Saturday, May 23, 2020

traglear Tragic Hero in King Lear Essay - 1591 Words

The definition of tragedy in Webster’s dictionary is, drama of elevated theme and diction and with unhappy ending; sad event, serious accident, calamity.nbsp; However, the application of this terminology in Shakespearean Tragedy is more expressive.nbsp; Tragedy does not only mean death or calamity, but in fact, it refers to a series of steps that leads to the downfall of the tragic hero and eventually to his tragic death.nbsp; Lear, the main character in King Lear was affirmed as the tragic hero because the play meets all the requirements of a tragedy.nbsp;nbsp; In order for a character to be qualified as a tragic hero, he must be in a high status on the social chain and the hero also possesses a tragic flaw that initiates the†¦show more content†¦nbsp; nbsp;nbsp;nbsp;nbsp;nbsp;nbsp;nbsp;nbsp;nbsp;nbsp;nbsp; The downfall of Lear is not just the suffering of him alone but the suffering of everyone down the chain of being.nbsp; For instance, Lears pride and anger caused Cordelia and Kent to be banished, and Gloucester loses his position and eyes.nbsp; Everything that happened to these characters are in a chain of reaction and affected by Lears tragic flaw.nbsp; If Lear did not lack of personal insight and if he did not havenbsp; such an obstinate pride, he would not have banished Cordelia and Kent, then Goneril and Regan would not be able to conspire against Lear. Without the plot of Goneril and Regan, Gloucester would not have been betrayed by Edmund and lose his eyes and status due to the charge of treason.nbsp; Moreover, the chain of reaction was continuous

