Friday, December 27, 2019

Dream Job for a Better World - Free Essay Example

Sample details Pages: 8 Words: 2387 Downloads: 1 Date added: 2019/02/20 Category Career Essay Level High school Tags: My Dream Job Essay Did you like this example? Most people have never heard of the profession called CRNA. This profession is highly unrecognized and the numbers show it. There are only 38,000 practicing CRNAs (this doesn’t include student CRNAs) in the United States which may seem like a lot but compared to say construction workers which are employed by the millions, the number is miniscule. Don’t waste time! Our writers will create an original "Dream Job for a Better World" essay for you Create order CRNAs are just as important as Anesthesiologists if not more since they do the same job and more of the prep work. Through the study of nursing and anesthesia, the student of medicine can better understand anesthesiology. Most CRNAs have a minimum of a masters degree but you can get a doctoral degree in this field. â€Å"Becoming a certified registered nurse anesthetist (CRNA) can be a rewarding career choice due to personal satisfaction, benefits to society, and relatively generous compensation† (How). CRNAs require several years of schooling and experience prior to becoming certified in their field. AANA provides a possible path to becoming a Nursing Anesthetist. First, earn a BSN degree or something similar, while it is not required for you to earn a BSN to become an RN a BSN can give an edge on the competition when applying to any accredited CRNA program. Triton college has an Associates degree of Nursing program which partners with other Bachelors of Science in Nursing programs. Tritons program is a two-year course that includes clinical time as well as lab and lecture classes. Triton held an ADN seminar to help anyone wanting to go into the program find more information regarding what classes they need to take, how selective the program is, when the programs application exams are, how the scoring for the program works, and some information about the TEAS exam. There are a bunch of classes needed just for general education for getting into the program but the three most important classes are BIS 241, PSY100, and RHT 101. The reason behind these classes being the most important is they add to your admission points. The minimum number of points is 6 while the max is 10. Just because someone meets the minimum doesnt mean they will be accepted into the program. An applicants GPA will earn them points toward their admission but the GPA accounts for the 3 courses listed earlier. For example, the applicant needs AT LEAST a 2.5 to get in. If they earned a â€Å"C† in RHT, a â€Å"C† in PSY, and a â€Å"B† in BIS their total GPA would only be a 2.4 and they would not be qualified to be considered into the program. From a GPA of 2.5-2.9 will earn the applicant 2 points. A GPA from 3.0-3.49 will be given 3 points. The highest amount of points to be earned from a GPA is 4 points meaning those 3 courses earn a GPA of 3.5 or more. The next way to earn points if through the applicants TEAS scores. Applicants can earn 2-4 points through their TEAS scores.â€Å"TEAS, which stands for Test of Essential Academic Skills, is administered through Assessment Technologies Institute (ATI) Nursing Education. The test is a basic aptitude test designed to identify students who would succeed in nursing school and who have the ability to think like a nurse† (Wilson). This test is comprised of 4 tests which are Reading(40 questions), Math (45 questions), Science (30 questions), and English (55 Questions). The minimum is earning a 58.7% on all these tests put together. Anything from 58.7%-77.9% will be given 2 points. Earning a 78%-89.9% will be given 3 points. Having a 90% or higher will be given 4 points towards the admission score. â€Å"The difficulty of the tests allows schools to select students to have the best chances to succeed academically† (Wilson) The other 2 points are awarded for previous college his tory ranging from if the applicant ever earned a â€Å"D† or â€Å"F† to whether they have earned an Associates or Bachelors degree prior. There are additional program requirements like a drug screening criminal background check alcohol breath test, knowing CPR, and making sure all annual flu shots are up to date. After acceptance into the program, the courses and work are very tough on each student and it is suggested that students dont work and only focus on school. Once an ADN is completed the student can transfer to a $-year University to complete their BSN. As mentioned before Triton partners with other colleges for a 4-year degree to make the transition as smooth as possible for students and this also means that most, if not all, credits transfer. One college that Triton works with is Dominican. â€Å"The Bachelor of Science in Nursing at Dominican University is a natural complement to Dominicans strength in the sciences, as the university already boasts a strong reputation for its programs in biology, chemistry, neuroscience, nutrition science, and medical science† (Sramseth). Dominican