Sunday, November 3, 2019

The Betrayal in Hamlet Essay Example | Topics and Well Written Essays - 2500 words

The Betrayal in Hamlet - Essay Example Hamlet's insanity is philosophical, the result of brooding upon his father's death and learning the truth about it. Ophelia's insanity is often portrayed as the result of being a woman, a person for whom emotion trumps reason, who cannot be held accountable for her actions as a result of her gender. Although this is true as Showalter explains it, modern readers can still create a new picture of Ophelia, as an intelligent woman who defies society's expectations by thinking for herself, even as others manipulate her for their own gain. Ophelia's first appearance in the play is at her brother Laertes's side; the time and place of her life requires that, if Ophelia is to be a good girl, she will always be governed by trusted men. Her brother engages in the family pastime of giving unwanted advice in long, lofty monologues. He says straight off, "For Hamlet and the trifling of his favor, Hold it a fashion and a toy in bloodnot permanent, sweet, not lasting" (I. iii. 5-8). Laertes anticipates Hamlet's betrayal of his sister, and Ophelia seems to understand what he is saying. But we can assign a degree of independence to Ophelia in his conversation; she accepts his warning lightly and then turns it around, suggesting that Laertes is giving good advice, which he himself needs to follow. When her father, Polonius, quizzes her on the same subject, she is slightly more forthcoming, but she also argues in Hamlet's favor, calling his wooing of her "honorable" (I. iii. 110) and "holy" (I. iii. 114). At the end of the scene, P olonius tells her to avoid Hamlet, and she promises to do so. Modern readers are left to wonder the men's motivations. Do they care for Ophelia, or is she a commodity whose worth could be compromised They do not trust her to make the right decision on her own, but force her into dangerous situations for their own reasons. When next we see Ophelia, she is reporting to her father on Hamlet's frightening behavior. Although she has tried to avoid him, he bursts in on her private quarters and acts crazy, grabbing her arm staring at her in a scary way. Ophelia is still behaving essentially according to expectation, coming to her father for help. She tells him she has acted "as you did command" (II. i. 108), and even Polonius believes it may be his advice that has provokes such a response. Not long after that, everyone starts to worry about Hamlet's bizarre behavior. The king, with Polonius, decides to set up a situation in which the two men can observe the young people together and determine whether Ophelia is the reason for Hamlet's madness, and in this scene, Shakespeare plants the beginnings of Ophelia's madness in Hamlet's lies and contradictions. Here her mind turns to melancholy. She sees herself "of all ladies most deject and wretched" (III. i. 158), but not before she laments the poison that infect s Hamlet. Meanwhile, her father and the king disagree on the effect of their pawn sacrifice, not considering the extent to which they have really sacrificed her. Without this external manipulation, Ophelia might have been safer. Again, in Ophelia's next scene, she is forced to contend with Hamlet's changing madness, as he flirts outrageously with her in front of both of their families and actually

Friday, November 1, 2019

The american story Essay Example | Topics and Well Written Essays - 1250 words

The american story - Essay Example What features characterize the American past and how they are reflected within the current day’s American society? In the simplest form, the American story would be seen in whole range of aspects surrounding political, social cultural as well as the economic evolution as has been cited in the past (Salzano 1-3; Anon, 2-3). In the analysis of the American story, this paper intends to evaluate the great steps that characterize the past of the great nation. In particular, the evaluation of the movies as watched in the class depict the systematic change in the different aspects of a nation; economic, social cultural as well as political that are characteristic features of the past to America. As seen from the great book by Garrett, ‘the American story’, much of mankind past can never be ascertained by simply believing what is seen. He clearly reveals that much is what lies behind the scenes and only take the hand of divinity to reveal what actually is presumed. Just a s the case with the rest of world’s countries, the journey of a sovereign America as it is today started with the weight of colonialism. However, events unfolded systematically to pave way to what is currently known as the world’s great, ‘the America’. ... Indeed, the great Henry is quoted to say "As for me, give me liberty or give me death" (Garrett 14), all in the spirit of nationhood as characterized the early formation of a state. It is the committed strive of a great people to birth an unknown country and which would command great global power within a mere span of six generations down the line. Despite the oneness revealed through the struggle for independence within the American country and which is evidently portrayed by the independence declaration, â€Å"We hold these truths to be self evident, that all men are created equal, that they are endowed by their creator with certain unalienable right, that among these are life, liberty and pursuit of happiness† (Garrett, 13-16) turned out to mock this own spirit with the practice of mastery and the slave as was the case with the negroes. The actual sense of liberty was only inherent within spirituality as many generations down the line find liberty as mere fiction in their p ursuit. Different continents in history hold different stories of evolution as the book by Diamond in review of the movie, ‘guns, germs and steel’ portrays. He sought to unravel the reasons behind the inequality as seen in our societies, the reason why some societies develop quickly than others. It also intends to reveal the mystery behind the colonization of America by Europe and not otherwise as common sense would have it. Food production as revealed through the evolution track of human beings brought about disparity and class distinction between the haves and the have-nots. Much of the endowment in productivity arose from geographical disparities and the climatic conditions (Diamond 195-197).

