Unknown Girl in the Maternity Ward Essay Example For Students

Unknown Girl in the Maternity Ward Essay English 1302December 3, 2003The bond between a mother and her child is one that cannot be severed. From the moment that the child is conceived, and the mother begins tocarry the baby, there is a special bond. During the course of nine monthswhich the mother carries the child in her womb, the child is completelydependent on her. There is nothing that anyone can say or do that can takethis away. In Anne Sextons, Unknown Girl in the Maternity Ward, Sextonwrites of a woman who has given birth, and is now having to give her childup for adoption. The mother speaks to her newborn child about her beingseparated from the baby, and the emotions that follow. Sextons workexplains the emotional roller coaster that a mother can experience whenbeing separated from her child. We will write a custom essay on Unknown Girl in the Maternity Ward specifically for you for only $16.38 $13.9/page Order now The Mother speaks to the newborn as she is becoming familiar withhim/her. She realizes that in a short amount of time the baby will nolonger be hers. Sexton has written this work in the first person point ofview. This is made apparent when the poem begins when the mother isspeaking to her child by using the word child in the first stanza. Thispoem follows no set rhyme scheme and is written in open form. In the firststanza, Sexton is describing the child by using similes. Lie, fisted likea snail, (Sexton 3) she is describing her child as she shares the bond ofbreastfeeding her child. Your lips are animals, (Sexton 4) describes thechilds hunger, and how the baby latches to the mothers breast. Shespeaks of having to give up her child and the bond that will soon bebroken. There is no worse feeling than having a child, and on the birthcertificate having to put nothing where the fathers name belongs. Peopletend to form their own conclusions, and in some cases, a mother can donothing about this. As the mother continues to ponder the loss that she isenduring; The doctors are enamel, (Sexton 17). This describes thestiff, cold attitude that the doctors have towards the mother. They haveno answers about the childs father, and are left to assume the worst;going the way men go, and leave you full of child, (Sexton 19-20). Doctors require pertinent information concerning the childs father when achild is born. This information is for medical purposes, records, etc. The mother continues to keep this answer to herself, and the doctors areforced to leave the information blank. Sexton refers to a father who isvery unstable, and is not sure what he requires out of life; she describeshim as; Some pendulum soul, (Sexton 20). Mother speaks to her child as she is lying in waiting for her child tobe taken from her arms; Yours is the only face that I recognize., (Sexton29). The mother feels very alone, and her child is all that she knows. Imagery is used when the mother says; you drink my answers in, (Sexton30). The reader can visualize the child staring at his/her mother withblue stones, as the baby listens intently to everything that is beingsaid. Although the baby does not know, much less understand what is beingsaid, the mother has no one else, and turns to her child for comfort. One of the more powerful similes; My arms fit you like a sleeve,(Sexton 42-43) describes how she feels that she and the child belongtogether. She knows that she does not want to let the child go, althoughshe also knows that she must do what is best for the child. The motherbegins to regret not telling the doctors the name of the father; It is youmy silence harms, (Sexton 48) yet she still tells the doctors; Name offather none, (Sexton 52). Sexton describes the feelings that a motherexperiences when she is forced to give up her child. Whether it is adecision that she has made for herself or for the childs sake, it is oneof the hardest that she will ever have to make. She knows that she willhurt only her child from the decision that she has made to keep thefathers name a secret; yet she is torn between what is