Monday, May 18, 2020

Marijuana Should Be Legalized Essay - 1130 Words

Marijuana is a cannabaceae plant, which has always been associated with negative connotations until recently, when it has been discovered that this plant may be used to cure diseases and improve a country economy. Thus, the American opinion is split on the question of â€Å"Marijuana Legalization†. In fact, a survey undertaken by CNN/ORC International Poll states that 55 % of Americans believe that the use of marijuana should be legal, while only 44 % think it should be illegal (CNN). I also share the American majority opinion since there is some evidence that marijuana yields positive results. The use, sale and possession of marijuana is still illegal under federal law in the United States. However, it is allowed in 20 states and†¦show more content†¦Hence, the problem of addiction cannot be a reason for prohibiting marijuana. Opponents also support that marijuana may affect brain development and irritate the heart and the lungs. It may be true, but it is not a reason for criminalizing the use of marijuana since we know that smoking cigarette causes lung cancer and many heart diseases. Moreover, mental diseases such as the Parkinson’s disease and the Multiple Sclerosis can be treated with marijuana thanks to two substances it contains called cannabidiol and tetrahydrocannabinol, which permit to reduce inflammation, control spasms, and even prevent neurological damage. For instance, an Australian mother Cheri OConnell revealed in a report of Herald Sun News about the benefits of liquid marijuana, which she says saved her epileptic daughter Tara who was only given months to live. In fact, Tara could barely walk or talk, and she slept as much as a newborn. She endured more than 20,000 seizures every year; her condition left her parents and siblings, exhausted and scared for the future. Running out of options, they met another family, who had lost a similar battle. This family advices the O’Connell’s to try Marijuana. Then, they did so, and Tara is now seizure-free, walking, running and even dancing after one year of treatment. Cheri says, We didnt see her having a future at all. But I can now see us being able toShow MoreRelatedShould Marijuana Be Legalized?849 Words   |  4 Pageswhether marijuana should be legalized. Around 23 states have legalized marijuana for medical and recreational use. In the state of Illinois, medicinal use of marijuana has been passed on April 17, 2013. Since January 2014, patients are able to obtain marijuana with a doctor s recommendation. The new debate is whether marijuana shoul d be legalized for the general public as a recreational drug. Although some believe that marijuana is harmless, and that it has beneficial medicinal uses, marijuana shouldRead MoreShould Marijuana Be Legalized?1715 Words   |  7 PagesMarijuana in Society Cannabis, formally known as marijuana is a drug obtained from the tops, stems and leaves of the hemp plant cannabis. The drug is one of the most commonly used drugs in the world. Only substances like caffeine, nicotine and alcohol are used more (â€Å"Marijuana† 1). In the U. S. where some use it to feel â€Å"high† or get an escape from reality. The drug is referred to in many ways; weed, grass, pot, and or reefer are some common names used to describe the drug (â€Å"Marijuana† 1). Like mostRead MoreShould Marijuana Be Legalized?1489 Words   |  6 Pagescannabis plant or marijuana is intended for use of a psychoactive drug or medicine. It is used for recreational or medical uses. In some religions, marijuana is predominantly used for spiritual purposes. Cannabis is indigenous to central and south Asia. Cannabis has been scientifically proven that you can not die from smoking marijuana. Marijuana should be legalized to help people with medical benefits, econo mic benefits, and criminal benefits. In eight states, marijuana was legalized for recreationalRead MoreShould Marijuana Be Legalized?1245 Words   |  5 PagesMarijuana is a highly debatable topic that is rapidly gaining attention in society today.   Legalizing marijuana can benefit the economy of this nation through the creation of jobs, increased tax revenue, and a decrease in taxpayer money spent on law enforcement.   Ã‚  Many people would outlaw alcohol, cigarettes, fast food, gambling, and tanning beds because of the harmful effects they have on members of a society, but this is the United States of America; the land of the free and we should give peopleRead MoreShould Marijuana Be Legalized?1010 Words   |  5 PagesThe legalization of marijuana became a heated political subject in the last few years. Twenty-one states in America have legalized medical marijuana. Colorado and Washington are the only states where marijuana can be purchased recreationally. Marijuana is the high THC level part of the cannabis plant, which gives users the â€Å"high† feeling. There is ample evidence that supports the argument that marijuana is beneficial. The government should legalize marijuana recreationally for three main reasonsRead MoreShould Marijuana Be Legalized?1350 Words   |  6 Pagespolitics in the past decade would have to be the legalization of marijuana. The sale and production of marijuana have been legalized for medicinal uses in over twenty states and has been legalized for recreational uses in seven states. Despite the ongoing support for marijuana, it has yet to be fully legalized in the federal level due to cultural bias against â€Å"pot† smoking and the focus over its negative effects. However, legalizing marijuana has been proven to decrease the rate of incrimination in AmericaRead MoreShould Marijuana Be Legalized?1231 Words   |  5 Pagesshows the positive benefits of marijuana, it remains illegal under federal law. In recent years, numerous states have defied federal law and legalized marijuana for both recreational and medicinal use. Arizona has legalized marijuana for medical use, but it still remains illegal to use recreationally. This is absurd, as the evidence gathered over the last few decades strongly supports the notion that it is safer than alcohol, a widely available substance. Marijuana being listed as a Schedule I drugRead MoreShould Marijuana Be Legalized? Essay1457 Words   |  6 PagesSHOULD MARIJUANA BE LEGALIZED? Marijuana is a drug that has sparked much controversy over the past decade as to whether or not it should be legalized. People once thought of marijuana as a bad, mind-altering drug which changes a person’s personality which can lead to crime and violence through selling and buying it. In the past, the majority of citizens believed that marijuana is a harmful drug that should be kept off the market and out of the hands of the public. However, a recent study conductedRead MoreShould Marijuana Be Legalized?1596 Words   |  7 Pages But what needs to be known before a user can safely and completely make the decision if trying Marijuana is a good idea? Many do not want the drug to be legalized because they claim that Cannabis is a â€Å"gateway drug†, meaning it will cause people to try harder drugs once their body builds up a resistance to Marijuana, because a stronger drug will be needed to reach a high state. This argument is often falsely related to the medical si de of the debate over legalization. It is claimed that this wouldRead MoreShould Marijuana Be Legalized?985 Words   |  4 PagesLegalize Marijuana Despite what people believe about marijuana, it hasn’t once proved to be the cause of any real issue. It makes you wonder what the reason as to why there is a war on drugs. Why is marijuana the main concern? Since the time that alcohol and tobacco became legal, people wonder why marijuana isn’t legal yet. The fact that marijuana is illegal is mainly caused by the amount of money, jobs, and pride invested in the drug war. Once the government starts anything, they stick to it. At

