Psychoanalytic Case Study of Preston Essay

Preston was worried over his forceful conduct towards different guys in and outside of the home. He had visit fights with his sibling, both of whom lived with their folks. Preston was embraced at a youthful age. This was a significant reason for his ongoing issues. He expected that his feelings would continuously deteriorate, and that something hindering would occur. As per therapy, Preston was permitted to investigate these issues through free affiliation. Preston was demonstrated that his psyche had been covering issues identified with his initial selection. Preston was demonstrated helpful approaches to manage these issues. Preston keeps on gaining ground around there, and is displaying less indications of his past issues. Psychoanalytic Case Study of: Preston A Conceptualization and Treatment Plan The person for this situation study presents a huge number of indications that are influencing his day by day life. The individual has numerous components from his youth that would add to these issues. This investigation demonstrates how the subject’s adolescence has an immediate relationship to the issues that he is right now encountering. The distinguishing proof of these issues is essential with the end goal for treatment to be effectively executed. Introducing Concerns Preston introduces himself as experiencing various issues that influence his every day life. He professes to have issues with framing any associations with different guys. He expresses that he is plainly serious when managing these different guys. His greatest issues emerge when managing his sibling. Preston was received at a youthful age, and has consistently had issues coexisting with this sibling. This hostility has moved from simply managing his sibling to all guys all in all. There have been occurrences where the police have been engaged with squabbles that Preston has had at home. He fears that this will proceed until he is captured outside of the home. Preston still lives with both of his embraced guardians and his sibling. Preston has expressed that he is continually competing for his parents’ consideration, and his animosity increments at whatever point another person is hoarding their time. He doesn't feel that he will consistently get brutal, yet that his tension is continually expanding in circumstances, for example, this. He is anxious about the possibility that that his disappointment and need to exceed others will end contrarily. Case Conceptualization It creates the impression that one of Preston’s fundamental issues is that of Displacement. As per Murdock (2013), this happens when a subject shows outrage towards somebody who is less risky than the genuine reason for an issue (p. 40). Preston shows that he has issues in managing the way that he despite everything lives at home with his folks. He loudly mishandles those that he sees as â€Å"better† than him. Preston doesn't wish to mishandle himself over this issue. In this way, he mishandles others that he accepts will acknowledge the maltreatment. He appears to censure others for whatever failings he has throughout everyday life. He takes his dissatisfactions out on whoever is the most advantageous to him. This includes rage towards his sibling, just as companions of his folks. The way that Preston was embraced as such an early age raises the issue of connection bonds also. Apparently Preston may have gotten excessively appended to his embraced guardians. A lot of this may have to do with the way that they raised him. His folks were exceptionally defensive, and would oblige all his needs. This appears to have made a sort of subliminal dependence on his folks, and the requirement for their steady endorsement. This prompts the consistent requirement for their consideration just as the need to exceed peers. The forcefulness towards peers doesn't appear to have begun until Preston was mature enough to distinguish that was embraced. He was by all accounts uprooting dread that his present guardians would surrender him onto others. This is the fundamental inner mind issue that is influencing Preston. His dread of relinquishment has made him unreasonably dread any power outside of his parental relationship, including his sibling. This influences his evaluation inclination, which is the manner in which his cerebrum sees dangers and identifies with his animosity and discouragement (Gilbert, 2007, p. 47). This is the distinction that is causing a large portion of Preston’s issues. He feels dangers that simply are not there. He stays living with his folks, continually watchful of anybody that will remove them from him, including his sibling. This has showed itself in such a hyper-manliness. Preston’s sense of self recognizes no other method to communicate these relinquishment gives other than with forcefulness. Likewise, the way that Preston’s animosity has kept on expanding could be legitimately associated with his folks maturing. Maybe he fears that not exclusively could individuals remove his folks, yet the dread that passing is surrounding them. This could likewise be showing itself in Preston’s dread and dissatisfaction. Treatment Plan Goals for Counseling The objective for psychoanalytic treatment is to get Preston in contact with his inner mind. This serves to recognize the underlying drivers of his current issues. Preston should distinguish explicit protection systems that he made in adolescence. The material that has moved from the subliminal to the cognizant should be promptly recognized (Murdock, 2013, p. 37). When these instruments and considerations are out in the open, it will be simpler to talk about them and change present conduct. Intercessions The key mediation to utilize with Preston will be â€Å"free association†. As indicated by Murdock (2013), free affiliation urges the customer to uncover whatever he is thinking regardless of whether it appears to be superfluous or hostile (p. 49). This will be especially useful for Preston, and can uncover what his point of view is the point at which he has these forceful sessions. It appears that Preston has not been absolutely legit with himself. Free affiliation can assist him with bringing out profound pull thoughts for investigation and conversation. This mediation can give rationale and motivation to the apparently nonsensical contemplations he is encountering. Setting up the Relationship I understood that Preston had issues in managing different guys. I inquired as to whether he would feel increasingly great managing a female advisor. He demonstrated that he didn't respond a similar method to me likewise with different guys. He expressed that he understood that my sole intention was to assist him with his issues, and this caused him not to feel restless or forceful. I transferred that I was happy this was the situation, yet that I should have been promptly advised if these conclusions changed. At whatever point I felt that Preston was really getting restless or forceful, I made him mindful. I disclosed to him that he was anticipating these sentiments onto me, and that it was destructive to the advisor/customer relationship. He immediately quieted down, and apologized. He appeared to truly comprehend my anxiety for his prosperity. Investigation of Transference The events that Preston displayed tension/forcefulness, he seemed to comprehend that he was doing as such after it was drawn out into the open. He understood that I was not causing his issues, and I endeavored to apply this to his other individual connections. We would break down why he was feeling thusly, and how it identified with his youth and guardians. He arrived at the resolution that in the event that he didn't get these emotions leveled out in meeting, at that point he was never going to get them leveled out outside of it. Understanding Preston came to understand that he had subliminal issues seeing his selection as a youngster. He comprehended that he was so stunned by learning he was received that he was apprehensive it would happen once more. He discovered that he was extremely terrified of losing his folks. He recognized that his forceful upheavals were not about the individuals he was managing, yet about his dread that his folks would some way or another like them better and forsake him. Preston recognized this isn't viewed as typical conduct for somebody his age. He got different quieting procedures, and expected to continually advise himself that the issue was him, not others. I had the option to help Preston in recognizing the underlying drivers of various situations and feelings that he talked about. His noticeable uneasiness and animosity appeared to be kept to a base. With his comprehension of why he was encountering these feelings, Preston appeared to improve in his every day life. He reports having the option to have a conversation with different guys without wanting to be predominant. He has likewise made strides in clarifying his feelings of dread and issues with his folks. Ends The following primary achievement for Preston will be to locate his very own home. This will require significant investment and alteration, however will be an extraordinary jump forward. Likewise, he is seeing a portion of similar issues he is managing in his sibling. Ideally, Preston can convince his sibling to look for a similar kind of help that he has gotten. This should be slow to not initiate such a partition nervousness. Be that as it may, on the off chance that Preston proceeds with treatment and settling on positive decisions, at that point he will be proceeding on the way to recuperation.