right, and what shefeels that she must do. She chooses to remain silent. .uadbc6716569dacfd19cb8ed69d4339f4 , .uadbc6716569dacfd19cb8ed69d4339f4 .postImageUrl , .uadbc6716569dacfd19cb8ed69d4339f4 .centered-text-area { min-height: 80px; position: relative; } .uadbc6716569dacfd19cb8ed69d4339f4 , .uadbc6716569dacfd19cb8ed69d4339f4:hover , .uadbc6716569dacfd19cb8ed69d4339f4:visited , .uadbc6716569dacfd19cb8ed69d4339f4:active { border:0!important; } .uadbc6716569dacfd19cb8ed69d4339f4 .clearfix:after { content: ""; display: table; clear: both; } .uadbc6716569dacfd19cb8ed69d4339f4 { display: block; transition: background-color 250ms; webkit-transition: background-color 250ms; width: 100%; opacity: 1; transition: opacity 250ms; webkit-transition: opacity 250ms; background-color: #95A5A6; } .uadbc6716569dacfd19cb8ed69d4339f4:active , .uadbc6716569dacfd19cb8ed69d4339f4:hover { opacity: 1; transition: opacity 250ms; webkit-transition: opacity 250ms; background-color: #2C3E50; } .uadbc6716569dacfd19cb8ed69d4339f4 .centered-text-area { width: 100%; position: relative ; } .uadbc6716569dacfd19cb8ed69d4339f4 .ctaText { border-bottom: 0 solid #fff; color: #2980B9; font-size: 16px; font-weight: bold; margin: 0; padding: 0; text-decoration: underline; } .uadbc6716569dacfd19cb8ed69d4339f4 .postTitle { color: #FFFFFF; font-size: 16px; font-weight: 600; margin: 0; padding: 0; width: 100%; } .uadbc6716569dacfd19cb8ed69d4339f4 .ctaButton { background-color: #7F8C8D!important; color: #2980B9; border: none; border-radius: 3px; box-shadow: none; font-size: 14px; font-weight: bold; line-height: 26px; moz-border-radius: 3px; text-align: center; text-decoration: none; text-shadow: none; width: 80px; min-height: 80px; background: url(https://artscolumbia.org/wp-content/plugins/intelly-related-posts/assets/images/simple-arrow.png)no-repeat; position: absolute; right: 0; top: 0; } .uadbc6716569dacfd19cb8ed69d4339f4:hover .ctaButton { background-color: #34495E!important; } .uadbc6716569dacfd19cb8ed69d4339f4 .centered-text { display: table; height: 80px; padding-left : 18px; top: 0; } .uadbc6716569dacfd19cb8ed69d4339f4 .uadbc6716569dacfd19cb8ed69d4339f4-content { display: table-cell; margin: 0; padding: 0; padding-right: 108px; position: relative; vertical-align: middle; width: 100%; } .uadbc6716569dacfd19cb8ed69d4339f4:after { content: ""; display: block; clear: both; } READ: My First Day on the Job EssayIn the closing stanza, the feelings that the mother has right beforeher child is taken, are described. She has now prepared herself to giveher child up. She has said and done all that she can, and knows that sheis loosing everything and giving up her life; There is nothing more that Ican say or lose, (Sexton 54-55). As her child is being torn from her, sheavoids the childs stare; I tighten to refuse your owling eyes, (Sexton58-59). She knows that in a matter of seconds, the child that she oncecarried will no longer be hers. She also knows that there is nothing thatcan break the bond that she has made with this child. Go child, who is mysin and nothing more, (Sexton 65) and the child is taken form her. This work uses several metaphors and similes to convey the messagethat Sexton is trying to get across. Sexton wants her readers to feel theloss that the mother has gone through. The general subject of this poem isadoption, and Sexton does a very good job portraying this. Sexton uses avery heartbreaking tone in this work, with the use of metaphors and similesto strengthen the emotions of love that are also portrayed in this poem. A small knuckle on my white bed, (Sexton 3) the animal of your lips,(Sexton 32) they are blue stones, they begin to outgrow their moss,(Sexton 34-36) the wild bee farms of your nerves, (Sexton 44-45) andyour owling eyes, (Sexton 58). Sexton uses these metaphors to describethe newborn child and the mothers feelings toward the baby. Sexton haswritten this poem with the understanding of the bond that a mother andchild share. The relationship between a mother and child is veryunpredictable, yet, there is nothing that can come between the ties thatbond them together.

