Pain Relief Management in a Terminally Ill Cancer Patient Free Essay Example, 1500 words

Part of palliative care is maintaining the dignity of the patient before and even after death. This is because reliance on the patient on the nurses and other caregivers erodes the sense of dignity. Once day-to-day deterioration has begun in the patient and when the situation has come that death can occur any time, the patient must be provided holistic comfort, symptoms must be managed properly, he or she must be given minimal drugs, the wishes must be upheld, anxiety levels must be alleviated and her fear, religious needs, and spiritual needs must be addressed by telling the patient that r family is around (National Cancer Control Programme, 2005). There are 3 main themes in maintaining dignity and they are "the unrecognizable body, fragility and dependence and inner strength and a sense of coherence" (Hall, Longhurst and Higginson, 2009). Dignity in the patient can be upheld by allowing the patient to do as many activities as possible and by treating the patient with respect. The WHO's Pain Relief Ladder is a useful guide to prescribe medications for pain (WHO, 2009) (Refer to Fig. 2). We will write a custom essay sample on Pain Relief Management in a Terminally Ill Cancer Patient or any topic specifically for you Only $17.96 $11.86/pageorder now This ladder consists of 3 steps of pain from below to up. The lowest is the step of mild pain. Mild pain is that pain which is self-limited and may or may not require treatment. The next step is moderate pain. This pain is worse than mild pain and it affects functions of the individual. The presence of pain cannot be ignored. This pain goes away with treatment and seldom reappears. The uppermost step is that of severe pain. This pain interferes with most of the daily living activities. The individual may need treatment for many weeks, months or even years. According to this guide, the first drugs which must be recommended for pain are non-opioids like paracetamol and non-steroidal anti-inflammatory drugs or NSAIDs like aspirin and ibuprofen. Then if necessary, the treatment must be stepped up to mild opioids like codeine and then to strong opioids like morphine, hydrocodone, oxycodone, methadone, hydromorphone, and fentanyl until the patient is reli eved of pain. Generally, chronic pain is associated with anxiety and fears, adjuvants like anti-anxiety drugs may be given.

