Research Paper for Othello Example | Topics and Well Written Essays - 1000 words

For Othello - Research Paper Example Jealousy, that is roused by suspicion and wounded pride, which could be reactions to prejudice, makes Othello the most celebrated text that explores the powers of these debilitating factors even over someone who is considered a hero (Collie 88-9). Shakespeare’s Othello is one of the earliest texts that depict racism against blacks (Iyasere, Iyasere, and Little 326). Normally, especially during Shakespearian days, the whites are the natural protagonists while the blacks are usually portrayed as antagonists. This depiction of a hero is unusual because Othello is shown as troubled with bitterness, delusions, and self-importance (Vaughn 180). He is a dignified, brilliant, heroic, and important figure in the Venetian army, yet despite this prominent status, his own insecurities make him prey to the selfish motives of Iago, the play’s villain (Jacobsen 502). The tragic part here is that no matter how great his status is, and no matter how admired he is by the people of Venice , the war strategies that make him win several battles do not win for him his battle at home, which ultimately resulted in the tragic end of Othello and his beloved Desdemona. Iago sees Othello’s jealousy for his wife Desdemona and decides to use it to his own advantage. He is able to manipulate Othello easily, even when Iago never once presented strong evidence about Desdemona’s infidelity. In fairness to Othello, the ideas that Iago convinces him of are very likely to happen, therefore, easy to believe (Jacobsen 503-4). However, if he knows his wife Desdemona well, it is also easy to see that these accusations are not only improbable, but ridiculous as well. In a scene in the play, Iago exclaims â€Å"Ha! I like not that.† (3.3.33) and â€Å"Cassio, my lord? No, sure, I cannot think it, That he would steal away so guilty-like, Seeing you coming.† (3.3.37-9). Here, it is obvious that Iago, lacking any solid proof, tries to plant ideas in Othello’s mind through manipulation. Iago acts like he is unwilling to confess the sordid details of the scene between Desdemona and Cassio, yet all the while uses a suggestive tone and drops hints that Desdemona is having an illicit affair with Cassio. This causes Othello to demand for more details, making it appear that he is dragging information out of Iago, while the truth is that Iago leads him into that trap of suspicion. This skillful manipulation ignites jealousy in Othello that is roused by the suspicion that Iago successfully implants in his head. These suspicions that rouse his jealousy cause constant speculations by different critics. Othello’s self-loathing is one popular idea. For example, making their marriage private instead of public could mean that he does not believe he is good enough for Desdemona (Vaughn 180). Othello is also portrayed as filled with contradicting characteristics. He promotes Cassio (1.1.18-21) but shows more trust to Iago; he kills his wife Desde mona (5.2.137-8) despite professing his overwhelming love and passion for her; he also kills himself (5.2.376-7) instead of facing the consequences of his crime despite being noted for his courage and dignity. His insecurity makes him gullible to Iago’s manipulations. It can be said that even without Iago’s exploitations of his insecurities, Othello would still be susceptible to suspicions one way or another (Vaughn 181). Despites his great accomplishments and elevated status in the society,

Race-Based Internment and Korematsu Essay Example for Free

Race-Based Internment and Korematsu Essay The internment of Japanese-Americans following the Japanese attack on Pearl Harbor was shameful not only because of the fact that it was allowed to happen, but mostly because it was a national public policy joined in by all branches of the American government. President Roosevelt initiated the policy as the head of the executive branch by issuing executive orders declaring zones of exclusion for people of Japanese backgrounds, curfews, and even relocation programs to what some scholars have referred to as quasi-concentration camps. The legislative branch failed to protect the rights of these Japanese Americans; instead, On March 21, 1942, Congress ratified and confirmed Executive Order No. 9066, which authorized criminal penalties for persons disobeying exclusion orders (Justl, 2009, p. 272). Ultimately, with both the executive and legislative branches having failed to protect or defend the rights of American citizens of Japanese ancestry, the United States Supreme Court would be called upon to decide whether these orders and policies were in violation of the American constitution. To be sure, the notion that Americans could be rounded up and compelled through force to confined in internment camps seems to offend the dearest principles of American liberty and justice. Hoping that the judicial branch would extend the constitutional guarantees to American citizens of Japanese ancestry, a man named Korematsu filed suit alleging that these orders and policies violated the American constitution in a case now well-known as Korematsu v. United States. This particular case originated when an American citizen, who was born and raised in San Francisco, openly refuse to obey the exclusion order issued by President Roosevelt. Korematsu was loyal to the United States, having volunteered for military service though rejected because of health limitations, and there existed absolutely no evidence that he posed even a minor threat to American national security. He was allegedly subject to the exclusion order purely because of is Japanese ancestry. Korematsu was gainfully employed, he had a girlfriend who