Wednesday, May 6, 2020

Truman Capote Essay - 1705 Words

Alas, Truman Capote, probably one of the greatest 20th century American writers of all time. Capote was a large part of the Southern Gothic literary movement. He really did not write in a set genre, he created his own which is commonly known as nonfiction fiction. His novels, short stories, and plays are mostly recognized as literary classics. He is most well-known for his novella Breakfast at Tiffany’s (1958), and In Cold Blood (1965). Many films and other television media have been produced from Truman Capote screenplays and stories. Truman led a hard childhood stricken with divorce and many relocations from place to place. Capote discovered his writing ability around the age of eleven and perfected it throughout the rest of his†¦show more content†¦At five years old Truman was often seen with a dictionary and a notepad and began writing fiction around the age of eleven. He often mad trips to nearby Mobile, Alabama and at some point entered one of his stories, Old Mrs. Busybody, to a children’s writing contest and received recognition from the Scholastic Art and Writing Awards in 1936. (Truman Capote) In 1933 Truman moved to New York to live with his mother and step-father, Joseph Capote, a Cuban-born textile broker who officially adopted him and changed his name to Truman Garcia Capote. After Joseph was convicted of embezzlement his family was forced to move and the moved to Greenwich, Connecticut where Truman attended Greenwich High School in 1939. In the year of 1942 Truman and his family moved back to New York where he completed his formal education at Dwight High School where an annual award is given in his name. (Truman Capote) Between the years of 1943 and 1946 Capote wrote a slew of short stories including â€Å"A Mink of One’s Own,† â€Å"Miriam,† â€Å"Shut a Final Door,† for which he was awarded the O. Henry Award at the age of 24, and â€Å" The Walls Are Cold.† These were all published in literary quarterlies and well –known magazines at the time. Sometime during the 1940’s Truman wrote a series of novels about the roma nce of a New York socialite and a parking-lot attendant. He later saidShow MoreRelatedTruman Capote Essay1439 Words   |  6 PagesThe short stories of Truman Capote are connected to his childhood experiences in Alabama. Truman capote was an American born writer who wrote non- fiction, short stories, novels and plays. All of his literary works have been perceived as literary classics. The tones of some of his stories are slightly gothic. His most famous short story is Children on Their Birthdays. His work shows the occasional over writing, the twilit Gothic subject matter, and the masochistic uses of horror traditional in theRead More Truman Capote Essay examples1144 Words   |  5 Pagessuccumb to viewing people and objects only for face value, there are few who take a deeper look into what is actually present underneath the surface. One of these people was Truman Capote. Capote was able to take experiences from his own life and put them into words for the public to read and relate to. Truman Capote was born Truman Streckfus Persons on September 30, 1924 in New Orleans, Louisiana. (â€Å"Great† 233) His mother, Lillie Mae Faulk was married to Arch Persons. (â€Å"Great† 234†) She was the tenderRead MoreTruman Capote and Postmodernism1398 Words   |  6 Pagesâ€Å"Truman Capote, as obsessed with fame and fortune as with penning great words, was a writer who became as well-known for his late-night talk show appearances as for his prose† (Patterson 1). Capote was a literary pop star at the height of his fame in 1966, after he had written such classic books as, Other Rooms, Other Voices, Breakfast at Tiffany’s, and In Cold Blood. Postmodernism was a literary period that began after the Second World War and was a rejection of traditional writing techniques. ItRead MoreCold Blood by Truman Capote900 Words   |  4 PagesIn 1965, Truman Capote created the infamous tale known as â€Å"In Cold Blood†. The book created the illusio n of fantasy while based on reality. Many people were floored at the brilliance Capote demonstrated within the pages. The book took the literary concept of a novel with the literary elements of designed scenes, characters, a story formed with an introduction, rising action, climax and resolution to the real events surrounding the murder of the Clutter family. Those that worked in the field ofRead MoreThe Cold Blood By Truman Capote967 Words   |  4 PagesIn Cold Blood Do you think that every crime has to be breathtaking to attract readers` attention? Not at all. â€Å"In Cold Blood† is a non-fiction novel of 1967 by Truman Capote, where a life story of the Clutter family is told. Exactly this story of crime can make you a philosopher – while reading, you will definitely think over the tragedy and the meaning of life. The Clutters met a lot of difficulties on their way to find happiness, but were murdered because of no reason. The police was baffled, asRead MoreCold Blood By Truman Capote986 Words   |  4 Pages In In Cold Blood by Truman Capote, the device of juxtaposition is used to contrast the differing mental states of Dick and Perry, which is emphasized by the syntax, diction, and tone throughout the two passages. Capote uses opposing accounts of the same situation to add a deeper characterization of the two men, and to emphasize their differences psychologically. Throughout the book Capote attempts to show the true complexity of the killers, and how their backgrounds and psyches affected their actionsRead MoreCold Blood Is A Book By Truman Capote956 Words   |  4 PagesIn Cold Blood is a book written by Truman Capote. It’s a non-fictional book written in the style of a creative fictional book. The story follows two criminals, Dick and Perry, after they’ve murdered four members of the Clutter family. The already experienced murderers make sure to leave no evidence, clues, or traces to them in the crime scene. As investigators attempt to figure out the mystery of the Clu tter family murders, Dick and Perry make their way to Mexico until they get found out and getRead MoreCovered with Dust: Truman Capote Essay1176 Words   |  5 PagesIn an excerpt from â€Å"In Cold Blood†, Truman Capote writes as an outside male voice irrelevant to the story, but has either visited or lived in the town of Holcomb. In this excerpt Capote utilized rhetoric to no only describe the town but also to characterize it in order to set a complete scene for the rest of the novel. Capote does this by adapting and forming diction, imagery, personification, similes, anaphora, metaphors, asyndeton, and alliteration to fully develop Holcomb not only as a town, butRead MoreTruman Capote s The American Dream1928 Words   |  8 Pageson this heavy, complex topic. Specifically, Truman Capote investigates the American Dream through his work of creative nonfiction, In Cold Blood, which centers on the violent murder of a Kansas family in the 1950’s. After interviewing l aw enforcement officers, the friends and family of the dead family, and even spending countless hours with the actual murderers, Capote wrote the first ever nonfiction novel. In this groundbreaking book, Truman Capote uses the Clutter family and the immense impactRead MoreTruman Capote s The Cold Blood1375 Words   |  6 Pages Truman Capote’s In Cold Blood: a fictitiously unfactual fantasy or an accurately arranged account of a murder? The verdict is unclear; the novel-like manner of the book juxtaposes with the precise details of the plot. Capote’s writing style, unique compared to other works, poses this question with his seamless marriage of novel-like fabrication and stone cold facts. Capote’s use of ornately descript imagery and omniscient characterization intertwines with his intricate expertise and factual evidence