Essay on The Importance of Male Characters to Kate Chopin

The Importance of Male Characters to Kate Chopin Why and how does she use them? Kate Chopin is an author who examines the position of women in 19th century Louisiana. She describes their plight, living in a society designed by men, one that confines women’s behavior. It was imperative for Kate Chopin to highlight her male characters, as they ultimately are responsible for her heroines’ actions. The â€Å"Awakening† and â€Å"Desiree’s Baby† are two examples that deal with the issues resulting from a male dominant society, though the stories vary in their approach. Men and marriage are however the common factors that symbolize the obstacles that Kate Chopin’s women face. In â€Å"The Awakening† Edna, the main character enjoys being†¦show more content†¦Ã¢â‚¬Å"He fell in love, as men are in habit of doing and pressed his suit with an earnestness and ardor which left nothing to be desired.† (p.31) Pontellier courts Edna with great love and passion, trying to win her heart. When Edna decided to regain control of her life she had â€Å"a feeling of exultation† which â€Å"overtook her, as if some power of significant import had been given her to control the working of her body and her soul.† (p.43-44) Pushing her quest for independence to the limit â€Å"she grew daring and reckless, overestimating her strength. She wanted to swim far out, where no woman had swum before.† (p. 43-44) Throughout â€Å"The Awakening† Edna longs to get away from her husband and attain total freedom of body and mind. She therefore, tries to escape her marriage through friends, music and love affairs. Reflecting on her life, Edna views her husband â€Å"like a person whom she married without love as an excuse.† (p.110). Furthermore, she looks at men as convincing and sly, who try to trap women with their love. In the end, as Edna feels that she has gained control of her life, she leans her head against the high-backed chair and spreads her arms like one whoShow MoreRelatedThe Unique Style Of Kate Chopin s Writing1603 Words   |  7 PagesThe unique style of Kate Chopin’s writing has influenced and paved the way for many female authors. Although not verbally, Kate Chopin aired political and social issues affecting women and challenging the validity of such restrictions through fiction. Kate Chopin, a feminist in her time, prevailed against the notion that a womanà ¢â‚¬â„¢s purpose was to only be a housewife and nothing more. Kate Chopin fortified the importance of women empowerment, self-expression, self-assertion, and female sexuality throughRead MoreFor centuries man has been considered to be the dominate species. Writings throughout history1100 Words   |  5 Pagessanity. Importance on being portrayed as the â€Å"perfect† women or housewife could have also been a factor. The late nineteenth century the author, Kate Chopin, brought to the surface truth underneath women with the use of her stories. Many considered this to be madness, because of the content in her writings. As Aristotle once said ‘â€Å"No great mind has ever existed without a touch of madness.† (Goodreads) Madness is behavior or thinking that is very foolish or dangerous. (Mariam-Webster) Kate ChopinRead MoreThe Awakening By Kate Chopin And The House On Mango Street1732 Words   |  7 PagesAwakening by Kate Chopin and The House on Mango Street by Sandra Cisneros, spearheaded movements for freedom by tackling the prejudice of gender roles, expressing through their novels’ characters and experiences the arguments for individual freedom and the challenges that must be conquered to achieve those goals for future generations. The Awakening by Kate Chopin was written at the end of the nineteenth century in a time where freedom was granted based off of a bias: only white males could trulyRead MoreThe Importance Of A Women And The Hierarchy Of A Male1639 Words   |  7 PagesOne famous author that has been able to gain a vast audience is Kate Chopin. She has publish many short stories such as â€Å"Story of an Hour†,† A Pair of Silt Stockings†, â€Å"A Respectable Women†, â€Å"Desiree s Baby† and â€Å"The Storm† . These stories causes people to question whether their assumptions of a novel is correct. Two major theme that Chopin promotes throughout most of her work, is the importance of a women and the hierarchy of a male. These stories all have different story lines but share a commonRead MoreThe Female Role in William Faulkners â€Å"A Rose for Emily,† Katherine Mansfields â€Å"Miss Brill,† and Kate Chopins â€Å"The Storm.†1329 Words   |à ‚  5 PagesReading literature, at first, might seem like simple stories. However, in works like William Faulkners â€Å"A Rose for Emily,† Katherine Mansfields â€Å"Miss Brill,† and Kate Chopins â€Å"The Storm,† the female protagonists are examples of how society has oppressive expectations of them simply because of their gender. Curry believes that Faulkner displays the story of â€Å"A Rose for Emily† through scenes of gender differences. The beginning of the story shows the motivational split between men and women.Read MoreKate Chopin s The Awakening1553 Words   |  7 Pagesevident throughout The Awakening by Kate Chopin. Chopin uses contrasting characters such as Edna Pontellier and Adele Ratignolle to further embody the differing aspects of feminism. Adele Ratignolle represents the ideal woman of the time period, a mindless housewife working to serve her family, whereas Edna signifies an independent and daring woman who does not conform to society’s beliefs. These two women’s differing characteristics and personalities allow Chopin to further compare and contrast theRead MoreAnalysis Of The Story Story Of An Hour 1388 Words   |  6 Pagesnever lived to their full potential. In the short story, â€Å"Story of an Hour† the main character; Mrs. Mallard displays the ongoi ng struggles of what women during the eighteenth century had to go through. Men often had patriarchal values and dictated what type of behavior and traditional roles women had to follow that was deemed acceptable during this time. A patriarchal society is as follows, â€Å" consists of a male-dominated power structure throughout organized society and in individual relationshipsRead More The Awakening and The Yellow Wallpaper2395 Words   |  10 Pages   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   Kate Chopins story The Awakening and Charlotte Perkins Gilmans story The Yellow Wallpaper draw their power from two truths: First, each work stands as a political cry against injustice and at the socio/political genesis of the modern feminist movement. Second, each text is a gatekeeper of a new literary history. Kate Chopin and Charlotte Perkins Gilman seem to initiate a new phase in textual history where literary conventions are revised to serve an ideology representative of theRead MoreThe Awakening : Evaluating The Core Values Of The Nineteenth Century1203 Words   |  5 PagesThe Awakening: Evaluating The Core Values of the Nineteenth Century In Kate Chopin’s novel, The Awakening, the main protagonist Edna Pontellier exists as the embodiment of the feminist ideas that stand as outliers in the midst of the more traditional nineteenth century beliefs. Set in 1899 near the end of this generation, Chopin’s work explores the shared attitudes of most of the novel’s cast as they respond to Edna’s search for independence and freedom, an action that challenges her conservativeRead MoreKate Chopin s The Awakening1875 Words   |  8 Pagessocial, and economic equality to men.† The Awakening, by Kate Chopin, was written in 1890 during the height of the women s suffrage movement, and essentially the public felt that the author â€Å"went too far† due to â€Å"the sensuality† of the protagonist (Toth 1). The â€Å"male gatekeepers† that scrutinized her work saw her piece as a statement that â€Å"the husband is a drag†, and that traditional American values should be forgot ten (Toth 1). In truth, Chopin did not think that American values, such as motherhood

