Critical Reading and Rhetorical Modes Assignment

Critical Reading and Rhetorical Modes - Assignment Example All this was because an attempt to express herself through different languages that were seen as "illegitimate." Notably, this is evident in the second excerpt when she explains, â€Å"my tongue keep pushing out the wads of cotton, and pushing back the drills and the long thin needles.† Cause and effect is a mode that analyzes the connection between elements and finds a reason for their relationship. For instance, Chicano Spanish is because of the need for identity, means of communication and secrecy among the people had no known original language considered as the cause of the development of Chicano Spanish. Moreover, the author in trying to categorize the different people with whom she shared different language when communicating with has used modes like classification. For example, with Mexican she will speak standard Mexican Spanish. When in her parents companion, she uses Chicano Texas Spanish; with Arizonans, she will use Chicano Spanish and English for California. Lastly, the author in trying to explain the term â€Å"Anglicism† and â€Å"Pachuco† has used definition. Whereby, the author describes it as distorted English and a language of rebellion because it is against both Spanish and English. The language is made up of slang words from both English and Spanish. For example, churo means sure, Simon means

Philosophy and Its Branches Essay Example for Free

Philosophy and Its Branches Essay The study of the fundamental nature of knowledge, reality, and existence, especially when considered as an academic discipline. Philosophy is the study of general and fundamental problems concerning matters such as existence, knowledge, values, reason, mind, and language. It is distinguished from other ways of addressing such problems by its critical, generally systematic approach and its reliance on rational argument. Origin: Middle English: from Old French philosophie, via Latin from Greek philosophia love of wisdom. Philosophy comes from the Greek for love of wisdom, giving us two important starting points: love (or passion) and wisdom (knowledge, understanding). Philosophy sometimes seems to be pursued without passion as if it were a technical subject. Although there is a role for dispassionate research, philosophy must derive from some passion for the ultimate goal: a reliable, accurate understanding ourselves and our world. Branches of philosophy: The following branches are the main areas of study: †¢Metaphysics is the study of the nature of being and the world. Traditional branches are cosmology and ontology. †¢Epistemology is concerned with the nature and scope of knowledge, and whether knowledge is possible. Among its central concerns has been the challenge posed by skepticism and the relationships between truth, belief, and justification. †¢Ethics, or moral philosophy, is concerned with questions of how persons ought to act or if such questions are answerable. The main branches of ethics are meta-ethics, normative ethics, and applied ethics. †¢Political philosophy is the study of government and the relationship of individuals and communities to the state.

The Definition Of The Concepts Of Time English Literature Essay

The Definition Of The Concepts Of Time English Literature Essay Transcending Temporality: Escaping the Shackles of Linear Time. The concept of time is one which eludes the standard dictionary definition that etymologists so simply thrust upon the more concrete words that compose the English language. Perhaps time defies the ability to be defined as a result of its ubiquitous nature humans find time to be so ordinary that it seems senseless to seek out a method with which to describe it. Perhaps it evades an explanation because society is so fixated on its passage rather than its existence. Or perhaps it cannot be defined because it is merely a figment of the human imagination a method of mental measurement to maintain sanity. Over the course of literatures development, many have strived to craft a novel that serves as an accurate portrayal of the human experience of time. As the modernist literary movement began, this concern shifted towards the forefront, and one author emerged who artfully fashioned a novel that moved beyond the simplicity of plot and instead delved into the depths of the human subconscious. Through her creation of To the Lighthouse, Virginia Woolf produces an avant-garde illustration of the way in which humans undergo the passage of time in order to criticize societys fascination and fixation with the future. Throughout her novel, Woolf collapses the steady progression of linear time and instead utilizes an interplay between the diachronic and synchronic dimensions of time to more accurately demonstrate the way in which humans truly experience times progression. In the late 1980s, a historian by the name of Dominick LaCapra revolutionized the way in which scholars view time. Essentially, The LaCaprian theory of time theorizes time to be a multidimensional phenomenon composed of a structure consisting of both a horizontal and a vertical plane. This horizontal plane is representative of what LaCapra calls diachronic time, or the passing and progression of both