A Summary of Past, Present, and Future Tense by Gregor Muir Free Essays

A Summary of Past, Present, and Future Tense by Gregory Mir This article is a look at technology effect upon artist and the style or medium of art that can be developed and produced. Author Gregory Mir working with others hoped to create and exhibition that showcased the work of those artists who contributed to the advancement of â€Å"digital practice†, along with their attempts to identify the intricacies of the digital spectrum. I think this article for the most part explains how his selections of artist and their work, was mindful of establishing a past, present, and future artistic media theme collection. We will write a custom essay sample on A Summary of Past, Present, and Future Tense by Gregor Muir or any similar topic only for you Order Now The author starts with a 1965 piece from artist Name June Pack a composer, who is credited with introducing others to the idea of using video as a way of expressing art. It should also be noted that the article made a case that the art of tomorrow is the art of the media, past and present. This particular art form is Just as much about visual image as much as music and performance. It also incorporates the manipulation of hardware and includes software-concepts in equal measure. The article points out that what once could have been included under the heading of media art, has since moved into a variety of ewe artistic genres, or dissimilar forms whose definitions are instead more oriented on disciplines such as science and technology. The article also shows this development is being carried forward by individuals whose identity are often tied together by certain parameters such as artist, social worker, experienced designer and engineer. And whose actions come out of a clear understanding of technology as well as the associated social and cultural aspects, like those individuals that work in the open source medium, and who are masters of technological components. Those individuals who by their very nature ignore rules found in user manuals, and use technological devices and systems in ways that I am sure were unintended by those who created or marketed them to consumers the world over. I would point to the use of a magnet sitting on top of a TV as a way of creating abstract patterns of light. While simple in its design, the very idea of Magnet TV or the Web Stalker who strips away code to reveal the skeletal structure of a particular website is a tribute to the creative mind of the artist, and the use of available technology. I would say that in the world of media arts and animation, if you can imagine it you can create it as each of these selections shows. Overall, the author thought of combining elements from business, entertainment, communications, as well as artists and other professionals who may operate in a different space. The article concludes with a look at the history of digital art, as Mr.. Mir raises comparisons and dilemmas that allow those of us readers to question, reflect upon, and decide on the status of new media art. A Summary of Past, Present, and Future Tense by Gregory How to cite A Summary of Past, Present, and Future Tense by Gregor Muir, Papers