was not of Japanese ancestry, and he took deliberate steps to avoid and later challenge the constitutionality of the exclusion order. Ultimately, he was arrested and relocated to an internment camp. Specifically, he was arrested because he refused to leave an area open to others but closed to those of Japanese ancestry and because he refused to voluntarily report to an internment camp. The judicial branch, like the executive and legislative branches before, failed to protect the rights of Japanese-Americans; indeed, the Supreme Court upheld the exclusion order and Korematsus conviction (Justl, 2009, p. 274). Significantly, however, the Supreme Court’s decision was a six to three majority rather than a unanimous decision. The majority reasoned that war constituted a national emergency and that certain laws and orders designed to prevent spying or sabotage were sufficient bases upon which to restrict or eliminate individual rights protected in the constitution for the duration of the emergency. This case and its rationale still functions as a landmark type of legal case because it stands for the proposition that the constitutional rights of Americans can be suspended in times of national emergency. The minority opinions, recorded in dissents in the Korematsu case, argued that these laws were racist that they offended American ideals, and that the rights guaranteed by the American constitution ought to always apply regardless of alleged fears and national emergencies. This case effectively allows the judicial branch to relinquish its sacred duties as guardian of the constitution in national emergencies; this, in turn, gives the executive and legislative branches powers perhaps not intended when the founders of the constitution sought to create a stable balance of powers. In the final analysis, the Korematsu case is troubling because it stands for a legal principle that transcends its origins. More particularly, it can be seen in contemporary times that the War on Terror has been used as an indefinite type of national emergency to restrict or eliminate rights for American citizens even though the main enemies have been defined as foreign nationals. Arab-Americans and Muslims have in this way replaced the Japanese-Americans of World-War Two. Additionally, the recent oil spill in the Gulf of Mexico has been treated as a type of environmental national emergency and the media has been restricted by the American Coast Guard from covering the story on-site. Korematsu is a tragedy both because of the individual harm done to Fred Korematsu and because it continues to stand for a proposition to the effect that politicians can cry â€Å"national emergency† in order to suspend or eliminate constitutional rights for different classes of American citizens. It is perhaps time that the Supreme Court reasserts its intended role as a true guardian of the constitution by accepting a case challenging the Korematsu precedent so that it can eliminate the vague national emergency exception. References Justl, J. M. (2009). Disastrously Misunderstood: Judicial Deference in the Japanese-American Cases. Yale Law Journal, 119(2), 270+. Retrieved June 2, 2010, from Questia database: http://www. questia. com/PM. qst? a=od=5036190287

Egypt’s pyramid Essay Example for Free

Egypt’s pyramid Essay Egypt one of the earliest civilization is a nation embellish with rich culture and tradition, the pyramids being is a witness to their grandeur. Egypt’s pyramid is one of their pride; it depicts the power and glory of those ancient rulers and their influence. The pyramids’ brilliance is known to every individual but little of us knew how the pyramids were erected, what form of tools where used, how did they conduct the calculations considering that every angle of the triangle is perpendicular with each other, and what does the earliest pyramids look like. The Egyptian pyramid certainly has origin, how did they polish such wondrous creation and why pyramids vary in sizes. What is the underlying principle in building such tomb. Several studies were conducted in unleashing this pyramids enigma, yet some still was a mystery. The Pyramids of Egypt is distinct from among the wonders of the world. It has its certain characteristics, incomparable in magnitude, not only that it is the oldest man made creation from among the wonders of the world it conceals numerous historical records, the pyramid being is the door to unlock the secrets of Egypt’s antiquity. We have already uncovered some few material things on Egypt’s long forgotten past, but that is only a part of the larger feature of Egypt. The pyramids have in it some several encryptions which convey us about their tradition and belief in magical spells and hymns written in hieroglyphics form. It depicts the journey of the pharaohs in the afterlife. This compilation of hieroglyphics is called the Pyramid Texts. Aside from the ancient texts carved within the walls of the pyramids, pyramids also vary from each other on the physical aspect, such as its structure, its height and designs. The Pyramid of Cheops and Cephren is one significant example. We have witnessed in the records of history how ancient people revere much the final resting place of their loved ones. Similarly, in Egypt the pyramids are one of the most important objects conveying their belief in the afterlife. The pyramids that we used to have now only belongs to the greatest ruler of Egypt hence the Great Pyramids of Egypt, none of the pyramids ever survived that belong to other least rulers during the ancient time. Not only that the pyramids gain attraction on its concealed past, through the pyramids, some scientists dig the scientific engineering used at the time when the pyramid was built. It is genuine