has many faculty members with years of nursing experience to help students connect their in-classrom learning with real-world settings. Once a degree is earned, become licensed to practice as a nurse which involves usually passing an approved training program and the NCLEX-RN. The exam covers a variety of topics ranging from health assessment to infection control. Licensure and requirements may vary throughout the states so it is important to check prior to registering for an exam. Once you become an RN it is time to earn your stripes. You need experience before applying to an accredited CRNA program. At least 1 full year of work as an ICU, CCU, or ER nurse is to be expected before applying. During this time some nurses choose to earn a specialization as a critical care nurse which can help their chances of getting into a certified registered nurse anesthetist program. â€Å"Eligibility for a critical care registered nurse includes having a valid RN license, passing an exam, and completing at least 1,750 hours of direct critical care within the previous two years† (How). Some programs advise nurses to shadow CRNAs for the experience. According to the AANA, there are 121 accredited CRNA programs and over 1,799 active clinical sites. â€Å"Admission to these programs can be highly competitive†(How). Before applying one should check the admission requirements prior to applying to an accredited CRNA program. The programs take anywhere from 2-3 years of study where you graduate with a minimum of a master’s degree. There are some programs that offer a doctoral degree in this profession. These programs, whether it be for a master or doctorate, include courses from anesthesia pharmacology to anesthesia pathophysiology. â€Å"Additionally, the nurse anesthesia programs include clinical practice in university-based or large community hospitals where students are exposed to a range of procedures requiring anesthesia such as pediatric, plastic, and open-heart surgeries†(How Do I Become a Nurse Anesthetist). The Drexel University offers a Masters Of Nursing in Anesthesia which is an on-campus 28-month, 89- quarter credit full-time program. Drexel University is one of the top programs in the U.S.A. for earning an MSN in Anesthesia making it very difficult to get into. In this program â€Å"students take part in nurse anesthesia clinical practicum under the direct supervision of certified registered nurse anesthetists and/or anesthesiologists to learn how to administer a variety of anesthetics including sedation during monitored anesthesia care, general anesthesia, and regional anesthesia. Additional clinical subspecialty rotations provide anesthesia management experience for the obstetrical, pediatric, cardiac, and neurosurgical patients† (Master). The program is very rigorous with an attrition rate of 12% as of last may. The program offers credits in science, clinical practicum, and nursing and research. Getting an MSN is one way of earning your CRNA degree. Another is earning your DNAP which stands for Doctor of Nurse Anesthesia Practice. By the year 2025, all CRNAs will be required to have completed a doctorate in nurse anesthesia to enter into the field. Virginia Commonwealth University is ranked number one in Nursing-Anesthesia as of 2016. The program offers on and off campus classes for the first two semesters in which the students may continue w1orking as RNs. â€Å"Semesters three and four are a traditional format and employment is strongly discouraged† (College). Semester 4 is when the clinical training really takes place. There are 6 clinical practicum courses in this program stressing any and all relevant science and research in anesthesia practice while engaging in direct patient care. â€Å"Throughout the Clinical Practicum coursework, students will be afforded the opportunity to plan for and administer all types of currently accepted general and regional anest hesia techniques to a variety of patients ranging in medical and surgical acuity. Graduate students will be assigned to various anesthetizing locations with selected affiliate hospitals. At all times while in the clinical environment, students will be directly supervised, instructed, and counseled by CRNA and/or physician anesthesiologist Clinical Instructors† (College). For admission into this program, students must have a Baccalaureate degree in nursing or related science, be licensed as an RN, a minimum score of 3.0 on a 4.0 GPA scale, minimum one-year ICU experience, references, interview, and a completion of the GRE. The GRE stands for Graduate Record Examination. This test is commonly required for admission to any grad school. â€Å"Much like the SAT and ACT, the GRE exam is a broad assessment of your critical thinking, analytical writing, verbal reasoning, and quantitative reasoning skills — all skills developed over the course of many years† (Brian). It is divided into 3 main sections the Analytical Writing section, the Verbal, and the Quantitative. These sections may include unscored and research sections with questions that are being used for future tests. Test takers