Warning Signs on Mba Essay You Must Know

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Analysis Of My Last Duchess By Robert Browning

Historically, women have been victimised and oppressed, by men and more subtly by societal constructs such as marriage. For ‘a man attaches himself to woman - not to enjoy her, but to enjoy himself’ , and this concept of a one-sided, selfish relationship is apparent in literary pieces. Within the setting of ‘My Last Duchess’, the Renaissance period, men held all-encompassing and direct control over their daughters and wives. The common practice in this era, of arranged marriage for dowry, consolidated the concept of women as a resource for they represented money and political power towards his family. Robert Browning uses this extreme perception of the Duke to commentate on male pride that was still prevalent in his own Victorian era. In the depression period of ‘Of Mice and Men’, women were demonised and sexualised. They became housewives whilst society decomposed around them, becoming increasingly unstable and violent. John Steinbeck presents Curley’s wife unsympathetically, and yet upon her death he relents that she was a product of her miserable era. In the age of ‘The Ruined Maid’, set during the urbanisation of Victorian Britain, women who turned to prostitution ‘ruined’ their social standings, but could live with a guarantee of economic stability. Yet, the poet Thomas Hardy satirizes his society’s view of prostitutes as ‘ruined’, rather suggesting that they lived among the freest and most refined of lives during his period. Furthermore, set most recently, the poemShow MoreRelatedAnalysis Of My Last Duchess By Robert Browning1523 Words   |  7 PagesZografakis English Period 8 7 November 2014 Throughout history, gender roles have been an important barrier in society. Women are forced to satisfy expectations established by men and society. â€Å"My Last Duchess,† by Robert Browning, focuses on the powerful Duke establishing certain expectations of the Duchess, and attempting to control her. Hamlet, by William Shakespeare, concentrates on Laertes establishing certain expectations of Ophelia, and seeking to control her. A Room of One’s Own, by VirginiaRead More Analysis of My Last Duchess by Robert Browning Essay examples1222 Words   |  5 Pages Analysis of My Last Duchess by Robert Browning Murder mystery intrigue. All describe Robert Brownings poem, My Last Duchess. From the speakers indirect allusions to the death of his wife the reader might easily think that the speaker committed a vengeful crime out of jealousy. His flowery speech confuses and disguises any possible motives, however, and the mystery is left unsolved. The poem is a great example of dramatic dialogue, a poetic form used to narrate and dramatize. It consistsRead MoreAnalysis of Robert Browning ´s My Last Duchess1165 Words   |  5 Pagesgiven by a character within the poem. My Last Duchess is a narrative poem where the poetic persona is narrating to another the story of his late wife. He first expunges on the painting of the duchess and then digresses to her personality and all her transgressions. He then makes some startling revelations about himself that allow the reader to become intimately aware of his personality. It is clear that the poetic persona in Robert Browning’s My Last Duchess is the Duke who is narrating the poemRead MoreAnalysis Of The Poem My Last Duchess By Robert Browning1370 Words   |  6 Pageshappening during their time of existence in the Enlightenment time period. Emily Dickenson; Robert Browning; and Jamaica Kincaid are three of many talented writers who along with all of the things they wrote about were the issues that woman faced throughout time in history. Em ily Dickenson wrote the poem 303 which talked about a woman who chose to empower herself; Robert Browning wrote the poem My Last Duchess about a woman who was ruled over by the same man who killed her; and Jamaica Kincaid wroteRead MoreAnalysis Of My Last Duchess By Robert Browning And A Woman s Lover 1712 Words   |  7 PagesThis analysis will look at how major themes such as, ambition, supernatural, reality and appearance, played a role in the way events occurred and how they have affected the marriage between Macbeth and Lady Macbeth. This analysis would also study how the author, William Shakespeare, portrayed these themes using language and historical context to affect the opinions of the audience’s perception of the two characters. As Shakespeare’s Macbeth had been written in the past, it would be of great contrastRead MoreSummary Of My Last Duchess By Robert Browning1164 Words   |  5 PagesProfessor Newberry 13 February 2017 A Reader’s Guide to Robert Browning â€Å"My Last Duchess† Title and Author Robert browning was born on May 7,1817 in Camberwell, England. To and accomplished pianist and a bank clerk. It is said by the age of five he was already proficient of writing and reading. At the age of twelve he wrote a volume of Byronic verse entitled Incondita, which his parents attempted to have published. By thirteen birthday Browning had received the rest of Shelly’s work, and declared himselfRead MoreSummary Of Porphyrias Lover And My Last Duchess1001 Words   |  5 PagesVisa Versa (An analysis of the similarities and differences of Last and Lover by Robert Browning) Robert Browning is the great poet of dramatic monologues. A dramatic monologue is described as narrator revealing characteristics about himself, while still explaining a particular series of events. Robert Browning was slow to make himself a name, but once he realized his capabilities in the literature world his career took off. Biographer, Richard Black explained, â€Å"Widely regarded for his knowledgeRead MoreRobert Browning and the Dramatic Monologue1390 Words   |  6 Pages2004 Robert Browning and the Dramatic Monologue Controlling Purpose: to analyze selected works of Robert Browning. I. Brief overview of Browning A. Greatest Poet B. Family Life II. Brief overview of My Last Duchess A. Descriptive adjectives B. Cause for death C. Description of his wife III. Definition of Dramatic Monologue IV. Comments by Glenn Everett A. Point of View B. Tone C. Audience Imagination V. Comments by Terry Bohannon A. No Christianity B. Evil Characters Robert Browning andRead MorePorphyrias Lover And My Last Duchess Comparison789 Words   |  4 PagesBrownings Porphyrias Lover and My Last Duchess (An Analysis of Comparing and Contrasting Brownings poems called Porphyrias Lover and My Last Duchess) Robert Browning was a Victorian poet. He portrayed an understanding of gender rules in his poems. Browning’s poems are similar to a puzzle, which makes the reader have to figure out what is really being said in the poem. Browning wrote two famous dramatic monologue poems called Porphyrias Lover and My Last Duchess. His poems create a high intensityRead MoreMy Last Duchess By Robert Browning951 Words   |  4 PagesMy Last Duchess by Robert Browning Robert Browning was born May 7, 1812 in Camberwell, London. His father was a senior clerk in the Bank of England. His mother was a pianist. His love for writing dramatic monologues came from his father who gave him the love Browning had for art and literature. Browning attended the University of London for half a year before returning home to read in his father s library. His first work, Pauline: A Fragment of a Confession, was first issued in 1833. It was his

Is Writing a Shorter Essay Be Considered a Modification Or Accommodation?