Employment and Job free essay sample

The next step in the recruitment process is to determine whether the employees that are already working for the organization qualify for the position, or should they go out and look through an external source. There are three different methods of recruitment: internal, external, and online. Internal recruitment method is used to recruit current employees who qualify the position as they become available. Some methods of internal recruitment include: job posting which is a procedure to inform employees of the new job opening. Job bidding is a procedure to allow the employees who believe that they qualify, to apply for the position. Also, employee referral is used to recommend someone you believe is perfect for the spot. External recruitment is needed for the following: fill entry-level jobs, acquire skills not possessed by current employees, and obtain employee with different backgrounds to bring diversity to the company. Examples of external recruitment sources include: high schools, colleges, universities, competitors, former employees, etc. We will write a custom essay sample on Employment and Job or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page As for online recruitment, the company can recruit through an inter recruiter whose responsibility is to use the Internet to recruit. Also, they can join virtual job fairs and corporate career websites. In Dorothy’s case, it appears as if she used the external method to recruit for the Software Design Engineer positions. Dorothy needed to specify exactly what the requirements were for the position so that those who did not qualify would not even think of submitting their resume. Also, Dorothy did not specify the date in which the employee would need to start orking, and the pay/benefits the employee would receive. 2. Are there any hiring standards that should be avoided? Identify them and explain why they should be avoided. I believe that in the AD the words â€Å"with good appearance† should be eliminated. There is no need to have that on the AD because if someone believes that they were fully qualified for the position but were not hired because of â€Å"appearanceâ €  that will look very bad on the company. Also, â€Å"good credit rating† I assume that Dorothy meant that the applicant need to be in good standings with their credit but it is not specific. Moreover, Dorothy really needed to give a more detailed job description of what exactly is required from the employee so that they can better understand what their job fulfillment would be and if they even qualify for the position. P. 193 HRM Incident 2 – â€Å" Career vs. Job Security. † 1. Is J. D. concerned more with job security or career security? Discuss. Career security requires developing marketable skills and expertise that help ensure employment within a range of careers. On the other hand, job security implies security in one job, with one company. After reading this article, J. D. seems to be more concerned with career security. J. D. says â€Å" Companies in this industry cycle from having 5 or 6 projects in-house to as few as 1 or 2. Therefore, it is important that an individual maintains a competitive edge in order to stay employed and advance your career. † He cares more about having a steady career and advancing with the changes the world brings to the industry. J. D. is very interested in learning about different marketable skills to help his chances of having employment with a range of careers. 2. Do you agree with J. D. ’s statement that â€Å"Your knowledge is your portfolio within your current work place or within the industry? Discuss. I do agree with J. D. s statement because your knowledge is something that no one can ever take away from you. They can remove your title, or demote you but regardless of the work place of the industry your knowledge will help you stick through anything. Applying your knowledge from other work places or industries always helps one, when they are starting a new job or chapter in their life. Knowledge is very beneficial and an important asset to ones life. You should always keep yourself updated with the latest technology and news. This is to make sure you are well informed and properly educated for your career. If you have no knowledge and experience you will have a hard time trying to stick through your job and getting new and better opportunities in life. P. 40 HRM Incident 2 – â€Å"You Can’t Fire Me† 1. What would you do now if you were Norman? If I were Norman, I would have not let Tom work for me either. I completely agree with Norman, regardless if that was Frederick’s brother-in-law or not the rules are the rules and they need to be followed in order to be fair throughout the company. If it would have been any other employee they may have not even considered giving the employee the opportunity to come back to the company. I think he did a great job being fair and following the rules. Good things happen to those who follow directions and are honest hardworking people. 2. Do you believe that the regional HR manager handled the matter in an ethical manner? Explain. I do not think that the regional HR manager handled the matter in an ethical manner. He was going to give Tom the job back only because he was the regional vice president’s brother-in-law, which is most likely his own boss. He wanted to look good in front of the regional vice president, to make sure he did not look like he agreed with the termination by Norman. As I stated previously, if the employee were any regular employee who did not do their job as requested, I am sure they would have terminated them immediately without question. Tom was safe because of his connection to the regional vice president, which is completely not fair, although many things in life are not fair. I agree with Norman one hundred percent, but I definitely do not agree with the way the region HR manager handled this situation.

