Care plan Essay Example | Topics and Well Written Essays - 3000 words

Care plan - Essay Example After her diagnosis of the aforementioned health problems, she also lost her income source. At a certain instance, she was identified to have experienced a fall and was lying in her kitchen for approximately forty-eight hours, as reported by her neighbour. Her records also depict that she has a daughter who used to visit her twice in a month. In lieu of this case study, the discussion henceforth will aim at developing a care plan with the objective of offering elderly people with adequate assistance on the grounds of sociability, depression, physical health problems, loneliness and other health related issues. In accordance with the case, the healthcare facility will majorly aim at offering Mrs. Jones with healthcare services in relation to her risk of short term health troubles such as cold (hypothermia), constipation and fear of mobility. Notably, with this concern, due significance will be rendered towards implementing the guidelines suggested by the Nursing and Midwifery Council (NMC) and by using the Roper, Logan and Tierney (RLT) activities of living model. Assessment In nursing, there are many conceptual models which provides the basic framework in accordance with which nurses should evaluate and formulate plans as well as implement those plans with the objective to offer the patients with better care facilities and services (Nicol, 2013; Timmins & McCabe, 2008). Roper, Logan and Tierney (RLT) Activities of Living Model The RLT model has been formulated with the aim of supporting elderly people with adequate care and improving their psychological as well as physical conditions to enjoy a healthy living. Nurses, with the assistance of RLT model, are quite likely to be facilitated with the opportunity of offering individualised care services to ageing people (Nicol, 2013; Coyne & et. al., 2010). Additionally, this model has been undertaken with the intention of determining the issues or problems which are faced by Mrs. Jones. This model will aid nurses in offering adequate and effective services to the patient with the aim of improving her health problems as well as psychological conditions (Timmins, 2005). A problem solving approach has been adopted likewise, with the intention of devising appropriate care services. There are five concepts under this model which include the following: The 12 Activities of Living (ALs) The 12 activities of living signify the activities which are executed by every individual, irrespective of the individual’s health conditions. The 12 activities have been presented in the diagram below: Roper, Logan and Tierney’s activities of living (ALs) Source: (Dingwall, 2010) The influence of lifespan (age) The component implies that individuals pass through development phase from conception to death. The individuals throughout their life span are determined to witness and adapt change in their physical, social as well as cognitive developments (Dingwall, 2010; Singh & Misra, 2009). Accordingly, it c an be observed from the case scenario that Mrs. Jones is a widow of eighty years of age and used to reside lonely in her home. However, prior to her diagnosis from frequent fall and severe osteo-arthritis, Mrs. Jones used to visit social club to play Bingo with her next door neighbour. The influence of the dependence-independence continuum The dependence-independence continuum assists in determining the activities which are carried out by individuals. The activities of individuals are based on

Operation Management Case Study Example | Topics and Well Written Essays - 2000 words