Wednesday, October 30, 2019

Role of Operations Management Paper Essay Example | Topics and Well Written Essays - 1000 words

Role of Operations Management Paper - Essay Example Here I will provide a detailed overview of the operations management and handling. Here I have chosen the Tata Motors for the overall research and analysis of the corporate operations management. The subject of the operations management spotlights on cautious running the procedures to construct as well as allocate services and products. Typically, small industries do not speak regarding area of operations management and its implementation; on the other hand they carry out the actions that management schools normally linked through the expression the operations management (McNamara, 2009). Organizations are by and large involved in operational management for the reason that it gives deep insight into how well and competently the activities and operations of an organization to renovate input into useful products for the operation of business are working (Fisher College of Business, 2008). This research will provide the detailed analysis of the TATA MOTORS and its associated operation management. Here I will elaborate the different areas those are executed under this paradigm in a business. This analysis will offer a deep insight into the overall working and operations in opera tions management. Most important and on the whole tasks of an organization frequently consist of manufacturing goods or production and their distribution. These tasks are as well linked by means of service and product management. However, product management is typically in view to one or additional directly linked goods that is, a manufactured goods line (McNamara, 2009). Operations management is in observation to the entire processes inside the business. Linked tasks and actions encompass organizing acquiring, record control, excellence control, logistics, storage as well as assessments. A huge deal of ideas is on competence as well as efficiency of procedures. Consequently, operations management frequently comprises considerable capacity assessment as well as investigation of interior

Monday, October 28, 2019

Care of a Patient in Acute Pain from a Total Knee Replacement Jahaira Melendez Essay Example for Free