Disaster Recovery essays

Disaster Recovery essays Before September 11th disaster recovery seemed to be something that was never strongly thought about. On that day the World Trade Centers recovery plan was put to the test. The damage done to the towers was tremendous, and the people involved risked their own lives trying to save others. The city was put to the test on February 26 1993 when the towers were bombed the first time. The number of missing people could have been larger but there was a plan to follow, which sped things up in escaping the building. A disaster recovery plan for any building can save lives, as well as save the business. The definition of a disaster is any accidental or intentional event that causes significant disruption to a companys operation. Each company will be faced with its unique set of threats and corresponding vulnerabilities. These threats and vulnerabilities will depend on the nature of the companys products or services and its geographic location. In the initial risk analysis all possible disasters should be reviewed to determine their probability of their potential for inflicting loss. (Chantico1) The purpose of having a plan in place is to ensure the safety of occupants.Resume vital operations within a specified time after the incident occurs. Returning to normal operations as soon as practical and possible is key to keep a company going. Training personnel and familiarizing them with emergency operations will ensure a quick recovery. The plan should consider various types of disasters and varied durations of service interruption. It should detail the actions to be taken based on the level of damage, rather than an individual type of loss. Exceptions to this rule will be regional disasters, such as earthquakes, hurricanes, blizzards in which case the plan should detail specific actions. (Chantico1) The detailed information needed to develop a recovery plan will vary by company. But there are four features tha...

Beyond the Scenery

The summer sun beamed down, making the bright daisies sparkle and shimmer like tiny stars. My hand grazed the familiar sunset pink journal, gliding over the faded rough edges. My big muddy brown eyes gazed at the sky filled with white puffy clouds. Gusts of wind blew throughout the park, dandelion puffs flying throughout the sky. Crystal waters stained the ground as a family of geese softly swam atop. The water was a clear blue, matching the shade of my mother’s eyes. With every splash, the baby geese would come closer together. The mother goose led them to still water, making sure her children would be alright, reminding me of my own mother. My mom would pick me up, and smile at my face full of innocence. I would be wearing a beautiful gown, and end up getting it covered in birthday cake. I would dance around the room, my older sister and brother running about. Then my mother would say, â€Å"You can do whatever you want to do, my baby girl.† She handed me a notebook that day, and ever since, I’ve never stopped writing. Soon, The flashback blurred, my mind slowly returning to the park. My eyes drifted away from the pond, looking up at the oddly shaped clouds. A giraffe-shaped and an elephant-shaped cloud flew across the sky, bringing me back to when I was only 12 years old. â€Å"Let’s build a fort!† I shouted, sitting up off the grassy floor. My friends looked up at me, their eyes sparkling as if I had ignited some sort of firework. Right away, we all started getting to work. I rolled up my sleeves, my sturdy overalls warm for the cold journey ahead. My fingers became sappy as I collected fallen branches and leaves. Autumn had taken a toll on the trees leaving the sky an odd mix of purple and blue with streaks of silver. I pulled out my notebook, scribbling down our blueprints. One hour later, my plan had worked! Our fort stood tall, shining bright during the cold fall. All my friends giggled as we laid down in our fort gazing at the clouds through the cracks of our tiny roof. Suddenly, my mind drifted back to reality once more. My body lurched forward, standing up and stretching. I looked around for another cloud, but ended up staring off at the many trees around me. The sun began to set, the trees at a silent standstill. Small children climbed up the trunks, the leaves a bright shade of green, matching the grass below. I sat back down, noticing the sapling beside me. It had a short brown stem adorned with a green top, it still had a lot of growing to do, just like me. I want to learn more. I want to travel more, to places like Italy and France. I could write about all of the places I see and work it into my fiction and fantasy. I want to have my novels inspire others to life lives of adventure. I want to write poems about oddly shaped clouds. I want to host a party where everyone just plays silly board games. I want to write literature where people feel my own characters’ emotions. I want to grow. A smile found it’s way to my face, my hand reaching out for my pink notebook. This notebook has been with me for a long time, it’s filled to the brim with stories and ideas. The smell of ink wafted through my nose, a sense of reli ef washing over me as one last gust of wind blew throughout the humble scenery.