Operation Management - Case Study Example "During briefings, executives were forced to concede that more than a quarter of a million customers have defected in the past three months alone." (http://www.cwu.org/uploads/documents/RD0410208%20%20BT%20Price%20Regualtion.doc). Not only are they losing customers, the regulator OFCOM has announced that it wishes BT to lower its wholesale rates by another 9%. OFCOM rules and directives such as the one requesting BT to lower its rates by an additional 9%, is part of the evidence showing that BT must operate in a strict regulatory environment. This environment affects BT's residential as well as the WRL scenario. The way the WRL works is that BT owns the communications infrastructure. OFCOM rules have forced BT to open this communications infrastructure to low-cost rivals by renting them access at wholesale prices. These rivals such as Carphone Warehouse (Talktalk) and Onetel then supply their customers with rates that allow the companies to take advantage, and to profit, from the wholesale rates. The way that BT is combating these regulatory constraints, and an environment that helps their competitors, is by offering a wider variety of services that include broadband and mobile communications. Despite the public's voracious appetite for both of these services, BT still has some huge challenges to overcome. "We're managing a transition from the old world to the new," said Karen Witts, CFO of BT Wholesale. "Traditional revenues are declining and we have to match that with new wave revenues, but these revenues have lower margins" (http://www.financialdirector.co.uk/accountancyage/features/2147006). The wholesale division of BT then will become even more important to BT's financial success throughout the next decade. Other challenges the division will have to overcome include complying with the regulations (that may differ significantly) set in other countries that they wish to do business in. BT must also be very careful of not becoming overly dominant in the marketplace. If they do, OFCOM may step in and say "you are too big." OFCOM has already ensured that BT must give their competitors equality of price and the same access to BT's fixed lines as BT's own retail business has.The telecom industry is also very competitive and highly complex. BT has met some of these challenges and continues to do so, on a daily basis. In 2005 BT set up a new access division that is called Openreach. This separate entity will report all its results as a stand alone company and will provide wholesalers with 30 million access lines. The division is comprised of 30,000 people, 8 billion in assets and is projected to show 4 billion a year in revenues. OpManage/ pg 3 BT is known as the supplier's supplier of non-cable broadband in the UK. Of the 631,000 new homes connected to its broadband lines during the past three months, only 27% of those chose an actual broadband service from BT Retail, leading to the conclusion that although BT is concentrating (and seemingly doing a good job) on its wholesale division, its more profitable retail division may need the concentration as well. (http://www.ofcom.org.uk/consult/condocs/statement_tsr/statement.pdf). Unlike BT, a local soft drink bottler has different problems to face. The soft drink bottler must consider the possible production methods that are available for use, and then choose the one that is most

Business Plan Essay Example | Topics and Well Written Essays - 2000 words - 1

Business Plan - Essay Example 34). From this reason very few people can find time for workouts and many do not have time to analyze dietetically the right kind of foods to eat and even the right proportions take. The young, the old and even the sportsmen do not adore exercising. According to Jacksack (1998) this is a business plan that intends to invest on these old, young and sportsmen who cannot find the best stores that offer dietetic guidance above the food they take (p. 78). Business Details This is a retail store that seek to venture into selling food to the people just like other known retail; stores however, this one goes further to provide nutritional and dietetic counseling which is significant part of everyone’s life. This is not merely a simple retail store like Tesco, Waitrose or Sainsbury but a retail store for health aware people. There will be professional nutritionists readily available and guiding the customers on the advantages and disadvantages of the product for their body type or the body type they intend to attain. Key Personnel This retail store company has already picked a small team of professionals with extensive retail store management skills and experience. Above all, a team of nutritionists, computer experts, and sales team are part of the invaluable resource to the Retail Store business. As a matter of fact, every successful company needs combined professionals who have all it takes to take the company to the next level (Harmer & Peck, 1999, 2002-2004, p. 63). Vision The vision of this retail store is to ensure that people who desire to maintain their body weight dietetically will have a chance to do so by purchasing reliable food at the retail shop. This will be effective due to the fact that the customers targeted will be people who need to get valuable information about their health condition or eating proportions and patterns (Bishop, 1992, p. 46). Over and above any person suffering from diabetes, cancer, obesity, cancer and hear related ailments w ill find this retail store a must be for their food and nutritional advice. Business idea This business idea originated from the fact that in the present day, many people have busy schedules that involve dealing with a lot of life problems. Everybody is struggling to get money and finding easy ways to get money or even job opportunities. As this happens, very few people can find time to check on their weight, their feeding patterns thus leave only the desire to eat and fill their stomach or satisfying the taste. The idea that many old people including young people and even athletes find it hard to exercise or eat healthy, creates a need to satisfy them. Business goals This is a business idea that seeks to articulate the needs of health conscious people where dieticians will be present to guide the customers in the kind of food they eat (Blakney & Sekely, 1994, p. 67). This retail store business intends to create profit from selling high quality food to deserving people in UK. This b usiness intends to change the way retail stores in UK and worldwide do business by adding a significant factor in retail store business. What the business does This retail store business entails selling food to customers in UK. Above all, the retail store business will entail providing nutritional guidance by nutritional and dietetic experts trained to offer guiding principles regarding healthy