Tuesday, May 12, 2020

Living - 1017 Words

This note will be available later.Act III, Scene I 1. What news about Albany, Cornwall, and the King of France does Kent reveal to the Gentleman? 2. What mission does Kent ask the Gentleman to complete? Act III, Scene II 1. In Lear’s first speech in this scene, how does Shakespeare portray the great emotional upheaval going on within Lear’s mind? 2. What comment about women does Lear make in his speech? 3. What is Kent’s opinion of the storm’s ferocity? 4. How does Lear’s remark â€Å"I am a man more sinn’d against than sinning† reflect his development as a human being within the play? 5. How does the Fool evaluate the state of Britain in his closing â€Å"prophecy†? Act III, Scene III 1. How do Regan, Goneril, and Cornwall react to†¦show more content†¦5. How does the Fool evaluate the state of Britain in his closing â€Å"prophecy†? Act III, Scene III 1. How do Regan, Goneril, and Cornwall react to Gloucester’s request to pity the King? 2. What information does Edmund share with the audience after his father tells him about the â€Å"dangerous† letter and subsequently exits the stage? Act III, Scene IV 1. How does Lear explain his approaching insanity? 2. In which lines in this scene is Edgar’s speech filled with alliterations? 3. Upon seeing Edgar emerge from the hovel disguised as poor Tom, what does Lear immediately assume has happened to Edgar? 4. How does Edgar respond to Lear’s assumptions? 5. Why does Lear tear off his clothes? 6. How does Gloucester’s appearance at the hovel illustrate the parallel structure between the Lear-daughters plot and the Gloucester-sons subplot? 7. What trait is Lear developing as a result of his daughter’s treatmentAct III, Scene I 1. What news about Albany, Cornwall, and the King of France does Kent reveal to the Gentleman? 2. What mission does Kent ask the Gentleman to complete? Act III, Scene II 1. In Lear’s first speech in this scene, how does Shakespeare portray the great emotional upheaval going on within Lear’s mind? 2. What comment about women does Lear make in his speech? 3. What is Kent’s opinion of the storm’s ferocity? 4. How does Lear’s remark â€Å"I am a man more sinn’d against than sinning† reflect his development as a human being within the play? 5.Show MoreRelatedLiving Off The Grid1593 Words   |  7 PagesThere are 180,00 families in America living a sustainable lifestyle and roughly around 1.7 billion people worldwide living without depending on the grid. (Palameri 1; Perez qtd. in Wood 1). The number of Eco villages, sustainable and intentional communities are rising across the nation as more people are discovering that they possess a strong inclination to live in the same manner as the Amish. This phenomenon is becoming a progressively popular choice for people from all walks of life. Not onlyRead More Living Standards Essay1687 Words   |  7 Pagescriteria which can be used to measure variations in living standards, within a city. What can be done to improve the quality of life in the poorer areas?lt;/centerlt;Towns and cities all over Britain have a wide range of variations in the living standards and quality of life. These variations can be put down to many factors and issues about the residents and location. Ever y town is individual and unique, however a pattern in the contrast of living conditions can be seen. For many cases as the distanceRead MoreAssisted Living Research Paper1165 Words   |  5 PagesThe Topic of my research paper is How to Start Your Own Assisted Living Business. I choose this topic because I have some experience in the health care field. I am a certified Medical Assistant and I wanted to take my education to the next level. The Health care job market is on high demand and is one of today’s most dynamic fields with a wide range of opportunities. I came to realize that the older you get in this country options for housing, health and personal care services become limited. Read MoreAn Article About A Sustainable Living962 Words   |  4 PagesAbout Sustainable Living There is considerable discussion about sustainable living. Open up any newspaper or magazine on any given day, and you will likely see an article about the drought, food system, or global warming. It’s a hot topic. But what does sustainability mean to black folks. Some may say that we have limited involvement in the discussion. If that’s true, is it because we are focused on job security, considering that black unemployment is almost double that of whites? Are we focusedRead MoreThe True Effects Of A Living Wage1714 Words   |  7 PagesEffects of a Living Wage Dylan Gallagher 8136645 Word Count: 1906 Introduction It has been 20 years since the first living wage was introduced in Baltimore, Maryland. Long has it been argued that profitable organizations should have to pay a living wage to its employees. A wage sufficient enough to allow the employee to have a high enough standard of living to adequately take care of their family. The gap between social statuses is increasing even more, and having a living wage in placeRead MoreThe Issue Of Pay And Cost Of Living838 Words   |  4 Pages The issue of pay and cost of living have been important topics that have dominated the news lately. Being an election year, candidates for the presidency have used this as a major campaign focus as their hopes is to gain votes from individuals that see their pay stagnant, unequal or nonexistent. Individuals would like to know they are making forward progress and have the ability to make a wage that allows them to maintain a comfortable life. Issues such as working poor, decreasing working hoursRead More The L iving Dead Essay1494 Words   |  6 PagesThe Living Dead Since the beginning of film, people have been spellbound by horror movies. They seem to excite the viewer with emotions of fright, excitement and thrill. And since there have been horror movies there have been monsters to bring fright to the viewers during and after the movie. A common monster that can be found in multiple films is the zombie; also know as the living dead. One of the greatest living dead directors and screenplay writers would have to be George A. RomeroRead MoreAssisted Living Concepts Inc. Essay2212 Words   |  9 PagesAssisted Living Concepts Inc., hereafter referred to as ALC, was a Nevada corporation formed in 1994 with its principal place of business in Menomonee Falls, Wisconsin. ALC provides senior assisted living residences that provide multiple personal services for their residences. ALC was purchased by Extendicare Health Services, Inc. in January 2005. In 2006 ALC was spun off from Extendicare as a publicly traded company. As of December 31, 20 12 ALC had 211 assisted and independent living residencesRead MoreThe Living Dead1185 Words   |  5 Pagesnot really matter how it is killed (James). The zombie apocalypse is a widely talked about subject in this world today. As everybody knows, the apocalypse takes place when there is an outbreak of zombies that try to end human life by turning every living human into one of them. The best thing to do is to prepare ahead of time. There are many items that can help in the quest to survive the end of the world. Running shoes would be smart to have on at all times. Another thing one should always have isRead MoreThe Benefits Of Assisted Living1289 Words   |  6 Pages Assisted living has become the generic name for most senior living facilities. However, today these facilities come in many different sizes and levels of care. Early in history there were only two choices for seniors, they could age at home with family or they could enter a nursing home. Many seniors who couldn’t completely live on their own and were still to some degree independent and able bodied did not need higher levels of care offered at nursing facil ities; creating a need for different