Care of a Patient in Acute Pain from a Total Knee Replacement Jahaira Melendez Essay Nursing care after a total knee replacement is very essential in promoting a speedy and safe recovery for a patient. In an attempt to replicate the knee’s natural ability to roll and glide as it bends by cutting away damaged bone and cartilage and replacing it with an artificial joint, acute pain following the procedure can be unbearable. In assisting the patient in controlling the pain would only guarantee the best recovery possible. With pain control, the patient will be able to perform follow up care and exercises to the best of their ability and over 90% of patients who undergo a total knee replacement have good results with recovery and ability to resume performing normal daily activities and minimizing the risks of complications to the surgical site. Keywords: Pain management, encouragement, total knee replacement, arthritis, prosthetic Care of a Patient in Acute Pain from a Total Knee Replacement A common medical condition seen in many aspects of the medical field is arthritis. Arthritis is the inflammation of a joint and the most common type of arthritis is osteoarthritis, also known as wear and tear. Pain from any medical condition or procedure can be very stressful to a patient and inhibit any recovery. Arthritis can be diagnosed by performing an x-ray to determine the extent of joint damage. Someone with arthritis of the knee usually has difficulty walking, climbing stairs and getting in and out of chairs. An orthopedic physician can recommend interventions. The most common joint replacement surgical intervention to help control and alleviate chronic pain for a patient is a Total Knee Replacement, also known as arthroplasty. A total knee replacement is performed to relieve moderate or severe pain and restore function in severely diseased knee joints. This procedure is not performed until pain is no longer controlled with non-operative treatment such as weight loss, activity modification, anti-inflammatory medications, joint supplements and cortisone injections. It is also not performed frequently on younger patients due to the implant wearing out quickly. An orthopedic physician would determine the type of prosthetic needed in order to achieve the most success. There are also modified implants to provide the best possible functioning with long lasting results such as partial knee, rotating knee, gender specific knee and custom knee. To perform the procedure, an orthopedic surgeon would administer general anesthesia, which means one is unconscious during operation, or spinal or epidural anesthesia in which a person is awake but cannot feel any pain from the waist down. During the procedure, the knee is in a bent position to fully expose the joint surfaces. An incision of 6 to 10 inches (15-25cm) is made on the front of the knee. The kneecap is moved aside and damaged surfaces are cut away. The femur is cut to match the corresponding surface of the metal femoral component that is placed on the end of the femur and the tibia is prepared with a flat cut on top to fit the metal and plastic tibial component that is inserted into the bone so the femoral component will slide as the knee is bent. If needed, the patella is cut flat and fitted with a plastic patella component and plastic spacers are inserted between the metal components for smooth gliding. Prior to completion, the knee is tested during surgery to ensure correct sizing and then closed with stitches or staples. The procedure would take 1 to 2 hours and recovery would be another 1 to 2 hours and then require a hospital stay of a couple of days. During the hospital stay, encouragement to move the foot and ankle to increase blood flow and prevent swelling or clots and blood thinners, support hoses or compression boots are very important. A nurse should also encourage the patient to cough regularly and take deep breaths to promote the movement of mucus that settles in the lungs during the procedure while being under anesthesia. Caring for a patient in acute pain after a procedure and managing pain levels is a very important part of recovery. Without pain control a patient will not be able to achieve recovery levels as quickly as possible without causing other injuries. Acute pain is related to tissue injury secondary to the surgical intervention. Upon discharge, teaching on follow up care is very important. A patient needs to know what to do and what to watch for as part of their recovery. Vital discharge instructions that a patient must be taught are: * When allowed to shower, usually 3 to 4 days after surgery, carefully wash incision with soap and water, rinse well and gently pat dry. Do no rub or apply creams. * Sit when showering to avoid falls. Avoid soaking to prevent infections. Try using non-slip mats, grab bars and elevated toilet seat or shower chair to prevent falls. Take pain medications as directed, do not double up doses if any doses are missed and do not drive when taking narcotics, usually about 6 weeks before it is ok to drive. * If taking a blood thinner, always verify with physician if it is ok to take Ibuprofen or any anti-inflammatory medications * Always sit in chairs with arms to make it easier to stand or sit but only 30 to 45 minutes at a time. * Sleep with pillow under ankle and keep knee straight but change leg position at night and nap if tired but don’t stay in bed all day. Wear support stockings for about 4 to 6 weeks and do not pivot, twist or kneel. * Walk up and down stairs with support, one step at a time using good knee to step up and bad knee to step down. As a fall prevention, always remove loose wires, throw rugs and have good lighting and keep items within reach. * Before and after any activity, ice the area for 30 minutes. Most importantly, teaching about potential risks such as nerve damage, stroke, and heart attack, blood clots in leg vein or lungs or infection should really be emphasized when discussing discharge instructions. Signs of infection would include increased redness, tenderness, swelling and pain of surgical site, stiffness, and fever with temperatures above 100 degrees Fahrenheit, shaking chills and drainage from site. If any of these symptoms occur, a call to the physician should be made immediately. Recovery will take several weeks during which time crutches or a walker will be needed and arrangements for transportation and everyday tasks will have to be made. Physical activity should be resumed slowly with normal household activities, a graduated walking program and knee strengthening exercises until staples or stitches are removed 2 to 3 weeks after surgery. Low impact exercising such as swimming or riding a stationary bicycle is tolerable but high impact activities such as running are not recommended due to an increased risk of joint failure because the knee joint components can loosen. During recovery from the surgical intervention, a nurses care to help control acute pain for the patient is one of the most important factors in helping a patient fully recover without further complications. Walking and knee movement begins soon after surgery so less pain would benefit the patient to move sooner and get strength back quickly. Pain control can be done with the use of analgesic and non-analgesic relief measures and reporting uncontrolled symptoms immediately. A nurse can assist with pain management interventions such as: * Performing comprehensive assessment of pain to include location, characteristics, onset, duration, frequency, quality, intensity or severity and precipitating factors. Always consider cultural differences and in non-verbal patient use the analog pain scale to evaluate pain control measures required * Reducing or eliminating increasing pain factors like fear or lack of knowledge * Teaching non pharmacological techniques like relaxation, massage, guided imagery and distraction * Checking vitals every 4 hours and neurovascular checks every hour during the first 12 to 24 hours then every 2 to 4 hours and always report any abnormal findings * Providing prescribed analgesics before activity to increase participation and assessing levels of comfort frequently * Initiating physical therapy, exercises and range of motion while teaching and reinforcing the use of techniques to prevent weight bearing on affected extremity and recommending home health or a rehabilitation facility * Monitoring incision bleeding, emptying and recording drainage every 4 hours and changing dressing every 24 to 48 hours * Encouraging increased fluid intake and high fiber diet, stool softener and a well-balanced diet with increased protein * Encouraging use of compression stockings to decrease swelling. Nursing care of a patient is very crucial in order to help the patient avoid potential complications with the prosthetic. An infected knee would require surgery to remove artificial parts and antibiotics to kill the bacteria then after clearing the infection another surgery would be required to install a new prosthetic. A nurse’s role in recovery is very important in many aspects of the patient’s care and the nurse can encourage and support the patient in building the confidence that they are able to perform the necessary steps to gain the ability to restore normal functions. Most importantly, helping the patient keep pain levels under control by whatever measures are comfortable to the patient should be first in mind. Pain can be the main factor that would prevent a patient from doing any follow care or treatment they are required to do in order to keep the prosthetic functioning adequately. The patient should be able to rely on the nurse to keep them in a comfortable state with the assistance of keeping in communication with the physician and without this patient-nurse relationship the patient would not be able to recover properly and achieve goals set as part of their recovery treatment plan.