Operation Management Case Study Example | Topics and Well Written Essays - 2000 words

Operation Management - Case Study Example "During briefings, executives were forced to concede that more than a quarter of a million customers have defected in the past three months alone." (http://www.cwu.org/uploads/documents/RD0410208%20%20BT%20Price%20Regualtion.doc). Not only are they losing customers, the regulator OFCOM has announced that it wishes BT to lower its wholesale rates by another 9%. OFCOM rules and directives such as the one requesting BT to lower its rates by an additional 9%, is part of the evidence showing that BT must operate in a strict regulatory environment. This environment affects BT's residential as well as the WRL scenario. The way the WRL works is that BT owns the communications infrastructure. OFCOM rules have forced BT to open this communications infrastructure to low-cost rivals by renting them access at wholesale prices. These rivals such as Carphone Warehouse (Talktalk) and Onetel then supply their customers with rates that allow the companies to take advantage, and to profit, from the wholesale rates. The way that BT is combating these regulatory constraints, and an environment that helps their competitors, is by offering a wider variety of services that include broadband and mobile communications. Despite the public's voracious appetite for both of these services, BT still has some huge challenges to overcome. "We're managing a transition from the old world to the new," said Karen Witts, CFO of BT Wholesale. "Traditional revenues are declining and we have to match that with new wave revenues, but these revenues have lower margins" (http://www.financialdirector.co.uk/accountancyage/features/2147006). The wholesale division of BT then will become even more important to BT's financial success throughout the next decade. Other challenges the division will have to overcome include complying with the regulations (that may differ significantly) set in other countries that they wish to do business in. BT must also be very careful of not becoming overly dominant in the marketplace. If they do, OFCOM may step in and say "you are too big." OFCOM has already ensured that BT must give their competitors equality of price and the same access to BT's fixed lines as BT's own retail business has.The telecom industry is also very competitive and highly complex. BT has met some of these challenges and continues to do so, on a daily basis. In 2005 BT set up a new access division that is called Openreach. This separate entity will report all its results as a stand alone company and will provide wholesalers with 30 million access lines. The division is comprised of 30,000 people, 8 billion in assets and is projected to show 4 billion a year in revenues. OpManage/ pg 3 BT is known as the supplier's supplier of non-cable broadband in the UK. Of the 631,000 new homes connected to its broadband lines during the past three months, only 27% of those chose an actual broadband service from BT Retail, leading to the conclusion that although BT is concentrating (and seemingly doing a good job) on its wholesale division, its more profitable retail division may need the concentration as well. (http://www.ofcom.org.uk/consult/condocs/statement_tsr/statement.pdf). Unlike BT, a local soft drink bottler has different problems to face. The soft drink bottler must consider the possible production methods that are available for use, and then choose the one that is most