worked made by a brilliant mind. These are among the content of this paper. Based from previous researches, we will have to draw a general conclusion that will help address this problem. Body The Pyramids. Unlike many other temples that served as a house for the living, the pyramid serves as the eternal resting place of Egyptian kings and queens’ body and also a place for religious activity. According to ancient Egyptian belief, the pyramid where the mummy was placed provides for the monarch to pass the afterlife. The ruler’s body was carefully treated and wrapped to preserve it as a mummy. To pray for the soul of the dead ruler, the priests in nearby temples performed religious rituals in order to nourish the spirit, it is believed that the when the ruler died, the spirit remains to the body right after death. The Pyramid Texts were written in the walls of the pyramid to safeguard the soul during its journey. In the Egyptian Old Kingdom, most kings and queens draft for a design of their tomb usually with complicated structure made up of large stone and blocks. Yet probably because the materials were too costly, the size and quality of built pyramids decreased. In the Middle Kingdom, the Egyptians build pyramids out of mud brick. In the tradition, all pyramids were aligned to the cardinal directions which refer to the north-south and east-west location. Most pyramids were found in the desert plateaus on the west bank of the Nile River where the sun sets. According to belief, the dead monarch’s spirit will left the body and shall travel through the sky with the sun each day. When the sun will set in the west, the spirit will now settle into their tomb to renew their selves. Step Pyramid at Saqqara. Before the pyramids, the pharaohs were buried in tombs called the mastabas. It is a big, roofed, square building with walls that sloped gently inward. In the center of the building, a deep shaft was cut to which the burial chamber is located. There they stored the pharaohs’ significant possessions. In building the mastabas (â€Å"bench), the pharaoh needed much worker to work for his project. When there is dearth of workers, he sent out word to all his governors from different provinces. The governors in turn will send the word to every town and village and farmers from all over Egypt in order to come and work for the pharaoh’s project. The earliest known pyramid is the pyramid of King Djoser (Zoser) of the third dynasty. It was build with a giant steps like six mastabas stacked one on the top of the other looking like a rectangular wedding cake with six layers. Other pharaoh’s after him design their own pyramids trying to furnish a better pyramid than that of Djoser. Djoser Step Pyramid architecture was Imhotep. He commissioned a court official to design and build him a unique burial tomb. Accordingly, the building of the pyramid required two things which had never been done before: â€Å"the first was provided by a pacified and united country while for the second a unique human genius was required,† (Mendelssohn, 1979). Imhotep has advantage to this. Although he is not of royal blood, his official title as a purely self-made man was â€Å"Chancellor of the King of Lower Egypt, First after the King of Upper Egypt, Administrator of the Great Palace, Hereditary Nobleman, High Priest of the Heliopolis, Builder, Sculptor and Maker of Vases in Chief†, and he was an engineer before the word ever existed (Thomas, 2005). Imhotep brilliancy was praised by many intelligent minds during his time. He developed and controlled the logistics and persuades a group of thousands of men into a well-organized workforce capable of producing suppose to be the world’s tallest pyramid by a factor of twenty. Imhotep has long solved the problems such as the balance of the lateral forces in the gigantic pyramidal weight while pressing down on a square base. To address the problem, his masons slanted the inner stones of Zoser’s pyramid towards the apex to help balance it out. This designed is considered as grossly overlooked with the introduction of Meidum pyramid. (Ibid. ). Nevertheless, Imhotep’s step pyramid was the first stone structure in the history and is the oldest surviving pyramid today. Several nature factors affect the pyramids’ brilliance, but none of it had overcome the clarity of mind of Imhotep. The fact that his structure stand today is a clear indication that he had overcome nature’s changing environment. Yet Imhotep brilliancy is almost trivial, we had little information on his intelligence and none of the records ever survived in justification of his eminence. Meidum Pyramid. The Meidum pyramid was introduced in the year 2600 BC. It is in the shape of tetrahedron. It started as a step pyramid with inward leaning walls and eight levels. The pyramid construction at Meidum became unsuccessful because there is probably lacking in the design of the pyramid. The interior support of the pyramid partially was collapsed and massive rubble mounds were found beneath the base of the pyramid. Bent Pyramid. After the failure of the Meidum Pyramid, King Sneferu, the father of Khufu started designing his pyramid. He actually started with the Meidum pyramid but for unknown reasons he moved his burial chamber north to Dashur, at the Giza Plateau with a different design. The foundation of the pyramid was a big flat area of limestone bedrock. Also as an advantage, in the nearby area there was a limestone quarry, a place where they could cut two to three ton limestone block to be used in building the pyramid. His pyramid was made of stone blocks leaning inward. In constructing the base of the pyramid, the stone cutters leveled the foundation of the pyramid providing indications as to where the pyramid would