Saturday, October 26, 2019

The Civil Rights Movement: We Can All Live in Peace :: Black struggle for civil rights in America

What is the key to understanding? Is it knowing what our predecessors were thinking? Or is simply just trying to put ourselves in their place. Whatever the case may be, understanding our history is vital in the progression of civilization. In an era when color was everything, understanding our history is what makes life in America today-so beautiful.  Ã‚  Ã‚  Ã‚  Ã‚     Ã‚  Ã‚  Ã‚  Ã‚  During the time of the Civil Rights Movement, the blacks wanted to be free, but the whites wanted to suppress them. The whites were willing to go to any lengths to campaign their ideas of white supremacy. From research it can be learned, that from that movement, to some - it was more than a movement, it was a war for freedom. â€Å" I lived in a time when the white man was our ruler, but he could not suppress me any longer. I refused to get up for that white man, he and I were not seen as equals from societies eyes, but god gave us both red blood in our veins.† (Rosa Parks: Autobiography pg. 23) Rosa Parks was just one of the many powerful spirits that lit the way for many to freedom. Dr. Martin Luther King Jr. was probably the most influential during this time period. He touched people of all kinds. Blacks, whites, and people of all races were inspired by the way King could move his audiences. Even John F. Kennedy was seen walking down the street with King listening to a personal sermon. Although Kennedy was only president for a little over one-thousand days before he was assassinated, perhaps the most important of his achievements was his support for civil rights and his effort to move the United States away from racial segregation and toward freedom and equal rights for all Americans. Kennedy and King had the same â€Å"dream†.   Ã‚  Ã‚  Ã‚  Ã‚   In an era when color was everything, understanding our history is what makes life in America today-so beautiful. The communication between races was done through many different attempts by both parties. Protests, secret coding, public seminars, speeches, and using the goodness of one’s heart, were just some of the many ways races attempted to communicate. The nation has grown and learned from the men and women that fought for equal rights, and it shows. Interracial couples are getting married each and every day. Blacks and Whites may sit together on the bus in the front or the back.