Homework Assignment Example | Topics and Well Written Essays - 500 words - 1

Homework - Assignment Example However, not always can a woman be fortunate enough to integrate her hobby into her profession. in a vast majority of cases, families with dual working partners put a lot of burden upon the woman. This is because of the fact that a woman’s real job is thought to be managing household, and her contribution in the labor market is not acknowledged. Instead, she is expected to do it in addition to, if she can manage, her fundamental job at home. Thus, if a woman’s marital life gets disturbed and the husband is not ready to compromise, she should rather specialize in household because this is what societal norms require of her. Why have women been so eager to increase their participation in the labor market, and why have men been so reluctant to increase their participation in housework? Women have always been underestimated by men that happen to be the stronger gender on physical grounds. There is no doubt in the fact that nature has vested delicacy in women as opposed to s trength in men, though the lack of physical comparison has been misinterpreted by many men who also do not consider women brainy enough to compete with them in the labor market. On the other hand, lack of physical strength equal to men has inculcated a desire in women to prove that things are different on other scales of comparison.

The Merchants Tale Essay Example | Topics and Well Written Essays - 250 words

The Merchants Tale - Essay Example He is upset that such a beautiful young woman married an old fellow. As they returned to their home, January apologized in advance for the sexual exploits he would act on her. After the customary four days, May joins January at the banquet table and it is at this point that he notices Damien’s absence and is informed he is ill. He sends May to visit him on his behalf, during the visit, Damien hands a letter to May declaring his love for her and in return she reciprocates by writing to him about her love towards him. However, January’s happiness does not last for long as he loses his eyesight, this result to him relying on May for assistance, something that Damien is not happy about. May signals to Damien to January’s secret garden. She displayed a lusty appetite for fruits and led January to the garden where she asked him to bend over and let her stand on his back as she climbed a tree to get pear. She climbed up where she met Damien and they had sex. Suddenly, J anuary’s eyesight was restored and saw May and Damien having sex and he was filled with rage. May convinced January that his sight was weak and the brightness affected his sight such that he saw certain things strangely. She jumped from the tree and January embraced her. According to the merchant, the theme of marriage can be described from two fronts in this tale: marriage as a state of holy matrimony, a means to secure an heir, he demonstrates a wife who has good qualities and how they support each other during instances of need. However, he also reflects his bitterness towards marriage as he is unhappy and has only been married for two months. Due to May’s infidelity, the reader may conclude that January is a foolish husband, May, a slut and Damien a

