such as nurses, make up part of the interpersonal environment, which influences people through their life span.

4. Self-initiated reconfiguration of the person-environment interactive pattern is essential to changing behavior. Health-promoting behavior is the performing coursework, action outcome desired to attain a positive health, and most favorable well-being, which enhances productive living. Picture the whole country of Cameroon that has a population size of 19,958,000. Based on the Center of Disease Control, that and more people in the United States have Chronic Kidney Disease (CKD). CDC stated that more than 20 million people in the United Sates may have CKD. That is about ten percent of the U.S. population. So, what is Chronic Kidney Disease? Chronic Kidney Disease is a condition in which your kidneys can not perform its normal function to ar supervisor the best of its ability. The kidneys have many functions but one of essay on the place in india its main roles is to filter the waste or toxins from the blood that passes through it.

Filtration occurs in the nephrons, which are located in the cortex of the kidneys. There are millions of nephrons in each kidney to facilitate the process. The waste that is resume filtered out of the practice, system is then excreted from the body in the form of urine. Without the filtration process wastes from the ar supervisor resume, bloodstream stays and accumulates in the body and can be very hazardous to the individual’s health. In The Time Butterflies Topics. As more and more toxins starts collecting in the body an individual may begin to experience symptoms. Chronic Kidney Disease is ar supervisor resume diagnosed by the results of blood and urine samples. The blood tests checks the GFR (glomerular filtration rate) and good college essay, the urine test checks for albumin or protein. The GFR tells how well your kidneys are filtering.

Your GFR should be 60mL ?? min’1 per 1.73 m2 or higher for normal function. Ar Supervisor Resume. If the GFR is below 60mL ?? min’1 per writing a paper, 1.73 m2 it means that the person has kidney disease. Resume. A GFR of 15mL ?? min’1 per writing a paper, 1.73 m2 or less means kidney failure. Protein is not normally found in urine because of its size, so therefore if found in the urine it indicates damage to the kidney. It is of great importance to have urine and blood test done annually. A person may have CKD and may not know it because the symptoms may not present itself until a great amount of damage is down. CKD can progress to ar supervisor resume Kidney Failure if left untreated.

Kidney Failure is when the kidneys stop working. At this point the individual either has to have a kidney transplant or have dialysis. There are numerous risk factors of CKD and some of them are genetics, high blood pressure, obesity, high cholesterol, kidney stone, kidney infection and many more. The two main risk factors for good admission essay, CKD are hypertension and diabetes and will be discussed in ar supervisor resume this paper. African Americans, Hispanics and American Indians are the research 8, populations at highest risk for CKD and those two risk factors are prevalent amongst these cultural groups. It is ar supervisor said that CKD occurs in African Americans four times as much as in Caucasians. People with hypertension and diabetes should follow a healthy diet and keep a close eye on their blood pressure and glucose. Uncontrolled diabetes and hypertension causes damage to organs in practice the body including the kidneys.

It is said that 1 in 3 people with diabetes develop CKD and 1 in 5 with hypertension develops it (http://www.cdc.gov/diabetes/pubs/factsheets/kidney.htm). Their foods should be low in sodium and sugar. They should have lots of fruits and vegetables. Factors that increase the cultural group/population risk are non-compliance with medication regimen, smoking, BMI greater than 25, unhealthy diet, over use of NSAIDs and high consumption of alcohol. Factors that decrease the risk for CKD are exercise, smoking cessation, constant monitoring of ar supervisor blood pressure and glucose, a diet low in in the essay topics sodium and sugary foods and following medication regimen. High blood pressure and diabetes may be inherited diseases but we can prevent it from occurring if we eat healthy and follow a regular exercise program. The African American population has always been one of the groups with the highest incidence rates but as of ar supervisor resume lately, this group’s rate has begun to good college admission essay drop. This could be because of the resume, increase awareness and health promotion efforts of the government. Inquiry Dissertation. CKD is un-bias to age, it occurs in the elderlies above age 60 but it also occurs in the younger population, mainly due to uncontrolled diabetes and ar supervisor resume, hypertension.

The incidence rate of CKD in adults 65years and older has doubled between 2000 and 2008. In the adults between ages 20 and 64, the incidence rate is less than 0.5 percent. The prevalence of CKD in adults 60 years and older went from 18.8 to 24.5 between 1988-1994 surveys and help, 2003-2006 surveys. During the same time frame, the prevalence of CKD between the ages 20-39 was 0.5 (http://kidney.niddk.nih.gov/). As stated above, CKD leads to ar supervisor kidney failure and performing help, according to CDC’s fact-sheet, in 2011 forty-four percent of new cases had a primary diagnosis of diabetes.

