Monday, May 25, 2020

The Clinical Picture of the 78-Year-Old Patient and the Palliative Care Aspect of the Patient Free Essay Example, 2500 words

The patient was a 78 year old man who denies a history of allergies, and medications. He was brought in by the emergency medical services after he was found down and altered by a close friend. The friend noted that the patient had lost about 30 pounds since they last met (4 weeks). Patient has difficulty in remembering what he ate before the previous day. He denies having any form of pain, and reports that he has been coughing. On physical examination, the heart rate was in the 110 s and improved to 130 and then to 140 s systolic with fluid resuscitation. On further examination; the patient is noted to be cachetic, and malnourished. He was alert, oriented, awake and talking. The mucous membranes were very dry. He had tachycardia with inspiratory rales on the right upper lobe of the lung. The abdomen was non distended and non tender. His laboratory results revealed a white blood cell count 16.1 with a left shift, the sodium concentration was 128, the creatinine level was 2.0, and lactate at 5.1. His chest x ray was clear and the head CT scan of the head revealed moderate hypoattenuation of the white matter. We will write a custom essay sample on The Clinical Picture of the 78-Year-Old Patient and the Palliative Care Aspect of the Patient or any topic specifically for you Only $17.96 $11.86/pageorder now The patient has evidence of having an acute kidney injury and hyponatremia. The patient displays evidence of failure to thrive. The initial diagnosis made included altered mental status, acute kidney injury, failure to thrive, malnourishment, starvation, weight loss, history of alcohol abuse, severe chronic obstructive pulmonary disease, dehydration, and hyponatemia, The condition of the patient was determined to be critical and he was admitted into the medical intensive care unit. While in the MICU, the patient complained of increasing cough, difficulty swallowing and abdominal pain. On auscultation of the lungs, there were scattered rhonchi across the lung fields both posterior and anterior. The patient grimaced on palpation of the abdomen and had a productive cough. The bowel sounds were hyperactive and the abdominal x-ray revealed a large amount of stool within the rectosigmoid colon.