Drafting Process Analysis Free Essays

According to the ‘Longman Dictionary of Contemporary English’ a ‘Process’ is defined as a ‘continued set of actions performed intentionally in order to reach some result’ If making anything constitutes a process then I decided one fine day to indulge myself in some kind of activity the fruits of whose labour I can thoroughly enjoy later on. I decided to brew beer at my home. Other than the obvious highs that it gives you even the csting is very less, so it wont be a burden on the pocket too. We will write a custom essay sample on Drafting Process Analysis or any similar topic only for you Order Now It was taught to me by one of my closest chums and involves a number of steps before embarking on the real process. The right kind of equipment is a must for the successful completion of this kind of task. The quality of beer depends a lot upon the kind of equipment that you are using and the ingredients. Lets first start with lining up the equipment. The basic equipment you need is readily available on any of the hardware stores and includes One 10 Gallon fermenter with lid, Brew Pot, Spoon, Siphon Hose, Vinyl Tubing, Hose Clamp for siphon, some plastic pop bottles with lid, Hydrometer, Thermometer and a measuring cup. The main ingredients that one will need are the Malt Extract in size according to the quantity of beer you wish to make. It can be taken in a flavour of your liking i. e. light or dark. Yeast is a important ingredient in the process of brewing beer, so you will need around 50gms of Yeast also. Other than that you will require around 5-6 cups of white sugar. After getting ready with your things the all the equipments needed in the beer making process should be cleaned thoroughly for hygienic reasons. In the large pot boil around 10 litres of water. Also pour about the same quantity of cold water in to the fermenter. Add around 1 – 1. 5 kg of malt in the boiling water and let it cook on low to medium flame for about 30 minutes. Cooking on medium to low flame helps cooking in a better manner. Add some sugar to the boiling mixture. The moment the sugar dissolves in the hot mixture, pour all the contents inside the fermenter with yeast. Add some cold water to bring down the temperature to room level. After that cover the lid and let the beer brew. Normally it will take around a week for the beer to brew completely at room temperature. After a week test the quality of beer with the help of an hydrometer or otherwise seasoned beer makers can tell its quality just by tasting it manually. After that comes the stage of taking the beer if its ready out of the fermenter and poring it inside the bottles. Do it carefully without spilling the precious liquid on the floor. Pour the beer from the fermenter inside the bottles with the help of a funnel. Frothing should also be avoided while filling and the bottles should also not be filled completely. Store the bottles in a warm dark area for few days and then make them cool. The beer is ready to drink but if you want to improve the quality then they should be stored for a bit longer period. Though it cannot be said that this kind of product and process is only for tipplers. Anybody can make and then enjoy a homemade beer in just a few simple steps as explained above. The biggest advantage of making beer at home is that it is sans any kind of preservatives and chemicals and is very pure. So, pals go ahead and make your first lot of Home made Beer and Enjoy. Cheers†¦. How to cite Drafting Process Analysis, Essays

The Hand that Robbed the Cradle Essay Example For Students

The Hand that Robbed the Cradle Essay Colettes The Hand was written during the 1920s in Paris, a time of personal and sexual liberation for many women. Unlike the more daring and outrageous people of the French art scene, Colettes protagonist is a young woman who dreams of love, marriage, and happiness in a more traditional and fairytale-like sense. The young wife is overjoyed by her new life with Prince Charming, but is too interested in what she will gain from her marriage instead of contemplating what marriage really entails. In one night, the protagonist shifts from happiness to disgust upon learning of her husbands flaws. In doing so, she must question her commitment to her marriage and her true feelings for her husband. The realization of the severity of her new role as a wife overcomes her, and she places her future in jeopardy by deciding whether she is able to tolerate a flawed human being. In the beginning of Colettes story, the nameless adolescent protagonist lies in bed too happy to sleep as she is embraced by her new husbands strong arms. We will write a custom essay on The Hand that Robbed the Cradle specifically for you for only $16.38 $13.9/page Order now Initially, she is truly delighted with her new life and husband, and has yet to come off her cloud nine after the honeymoon. As her older, recently widowed husband lies beside her in bed, the young wife begins to study every inch of him, as if she has never seen him before, or as if she is seeing certain aspects of him for the first time. Her good looking, athletic husband slowly transforms in front of her eyes as she begins to closely scrutinize him. She notices his long eyelashes, tanned skin, and strong arm, and is content in her findings until she reaches the hand. There is an initial shock when she realizes how big his hand really is. A hand so large belongs to that of a monster, not the man she married, and disgust begins to engross her as she carefully critiques every inch of the beastly hand. As a persons hands are a window to their past and their current existence. Although the young wife really does not know, the sight of the beastly hand makes her realize that she does not care for who she thinks her husband was and is. Hands are used in greeting, embracing, and eating, and a hand that was once of proper appearance is no longer fit to touch the young wife in her eyes. Although her husband is attractive and believed to be well-to-do, she is only able to see the red hairs, big veins, and gnarled knuckles of the hand. She is appalled that she let his claw-like fist touched her during their scandalous existence a honeymoon couple, and is horrified that she has even once kissed the hand. A bloom can fall from a rose so quickly, and the young wifes juvenile and hasty reaction only reveals how immature and fickle she is. While lying in bed with her husband and the apelike hand, the protagonist begins to question his honor and integrity because of his beastly appendages. Although the man may come from some money, he obviously has no sense of decency as their conjugal romance fell little short of abduction and he is able to take a child swiftly away from her family a short time after his wifes death. The circumstances surrounding his previous wifes fatality are also questioned because of the hand, as he is seen as having while clawing at sheets in his sleep. The young woman was obviously infatuated with her suitor, but was not in love with him as she is able to conjure up horrible thoughts about her bed mate. True love allows one to accept their partners faults and look beyond them. Unfortunately the young woman is of an age of limited emotion and attachment. She is able to quickly disengage herself from a man who once gave her so much joy and now see him as an animal she lies on.