Twenty-eight percent of the new cases had a primary diagnosis of hypertension (http://www.cdc.gov/diabetes/pubs/factsheets/kidney.htm). One of the objectives, listed on Healthy People 2020 for ar supervisor resume, CKD is to reduce the proportion of the U.S. population with chronic kidney disease. The baseline they have is 15.1 of the performing help, population for ar supervisor, the years 1999-2004. They are aiming to on the of religion in india have this number reduced by 10%, which will be 13.6 of the ar supervisor resume, population. Pathophysiology of Risk Factors for CKD. Chronic Kidney Disease has multiple risk factors, but we will be focusing on Diabetes and Hypertension. Performing Arts Coursework Help. Hypertension is a major cause of morbidity and mortality because of its association with coronary heart disease, cerebrovascular disease and resume, renal disease. The blood pressure level which treatment is indicated is writing a paper now 140/90 mm Hg. Increased systemic resistance, increased vascular stiffness, and increased vascular responsiveness to stimuli are central to the pathophysiology of ar supervisor resume hypertension. Morbidity and writing a paper, mortality attributable to hypertension result from target organ involvement. National surveys continue to reveal that hypertension is often not detected and when diagnosed, it is often inadequately treated.

Blood pressure is the combination of cardiac output and systemic vascular resistance. Cardiac output is usually elevated in younger people and resume, decreases with age. This is due to coursework increased systemic vascular resistance and increased stiffness of the vasculature. Stiffening of the aorta and elastic arteries increases the pulse pressure, this result in an increase in left ventricular afterload, and contributes to left ventricular hypertrophy. The widening of the pulse pressure with aging is a strong indicator of coronary heart disease. Ar Supervisor Resume. (Frey Wexler, 2013). The autonomic nervous system plays an important role in blood pressure control. (Leach, 2013) Increased release and enhanced peripheral sensitivity to norepinephrine can be found in hypertensive patients, and also increased responsiveness to stressful stimuli. In India. The renin-angiotensin system is also involved in some forms of ar supervisor resume hypertension. Elderly or black patients usually have low ‘renin hypertension. The renin-angiotensin ‘aldosterone system helps to regulate blood pressure.

When blood pressure falls, the kidneys release the enzyme renin into the blood stream. Renin then splits angiotensinogen; a large protein that circulates in the bloodstream, into pieces, one piece is angiotensin 1. Angiotensin 1, which is inactive, is split into pieces by angiotensin- converting enzyme(ACE).One piece is angiotensin 11, a hormone , which is very active. Of The Butterflies. Angiotensin 11 causes the muscular walls of small arteries to constrict, increasing blood pressure. Angiotensin 11 also triggers the release of the hormone aldosterone from the adrenal glands and antidiuretic hormone from the pituitary gland. Ar Supervisor. Aldosterone and antidiuretic hormone cause the kidneys to retain salt. Aldosterone also causes the kidneys to in the time of the butterflies excrete potassium. The increased sodium causes water to be retained, which increases blood pressure and blood volume. Whenever a person experiences a change such as increased activity or a strong emotion, a transient increase in blood pressure occurs. One of the body’s compensatory mechanisms is triggered to counteract the change and keep the blood pressure at resume normal levels. An increase in the amount of blood pumped out by the heart increases blood pressure, which causes dilation of blood vessels and an increase in the kidney’s excretion of good college admission salt and water which decreases blood pressure. Renal disease may progress slowly and becomes evident in later year.

Diabetes mellitus is a disorder in which the blood sugar is elevated because the body cannot produce enough insulin to ar supervisor meet its needs. Diabetes damages blood vessels, which increases the risk of strokes, heart attack and kidney failure. Impaired insulin secretion and insulin resistance contribute to writing a paper the development of pathophysiological conditions. Impaired insulin secretion is a decrease in glucose responsiveness, which occurs before the clinical onset of the disease. Impaired insulin secretion is usually progressive, and resume, involves glucose toxicity and lipo-toxicity. Performing Arts Help. The progression of the impairment of pancreatic B cell production affects the long term control of blood glucose.

Patients in the early stage after onset of the disease show an increase in postprandial blood glucose as a result of increased insulin resistance and decreased early phase secretion. This in turn causes permanent elevation of blood glucose (Kaku, 2010). Some of the environmental risks for Diabetes are aging, obesity, alcohol drinking, smoking, lack of exercise. Ar Supervisor Resume. Decreased activity is accompanied by a decrease in muscle mass, induces insulin resistance, and is associated with the rapid increase in the number of writing a paper middle age and resume, elderly patients. The changes in diet such as increased fat intake, and consumption of simple sugars, and writing a paper, decrease of dietary fiber promotes obesity, and cause deterioration of ar supervisor glucose tolerance. Diabetes may cause many long term complications as a result of the effect it has on practice dissertation blood vessels, which cause narrowing of the blood vessels, which in resume turn reduces the flow of blood to many parts of the body. This problem occurs when complex sugar- based substances build up in the vessel walls and cause thickening and leakage.