Wednesday, May 6, 2020

Summary Fairy Tales And Multicultural Literature

Module 3 – Fairy Tales and Multicultural Literature 21. Southey, Robert. Goldilocks and the Three Bears. London, England: Longman, Rees, 1837. Print. This cute story is a family of bears who live in the forest. Each bear has their own bowl, chair and bed. While walking outside as their porridge cools, a young girl, Goldilocks, comes upon the cottage and walks in and makes herself comfortable. As the bears return, they find that someone ate their porridge, sat in their chairs and found Goldilocks sleeping in the small bed. This story is for ages 3-6 and is loved by all children at bedtime. 22. Gillen, Lynea. Good People Everywhere. Portland, Oregon: Three Pebble Press, LLC. 2012. Print. This book is a heartwarming story for children and†¦show more content†¦There are several examples that are recognizable while others are in the Chinese American heritage of real things in the country. Each page offers rhyming with the objects giving readers an insight of finding other items that have the same shape. This book is for ages 3-5. 26. Schmidt, Karen. The Gingerbread Man. New York City, New York: Scholastic Inc. Publishing Co. 1985. Print. This fun tale is still a favorite and has engaged children throughout the past years. The repetition and remembering are part of this story. The favorite line in the story is â€Å"You can’t catch me, I’m the gingerbread man,† has the children repeating on each page. The gingerbread outwits many characters in the story until he reaches the fox and then he is tricked. This book for ages 4-8 and a fun way to bake a real gingerbread cookie and decorate using several decorations. 27. Galdone, Paul. The Little Red Hen. Boston, Massachusetts: Houghton Mifflin Harcourt 1985. Print. This story is about a little red hen who want to make bread, so she asks the cat, dog and other animals to help plant, cut, and harvest wheat and all the animals say â€Å"No, not I† so the little red hen does all the work herself including baking the bread. When it comes time to eat the bread, all the animals now volunteer to taste it, but the hen does not share and explains why. This story is a good message for children for helping each other. This story is for ages 4-8. 28. Anderson, HansShow MoreRelatedChildrens Literature13219 Words   |  53 Pages6 The Renaissance: 1500-1650 7 The Rise of Puritanism and John Locke: Late 1600s 8 3. Beginning of Children’s Literature: Late 1700s 10 4. Fairy and Folk Tales 12 The Golden Age of Children’s Literature: Late 1800s 12 5. Victorian Childrens Literature 16 6. Contemporary Childrens Literature 18 6. Analysis of Harry Potters’ series 21 7. Conclusion 30 8. Summary 31 Children’s Literature Definitions 31 The Ancient World [ancient Rome; 50 BCE to 500 CE] 31 The Middle Ages [500 to 1500 CE] 31 The EuropeanRead MoreEssay on Silent Spring - Rachel Carson30092 Words   |  121 PagesBookRags, Inc. ALL RIGHTS RESERVED. The following sections of this BookRags Premium Study Guide is offprint from Gales For Students Series: Presenting Analysis, Context, and Criticism on Commonly Studied Works: Introduction, Author Biography, Plot Summary, Characters, Themes, Style, Historical Context, Critical Overview, Criticism and Critical Essays, Media Adaptations, Topics for Further Study, Compare Contrast, What Do I Read Next?, For Further Study, and Sources.  ©1998-2002;  ©2002 by Gale. Gale