Maintenance Treatment of Bipolar Disorder Essay -- Bipolar Disorder Es

Maria experienced childhood in a humble community in Ohio as a lone kid. She was consistently fiery from the time she was conceived and somewhat irritable now and again. Her folks thought it was ordinary on the grounds that their child would have a demeanor now and again as well. It was the point at which she graduated school and began her first profession. As top boss at another café around, she was worried to the maximum managing a full staff and administrators who like mentioning to her what she ought to do. At that point, she was additionally managing a chaotic separation from her fiancã © of 9 months. After around 4 months of this steady pressure Maria concluded she was going to take seven days off and let her staff run the eatery. Notwithstanding, she didn't show to work after her week off and nobody had gotten notification from her in four days. One of her dear companions went to her home to beware of her and saw she had not moved from the bed it what appeared to be a few da ys. Her companion persuaded her to come to work and it would brighten her up. Be that as it may, after about a month of not feeling ordinary she had this brilliant plan to move to Morocco and open her own café. The following day she cleaned her financial balance and purchased a pass to Morocco. Anyway before she could fly over her companions from the eatery persuaded her to remain one more day so they could bid farewell. Nonetheless, rather they took her to see a clinical clinician who concentrated on mind-set issue, particularly Bipolar Disorder. The specialist discovered from her that her Aunt (natural mother’s sister) had minutes where she had a ton of fun extraordinary thoughts when Maria was around 12 years of age and they would go out and simply do whatever thought her Aunt concocted. Too, her Aunts little girl gave indications of having hyper scenes that impersonated her own conduct. The therap... ... and Anthony, E. (2010). Lay hypotheses of bipolar issue: The causes, manifestations and remedies for apparent bipolar issue. Worldwide Journal Of Social Psychiatry, 56(3), 255-269. doi:10.1177/0020764008095173 Nolen, W. An., and Weisler, R. H. (2013). The relationship of the impact of lithium in the upkeep treatment of bipolar issue with lithium plasma levels: A post hoc analysis of a double†blind study contrasting exchanging with lithium or fake treatment in patients who reacted to quetiapine (Trial 144). Bipolar Disorders, 15(1), 100- 109. doi:10.1111/bdi.12027 Solomon, D. A., Keitner, G. I., Ryan, C. E., Kelley, J., and Miller, I. W. (2008). Forestalling recurrence of bipolar I state of mind scenes and hospitalizations: Family psychotherapy in addition to pharmacotherapy versus pharmacotherapy alone. Bipolar Disorders, 10(7), 798-805. doi:10.1111/j.1399-5618.2008.00624.x

Capstone Project Writing Services in Canada

Capstone Project Writing Services in CanadaWhen it comes to writing services in Canada, they're something that you'll want to keep your eye on. No matter if you're in the mid-Atlantic coast, or a little further east, there are numerous companies who can provide you with this kind of assistance. Whatever your needs, this type of program can help make sure you get the product you need to meet those goals.The capstone project writing services in Canada program will serve as a vital component in any presentation. This type of project is very important for those who are looking to improve the way their presentation looks. They will help create materials that can be used for a variety of different uses. After all, many people may not be able to use those materials in their presentation if they have some sort of damage to the presentation.You will also need to make sure you have some idea of how well you know the speaker. If you find yourself not sure what they think, you'll need to get tha t point across. Sometimes it can take someone who has a better understanding of the subject to give you an accurate perspective.A capstone project is something that will last longer than one project can last. For example, if you're involved in a presentation and need to start all over again in order to complete the materials in your presentation, this is something that can give you a little extra time. Since it's less time, it makes sense to use the services of those who can complete these projects.When it comes to getting the capstone project, you'll need to consider the kind of presentation you are giving. This is something that will provide the opportunity for you to show off some unique information. As such, it will be important to do all the research you can so you can create a project that can stand out from others.One thing you should know about the capstone project writing services in Canada is that they will not be in charge of anything. You'll still need to be able to cont act them if you need them to edit or proofread the materials. However, they'll be the ones who can help you come up with the best presentation for your particular needs.If you are given the documents to create before you leave, you will need to ensure that you meet deadlines. This will allow you to get them completed so you can hand them in at the end of the meeting. If you don't meet your deadlines, you'll want to look for another company who can work with you to produce the materials in the shortest amount of time possible.There are plenty of ways you can get capstone project writing services in Canada. It's a good idea to get the right writer to assist you so you can get the project completed correctly. Having the materials properly prepared is always the best way to go.

Andy Warhol`s Famous Marilyn Monroe Painting Essay Example For Students

Andy Warhol's Famous Marilyn Monroe Painting Essay The craft of Andy Warhol is an investigation on the state of society and the fixation on distinction and the celebrated. This included Andy, as he was totally charmed by the American eminence status of famous actors and big names, He was overpowered by the force that TV arrange had over the common individual and considered the to be box as something that was loved more frequently than the vast majority go to chapel. His specialty mirrored his faith in that by taking what we may see as simply part of our regular day to day existence and giving us how installed it is in our mind and in everything that eve do. Alright at the Campbell Soup Can workmanship canvas arrangement. Is it only a soup can? Was it an only a soup can before Whorls works became acclaimed? No, Campbell Soup was at this point a well mainstream commonly recognized name. Did Warhol paint them since it implied something? Warhol expressed that the artworks spoke to nothing. No expectation, no idea and no importance. Craft smanship anyway isn't about the specialists expectation; it is about the collectors use Of their own importance. Consistently that passes by, there Will be new implications applied to a craftsmen works relying upon the occasions of the age where they are seen. Whorls works of art could today be seen as an uncover on the state of our cast off way of life. This could even be said about Whorls Marilyn Monroe canvas. Just as a container of the Campbell Soup, Marilyn was notable, drenched her admirers with a warm, nice sentiment and afterward was carelessly purged and discarded. In the extraordinary stretch to time, assume Warhol was exact, the canvases are of nothing, the soup amounts to nothing and perhaps Marilyn was treated by society in exactly the same way. Such huge numbers of individuals appreciate her currently, even these days. Can a people life and achievements be solidified to an acrylic painting that speaks to nothing? Whorls artistic creations can totally make one consider tank the needs of human race are. The things that we put such a great amount of significance on are so short lived and when they are made overwhelming on an acrylic painting, they drive us to account our mortality. A lot Of Whorls works of art were in a manner attached near religion. He made utilization of gold leaf in the convention of notable canvases of Byzantine Catholics. In Gold Marilyn Monroe portrays her famous Status, the friendship Of her admirers and the sheer forlornness of her life. Her face is painted as though she were in a newsprint promoting, another cast off in our lives. Warhol constantly pointed out the acclaim that influenced items and individuals to a strict after. It is difficult to make a striking scholarly association by essentially examining a Whorls acrylic painting. Just those that yet have a biased passionate attach to the subject of his works of art can feel anything from them.

Essay Writing Service Vs Resume Writing Service

Essay Writing Service Vs Resume Writing ServiceWriting a resume for a job application is not the same as for an essay writing service. Resumes have to be able to show a strong personality and accomplishments. Essays cannot do that. You will find no writing of great importance in an essay writing service, so do not expect them to write essays for you.Writing a resume for a job application is not the same as for an essay writing service. Resumes have to be able to show a strong personality and accomplishments. Essays cannot do that. You will find no writing of great importance in an essay writing service, so do not expect them to write essays for you.Writing a resume is one of the most important parts of applying for a job. If you are in college, think about the time you have before the spring semester starts and what information you would like to include. When it comes to resumes, the best way to choose what information you need to include is to write the resume yourself.The first thi ng you need to know about writing resumes is that writing in this manner will take a lot of your time. You should be able to write an essay or research yourself if you need more information. The difficulty of writing a resume depends on the type of information you want to include and the structure of the document. If you are unsure of how to structure a resume, consider hiring a writing service.The next step is to make sure that you hire a writing service that offers such services. There are many writing companies that offer them. If you want more attention, a professional resume writer will be more attentive and will give you the attention you deserve. When you hire a professional, you will know that you are getting the best value for your money.A good writing service will give you all the attention you need when it comes to writing your resume. The entire process will take as little as a day, so you can go to work and not worry about your resume or what you are going to do with it . Even if you do not understand all of the instructions, the writing service will walk you through it. They will make sure that everything is set up properly and that the resume is filled out correctly. You should be given free samples and help to help you improve your skills and write your own resume.The last step is to use writing services. There are many services online that you can use and you should be able to get many free samples. Many people will hire a resume writing service to help them with their resumes because they want to save money. Others just want to have professional writing done on their resumes.When it comes to essay writing service, a resume writing service will be the same. You should compare the rates of different writers and the quality of the services so that you can make the right decision about your job search.