be located. The sun and the stars serve as their guiding point to align the pyramid facing exactly towards the four cardinals, the north, south, east and west. They aimed at leveling the sides of the pyramid equal to all angles. Each of the side using modern measurements is 755 feet and 8 inches long; the length is less than two inches of the four sides. However, during the construction of the pyramid, the weight of the upper portion started to inflate causing the pyramid to be not in proportion. It had slowly sink; the weight and angle of the stones where much heavier than in its base. To address the problem, the builders put up an outer supporting wall cutting off the 60 degrees angle to 55 degrees. The upper portion is only 43 degrees. This is where the pyramid got his name, the Bent Pyramid. During the construction, the architects tried to polish their work by applying what they have learned in building the bent pyramid. They must have laid down horizontal layers of larger stone and blocks. In order to vindicate their erroneous design, they construct again another giant pyramid for Sneferu called the North Pyramid. Sneferu returned to Meidum and refined the Meidum pyramid by adding outer level using new approach in constructing it. Sneferu’s new technique somehow became successful. His new technique became the foundation of the 4th dynasty pyramids and the Great Pyramid at Giza. Indeed, something did. Imhotep’s buttresses, while always at the base step pyramid of other true pyramids, were not extended to include the buttressing of the structurally significant outer casing. Pyramids built later than Meidum demonstrate this slanting of the outer casing. (Thomas, 2005) Khufu’s Pyramid. The proliferation of pyramid gradually decline in the 5th dynasty when irregularities seem to pervade in the whole kingdom of Egypt. Perhaps, one significant attribute of the so called chaotic period in Egypt called the First Intermediate Period is crossing the alley of yore to the Middle Period where new techniques and materials were applied. Parallel to it, when the building of pyramid was once restored, the pyramids’ beauty was converted into gross physical appearance to lucidity. Khufu, son of King Sneferu becomes pharaoh. To build a legacy on the surface of the Earth, he set out to design the largest pyramid. Sneferu’s three pyramids laid new important techniques in maintaining Khufu’s pyramid throughout the time. That is to build a pyramid with a solid stone foundation. In onset of the pyramid’s construction, Khufu ordered his governors to seek workers out of forty-two towns of Egypt. He require ten working men or boys each town to accomplish his ambitious pyramid. During Khufu’s reign, there are some speculations that massive slave workers were forced to work in building the pyramid. However in Herodotus account, the workers were not compelled to work for the pyramid. In contrary to his statement, he said however that there is dearth of workers, thus some forcible action is impliedly conducted. There was no account yet being surfaced to warrant the situation. Accordingly, most of the men were proud to work for Khufu; there is so much honor in building the eternal home of the god-king. Men formed into 20-30 teams and also have given their teams a name such as â€Å"Khufu is Bright†. Evidences lie in the hidden parts of the pyramids where modern archaeologists have found them. The construction of the pyramid began. The base forms a nearly perfect square having 19-cm. This huge square is almost exactly leveled out. In the core of the pyramid, it probably has a hill of unexcavated rubble making it difficult to determine the exact number of blocks. According to research, the Great Pyramid’s blocks are estimated to 2. 3 millions of blocks having an average weight of 2. 5 metric tons. Hundreds of men worked for quarrying, moving, setting and sculpting the huge amount of stone used to build the Great Pyramid. A total of 25, 000 men and women worked in the construction site for a couple of years. According to one account, there were no slaves who worked in finishing the project. Most probably were farmers, architects, masons, metal workers and carpenters. The architects of Khufu selected a site in Giza on surface of bedrock not sand which will provide a steady foundation. The workers lower the stones in a horizontal level, on one top of the other. The stone used in the interior area was out of quarried blocks in the south of the construction site. The exterior part which is finely finished was out of white limestone quarried across the Nile River. To transport the materials, the workers have to cut the limestone and transported by a river barge to Giza. The rest of the materials were used in building edifices in Cairo. Dating from the earlier failure of the architects, they had failed to recognize the symmetry of the stones placed on top of the other. Khufu’s pyramid however applied the rule on symmetry. Workers have marked all the blocks indicating the angle of the pyramid wall and trimmed the surfaces so that all blocks will fit together. On the sides of the pyramid, workers built large ramps to help drag their materials to the sides of the structure. Those ramps being used were probably of desert clay mixed with water tighten by limestone debris leftover from the construction work. The final exterior phase f the pyramid is the installation of the pyramidion or the cap stone of the pyramid. In order to reveal the full majestic view of the pyramid, workers must dismantle the ramps on the surface of the pyramid. Thereafter, the pyramid had displayed its real beauty. For the interior part of the pyramid, it is compose of complex chambers where a series of passages will lead to master chamber