wont know which are scored and which are not so they must try their hardest on all the questions. After completing an accredited program, nurses must take the National Certification Exam to become a CRNA. This is a computer exam which typically lasts 3 hours and the exam adjusts according to the participators answers to previous questions. After all the hard work, during school and the exam nurses can finally apply for an entry-level position as a CRNA. Some employers seek CRNAs that can work a variety of departments while others look for nurses who specialize in a certain practice. To stay a CRNA you must recertify through the NBCRNA every 2 years. â€Å"The process includes proof of valid RN license, 40 hours of continued education, verification of work in anesthetics during the prior two years, and absence of mental or physical conditions that could interfere with the practice of anesthesia† (How Do I Become a Nurse Anesthetist). Skills that may be useful as a CRNA are good people skills. You must able to explain to a patient and their family what is going on and what will happen. You must be able to focus on more than one thing all at once and not become distracted. Noticing problems and identifying the best way to fix them is a very desirable ability to have as a CRNA. Looking for ways to help people whether that be mentally or physically is a great skill and predisposition to have when practicing as a CRNA. Helping patients to stay calm before a surgery is a great factor in how the surgery goes, a stable mind equals a stable surgery. â€Å"The work begins when a patient is scheduled for a medical procedure. If the patient needs anesthetics, then a CRNA will help. These nurses consult with the patients doctors to find out about the procedure. They also find out the condition of the patient. They review medical records and talk to patients about their medical history. This helps them decide what kind of anesthetic to use and how to administer it† (Welcome). The nurses answer any questions the patients may have prior to the surgery since patients are often nervous about being put under. The CRNAs, when it is time, put the patient to sleep whether that be through injection of gas. During the surgery, the CRNAs job is the check of the patients vitals and keep them safe. Sometimes the anesthetic needs to be changed and the CRNAs also do this job. You need to be highly motivated, highly educated, and extremely detail-oriented — and on top of that you need to be extremely personable, he says. You have anywh ere from 5-15 minutes to get to know your patient such that they are willing to entrust their lives to you† (Taube). Luckily, there will never be a shortage of job opportunities for this profession as it has a bright outlook for future jobs. As of 2014, there are 1,860 CRNAs employed in Illinois. This number is projected to increase to 2,180 by the year 2024. That’s 320 more jobs and a 17.2% increase just in the state of Illinois. Salary expectations are pretty good with the median salary in Illinois being $135,980 or $65.37 an hour. Income, of course, all depends on experience level as well as the employer and geographic location. CRNAs are in demand all over the country and the job opportunities, as I have mentioned, will only increase. The best prospects for this profession will be in rural areas where you can make more than the median salary and sometimes almost $100,000 more. In Montana, CRNAs earn the highest average salary at a very high $243,550. There will never be a shortage for nurses or CRNAs in the medical industry since the industry is always growing and we find out new things about the human body every day. Being a CRNA has been voted as one of the top 5 medical professions and is also in the top 100 best paying jobs out there. The reason for it being one of the 100 best paying jobs and top 5 medical professions is the responsibility that comes with the title as well as if something goes bad during a surgery a CRNA is one of the first people to know. Brian. â€Å"The GRE Test: What You Need to Know.† Petersons, Petersons, 25 June 2018, www.petersons.com/blog/the-gre-test-what-you-need-to-know/. â€Å"College of Health Professions.† Programs | VCU Nurse Anesthesia, nrsa.chp.vcu.edu/programs/dnap-entry-to-practice/. â€Å"Master of Science in Nursing in Nurse Anesthesia.† College of Nursing and Health Professions, drexel.edu/cnhp/academics/graduate/MSN-Nursing-Nurse-Anesthesia/. Sramseth. â€Å"Bachelor of Science in Nursing.† Dominican University Home | Dominican University, 13 Apr. 2017, www.dom.edu/academics/majors-programs/bachelor-science-nursing. Taube, Aaron. â€Å"Heres Why Nurse Anesthetists Earn Over $150,000 A Year.† Business Insider, Business Insider, 15 Sept. 2014, www.businessinsider.com/why-nurse-anesthetists-make-150000-a-year-2014-9. â€Å"Welcome to Career Cruising 2.0.† Career Cruising, 2018, www2.careercruising.com/careers/profile-at-a-glance/652. Wilso n, Brittney. â€Å"What Is the TEAS Test and How Can I Study for It?† The Nerdy Nurse, 3 Sept. 2018, thenerdynurse.com/what-is-the-teas-test-and-how-can-i-study-for-it/.

