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. By saying that the HDI is a better system to measure economic performance, I mean that because the HDI highlights the trend between longevity, education and economic growt h, it calculates a better analysis of an economy (Costa, Steckel 1997, p. 71). In contrast, the GDP per capita only accounts for the gross domestic product without payingRead MoreQuestions On Chinese Consumers Country Image Toward Uk Manufactured Products1544 Words   |  7 Pagesfour research objectives: (1) To identify Chinese consumers’ country image toward UK manufactured products in general; (2) To identify Chinese consumers’ perceived quality toward a UK manufactured teether; (3) To explore the importance of COO on consumers’ purchase intention by comparing against other products’ attributes; (4) To identify the extent of Chinese consumers’ willingness to pay premium price toward a UK manufactured teether; Q1: Can you explain what you understand by Country-of-OriginRead MorePatient Transport Is A Major Activity Within Healthcare Within The United Kingdom ( Uk )1356 Words   |  6 Pages Patient transport is a major activity within healthcare in the United Kingdom (UK). 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This damaged economic growth given that the UK was Irelands main trading partner at the time Self- sufficiency: Fianna Fà ¡il wanted to distinguish itself from the previous administration and pursued a policy of subsidising Irish manufacturersRead MoreHuman Computer Interaction1508 Words   |  7 PagesNeeds is now performing a vital role in each human life. Due to the swift growth in the technology industry and hardware and software development computerized systems and machines are used on an everyday basis by almost everyone, even people from different fields which are not related to computing. Major sectors such as aviation, healthcare, banking and education adopted computer technology to improve productivity and efficiency. Interaction between human and machine occurs in user interface andRead MoreCan the Concept of ‘Early’ and ‘Late’ Industrialization Explain the Key Institutional and Organizational Characteristics of National Business Systems, and Do They Have Any Bearing on Long-Term National Competitiveness?2518 Words   |  11 Pageson long-term national competitiveness? Introduction The concept of industrialization has been used among different nations and regions, while many countries have carried out their own industrialization progress during the past several decades, which stimulates the development of organizations and better corporate performance. There are different kinds of national business systems with their distinctive characteristics varying among countries. Then ‘early’ and ‘late’ industrialization is appliedRead MoreThe Representation Of The Corporate Social Decisions And Activities1504 Words   |  7 Pagesenvironment information. 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South Africa has also seen a decline in electoral turnout from 86.87% for Parliamentary elections during initial democratic elections in 1994, to 76.73% in 2004 declining to 73.48% during the 2014 elections. Factors influencing electoral turnout decline: The implicationsRead MoreAmerica s Growing Coffee Since Colonial Times1723 Words   |  7 PagesRwandans have been growing coffee since colonial times, but until 1999 the product was classed below Grade C, making it unsalable on the global markets.[1][2] The farmers did not have the means to wash and prepare their coffee cherries to specifications in a timely manner. Buyers paid US$0.33 per kilogram, a price that kept the farmers poor.[3] In 1999, 220 coffee growers formed an association in the Maraba district (part of the former Butare Province) to tackle this problem. Many of these farmersRead MoreHuman Development : The Persepectives Of An Individual Narrative Can Provide An Overwhelming Sense Essay1544 Words   |  7 PagesAnylysing human development throguht the persepectives of an Individual narrative can provide an overwhelming sense During the prenatal stage my mother remained healthy throghout the summer pregnancy. I was born at an average birth weight of 8.0 pound with no complacations through assisted vaginal birth, even with the increased risk of being the second child. My healthy birthweight reflected my mothers diligince in healthy eating, avoidance of tetragens, and staying active throughout the pregnancy

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. Roosevelt defeated Republican incumbent Herbert Hoover in the 1932†¦show more content†¦The president and Congress first addressed the banking crisis by temporarily closing all banks, and passing the Emergency Banking Act, which permitted banks to reopen if a Treasury Department inspect ion showed that they had sufficient cash reserves. The act worked and was the first example of the Roosevelt administration’s willingness to use the government as an active instrument in social reform. The avalanche of legislation continued. Congress created the Home Owners Loan Corporation to refinance home mortgages threatened by foreclosure. It set up the Civilian Conservation Corps (CCC), a public works project, operated under the control of the army, which was designed to promote environmental conservation, and of course, put unemployed women and men back to work. Two controversial measures were also quickly approved. One set up the Tennessee Valley Authority (TVA); a government owned corporation intended to produce cheap hydroelectric power. The second was the establishment