Is Writing a Shorter Essay Be Considered a Modification Or Accommodation?In this article I will explore the question of 'Is writing a shorter essay be considered a modification or accomodation?' My answer is 'No.' To my mind, the idea that writing a shorter essay be considered a modification or accomodation is nothing but an attempt to pretend that someone or something else has been working behind the scenes and prodding and pushing you to write your essay in such a manner. In short, this is a piece of wishful thinking - a 'how about we' sort of thing.It would be like somebody asking me to make a number of changes to my business cards so that they are slimmer, longer, and taller so that I am better suited to fit in better when they meet with me. I would not expect such a request from them, because it is not reasonable for the card-maker.Let us return to the question, 'Is writing a shorter essay be considered a modification or accomodation?' I would say that in terms of work ethics an d standards in which we work in this world, this has no place. We should strive to be as best as we can for all those around us. And we should work hard and strive to meet deadlines without any efforts of alteration.Now then, writing a shorter essays is not always a case of adapting and altering or adjusting it a little to make it a little longer. This is not to say that it is something that we should do. There are many essays that are more than one hundred pages long that are very well written and very well put together.But there are many others that are two or three times that length. And if you are trying to make this essay a little longer so that you are better able to fit in when you are out with friends or at a party, I ask you to reconsider and take some time to consider how you are treating yourself and how you treat others when you take this approach.Writing a shorter essay and trying to fit in when you are out with friends or at a party is, of course, an approach that shou ld never be taken. There is something to be said for being seen as an individual and not as a cog in some more or less mechanical process.But while you are writing an essay, try to stay away from trying to fit it into a certain format so that it can meet some kind of time constraint. Do not try to justify such a move by any kind of adaptation and alteration.The idea that writing a shorter essay be considered a modification or accomodation is nothing but a wishful thinking concept that may not apply to all. And again, if you need to modify something to make it a little longer, you need to explain this to your reader in some way, be it in a note or a paragraph.

Learn How to Make Essay About Myself

Learn How to Make Essay About MyselfYou can learn how to make an essay about myself. This essay writing style is when you write an essay using your own words and then answer the questions from the reader. This essay may be using the use of a variety of different types of essay writing styles like the casual or formal style, or a mixture of both. Whatever the style of essay writing you are using, the rule of thumb is that the more personal the essay, the better.Let's say that you are writing an essay that is used to answer a question. You will have a piece of paper that you will then write in your own words. Your essay writing style should be one where you will be covering each point one by one, providing ample supporting information, and then stating your conclusion.Writing an essay about myself requires that you do not follow any standard formats, rules, or essay writing guidelines. You will want to write in your own voice and style. However, most writers find that they do not like to use a specific format to start their essays as it creates a certain air of conventionality.The first thing you need to think about when thinking about how to make an essay about myself is the basic topic that you want to cover. If your topic is that you are nervous about something in particular, this will be easier for you to write about. If you already know the basic topic, then you can simply begin writing in your own words.Before you begin writing you will need to gather the basic information. If you do not have the basic information, you can go online and find the information. Once you have all the information, you can then begin to write in your own words. You will want to include all the important facts in your essay so that it is easy for the reader to understand your essay.How to make an essay about myself If you are writing in an informal style, it is easier for you to compose the essay. In your essay, you will need to give more personal information. This is why many wr iters find that an informal style is better for them.While writing your essay, you will want to consider that you want to answer the questions on your own. It is hard to answer a question, if you do not know the answer.