A Land Called Doom Fatalism in Faulkner - Literature Essay Samples

â€Å"Noah’s children had inherited the flood although they had not been there to see the deluge† (Go Down, Moses 276). This sense of doom follows through five of the major novels written by William Faulkner set in his mythic Yoknapatawpha County. Doom settles upon the land through the fatalistic attitude of the people living there, fatalistic because there is a realization that the things going to happen are unavoidable. In his article â€Å"Fate†, Richard Taylor, a renowned fatalist, says â€Å"No power in heaven or earth can render false a statement that is true† (107). Furthermore, no matter what the offspring of the doomed South could do, there was no altering their fates, no matter how hard they struggled against it. Through the fallen and decadent society of the old South with their fall in the Civil War, a doom that generations of descendants would suffer eventually settled over the land. In looking at the doom in the post-War South, it should be noted that God’s laws cannot be altered without consequences, according to fatalists. Anyone that attempted to alter the predestined outcome of their lives became cursed, whereas those who accepted it, though doomed, found the freedom to live their lives to the fullest extent and with the least amount of suffering. Fatalists who do not accept the allotted end will become consumed by their own fear. An example of one who accepted fate was Candace in The Sound and the Fury. She was â€Å"doomed and knew it, accepted the doom without either seeking or fleeing it† (412). Out of all the Compsons, perhaps she was the only one whose life ended with comfort. Though the curse of the South doomed the family, â€Å"one of them is crazy [Jason] and another one drowned himself [Quentin, after the family sold the last bit of land of their inheritance to send him to Harvard] and the other one was turned out into the street by her husband [Candace], what’s the reason the rest of them are not crazy too [†¦] not letting her daughter’s name be spoken on the place until after a while Father wouldn’t even come down town anymore but just sat there all day with the decanter† (290). The doom continued on from the first Compson, Quentin Maclachan Compson, to Jason Compson, the last of the legacy who remained a childless bachelor because he was doomed to watch his family wither and die away, thus turning him bitter toward the world in which he lived. The Compson Dynasty came to an end with him because he failed to uphold the qualities of his ancestors â€Å"who had something in them of decency and pride even after they had begun to fail at the integrity and the pride had become mostly vanity and self-pity† (415). His ancestors’ luckless heritage continued on through the family tree. The doom was ultimately brought on by a Compson governor, Quentin MacLachan, and a Compson general, Jason Lycurgus Compson II, both of whom not only fought and lost the Civil War but also gave their lives. Next in line was an alcoholic man married to a hypochondriac woman, who bore the children that put an end to the Compson name: the mentally handicapped Benji, who was not only put away in an insane asylum but also castrated; Quentin, who killed himself; Candace, who ran away, never to return after dumping another doomed child on her parents; and J ason, who was the last because he had accepted his families doom with a hard heart and gave up on them and himself long ago, wishing to end the curse with him once and for all. The end of Jason, fighting against the doom and seeking to put an end to it, is contrasted with Candace’s, who accepted her doom and moved on. Jason lives his life in a â€Å"gloomy cavern [†¦] a railed enclosure cluttered with shelves and pigeonholes [†¦] and rank with blended smell of cheese and kerosene and harness oil and the tremendous iron stove against which chewed tobacco had been spat for almost a hundred years† (414-15). Whereas, Candace, though still doomed, ends her life in the lap of extravagance. She is found by a local librarian in a â€Å"picture filled with luxury and money and sunlight – a Cannebiere backdrop of mountains and palms and cypresses and sea [†¦] the woman’s face hatless between a rich scarf and a seal coat, ageless and beautiful, cold serene and damned† (415). Quentin too struggles against his father’s cynicism as seen through much of his inner dialogue with his father. What he ultimately wants is to prove his father wrong. Mr. Compson gives him a watch telling him, â€Å"Not that you may remember time, but that you might forget it now and then for a moment and not all your breath trying to conquer it† (93). Quentin must forget his concern of Caddy’s growing sexuality. His father’s advice that by forgetting time the problem will also be forgotten would only make his frustration with Caddy meaningless; his antebellum view of honor that women, especially virgin’s virtues, must be protected. There must be meaning to his feelings, so he chooses to stop time for good since he cannot put an end to it through defacing his watch, to make sure Caddy’s virginity is never marred. Thus, he commits suicide. The doom of the fathers does not end with him. Caddy not only gets married, she also has a child before s he does. God’s will cannot be ignored. From the ashes of these ruined lives comes the second point of fatalism that the name determines the destiny. Why does one character become a fatalist? â€Å"Because there existed a set of true statements about the details of his life, both past and future, and he came to know what some of these statements were and to believe them, including any concerning the future† (Taylor 106). Like the Compson name that acquired the doom to â€Å"fail at everything he touched save longevity or suicide† (The Sound and The Fury 408), the characters in Light in August also found that a name was an â€Å"augur of what he will do† (33). With Christmas, it was the very meaning of his name, containing the word Christ, that he would be lynched and killed out of self-righteous fury. Christmas, also like Christ, accepted his fate and knew he could not escape it. And though he knew he was being corrupted by Miss Burden, and it scared him, â€Å"something held him, as the fatalist can always be held: by curiosity, pessimism, by sheer inertia† (260). However, what was it that kept him to this woman who seemed to be two people? The past had doomed him to his lot in life and chained him to his future destiny. The bigotry of Christmas’s grandfather would forever alter the life he would lead. His grandfather had tried to get rid of him only to curse him to roam the earth as Cane, to inherit the curse of the black man as well as the curse of the white man. â€Å"The curse of the black race is God’s curse. But the curse of the white man is the black man who will be forever God’s chosen own because He once cursed him† (253). Thus, Christmas became his own curse, being of white and black blood. For it was the mixed blood fighting within him that led to his death at the hands of the white supremacist Grimm, the mixed blood pushing him from violence to inactivity. In the end, Christmas defied his black blood only to be caught by the curse of the white blood to be castrated like an animal and to die a gruesome death. He also accepted this fate as well as Christ accepted his own. Not until the novella of â€Å"The Bear† in Go Down, Moses is it totally explained why the South is doomed. â€Å"The whole South is cursed, and all of us who derive from it, whom it ever sucked, white and black both, lie under the curse? Granted that my people [white man] brought the curse onto the land: maybe for that reason their descendants alone can – not resist it, not combat it – maybe just endure and outlast it until the curse is lifted† (266). But cursed from what? The white men despised those who cultivated and were the closest to the earth, the black men, and controlled them through slavery. This would be the â€Å"ravaged patrimony† inherited by the sons and grandsons of the antebellum South (284). Yet with this mistreatment, intermarriage flourished to the point where all lost their heritage and identity. All moved to the cities as well and became lost, losing contact with the land and destroying it. Only the doomed and lowly of heart w ould ever be able to survive (249). Absalom, Absalom! further explains the land being cursed by the Civil War, which was the result of the South’s abuse of slavery. The land would betray and destroy the lineage of not only those who inherited that â€Å"Doomed and fatal war [†¦] when the South would realize that it was now paying the price for having erected its economic edifice not on the rock of stern morality but on the shifting sands of opportunism and moral brigandage† (209), but all who lived upon the doomed land. All the gentlemen had made the women into ladies during the antebellum days of the South, â€Å"then the War came and made the ladies into ghosts† (7). The women as well inherited the doom although they had not been there to see the fall. This can be seen through how Faulkner portrays the once proper ladies of the South in his novels as mere shadows of their former glory. The mother, Caroline, in The Sound and the Fury becomes a hypochondriac and a constant torment to those around her. However, it is the curse of her children and husband who drive her to brood in the dark confines of their once great estate. Though she adds to the doom by forbidding Candace’s name being spoken in her house, and ceremoniously burning the child support checks, allowing Jason to swindle almost seven thousand dollars that would be later stolen by the rightful heir, she seems to suffer the most. Miss Burden, in Light in August, became a recluse in her mansion after Colonel Sartoris shot her grandfather and brother because they fought to establish the rights of the black man in the South. Thus, the doom of her grandfather carries on to her to be treated as a foreigner. In â€Å"The Bear,† Ike drives his wife to be barren when he chooses to reject his inheritance of the doomed land and gives the money to the black blood in his family. Thus, to rectify the curse of his fathers through mixing with black blood and then repudiating them, he dooms his wife and bloodline forever. Rosa in Absalom, Absalom! is driven to spinsterhood by the doom of the men around her and the bad luck of her family. With the death of her sister, married to the demon Sutpen, she takes care of her older niece, Judith, in hopes of saving her from the Sutpen doom. Nevertheless, she only gets sucked into the raging torrent of her family’s destiny by moving in with Judith in the doomed house and accepting marriage with the fallen Sutpen, who only wishes to marry her if she bears a son. As an eternal spinster she tries to push the doom onto Quentin, whose grandfather was Sutpen’s only friend. In the end, going out to the old house to take her nephew, Henry, to the hospital, her presence causes the houses caretaker, Clytie, to burn the house and Henry, leaving yet another horror heaped at Rosa’s feet. In addition, Addie in As I Lay Dying would rather spend her life making herself and all around her miserable instead of making life better for her and her family all because of her husband’s lack of love. She finally dies amidst poverty surrounded by a family she hated and drug through flood and fire only to abase the selfish desires of her family. Thus, all the men of the South must suffer for these atrocities and many others. On a smaller scale, in Absalom, Absalom! all of Sutpen’s lineage must suffer for his madness. He, like many of the men of the South, is brave, but that the South’s â€Å"very life and future hopes and past pride, should have been thrown into the balance with men like that to buttress it – men with valor and strength but without pity or honor. Is it any wonder that Heaven saw us fit to let us lose?