of the National Recovery Act (NRA) which set up separate self-governing associations in six hundred industries, including large corporations producing coal and cotton textiles, and steel to small businesses making pet food and costume jewelry. The codes established by the NRA outlawed child labor and set minimum wage and maximum hours for adult workers. Section 7A of theShow MoreRelatedFranklin D Roosevelt and the American Political System723 Words   |  3 PagesDelano Roosevelt is one of the most influential and most powerful men in the history of the US. He led the United States out from a crisis the US would emerge victoriously and into a war it would win. The Great Depression and the period of the New Deal was a trying time for the United States. From this point of view, the president played a crucial role. FDR may be credited with holding the nation together during the catastrophe of the Great Depression, patching together a welfare state American-styleRead MoreThe Future Of A Post Brexit Britain Essay1530 Words   |  7 PagesWith this being said, if Britain must leave the European Union without a comprehensive trade agreement that guarantees this, then a temporary backtrack to trading under the existing WTO rules may very well be required. Britain must find herself in a new world, able to form her own laws and trade agreements without fear of interference from Brussels or any other foreign power. It is through only this that Britain may hope to be, once again, a world power. Key Recommendations: Section One: TheRead MoreGerstle s Historiographical Of Mainstream Americanism1327 Words   |  6 Pagesas well as whiteness scholars’ synthetic historiographical interpretations on mainstream Americanism like Theodore Roosevelt and Franklin Roosevelt- Theodore Roosevelt especially, due the author’s attention to the meaning of the liberal state and liberalism. However, above all that, Gerstle argues that inherent tensions between two powerful types of nationalism- racial and civic- have decisively shaped American history, policy-making and political debates in the twentieth century (Gerstle 5). GunnarRead MoreThe Arab Syrian Company For Touristic Establishments1396 Words   |  6 PagesThese were the new bourgeoisie that were created as a result of the openings in the early 70’s, these families were the relations of power government insiders who were dubbed awlad as-sultah or the children of power. This new bourgeoisie served as a counter-balance to the old and made money the same way as they did, but they also made their fortunes by connecting with other insiders in both the party and the bureaucracy forming the present day system of patronage that typifies the Syrian politicalRead More Welfare Reform - Welfare Recipients MUST take Personal Responsibility1248 Words   |  5 Pagesdeprived of the care or support of a parent. In terms of welfare reform, this is the program most often discussed.   Ã‚  Ã‚  Ã‚  Ã‚  The media has created many myths regarding welfare and the reasons the system should be done away with. Stating that the majority of new welfare recipients are poor, single mothers, claims have been made that poor women have more children because of the incentives of welfare benefits. It has been proven that is no correlation between womens choice to have children and welfare benefitRead MorePolitical Influence : Milton Friedman And The Chicago School Of Thought Essay1710 Words   |  7 Pageslegislative practices to push extreme radical policies through during the time of Shock through the perspective of Naomi Klein whose remarks of Shocks to economy was directly in response to Milton Friedman’s notion of Shocking economies after reviewing an experiment Stanley Milgram working on with obedience and power control from authority. Such shocks like international threats of war, to natural disasters seen with hurricane Katrina, to the 2008 stock market crash, policies influenced by neoliberal interestsRead MoreThe New Middle East : The World After The Arab Spring2748 Words   |  11 Pagesexperienced all kinds of wars, hunger, devastation and brutal dictatorships. Now, after Arab Spring, some of those dictators are gone, and in countries like Tunisia and to a lesser degree Egypt, there are attempts to establish democracy. In his book, The New Middle East: The World After the Arab Spring (2013), Paul Danahar writes that the changes brought by Arab Spring will lead to greater freedom for people in the Middle East, and that even the relationship between Israel and Palestine will be impactedRead More The Impact of the New Deal on the Great Depression Era Essay2016 Words   |  9 PagesThe Impact of the New Deal on the Great Depression Era In 1933, President Roosevelt proposed New Deal legislation to alleviate the effects of the Great Depression through various public works programs and other federal initiatives. The many reforms of the New Deal were racked by intense criticism from their very beginnings. The New Deal was a catalyst in the surge of the federal government’s power. One year before the financial collapse on Wall Street, President Hoover said, â€Å"We in AmericaRead MorePunjabi9291 Words   |  38 PagesGuaranteed by Modern Liberalism 19.6.2 Gandhi Raj Satyagraha 19.7.1 19.7.2 19.7.3 19.7.4 19.7.5 Early Experiments Meaning Principles on which Based Ahimsa and Satyagraha Tapas 1 : 19.8 Some Critical Remarks on Gandhis Views 19.8.1 Attitude Towards Western Modernity 19.8.2 lmpract~calityof Satyagraha 19.8.3 Assessment of Westerners 19.9 Let Us Sum Up 19.10 Some Useful Books 19.11 Answers to Check Your Progress Exercises 19.0 OBJECTIVES As you can see from the title, this unit deals with Mahatma GandhiRead MoreAnalysis Of The Article Rose 2595 Words   |  11 Pagescar and walks into school, he manages to observe five students - who he easily identifies as honors students - try to surreptitiously (and consequently, unsuccessfully) steal answers to an exam that kept him awake for several hours, sees two drug deals in empty hallways, and hears six racist comments as he passes an ironic poster that proudly celebrates diversity. In retrospect, observing the violent history of the practically adolescent country, the United States of America, it is no longer appropriate