Thursday, May 14, 2020

Shylock a Villain in appearance, a Victim at heart Essay

In many plays there are two types of characters, good and evil. Then there are those few who could be on either side of the fence. The character could have both good and evil aspects, creating a complex personality. In The Merchant of Venice, by William Shakespeare, there is an example of one of those characters. Shylock could be one of the most controversial characters ever created. Some people believe he is a victim, while others say he is a villain. In order to trace this idea we should know why people in the Elizabethan era hates Jews. Rodrigo Lopez was a Jew of Portuguese decent, who fled to England in 1559 where he worked as a physician. His practice grew, and in time he was appointed physician to the Queen of England. But the†¦show more content†¦He says it aside when Antonio comes to him to borrow three hundred ducats. So he hates Antonio for no reason only because he is a Christian. Moreover it may be understood further that Shylock accepts to give the money for Antonio only because he knows that he wont be able to pay it back, therefore he will sue him to satisfy himself. Another quote which shows how Shylock wants to exploit Antonio in order to humiliate him: ?Signior Antonio, many a time and oft?/you have rated me/About my moneys and my usuances:/Still have I borne it with a patient shurg,/For sufferenace is the badge of all our tribe./You call me misbeliever, cut-throat dog,/And spit upon my Jewish gaberdine,/And all for use of that which is mine own. Well then, it now appears you need my help?.? (Shakespeare:I,III,106-114) This quote actually doesnt require explanation. Its very clear even to a blind man. After all what Antonio does to Shylock, he lends him the money. What a kind of man who prefers money on the expense of his dignity. Antonio insults Shylock. He calls him a dog, he spits on him and spurns him. But Shylock give him the ducats. A rational man would not even give him a penny if the other insults him in such way. When Antonio goes to Shylock to ask for money. Shylock makes a contract but it seems strange, if Antonio doesn?t repay the money on time, Shylock will get a pound of his flesh. He says: ?Go with me to aShow MoreRelatedThe Merchant of Venice: Is Shylock a Villain or a Victim? Essay846 Words   |  4 PagesIn this essay I will try to discover is Shylock a villain or a victim, in the William Shakespeare play â€Å"The Merchant of Venice† It is difficult to say if Shylock is a complete villain or a victim, as his character is complex and ambiguous. However, it is difficult to view Shylock as anything other than a devious, bloodthirsty and heartless villain in the majority of the play. There are a few points in the story where he can be viewed as victimised, as most Jews were at that time, but ShakespeareRead MoreShylock: Villain or Victim6154 Words   |  25 PagesShylock: Victim or Villain? He is a Jewish moneylender who earns his living by charging interest on money he loans (like modern banks). He often speaks prose in the play, which marks him out as an outsider. He is persecuted by all the non-Jews he knows: He tells Antonio, suffrance is the badge of all our tribe. He is verbally abused and bullied by most characters in the play and is called cruel names including villain with a smiling cheek, cut-throat dog, bloody creditor, damned inexecrableRead MoreMerchant Of Venice Film Analysis1309 Words   |  6 Pagesover the bridge as Shylock looks on, is influential in setting the films anti-Semitic theme. This scene also reveals the volatile relationship between Shylock and Antonio. When Antonio first emerges, he is walking through a mob of Christians as they berate the Jews for their usury profession. Hes wearing a large crucifix around his neck, which serves as a compelling visual link between Antonio and the church. Antonio is being beckoned to in a friendly, welcoming tone by Shylock who then reaches hisRead MoreThe Merchant of Venice by William Shakespeare2080 Words   |  9 PagesMerchant of Venice by William Shakespeare The play revolves around one main plot and three sub-plots. The main plot centres on the question of mercy and forgiveness as seen in the relationship between Antonio, the kind Christian, and Shylock, the unrelenting Jew. The three subplots revolve around the romances of Portia and Bassanio (the most important couple in the play), of Lorenzo and Jessica, and of Gratiano and Nerissa (the least important couple of the play). AllRead MoreThe Tragedy of Shylock, a Critical essay on Shakespeares Merchant of Venice2008 Words   |  9 PagesRaymond Schmit ï ¿ ½ PAGE * MERGEFORMAT ï ¿ ½6ï ¿ ½ Shakespeare The Tragedy of Shylock I had not read the _Merchant of Venice_ before this class. All of my familiarity with the play was based on hearsay, and for some reason I got the idea in my heads that it was a tragedy. I thought that Shylock_did_ receive a pound of flesh from Antonio, but that it was just skin removed from his back. This gruesome image was what I was waiting for during my entire reading of the play. But I was pleasantly surprised toRead MoreThe Merchant of Venice- Critical Evaluation2293 Words   |  10 Pagesbeautiful heiress of Belmont. The second part deals with the bond Antonio makes with Shylock, the wealthy Jew. Antonio agrees that if the three thousand ducats he borrows are not repaid within three months he will lose a pound of flesh in order to finance Bassanio’s courtship. Bassanio eventually wins Portia but discovers that Antonio has forfeited the bond. However, disguised as a lawyer, Portia crushes Shylock in the Venetian Court when he tries to get his pound of flesh, and the Chr istians return