Managing Uncertainty Free Essays

One of the most important abilities one needs to cultivate in the real world is managing uncertainty, if nothing else.   Corporations are no longer loyal to workers as they continue to outsource jobs to other parts of the world.   Cultivating a wide variety of skills is important in order to move on from this kind of blow. We will write a custom essay sample on Managing Uncertainty or any similar topic only for you Order Now    My father used to work in manufacturing during the seventies and eighties.   At the beginning of the nineties, he lost his job because the company was relocating production to Mexico.   Since he did not know how to do anything else, he bounced from one low-paying job to the next. Maybe had he taken up computer programming, he might have come closer to his retirement goals, but alas, his job might have been outsourced in the early twenty first century as well.   Some say that a college degree is the ideal way to maintain job security.   There is a grain of truth in that as most companies are looking for educated professionals†¦unfortunately, more white-collar mid-level positions are being outsourced as well, and our college-educated companion is out of a job too.   The closest thing to security one can achieve is becoming educated in a field with high market demand, and not enough personnel to fill all positions. Personal relationships are another category where uncertainty is more the rule than the exception.   Most marriages end in divorce, no one knows how their kids are going to turn out in the end, and sometimes friends will stab you in the back.   The easiest way to minimize uncertainty in this realm is to cultivate a large support system of friends and family members. Confining oneself to a marital relationship or association with one’s immediate family will bring nothing but self-destruction in the end should those relationships flounder.   Humans by nature are social creatures, and must form many ties in order to feel secure.   Of course, there are exceptions to this, and I conclude that they are either very introverted or extremely well adjusted.   In this swiftly changing society, one is always out of alignment because of the quickly shifting cultural tides. As a nation, the United States is at a very precarious point in its lifetime.   It is embroiled in a series of foreign wars, which deplete the national treasury.   In five years, the first of the Baby Boomer generation will retire and there will be no money to support them all.   Personal investment plans such as IRAs, 401ks, and mutual funds are key to provide our generation with security in old age.   Gone is the age of depending on the government for necessities.   In some ways, it is a good thing because Americans have lost the self-sufficiency that is part of our illustrious legacy. Starting a meditation practice or exploring philosophical systems that highlight the impermanence of material goods, relationships, and life itself should help the individual come to terms with the unpredictable elements that will always show up—both the good and bad.   The only certainties in life are death and taxes, all other categories must provide for contingencies.l My Future Concerning my future, I have never really thought about it beyond finishing my studies.   However, since I am at the point where I need to seriously consider future options, I shall outline it here.   Now, I think that I would enjoy going into the field of applied science or fiction writing.   Most likely I will end up doing both because breaking into the publishing racket is extremely difficult by most accounts, and I hear that the majority of fiction writers make less than $7,000 a year. In the real world, it is unlikely to find a rat-infested cardboard box for less than $500/ month.   Spaced over twelve months, I would only have $1,000 for a year’s worth of groceries, utility bills, and  Ã‚   Living with my parents for most of my adult life is not in the cards for me.   Not only would that hamper my independent inclinations, our temperaments mesh like oil and water.   One thing I must say in their favor, is that they would allow me to live with them if I were to ever fall on dire straits. If my writing is rejected or is subject to a tepid reception in the market place, I want to get into a field that will always have positions open.   If THAT doesn’t work out, then there is always real estate sales and investing.   Donald Trump et al have made a fortune in real estate investing and my research has shown that is the tried and true method of obtaining financial security.   Incidentally, financial security is an important part of my future.   I want to be in a position to emigrate if the unemployment rate deteriorates or the government embraces fascism.   Should that happen, I think I will move to New Zealand.   From what I have seen of it in the movies, it is a beautiful gem in the South Pacific, and if I don’t like it there, it is a hop, skip and a jump away from Tahiti. Maybe I will get married.   Find a nice young man to settle down with and have 2.1 children complete with white picket-fence and dog.   That sounds like something that I would consider doing in my late thirties, after I am through traveling, investing in my career, and having fun.   Getting tied down at a young age is quite ridiculous considering the divorce rate. Modern technology has made it so much easier for older women to give birth that a first-born child at forty is not out of the question for me.   Since I eat healthily and practice yoga, running after little ones will not be a problem â€Å"at that age.†Ã‚  Ã‚   I have begun writing down yearly, weekly, and monthly goals in order to bring my dreams into reality. Living With Purpose One of the many buzzwords floating around popular culture today is the idea that we need to live with a sense of purpose to our actions.   There are many websites devoted to this cause.   Blogs such as stevepavlina.com, and web sites featuring the ever-ubiquitous Law of Attraction, discuss the need for finding a passion and getting paid for it. Unfortunately, for the vast majority of people, that is clearly not the case.   