Thursday, December 19, 2019

Improve Own Performance in a Business Environment Essay

Unit Title: OCR unit number Sector unit number Level: Credit value: Guided learning hours: Work with other people in a business environment 205 Y/601/2474 2 3 10 31 December 2013 Unit expiry date: Unit purpose and aim This unit is about working within a team, sharing responsibility with others to make sure that a team can achieve agreed goals and objectives. Learning Outcomes The Learner will: 1. Understand how your role fits with organisational values and practices Assessment Criteria The Learner can: 1.1 Describe the sector in which your organisation operates 1.2 Describe your organisation’s missions and purpose 1.3 Compare you organisation to other types of organisation in your sector 1.4 Outline your responsibilities 1.5†¦show more content†¦Be able to use feedback on objectives in a team 10.1 Contribute to providing constructive feedback on the achievement of objectives to a team 10.2 Receive constructive feedback on own work 10.3 Use feedback on achievement of objectives to identify improvements in own work Assessment This unit is centre assessed and externally verified. Your assessor will use a range of assessment methods which may include: ï‚ · ï‚ · ï‚ · ï‚ · ï‚ · ï‚ · ï‚ · observation of performance in the work environment examination work products questioning the learner discussing with the learner use of others (witness testimony) looking at learner statements recognising prior learning Evidence requirements A range of evidence should be gathered to cover the Learning Outcomes and Assessment Criteria. Examples may include: ï‚ · Annotated organisational policies and procedures ï‚ · Appraisal or work review ï‚ · Minutes of team meetings ï‚ · Feedback received from colleagues ï‚ · Feedback provided to colleagues ï‚ · Internal communications between colleagues ï‚ · Communication seeking guidance 4  © OCR 2010 ï‚ · Development plans ï‚ · Detail of where team working has occurred ï‚ · Referral of or discussion relating to a problem ï‚ · Task/project plans Guidance on assessment and evidence requirements Refer to sections on Assessment andShow MoreRelatedEvaluate and Improve Own Performance in a Business Environment2787 Words   |  12 PagesCU744 Evaluate and Improve Own Performance in a Business Environment 1. 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Wednesday, December 11, 2019

Impact of Digital Disruption in Amazon.com †MyAssignmenthelp.com

Question: Discuss about the Impact of Digital Disruption in Amazon.com. Answer: Introduction Digital disruption is a new trend in the businesses caused by new and innovative technologies. These new technologies are impacting the business models and the values of the existing goods and services in an outstanding way (Gilbert 2015). Since, these technologies are disrupting the normal way of market and businesses and make them rethink about the way of businesses and reevaluate the goods and services; these are called disruptive technologies (McQuivey 2013). In almost every industry, the digital rivals are taking the advantage of the new platform, tools and equipment and relationships for disrupting the existing market, undercutting the competitors, get closer to customers, and wrecking havoc with the general way of doing the business. According to experts, adopting their method off business is the only way of sustaining in the market for the other businesses. This report will address the impact of digital disruption introduced by Amazon on the company itself and its Work Center ed Analysis (WCA) prior and post to the implementation of the digital disruption event. Amazon is the biggest e-commerce company, holding the third position among the most valuable companies in the world, surpassing Microsoft (Carr 2018). Only Apple and Alphabet stand ahead on Amazon in the list published by Fortune. The company is the largest online retailer in terms of market capitalization and revenue. The company started as an online bookstore and later diversified into almost every category of products that can be sold online. Currently, the company operates in 15 countries across different continents and has different websites for each country. Amazon started their business with a disruptive technology back in 1994 by introducing the concept of online shopping (Amazon.com 2018). Once again the company has introduced another huge level of digital disruption in the name of Amazon Go. Amazon sells groceries too online along with other products. In 2017, it acquired Whole Foods Market, which is an American grocery supermarket chain. Jeff Bezos, CEO of Amazon, had introduced a revolutionary concept of grocery shopping, launched under the name of Amazon Go. This is a digital disruption event in the grocery supermarket industry. In the Amazon Go store, people are able to shop the groceries without having to checkout through a cashier or a self-checkout station. This is a huge technological revolution, which includes computer vision, sensor fusion and deep learning algorithms for automating the purchase checkout and payment process of the retail transactions. This store concept takes the advantage of the smartphones and geofencing technology as a fundamental basic for managing the auto-purchases by the customers along with managing the inventory and supply chain management (Wingfield 2018). It requires the linking of the Amazon Go app with the Amazon.com account of the users before they start purchasing from the store. They can also