Wednesday, May 6, 2020

The Case Of Mills V. Rogers - 1458 Words

Facts of Case The case of Mills v. Rogers has a significant importance in virtue of the human, civil and constitutional rights of the patients who are hospitalized at mental institutions. Despite the fact whether the patient was there voluntarily or contrary, Rogers believed that the institutions should respect the patient’s decision when it involved antipsychotic drug treatments. Rubie Rogers was a 36-year old black woman who voluntarily institutionalized herself at the Boston State Hospital (BSH). Rogers suffered from hallucinations along with delusions and acquired a history of thought disorder such as violent behavior. Before Mills v. Rogers, a prior lawsuit was filed. It is essential to have knowledge of the previous case which was Rogers v. Okin, 738 F.2d 1. Rogers became distressed with the forced consumption of Haldol, an antipsychotic medication, causing to set herself on fire in order to be transferred to a medical hospital. On April 27, 1975, Rogers, along with six other patients who were also medicated against their will, initiated lawsuit. The lawsuit was filed against officials and staff of the May and Austin Units of the BSH. Plaintiffs were all present or were previous mental patients and were all administered with drugs forcefully. In this case, the Plaintiff prevailed. Shortly after in 1982, Mills v. Rogers was filed with the Federal District Court. Respondents brought a class action case against petitioners alleging that it is against the FederalShow MoreRelatedThe Case Of Mills V. Rogers Essay956 Words   |  4 PagesThe case of Mills v. Rogers has a significant importance in virtue of the human, civil and constitutional rights of the patients who are hospitalized at mental institutions. Despite the fact whether the patient was there voluntarily or contrary, Rogers believed that the institutions should respect the patient’s decision when it involved antipsychotic drug treatments. Rubie Rogers was a 36-year old black woman who voluntarily institutionalized herself at the Boston State Hospital (BSH). Rogers sufferedRead MoreStowers vs Wolodzko1710 Words   |  7 PagesThe case of Stowers v. Wolodzko revolves around the confinement of Mrs. Stowers, a Michigan resident who lived with her husband and two children. Mrs. Stowers was confined in a private mental hospital, in accordance with a court order that was obtained by Dr. Wolodzko and Dr. Smyk. Dr. Wolodzko and Dr. Smyk were under the instruction of the plaintiff’s husband, who wanted his wife’s mental competency evaluated. In December 1963, the doctors signed a statement declaring that they found Mrs. StowersRead MoreHadley V Baxendale : The Court Of Exchequer Chamber1198 Words   |  5 PagesHadley v Baxendale Introduction In 1854 there were a case named Hadley v. Baxendale discussed by the Court of Exchequer Chamber. All the facts are very well-known. The plaintiffs (a person who brings a case against another in a court of law) possessed a mill that went down on account of a break in the crankshaft that worked the plant. Accordingly the plaintiff needed to transport the broken shaft to the first maker, Joyce Co. of Greenwich, to serve as an example for the production of another shaftRead MoreThe Transactions Between Bell Hospitality Limited3535 Words   |  15 Pagesthe contract. Here, the property passes to the buyer when the parties has intended for it to be transferred . But the intention may vary based on reference to the terms of the contract, the actions of the parties and also, the circumstances of the case. Keeping in mind of section 17, since Costbite had exactly the wanted amount, the 20 champagne bottles mentioned in the contract indisputably falls under the specific goods category. The remainder 20 bottles has been labelled for BHL as part of theRead MoreThe Power Of Declare War : Does It Mean Anything Anymore?1736 Words   |  7 Pagescreated an emergency that permitted him the extraordinary power of unilaterally suspending the writ. With Chief Justice Roger Taney sitting as judge, the Federal District Court of Maryland struck down the suspension in Ex Parte Merryman (17 F. Cas. 144 1861). Ex parte Merryman, 17 F. Cas. 144 (C.C.D. Md. 1861) (No. 9487), is a well-known and controversial U.S. federal court case which arose out of the American Civil War. John Merryman was, a Maryland Militia Lieutenant, was arrested and help forRead MoreVideo Notes On Children And Learning With Statistics, Facts And Information5393 Words   |  22 Pages ?Video 1:?, 2010) Video 2:?, 2010) These videos were chosen as they do not have a lot of talking and have subtitles at the bottom. This allows me to read out the subtitles for students who are not able to read quickly like Heazan, but also provides visual stimulus for students like Emily who may not be able to lip read that quickly, or who may struggle to understand without visual aides.? TheyRead MoreCapital Punishment Of The United States2813 Words   |  12 Pagesthe burning house. Neighbors noticed that he wasn’t trying with his heart to save his kids, instead he saved his car before his own children. Evidence and the minor burns on his body have been proven he wasn’t giving his life to save his children (Mills Possley, 2004). Since capital punishment was established it has been modified into different ways of executing. The method of the death penalty was passed down to America from the European ancestors. There are many ways execution took place backRead MoreSale Of Goods Act 1979 : Inclusive And Analyse The Effectiveness And Application Of These Sections3027 Words   |  13 PagesIntroduction: In this assignment I will explain the implied terms under the Sale of Goods Act 1979 ss12-14 inclusive and analyse the effectiveness and application of these sections. Furthermore I will use relevant case law and academic research to support my arguments. The implied conditions which was originally introduced by Sales Of Goods Act 1893 but can now be found in Sections 12-15 of the Sales of Goods Act 1979. Contracts for Sales Of Goods are governed by the Sales of Goods Act 1979, notRead MoreTermination for Convenience Clauses in Building Construction and Infrastructure Contracts8934 Words   |  36 Pagesthat TFC had received little attention in Australian legal writing. One might go further and suggest that even though TFC are now common in government and non-government contracts in Australia, they have received little attention either in decided cases or in relevant literature. It is intended in this paper to consider some of the more significant material. 14. In the United States TFC seems to have developed originally in government war contracts as â€Å"a tool to avoid enormous procurements uponRead MoreTheory of Title: When Does Title to Real Property Transfer in the State of Arkansas6459 Words   |  26 PagesMississippi, Missouri, and Okalahoma and the frequency in which individuals change their residency between the surrounding States. The research examines the type of real estate transfer theory practiced in the State of Arkansas by reviewing relevant case laws, mortgage practices and supplementary materials dealing with contract law and collection of rents. The literature tends to suggest that Arkansas does that follow any particular lien theory and utilizes a combination of each of the three lien