Salem Witchtrails Essay Example | Topics and Well Written Essays - 750 words

Salem Witchtrails - Essay Example Without warning, the hysteria in the Puritan Massachusetts ended abruptly in the same manner it had erupted. (Hill 233) It was only after a review of the trials by the colonial government did the reality of the unfair trials and consequent death judgments emerge as a grave mistake. Despite the compensation offered to the families of the convicted, it did little in erasing the gross travesty of justice that had occurred. The aftermath of the hysteria left behind a myriad of questions touching on injustice and what exactly led to the widespread paranoia. To understand these fundamental questions, a brief account of the events that led to the wave of hysteria is necessary. The Christians of several centuries past had superstitious belief that witchcraft was a gift from the Devil to certain people in return for loyalty (Linder). Consequently, the witches would use their newly acquired powers for acts of evil against others. Inhabitants of Salem village were mostly displaced people as a r esult of King William’s War with the French in the American colonies (Linder). The mass influx of the displaced people to Salem resulted to strain over its resources. Consequently, this led to increase in rivalry between two opposing groups. Those who depended on agriculture and elite families whose wealth were dependent on the port of Salem. This rivalry between the two classes of groups was one of the underlying causes of the impending hysteria that would soon erupt. Moreover, tensions were also rife over control of the pulpit between the Porter and Putnam clans. The situation was father compounded after the ordaining of Reverend Samuel Parris. The people of Salem loathed him because his was greedy and rigid. Majority of the Puritan villagers blamed all the continuous bickering and quarrelling on the Devil and his witchcraft agents (Linder). The precipitating event that eventually triggered the mass hysteria was an account of some superstitious event in Reverend Parris hous ehold. During the winter period of 1692, Reverend Parris young daughter and niece, Elizabeth and Abigail respectively, succumbed to a strange illness. They were engulfed by fits of screaming, uttering strange sounds, fever, erratic running and excessive contortion of body parts. Similar strange symptoms were exhibited by another young girl Anne Putnam. Local doctors were clueless and blamed the episode on supernatural activity. The anxiety generated from the strange activity prompted magistrates John Hawthorne and Jonathan Corwin to examine the afflicted girls and identify the culprits. The girls were pressured by both magistrates to place the blame on three women. These were; a homeless beggar known as Sarah Good, a Caribbean slave from Parris’s household known as Tituba and a poor elderly woman known as Sarah Osborne. Upon interrogation of the three women, it was only Tituba who confessed to having inflicted evil upon the girl. In her confession, she gave the harrowing desc ription of the devil with explicit instructions of service. Furthermore, she stated that the devil came to her in the image of a â€Å"black man† with a book for her to sign. The book symbolized a contract of service and with the devil for the sole purpose of destroying the Puritans. Moreover, Tituba claimed that there were many more witches out there planning to inflict on the Puritans.