commonplace and significant events, while the vertical plane, which represents synchronic time, concerns itself with the passing of time when one fixates upon the minute details of any given event (LaCapra 138). Virginia Woolf, in To the Lighthouse, transcends the simplicity and monotony of diachronic time and interpolates passages th at are written from a synchronic perspective, thus increasing the complexity of her work and allowing her to break free from the constraints caused by a plot based solely on linear time. If Woolf were to write exclusively in the diachronic plane, her depiction of everyday life would not be nearly as profound as synchronic descriptions allow it to be (Gemmill 2). Her synchronic passages give her the ability to convey the details of seemingly simple events that hold deeper symbolic significance. However, it is Woolfs ability to seamlessly transition between diachronic and synchronic descriptions that causes her portrayal of time to be so truthful to the human experience in any given period, one event may seem to fly by quickly while one may notice every minute detail of another. This interchange is facilitated through a use of stream of consciousness narration. By utilizing a stream of consciousness format of narration, Woolf facilitates the ability to slow down the apparent progression of time in order to synchronically highlight the significance of certain moments or memories. As the modernist literary movement reached its peak, a narrative technique known as stream of consciousness became increasingly popular. Stream of consciousness narration allows for insight into the thoughts of a character, presenting them to the reader in the exact method in which an individual would process them. For example, the vivid image painted by Woolf as James is sitting on the floor cutting out pictures from the illustrated catalogue of the Army and Navy stores, endowed the picture of a refrigerator, as his mother [speaks] (Woolf 12) demonstrates James processing of all that is occurring around him, offering insight into his thoughts. While James actions in this moment seem unremarkable, stream of consciousness narration helps to focus on an infinitesimal moment in time and elaborate upon it, a technique which Woolf calls upon often. In essence, Woolf utilizes stream of consciousness narration to enhance the impact of synchronic moments by further lengthening the description of each portion of a moment, much in the way that a specific moment in the human experience can be drawn out by the mind. As Albert Einstein once said, When you sit with a nice girl for two hours, it seems like two minutes. When you sit on a hot stove for two minutes, it seems like two hours-thats relativity. Woolfs use of stream of consciousness allows her audience to experience the progression of time in the same manner as her characters-as they fixate on a moment, so does the audience. The significance of this effect and of Woolfs use of stream of consciousness lies in her choice of when to employ it-she delves into the synchronic dimension of seemingly insignificant moments, focusing on the colors and auras (Stewart 3) of everyday living. Through this method, Woolf captures an authentic recreation of the human experience, henceforth increasing the validity of her criticism of it. In stark contrast with her ability to extend a nanosecond on the synchronic plane, Woolfs use of brackets creates a harsh and unexpected severity and hastiness throughout the second portion of the novel that serves to illuminate societys desensitization to the significance of the moment. Throughout part two of the novel, Time Passes, the harsh typographical appearance of the parenthetical marks [used by Woolf] themselves (Gemmill 3) emphasizes the abrupt nature of Woolfs return to a diachronic description of a linear progression of events. Woolfs return to a dry, dull portrayal of events within these brackets signals a choice to return to linear time as she states that [Prue Ramsay died that summerà ¢Ã¢â€š ¬Ã‚ ¦] ( Woolf 132) and [à ¢Ã¢â€š ¬Ã‚ ¦ Mr. Carmichael, who was reading Virgil, blew out his candleà ¢Ã¢â€š ¬Ã‚ ¦] (Woolf 127) highlights a key syntactical pattern. It is evident that the events depicted within Woolfs brackets reflect simplicity within both their syntax and dict ion, causing them to be portrayed as commonplace even in cases when they are rather tragic. Each set of parentheses contains one or more brief, telegraphic sentences written with simplistic diction and a blatant lack of detail, understating the significance of the event contained within and signaling a shift to a more omniscient perspective (Sang 3). A shift from the personable, relatable stream of consciousness style to this newfound omniscience stems from Woolfs desire to highlight how desensitized society has become to events such as death. To focus upon the synchronic dimension of time is to be personal, dramatic, to embody the carpe diem ideals of seizing each moment. Hence, Woolfs regression to diachronic depictions signals a step away from this ideal, and mirrors modern societys lack of concern with the significance of the moment. While it may be argued that Woolfs use of juxtaposition in terms of color is the most essential tool in the conveyance of her