Most complain about their jobs, their spouses, and their circumstances ad infinitum without doing anything about it.   Perhaps this obsession with purpose is the product of a society going through a mid-life crisis.   Think about it, when a person hits their forties, they usually start reflecting on the past and how their lives were devoted to a meaningless quest for materialism.   Nevertheless, I am not completely cynical about the life purpose. People with purpose usually have clear goals directed to the end of fulfilling their purpose.   These people are not corrupted by indecision, social pressures or conflicting goals; nor do they lose motivation.   There is much to be said for finding and living on purpose, and many writers have made a fortune off of promising to help the masses find this purpose. Choosing a career, finding a mate, and pursuing certain hobbies are part of a grand mission—i.e. something that one was born to do.   First, I must admit that I am extremely jealous of people that seem to have their whole lives figured out.   I, on the other hand, have a hodgepodge of ideas that I would like to experiment with.   Perhaps it is something that evolves organically over time.   Now I know that I have to pick one path and run with it until its logical conclusion or switch gears because I still am unsure about my life’s direction. For as long as I can remember, I wanted to help others but no specific method jumped out at me.   I would volunteer at the convalescent home to read stories to senior citizens, tutor children in the projects, and pick up trash in protected areas.   None of these tasks called to me as a life’s work.   Perhaps that is why I am in school now rather than writing the next great epic, or rubbing elbows with rich and the powerful.   Perhaps I can use one of my chosen career paths to become personally successful so that eventually, I would be in a position to help others through philanthropy. Difference Between Last Era and This One The twentieth century was a time when rogue governments took hold of their nation’s destiny and driven them.   No matter what one can sya, the last century gave rise to a multitude of changes.   First, electricity became widespread in the industrial world, secondly transcontinental transportation became more efficient as cars, airplanes and trains replaced the horse and buggy.   Einstein’s theory of relativity supplanted the old Newtonian model and many scientists of the twenty-first century are seeking to unite quantum theory with relativity without much success thus far.   It was in the last century that organ transplants became common, and the explorations of outer space began. Today, it appears that people are less interested in furthering our exploration of the solar system and the galaxy because there have been no significant manned space missions in more than thirty years.  Ã‚   In sum, we are no different now than we were back then.   Actually, it appears that the world as a whole has regressed into the religious fanaticism of the dark ages.   Fortunately, we have progressed in temrs of race relations domestically, even as we regressed internationally.       How to cite Managing Uncertainty, Essay examples

Leukemia Case Study Essay Example

Leukemia Case Study Essay Leukemia are cancers of the blood- forming tissues. White blood cells may be produced in excessive amounts and are unable to work properly which weakens the immune system. The patient is a 68 year old male admitted on 02/07/201 S with chief complaint of weakness and shortness of breath. Patient was admitted to the medical- surgical unit with pneumonia. Description of Condition First of all, What is Leukemia? In healthy person, white blood cells are produced in the bone marrow and then it transfer to the blood in a continuous basis. Bone marrow is the spoon). Tissue inside the bone where blood cells are made. They are produced by stem cells in the long bones. According to Assignations and Workman (201 3), Leukemia accounts for 2% of all new cases of cancers and 4 % of all deaths from cancer (as cited in American Cancer Society, 2011). In a person with ML the same process occurs, except the white blood cells production proceeds to an excessive uncontrollable rate of immature white bloo d cells. In acute leukemia, the leukemia or blast cells function abnormally and accumulate in the peripheral blood, the bone marrow, and central nervous system. At an uncontrollable rate leukemia cells dont stop diving when should. Most patients with acute leukemia will only live few months if left untreated. Body then is deprived of essential components for its immune system. Leukocytes(white blood cells) protect our bodies from infections and cancer development. Furthermore, it presents with pare skin, patchier, bleeding from minor cuts, lack of energy , and mild fever and aches in the joints or bones(Leukemia and Lymphoma Society, 2011). There are may types of leukemia, but the four most common forms are derived from only two types of cells, lymphocytes, and employees. We will write a custom essay sample on Leukemia Case Study specifically for you for only $16.38 $13.9/page Order now We will write a custom essay sample on Leukemia Case Study specifically for you FOR ONLY $16.38 $13.9/page Hire Writer We will write a custom essay sample on Leukemia Case Study specifically for you FOR ONLY $16.38 $13.9/page Hire Writer There are subtypes of these diseases, which are classified depending on pacific cell type involved or degree of maturity. The estimates for leukemia in the United States for 2014 are about 1 8,860 new cases of Acute Myeloid Leukemia. Most will be in adults. (American Cancer Society, 2014). Etiology and Risk factors The exact cause of leukemia is unknown. There are many different origins and risk factors for the four main kinds of leukemia and while some may be directly linked, there are others that show small linkage to anything at all. Environmental and genetic factor are involved in the development of leukemia. Risk factors to the development of leukemia include environmental actors, immunologic factors, genetic factors, reduced production of blood cells in the bone marrow, exposure to chemical and drugs, viral infections, and ionizing radiation. ML has no main risk factors, but