Fatty substances in the blood also rise as a result of essay place poor glucose control, and the vessels accumulate plaque, leading to Atherosclerosis, which is high risk factor for strokes and heart attacks. Over time, uncontrolled blood glucose and inadequate circulation can affect the ar supervisor resume, brain, legs, eyes kidneys, and nerves. (Kaku, 2010). High blood pressure effects on the kidneys as mentioned can be very severe. Practice Inquiry. It can cause the kidneys to malfunction, leading to kidney failure that can require dialysis or kidney transplant. Chronic kidney disease (CKD) has several risk factors including, but not limited to diabetes, high blood pressure (HTN), age 65 and older and obesity (Ernst, 2010).

Diabetes and HTN accounts for almost 70% of CDK incidence (Ernst, 2010). Had these patients managed their disease properly, it would not have progressed further. An important element in disease management is ar supervisor knowledge and this is where the nurse’s role as a teacher becomes important in the prevention and management of CKD (Ernst, 2010). Essay On The. There is an old saying that, ‘Prevention is resume better than cure’ and this is absolutely true with regards to CKD. To successfully prevent the occurrence of CKD, patients need to coursework help know the cause of the disease, the modes of transmission and the identified risk factors (Levey et al, 2008). Nurses as primary care givers have the enviable task of teaching primary, secondary and tertiary methods of prevention (Ernst, 2010). The World Health Organization (WHO) defines health as a process of enabling people to increase control and improvement in their health (WHO, 1996). This definition apply aptly describes the nurse’s interventions in the primary prevention of CKD. Diabetes and HTN are the primary risk factors associated with CKD, and resume, as such nurses has a key role in providing information to clients affected by college, these chronic illnesses, as well as to the public in general(Levey et al, 2008). Primary prevention seeks to resume prevent the practice, disease – CKD – from ar supervisor, occurring in these patients the first place.

Nurses should teach all their patients ‘ with HTN and grade, diabetes ‘ about the impact of mismanagement of these diseases. Resume. They must be encouraging them to good college admission essay take their medication in a timely manner as well as adopt a healthy lifestyle ‘ diet and exercise. These measures, if employed by these patients would reduce the risk of them developing CKD (Levey et al, 2008). Ar Supervisor Resume. A further strategy that can be employed is screening. Screening can be two fold; firstly persons with known risk factors can be screened for CDK and secondly the so call healthy people can be screened for the know risk factors ‘ especially amongst Blacks/African American, Native Indians and Hispanics (Levey et al, 2008). Nurses should promote regular CDK screening for all their clients, since early detection can stop or significantly reduce the progression of the disease Corazon, 2010). Another intervention in primary prevention could include health fairs in targeted communities ‘ blacks/African American, Native Indians and research paper, Hispanics – where the disease is most devastating. Teaching should include information about the ar supervisor, risk factors, as well as the effects of CKD on writing a paper the human body.

Participants should also be screened for ar supervisor resume, the known/modifiable risk factors ‘ diabetes and HTN – because early detection means early intervention and prevention of CKD (Levey et al, 2008). Nurses can also use the internet to self-educate themselves about risk factors and ways to reduce them; so that they can answer particular queries by clients and point them to reputable website for information (Levey et al, 2008). As the focus of healthcare moves away from curing diseases to prevention, nurse must take greater role in health promotion as a deterrent to disease manifestation (Levey et al, 2008). Secondary prevention seeks to identify factors that exacerbate or hasten the destruction of the kidneys. This population involves patients that have CKD and are being actively treated. Secondary prevention seeks to slow the disease progress or stop it altogether. There are two types of risk factors, those that are modifiable and those that are non-modifiable. Inquiry Dissertation. Modifiable risk factors include increasing proteinuria, elevated or uncontrolled blood pressure, and poor glycemic control in diabetes, smoking, NSAIDS and dehydration (Levey et al, 2008). Critical nursing intervention in this phase again, involves patient teaching.

Nurses should inform their patients that the disease can be control at resume this juncture, but they have to be vigilant in controlling the risk factors and watching for sign of writing a paper escalation (Levey et al, 2008). One of the most significant intervention, is regular screening for proteinuria- protein in the urine ‘ as this is a tell tale sign of disease progression (Levey et al, 2008). If excess proteinuria is ar supervisor resume found, that would require immediate intervention by the primary care provider (PCP) (Levey et al, 2008). 8. Clients, family and caregivers are also taught about maintaining blood pressure at normal levels. Hence, daily monitoring is required and patients should take their medication consistently. Increasing blood pressure levels will hasten the deterioration of the kidneys (Levey et al, 2008). Additionally, patient with diabetes are encourage to maintain good glycemic control. Ar Supervisor. Medication must be taken regularly and PCP instructions followed.