where the body of the King shall be placed. The pyramid’s entrance is about 17 m intended to be used during Khufu’s funeral. The entrance of the pyramid will likely lead you to the Descending Passage and shall reach the Subterranean Chamber. The Descending Chamber is intersected with the Ascending Passage. The Ascending Passage is the conduit to Queen’s Chamber as so called by the Arabs. But according to some archaeologists, this is where the king statue is located representing his ka, his spirit. The Ascending Passage intersects with the Grand Gallery which housed some large stones used to plug passages after the king’s funeral. At the upper end of the Grand Gallery intersects to the King’s Chamber, a simple rectangular room covered entirely with red granite. Now, what remains is the granite sarcophagus of King Khufu buried near the western wall. Some portion of pyramids’ myriad passage was still mysterious. There are some pyramids that have satellite pyramids and queens’ pyramid. The satellite pyramid’s function is still unknown. Some argued that it must have contained the ka of the king. The queens’ pyramid was smaller version of the kings pyramid intended to be a burial site for the king’s principal wives. The two Great Pyramids beside Khufu’s pyramid belongs to Khafre and Menkaure, Khufu’s son and grandson. Other Great Pyramids. Other pyramids built with the same technique to that of the Khufu’s pyramid is the pyramids of Khafre and Menkaure. In the later years, the building of great pyramids began to decline when Egypt’s resources began to deplete. Several smaller pyramids were design by later rulers however in different location. There are also some smaller pyramids that serve as a burial site for queens and secondary wives of the kings. Later pyramids constructed were the pyramid of Djedefre at Abu Rawash, the pyramid of Sahure at Abu Sir, the pyramid of Neferirkare Kakai at Abu Sir, the pyramid of Nyuserre Ini ate Abu Sir, the pyramid of Amenemhet I at Lisht, the pyramid of Senusret I and Senusret II at Lisht and the pyramid of Amenemhet III ate Hawara.

An Aspects Of Discharge Planning Nursing Essay

An Aspects Of Discharge Planning Nursing Essay This assignment looks at the communication strategies to support and empower the patient living with COPD, a Long Term Condition and their Significant Others when planning their discharge from hospital. This is based on Mr Smiths scenario, a 78 years old man who suffers from advanced chronic obstructive airways disease. It will open with the definition of the keywords of the assignment. It will examine the characteristics of COPD at end of stage in the first section, because this is what Mr Smith suffers from and will therefore determine the discharge package of care to be used for him. The second section will look at the discharge plan and the team to be involved in the discharge process and their role. Finally it will look at the importance of communication when planning discharge and the communication strategies to be utilised for Mr Smith. As a matter of fact, Mr Smith suffers from COPD, which describes the obstruction of airflow caused by chronic bronchitis, emphysema, or both. It is called chronic because it is persistent, and pulmonary because it affects lungs. Bronchitisis about the inflammation of the airways of the lung, while emphysema is the damage which affects the smaller airways and air sacs of the lungs. He has suffered from serious exacerbations as his conditions has been worsening beyond normal day-to-day variations and is acute, with symptoms such as worsening breathlessness,  cough, increased sputum coloured production. He is now classed as having end of stage COPD. Even though there is no accepted definition for end of stage COPD (Siafakas, 2006), the term end of stage gives the idea of the last step in the course of a progressive disease. NICE (2010) classifies COPD into four stages, Mild (stage I), moderate (stage 2), severe (stage 3) and very severe (stage 4). According to Leader (2012), end stage COPD refers to last stages of the disease. According to Global Initiative for Chronic  Obstructive Lung Disease  (2010), very severe COPD would have the following chronic symptoms: cough with a lot of mucus, severe breathlessness, loss of weight, skin colour becoming blue, edema attacking the legs and feet, Life-threatening COPD flare-ups and Lung malfunction. At this point, it should be kept in mind that Mr Smith is the first person to be involved in this discharge planning as his preferences must be considered in the process. He has to be empowered to take responsibility of his own care. It is part of the NMC (2008) policy that nurses have to listen to people in their care and respond to their needs and preferences, and get informed consent if required. Mr Smiths family members should also be involved as they are the ones to be with him at home. They can inform the discharger of their availability, willingness, strength and limitations. Involving patients and carers in the discharge planning process is actually one of the requirements of the Department of Health (2010). The discharge planning will therefore start with an assessment through spirometry tests of Mr Smiths condition looking into his complete medical history. The care providers should find out how much air Mr Smiths lungs can blow in and out. It is known that Mr Smith was previously admitted to the hospital for exacerbations. This means that a serious assessment of his respiration system should be done; with a look at the level of dyspnea. The discharge is based on his request, which means that he should be involved in the process. The condition of Mr Smiths daily activity can be thought to be difficult, because his medical history