does have a few potential risk factors like excessive exposure to benzene, a chemical found in cigarette smoke and work places (Leukemia and Lymphoma Society, 2011). Smoking is a risk factor for many diseases such as lung cancer, heart disease, kidney disease among others but what most people fail to realize, It is a risk factor for leukemia. Leukemia can be acute, with sudden onset and short oration, or chronic, with slow onset and persistent symptoms for years. According to Assignations and Workman (201 3), With Leukemia, cancer most Often Occurs in the Stem cells or early precursor leukocyte cells, causing excessive growth or a specific type of immature leukocyte (p. 880). Also, the cells accumulate in the blood and in certain organs, forcing out healthy cells and interfering with the function offbeat organ. ML is caused by abnormalities of our DNA that controls the development in your bone marrow. These abnormal cells build up and replace healthy cells. Sign and Symptoms The patient with acute leukemia has abnormal labs like decrease hemoglobin and homoerotic levels, low platelet count and abnormal white blood cells counts. There are some changes associated with acute leukemia due to these abnormal labs. The blood circulate through the body thus affecting all organ systems. There are may symptoms of ML, in the early stages, the symptoms of ML may resemble the flu. Symptoms of leukemia are linked with the blood function because the initial pathogenesis of the disease in on the bone marrow . The following are the common manifestations of leukemia : anemia , bleeding or bruising bone and joint ins , recurrent infections due to an increase in immature white blood cells, swollen lymph nodes abdominal distress , and breathing difficulty. Anemia due to a low ROB count. Because red blood cells carry oxygen throughout the body . The anemia occurs due to the incapacity of the bone marrow to produce red blood cells in association with the overcrowding Of the bone marrow with the proliferating cancerous cells . Manifestations of this symptom include the tiredness of the patient, faster breathing , and paleness, fatigue and short of breath. Patient is unable to do simple this like bathing because there is no energy. Also, skin becomes pale and cool to touch as a result of reduced tissue perfusion. Leukemia which is a low WEB count or decrease in production of mature, healthy, functional white blood cells. Leukocytes, which in turn weaken the body immune response; thus, the patient is vulnerable and prone to recurrent infections. Recurrent infections that can be viral or bacterial and occurs over the past weeks are brought about by the disrupted capacity of the immune system to mount an immune response due to the presence of immature white blood cells . Thermodynamic a low blood platelet count. The platelets are the load cells responsible for blood clotting. A shortage of blood platelets may lead to easy bruising or bleeding. The multitudes of cells present in the bone marrow results to pain in joint and bone . Abdominal distress is an outcome of the pooling of leukemia cells in the liver spleen , and kidney which causes the swelling of these organs. Because of enlarged liver or spleen or surrounding organs due to the build up Of abnormal cells spleen and liver may cause feeling of fullness (loss of appetite). This leads to weight loss, anorexia, nausea. Blood clotting times and factors are abnormal. Clotting time is prolonged as well. Patient History and Medication Reconciliation Patient is a 68 year old male. He was admitted on 02/07/2015 with chief complaint of weakness and shortness of breath. Patient has a past history of coronary artery disease status post MI, trial fibrillation status post pacemaker, leukemia, in remission, Hyperglycemia, Hypertension, anomic brain injuries after cardiac arrest, who has been complaining of weakness over the last 2 weeks. The patients family were concerned for pneumonia and they call EMUS. He was found to have pneumonia by chest x-ray in the Emergency Room. Patient diagnostic test in the ERE include White blood cell 3. , Hemoglobin 11 . 1, platelets 90, sodium 129, potassium 4, chloride 92, vicars 27, BUN 19, creating 0. 2, glucose 137, EKE is sinus rhythm at 72 beats per minute, wide SIRS, nonspecific inter ventricular block, SST-T abnormality, dioxin 0. 7, trooping less than 0. 01, BAN 5081. The patient past us racial history include CAB, material valve replacement with mechanical valve, Hernia repair, pacemaker in place. Patient is allergic to codeine. Patient had itch skin as stated by wife. Patient has a history of smoking long time ago. Smoked 1 pack daily for 20 years. The patient uses alcohol rarely. Patient lives at home with his wife. Patient home medication include Emendation 200 MGM once daily, transportation 20 MGM once daily, dioxin O. 25 MGM once daily, hydrazine 25 MGM ;ice dally, shorebird 20 MGM twice daily, lowercase 1 MGM Q. H. S PR. , meteorology MGM once daily, proton 40 MGM once daily, superannuation 25 MGM once daily, soma 0. 4 MGM once daily, Commanding 1 MGM once daily. Patient was admitted to the medical-surgical floor with pneumonia patient will be put on elevating and given ethylene as needed for fever. Patient is positive for dizziness, positive for shot-term memory loss, positive for dry cough, positive for shortness of breath. No chest pain, no nausea or vomiting. No abdominal pain, no diarrhea, no constipation Positive for fever. Nursing Assessment, Medications, and Labs Patient noted to be sleeping on arrival. Patient breathing normally with occasional cough. Patient recent Vitals (0)38. 2-76-18 on 2. 