Thursday, October 24, 2019

A Blend of Tradition and the Contemporary

Music has always been a part of the rich Lebanese culture and has played a very important role in many religious traditions. The beautiful rhythm of Arabic tunes mixed with peculiar characteristics of gypsy music in the country proved to be a great blend which resulted to a rich production of intensity that captivates listeners.The characteristic soothing rhythm and wild beats made Lebanese music known around the world. Traditional Lebanese music incorporates instruments such as the oud, the derbake and the ney. These instruments are still being incorporated to pop music that the new generation is enjoying today.The traditional music of Lebanon is usually sung in either Lebanese or Egyptian language. Aside from this, musicians, artists, singers etc, differ on the way they incorporate music to their individual sound.   The artists differ in so many ways. Some artists were known to differ in their music because of their Lebanese dialects. Most are distinct because of their style, the ir sound and instruments.Very few Lebanese musicians try to remain loyal to the traditional music which is called Jabali (of the mountains). One of which is Mohammed El Helani more popularly known as Assi Helani, who is a major music force in the Middle East since the 1990’s. He is a strong musician and follower of the traditional music like mawall and dabke.Dabke, which is usually presented during important and joyous occasions such as weddings, family parties and competitions. This is a very energetic music which usually leaves the audience ‘stomping their feet’-which is the literal meaning of Dabke.Pop music on the other hand is not a new fancy among the Lebanese audience. The growing influence of the western culture made it’s way not only on Lebanese every day living but also on it’s music. Although western pop music is very distinct from Lebanese pop music because it fuses pop melodies and it’s pop-Arabic roots at the same time. The pop music of Lebanon also focuses on the melodramatic melodies and sad states of mind.  Nancy Nabil Ajram is also a popular singer among the Lebanese people. A multi-platinum folk artist, Ajram is considered to be one of the most important superstars ranking 3rd among the best selling female singers of Lebanon. Her style is incorporating the traditional Lebanese music with and infusion of Western culture. Her formula proved to be very potent since most of her followers are the young and old alike of the generation.