shows that his condition worsened and his house had to be amended to accommodate his needs, and that he now lives in his front room downstairs and has access to the toilet down stairs as well his kitchen/dining area. This means that Mr Smiths coping skills are very limited. Mr Smith should also be assessed for cardio vascular and other chest diseases and psychological effects caused by COPD. Mr Smith therefore appears to have functional problems as his exertion is very limited which affects his activity of daily living. So his discharge planning should include assessment of functional abilities to determine his ability to be independent in the future and the possibility of exercising. This assessment will help to determine whether he needs treatment for pulmonary rehabilitation and how strong and flexible he can be. This helps to assign the right job to physiotherapists. Several interventions have to be done in order to reduce risk factors (NICE, 2010). Donna and Goodridge (2006) has described a number of symptom burden for end of stage COPD patients: dyspnea, breathlessness with discomfort; burden of fatigue and sleep disturbances, which has impact on functional limitations of daily activities such as self care, household chores, and leisure activities. (Elkington et al 2005); feeling of social isolation and loneliness, depression and anxiety, (Lacasse, 2001), panic, fear, and frustration. Tranmer et al (2004) goes a step further to add feelings of worry, sadness, nervousness, irritability, and concentration difficulty. Finally the needs of the patients family should be taken into consideration, because they are the people to stay with the patient at home, and are therefore the patients advocates, companions, personal caregivers, and surrogate decision-makers (Selecky, 2005) Given the services to be involved in Mr Smiths discharge planning, one can correctly identify the process as a complex discharge planning as it involves multidisciplinary care planning and ongoing care. Actually, this discharge plan calls for a multidisciplinary team of professionals as suggested in NICE (2007). Even though the patient remains under the care of the hospital consultants while making the GP aware of the home care, this team of professionals will work with referrals coming from secondary care in order to care for Mr Smith at home. A respiratory nurse specialist will set and implement the care in order to improve Mr Smiths respiration. This will help to reduce any anxiety and fear. The in-reach nurse will educate, support and advise the different parties mainly patients, his relatives and staff and assess the various devices to be used as well as organise the followup and other referrals to competent departments and services (spirometry, chest checkup à ¢Ã¢â€š ¬Ã‚ ¦). Physiotherapists will help with exacerbation at home to clear secretions and provide chest physiotherapy at home as well as advise the patient on breathing pattern and exercises that might help Mr Smiths mobility problems. However a proper training is required for nurses, because there appears to be a limitation in their knowledge and the way to deal with end of stage COPD patients. (Disler and Jones, 2010) The palliative care for Mr Smith should be based on the above symptoms associated with advanced COPD. Oxygen therapy will be needed, because COPD patients usually become hypoxaemia with the progression of the diseases. This is not a curative treatment, but it helps relieve the symptoms of breathlessness. However it has been observed that caution should be taken for the respiratory drive not to be suppressed by a lack of control. Here one has to distinguish between long term oxygen therapy which takes around 15 hours a day and short term therapy for other patients.   Given that Mr Smith has suffered from serious exacerbation, there is a need for Oxygen therapy, and a respiratory specialist should be assigned to control the use of oxygen. Since Mr Smith will be going home, and his need of oxygen is great an oxygen concentrator with a back up supply of oxygen cylinder could be a better alternative. A proper training for its use must be given to his careers. There would also be a need to include steroid tablets such as prednisolone in his treatment in order to reduce the extra inflammation in the airways. This can be taken once a day for 5 to 14 days. Dyspnea can be treated with the use of opioids which improves breathlessness. (Jennings et al, 2002) A 20mg dose of oral morphine a day also would be helpful (Abernethy et al, 2003). Airway Clearance Devices can also be prescribed in case Mr Smith has problems to clear secretions and mucus. High-frequency chest wall oscillation, or a  ¬Ã¢â‚¬Å¡utter valve can be used with a positive expiratory pressure of about 6-20 cm H2 O (Ambrosino et al, 1995). Mr Smith should also be considered to receive treatment for psychological effects, as these have been observed in patients with advanced COPD because of the poor quality of life. Patients suffers from anxiety and depression due to dyspnoea (Bailey 2004), and this is said to be in the proportion of up to 90 %. (Kunik et al 2005; Norwood 2006). In this case, consideration would be given to antidepressants such as benzodiazepines, paroxetine and sertraline which have proven effective for anxiety and depression (Lacasse et al 2004). As NICE (2010) recommends, this treatment should be supplemented by spending time with the patient to explain why all this is happening and how it can be treated. This calls for the importance of good communication. A check up is also necessary to find out if Mr Smith is coughing, in which case Morphine and codeine could be prescribed. COPD patients also feel pain in the chest, which can have a musculoskeletal