Malaysia Chinese Culture Free Essays

Malaysia’s cultural mosaic is marked by many different cultures, but several in particular have had especially lasting influence on the country. Chief among these is the ancient Malay culture, and the cultures of Malaysia’s two most prominent trading partners throughout history–the Chinese, and the Indians. These three groups are joined by a dizzying array of indigenous tribes, many of which live in the forests and coastal areas of Borneo. We will write a custom essay sample on Malaysia Chinese Culture or any similar topic only for you Order Now Although each of these cultures has vigorously maintained its traditions and community structures, they have also blended together to create contemporary Malaysia’s uniquely diverse heritage. Populated by the three (3) major races found in Asia, Malaysia culture is a melange of Indian, Malay and Chinese influence The Spring Festival is the most important festival for the Chinese people and is when all family members get together, just like Christmas in the West. All people living away from home go back, becoming the busiest time for transportation systems of about half a month from the Spring Festival. Airports, railway stations and long-distance bus stations are crowded with home returnees. The Chinese character â€Å"fu† (meaning blessing or happiness) is a must. The character put on paper can be pasted normally or upside down, for in Chinese the â€Å"reversed fu† is homophonic with â€Å"fu comes†, both being pronounced as â€Å"fudaole. † What’s more, two big red lanterns can be raised on both sides of the front door. Red paper-cuttings can be seen on window glass and brightly colored New Year paintings with auspicious meanings may be put on the wall. Waking up on New Year, everybody dresses up. First they extend greetings to their parents. Then each child will get money as a New Year gift, wrapped up in red paper. People in northern China will eat jiaozi, or dumplings, for breakfast, as they think â€Å"jiaozi† in sound means â€Å"bidding farewell to the old and ushering in the new†. Also, the shape of the dumpling is like gold ingot from ancient China. So people eat them and wish for money and treasure. Burning fireworks was once the most typical custom on the Spring Festival. People thought the spluttering sound could help drive away evil spirits. However, such an activity was completely or partially forbidden in big cities once the government took security, noise and pollution factors into consideration. As a replacement, some buy tapes with firecracker sounds to listen to, some break little balloons to get the sound too, while others buy firecracker handicrafts to hang in the living room. People in different places follow various customs, but all show their love and longing for a better life. Today people will enjoy the full moon and eat moon cakes on that day. The moon looks extremely round, big and bright on the 15th day of each lunar month. People selected the August 15 to celebrate because it is a season when crops and fruits are all ripe and weather pleasant. On the Mid-Autumn Festival, all family members or friends meet outside, putting food on tables and looking up at the sky while talking about life. How splendid a moment it is! | There are many legends about the evolution of the festival, the most popular of which is in commemoration of Qu Yuan. People will dragon boat racing, eating zongzi and drinking realgar wine on that day. On Dragon Boat Festival, parents also need to dress their children up with a perfume pouch. They first sew little bags with colorful silk cloth, then fill the bags with perfumes or herbal medicines, and finally string them with silk threads. The perfume pouch will be hung around the neck or tied to the front of a garment as an ornament. They are said to be able to ward off evil. | The Qingming Festival sees a combination of sadness and happiness. This is the most important day of sacrifice. Both the Han and minority ethnic groups at this time offer sacrifices to their ancestors and sweep the tombs of the deceased. Also, they will not cook on this day and only cold food is served. On each Qingming Festival, all cemeteries are crowded with people who came to sweep tombs and offer sacrifices. Traffic on the way to the cemeteries becomes extremely jammed. The customs have been greatly simplified today. After slightly sweeping the tombs, people offer food, flowers and favorites of the dead, then burn incense and paper money and bow before the memorial tablet. How to cite Malaysia Chinese Culture, Papers