MacBeth and Marxist Theory

MacBeth and Marxist Theory Free Online Research Papers Marxist ideology doesn’t simply indicate a belief system, but a manipulative set of ideas designed to benefit a ruling class; one which dictates a false/faulty understanding of social reality and economic foundations. The Marxist viewpoint, as it relates to Shakespeare, according to Wiatt Ropp, in his easy entitled â€Å"Marxist Criticism: MacBeth as Ideology,† suggests that Shakespeare legitimizes established authority and supports its values and beliefs. He supports this theory with the supposition that MacBeth’s ambition and violent behavior â€Å"subverts his world’s natural order, and it results in the ruin of himself and those around him.† If society’s natural condition is harmonious, as those in power tend to assert, MacBeth’s undermining of the political order (killing the king), the moral order (his lies and murder), religious order (seeking the witches consult) and male dominated order (by giving into Lady Macbeth’s wishes), it stands to reason that MacBeth is bad and, therefore, must be punished. How else are those in power able to perpetuate their power? Noam Chomsky suggests that it is the â€Å"intellectuals† within a society that tell the rest of the citizenry how to think and what to do. (87) These intellectuals tend to drift towards the upper end of the social spectrum for their own rewards, and as a result tend to support the interests of that ruling class. Messages that support, for example, the president, the law and the system, then, are the inevitable end result of their undertakings. According to George Orwell, â€Å"Shakespeare liked to stand well with the rich and powerful, and was capable of flattering them in the most servile way. He is also noticeably cautious†¦in his manner of uttering unpopular opinions. Almost never dos he put a subversive or skeptical remark into the mouth of a character likely to be identified with himself.† (61) The implication here is that Shakespeare and MacBeth, exist to support the established authority and social order, that this authority is fair and good and that those who threaten it, as Macbeth has, deserve whatever ill-fortune befalls them. The end game this ideology exists to create is an attitude of resignation; one which encourages the notion that change is not only undesireable, but, more than likely, unmanageable. Research Papers on MacBeth and Marxist TheoryEffects of Television Violence on ChildrenAnalysis Of A Cosmetics AdvertisementCapital PunishmentThe Relationship Between Delinquency and Drug UseCanaanite Influence on the Early Israelite ReligionRelationship between Media Coverage and Social andComparison: Letter from Birmingham and CritoAssess the importance of Nationalism 1815-1850 EuropeHonest Iagos Truth through DeceptionBringing Democracy to Africa