add others in the family in their account so that their purchases are also linked with the main account. The only store of Amazon Go was launched in Seattle, on January 22, 2018 (Day and Morley 2018). This report aims to analyze the impact of this new revolutionary technology on the company by comparing the work centered analyses of Amazon before and after the implementation of the event, followed by the challenges faced and recommendations to overcome those. Work Centered Analysis (WCA) prior to the disruption event Work Centered Analysis (WCA) refers to the system of work involving 6 major elements, namely, customers, products, business process, participants, information and technology (Naikar 2016). Customers are the internal and external purchasers of the business process. Products refer to the goods and services produced by the business. The business process refers to the steps in the business. Participants are those who get involved in the business to make it happen. Information refers to the knowledge that the business uses or creates for the customers and technology is used by the business to conduct the required activities. The WCA framework and the elements are shown below. From the WCA of Amazon.com, working as a basic e-commerce website, it can be inferred that there are some issues with it to work as a grocery seller also. People would always want to buy the groceries, fresh fruits and vegetables, raw meat and fish, bakery items and dairy products by seeing the condition personally and checking the manufacturing and expiry date, unlike for shopping the consumer goods. This feature is not possible for e-commerce purchasing. Knowing this, Amazon.com never provided these items through the online shopping. At the same time, the e-commerce website does not have the option of credit during the check out process. The customers have to pay through one of the many payment options available while placing the order. It may so happen that the customers do not have the enough money at the particular time of purchasing or the card processing might be having any server problem and thereby payment gets delayed or cancelled. It is assumed that this can create several problems, such as, expiry of any special offer, goods going out of stock, end of sale. Had there been any option for buying now and paying later, the customers would not have faced these issues. The introduction of Amazon Go aims to offer more convenience during the grocery shopping. Work Centered Analysis (WCA) post implementation of the disruption event With the launch of Amazon Go, the company made entry into the supermarket grocery business with a twist of purchasing without having a checkout process. This is a revolutionary step in the business process of Amazon. Eliminating the traditional checkout process of a purchase is the first and one of the most innovative technological inventions in the modern world. When people prefer the convenience of shopping from home for almost all types of goods, Amazon found the opportunity of expanding its business into the grocery department through a twist, which makes grocery shopping all the more convenient to people. Not having to stand in the queue for billing saves a lot of time for the people (Wong 2018). Amazon had already given tough competition to the brick and mortar stores for various types of goods with its e-commerce business, which was a digital disruption itself (Evans 2017). With the launch of Amazon Go, it again introduced a new digital disruption to the supermarket grocery ri vals. The WCA after the implementation of the new technology has been illustrated in Appendix B. However, the company has opened only one store in Seattle and has plans for opening more stores across the world. Recommendations Since the entire system of this digital disruption event is based on higher level of technology, it is possible that the store faces some issues. To handle those issues, the company can follow some of the following recommendations. The employees working at the back of the store should be vigilant enough to help the customers with their shopping. Since, there will be no cashier; the customers would not be able to ask any one if they face difficulties while searching for a particular product. Hence, there should be adequate store assistants to guide the customers through the store and purchasing process. The older generation has the chance of facing much problem with the new system and hence, would require more help from the assistants. Some people might want to take the advantage of the absence of the checkout system and would want to shoplift. Although, there are hundreds of cameras in the store, the employees must keep a sharp eye on the CCTV monitor. The technology team should be up-to-date with the changes happening on the system. Since, the system is entirely new, the company must ensure that it works smoothly and does not crash. Amazon Go does not accept any type of food stamps or meal voucher. In the app, it should create an option for accepting the food stamps or coupons for payment. There can be privacy concerns as there are hundreds of cameras everywhere in the store capturing numerous photos of the customers. The company must ensure that it is not using those photos for any other purpose. Implementation plan for the recommendation Amazon should employ more efficient employees and train them about how to assist the customers with the new system. It should ensure the accuracy of the technology so that not shoplifting, even