views regarding socie ty (McCarthy 1), it is this ability to delve into and then fall away from a synchronic examination of time that truly buttresses her disdain for humanitys choices. By using a wholly diachronic approach towards the description of death, Woolf downplays its significance to suggest that an individuals priorities are better placed in a concern with life rather than its impending end. As Woolfs characters struggle with the understanding of lifes ephemerality, many of them grasp for some sense of permanence as they preoccupy themselves with the future and whether or not they will be remembered, paralleling that which Woolf believes is currently occurring in society. Mr. Ramsay fears that his work will be easily forgotten as a result of mortality and the brevity of human life, so he seeks out some sort of permanence in the intellectual sphere which he hopes will cause his memory to stand the test of time. His attempts to make a lasting philosophical contribution demonstrate Woolfs views regarding the human need for individuality and competitive success. Essentially, the alacrity of Mr. Ramsays frantic attempts at rising above the rest of society allows insight into Woolfs distaste with the need in todays society to focus on future personal accomplishment rather than happiness in the present. When Mrs. Ramsay dies, causing Mr. Ramsay to [lose] touch with the order of the physical world (Doyle 9), his attempts become scarcer, and his feelings of worthlessness reflect Woolfs view that humans base their sense of self-worth upon their permanence. This fixation with that which will come in the future is also visible in the character of Lily Briscoe. Lily dreads the fact that one day her paintings will be thrown into the attic and never again seen by the rest of society, leading to a fear of lifes ephemerality reminiscent of Mr. Ramsays. Whereas Ramsay searches for permanence in the intellectual world, Lily turns to her artwork for comfort. Her paintings act as methods of synchronically capturing events in diachronic time, exhibiting the dichotomy between the two dimensions of time and leading to insight as to Woolfs intent. Lilys paintings being forgotten parallels society forgetting the significance of that which has occurred and is occurring as a result of a preoccupation with the future and that which is to come. The colors included within Lilys paintings are ones which often are associated with cheerfulness or happiness (Stewart 2), symbolically indicating that Woolf believes humanity is forgetting the joy that is connected with living life. In addition, Woolf includes many aspects of her life into the novel, and it is often argued that Lily may be a representation of Woolf herself, signaling that Woolf has undergone an inner struggle similar to this one (Brivic 9). Woolfs personal connection to this issue may serve as an explanation as to why she wishes for her knowledge to take on a didactic tone regarding a carpe diem mentality. Finally, during the denouement of the novel, Lily Briscoe comes to terms with the fact that her life is ephemeral and that time will progress after she is gone, further demonstrating Woolfs views regarding societys obsession with permanence. Lilys ability to finally fulfill her artistic vision comes only after letting go of her need for permanence as she [lays] down [her] brush in extreme fatigue (Woolf 209) in the last line of the novel. This final portion of the novel is written in an extremely synchronic manner as Woolf painstakingly drags out every last moment of the plot, capturing the significance of each and every detail and underscoring the significance an instant of time can have. This is done in order to mirror the human experience of self-actualization as Lily reaches a sense of closure, further validating Woolfs portrayal of time. Because this closure comes only once Lily has accepted the inevitableness of the ephemerality and transience of a mortal life, it is indisputab le that Woolfs aim is to didactically demonstrate the downfalls of an obsession with the future and a refusal to accept the temporary nature of ones time on earth. This conclusion to the novel reinforces the significance of this fascination-fundamentally, Woolf posits that without recognizing the aspects of life that are truly important, humanity will not be able to reach the same self-actualization that Lily is able to accomplish. Woolf essentially wishes to persuade her audience that embracing the synchronic dimension of time (Gemmill 5) and leading a life focused on the present rather than the future is the most meaningful manner in which to spend a lifetime. By meticulously illustrating the human experience of relativity and the progression of time through the approach of a two-dimensional interplay, Virginia Woolf is able to point out a key fault in modern society. Her emphasis on societys fixation with the future and straying from a carpe diem lifestyle illuminates a potentially dangerous characteristic of that which humanity is becoming. Essentially, To the Lighthouse reveals that societys path towards living without being able to appreciate the significance and importance of each and every moment in time is one which will ultimately lead to its downfall if not reversed.