Clinical Reasoning Cycle Geriatric Patients - Free Samples

Question: Discuss about the Clinical Reasoning Cycle for Geriatric Patients. Answer: Introduction: There are numerous complications related to geriatric care given that the physical and mental heaths of those patients are under deprived and the immunity is usually compromised (Min et al., 2013). The aging population of the world has now become a matter of concern in the healthcare industry. According to a report provided by National Institute of Health, the projected number of geriatric population will reach 17% of the total world population in 2050 from the current 8.5% as of now. This calls for more efficient and quicker actions to treat such an enormous old age population (Worlds older population grows dramatically, 2016). Utilization of various techniques and care planning helps in providing a more efficient care service quickly. Clinical reasoning cycle is a tool, which helps caregivers providing the best possible outcome in regards to patient safety (Levett-Jones, 2013). The reports aims to discuss the use of clinical reasoning cycle to treat an 89 year old female patient, n amed Amalie Jones who had been living alone after her husbands death and facing constant deterioration of health. The Functional consequences Theory for geriatric care was provided by Miller in 2015 which provide a conceptual framework to promote geriatric patient safety in and helps the nurses and practitioners to develop a wellness promotion plan for diagnosing the illness and give best outcome (Hunter. 2016). The service provided to the patients apart from addressing the obvious physical support provided even more in depth care focusing on emotional as well as psychological needs and assess the cross talk of these aspects to provide a more focused patient centred care (Birren et al., 2013). It is important to assess the interrelationship of the clinical reasoning cycle steps with respect to the patients current condition, which will be discussed in the essay. The case of an 89-year-old female, named Amalie Jones, living all by herself in a one-storey apartment she shared with her husband who passed away two years ago. This incident has largely influenced the patients psychological and social health. Consideration of the patients condition, helps to assess the current condition with regards to the analysis if the patients history (Salminen et al., 2014). 89-year-old Amalies health has been constantly deteriorating for the past couple of years, which forced her to pull out from activity. She is frequently visited by her son and daughter but she refuses to take help from them in assumption that she will become their burden. Currently, Amalie had stiffness in joint, inflammation in foot extremities, pain in joints, mainly knee, hip and back. Moving joints is difficult, slow bowel movement, momentary light-headedness, partial vision impairment, weight loss and sometimes forgets to take her pain medication. The cues for Amalies assessment helped the caregivers, understand the markers leading up to the top priority for care service (Audtat et al., 2013). The clinical cues, which indicate joint pain and movement difficulty from RA and osteoporosis, related to swelling of feet and joints. The current medications are doses of paracetamol, Ibuprofen, Thyroxine and hydrochloroquinone. Amalie seems to be suffering from age related morbidities. The patient as of late has developed macular degeneration for which she withdrew from driving. Movement is difficult for her, due to her history of Rheumatoid arthritis (RA) as well as osteoarthritis. This had subjected her to house arrest, which will eventually force her into isolation and make her more depressed. This step defines the processing of the collected information of the patient, followed by interpretation, discrimination, relation, inferring and corresponding those data with evidence based research and predicting the best outcome for the patient (Audtat et al., 2013). The current condition of the patient is very common in geriatrics like rheumatoid arthritis as well as macular degeneration. Chances of macular degeneration are very high in geriatric patients about 85% and rheumatoid arthritis is about 25-45% more in elderly women (Kobak Bes, 2017). Macular degeneration is supposedly the leading cause for loss of vision in geriatric patients. It is an incurable eye disease which progresses rapidly leading to permanent damage that is loss of vision. The central portion of the retina slowly starts to degenerate which makes the central view blurry. The degeneration is caused by deposition of certain substances called reasons drusen under the macula (Wong et al., 2014). This causes loss of peripheral vision and ultimate blindness. This condition is the reason for which Amalie had to quit driving. Rheumatoid arthritis is an autoimmune inflammatory disease which is chronic in nature that causes body zone antibodies to attack self cells mainly in joints and the extremities of the body. This causes swelling which in case of the patient was observed in joints, feet et cetera. Progressive degeneration of the joints made it difficult for the patient to move and perform other activities. The patient was also observed to have osteoarthritis which caused her restricted mobility and Limited the movement of her joints (Otter et al., 2010). Amalie is undergoing macular degeneration, which in future will lead to permanent damage if left untreated. The pain medication she receives is not enough as her condition is progressing with her age. This kind of situation will be further enhanced if the patient is subjected to falling. Falling is the leading cause of hospitalization in ge riatric patients (Clegg et al., 2013). She is suffering fatigue due to the autoimmune condition, which induces the occasional light-headedness and constipation. This step of clinical reasoning cycle is used to identify the patient condition and issues. Structure of the clinical reasoning cycle is to identify the patient's current condition and issues (Levett-Jones, 2013). The main conditions troubling the patient are as follows partial impaired vision which might be a potential cause of fall associated risks and injury. The care that's the patient needs is treatment from joint stiffness and overcoming mobility limitations. This causes her pain and also increase the risk of fall associated injury given the circumstances that she lives alone. The last assessment of risk that can be identified is the occasional lightheadedness she experiences. Rheumatoid arthritis along with osteoarthritis facilitates the patient's susceptibility to falling associated injury. The patient Orphan forgets to take her medication and only takes them when the pain is severe this issue can be addressed with patient centered education or referring her to a nursing care home In this portion, top priority if care was pain management and minimizing the risk of falling to achieve the best patient