if accidental, can happen. Option of accepting the food stamps for the grocery purchase should be incorporated as a payment method. Amazon should declare that they are not using any customer image for any other purposes. Conclusions Amazon has been a pioneer in the field of technology. It transformed the world of shopping with launching the concept of online shopping. Apart from online shopping, Amazon has entered into manufacturing and selling of its own branded products, prime membership and its advantages, video streaming and all at a very low cost. The recent digital disruption introduced by the company is in the market of supermarket grocery business. The concept of grocery shopping without enduring queue and process of checkout is entirely new and has been revolutionizing the grocery shopping. This concept has disrupted the usual business process of the supermarket grocery stores, where people have to stand in long queues for check out. The stores also have to employ many cashiers and user operated systems. However, the elimination of checkout system is very new and can face many challenges in future, but it is definitely a digital disruption that has the potential to change the way of traditional grocery selling business. References Amazon.com, 2018.Amazon.com: Online Shopping for Electronics, Apparel, Computers, Books, DVDs more. [online] Amazon.com. Available at: https://www.amazon.com/ [Accessed 17 Apr. 2018]. Carr, F., 2018.Amazon Is Now More Valuable Than Microsoft and Only 2 Other Companies Are Worth More. [online] Fortune. Available at: https://fortune.com/2018/02/15/amazon-microsoft-third-most-valuable-company/ [Accessed 17 Apr. 2018]. Day, M. and Morley, K., 2018.Amazon's new store without checkouts doesn't quite Go to plan. [online] Stuff. Available at: https://www.stuff.co.nz/business/world/100796913/amazon-go-store-with-no-checkouts-opens-to-the-public-in-seattle [Accessed 17 Apr. 2018]. Evans, M., 2017.5 Ways Amazon Will Disrupt Commerce Before Amazon Go Comes To Your Neighborhood. [online] Forbes.com. Available at: https://www.forbes.com/sites/michelleevans1/2017/01/05/5-ways-amazon-will-disrupt-commerce-before-amazon-go-comes-to-your-neighborhood/#1c3339c1358b [Accessed 17 Apr. 2018]. Gilbert, R.J., 2015. E-books: A tale of digital disruption.Journal of Economic Perspectives,29(3), pp.165-84. McQuivey, J., 2013. Digital disruption: Unleashing the next wave of innovation. Naikar, N., 2016.Work domain analysis: Concepts, guidelines, and cases. CRC Press. Wingfield, N., 2018.Inside Amazon Go, a Store of the Future. [online] Nytimes.com. Available at: https://www.nytimes.com/2018/01/21/technology/inside-amazon-go-a-store-of-the-future.html [Accessed 17 Apr. 2018]. Wong, R., 2018.Everything you need to know about shopping at Amazon Go. [online] Mashable. Available at: https://mashable.com/2018/01/22/everything-you-need-to-know-amazon-go/#dXxY81fwmmql [Accessed 17 Apr. 2018].

Tuesday, December 3, 2019

Mise-en-scene in Igby Goes Down Essay Example

Mise-en-scene in Igby Goes Down Essay Igby Goes Down is a film made in 2002, directed by Burr Steers and starring Kieran Culkin in the lead role. This movies cynical and oppressed attitude is expressed to the audience using a variety of mise-en-scene techniques, to wordlessly explain the true intentions of the characters, who are usually caught up in a carefully maintained faà ¯Ã‚ ¿Ã‚ ½ade. Due to this, the actors portraying these characters have utilised many performance techniques to subtly convey true meaning and to generate emotional and intellectual response in the audience. The establishing scene of the film is the chronological end of the events within it, and so it offers a great deal about the story through mise-en-scene and performance. The shot opens on a grand, polished mahogany door, with gold gilding and a golden doorknob. This immediately shows the audience that the setting of this scene is one of luxury and grandeur, and that its inhabitants are most likely very wealthy from this it is possible to easily infer aspects of the plot and characters, as it is common in films to have such upper-class individuals display obvious signs of self-repression and addictions to prescribed drugs, a socially acceptable addiction. The shot pans from the door, into the room it belongs to, where we see Susan Sarandon lying on a large, antique-looking bed. It is now obvious that the inhabitants of this particular household are wealthy, so much so that they afford to have extravagant tissue dispensers, adorned with the familys crest. The image of a rich, American family is built up in the audiences mind, which allows them to gain certain expectations of what the story will be about, and what the characters will be like by relying on previous movies they have seen. 