5 L 1 19/54. Patient had no pain at this time. Patient is on fall precautions. Patient noted to be confused and respond to voice only. Patient physical exam reveals him to be alert and oriented to person, place, and time. He communicates, though not readily. His speech and vision are intact but only to voice. Patient spends to voice commands only, and when looking at him in the eye. He has an equal grip bilaterally and can move all extremities, though he is slightly weak and needs assistance with nursing activities such as with reposition. Patient is on telemetry monitor. His apical pulse 78. Capillary refill is less than 2 s. No Jugular vein distention noted. His peripheral pulses are weak and equal. No B/L peripheral edema noted. Patient had flowstone in place. No shortness of breath noted. No nasal flaring. Chest expansion symmetrical. His left lung is clear on auscultation, but right upper lobe of the Eng rancho was heard on auscultation, his respiratory rate is 18, and his oxygen saturation is 98% on 2. L of oxygen via nasal canal. Patient is able to turn, cough and deep breath. Patients wife assisted him with the use of incentive speedometer at 1200. Patient noted to have a pacemaker on right chest wall. Also, on the left chest patient has an infusorians that hasnt been access. In the middle of the chest patient has an old scar form CAB. He has positive bo wel sounds in all quadrants on auscultation , and his abdomen is soft, round, and non tender. He had a small loose brownish bowel moment this morning. Patient is passing flatus. He is on a regular diet, but his appetite has been poor for the past few weeks his wife stated. Wife stated that patient did not have anything to eat for breakfast except for a few sips of juice. For lunch, wife fed patient about 25% and 120 ml of milk. Patient takes pills whole. Patient has his own teeth, and does not wear glasses. No bladder distention noted. No burning on urination. Client is incontinent of urine. This morning nursing student put a new condom catheter. Client is voiding appropriately and his urine is clear and yellow. No foul odor or cloudy. He appears pale and is unkempt. His skin is warm, dry, and intact. NO ash noted. Oral cavity dry. He appears somber and is slow to comply with nursing instructions. Patient has a saline lock on left arm on the thumb side. No pain, rather, edema noted. At 1 100, 0. 9% INS IV fluids 50 ran_/hrs. Patient is on bed rest. He is out of bed with assistance of 2. And transfer with assistance of 2. He needs assistance to set up meal tray. Patient was wash this morning, though he was tired. He was turn at 1200, 1400. Patient ID band was in place. Call bell in reach. Patient demonstrated ability to push button on call bell. Partial side rails up, fall risk identified, fall alert sigh in place. Patient is a DON/DIN. When talking with wife, she stated that she is the primary caregiver at home. Her husband sleep in a regular bed. Case manager was in this morning discussing with the wife of the patient about possible discharge to a nursing home. Patient current medication list include for angina therapy, Shorebird Monetarist to be given 20 MGM orally 2 times per day, Mentality agents; Lowercase 1 MGM orally every day at bed time, Antichrists; moderation administer consistently in regards to food/meals 200 MGM orally everyday. Anticoagulants; warring 2 MGM orally every day, patient currently not on medication. Interdisciplinary; transition 20 MGM orally every day. Interventions therapy engage; hydrazine 25 MGM orally 2 times per day. Beta adrenaline blocker; meteorology ERE 150 MGM orally every day. Cardiac Interlopes; Dioxin 127 meg orally every day. Diuretics; superannuation 17. 5 orally every day. Peptic ulcer therapy; proton 40 MGM orally every morning. Prismatic Hypertrophy agent; Tomlinson ERE 0. 4 MGM orally everyday. Patient is on Sodium Chloride 0. 9 IV 50 ml/hrs continuous. Levitation in DEW MGM IV every 24 hrs. Opprobrium-alabaster 0. OMG-3 MGM inhalation every 6 hrs. Bonaparte 200 MGM orally three times a day as needed for cough. Suffering 600 MGM oral every 12 hours to reduce viscosity of secretions. Chlorinating 25 MGM orally. Patient lab include: on 02/07/15 CB with Dif include Interruption 14. 6, Lymphocyte 21. 0, Monocots 64. 1, Censorship 0. 2. On 02/10/15, WEB count 1. 9, Hemoglobin 9. 6, Homoerotic 28. 9, Platelets 62, BUN 34, creature 0. 70, sodium 133, potassium 4. 3, Albumin 2. 8, promote 35. 5. On 02/12/15, WEB count was 0. 8, ROB count 2. 75, Hemoglobin 9. 0, Homoerotic 26. 8, Platelets 42, Interruption 4. 9, Lymphocytes 85. , Monocots 9. 7, Promote 35. 5, INNER 3. 23. On 2/9/15 patient had an cardiograms which show iterate left ventricular dilation, Hyperkinetic inferior wall. Severely reduced FEE estimated at 20-30%. Normally function mechanical valve. Diagnostic procedure and Treatment Diagnosing acute myeloid leukemia (ML) and ML subtype usually involves a series of tests including complete blood count and bone marrow aspiration and biopsy (Leukemia and Lymphoma Society, 201 1). The gold standard for diagnosing leukemia is an examination of cells obtained from bone marrow aspiration and biopsy. The bone marrow full immature cells. This cells have tags( antigen) on the surface of cell. The specific antigens can alp diagnose the type of leukemia. Due to accelerated research and advances in oncology medicine in recent years, there are several forms of treatment available for the patient with leukemia. The main types of treatment selected for most patients with leukemia today are chemotherapy, radiation, and stem cell transplantation also know as homeopathic stem cell transplantation(HOST) (Assignations Workman, 201 3, p. 883-889). The type of treatment selected by the patient and doctor is based on many factors including the type of leukemia, the age of the patient, and other health issues or problems the patient may have. There are a few efferent treatments recommended for ML depending on the severity and the individual patient. A combination of chemotherapy drugs is the most popular initial treatment. Antibiotics may also be recommended to prevent infection which is very common in this disease. Drug therapy for patient with ML is divided in three distinctive phases: Induction, consolidation, and maintenance (Assignations Workman, 2013, p. 83) Chemotherapy is the use of anticancer drugs design to slow or stop the growth of rapidly diving immature cells in the body. While chemotherapy targets cancer cells, it can also damage health cells and cause unpleasant side effects. ML treatment is generally done in two phases: induction therapy, consolidation therapy; thus,Len induction chemotherapy a combination of dr ug is used to destroy as many leukemia cells as possible and bring blood counts to normal (Leukemia and Lymphoma Society, 201 1). At this phase of