Aesthetics - the issue of the possible existence Essay Example for Free

Aesthetics the issue of the possible existence Essay Burke follows in the empirical tradition of Locke. He believes that all human knowledge comes out of impressions or sense experiences. We then take these simple bits of knowledge and combine them to form more intricate ideas. Our imagination is limited to use of the knowledge we extract from our impressions and are, therefore, incapable of creating anything completely new. He says that our imagination either portrays pleasing images again in the order we experienced them or reorders and combines these images of our experiences. Burke offers that humans receive pleasure from resemblances. Accurate imitations stimulate our minds. Burkes goal and main concern is the issue of the possible existence of a standard or logic of taste. Burke is searching for certain principles that affect our imaginations in such a common and certain way that they could be a basis for the means of reasoning satisfactorily about them1. Burke states that these principles do exist. He says that even though it seems as though there is such a variety of taste, there is a standard that lies beneath the superficial range of differences. All humans perceive external objects in the same way. We become familiar with these external items by way of our natural powers: the senses, imagination and judgment. The most natural understandings that we receive are quite standard, what appears light to one is light to any other and what is sweet to one is again sweet to another. Burke shows that humans have a common agreement on these issues of preference by giving examples of expressions taken from taste experiences such as A sour temper, bitter expressions sweet disposition, a sweet person1. Burke realizes that there are many people who act in ways that would seem contradictory to these assertions, such as the preference of the taste of tobacco over that of sugar. These divergences from the natural pleasures and pains are a result of custom. They do not uphold the argument for diversity of taste, but rather call for a differentiation between Natural and Acquired taste. A man grows to prefer the taste of tobacco to that of sugar by conditioning his palate from habit. It is a synthetic preference, however, and the man still understands that tobacco is not sweet and sugar is sweet. Also if a man finds sugar to be sour we do not say that his taste is different, instead we say that his taste is not functioning correctly. Burke writes that when talking about acquired taste one must consider the surrounding factors such as the specific habits and prejudices of a particular person. These customs and intolerances do not oppose the agreement of mankind, but rather mask it. This conformity among humanity does not exist only in terms of the palate; it is quite the same in matters of sight. Light is more agreeable than darkness and summer and its conditions are more pleasant than winter and its conditions. Burke states that no man truly, naturally believes a goose to be more beautiful than a swan. To Burke sight is less subject to custom than the palate, however, change is applied. This applied change brings him to his next point about the palate. He says that these changes in palate, which make unpleasant flavors more pleasurable, are a result of frequent use combined with an agreeable effect. This affects humans in the way of substances such as opium, tobacco, alcohol, tea, and coffee. Burke writes There is in all men a sufficient remembrance of the original natural causes of pleasure, to enable them to bring all things offered to their senses to that standard and to regulate their feelings and opinions by it 1. Natural pleasures are still preferred to unaccustomed substances that induce agreeable effects. Someone who has grown to prefer opium to sugar would still prefer the taste of sugar to a drug that they do not have a habit with. There is a standard of pleasure of the senses in all humans. Burke explains imagination as our greatest source of pleasure and of pain. Since imagination is based on the senses then it too must have universal agreement among all men. The mind is much more disposed to picking up on resemblances than to finding differences in what we observe. Our imaginations are incapable of creating anything absolutely new so we must expand our stock through experience, and in resemblances we are able to find new images. We unite and accumulate and move forward with our feelings with likenesses rather then difference which cannot be placed.

Use of Weather in Charlotte Brontes Jane Eyre :: Jane Eyre Essays

Use of Weather in Jane Eyre    In the novel Jane Eyre by Charlotte Bronte, good weather is Bronte’s tool to foreshadow positive events or moods and poor weather is her tool for setting the tone for negative events or moods.   This technique is exercised throughout the entire novel, alerting the readers of the upcoming atmosphere. In the novel, Jane’s mood is, to a degree, determined by the weather mentioned. For example, after Jane was publicly and falsely accused of being a liar by Mr. Brocklehurst, an upcoming positive event was predicted when Jane described her surroundings, â€Å"Some heavy clouds swept from the sky by a rising wind, had left the moon bare; and her light streaming in through a window near, shone full both on us and on the approaching figure, which we at once recognize as Miss Temple† (62).   Surely enough, Miss Temple invited the two girls to her room and treated them with cake and tea, which brought Jane comfort from the public humiliation.   â€Å"We feasted that evening as on our nectar and ambrosia; and not the least delight of the entertainment was the smile of gratification of our hostess regarded us, as we satisfied our famished appetites on the delicate fare she liberally supplied† (65).   Another example of this is Jane’s first morning at Thornfi eld.   A positive mood was foreshadowed when Jane described the weather as such: â€Å"The chamber looked such a bright little place to me as the sun shone in between the gay blue chintz window and carpeted floor, so unlike the bare planks and strained plaster of Lowood, that my spirit rose at the view† (90). This not only foreshadowed the positive mood of Jane, but also the experience she would have in the near future living in Thornfield.   She would soon discover her husband to be Mr. Rochester and appreciate her companies such as Mrs. Fairfax and Adele, who for the first time in her life treat her as an equal.   All positive weather described in the novel foreshadowed either a positive mood or event, sometimes both.   Bronte was consistent with this use of the weather. On the other hand, poor weather in the novel was used to foreshadow negative events or moods.   In the opening of the novel, when Jane was living in Gateshead, she was reading while an unpleasant visit of John Reed was foreshadowed:   â€Å"After it offered a pale blank of mist and cloud: hear, a scene of wet lawn and storm-beat shrub† (2).