Prosthetic Rehabilitation of a Patient with Nose Defect

Prosthetic Rehabilitation of a Patient with Nose Defect Case Report Authors: Satyabodh S Guttal, MDS,MFPT 1, Blessy Bangera, BDS,2 Adarsh Kudva,  MDS,3 Basavaraj R Patil, MS, 4 Abstract Midfacial defects are enormous defects that result from cancer treatment that rarely are corrected by surgical reconstruction alone; they generally require a facial prosthesis to restore function and appearance. Surgical reconstruction may be viable for few defects, which are done with different flaps. But for the total nasal resection, prosthetic option would be more feasible. Nasal cartilaginous anatomy is complex due to the varying contours. Therefore it may be difficult for the surgeon to reconstruct the entire nose. This clinical report describes the rehabilitation of a large midfacial nose defect with a dental implant retained nasal prosthesis. The patient had adenocystic carcinoma of the medial maxillary wall extending to the nose. Introduction The face being the most noticeable part of the body when disfigured may lead to an impaired social life stemming from esthetic problems. 1, 2 Among facial defects, nasal defects produce severe cosmetic impairment. . Rehabilitation of such defects subsequent to surgery is done in a sequential manner, which includes a surgical, provisional, and definitive prosthesis. 3 Prosthesis helps restore the patients self-esteem and confidence, hence affecting the patients and their life style. 4-6 Adenoid cystic carcinoma (ACC) is a rare malignant perineural tumour of the major and minor salivary glands, accounting for 2% of all head and neck malignancies and approximately 10% of all salivary gland neoplasms. 60% to 70% of ACC’s arise in the minor salivary glands, which may be localized in the palate, paranasal sinuses and nose, although they may also occur in the parotid or submandibular glands.7 In the past, nasal prostheses were held in position with strings or straps fastened behind the head,8 intranasal or intraoral extensions,9,10 and gold strings or leaves.11-13 Spectacle frames have been accepted for securing nasal prostheses.14,15 Today, with the development of biomaterials, prosthetic substitutes are secured with readily available adhesives that are effortlessly applied 16 however, the effectiveness of adhesives is questionable considering presence of mobile tissues in the defect, nasal secretions, and moist air associated with respiration.17 These factors would compromise the adhesiveness. The concept of osseointegration 18 has enabled a more reliable mode of retaining nasal prostheses. 19 This clinical report describes the rehabilitation of a large midfacial defect using an implant retained nasal prosthesis. Clinical Report: A 63-year-old female patient who reported to the B.R Patil Cancer hospital, Navanagar, Dharwad was diagnosed with adenocystic carcinoma of the medial maxillary wall. Patient had no medical co-morbidity. Patient gave history of nasal obstruction due to nasal mass on left side of the nostril for which medial maxillectomy was done via endoscopic approach in the year 1993. Then in 2012 she reported back with the complaint of nodular swelling over nasal dorsum with tearing and nasal obstruction with no orbital symptoms. Intra-orally patient had destruction of palate on the left side crossing midline. Upon further investigation, biopsy revealed adenocystic carcinoma of the nose and left maxilla with no involvement of orbit or anterior skull base (Fig 1). Two cycles of chemotherapy with cisplatin, 5 flurouracil and paclitaxel according to body surface area was given. The defect resulting after excision had to be covered at the earliest. Hence, prior to surgical intervention, prosthetic consultation was suggested to the patient who was thus referred to our Department of Maxillofacial Prosthodontics. Since an immediate definitive prosthesis was not feasible, the patient was suggested for temporary rehabilitation with an interim silicone nasal prosthesis with an attached eyeglass frame. However, since the patient expressed her displeasure towards spectacles for lifelong usage, she was given the option of implant-retained definitive silicone nose prosthesis. The patient agreed for the same. An orthopantomograph and computerized tomography scan were made as a part of the investigation to evaluate the bone height for implant placement. Left total maxillectomy with palatal resection across midline and total nasal resection done via weber ferguson incision, left modified radical neck dissection type three via macfee incision was made. The glabellar bone was evaluated on the operation table and upon conclusion that adequate bone was available; a single implant of 4.2 diameter x 6.5mm length, (Toureg S; Adin implants, Nazareth, Israel) was placed (Fig 2). The advantage of placing the implant on the operation table was that the patient would be under general anesthesia, and the psychological trauma of undergoing another surgical procedure was avoided. Following a healing period of 3 months the open tray impression posts were placed and the final impression was made. The abutment was placed on the implant and a custom made acrylic sleeve was fabricated for the abutment (Fig 3). A wax sculpted nose on the master cast was made to adapt to the margins of the healing wound. On either sides of the acrylic resin sleeve, two neodymium-iron-boron magnets, 5mm diameter x 1.2mm thick (Magnatech; Mumbai, India) were embedded into extensions made out of autopolymerising resin. The structure hence resembled a winged sleeve which was cemented on to the abutment using zinc-phosphate cement (Harvard Dental, Hoppegarten,Germany) (Fig 4). An acrylic resin index was fabricated over this structure which would harbor the respective magnetic keepers. The acrylic index was placed at its position over the magnets and was picked up by the wax nose that was placed on it using a drop of cyanoacrylate. The resulting wax nose thus incorporated an acrylic index with the magnetic keepers. This wax nose was carefully invested and the packing procedure using silicone and acrylic resin border framework, intrinsic coloring was carried out as mentioned for the interim above. Extrinsic coloring and pigmentation was done and