outcome. In this step of clinical reasoning cycle the goals, which will provide the best possible patient outcome, are analyzed and based on that intervention is set (Hayes, 2016). This form of approach is specific measurable achievable realistic and timely smart. Considering the age of the patient the pathological condition the psychological stress living environment and the social status the goal for this assessment would be to ensure that the risk of falling is minimized. The patient needs to be educated on safety measurements that she can implement herself or a point someone to take care of her. Thirdly emotional and psychological support is to be provided to the patient to prevent social isolation and clinical depression (Sadock Sadock, 2011). The next step of clinical reasoning cycle is to take necessary actions to address the current patient condition. Intervention procedures would be physiotherapy that would help her mobility and recover from joint ache. Various exercises can be implemented on her to improve her sense of balance and strengthen knees joints at cetera. It must be made sure that the patients living conditions are free from fall risk. This can be ensured buy lowering the height of a bed putting railings on the side of a bed improving the lighting conditions et cetera. This segment of the critical reasoning cycle addresses evaluation of the goal of the care plan and predicting the patient outcome. It is essential to evaluate the intervention procedures setup during nursing care the outcome of the Patient Safety will be evaluated according to the performance and improvement after patient's current condition (Kable et al., 2013). Improvement can be observed if the patient is completely dependent on herself shows more interest in social interactions take some medicines properly regularly follows up with her children and allow them to help her physical problems will be minimized. Complete success of the integration procedures can be analyzed when the patient will be free from the limitations she currently faces. The safety measurements undertaken will be successful if the fall associated risk is minimized and no further hospitalization is recorded concerning that issue. Lastly, critical reasoning cycle ends with the reflection on the set goals for the clinical assessment of the patient. From this case study I learnt about the complications which are associated with the geriatric care not just physical but psychological conditions that might affect the patient's physical and mental health. Firstly I would have prevented the fall associated risk as much as possible to ensure that the patient's condition is not further under Jeopardy. Secondly I would provide alternative medication to minimize her pain related to rheumatoid arthritis and osteoarthritis like disease modifying antiemetic drugs (DMARD) (Singh et al., 2016). I would have suggested resting and referred her to a nursing care home so that she does not have to do physical activity alone this would have made sure that the patient was under constant monitoring which food have reduced the chances of falling. The clinical reasoning cycle made it easier for me to make an efficient care plan for the patient and analyze the situation better to achieve best patient outcome. Conclusion: The above discussion makes it clear that clinical reasoning cycle is an important technique which helps achieving the best possible outcome for the patient. This technique allows caregivers to understand, assess, evaluate and predict the best possible outcome for the patient. The discussion addresses the implications and consequences which are important part of geriatric care. It is important to note that geriatric care requires both physical and mental health assessment to derive a more focused patient centered care. The report will help future caregivers to understand the importance of falling in geriatric patients and how easy it is for such patients to succumb to social isolation. The report will also help the caregiver to set evidence-based goals to achieve best possible patient outcome with regards to critical thoughts and analysis implementing patient history and general knowledge. References: Audtat, M. C., Laurin, S., Sanche, G., Bque, C., Fon, N. C., Blais, J. G., Charlin, B. (2013). Clinical reasoning difficulties: a taxonomy for clinical teachers.Medical teacher,35(3), e984-e989. Clegg, A., Young, J., Iliffe, S., Rikkert, M. O., Rockwood, K. (2013). Frailty in elderly people.The Lancet,381(9868), 752-762. Hayes, S. C. (2016). Acceptance and Commitment Therapy, Relational Frame Theory, and the Third Wave of Behavioral and Cognitive TherapiesRepublished Article.Behavior therapy,47(6), 869-885. Hunter, S. (Ed). (2016). Millers nursing for wellness in older adults (2 nd Australia and New Zealand ed.) North Ryde, NSW: Lippincott, Williams and Wilkins. Kable, A. K., Arthur, C., Levett?Jones, T., Reid?Searl, K. (2013). Student evaluation of simulation in undergraduate nursing programs in Australia using quality indicators.Nursing health sciences,15(2), 235-243. Kobak, S., Bes, C. (2017). An autumn tale: geriatric rheumatoid arthritis.Therapeutic Advances In Musculoskeletal Disease,10(1), 3-11. https://dx.doi.org/10.1177/1759720x17740075 Levett-Jones, T. (Ed.). (2013). Clinical reasoning: Learning to think like a nurse. Frenchs Forest, NSW: Pearson. Min, L., Wenger, N., Walling, A. M., Blaum, C., Cigolle, C., Ganz, D. A., ... Kerr, E. A. (2013). When comorbidity, aging, and complexity of primary care meet: development and validation of the Geriatric CompleXity of Care Index.Journal of the American Geriatrics Society,61(4), 542-550. Otter, S. J., Lucas, K., Springett, K., Moore, A., Davies, K., Cheek, L., ... Walker-Bone, K. (2010). Foot pain in rheumatoid arthritis prevalence, risk factors and management: an epidemiological study.Clinical rheumatology,29(3), 255-271. Sadock, B. J., Sadock, V. A. (2011).Kaplan and Sadock's synopsis of psychiatry: Behavioral sciences/clinical psychiatry. Lippincott Williams Wilkins. Salminen, H., Zary, N., Bjrklund, K., Toth-Pal, E., Leanderson, C. (2014). Virtual patients in primary care: developing a reusable model that fosters reflective practice and clinical reasoning.Journal of medical Internet research,16(1). Singh, J. A., Saag, K. G., Bridges, S. L., Akl, E. A., Bannuru, R. R., Sullivan, M. C., ... Curtis, J. R. (2016). 2015 American College of Rheumatology guideline for the treatment of rheumatoid arthritis.Arthritis rheumatology,68(1), 1-26. Wong, W. L., Su, X., Li, X., Cheung, C. M. G., Klein, R., Cheng, C. Y., Wong, T. Y. (2014). Global prevalence of age-related macular degeneration and disease burden projection for 2020 and 2040: a systematic review and meta-analysis.The Lancet Global Health,2(2), e106-e116. Worlds older population grows dramatically. (2016).National Institutes of Health (NIH). Retrieved 11 April 2018, from https://www.nih.gov/news-events/news-releases/worlds-older-population-grows-dramatically