a brief story :: essays research papers fc

A brief story   Ã‚  Ã‚  Ã‚  Ã‚  Having lived in the United States for over four years, I find myself working harder and harder every day and not getting anywhere. Until finally I got a break of a lifetime, I have find a job that would not only pay me a few bucks more, and why not. Working at a fast food restaurant was not something I wanted to do for the rest of my life.   Ã‚  Ã‚  Ã‚  Ã‚  So anyhow, that break came when I applied with a prestige airline. Who ever would think that I would’ve gotten such a job. This airline was looking for a responsible person, personal skills, and the ability to work under pressure. Tired of working my behind for only a few pennies, I went for an interview, and to my surprise I received a phone call the following morning from the person who interviewed me, telling me that I have gotten hired, that I got the job. I felt so happy and relieved to hear the good news, and promptly asked when could I start working?   Ã‚  Ã‚  Ã‚  Ã‚  Before starting my new job I had to go through training. They explained to me every single detail about the company, the companies rules, etc. Within two weeks I had the job of a Customer Representative. Handling phone calls from left to right, and handling customer’s accounts.   Ã‚  Ã‚  Ã‚  Ã‚  Anyhow, let me speed up the story a little. I’ve been working with this company for over a year now, and it has sure brought me a lot of fun and of course, lets not forget the stress too. But no matter what the consequences, I am satisfied with my new job. I tell you, working for an airline sure has its good and bad side. What are the good sides of working at an airline? For one thing you get to travel for free, almost anywhere in the country. I for instance have taken a few trips of my own. I have been to New York, Atlantic City, Texas, Florida, and San Francisco, just to name some of the place I’ve visited. Florida, was, well, I guess what everyone expects it to be. I got the chance to go to Disney World, and to some of its beaches. I took a lot of pictures, and dance till my feet could not move any more. I interacted with different kinds of people, which it was sort of fun in a way too.

Career Development Plan Part Iv †Compensation Essay

Now that we have structured our new team, identified their roles, identified ways to manage their performance and created an appraisal system we are now proposing a new compensation plan. This part will outline the plan, describe how it will help motivate employee performance, describe our total rewards program and outline how this program will benefit the individual and InterClean. Account Executive Financial Compensation Plan Compensation structures can be broken down into two distinct categories, financial and non-financial (Cascio, 2006). This section overviews the financial compensation plan for account executives, which includes pay and benefits. Account executive pay will be primarily commission based. Each account executive will receive a base salary at minimum wage, with the rest of their salary coming from commission. We feel that a generous commission structure will motivate performance because pay will have a direct correlation with sales volume. We structured our proposed commission plan to reflect InterClean new strategic direction (University of Phoenix, 2007), and how employees are rated in their quarterly appraisal. This means a focus on retention, up-selling and volume. Account executives will receive 8% commission on sales for the first six-months of revenue. 10% commission on sales after six-months of continuous revenue. 13% commission on sales after one-year of continuous revenue. 13% commission on up-sells and account executives that meet their quarterly sales volume will also receive a bonus equaling 3% of total revenue earned. New Business Account Executive, The New Business Account Executive has different goals, and therefore a different pay scale will apply. He or she will receive a base salary of $30,000 per year, plus a 3% quarterly commission on revenues earned from the accounts he or she acquired. We feel that this structure will adequately reflect the difference between new account acquisition and account retention. Cumulatively, the maximum amount of commission paid on revenues to account executives would be 19%. In related to the benefits Account Executives will receive the standard benefits due to all InterClean employees, including; †¢ Health Insurance with employee