patient was happy with the esthetic results. Digital weighing scale revealed that the definitive nasal prosthesis weighed around 12.2gms. The retentive force offered by the two neodymium-iron-boron magnets (Magnatech; Mumbai, India) was found to be 7.2N. The prosthesis was delivered to the patient (Fig 56). Following this, home-care instructions were given. In the subjective evaluation, the patient was very happy with the esthetics outcome of the prosthesis and expressed her great pleasure towards her ability to swallow liquids. The ryles tube continued to remain in place considering the general health condition of the patient and the need to feed semi solid food and protein supplements. The prosthesis was light in weight and could be comfortably placed in position as it was self-aligning due to the use of magnets. Patient, who is now on regular periodic follow-up ie, recalling at every 3 month period, is found to be doing well. Discussion Nasal reconstruction modalities comprises of primary closure, healing by secondary intention, skin grafts and local flaps and regional flaps. Small surgical defects can be treated well with different types of local flaps. The forehead flap is the better option for the large nasal defects. 20 The complex anatomical configuration may cause difficulty in surgical rehabilitation. In such cases, prosthetic closure is predictable and hence usually the treatment of choice. 21,22 The breakthrough for rehabilitation of facial defects with implant-retained prostheses came with the development of the modern silicones and bone anchorage. The limitations of the prosthesis were explained to the patient prior to the treatment, that fact that the prosthesis would enhance esthetics but would contribute less to the functions like speech and masticatory habits. Hence, the patient had no psychological set back on the prognosis of the treatment. In addition, there was a major set-back in terms of achieving outstanding esthetical and functional outcome due to the fact that all the work was carried out under technical constraints. This included a lack of time, chair-side patient availability, and ideal light conditions which, to an extent precluded optimal color blending. The main objective of treating this case was to close the open defect, to prevent the further spread of infection in the soft tissues exposed to the environment. The use of a magnetic assembly has eliminated the need for use of spectacle retention as per the patient’s request. The patient indicated that the nasal prosthesis reduced self-consciousness and was comfortable to wear without any type of irritation to the surrounding skin. The patient was pleased with her appearance and no longer found the need to wrap a cloth around her face. References Guttal SS, Patil NP, Thakur S, Kumar MV, Kulkarni S. Implant-Retained Nasal Prosthesis for a Patient Following Partial Rhinectomy: A Clinical Report . J Prosthodont 2009; 18:353–8. Kumar S, Rajtilak G, Rajasekar V, Kumar M. Nasal prosthesis for a patient with xeroderma pigmentosum. J Pharm Bioallied Sci 2013; 5:176-8. Marunick MT, Harrison R, Beumer J. Prosthodontic rehabilitation of midfacial defects. J Prosthet Dent 1985; 54:553-60. Buzayan MM. Prosthetic management of mid-facial defect with magnet-retained silicone prosthesis. Prosthet Orthot Int 2014; 38:62-7. Jain S, Maru K, Shukla J, Vyas A, Pillai R, Jain P. Nasal prosthesis rehabilitation: a case report. J Indian Prosthodont Soc 2011; 11:265-9. Anantharaju A, Kamath G, Mody P, Nooji D. Prosthetic rehabilitation of Oro-nasal defect. J Indian Prosthodont Soc 2011; 11:242-5. Shimamoto H, Chindasombatjaroen J, Kakimoto N, Kishino M, Murakami S, Furukawa S. Perineural spread of adenoid cystic carcinoma in the oral and maxillofacial regions: evaluation with contrast-enhanced CT and MRI. Dentomaxillofac Radiol 2012; 41:143–51. Saunders RCH. The gunner with the silver mask. Am Med Hist 1941; 3:283-5. Kazanjian VH, Rowe AT, Young HA. Prosthesis of the mouth and face. J Dent Res 1932;12:1 Kazanjian VH. Treatment of nasal deformities. J Am Med Assoc 1925; 84:177. Bulbulian AH. Facial Prosthetics. Springfield IL, US, Ed 1, 1973 pp. 364-7. Baird WH. An artificial nose. Dent Cosmos 1905; 47:560. Baker L. An artificial nose and palate. Dent Cosmos 1905; 47: 561. Rodrigues S, Shenoy VK, Shenoy K. Prosthetic rehabilitation of a patient after partial rhinectomy: a clinical report. J Prosthet Dent 2005; 93:125-8. Guttal SS, Patil NP, Shetye AD. Prosthetic rehabilitation of a midfacial defect resulting from lethal midline granuloma: a clinical report. J Oral Rehabil 2006; 33:863-7. Parel SM. Diminishing dependence on adhesive for retention of facial prosthesis. J Prosthet Dent 1980;43:552-60. Parel SM, Branemark PI, Tjellstrom A, Gion G. Osseointegration in maxillofacial prosthetics. Part II: extraoral applications. J Prosthet Dent 1986;55:600-6. Brà ¥nemark PI, Adell R, Breine U, Hansson BO, Lindstrà ¶m J, Ohlsson A. Intra-osseous anchorage of dental prostheses. I. Experimental studies. Scand J Plast Reconstr Surg 1969;3:81-100. Nishimura RD, Roumanas E, Moy PK, Sugai T. Nasal defects and osseointegrated implants: UCLA experience. J Prosthet Dent 1996;76:597-02. Kose R, Okur MI. Reconstruction of the defects in the middle of the nose with subcutaneous pedicled nasolabial island flap: report of two cases. Kulak Burun Bogaz Ihtis Derg. 2009;19(5):272-276 Sashi Purna CR, Annapurna PD, Ahmed SB, Vurla S, Nalla S, Abhishek SM. Two-piece nasal septum prosthesis for a large nasal septum perforation: a clinical report. J Prosthodont 2013;22:143-7. Goveas R, Puttipisitchet O, Shrestha B, Thaworanunta S, Srithavaj ML. Silicone nasal prosthesis retained by an intranasal stent: a clinical report. J Prosthet Dent 2012;108:129-32. Figure Legends: Fig 1: Preoperative patients photograph Fig 2: Placement of titanium dental implant in the glabella,-confirmed on the x-ray. Fig 3: Abutment threaded to implant and the trial of acrylic resin sleeve done. Fig 4: Cemented acrylic resin framework embedded with magnets on either side. Fig 5: Comparison between before and after prosthesis placement. Fig 6: Lateral profile of before and after prosthesis placement. Spectacle glasses were given to camouflage the borders of the prosthesis.