Human Behavior in Organization Essay

Human behavior in an organization determines the quality of work, progress and success of the organization. No machine and no computer can work by itself. No product is developed and manufactured by itself. It’s the workforce or rather the human resources of an organization who develop ideas, create new products and services and then deliver them to the markets. Thus, it is important for the management of an organization to analyze the behavior of its entire work force. Human performance consulting is in vogue today, thanks to the greater emphasis on he psychology of the people behind the desk. Every organization differs from the other with respect to its policies, work environment, recruitment process, Job evaluation and culture. The most natural human tendency is to react positively and with great intensity where they are compensated well, encouraged well and get additional perks and holidays. In no way is it being suggested that an organization should overpay its staff. However, it must be kept in mind that the organization must treat its work force with immense dignity and respect and provide sufficient compensation. Even make the cleaning staff in your organization feel special and encourage them to do their task in the best possible way! The work force must be treated as an asset, not a liability, and once this is done you will notice remarkable change in the collective human behavior. Apart from the internal environment of the office, the external personal environment plays a major role in his/her behavior and attitude. We are social animals with unique aspirations, hopes, insecurities. Only those who enjoy their work can have a healthy balance between personal and professional life. Those who don’t enjoy their work will most likely not be satisfied with the work nor be content in their personal life due to the imbalance that exists. One important way to analyze human behavior is to study the relationship effectiveness. How effectively your staff communicates and relates to each other can tell you how much they care for their work and the people around them. Without proper training the office dynamic can become imbalanced Just like any natural system. It is not likely for an accountant or a biologist to sit and study human behavior ffectively. You must have trained experts who understand the unique challenges the workplace brings. Not everybody is gifted with the skill to foresee a person’s behavior beforehand. JM Perry, through his coaching packages, helps develop these skills inside organizations. You can have professionals attending one-on-one sessions or learning through live chats or audio-video CDs. After completing Perrys coaching you will be able to comprehend how to analyze human behavior and how to improve your behavior.

Nelson Mandela Essay

â€Å"The greatest glory in living lies not in never falling, but in rising every time we fall,† is a quote by Nelson Mandela, which represents what is needed in order to enjoy success in capturing or living a dream, a hope or a goal. What the quote means, is that in order for one to receive satisfaction, one must be able to overcome failure to achieve success instead of never failing. People don’t ever look at failing as a positive. Instead, they always looked at it as a negative. In reality, people who have never failed will never learn the importance rising after we fall. This quote from Nelson Mandela makes real good sense. If it wasn’t for that type of thinking South Africa will not be where it’s at today. It was his strive to overcome prison and all types of adversity, that South Africa is what it is today. Being able to climb back up and succeed after failure is the only way of really achieving success in capturing a dream, a hope or a goal. By following the quote, Nelson Mandela was able to be the first colored president of South Africa and changed the way politics were handled. If he would have given up after he was thrown in prison, he wouldn’t have gotten South African to where it is today. It was his strive to get back up on his feet and fight for what he believed in that got him to where he was. If he was not able to rise after he fell, where would South Africa be right now? No one person can succeed by staying on the top or no one person can succeed by staying on the bottom. There is a saying that best describes this, which is â€Å"what goes up must come down.† Typically when people come down it’s hard for them to ever go back up. With Nelson’s quote, to truly enjoy success for a dream, a hope or goal, one has to be able to get back on their feet after they have failed. Without failure, there will be no success.

Leukemia Case Study Essays

Leukemia Case Study Essays Leukemia Case Study Essay 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. 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.