or pleuropulmonary origin (Leach 2005), in which case some analgesic drugs proposed by the WHO, can be used, mainly non opioids such as paracetamol and NSAIDs; weak opioids such as codeine and tramadol and strong opioids. But in case of infections, consideration should be given to antibiotics. At this point, Mr Smith and his family should be educated in the way medications should be taken to avoid nonadherence to the medical plan. By Adherence, one should understand an active, voluntary, and collaborative involvement of the patient in a mutually acceptable course of behavior to produce a therapeutic result. (Delamater, 2006). This calls for a clear understanding by Mr Smith of his condition (Johnson G, et al, 2005) and fitting the medication regime to his daily routine (Ryan and Wagner, 2003). This can be done if there is good communication. Communication should be understood as a process of conveying information and thoughts between different people, using written or spoken language and body language. Several scholars have found that communication is paramount to deliver good healthcare (Buckley, 2008), because both the patient and the healthcare provider enter into an emotional relationship. (Wittenberg-Lyles et al., 2008). It has also been observed that patients have a great need of information about their condition and that inadequacy of communication in healthcare would prevent good provision of care for people at the end of life. (Curtis et al, 2005). Actually while planning for communication, one can also include Advance Directives in the form of living will or proxy while Mr Smith is still stable in order for him to have a voice in his last wishes. Communication should be part of all those concerned with the discharge planning for a better understanding of who would be doing what, and this meets the NMC (2008) requirement to share information with colleagues so working as a team The nurse has therefore to avoid to create a communication gap with the patient, and other professionals, or say any misunderstanding in what they are talking about. It should be kept in mind that open communication is likely to empower the patient to have more hope and so dispel any fear they have (Davidson and Simpson, 2006). With such a view in mind, communication with the patient would help to share hope and prepare for death, or in Back et al (2003)s terms to hope for the best and prepare for the worst, and discussion of questions related to worries, concerns for the future, hope (Braun et al 2007) as well as information related to the outcomes of different treatments with survival chances given with honesty (Fried et al 2002) Empathy should be among the strategies while interacting with the patient, and the nurse has to devote more time to listen to the patient. (Edwards et al, 2006). Actually nurses need more training in the field of communication for patients at end of stage as correctly mentioned by Davidson et al, 2002. To conclude, it can be said that Mr Smiths discharge plan is a complex plan with a multidisciplinary professionals involved. The plan starts with an assessment of Mr Smith condition and moves to focus on providing education and reinforcement of the medical plan. The medical plan includes pharmacological details describing medications intended to alleviate Mr Smiths symptoms of severe COPD, as well as non- pharmacological ones related to the devices to use and control of adherence and coping skills of Mr Smith. The pharmacological part should include medication to do with COPD and the psychological effects produced. A nutritional assessment is also necessary. Among the treatment, aspects of pulmonary rehabilitation, exercising, community resources should be included. Communication should be a key issue not only between the professionals and mr Smith, but also between the professionals themselves for the good of the patient. All these aspects call for a better training for nurses, as a t present literature reveals that nurses express limited confidence in their knowledge and how to deal with aptients at end of stage COPD.

Iran :: essays research papers

The salat-the five obligatory daily prayers-is also known as the namez in Iran, India, and Turkey. These prayers are only performed after ritual bathing and take place before sunrise, at noon, in the mid-afternoon, immediately after sunset, and before midnight. Mainstream Shiites combine the noon and afternoon prayers and also the sunset and midnight prayers so that they need only pray three times a day. Praying in Islam is also associated with a specified set of postures, such as standing, bowing, and prostrating. The saum is a fast prescribed only for healthy, adult Muslims during the 30 days of Ramadan; the ninth month is the Islamic calendar. From dawn until dusk, no food, drink, or sexual relations are permitted. Ill individuals and nursing women are excused, but they are expected to make up for missing the fast at other times in the year when they are healthy again or no longer nursing. The zakat or alms tax is levied annually on the crops, livestock, precious metals, and cash of all those living above subsistence and whose debts do not exceed their assets. In theory it is to be collected on behalf of, and then distributed to, the poor. However, many Islamic leaders have collected the zakat to add to their royal treasuries. For this reason, the identity of the zakat collector and distributor has often been a mystery. Since the late Middle Ages (AD 476-1453), mainstream Shiites have had the tax collected by their jurists, legal scholars of Islamic law, who act according to their self-styled role as governors of the imam. The hajj is the â€Å"greater† of the two pilgrimages to Mecca required of all Muslims.