Wednesday, October 23, 2019

Types of Abuse

Abuse: There are many different types of abuse and it can be defined as mistreating another human with the intention to be cruel or violent or cause harm. It can be described as the misuse or mishandle of something. It occurs often and usually done to acquire a nasty but satisfying effect. Dating abuse:This occurs during an unhealthy relationship between two people, usually teenagers, when one person wants control or power in the relationship. It occurs repeatedly and usually aggressive and commanding behavior allows the recipient to gain dominance. Profile of the abuser:o Usually has a past of abuse in the familyo May have been abused when they were youngero They may not cope wello Have a high intake of drugs or alcoholo Usually have characteristics of being:? Jealous? Manipulative ? Controlling? Narcissistic? Disconnected? Hypersensitive Profile of the victim: o Usually blames themselveso Goes into depressiono Low self-esteemo Suicidal thoughtso Socially isolatedo May have anxiety Dating abuse examples:Emotional or psychological abuse Making someone feel like they not important my calling them names or treating them like a child by ordering them around, yelling at someone. Insulting, swearing, ignoring, threating or isolating victim. Physical abuse Hurting someone in a way that leaves bruises, using a firearm against victim, doesn't allow victim to eat or sleep. Chocking, pushing, pinching, biting, pulling your hair, locking you out of the house.Sexual abuse Doesn't allow the victim birth control, forces the victim to have sex with them, forces the victim to engage in pornography and prostitution. Unwanted touching, forces you to engage in sexual behavior that hurts you, refusing you to use safe sex practices. Controlling behavior Is overprotective over the victim to a point where they don't trust the victim, isolates victim from family and friends. Overprotective, jealous, creates accusations, criticize or stalks victim.Use of social media encourages dating abuse1. It's addictive:Research shows that people who constantly use social media and their phones to a point where it becomes addictive or excessive, abandon their personal life, show signs of mood modification, and are mentally preoccupied. This shows that people who use social media increasingly can neglect their partners which may cause their partners to leave them which can cause them to become angry and abuse. It can cause them to have mood swings and therefore take it out on their partners when they get enraged.2. It triggers sadness:Social media isolates the abuser and an increase use of it can make the abuser feel lonely even though their partner is with them. This can make them abuse their partner as they could feel like thei r partner isn't supporting them. Sometimes as people get sadder they tend to take it out on others to feel satisfied or content and this could mean taking it out on their partners.3. It can lead to jealousy:Studies have shown that excessive social media users have triggers of jealousy. Abusers can feel jealous when their friends dating lives are more extraordinary than theirs and could become furious that their partners aren't as exciting and therefore take it out on their partner. Abusers are often overprotective and if their partner is engaging with someone else on social media and they see it could infuriate the abusers which leads to violence. Use of cellphones increase dating violenceTeenagers are usually able to get excess to the internet or if not they all have phones. This makes them an easy target to dating violence as their abuser can threaten them anywhere at any time. This means that the abuser can control and degrade the victim just by a click of a few buttons over their mobile phones. Abusers can harass their victims through online texts which may dehumanize the victim and cause them to feel abused. Abusers may also sexually harass their partners online by asking for nude pictures or forcing them to engage in unwanted, awkward sexting. Abusers often message their partners constantly not because they care but because they need to feel like they in control and make the victim intimidated. Abusers can often hack their partners social media sites to know what they up to, they often post private messages or pictures, they can post cruel things about their partner online, they can track their partners location and they can stalk. By doing this they intimidate their partner and will often abuse if their partner is, according to them, doing something wrong. Warning signs of dating abuseo Your partner threatens youo Isolates you from your friends and familyo Dehumanizes youo Your partner makes you feel guilty to get their wayo Your partner is aggressive towards youo Your partner forces you to do uncomfortable thingso You are blamed for everything that goes wrongo You are called names by your partner and belittled by themo Your partner calls and messages you excessivelyo Your partner touches you in public without your permissiono Your partner exceeds your physical boundarieso Your partner controls your reproductive choiceso Your partner has explosive tempero You are forced into having sex with your partner How to escape an abusive relationship?: 1. Talk to someone about your situation 2. Set aside money and slowly move your belongings out 3. Pack an emergency bag 4. Plan your escape route and where you will live 5. Leave when your partner is not at home 6. Don't take the blame 7. Write everything you experience down 8. Warn and tell your friends and family 9. Block the abuser on any social sites 10. Seek physiological help 11. Move on and regain your value and dignityOrganizations that can help Legal Aid South Africa offers legal assistance. To locate your nearest Justice Centre, call 0861 053 425 or visit www.legal-aid.co.za.Rape Crisis offers free confidential counselling to people who have been raped or sexually assaulted. Call 011 642 4345.SAPS 10111University campus law clinics also offer legal assistance. Powa provides counselling, both telephonically and in person, temporary shelter for and legal help to women who have experienced violence.Call 011 642 434Tears foundation Founded in 2012, this non-profit organization provides a database of medical, legal and psychological services available in South Africa to help those who have been raped or survived sexual abuse.Call 010 590 5920Part 2: 55 Tyrone avenue Parkview Johannesburg 21935th February 2018 Dear: Johanna I've heard about your experience with your violent boyfriend and I am extremely apologetic that you had to go through such an ordeal. I cannot even bear to imagine the pain you had to go through. The suffering you have experienced is traumatizing and has happened solely because your boyfriend wanted control in the relationship. Your boyfriend was extremely jealous, controlling and hypersensitive which is usually the characteristics of an abuser. I as your best friend had noticed earlier how distant and melancholic you were, but I had no idea that it would link to your boyfriend. Your boyfriend was always so loving, caring and protective over you but then again that was probably the first stage of dating abuse. Your boyfriend used physical abuse on you when he hit you and physiological abuse on you when he made you feel guilty about leaving him and threatened to kill you. Johanna, you are currently in the third stage of violence wherein your partner is threating you and exceeding your limits and boundaries. You cannot take any more of this, its traumatizing and upsetting. You need to take measures into place such as blocking him on any social media profiles so that he may have no contact with you. You should also inform your family as to the situation so that they are aware and if anything is to happen they know where you are. You should also keep a journal and write all these experiences down so that in case for future references you want to charge him you have proof. You should seek physiological help, so that you have a better understanding of your situation and so you can move on with dignity and value. Most importantly though you should not take the blame for his actions. Johanna, you are not his punching bag and you should know that no one deserves to treat you in a way that he has treated you. You should know that you are worthful and beautiful and if anyone cannot see that and appreciate it then they shouldn't be around you. Always remember that you are not a victim you alive and that makes you a survivor and don't be ashamed of this story others will be inspired.