treatment patient emotional, physical, social state are vulnerable. The anticancer drugs take a toll on the body, making the patient more at risk for infection. Nausea, vomiting, diarrhea, loss of hair, mouth sores, are among the many undesirable side effects patient experience while going through this phase. Prolonged hospitalizing are common while the patient is entropic (Assignations Workman, 2013, p. 884). Then, consolidation chemotherapy is used to destroy any remaining leukemia cells that cannot be seen in the blood or bone marrow. It consist of another course of either the same drugs use for induction at a different dosage or a different combination of chemotherapy drugs; HOST also may be considered, depending on the disease subtype and the patients response to induction therapy (Assignations Workman, 2013, p. 884). Not only do the body immune system is weak by the mass production f immature WEB, but chemotherapy severely suppresses the bone marrow leaving patient at an increase risk for infection. Nursing care for this patient is vital. Nurses caring for the patient with leukemia face many challenges. It is crucial that should not only understand the disease process, but treatment course as well. This enables them to educate their patient, administer treatment safely, and manage for possible side effects; but also to provide support to the patient and family. HOST is the standard treatment for the patient with leukemia who has a closely matched donor and who is in temporary remission after induction These treatments are lethal to the bone marrow, and without replacement of the stem cells by transplantation, the patient would die of infection or hemorrhage (Assignations Workman, 201 3, p. 85). Stem cells are classified by the source. HOST started with the use of allegoric is transplantation of bone mallow form a sibling or matched unrelated donor and has advanced to the use of human leukocyte antigen(HAL) There is tautologys, in which patient receives their own step cell which are collected before high-doses therapy Lastly, genetics are those that come form identical sibling (Assi gnations Workman, 201 3, p. 85). After, the frozen stem cells are thaw and given as blood transfusions by a central venous catheter or a venous access device. In order for the body to successfully take the transplanted cells a process called engagement is key to the whole transplantation process (Assignations Workman, 2013, p. 887). The period after transplantation is difficult for both the patient and family due to the patient weaken immunity. During and aftermath prevention of complications Life-threatening complications in particular can require complex physical treatment but, more significantly, may arouse complex emotional, psychological and spiritual issues for both patient and nurse. The care focuses on the patient taking chemotherapy and HOST. The most difficult task for the nursing during this processes is maintain hope through this long recovery period. Infections are a major complication in patients with acute myeloid leukemia (ML) undergoing intensive chemotherapy, these complications are still associated with severe morbidity and mortality. Meghan, T et al. (2012) emphasized, Preventing infection is a paramount goal for nurses caring for patients with leukemia. Interruption among hospitalized patients with acute leukemia puts them at a high risk of infection (p. 80). Hand hygiene is to be one of the most effective ways to prevent the transmission of infection. It is important to teach the patient about hand washing to prevent infections while this vulnerable state. Patient should be place in single rooms to prevent cross contamination. The most common infections are fungal, bacteria, and dome residual viral breakthrough (Assignations Workman, 201 3, p. 419). It is important to keep equipment used by the patient in the room, this will ensure there is no contamination. Assisted personal should be taught about washing hands often in between patients and use hand sanitized when you cant use soap and water. Avoid people with colds or the flu, thus, visiting patient should wear a mask at all times. These steps can help reduce the chances of coming into contact with someone who is sick. Patients are wipe out the majority of the time after treatment that self care is often neglected. It is imperative to teach patient, family, and assisted personal that some aspects of personal care cannot be put off for a later time. Mouth care is vital to prevent infection. Brush your teeth after meals and before bedtime, using an extra- soft toothbrush that wont hurt your gums. Inspect mouth for any sores, and report any open sores immediately. Clean your toothbrush at least weekly by either rinsing it liquid laundry bleach and then rinsing the bleach with hot running water. Skin is often the only body part protecting the patient, thus, any break can be a major potential for infection. Bathe regularly with warm water. Be careful to dry your skin completely. Use lotion to prevent cracks in your skin. Open cut and cracks may let bacteria in. Keep your skin hydrated and moisturizer. Dry, cracked skin is more likely to break and become susceptible to infections. Furthermore, squeezing or scratching pimples can rate open sores that would also place you at higher risk of infection. The same is true of biting or tearing at your cuticles. Use an electric razor instead of a blade. This may help you to avoid cuts. Patients should avoid anything raw vegetables, fruit. Cook all food thoroughly. This will help kill any potential germs that may be on raw food. Teach patient to avoid eating raw fruits and vegetables; undercooked meat, eggs, and fish, pepper, apical. The priority nursing interventions for patient with interruption are protecting him or her form infection and teaching patient and family about ways in which they can educe infection. Total patient assessment, including skin, lung, mouth, close inspection of venous access device insertion site(illustrating Workman, 201 3, p. 41 9). The patient should be monitor continuously for infection. Take temperatures according to hospital policy. Monitor the patients CB with differential. Inspect the mouth during every shift for lesions. A complete respiratory assessment should be assess for any presence of crackles, wheezes, and diminish breath sounds. Ask the patient to report any burning, painful urination, also, report any foul odor or cloudiness. It is important to maintain aseptic technique when dealing with central venous devices for dressing changes and administration of chemotherapy drugs at all times. Inspect open areas, such as C.V. every 4 hours for manifestations of infection. Change IV tubing according to hospital protocol. In addition, the patient is also vulnerable from minimal injury. Thermodynamic is defined as a decreased number of platelets in the blood, which can result in poor blood clotting. Thermodynamic is induced by chemotherapy, this poses the patient at great risk for excessive bleeding (Assignations Workman, 201 3, . 