† (13). The great gentlemen of the South also became phantoms of the antebellum gentlemen. The novel records Sutpen’s life without pity or honor as he repudiates his first wife and son on account of black blood, and yet commits the same act again with his slave, giving birth to a daughter of mixed blood before he marries a woman of white stalk to fulfill his dreams of building a great plantation. However, Sutpen becomes caught in the trap of mixing his white blood with that of black. It is not the mixing of blood that brought on his doom, but that he acted without honor in producing this line of â€Å"tainted† blood. The doom follows Sutpen through to his death and carries on to all those with whom he or his lineage associates with. This includes Quentin Compson, who is of no relation to the Sutpens, but is brought into their curse because his grandfather befriended Sutpen, thus accepting the doom of death. Quentin kills himself that same year over his family’s own doom as previously illustrated, but perhaps Sutpen’s doom included him in trying to end it in death, for the rest of Quentin’s family survived. Because of Sutpen’s pride, his sole heir and salvation became caught in the same doom. Rosa saw this and knew that â€Å"those two doomed children growing up whom she was helpless to save†(12). Because there was no saving them, they needed protection from themselves. Rosa could only sit and watch as her sister Ellen marries into the doom and then pushes the curse onto her children. Ellen was â€Å"projecting upon Judith [the daughter] all the abortive dreams and delusions of her own doomed and frustrated youth† (55,56). This was inevitable, of course. All inherit the flood without even seeing the deluge, a flood of destiny that is so overwhelmingly powerful that it sweeps all caught within it down its treacherous path, yet by the time any realize they are stuck in its currents, it is too late to save anyone, let alone themselves. Case in point is Sutpen’s son Henry. Though Henry realizes his doom early, there is nothing he can do about it. He cannot flout God’s will, not even by running away. Seeing that he is caught in the current of the family curse, he first tries to repudiate his lineage and name. Even though he is a good friend with Bon, being his freshly discovered half-brother, he has unwittingly introduced him to his sister to further push the doom onto her. At the time his father told him Bon’s origins, he knew â€Å"that he was doomed and destined to kill† (72). Henry had hoped to avoid this curse, by running away, repudiating his name, even by going to war, yet there is not altering destiny, blood is blood though the name changes. Bon realized this as well. If not even war could kill him to stop the doom, he would have to let it run its course. He, unlike Henry, accepted his destiny and even prepared for it well in advance: that he must die to stop the curse. When he noticed that Henry wouldn’t accept their fate, he goaded him on. â€Å"I’m the nigger that’s going to sleep with your sister. Unless you stop me, Henry† (286). Bon even goes so far as to put pictures of his octoroon and bastard son in the locket given to him by Judith. Thus, he could stop the doom with his death, not having anyone to weep for him, or feel sorry enough to care for anything of his, including his bastard son. But the doom carries on with his son being taken in by Clytemnestra and Judith. Bon’s death and sacrifice couldn’t stop the raging force of his doom any more than Henry running away from it helped him. In the end, God’s will claims all in the doomed house of Sutpen’s pride when Clytemnestra sets fire to it thinking the sheriff had finally come to get Henry for the murder of Bon, killing herself and Henry. Only Bon’s idiot grandson survived to carry on Sutpen’s legacy in a mental institution, just as Benji survived in an earlier novel. All of this could have been avoided if Sutpen had acted with honor and had the courage to own up to his own mistakes, yet when he had the chance to warn his offspring of their mistakes by intending to marry Bon, he continued to â€Å"watch them for two weeks and did nothing [†¦] and had doomed all his blood too, black and white both† (215-16). He could not act because he was afraid, afraid to alter the destiny laid out for him from when he was a little child turned away from the door by a black servant. If he ever interfered to alter destiny, he knew it would become a mockery, and the revenge he had set out to do spoiled. The fact that he had â€Å"entered in good faith, concealing nothing, while the other party or parties to it concealed from [him] the one very factor which would destroy the entire plan and design which [he] had been working toward† (220). He told all his plans to Rosa at the twilight of their lives that he only wanted a son from her to further hi s design, yet his first wife, Eulalia Bon, kept the fact that she had black blood from him until it was too late. He was cursed. Black blood is the doom of the South. No matter how hard they tried to subdue the black race, it always cropped up amongst them in mixed blood and corrupted patrimony. It finally became Sutpen’s, and the whole South’s downfall, so Bon thought about reconciling with his father Sutpen, that â€Å"I would have done that, gone to him first, who have the blood after it was tainted and corrupt by whatever it was in Mother† (263). If Sutpen just acknowledged himself as his father, the curse could have been lifted, but Sutpen waited, out of pride. Thus, Bon plotted revenge, for getting back at Sutpen outweighed the doom that followed. Bon knew Judith was his half-sister and the repercussions it would bring to marry her, but he did it just to spite his father. Having lost his son, Bon, to black blood and Henry to Bon, Sutpen sets out to get one final son after Rosa refuses him—from Milly Jones, the daughter of Wash Jones, a poor white man living on Sutpen’s Hundred. She was to carry on the name through her son, but when she had a daughter, Sutpen repudiated her and the baby after which Wash killed him in a fury. This line also came to a tragic end when Wash killed Milly and the baby and was then shot by officers. If only Sutpen had accepted the black blood as equal to his own, as the entire South should have, the doom and tragedy that hung over him and the land would have been lifted. His plantation and indeed the entire South would have succeeded in all their hopes and dreams of glory. In As I Lay Dying, the final scourge of fatalism is illustrated; that to kill the cause of the doom is a mistaken concept, for it is not usually the cause that is the ultimate source. The head of the Bundren family, Anse, seems to everybody to be the cause of all the family’s sorrows. â€Å"Then you all could have stuck his head into the saw and cured the whole family† (230). However, this is the doom of the whole family. Early in the novel, Darl makes sure that Jewel is nowhere near the dying mother because all know that Jewel is her favorite son, and constantly rubs in the fact that she is dying, or dead. Cash wishes to travel through flood and fire just to buy a â€Å"graphophone,† and his mother’s death means no more to him than a beveled coffin. Dewey Dell wants her mother to hurry and die so she can get to town to have an abortion for her secret pregnancy. Vardaman, the youngest son, who is so disassociated with his mother, often confuses her with a fish, wants to go to town simply to buy a toy train, yet Anse has them all beat. He manages to con the ten dollars from Dewey Dell, given by her baby’s father for the abortion, to buy teeth he wanted from the very beginning, and he sells Jewel’s horse for the half starved mules he needs to take the family the rest of the way to Jefferson. Not until midway in the novel does the secret revenge pulled by Addie be discovered. She had an affair with the Reverend Whitfield because she felt tricked by Anse’s empty meaning of love. I realized that I had been tricked by words older than Anse or love, and that the same word had tricked Anse too, and that my revenge would be that he would never know I was taking revenge† (164). It is not until after Darl, the second child, is born that she makes Anse promise to take her to Jefferson to be buried among her own instead of his. Her secret revenge is Jewel. She does not love any of her children, except Jewel, whom she spoiled, for after they went to school she â€Å"would go down the hill to the spring where [she] could be quiet and hate them† (161). To make Anse’s children suffer, especially Anse by having a lazy man who thought that sweating would kill him to haul her all the way to Jefferson, is to be her next revenge, yet the doom she places on Anse do es not work. The entire family suffers through the journey to Jefferson, except Anse. He seems to find a righteous cleansing in his tribulations. â€Å"I’m the chosen of the Lord, for who He loveth, so doeth He chastiseth† (105). He alone does not suffer. Cash suffers a broken leg and the pain of having it cast in cement. Dewey Dell suffers through her plans for having an abortion thwarted and being tricked into sexual favors by a Jefferson pharmacist. Darl suffers to the point where he attempts to burn his mother’s rotting corpse in a barn, which later causes him to be committed to an insane asylum by his own family, and Vardaman’s train is sold by the time he reaches Jefferson. All bear the flood and fire and the burden to fulfill their desire, and all are flouted by Addie’s doom, except Anse, who finally buries her in Jefferson, fulfilling his old promise, buys his teeth, and even finds a new wife. The tables are turned as Anse’s own secret revenge is fulfilled in the end thwarting even Addie’s. Perhaps he knew or suspected his wife’s infidelity. He â€Å"just never wanted to be beholden to none except her flesh and blood† (218). Note his usage of â€Å"her† instead of â€Å"my.† He drags her through nine days of foul weather and bad luck perhaps just to destroy her only desire for living, which â€Å"was to stay dead a long time† (161). He made sure she does not rest in peace, even in death. Thus, the children of the South inherit the doom although they have not been there to see the War. The South is seen by many to be just a dark a time as after the Flood, a â€Å"dark corrupt and bloody time while three separate peoples had tried to adjust not only to one another but to the new land which they had created and inherited too and must live in for the reason that those who had lost it were no less free to quit it than those who had gained it were† (Go Down, Moses 276-77). The doom will be lifted when the South can accept the black blood as that of their own, and fighting against this inevitability is as easy as the sins of mankind holding back a flood. Works Cited Faulkner, William. Absalom, Absalom! New York: Vintage International, 1990. . As I Lay Dying. New York: Vintage Books, 1964. . Go Down, Moses. New York: Vintage International, 1990. . Light in August. New York: Vintage International, 1990. . The Sound and the Fury. New York: The Modern Library. Taylor, Richard. â€Å"Fate.† Philosophy and Contemporary Issues. Ed. John R. Burr, Milton Goldinger. New Jersey: Simon, 1996. 34-35.