share of cost †¢ 401k match 14 days paid vacation †¢ 6 days sick time †¢ Health, Financial, Stress and Motivational Counseling through our employee wellness program. Managerial Financial Compensation Plan The managerial financial compensation plan will focus on overall team performance. We feel that creating a plan that rewards managers for team performance helps ensure management’s focus on creating a strong team that meets financial objec tives. Managers will receive a base salary dependent on their pay grade, ranging from $50,000 annual for the solution expert and $65,000 annually for the sales manager. The rest of their salary will be based on team performance as 3% commission on total revenues per quarter of all account executives that have met his or her goal, and 2% on total revenues per quarter if all account executives meet their goals. We feel that paying based on meeting objectives, and sharing in total revenues accomplishes two important things such as rewards managers who ensure account executives meet their goals by providing the tools and support they need. And it encourages over-achieving by not setting a limit on revenue sharing. In terms of the benefits, managerial employees share in the aforementioned benefits, and are given one additional week of paid vacation (five days) per year. As mentioned, compensation does not only include financial compensation; there are certain non-financial rewards that motivate employee performance, increase loyalty and decrease turnover. The following non-financial rewards were chosen based on a survey conducted in the United Kingdom (Employee Benefits, 2006) as additional â€Å"perks† for employees. Sales Employees, All sales employees are eligible the following reward package flexible working arrangements. Employees can work at home when appropriate on dates arranged between them and their manager. Flexible work time is the top-rated non-financial reward in the UK survey (Employee Benefits, 2006) and offering such an arrangement can increase productivity by diminishing stress caused by work-life conflicts. And corporate gym membership also ranked high on the survey, and using our corporate pull to offer a free membership not only encourages wellness, but exercise has countless benefits such as stress relief, increased creativity, and energy. Also, we will include employee discount at restaurants. Using the promise of higher volume by internally promoting local restaurants to our employees, HR has arranged for employee discounts at local restaurants. This benefit decreases the costs of lunch for our employees and gives them another reason to value InterClean. Managerial Rewards, The following rewards are available to managers in addition to the preceding rewards available to all employees such as use of company vehicle: Surprisingly, the UK survey listed â€Å"sports car as company vehicle† as the number one â€Å"benefit they don’t receive but wish they had† (Employee Benefits, 2006, para4. . Company gas card, not only should our sales manager ride in prestige, but we understand that the majority of driving they do benefits our company, so they also have use of our company gas card. The compensation and rewards system outlined in this plan are geared to motivate performance by tying pay directly to the revenue gained for InterClean. Our new strategy of fo cusing on solution-based selling (University of Phoenix, 2007) means we must grow retention, up selling, and total volume. This plan rewards all three by reducing the base pay of account executives, increasing commission and tiering commission based on retention and up selling. We reward achievers and not low-performers. Tying managerial pay directly to the performance of the team rewards good managers (Vigoda-Gadot & Angert, 2007. ) Finally, offering a substantial but not overly high base pay takes into account fluctuating economic and environmental constraints. Offering bonuses quarterly rather than annual avoids penalizing employees for one bad quarter, which can happen to even the best sales person. Finally, our reward system is built to make InterClean a great place to work, that values the employees well-being and offers perks as part of the job. Offering this reward system can help InterClean retain the best possible account executives and managers (Cascio, 2006). Because we offer competitive pay and creative rewards that ease the work-life conundrum, and add a certain level of prestige to those who work for InterClean.