Tuesday, May 5, 2020

An Analysis of Abraham Lincolns Emancipation Pro Essay Example For Students

An Analysis of Abraham Lincolns Emancipation Pro Essay An Analysis of Abraham Lincolns Emancipation Proclamation and MartiLincolns Emancipation Proclamation and Kings I Have a Dream speech have many similarities and differences between them. The Emancipation Proclamation was written in 1862 and given on January 1, 1863. This famous document freed the all African-Americans from slavery. The I Have a Dream speech written and given in 1963 dealt with equality and the way people were treated. Both speeches were similar in that they were both positive speeches. They both tried to be uplifting and pushed for nonviolence. Both speeches dealt with blacks and their freedom. The speeches were intelligently written and full of phrases that expressed the authors feelings. Both felt that God wanted all people to be free and treated equally. There are many differences between the two speeches. Kings speech has more feeling and the speech conveys that he has himself been subject to what he wrote about. Lincolns speech is more generic and sounds more official than Kings speech. King doesnt just want freedom for blacks but for all people. He wants everyone to be equal. Lincolns speech is just an official decree stating that the slaves were free. Some other differences include Kings declaration for changes now. King wants things to be the way they were supposed to be when Lincoln freed the blacks in 1863. Blacks were to be treated fairly, but whites still felt they were lower class citizens. Also, King uses many metaphors to convey his thoughts on the issues. As you can see, Lincolns speech and Kings speech are similar and different in many ways. They both talk about freedom and equality. Lincoln and King both feel that God wanted freedom and equality for all. However, you can feel the emotions in Kings speech because he felt first hand the racism he denounces. Words/ Pages : 312 / 24

Saturday, April 11, 2020

Essay Samples For Graduate Program - Tips For Finding Them

Essay Samples For Graduate Program - Tips For Finding ThemAre you interested in getting some essay samples for graduate program? If so, you may be interested in this post because it has some tips that will help you get those samples you want. The advice in this post will help you find the best place to find these samples, and they may also have you saving a good deal of money by getting them at the lowest price possible.One thing you may want to look for when you are looking for these samples is a link that is specific to the graduate program you are looking for. For example, if you're looking for a degree in an English degree program, you'll want to see if the school that you are trying to find essay samples for offers a link that is specific to that program. If they don't, you may be going to the wrong school. To make sure you don't get fooled, find out what type of degree program the school offers and what the requirements are for that program before you pay for any of the samples .Another tip to consider when you are shopping around for writing samples for graduate program is a writing sample service. A writing sample service can help you save some money while you search for samples, and they can also help you find all of the sample essays you want while you are doing your research.One way to make sure you are not spending money you don't have on samples that aren't from a specific website is to use a paid service. Some of these paid services offer a free trial of the service so you can try it out and see if it is right for you. If it is right for you, then it's perfect. If not, then it's likely not right for you won't be wasting your money on the service.You should be able to sign up for the writing sample service with their site, and you can get started by simply using the free trial. This is an excellent way to find out if the service is right for you. Then, once you are happy with the service, you can decide whether you want to continue using it or not. If you don't like the service and want to move on, then you can do that too.For the writing sample service to be successful, they have to have a large database of writing samples for each graduate program. These samples come from many different sources, including different schools, different types of students, and so on. It is a challenge for the writers of the writing sample service to collect the samples and organize them in a way that makes sense for the graduate program. That's why they have to make their database as large as possible so they can offer high quality samples to their members.Just as with most things in life, there are a lot of great benefits to looking for essays samples for graduate program. If you are looking for essays samples for a specific school, be sure to check out the writing sample service because it can help you get exactly what you want at the best price possible.