Ethical Foreign Policy Essay Example | Topics and Well Written Essays - 3500 words

Ethical Foreign Policy - Essay Example In addition a global discourse of human rights is emerging, which in turn, reflects in a large number of international legal instruments.2 This discourse warrants intervention where rights are being abused on a large scale and where at the same time a global opinion in favour of democracy is observed. Why This is primarily because the "in time" availability of information makes the issue more sensitive since the natural instinct of "helping" in human nature is effectively activated. In addition due to a more accessible world people and governments (representative of the people) feel themselves to be more attached with the affairs of others as they directly or indirectly affect them politically, economically or sheer as per the national morality/psyche. This essay will first clarify ethical foreign policy. It will then examine foreign policy ethics and interests. Thirdly, it wills discuses how to construct ethical foreign policies in a government. Finally it will conclude that the most important points in the study, with a recommendation for any future work. It iWhat is ethical foreign policy It is not reflective of actual practice to posit a dichotomy between, on one hand, an ethical foreign policy, and on the other, a non-ethical foreign policy.3 The growing interaction amongst nation state at international canvass has made it impossible that the action of one state is devoid of the effect on other state. This existing interconnectedness of actions of one state and the effects on the other state had made it impossible to have foreign policy which is devoid of ethical strings. However, the depth and breadth of ethical paradigms might be different for different nations. Therefore, the issues are focused on rather how governments act ethically, according to certain criteria, and how they balance competing ethical claims. The governments must be pragmatic, because they cannot formulate foreign policy from a predetermined ethical standpoint.4 The pedestal of "ethical standpoint" has to be different for every government. The reason is that the intensity or the will to follow the ethical strings/viewpoints or even formulation of those, is directly proportional to numerous factors within the government which include military/economic might and the resultant fall out on the nation, of the event taking place. Example That is exactly what happened in case of Iraq War. To have a nuclear weapon, if seen from ethical stand point of protecting one's country, was justified from Iraq's point of view. However, US saw it as a direct threat to itself in particular and world in general. This led US to adopt pre-emptive strategy. On the other hand many of the world nations were not interested in US strategy as they were viewing the issue from the "ethical stand point" of engaging and resolving issue through dialogue with Iraq. Further, the resultant expected destabilization of the region and loss of life was not thought to be ethical enough by those nations. Reality is that US did go for the war because it had the

Essay on Tar Baby-ly Example | Topics and Well Written Essays - 1500 words - 1

On Tar Baby-ly - Essay Example In the novel, Tar Baby, Toni Morrison highlights patterns of racist socialization and ever present anger using motives and actions of the characters in the story, particularly Jadine and Son. The tensions that the major and minor characters experience in the novel are reflective of PTSS. In particular, Jadine demonstrates racist socialization while Son shows ever present anger. According to DeGruy, racist socialization refers to â€Å"adoption of the slave master’s value system† which â€Å"includes the internalization of the white ideal of beauty† (DeGruy 135). Jadine is very fond of things that are pleasing to the whites. She loves the sealskin coat that her boyfriend Ryk gives her even though it is impractical to wear it in the Caribbean. She also loves cosmopolitan live, thus encourages Son to live in New York. However, she and Son cannot be together for they are far different from each other. She starts to realize this only when Son takes her to Eloe. Although she is black, she cannot appreciate things that Son values such as the wildlife. Opposed to Son, Jadine does not give importance to her race. She embraces European life and leaves her surrogate parents. She does not think of the sacrifices that Sydney and Odine do for her in order to send her to school. Instead, she thinks that Valerian is the only one who fulfills her dream by sending her to study in Paris. She claims, â€Å"the truth is I could not have done that without the help and care of some poor white dude who thought I had brains enough†¦Ã¢â‚¬  (Morrison 51). Jadine’s racist socialization leads her to ostracize her aunt and uncle as part of her success. She gives credit only to Valerian, thus leaves her relatives behind to start a new life in New York. Ironically, Son realizes the effort of the two and tells her, â€Å"They are the ones who put you through school, woman†¦not him. They worked