Sunday, May 3, 2020

My Depression Suffering Essay Example For Students

My Depression Suffering Essay I suffer from depression. In life, some find it easy to let go and get over things. I don’t. On a day to day basis, I focus on my past and things that have hurt me. Bruises that are left in my head that will never clear up. My journey with discovering my own depression began five years ago. I was going through a divorce with my ex-husband who was cheating on me with a family member. While going through my divorce my son and I were homeless and sleeping in my jeep. There were nights where I had to decide if I was going to eat. I reconnected with a guy I knew from elementary school when I came back to Delaware. He soon become my significant other who I started living with. I got two jobs to pay for my lawyer at McDonalds and The Sheraton making only 7. 25 at both. I had to travel back and forth to Georgia on a greyhound bus to go to court every month. On top of fighting for my son I was pregnant with my second child. I was awarded sole custody after one year and $10,000 later. The day I went to court to finalize the papers was four days after my C-section. Needless to say, I still had staples in my stomach and unfortunately still had to ride the Greyhound. Shortly after this my only family member that I trusted, was my sister, and she had died. She died of a car crash at the age of 29. I had to pay for her whole funeral by myself. I dressed her and did her hair and makeup in the back of the funeral home. After all of this, which was enough, I found out my significant other had been cheating on me with numerous women. I was, and still am devastated. He was there through everything. I left for a couple months to only come back. I had gone to my grandparents who do not care for me and are racist. On top off all this drama, they invited my ex-husband and my mother to stay at the house too. My significant other decided to tell me he wanted his family back and that he was going to change. When the kids and I came back I found out I was pregnant again. At this time I had just gotten hired at JcPennys. Everything was hard at my new job because my manager was the girl that my significant other cheated on me with. After I had my daughter I began fixing my life. I filed for bankruptcy. I had to have a hysterectomy before I started school because I was having a lot of pain. I am now in school with three kids, all under five, trust issues, and trying to build a future. I have started going to therapy and counseling. Depression is this state that clouds not only your emotional life but also your perspective on normality. I can’t function or even get out of bed without taking my medicine. I feel down just by driving by a town or going in to the store. Random moments replay in my mind all the time. I cry when I look in the mirror and I feel alone. I wonder at times why nobody wants to be with me or my friend. I am on psych meds, and I’m not at all ashamed to share that they help me quite a bit. I am now starting to be able to do more for myself and my family. Just because I’m on psych meds now does not mean my depression is gone. It does not mean that I do not have spells of insomnia, or feeling like I’m slipping down into that black hole again. It just means that I am more capable of battling the depressive cloud that, was assigned to me by my genetics when I was born. And I feel like many people would benefit from a little bit of chemical assistance when it comes to their happiness. I pop my happy pill every day and I am starting to be happy with living another day, and maybe if I’m lucky, many more.