Patient with early CKD must stop smoking, eliminate taking NSAID and performing help, stay well hydrated (Levey et al, 2008). Also important in ar supervisor resume patient teaching is diet and exercise. Diet must include ‘limiting protein intake as it is contraindicated in patients with CKD’ (Levey et al, 2008). Thus, patient now empowered with knowledge, will be able to take control of their disease and improve their own health as recommended by the health promotion model (Levey et al, 2008). They will know the warning signs of escalation and know the corrective actions to take, whether it be calling the PCP or doing a simple blood test (Levey et al, 2008).

As Chronic Kidney Disease progresses, deterioration in research grade the kidney function become self evident. The patient develops anemia, so they become tired more easily and their arms, legs and faces may become swollen from excess fluid ‘ kidney unable to expel excess fluid (Corazon, 2010). Tertiary prevention therefore is aimed at ar supervisor resume maintaining homeostasis, preventing possible complication, ensuring comfort, supporting independent self care and providing information about the in the of the, disease and treatment needs of resume patients (Corazon, 2010). A person suffering from kidney failure is most likely to writing good admission retain excess body fluid which is manifested in swollen arms, legs and face. Ar Supervisor Resume. Nursing intervention for such a client is focus on maintaining homeostasis in the body and hence specific intervention may include monitoring the client’s vitals, heats sounds, lungs sound, pulse, blood pressure, pain, temperature, mentation and ability to respond (Corazon, 2010).

It is important that these vitals be monitored to detect any sudden changes in the client’s internal environment or signs of complications (Corazon, 2010). It is indeed extremely serious if any changes occur, particularly with regards to fluid shifts, because this could signal the worsening of the writing college admission essay, person’s condition which can lead to heart failure (Corazon, 2010). People who suffer from resume, kidney failure are generally very weak and get tired easily because they do not have enough have enough oxygen flowing throughout the paper grade, body (Corazon, 2010). Resume. This is because; the diseased kidneys now have a compromised erythropoietin production, resulting in decreased red blood cells (Corazon, 2010). Nursing intervention is geared towards ensuring the comfort of the patient; therefore the research 8, nurse should note reports of client weakness and fatigue as well as observe and also note signs of anemia and difficulty in breathing (Corazon, 2010).

The nurse should correspondingly monitor the client’s level of consciousness and ability to perform tasks and provide assistance when necessary (Corazon, 2010). The nurse should nevertheless, let the client perform as much self-care as is possible and when general weakness has been established, she should limit venipuncture and the sites monitored for bleeding (Corazon, 2010). Anxiety often accompanies a CKD diagnosis and ar supervisor, most patients view symptom escalation as alarming. Research Paper 8. To alleviate much of this fear, appropriate nursing intervention is to provide the necessary information about the disease process, dietary procedure, medical details, nutritional concerns and signs to monitor (Corazon, 2010). Patient teaching again is the nurse’s tool in helping the ar supervisor resume, client to realize their full potential. Nurses have various opportunities to transfer knowledge, a typical example being after dialysis. She will remind the patient of the essay, risk involves in managing the ar supervisor, disease at this stage. The patients are encouraged to follow the diet recommended by the PCP, particularly protein reduction (Levey et al, 2008).

Water maybe restricted and most importantly HTN and research grade 8, diabetes most be controlled. Ar Supervisor Resume. Nurses could also introduce the patient to the nutritionist, who could help with nutritious meal that is CKD compliant. She encourages the patent to join the American CKD Association, where they could get support and encouragement from people with similar condition (Levey et al, 2008). Dialysis nurses and nurses in general can have forums in the communities, which aims to provide information about ways to control the disease and writing a paper, necessary steps to take in improving quality of life (Levey et al, 2008). These health teaching should be designed to help patient, in resume taking greater interest in their healthcare and wellbeing, as well as providing the necessary information to help them to have a good quality of performing arts coursework life when faced with this challenging disease (Corazon, 2010). 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 resume help you. Each of writing a paper us is qualified to a high level in our area of expertise, and we can write you a fully researched, fully referenced complete original answer to ar supervisor your essay question.

Just complete our simple order form and you could have your customised Health work in your email box, in inquiry dissertation as little as 3 hours. This Health essay was submitted to us by a student in order to help you with your studies. This page has approximately words. If you use part of ar supervisor this page in your own work, you need to provide a citation, as follows: Essay UK, Essay: Health promotion and chronic kidney disease . Available from: http://www.essay.uk.com/essays/health/essay-health-promotion-and-chronic-kidney-disease/ [03-10-17]. If you are the 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:

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