Tuesday, May 5, 2020

Immortal Technique Is a Great Rapper free essay sample

Technique is the greatest rapper of all time. Many will argue against this assertion and many will protest that he couldnt possibly be the best because theyve never even heard of him. However, the few who have heard him will agree that he has an incredibly unique voice and lyrical ability and that he touches on subjects that most rappers wont touch with a ten foot pole. Hopefully I can convince you of Immortal Techniques brilliance and convince some people to listen to his music. First of all, Immortal Technique is not a well known rapper. He sold his first scored, Revolutionary Volvo. 1 out of the trunk of his car!It is an absolutely brilliant record and contains the stunning song Dance with the Devil which will haunt you for days if you listen to it. If you look up the song on tunes, it gets nothing but Five star reviews and people rave about how when they first heard it, it blew their mind. We will write a custom essay sample on Immortal Technique Is a Great Rapper or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page Everyone who has heard the song will admit that it is one of the greatest songs theyve ever heard and that the story in the song has haunted them for days after listening to it. Secondly, Immortal Technique has a very unique approach to political issues. Political hip hop has been a very rare thing since the dominant days of Public Enemy in the early sasss.Many rappers are too obsessed with material objects and boasting to be concerned about the misdeeds of the federal government and its inherently racist institutions. Immortal Technique Is a very rare and amazing artist In that he takes the bull by the horns and exposes many of the lies that the government tells us. He rhymes eloquently about the CIA and Bin Laden, about the twin towers and how they were brought down by demolition, and about the real reason why we are in Iraq and waging a war on terror. He does all of this political rapping in a way that is not preachy or boring In any way, but Is very powerful, persuasive and entertaining.Many will argue that Immortal Technique couldnt possibly be one of the greatest rappers of all time because theyve never even heard of him. They might even ask If hes so great, how come Ive never heard of him? To this objection, I point out that greatness and pop culture exposure are not synonymous or directly related. Immortal Technique was offered many major label deals but those labels wanted him to be less political, less radical, and less honest. Immortal Technique was unwilling o compromise and sell out and has remained an Independent artist without corporate sponsorship.You have to respect his artistic Integrity and his choice to produce perfect art r ather than to pursue the almighty dollar. Immortal Technique Is most certainly one of the best rappers Ive ever heard and deserves a place next to Bilge, Outpace and Jay-Z as one of the foremost lyricists of our time. Anyone who Is Inclined to disagree should listen to some of his work before coming to a contrary conclusion. He has his own unique voice and a message that can wake any listener from their mental slum of apathy and Ignorance. He should be Judged by the quality of his work, not by the number of records he has sold.In short, Immortal Technique Is a thoroughly brilliant rapper and deserves to be considered one of the greatest of all time. Immortal Technique Is a Great Rapper By metallic assertion and many will protest that he couldnt possibly be the best because theyve inherently racist institutions. Immortal Technique is a very rare and amazing artist in and how they were brought down by demolition, and about the real reason why we way that is not preachy or boring in any way, but is very powerful, persuasive an d o compromise and sell out and has remained an independent artist without corporate sponsorship. You have to respect his artistic integrity and his choice to Immortal Technique is most certainly one of the best rappers Ive ever heard and deserves a place next to Biggie, Outpace and Jay-Z as one of the foremost lyricists of our time. Anyone who is inclined to disagree should listen to some of his work before can wake any listener from their mental slum of apathy and ignorance. He should short, Immortal Technique is a thoroughly brilliant rapper and deserves to be