Pain Management and Quality of Life for Sickle Cell Disease Patients Essays

Pain Management and Quality of Life for Sickle Cell Disease Patients Essays Pain Management and Quality of Life for Sickle Cell Disease Patients Essay Pain Management and Quality of Life for Sickle Cell Disease Patients Essay Pain Management and Quality of Life for Sickle Cell Disease Patients Cynthia Evans Mississippi College Pain Management and Quality of Life for Sickle Cell Disease Patients This is a review of literature examining how frequent recurring episodes of pain affect the quality of life in the sickle cell disease patients. Several studies conducted concerning pain management and quality of life for sickle cell disease patients indicate additional studies needed. Identifying additional effective complementary alternate therapies is vital for a more improved quality of life. This will be necessary in order to reduce the number of painful episodes experienced by the sickle cell patient. Sickle cell disease is a genetic disorder of the red blood cells and further characterized by painful acute vaso-occlusive episodes where the sickle cell is stuck in the blood vessels, blocking the blood flow. This is one of the most common reasons leading up to hospitalization, the vaso-occlusive episodes. These episodes can lead to ischemia and infarctions over the entire body region with painful recurring, unpredictable, intense, and relentless episodes, lasting approximately 3-14 days (Yaster, Kost-Byerly, Maxwell, 2000). According to Granados and Jacob (2009), the purpose of their study was to examine pain experienced and the effectiveness of analgesics for hospitalized adults with sickle cell disease. The literature review indicates a variety of reasons why inadequate pain management is ongoing in the adult (SCD) patients admitted with vaso-occlusive episodes. The focus is mainly on factors that affect the management of pain, including methods of analgesic administration, and non-pharmacologic regimens, therefore the perception of the provider is important in regards to treating sickle cell pain as identified in the study by (Shapiro, Benjamin, Payne Heidrich, 1997; Steinberg, 1999; Yale et al. , 2000). Little attention in the way of research studies has been examined in relation to the pain experience of the sickle cell adults. Ballas and Lusardi (2005) evaluated the sequence of hospital admissions of patients with sickle cell disease, reviewing the causes of recurring admissions, and the importance of the patient’s outcome of illness. All readmissions examined specifically within seven to thirty days from the initial admission discharge assessing for the rationale of the recurrence of hospital admission and relation to the prognosis of the sickle cell disease patient. The researchers evaluated the pain by a descriptive underlying research design knowledgeable by the sickle cell disease patients for intensity, location, and quality of pain. Fifty percent of patients admitted for intense painful episodes were readmitted within one month after discharge, and another estimated 16% were readmitted within one week after discharge. Severe pain is described as a degree of pain greater than six on a zero to ten numerical rating scales. A mean score of seven or greater indicates prematurity in discharging the sickle cell disease patients from the hospital. In conclusion, the patients admitted to the hospital with high pain scores were more likely to have lengthy hospitalizations, and to be discharged home with equally higher pain scores. The pain intensity scores from the previous discharge examined by the researchers indicated 71 readmission, in which 52 patients were readmitted for vaso-occlusive episodes, (Ballas Lusardi, 2005). The pain score of study participants indicated a high pain intensity score, and the scores did not change consequently during prolonged episodes. Even higher pain intensity more so on days seven and eight were indicated for increase pain significance. Researchers further indicated that the main reason for hospital readmissions were early discharge to home settings, signs and symptoms of medication/drug withdrawal, that brought about the intense reoccurring episodes of vaso-occlusive illnesses. It was noted that readmissions to the hospital for the adult sickle cell disease patient is more common and researchers recommended future studies for improvement in pain management in the hospital and at home. In future studies, researchers will need to use a larger sample size to evaluate patterns of pain management, effectiveness and influence on quality of life in the sickle cell disease patient. Although, no evidence was identified where upward titration of analgesics was done it is recommended that development of algorithms be encouraged to help carefully plan decisions regarding titration of medications in adult patients with sickle cell disease during hospitalizations. Jiles and Morris, (2008) made known in their descriptive study of 62 patients (18 years of age and older) using Burckhardt and Anderson’s 16 item self-report and a demographic uestionnaire used for data collection. The purpose of the study was to investigate the quality of life in adults with sickle cell anemia, hemoglobin SC, or Hemoglobin S beta thalassemia. The results revealed that the healthy populations average scores for quality of life scale is 90 and in this study the overall mean QOL score was 83. 6 ( SD=13. 