A Short Analytical Paper of Abraham Lincoln’s “a House...

A short analytical paper of Abraham Lincoln’s â€Å"A House Divided† The House Divided Speech was addressed by Abraham Lincoln on June 1958. He delivered the speech upon his acceptance of Illinois Republican Party’s nomination as the senator of the state. Thus the speech became a very important launching campaign for his success in politics thus giving him a national limelight that saw him in the elections to the presidency in 1860.The speech primarily addressed on the issue of slavery in America. Abraham Lincoln delivered his speech aimed at establishing his strong beliefs towards the acts of slavery. The speech was also meant to point out a differentiating factor of beliefs from Stephen Douglas and the rest of the top governmental†¦show more content†¦Division is prone to occur in a marriage situation in case of a divorce. For the married partners to embrace endured togetherness and unity in their marriage, they must appreciate common interests of concerns in their practices. In case one of the partners dissent from the unity a nd togetherness set up, the marriage is susceptible to division brought about by breaking of the legal bonds that hold the marriage partnership in unison. Continued lack of an amicable compromised solution between the two conflicting partners will thus lead to separation. Continued separation will see the two partners seek a divorce in a court of law and the marriage will fail completely. Most marriages nowadays are failing as a result of continued disagreements of interests between the married couple. As per words of Lincoln that a divide house cannot stand, thus the divided marriage partnership cannot even endure survival thus it breaks up. Even today, divisions in groups have been as a result of continued differences among the uniting groups. Humans have a tendency to incline towards the protection of their interest’s aid favors of their perceived groups. Such favourism makes them advocate fully for their interests posing a challenging opposing side to the interests of their unperceived groups. Many nations today are faced with such opposing groups having differing interests and ideals. People advocating for similar ideals tend to create strong ties ofShow MoreRelatedLogical Reasoning189930 Words   |  760 Pagesout of here! b. Im sure Martin Luther King Jr. didnt die during the 1960s, because it says right here in the encyclopedia that he was assassinated in Memphis in 1998. c. The Republican Party began back in the 1850s as a U.S. political party. Abraham Lincoln was their first candidate to win the presidency. d. I don’t believe you when you say Martin Luther King Jr. could have been elected president if he hadn’t been assassinated. Try to discipline yourself to read and answer these sample exercises