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The audience at this point are being made to ponder on the possible outcomes of such a situation, and thus building up pre-perceptions of the movie. This means that the audience are vulnerable to being manipulated into a false sense of security, and allows the film-makers to shock and surprise the viewer with unconventional plot-twists and turns. From the guttural breathing coming out of Susan Sarandons mouth the audience is made aware that she is dying, and in her deathbed, as it were. The film-makers have placed two large bouquets of dark red, wild roses either side of the bed, playing on an old tradition of leaving a single red, wild rose on the graves of the newly deceased, to stop them from rising from the dead. This very subtle and clever use of mise-en-scene is very telling of Sarandons character; It firstly tells us that she is not well loved by the people she knows, as due to the large number of roses it is obvious that no one wants her coming back from the grave. The sheer number of roses is also very telling, as it could demonstrate how although it usually only takes one rose to keep the dead in their place, this woman requires dozens, implying two things; that she is greatly disliked, and that she is a wilful, guileless woman, who wouldnt even let death get in her way. As the camera pans across the rest of the room we see two young men, her sons, are sitting on the bed, looking at her. Neither looks particularly concerned, implying either they have no heartache over her dying, or they have already come to peace with it, which further implies that her death has been a long-time coming, or planned. The next shot is the first of Igby, the central character, in a mid-close-up shot. Igby looks up from the bed and at his mother in a manner that suggests he is incredibly bored and resentful of the situation and his mother. This single look instantly tells the audience a lot about their relationship, and that their turbulent affiliation with one another will act as a key theme for the movie. This supports the impression of a rich, dysfunctional family that the audience have gained so far. The first words of the film are uttered by Igby, in the same MCU shot; Why couldnt she have been a fucking smoker? This is a puzzling line, delivered in a dead-pan manner that will be associated with Igby throughout the film. The first words of the film seem to clash with the situation, as an audience would not suspect a son to wish smoking upon their dying mother. From the slouched posture and impatient tone, it is easy to understand Igbys feelings when it comes to the death of his mother; he merely wants it to be over with, and responds to this want with the perfectly logical thought that if she had been a smoker, she wouldnt be taking so long to die. This sentiment also tells us a lot about Igby as a person, showing him to be a cynical, sarcastic teenager, with little thought for social convention or for what other people think. This is used to show the contrast with his brother, Oliver, who staunchly replies to Igby that This has nothing to do with her being in such wonderful shape in the equally dead-pan, yet more condescending tone of his brother. This is indicative of Olivers nature, presenting him as some who will even flatter a dying woman who is seemingly unaware of his presence, and thus displaying him as an un-ashamed brown-noser, who is only concerned with outward affluence. Oliver is dressed in a fine, tailored suit, tie done up to the top, gold cufflinks and polished shoes. Because of this the viewers can determine that Oliver is far more comfortable in the extravagancy of his lifestyle than Igby, who, although is dressed in a similar suit has an air of scruffiness about him; his tie done up incorrectly, his top three buttons undone and a tear in the arm of his jacket. This furthers the image of Igby as a rebellious and acerbic teenager. The contrast between Igby and his brother conveys to the audience how very different they are, and hints at how Igby is probably considered the figurative black sheep of the family, which would tie in with his loathing of his mother and is apparent discomfort with the situation as a whole. Deducing from the title, and what has happened so far in the film the audience can determine that much of the narrative will take place from Igbys point of view, and will deal with his alienation from his family and his disgust at the society they belong to. It is also worthwhile noticing that any close-up shot of Igby will only contain him, and everything behind him will out of focus or distorted in someway. This technique is present throughout the film and gives a visual aid to Igbys lack of interest and his typical teenage self-obsession. As the scene progresses the situation becomes obvious, the two sons are killing their mother under her instructions, but due to the fact that she has built up a tolerance to most kinds of drugs she has not suffered from the overdose as intended. This is pointed out by Oliver in an aggravated tone that shows him to be a character who does not like to fail; something that we can assume from what we know is inherited from his mother. As she continues to not die, Igby and Oliver bicker regarding insignificant events that happened many years in the past, such as Oliver breaking Igbys toy train. This bickering is made to appear typical of anytime the two brothers are with one another, and continues to display how dysfunctional this family is, and how much Igby seems to resent Oliver for always being the favourite. This all makes it obvious to the audience of Igbys place in the family, implied by language to be Dads son, as opposed to his mothers son, a metaphorical way of showing the audie nce that Igby takes after his father, not his mother. This apparent family divide is made all the more strong by the unexplained absence of the father of Oliver and Igby. Overall, the opening five minutes are incredibly foretelling of the events to unfold in the movie, and give the audience a clear picture of what Igby, Oliver and their mothers character are like. This movie uses mise-en-scene and performance to cleverly and subtly explain the movie before it has even began.