2) lower than those of the overall general population. The outcome of this study indicated additional research is necessary to advance the understanding of the factors that greatly affect quality of life in the management of sickle cell disease in order for patients to enjoy normal activities of life. A cross sectional descriptive study conducted by Yoon and Black (2006) researched both pharmacologic and complementary therapies used for pain management by caregivers of children with sickle cell disease (SCD). They further studied the prevalence and types of complementary therapies used for pain management by caregivers of children with SCD and made inquiries of caregivers’ concerning their interests in using complementary therapies in the future. Since there was no obtainable questionnaire to meet the principle of the study, a questionnaire was created by the chief researcher. Items included on the questionnaire was age of child, age of caregiver, use of analgesic, annual income estimate, caregivers educational level, and type of health insurance their child had available. Divisions were randomly ordered and included massage, chiropractic, acupuncture, energy healing, relaxation techniques, imagery, meditation, hypnosis, biofeedback, self-prayer, spiritual healing by others, music therapy, herbal or fold remedies, megavitiamins, yoga, tai chi and other body works, and transcutaneous electrical nerve stimulation. The prospective patients were identified, approached, and invited to participate in the study by the clinical coordinator of the sickle cell disease clinic. The study was explained and potential participants were provided an informed consent letter. All subjects were provided a room for privacy and questionnaires were completed either by the caregivers of the participants or by the research assistance. The research assistant was nearby in either case to answer any questions that might arise by the caregivers when completing his/her form. The instructions provided to the caregivers indicated the questionnaires listing of the sixteen complementary therapies. The caregivers were to indicate any usage of them within the last six months and were asked would they be interested in using any of the listed complementary therapies in the future. Statistical analyses was used including how often an event repeats itself over a set amount of time and expected values with standard deviations, were used to compare demographic variables, research use of pharmacological therapies for pain management between age groups, and evaluate pharmacologic/analgesic and complementary therapy use. Chi-square tests were done in the beginning of the study and carried through to completion comparing the demographic variables, scrutinized use of pharmacologic therapies for pain management between age groups, and compared use of pharmacologic and complementary therapies. The results of the most frequently used pain medication for children revealed a mean age of 9 years. The results indicated children using pain medications most frequently identified was ibuprofen (37. 5%), acetaminophen with codeine (32. 1%), and acetaminophen with oxycodone (14. 5%). Complementary and alternative medicine use among children as well as adults has increased in the last ten years. In the study, caregivers with a mean age of 33 years was 70% of the 63 caregivers identified as using some form of complementary therapy. African American mothers made up 79% of the predominant race of caregivers and (56. 9%) indicated an annual income less than $20,000. Sixty percent of caregivers had twelve years of education or less, and twenty-four percent reported at least 2 years of college education. Medicaid (76%) was the major source of coverage for the children, although 24% had private or other identifying insurance. Future studies should include investigating the safety and effectiveness of the most commonly used complementary therapies reported in this study as well as recognizing possible ways complementary and alternative medicine (CAM) may be used effectively with pharmacologic therapies for pain management in children with Sickle cell disease in order to offer greater longevity and overall improved quality of life. Yoon and Black (2006), Jiles and Morris (2008) and Granados and Jacob (2009) all indicate the need for future studies in management of pain in the sickle cell disease patients. All studies indicate that the genetic disorder most commonly found in the African- American affects approximately 70,000 in the United States. This genetic disorder affects the red blood cells causing a stasis of sickle shaped erythrocytes, in which occlusion of the cells microcirculation, causing ischemia, and infarction. These recurring, unpredictable, intensified, and persistent painful episodes prevent stability and overall quality of life in the sickle cell disease patient and all authors indicate the need for future studies. The purpose of this review of literature is to identify all of the effective therapies of pain management for sickle cell disease patients. Whether the therapies used are complementary or alternative therapies vs. analgesic regimens. There must be future studies to seek out the answers for improved methods of pain treatment in order to improve the quality of life for the patients with sickle cell disease to exceed living past the age of forty-two with an increased zest and quality of life. References Granados, R. , Jacob, E. , (2009, May/June). Pain Experience in Hospitalized Adults with Sickle Cell Disease. Medsurg Nursing, 18 (3), 161-167,182. Jiles, V. M. , Morris, D. L. , (2009). Quality of Life of adult patients with sickle cell disease. Journal of the American Academy of Nurse Practitioners, Volume 21, 340-349. doi: 10. 1111/j. 1745-7599. 2009. 00416x Yoon, S. L. , Black, S. , (2006) Comprehensive, Integrative Management of Pain for Patients with Sickle-Cell Disease. The Journal of Alternative and Complementary Medicine, Volume 12, Number 10, pp. 995-1001.