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. Many people are pro death penalty, while others are quite against it, and there are others with amphibological feelings towards the subject. One of the many different questions that originate when the topic of the death penalty arises is if capital punishment is deterrence for crime. Capital punishmentRead MoreEssay about The Growth of Adult Corrections in the United States1472 Words   |  6 PagesThe United States is made up of five percent of the worlds population, but is comprised of about a quarter of the worlds incarcerated. Approximately twenty percent of the newly incarcerated yearly have violated parole and great majorities are non-violent offenders. In â€Å"U.S. Prison Population Dwarfs that of Other Nations,† Adam Liptak states â€Å"The United States has, for instance, 2.3 million criminals behind bars, more than any other nation, according to data maintained by the International CenterRead MoreJuvenile Violent Crime And Juvenile Crime Rates1720 Words   |  7 PagesAccording to (Walton, 2014), as far back as the late 1800’s, children have been sentenced to the same punishments as adults, depending on the crime they committed. Punishments even included death if the juvenile was deemed to be past the point of help. Later on courts were geared more towards rehabilitation than punishment. Reform movements came along and parents could send their children off to reformatories to live and work as part of their rehabilitation. Due to poor living and working conditionsRead MoreThe Mandatory Minimum Sentencing Laws1688 Words   |  7 Pagescriticized for its many problems and errors; one in particular that caught my attention was the mandatory minimum sentencing laws. 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 Jurisdiction. Most of these laws are ineffective and causesRead MoreHistory of Capital Punishment Essay997 Words   |  4 Pagesremainder of his life for this terrible crime? There are many arguments and opinions on this topic; many reasons why we should sentence murderers to death, but many reasons we should not. One main reason we should not sentence these people to death is the cost. It simply costs too much to put people on death row. A gentleman in Texas quoted estimates in two counties near his home. They both estimated the cost of a capital trial to be $400,000 - $600,000 verses the cost of a non-capital trialRead MoreIndeterminate And Determinate Sentencing Guidelines2978 Words   |  12 Pagespunishments. Parole boards meet during the sentence, determining individual parole eligibility and inmates deemed rehabilitated will be released on the lower end of their sentencing spectrum. Determinate sentences often contain mandatory minimums and increased sentences for particular transgressions. Sentencing guidelines provide judges flexibility, thus empowering the court to consider aggravating or mitigating circumstances when determining a sentence. Mandatory minimum and enhanced-sentence statutesRead MoreThe Legal Ordering Of The Xix1677 Words   |  7 Pagespoints out that it is this moment when a new knowledge arose, which had a scientific objective: the knowledge and the legal ordering of the administration of the penitentiary system. For Perez grenades and Gimà ©nez-Salinas Colomer prison appears in this period as the great social invention that facilitated the combination of several functions: correcting the culprit, guaranteeing security, isolating the offender and punishment. In terms of the Anglo-Saxons, in 1840 in the prison of Pentonville of EnglandRead MoreThe Death Penalty1628 Words   |  7 PagesWhether it’s actually lowering our crime rates is becoming a problem. The problem lies with the states whether they ll allow it or not. The Supreme Court has their except for certain circumstances. All of these factors have an impact on how the process works today. The death penalty laws go far back to the eighteenth century B.C. The Code of King Hammurabi of Babylon made this law for twenty-five different crimes. Unlike the Code of Athens who made every crime punishable by death. Once the fifthRead MoreCriminal Code And Charter Sections1414 Words   |  6 PagesRelevant Criminal Code and Charter Sections Sentencing provisions in Canadian law are found in s.718.1 and s.718.2 of the Criminal Code, which states that, â€Å"sentences must be proportionate to the nature of the offence, reduced or increased depending on the mitigating and aggravating factors, must be similar to sentences imposed on similar offenders for similar offences in similar circumstances, and if the sentence is consecutive, it must not be unduly long or harsh.† Therefore, an offender should notRead MoreProblems With Mandatory Minimum Sentencing1802 Words   |  8 Pagescriticized for its many problems and errors; one in particular that caught my attention was the mandatory minimum sentencing laws. 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.