Does Human Cloning Produce An Embryo? :: Argumentative Persuasive Topics

Does Human Cloning Produce An Embryo? In February 1997, Dr. Ian Wilmut and his team startled the scientific world by showing that the nucleus from an adult sheep's body cell could be used to produce a developing embryo that would grow into another, genetically identical sheep. There was no doubt whatever that this process ("somatic cell nuclear transfer") produces an embryo of the relevant species. As Dr. Wilmut said in his groundbreaking article: "The majority of reconstructed embryos were cultured in ligated oviducts of sheep... Most embryos that developed to morula or blastocyst after 6 days of culture were transferred to recipients and allowed to develop to term," etc. [I. Wilmut et al., "Viable offspring derived from fetal and adult mammalian cells," 385 Nature 810-813 (Feb. 27, 1997)] Now that the discussion has turned to humans, political spokespersons for the biotechnology and pharmaceutical industries have decided to engage in a curious avoidance of the fact that somatic cell nuclear transfer using a human nucleus would produce a human embryo. There seem to be two reasons for this: a. some spokespersons maintain -- contrary to scientific evidence, the findings of the NIH Human Embryo Research Panel, and current federal law on embryo research -- that no human embryos should be called "embryos" for the first two weeks of existence.1 b. because cloned embryos are seen as such useful research material for destructive experiments, current restrictions on embryo research etc. must be evaded by denying that an embryo produced by cloning deserves the name. Thus euphemisms and misleading or inaccurate terms ("totipotent cell," "clump of embryonic cells," "unfertilized oocyte," etc.) have entered the political discussion. They are employed to conceal the fact that researchers want to be allowed to use cloning to produce and destroy human embryos. Biotechnology groups claim to oppose the cloning of "human beings" or "persons" -- but they reserve the right to conduct cloning experiments on human embryos and fetuses, so long as none is allowed to survive to live birth. Fortunately, one can cut through the political evasions by looking at the professional literature -- including writings by those who support cloning of embryos for research purposes: "One potential use for this technique would be to take cells -- skin cells, for example -- from a human patient who had a genetic disease... You take these and get them back to the beginning of their life by nuclear transfer into an oocyte to produce a new embryo.

Half Brothers - How far can you sympathise with Helen, Gregory, William :: English Literature

Half Brothers - How far can you sympathise with Helen, Gregory, William Preston and the narrator of the tale? How does Elizabeth Gaskell guide your response? HALF BROTHERS How far can you sympathise with Helen, Gregory, William Preston and the narrator of the tale? How does Elizabeth Gaskell guide your response? Out of all of the characters in the story, I think that Helen and Gregory are the two that are easiest to sympathise with. William Preston is a harder character to sympathise with. The way that Elizabeth Gaskell portrays these characters in the tale, is a great influence on these thoughts. From beginning to end, Helen seems to have led a very tragic life. The start of the story consists of a very depressing amount of death and poverty and this could trigger a sympathetic reaction from the reader. After three years with her first husband, he dies of tuberculosis and leaves her with a young child, barely able to walk and many burdens such as a lease on their farm that she is stuck with for another four years. As if that wasn't enough, half of the stock on the farm was dead and the rest had to be sold to deal with 'more pressing debts'. All this made her life very difficult as there was no immediate source of income. The way all of this information is provided to the reader is also a reason for the quantity of sympathy generated for Helen. All of these tragic events in Helen's life are included in one single sentence. This gives the reader the impression that all these events happened within a very short time of each other. This would generate even more sympathy for Helen. Immediately after this one, massive sentence full of tragedy, and financial problems, Elizabeth Gaskell reveals that Helen is expecting another child. Here, a lot of emotive language is used, like 'sad and sorry' that trigger sympathy. Terms like 'lonesome dwelling' are also included. This suggests that Helen leads a very lonely, sad life. With winter approaching, Helen's future looks very bleak. At this point, Helen's sister 'Fanny' goes to stay at the farm to keep her company and help out. They planned ways to make money and for a short time, Helen's life began to look up. However, soon, Helen's daughter took ill of scarlet fever and within a week, she died. At this point, Helen was described as stunned by this blow. The fact that Helen did not cry almost gave the impression that Helen was so used to death that she had been 'hardened' by past experiences.