Wednesday, April 1, 2020

Effects Of Cognitive Impairment And Low Health Literacy On Medication Adherence Essay Example

Effects Of Cognitive Impairment And Low Health Literacy On Medication Adherence Paper Scientific and social changes of the 21st century have brought a radical change in the Health care delivery system. Medical intervention is an important component of the health care delivery system and the role of a health care professional in patient welfare has no boundaries for praise. The health care profession has evolved through time to establish a firm role in the medical domain based on strong ethical, moral and professional principles. The medical professionals are ‘accountable’ today. The civil war (1860-65) enhanced the growth of health care in United States and the two World Wars saw the ‘nobility’ of the medical practice. The changing role of these professionals as significant members of the health care team has brought about radical change in Health Care delivery system. Practice methods like â€Å"The collaborative model† shows a radical shift from the past. â€Å"Evidence based Practice† is another model in practice today. In such a scenario, clinical care of cognitively impaired is a complex practice and involves the key concepts of knowing the patient and reflective thinking. BACKGROUND Communication is the pulse of medical practice with the elements of intimacy and reflective practice. We will write a custom essay sample on Effects Of Cognitive Impairment And Low Health Literacy On Medication Adherence specifically for you for only $16.38 $13.9/page Order now We will write a custom essay sample on Effects Of Cognitive Impairment And Low Health Literacy On Medication Adherence specifically for you FOR ONLY $16.38 $13.9/page Hire Writer We will write a custom essay sample on Effects Of Cognitive Impairment And Low Health Literacy On Medication Adherence specifically for you FOR ONLY $16.38 $13.9/page Hire Writer Communication barriers of the mentally and cognitively impaired patients seem to erode the quality of medical care due to assumptions and attitudes. Lack of communication due to cognitive impairment and lack of health literacy clearly affects the medication adherence of the older patients, especially ethnic minority in origin. More than sixty percent of the minority population does not comply with the prescribed drug regimen in the USA. Non-verbal communication seems to be effective in such settings. Effects of cognitive impairment on the reliability of geriatric assessments has been studied recently (Phillips et. al, 1993) to explore the relationship between cognitive status and reliability of multidimensional assessment data. The studies have proved that the reliability of the patients communication and sensory ability are affected by cognitive status. Hence caution should be exercised in treating cognitively impaired patients. The cognitive impairment that contributes to unreliable assessment of patients includes those related to communicating, vision and hearing. Communication problems of hearing impaired patients have been studied as well (Hines, 2000). The studies have proved that such patients are seriously disadvantaged by the disability. The major factor contributing to the disadvantage has been the inadequacy in training of both health care professionals in deaf awareness and associated communication skills. Other factors include the patient’s concealing their disability, work pressure and poor communication of the staff. Monolingual and Bilingual communication between patients with dementia and their care givers have been studied and have shown that the relationship between a demented terminally ill patient and the care giver is an important factor which forms the foundation of the interaction between them. This communications is complex with different aspects of perception and practice (Sirkka, 1996). Non-speaking patients are the worst affected and it is important to improve their communication to allow them receive care and comfort. The ethnic old patients in Canada have been shown to have remained an isolated group as aliens in their own land. This ethnic population has been shown to be unable to communicate with their care givers (Saldovt, al 1994). Problems developed in such patients without interpreter services have been termed serious. Thus, the problems encountered in communication between health care professionals and patients can be based on cultural needs and cognitive status; Cognitively impaired or comatose are often neglected. Studies on demented terminally ill patients to evaluate the time care givers provide for direct patient care have showed that more time is being spent with non demented than with the demented. The patients were shown to react in five categories of communication types during interactions The patients enjoyed contact, Patient avoided contact, The patient was aggressive, Showed only slight reaction and Does not react. Studies pertaining to specific verbal communication interactions in such elderly patients have been carried out (Jones et. al 1986). The studies were carried out under the categories ‘words spoken’, ‘commands given’, ‘statements made’, ‘Questions asked and answered’ with there ethnic groups namely immigrant, Canadian born and Anglo-born. The studies highlighted the need for health care professionals be aware of the implications of differences with there groups. Another studies on communication with severely demented patients by the health care professionals have shown that care of such patients need clear communication during care procedures. Thus, use of non-verbal communication skills (NVC) to improve care, especially with people who have learning disability has been assessed in a study (Chambers, 2003). The study outlines a health care professionals’ diagnosis of altered non-verbal communication and a new wellness diagnoses for enhanced non-verbal communication with detailed discussion on use of NVC with people with comprehension difficulties. The study stresses on the fact that health care professionals can be important in enhancing the non-verbal skills of the patient to help them communicate. Adding support to the view, the importance of improving communication by touch has been documented (Vortherms, 1991). The article views touch as an integral aspect of care, with the language of touch including tactile symbols of duration, location, action, intensity, frequency and sensation. The article classifies touch as affectional, functional and protective. The article stress that age is not a category to decide upon touch in terms of reduced needs of touch. An examination of touch between health care professionals’ and elderly patients (McCann et. al, 1993) has shown that most touch interactions in a care of the elderly are instrumental in nature and expressive touches are usually given to body extremities like the forehead, arms and the legs. Caring mentally ill patients undergoing therapy with antipsychotic drugs like clozapine and benzodiazepines involves careful monitoring of the patient’s physiological condition as well. Such drugs have marked side effects like sedation, hyper salivation, increase in transaminases, EEG changes, cardiovascular respiratory dysregulation, overweight, mild Parkinsonism, akathisia, tardive dysakinesia, increase of liver enzymes, hypotension, fever, ECG alterations, tachycardia, and delirious states. These drugs also pose the risk of seizures. With medical litigations on the rise, the interventions should be based on the competence of the patient. However in psychiatric cases there seems to be a group of individuals who are marginally competent. This group seems to lie in-between the two extremes of competence and incompetence and competence in this case thus appears to be a matter of degree. Mentally retarded persons who have some understanding of the reality and are able to express their wishes and desires can also be considered marginally competent. Mentally ill individuals whose illness has not completely impaired their understanding and capacity to express their wishes and desires are also considered marginally competent. These individuals are not incompetent though they suffer from specific deficits due to destroyed faculties. These marginally competent individuals make a significant group and recognizing the existence of such group of marginally competent individuals will help define competence better towards the documentation of informed consent and advance directives during interventions. A Psychological well being was shown to be enhanced by the humanistic personal interaction with the health care professionals and the professional interaction was shown to enhance physical well being. The patient’s feelings of well being always depended on the psychological well being according to the study. (Jane, 2002). Another studies on communication with severely demented patients by the health care professionals have shown that care of such patients need clear communication during care procedure and the health care professionals were vogue in their verbal communication and some patients were verbally active after the health care professionals leaving the bed side. A small scale pilot study has explored the educational base and needs of qualified care givers with reference to terminally ill patients with learning disability. The study has shown the lack of knowledge and skills in health care professionals to deal with the LD patients. The study has also recommended the introduction of communication and interpersonal skills in the care and Management of terminally ill patients with LD in the curriculum. The role of communication in care for elderly as documented by a literature review (Varhellan et, al. 1997) indicate a lack of observational instruments to effectively evaluate the interactive nature of patients communication especially with reference to reliability and validity. LIMITATIONS AND RECOMMENDATIONS The negative influence of elderly patients mental impairment on patient interaction has been documented in a study using the Clifton Assessment Procedure (Armstrong et, al 1986). 