89). Patient with thermodynamic often experience include: Easy bruising, bleeding from your nose, rectum (black or bloody bowel movements), or stomach (vomiting blood or coffee-appearing material). Encourage the patient to stand unclothed in front of a mirror once a day to check for areas of bruising. Patchier, which are red spots in the skin. Economies which are larger reddish-blue patch es (bruises) on your skin. In women, periods that are heavier than normal. There are ways to manage this condition, they include: medications that stimulate the formation of platelets. One of this medication is Megan (Assignations Workman, 2013, p. 421) Patient should caution to avoid taking aspirin because it increases risk for bleeding. Patients should use electrical razors. If patient want to blow nose they should do it gently. Also, they should avoid hard food. If patient wears dentures they should fit the mouth properly. If patient want to cut nails they should do so with care. Patient should avoid becoming constipated or straining by taking a stool softener. If any bleeding does occur, instruct the patient to apply pressure to the area and seek help. The most important specs of care of this patient is to maintain a safe, hazardous free environment. Moreover, the patient also suffers from anemia. Normal production of red blood cell is limited with leukemia. Anemia is relatively common in patients who undergo chemotherapy. The goal with anemia is to conserve energy and improve red blood cell counts. Anemia depends on the extend of disease and intensity of treatment. Patients are often left feeling of tiredness which may interfere with every day activities. Fatigue is the most common sign of anemia Patient may become short of breath, dizzy. As Meghan, T et al. 012) advised, Blood transfusions are given to relieve symptoms and improve patients quality of life. (p. 81). Transfusions may be one way to alleviate patients symptoms though the correction effort is fast the duration is limited ant transient. Drug therapy include the administration of arthroscopies-stimulating agent. This agents that boost the production of red blood cells. It is important for nurses to be understanding and helpful during this time of weakness and to reassure patient that is only temporary. There are ways in which nurses can help patient cope with low energy level angina from medication to nursing activities. For example, nursing staff and assisted personnel should space out nursing activities throughout the day and perform any activity possible when the patient has the most energy. It is important to monitor respiratory status during activity to determine if the patient is able to tolerate. Also, nutrition plays a vital role and should be consider because the patient needs enough calories to meet and maintain demand of body. Lastly, malnutrition among patients with leukemia is high. It is very common problem among hospitalized patient, in general; anyway, who wants to eat when sick! It is the nurse, that need to educate abut the importance of nutrition. There are many causes of malnutrition including pain, fatigue, depression, and side effects of chemotherapy. The simple most obvious cause is loss of appetite due to alter taste. Some symptoms include sore mouth, dry mouth, pain, taste and smell changes, diarrhea, fatigue, anxiety, nausea and vomiting. When encourage patient about nutrition modifications is important to keep in mind to include the patient in decision making as much as possible giving a sense of power. Asking the patient about what are some likes and dislikes.

beethoven4 essays

beethoven4 essays Keep your eyes on him; some day he will give the world something to talk about-Wolfgang Amadeus Mozart (Orga 27). Beethoven was considered the greatest composer who ever lived, but all the truths lie deep inside his music. Beethovens symphonies were extraordinary. His innovative style was unheard of throughout the world during his time. There are three major symphonies that take beyond the Immortal Beloved referring to Beethoven, to his grave. Well-written and magnificent in the ears of every person who appreciated Beethovens works of art. Symphonies numbers 3, 5, and 9 were probably the best symphonies ever composed by a human being. Beethovens technique was unique in creating slow to fast tempos during the beginning of every piece. Each of his pieces had a meaning behind it. The mood of the music will tell it all just by listening to the joyous harmony each instrument played and the excitement whenever the tempo moved to a faster beat. Symphony number three in B-flat major, Op.55 titled Eroica was then the largest symphony at the time, and the first great symphony of the 19th century. In 1798, General Bernadotte, the French ambassador to Austria, suggested to Beethoven that he might write a symphony in honor of Napoleon. So Beethoven agreed to write the symphony for the great commander. But on May 18th, 1804, Napoleon crowned himself Emperor, and upon hearing the news Beethoven tore the title page in half, screaming that Napoleon would become a greater tyrant than anyone! (Orga 85). When the symphony was finally published, it was listed as a Heroic symphony, composed to celebrate the memory of fallen soldiers. The Eroica is important because it was Beethoven's first truly Romantic composition. Symphony No.3 uses a wide variety of tonality and the use of themes and motifs. The Eroica ...