Shakespeares Othello - The Character of Iago :: GCSE English Literature Coursework

The Character of Iago in Othello  Ã‚      One of the most intriguing characters in the tragic play "Othello," by William Shakespeare, is Othello's "friend" Iago. At first glance, Iago seems to have no motive for the destruction he is causing. However, despite Iago's unquestionable malignancy, the motivation behind his actions lie more in Iago's quest for personal gain, as opposed to just being evil for evil's sake. In order to achieve his personal gain Iago manipulates Rodrigo, Cassio and, most importantly, Othello. Iago's main interest is the destruction of Othello. The reason being that Othello has chosen another man, Cassio, as his second-in-command, preferring him to Iago. This resentment, accompanied by Iago's fabricated accusations of adultery and his blatant racism, cause Iago to despise Othello, and shortly thereafter, begin to conspire against him. Instead of just killing Othello, Iago proceeds to attack him emotionally. Iago begins to manipulate the people around him in order to hurt Othello and make him think that his wife, Desdimona, and Cassio are having an affair. The first to fall victim to Iago's manipulation, is Rodrigo. Iago knows Rodrigo has feelings Desdemona, and would do anything to make her his own. Iago tells Rodrigo that the only way to win Desdemona's love, is to make money to procure gifts for her. "...put money in thy purse.." (Act 1, Scene 3, Line 339). However, Iago is just taking those gifts intended for Desdemona and keeping them for himself, and in doing so, making a substantial profit. "Thus do I ever make my fool my purse" (Act 1, Scene 3, Line 376). Rodrigo eventually starts to question Iago's honesty. When faced with this accusation, Iago simply offers that killing Cassio will aid his cause and the gullible Rodrigo falls for it. "I have no great devotion to the deed and yet he has given me satisfying reason," (Act 5, Scene 1, Line 8). In doing this, Iago keeps Rodrigo in the dark and continues to profit from him monetarily. Cassio, like Rodrigo, follows Iago blindly, thinking the whole time that Iago is trying to aid him , when in-fact, Iago, motivated by his lust for power, is attempting to depose Cassio of his position as lieutenant. Iago does this by getting Cassio drunk and causing him to get in a fight and disturb Othello, Othello then demotes Cassio of his rank as second-in-command thus securing the position for Iago.