The Development Of Education During The Uk Since 1994

Module 6.2 Changes and Development in Education Task 1 An overview of the development of education in the UK since 1994 Education has changed drastically over time. â€Å"Children with special educational needs were seen as ‘imbeciles’ and the behaviour within the classroom was controlled by corporal punishment†; as cited in Changes in Education, 1994. Inclusion is about all children, not just children who have an SEN or an AEN need, which has stemmed from the 1970’s and 1980’s. Ofsted (2001) said inclusion is about ensuring that all children are included regardless of their SEN or AEN need, but also ethnicity, race, gender or religion. Analysis of both past and recent acts and legislations has shown the change within education and how SEN learners have had a greater impact on shaping education over time. The overview of Education discussed in this assignment will explain the development of education using the PESTLE framework (Buchanan and Huczynski, 2004). The 1944 Education Act, also known as the Butler Act proposed a new structure for the post-war British education system to address pupil’s personal and academic development, Digby and Searby (1981). The Education Act 1944 brought about the divide between Primary and Secondary children and raising the school leaving age to 15+, (Kelly, 2004). It gave all children a free education, but there were three different free types of schooling; Grammar, Secondary modern and Technical. The three types of schooling gave no option forShow MoreRelatedThe Human Development Index Is a Better Measure of Economic Performance Than GDP Per Capita624 Words   |  3 PagesI will advance the thesis that the Human Development Index (HDI) is a better measure of economic performance than the Gross Domestic Product (GDP) per capita. 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The New Deal An Experiment in Liberalism Essay - 1339 Words

The stock market crash of 1929 indicated serious, fundamental problems in the United States economy. However, it was not the sole cause of the Great Depression. The crash further exposed the cracks in America’s apparent prosperity. And, since the causes of the economic crises were complex, the solution to the economic problems facing the United States would be complicated as well. Ready to address the complicated issue of reviving the American economy, as well as its despairing citizenry, was Franklin Delano Roosevelt. Roosevelt’s campaign for the presidency in 1932 pledged vigorous action and â€Å"bold and persistent experimentation† in response to the Great Depression. 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Steve Jobs The World s Top Selling Phone - 1208 Words

Do you know who made the world’s top selling phone?Even though Steve Jobs is not currently alive , his leadership and legacy created Apple and he didn t give up in his technology. I explain Steve Jobs’s early life, who he is,his regretted decision, and his personality. In this paragraph is a explanation about Steve Jobs. Steven Paul Jobs was born on February 24, 1955, in San Francisco, California, to Joanne Schieble and Abdulfattah Jandali. After Jobs was placed for adoption, his biological parents married and had another child, Mona Simpson. His father, Abdulfattah Jandali, was a Syrian political science professor, and his mother, Joanne Schieble, worked as a speech therapist.Jobs enrolled at Reed College in†¦show more content†¦Edwin H. Land was a huge inspiration on Steve Jobs, in 1972, Edwin H. Land was the cover on Time and Life magazines, probably the only chemist ever to do so. And the more you learn about Land, the more you realize how closely Jobs echoed him.â€Å"Jobs was ousted as Apple CEO in 1985 after a power struggle with the company s board of directors. While he was gone, Apple introduced its high-end, business-friendly Powerbook laptop line in 1991. Shortly after Jobs returned to Apple in 1997, the company released a c heaper, more consumer-friendly laptop. The iBook, introduced in 1999, came with Wi-Fi technology and included some style updates as well. It came in two colors — tangerine and blueberry — and had a unique clamshell design.†- Mike Wall Some examples about how Steve acted as a leader. Steve Jobs, the Co-founder of Apple Computer Inc. Founded in 1976. Steve Jobs vision of a computer for the rest of us influenced the PC revolution and made Apple a good example of American business.We started out to get a computer in the hands of everyday people, and we succeeded beyond our wildest dreams.-Steve Jobs.After high school, Jobs enrolled in Reed College but he had to drop out after one semester. He was interested in Eastern spiritualism, and he took a

Crime And Its Effects On Society s Life Sentence Without...

During the months of October and December in 1998, Matthew James Harris aged 31 years, strangled three people to death; his victims were Peter Wennerbom, Yvonne Ford, and Ronald Gavin Kidd (2011). All three victims suffered disabilities, and were known to Harris who was a community transport driver in Wagga Wagga, NSW Morton and Lobez (2009). He was sentenced to 40 years in prison, with a 25-year minimum; however, this was altered to life sentence without a non-parole period (R v Harris [2000] NSWCCA 469) Morton and Lobez (2009). Findings from Brown, Esbensen and Geis (1991) show that strain theories operate from the view that certain strains or stressors are influential, that is, they can increase the likelihood of crime occurring. The assumption is that, individuals have goals, however, under this theory; the strains make it almost impossible for these goals to be achieved Brown, Esbensen and Geis (1991). Durkheim (1951) argued that, crime is inevitable; it is a normal phenomenon that is found in all societies. He indicates that, criminals are useful in the sense that they identify the limits of acceptable behaviour in a society. In addition to this, Brown, Esbensen and Geis (1991) proposed that individuals have things they wish to achieve in their life, defined as ‘aspirations’ complimenting this are ‘expectations’, what the individual believes to be realistic for them. These findings suggest that if there is a gap between these two elements, the strain may increaseShow MoreRelat edCapital Punishment Is Deterrence For Crime1570 Words   |  7 Pagescommitted a heinous crime on another victim. To this day, capital punishment is a subject undergoing intense study, and is a hot topic of controversy. It is a challenging debate with many different viewpoints. 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These laws basically set minimum sentences for certain crimes that judges cannot lower, even for extenuating circumstances. The most common of these laws deal with drug offenses and set mandatory minimum sentences for possession of a drug over a certain amount. Sentencing procedures can vary from jurisdiction to J urisdiction. Most of these laws are ineffective and causes