23 students were assessed under three categories of lucid, slightly confused and demented. Data on interactions with nursing staff were gained by direct observation. Studies concluded that health care professionals interact less with confused category them lucid category. Most of the health care professionals were more directed in the physical care of the patients them the psychological interaction or restorative activity. The patient’s inability to provide an accurate history of his problem and to participate in self-care blocks the usual process of care, often resulting in medical uncertainty inadequacy and frustration for the physician (Wendy L. , et. al, 2005). This shifts the goal from cure to care and shifting the goal of care from curing the patients illness to caring for the patients quality of life is problematic. The doctor–patient relationship changes dramatically often with ethical dilemmas related to patient autonomy and decision-making. Communication problems seem to erode health care professional’s commitment to care (Ekman et. al, 1991). Continuity of care seems to be a significant factor in psychiatric care as documented by research studies (Backrush, 1981). Continuity of caregivers where a single, continuous treatment team is responsible for patients in both inpatient and outpatient settings (Fuller Torrey 1986) seem also to complement continuity of care with improved cognitive function self-care skills. Cognitive impairments and low health literacy pose a serious barrier on the reliability of patient assessments. Hence, there is a need for training the health care professionals on communication skills with reference to cognitive impairments and designing awareness programs for such patients towards better health care. GOALS AND OBJECTIVES The main Objective of the study is to evaluate self-reported medication compliance in patients 50+ years of age and to compare physician assessments of patient’s adherence to a prescribed drug regimen provided on the â€Å"Predictive Score Sheet† to data obtained in telephone survey. The main goal of the study is to administer Medication Adherence Telephone Survey to all patients that completed the initial RAND SF-36 Survey, to complete double entry of data using SPSS software, to design and implement a statistical analysis plan to address the stated research question and to understand the effects of self-reported data on the validity of a research study MATERIALS AND METHOD In such a context, a demographic survey and two health assessments were administered to a convenient sample for a consecutive two week period utilizing CLOX, an executive clock drawing test to screen for cognitive impairment and the Rapid Estimate of Adult Literacy in Medicine (REALM) test to measure health literacy. A stimulated patient chart reviews and a telephone survey to record medication adherence behavior was conducted. One hundred cognitively impaired patients with treatment-resistant schizophrenia referred for Clozapine therapy were studied over the period of two weeks of treatment. Clozapine is a tricyclic dibenzodiazepine derivative 8-chloro-11- (4-methyl-1-piperazinyl)-5H-dibenzo [b, e] [1,4] diazepine. It is available as 25mg and 100 mg tablets for oral administration. Clozapine is widely used in refractory Schizophrenia. There seems to be a cultural and geographical variations in dose response relationship and tolerability to the drug making the dose response unpredictable. The effective and tolerable range is between 100 mg to 900 mg, which makes it difficult to make a predictive, significant and valid correlation. There has been no positive correlation with serum level too. Adherence to medication is important in clozapine therapy for results. The study was open level, naturalistic, and prospective, involving all patients, consecutive one hundred, referred for Clozapine during the year 2006. Data was obtained from patients and key relatives after informed consent. After therapy began, patients received a follow-up evaluation on day 4, 8 and again on the last day of treatment. The patients included 62 men and 38 women of low to middle socio-economical class, ranging in age from 52 to 56 years, averaging 54 years of age. 38% were married, 43% were single, and 19% were separated. The duration of illness prior to the study ranged from 5 to 21 years, averaging 7 years. Patients’ duration of illness before first psychiatric contact ranged between 5 months and 46 months, averaging 20 months. Prior to the study, 55% of the patients had a history of hospitalization, averaging 2 prior hospitalizations and the mean duration of hospitalization was 2 months. A history of violence was recorded in 46% of patients and 72% had a history of behavioral disruption. 28% of the patients had attempted suicide. Some were unable to function in society- 66% were socially disabled and 74% had little or no occupational functionality. One fourth of the patients had a positive family history of some psychological disorder. Schizophrenia was diagnosed in 16% of those relatives: 5% in siblings, 8% in parents, and 3% among offspring. Other psychological disorders, including alcoholism, depression, and suicide attempts were confirmed in first-degree relatives among 9% of the patients.