Monday, April 6, 2020

Of The Cloth By William Trevor Essays - Grattan, The Reverend

Of The Cloth By William Trevor An Analysis of "Of the Cloth" William Trevor, "Of the Cloth," New York, New York, The New Yorker, March 09, 1999. "Of the Cloth" is a contemporary work of short fiction set in the remote Irish community of Ennismolach County during the early summer of the year, nineteen hundred and ninety seven. The greater part of the story takes place in a small, stone rectory nestled among the green valleys and pasturelands that lie below the Irish mountain slopes. The author describes solitary hillsides, peaks and valleys, and a remnant of what once was a town. He describes empty homes, tumbled into weed ridden ruins, as their former residents chose to leave, pursuing the promise of a more prosperous life in the city. The author depicts, in detail, long, winding country roads leading to the three small Protestant churches dotting the countryside, Hogan's Grocery, Bar and Petrol Pump, the only store within miles, and to the Catholic Church of the Holy Assumption, "solitary and splendid by the roadside, still seeming new, although it had been there for sixty years." The story was dominated by a single character, The Reverend Grattan Fitzmaurice, of the Ennismolach rectory. He was described as an elderly man, faithful, dutiful, and devoted to his church. He was settled in his life-long home, "out of touch with the times and what was happening in them, out of touch with two generations of change, with his own country and what it had become." He was a charitable man, providing employment, out of his own meager salary, for a disabled man, Con Tonan, who would later die. He was respected by those who new him; upright Mrs. Bradshaw who came for visits every Tuesday, Seamus Tonan, Conrad's son, and neighboring Catholic parishioners, Father MacPartlan and Curate Leahy. "Of the Cloth" concerns, mostly, the pensive reflections of an Irish Protestant reverend during a few long weeks in 1997. The reader visits the Reverend Grattan Fitzmaurice, in his home and enters in upon his personal musings and daily activities. Grattan leads a quiet life; his days are made worthwhile in his labour for the church. We enter in upon his thoughtful ruminations, broken only by Mrs. Bradshaw's occasional visits, as they met "exchanging scraps of news." The reverend frequently referred to his growing displeasure with the state of the Protestant church in Ireland and the generation that would soon inherit it. He would regard, suspiciously, the Irish Catholic Church, and look upon them as rivals to his cause. Grattan's solitude was broken, early one summer morning, as a red-haired youth arrived bearing unfortunate tidings. Grattan recognized the boy, Seamus Tonan, the son of a Catholic gardener formerly in his employment. Gratten had hired Corad, a disabled man, paying him out of his own meager salary. Seamus informed the reverend of his father's death and that the funeral would be held on Monday. Grattan was touched by the boy's thoughtfulness and offered him every possible courtesy, but Seamus declined and went quickly on his way. The next morning the reverend was visited by Mrs. Bradshaw, bearing the same news. They spoke fondly of the deceased Conrad Tonan and their admiration of the humble man. Later, following Conrad's funeral, Grattan was visited by two local Catholic priests, Fathers MacPartlan and Leahy of the Catholic Church of the Holy Assumption. Although he was courteous, he appraised them critically, ever suspicious of their motives. He feared that they had come in a spirit of disguised rivalry rather than good Christian charity and found himself shrinking away from conversation. As the afternoon wore on, the two fathers persisted in their attempts to insight a conversation with the reverend. Eventually, their words began to strike accord. As the three discussed their concerns for the future, Grattan began to recognize a mutuality of purpose. He realized that as the Irish population shrank from faith, each church struggled to keep their spark aglow. He knew now that each gift of kindness mattered, regardless of the source. The priests had come that evening to recognize his kindness to Conrad, and in his time of grief, he could now appreciate their gesture. "Of the Cloth" was a finely written piece of short fiction. It was well structured and cohesive, each piece of the story finely woven together by nearly ethereal threads of thought. The author approached his subjects truthfully, lending to each character a sincerity uncommon in contemporary American fiction. Through Grattan's concerns and reminiscence, the author affords the reader great insight into the mind of