Study of Fred Brown Undergone Left Knee Replacement †Free Samples

Question: Discuss about the Case Study of Fred Brown Undergone Left Knee Replacement. Answer: Introduction The paper deals with the case study of Fred Brown a 72 year old man who has undergone left knee replacement. The patient history informs COPD, hypertension and depression. The patient lives alone and with no one to care. The paper presentsnursing assessments of the patient and risk factors associated with the condition. The paper providesnursing interventions for the patient along with rationale. The patient has vacuum drain insitu and a large dressing over his knee. The patient has PCA for pain relief and IVI Normal Saline running at 100mls per hour. Section 1 Assessment: After transferring patient to PACU Status of anaesthesia and monitor the level of consciousness in postanesthesia care unit Regular assessment of the vital signs and documentation for first hour until stable Rationale: The risk factors due to anaesthesia in Fred may include mild sickness and confusion. The risk is higher in case of Fred due to history of COPD. The side effects of anaesthesia include vomiting, sore throat, dizziness, shivering, drowsiness, aches and pains, allergic reactions (Lasater Mchugh, 2016). After transferring patient to unit (Abeles et al., 2017) After patient has returned to unit- monitor the level of consciousness after every shift Monitor sensation and circulation in the surgical site- to identify any blood clot Monitor the surgical site for any discharge to identify and prevent infection Monitor further need of intravenous fluids in patients Monitor range of motion, mobility, positioning and alignment of knee when resting one bed Identify the Pain level score Identify other symptoms such respiratory distress, vomiting and nausea as the patient as history of COPD Potential complications: complication may occur due to blood transfusion, which is evident from hives, fever, chills, and shortness of breath. Further, are the complications due to wound and bleeding. It is also associated with accumulation of fluid behind knee and inappropriate healing of skin. Wound infection is the potential complication after knee replacement (Palmisano et al., 2017). Nursing care plan: Nursinggoals Intervention Rationale Protection and safeguard of knee (Lasater Mchugh, 2016) Wound care- hand hygiene before dressing, Use of clean dressing, maintain dust free area and change patients clothes frequently. Administer blood thinners to prevent clotting. Oral amoxicillin can be administered to prevent bacterial infections. Keep the position of the leg elevated. Give knee support using continuous passive motion Wound care is necessary to prevent infection and allergy It is to prevent swelling due to accumulation of fluid. Offer knee support to reduce oedema and improve circulation. It will help in preventing deep vein thrombosis Ensure mobility (Piva et al., 2015) Ensure comprehension device is on the leg all time Assist in mobility to maintain active movement with the help of therapist or using walker. The patient can be taught ankle pump exercises such as up and down movement of the foot It will help in strengthening the increase the venous return and inc Appropriate pain management (Noiseux et al., 2014) Administration of medications for pain relief- that is opioid and NSAIDS The nonpharmacological approach to pain management: cold applications, musical relaxation, and have good sleep Small doses delivered at short intervals provide sustained pain relief. Use of both pharmacological and non pharmacological approach helps relieving pain more quickly Oxygen therapy (Uronis et al., 2015) Provide oxygen supply to maintain saturation level between 88-90% Since patient has COPD it is necessary to eliminate pulmonary complications such as hypoxia. Moreover shortness of breath and hypoxia are also related to high pain Health literacy (Omachi et al., 2013) Provide education to patient on hygiene, risk factors of illness and self management Educate patient on the signs of the infection that is redness, pain, swelling, tenderness and skin discolouration Educate patient on the signs of pulmonary embolism including hypotension, shortness of breath, chest pain Provide education materials to patient in preferred language to take pnemuoccocal and influenza vaccines prior to discharge. Health literacy is important to help patient understand the state of illness and take adequate precautions to prevent complications Improve activities of daily living (Lasater Mchugh, 2016) Provide patient with assistive device to walk reduce respirations and have controlled expirations as patient has COPD Assistive devices help in pacing activities. Narrowing of airway can be prevented by reducing respirations Improve mental well being- reduce depression and anxiety (Scott et al., 2016) Psychosocial intervention for Fred is necessary. These include psychiatric counselling where patient can share his emotion, fears and other concerns. Counselling or psychotherapy or motivational interviewing helps increase patients self confidence and techniques for relaxation and eliminate short term feelings of anxiety Mental well being is effected inpatients after major surgery due to medical complications, low mobility and lack of compassion and care from loved ones. Fred lives alone and has multiple comorbidities therefore he is depressed which mandates improvement in self confident, anxiety and stress to prevent worsening of health. Overcoming depression will help patient to involve in self-care and adhere to treatment procedure. Eliminate dehydration (Abeles et al., 2017) Maintain fluid balance to increase optimal functioning of the body. IVI Normal Saline at 100mls per hour should be maintained Lack of fluid balance will increase stress and irritation To eliminate complications due to medicines (Abeles et al., 2017) Some medication may result in constipation and use of NSAID may lead to leads to gastrointestinal tract upset and use laxative for stool softening. Side effects of medicines may increase wound complication and delay healing process Reduce hypertension (Levinger et al., 2016) Nurse will administer and titre vasodilator medications to meet the parameters for blood pressure. Until the parameters are met nurse must monitor the blood pressure until the parameters are met. Untreated hypertension may lead to cardiovascular diseases and even have risk of heart attack. Nutritional support (Hsieh et al., 2016) Fred must be put on high intake of carbohydrates, protein and intake of fluids Since patient has multiple comorbidities malnutrition should be avoided Section 2 The complications due to COPD in Fred include- risk of impaired ventilation, dyspnea, poor intestinal integrity and increase risk of infection. Fred may have high-risk pulmonary embolism due to blood clot that may travel to lungs leading to chest pain and breathlessness. The intervention to this complication includes oxygen therapy and use of blood thinning drugs to remove clot such as warfarin. The patient must have continued nasal prong @ 2L/min and maintain oxygen saturation between 88-92%. Patient must be educated to avoid smoking or other such behaviour if any. Medication for the patient may include Ipratropiumbromide and oral prednisone to impove lung function (Spencer Hanania, 2013). Patients after surgery have high risk of infection in the surgical site. The intervention includes administration of antibiotics either intravenously or orally. Further, the wound infection should be monitored till the infection is cleared so as to prevent septic shock (Petersen et al., 2015). In most cases after the surgery, patients undergo neurovascular damage. It involves numbness in foot. It may be due to damage of nerve or blood vessels that are associated with the foot muscles. The patient may experience knee stiffness. The intervention for this problem includes special exercises and physical therapy or adjustment of prosthesis inside the knee (Coolican, 2015). Risk of venous thromboembolism: According to Marsh, (2015) older patient have a high risk of venous thromboembolism or VTE following major surgery. Since patient is 72 years old and has history of COPD, there is even higher risk of VTE. With the increase risk of VTE there are other comorbidities associated which include coronary artery disease and cerebrovascular disease. Since the patient is depressed and hypertensive there is a greater risk of heart disease. The intervention to this complication include. The interventions for this problem include continuous passive motion therapy or by administering Dabigitran. Pharmacologic prophylaxis includes low molecular weight heparins along with newer classes of anti-thrombotic agent. However, the balance between clotting and bleeding must be considered. Section 3 Discharge Concerns of patients: The patient may not be ready for discharge Anxiety and stress in patient due to complications of discharge and comorbidities of COPD Risk of injury due to fall Side effects due to medication Discharge instructions to Fred Brown (Causey-Upton Howell 2017): Instruction on timely intake of medication and adherence Regular blood tests and follow up appointment with the patient after two weeks Immediate report on increase in calf pain, swelling on any part of leg, signs of blood clot Immediate report and visit in case of chest pain, shortness of breath and coughing blood Immediate report on signs of infection such as fever, incisional discharge, GI upset and increase in knee pain Educate on fall prevention and self care of the incision area such as dry dressing Maintain hydrated state of the body Provision of emergency contact numbers Maintenance of adequate diet to prevent malnutrition The patient must continue with the nasal prong @ 2L/min Maintain oxygen saturation between 88-92% The patient must abstain from intense physical activity Referral service for Fred Brown (Cunic et al., 2014): Referral to orthopaedic specialists Emphasise on continued care and rehabilitation- to regain and maintain mobility and knee function. It is helpful in preventing scarring and contractures of the knee joints Home care services for fall prevention such as physical therapist, physiotherapist or nurses Occupational therapist to ensure safe daily activities Referral to dietician, counselling services for mental well being Referral to community services or other community support centres References Abeles, A., Kwasnicki, R. M., Darzi, A. (2017). Enhanced recovery after surgery: Current research insights and future direction.World Journal of Gastrointestinal Surgery,9(2), 37. Causey-Upton, R., Howell, D. M. (2017). Patient Experiences When Preparing for Discharge Home after Total Knee Replacement.Internet Journal of Allied Health Sciences and Practice,15(1), 5. Coolican, M. R. (2015). Aetiology of Patient Dissatisfaction Following Total Knee Arthroplasty. InTotal Knee Arthroplasty(pp. 229-233). Springer International Publishing. Corrado, A., Renda, T., Bertini, S. (2016). Long-term oxygen therapy in COPD: evidences and open questions of current indications.Monaldi Archives for Chest Disease,73(1). Cunic, D., Lacombe, S., Mohajer, K., Grant, H., Wood, G. (2014). Can the Blaylock Risk Assessment Screening Score (BRASS) predict length of hospital stay and need for comprehensive discharge planning for patients following hip and knee replacement surgery? Predicting arthroplasty planning and stay using the BRASS.Canadian Journal of Surgery,57(6), 391. Hsieh, M. J., Yang, T. M., Tsai, Y. H. (2016). Nutritional supplementation in patients with chronic obstructive pulmonary disease.Journal of the Formosan Medical Association,115(8), 595-601. Lasater, K. B., Mchugh, M. D. (2016). Nurse staffing and the work environment linked to readmissions among older adults following elective total hip and knee replacement.International Journal for Quality in Health Care,28(2), 253-258. Levinger, P., Diamond, N. T., Menz, H. B., Wee, E., Margelis, S., Stewart, A. G., ... Hill, K. (2016). Development and validation of a questionnaire assessing discrepancy between patients pre-surgery expectations and abilities and post-surgical outcomes following knee replacement surgery.Knee Surgery, Sports Traumatology, Arthroscopy,24(10), 3359-3368. Marsh, K. (2015). Deep Venous Thrombosis in Surgical Orthopedic Patients. Noiseux, N. O., Callaghan, J. J., Clark, C. R., Zimmerman, M. B., Sluka, K. A., Rakel, B. A. (2014). Preoperative predictors of pain following total knee arthroplasty.The Journal of arthroplasty,29(7), 1383-1387. Omachi, T. A., Sarkar, U., Yelin, E. H., Blanc, P. D., Katz, P. P. (2013). Lower health literacy is associated with poorer health status and outcomes in chronic obstructive pulmonary disease.Journal of general internal medicine,28(1), 74-81. Palmisano, A. C., Kuhn, A. W., Urquhart, A. G., Pour, A. E. (2017). Post-operative medical and surgical complications after primary total joint arthroplasty in solid organ transplant recipients: a case series.International Orthopaedics,41(1), 13-19. Petersen, K. K., Arendt-Nielsen, L., Simonsen, O., Wilder-Smith, O., Laursen, M. B. (2015). Presurgical assessment of temporal summation of pain predicts the development of chronic postoperative pain 12 months after total knee replacement.Pain,156(1), 55-61. Piva, S. R., Moore, C. G., Schneider, M., Gil, A. B., Almeida, G. J., Irrgang, J. J. (2015). A randomized trial to compare exercise treatment methods for patients after total knee replacement: protocol paper.BMC musculoskeletal disorders,16(1), 303. Scott, J. E., Mathias, J. L., Kneebone, A. C. (2016). Depression and anxiety after total joint replacement among older adults: a meta-analysis.Aging mental health,20(12), 1243-1254. Spencer, P., Hanania, N. A. (2013). Optimizing safety of COPD treatments: role of the nurse practitioner.Journal of multidisciplinary healthcare,6(53-63). Uronis, H. E., Ekstrm, M. P., Currow, D. C., McCrory, D. C., Samsa, G. P., Abernethy, A. P. (2015). Oxygen for relief of dyspnoea in people with chronic obstructive pulmonary disease who would not qualify for home oxygen: a systematic review and meta-analysis.Thorax,70(5), 492-494.