Five Longest Mountain Ranges in Europe

Five Longest Mountain Ranges in Europe Europe is one of the smallest continents but you wouldnt know it from the size of some of its mountain ranges. The mountains of Europe have been home to some of the most daring feats in history, used by explorers and warlords alike. The ability to safely  navigate these mountain ranges helped shape the world we know today through trade routes and military achievements. While today these mountain  ranges are mostly used for skiing and marveling at their wondrous views, their history is no less important.  Ã‚   Five Longest Mountain Ranges in Europe Scandinavian Mountains - 1762 kilometers (1095 miles) Also known as the Scandes, this mountain range stretches through the Scandinavian Peninsula. They are the longest mountain range in Europe. The mountains arent considered  very high but theyre known for their steepness. The western side drops into the North and Norwegian sea. Its northern location makes it prone to ice fields and glaciers.   Carpathian Mountains - 1500 kilometers (900 miles) The Carpathians stretch across Eastern and Central Europe. Theyre the second-longest mountain range in the region. The mountain range can be divided into three major sections, the Eastern Carpathians, Western Carpathians, and the Southern Carpathians. The second largest virgin forest in Europe is located in these mountains. They are also home to a large population of brown bears, wolves, chamois, and lynx. Hikers can find many mineral and thermal springs in the foothills.   Alps - 1200 kilometers (750 miles) The Alps are probably the most famous mountain range in Europe. This range of mountains stretches across eight countries. Hannibal once famously rode Elephants across them but today the mountain  range is more home to skiers than pachyderms. The Romantic poets would be enamored with the ethereal beauty of these mountains, making them the backdrop for many novels and poems. Farming and forestry are large parts of these mountains economies along with tourism. The Alps remain one of the worlds top  travel destinations, with good reason.  Ã¢â‚¬â€¹ Caucasus Mountains - 1100 kilometers (683 miles) This mountain range is notable not only for its length but also for being the dividing line between Europe and Asia.  This mountain range was an important part of the historical trade route known as the Silk Road. This was the road which connected the ancient Eastern and Western world. It was in use as early as 207 B.C., carrying silk, horses and other goods to trade between continents.   Apennine Mountains - 1000 kilometers (620 miles) The Apennine mountain range stretches the length of the Italian Penninsula. In 2000, the Environment Ministry of Italy suggested extending the range to include the mountains of Northern Sicily. This addition would make the range 1,500 kilometers (930 miles) long. It has one of the most intact ecosystems in the country. These mountains are one of the last natural refuges of the largest European predators like the Italian wolf and Marsican brown bear, which have gone extinct in other regions.

Robert Frost Research Paper Example | Topics and Well Written Essays - 2250 words

Robert Frost - Research Paper Example Significantly, Frost occupies the status of one of the most read and constantly anthologized poets in American literature. The most remarkable characteristics of Frost’s poetry include the clarity of his diction, his colloquial rhythms, the simplicity of his images, and the unsophisticated and direct method of writing. As Katrin Gischler (2007) maintains, â€Å"Although his career started only at the age of forty, he made his mark as a poet, becoming more and more widely known until at the end he was the United States’ de facto poet laureate. He was a four-time winner of the Pulitzer Prize and received an unprecedented number and range of literary, academic, and public honors.† (Gischler, 3) Therefore, it is fundamental to realize that Robert Frost had a highly successful poetic career, which hit its peak when he recited his poem â€Å"The Gift Outright† at the inauguration of John F Kennedy in 1961. This paper makes a reflective exploration of the most es sential thematic elements in the poetry by Robert Frost, focusing on some of his most celebrated poems. Robert Frost was born to journalist William Prescott Frost, Jr. and Isabelle Moodie, in San Francisco on March 26, 1874. At the age of eleven, Frost’s father died of tuberculosis and he moved to New England, along with his mother who now resumed the career of a teacher in order to support the family. From his early school years at Lawrence High School in Lawrence, Massachusetts, Robert Frost developed interest in reading and writing poetry. Following his studies at Lawrence High School, Frost was enrolled at Dartmouth College in 1892, although he did not earn a formal degree. It is evident, from a biographical study of the poet, that Robert Frost had a tumultuous and unstable early life, but a stable and happy adult life with his wife Elinor Miriam White and his children. â€Å"The first thirty-eight years of his life were determined by his own insecurity and vulnerability . Only the influences of his mother†¦ did much to shape Frost’s basic nature. Later on, Frost also felt the influence of his high school comrade, Carl Burrell†¦ The last and longest influential relationship was that with Elinor White, whom Frost married in 1895.† (Gischler, 3) Elinor White remained the chief source inspiration for many of the poems by Robert Frost. A close analysis of the biography of Robert Frost confirms that his personal life, especially the early stages of his life, was overwhelmed with sorrow and hammering, including the death of his father due to tuberculosis, of his mother due to cancer, and the experience of mental illness and depression by his younger sister Jeanie, his daughter Irma, and his wife Elinor. Therefore, it is fundamental to realize that Robert Frost withstood several misfortunes and miseries all through his life to produce some of the most fascinating lines of poetry ever written in literature. Thematic Elements in Frostà ¢â‚¬â„¢s Poetry In American literature, Robert Frost holds a unique and almost isolated position, thanks mainly to the rhetoric devices and thematic elements of his poetry. Significantly, the basic emotional or psychological experiences expressed by this great poet of nature make an impact on the readers even today. It is essential to realize that, even while following the essential principles of versification, Robert Frost’s poetry is rich with psychological meaning and humanist ideologies. The poetic intelligence of Frost can be very well understood in the way he used traditional poetic devices such as