Sunday, March 8, 2020

The Bonfire of the Vanities essays

The Bonfire of the Vanities essays The book The Bonfire of the Vanities by Tom Wolfe tells the story of an affluent businessman, Sherman McCoy, and how his life enters a downward spiral after a hit and run accident. The Bonfire of the Vanities takes place in New York City in the late nineteen eighties. Sherman is a thirty-eight year old successful bond salesman for a large Wall Street firm, Pierce and Pierce. He is married to an interior decorator named Judy and they have a six-year old named Campbell, who is very precious to him. Sherman is constantly bothered by the stress of having a million dollar loan to pay off for his Park Avenue apartment and by the guilt he feels about having a mistress. Maria Ruskin is a young, southern, attractive woman who is married to an older millionaire. The Bonfire of the Vanities also tells the story of Larry Kramer, an assistant district attorney in the Bronx. His lifestyle is dramatically different from that of Sherman McCoy. Kramer lives in a small apartment with his wife and infa nt son. Kramer, like Sherman, is trapped in a loveless marriage and dreams of affairs with young, sexier women than his own wife, Rhoda. One night after picking up Maria at the airport, Sherman makes a wrong turn in his Mercedes and they end up in a very bad neighborhood in the Bronx. Two young black men approach them and Sherman gets scared and assumes that they are trying to mug him and Maria. After a struggle, Maria speeds away and Sherman thinks they may have hit one of the boys so he suggests telling the police. Maria assures him that everything will be all right so Sherman pushes the accident to the back of his mind. However, a few days later, Sherman reads about the hit and run in a tabloid called The City Light. A drunken journalist named Peter Fallow had gotten word of the story and he made it into a scandal. A Harlem leader and opportunist, Reverend Bacon, has gotten involved in story and turns the accident into a racially motivated attack. The p...

Friday, February 21, 2020

The London Economy Tourism Essay Example | Topics and Well Written Essays - 2250 words

The London Economy Tourism - Essay Example The success has also been attributed to the deregulation of the market and exchange controls. London remains a pre-eminent global city for doing business and attracts millions of tourists every year round, but this has come under threat not only from the economic upheavals but also from the emergence of new business and tourism hubs such as Dubai and Mumbai. London is ranked as the most popular city in the world and attracts millions of tourists every year who travel to London to see and admire the impressive monuments, exploring the vibrant and diverse culture of the inhabitants of the city or pay a visit to the historical sites in London (LDA 2009). Tourism is a key driver of the economy of London attracting 15 million visitors of overseas visitors who were staying and 11 million domestic visitors staying in the year 2008 alone. In addition, several surveys estimate that about two hundred million visits by tourists are made to London either within the capital or within the outskirt s for the numerous attractions, art exhibitions, historical sites and other tourist attractions. Tourism and related activities helped support 253, 000 employment opportunities and resulted in expenditure by visitors amounting to U. K. ? 22 billion which consisted of U.K. ? 8 billion is generated by staying overseas visitors. While much of the tourism takes place at the capital city at the inner sections, the significance is felt as a whole including the boroughs. The London’s visitor economy grew steadily in the leisure market in the period 2002 to 2007, making a quick recovery from the adverse effects of the terrorist act of September 11 characterized by a reduction in the number of staying tourists. Nevertheless, the number of visitors to London from overseas declined from 15.3 million to 14.7 million in the year 2007 while that of domestic visitor numbers rose from a figure of 10.1 million to 11.3 million. In terms of the economy, the revenue generated from tourism toward s the economy of London comprise about 10 percentages of the gross value added income of London and the projections is that the amount spent by tourists in London costs about U.K. ? 15 million per year. The statistics also show that about 13 per cent of the people who work or are employed in London are in the tourism sector alone and is predicted to rise dramatically due to the marketing strategies that have been put in place to position London as an ideal tourist destination (LDA 2009). Some of the famous tourist attractions in London include Buckingham palace that attracts about 15 million tourists per year, Green Park and St. James Park, the Victoria and Albert Museum the leading museum of its category globally, the British Museum, the Tower of London along River Thames, the Tower Bridge and the Big Ben. However, the cultural sector of London is the major contributor to its economy in terms of the income and the jobs it generates to the citizens as many tourists comprising 70% ci te it as the major reason for their visits. This is achieved from the high number of overseas visitors who flock into London to see and visit its numerous attractions and the central as well as the management of London has played a key role in the provision and support of the cultural heritage of London to ensure fair access. When viewed as a cultural metropolis, tourism contributes to the employment of about half a million