The tragic hero in antigone Essay Example For Students

The tragic hero in antigone Essay The Tragic Hero in the Play Antigone Antigone, which was written by Sophocles, is possibly the first written play that still exists today (www.imagi 1). There is much controversy between who the tragic hero is in the play. Some people say Antigone, some say Creon, others even say Heamon. I believe Creon displays all of the characteristics of a tragic hero. He receives compassion through the audience, yet recognizes his weaknesses, and his downfalls from his own self-pride, stubbornness, and controlling demands. He is the true protagonist. Though the audience notices how villainous Creon is, they still express sympathy towards him. They realize that he has brought all of his problems on himself and should have been more open-minded, but think no one should have to go through what he has. They understand how the warrior king Creon felt when he notices his son is love struck. The audience also expresses pity towards him because Antigone is a murderer and understands why he is upset.

Sample Essay About Yourself For Scholarship

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Eighteen Year Old Vote Essays - James Madison, Constitutional Law

Eighteen Year Old Vote When the thirteen British colonies in North America declared their independence in 1776, they laid down that governments are instituted among Men, deriving their just powers from the consent of the governed. In so doing they were consciously echoing the words of the Great Charter which King John had sealed 561 years before, wherein he had undertaken that no tax may be levied in our kingdom without its general consent. Similarly, the federal constitution which the newly independent states drew up in 1787 was to a large extent the formal statement of rights and liberties already won in Britain. However, while England had for centuries been intent on limiting the power of the absolute monarchy, American constitution-writers now focused on limiting the power and potential danger of the new absolute ruler - Congress, and the power of federal government institutions generally. This they sought to achieve not only through constitutional provisions and the Bill of Rights, but also through the celebrated checks and balances whereby two Houses, and the President as Executive, exercise discipline and restraint over one another. The judiciary was also placed to act as a restrictive force; indeed the US Supreme Court has traditionally seen itself as the ultimate discipline upon government power, and champion of the citizen against government excesses. The supremacy of the constitution over any and all branches of government was seen by America's Founders as the essential assurance of orderly and disciplined government, a view clearly described by Mr Hugo LaFayette Black, Associate Justice of the US Supreme Court, 1937-1971. The form of government which was ordained and established in 1789 contains certain unique features which reflected the Framers' fear of arbitrary government and which clearly indicate an intention absolutely to limit what Congress could do. The first of these features is that our Constitution is written in a single document. Such constitutions are familiar today and it is not always remembered that our country was the first to have one. Certainly one purpose of a written constitution is to define and therefore more specifically limit government powers. An all-powerful government that can act as it pleases wants no such constitution - unless to fool the people. England had no written constitution and this once proved a source of tyranny, as our ancestors well knew. Jefferson said about this departure from the English type of Government: Our peculiar security is in the possession of a written Constitution. Let us not make it a blank paper by construction. A second unique feature of our Government is a Constitution supreme over the Legislature. In England, statutes, Magna Carta, and later declarations of rights had for centuries limited the power of the King, but they did not limit the power of parliament. Although commonly referred to as a constitution, they were never the supreme law of the land in the way in which our Constitution is, much to the regret of statesmen like Pitt the elder. Parliament could change this English Constitution; Congress cannot change ours. Ours can only be changed by amendments ratified by three-fourths of the States. A third feature of our Government, expressly designed to limit its powers, was the division of authority into three co-ordinate branches, none of which was to have supremacy over the others. This separation of powers with the checks and balances which each branch was given over the others was designed to prevent any branch, including the legislative, from infringing individual liberties safeguarded by the Constitution. All of the unique features of our Constitution show an underlying purpose to create a new kind of limited government. [Completion of the Constitution was followed shortly after by James Madison's proposed ten additions or Amendments, these first ten Amendments becoming collectively known as the Bill of Rights. Mr Justice Black continues:] Central to all of the Framers of the Bill of Rights was the idea that since Government, particularly the national government newly created, is a powerful institution, its officials - all of them - must be compelled to exercise their powers within strictly defined boundaries. As Madison told Congress, the Bill of Rights' limitations point sometimes against the abuse of the Executive power, sometimes against the Legislative, and

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