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Wednesday, August 26, 2020
The Misanthrope Essays - The Misanthrope, Operas,
The Misanthrope The Misanthrope was not like anything one may hope to find in an advanced showy creation. The exchange that was spoken between the entertainers was difficult to comprehend as a group of people part. Moliere's play is done in exemplary stanza group, implying that the play was done totally in rhyme. An expansion deterrent for the on-screen characters was the language was not refreshed to the current method of talking. Customarily plays that are kept in the first language get grumblings structure their crowds about the powerlessness to appreciate the play on the grounds that a large portion of the crowd's time was spent attempting to make sense of what the entertainers were stating. Simultaneously, on-screen characters must know about exaggerating their developments and motions so they don't go down the way of feared sign. This creation of the Misanthrope was a touch of ailing in the general nature of the exhibition on the grounds that most of the entertainers were experiencing difficul ty beating the language obstruction. The play opens with a discussion between Alceste, played by Geoff Wilson, and Philinte, played by Stan Q. Wash. Alceste demonstrates himself to be critical about the intentions of individuals and Philinte demonstrates himself to be exceptionally earnest accepting that individuals ought to be thoughtful to one another regardless of whether it implied putting on a bogus face. We gain proficiency with this through Alceste and Philinte's remarks on a sonnet composed by their companion Oronte, played by Blake Bowen. Alceste thinks it is terrible while Philinte thinks it is magnificent. Philinte additionally says that Alceste was excessively gruff and could have relaxed his analysis. Afterward, Alceste chooses to go see Celimene, played by Kelly Ann Ford, and discussion about their relationship. He reveals to her that she ought to dispose of the remainder of her admirers and she demands that he is her solitary genuine sweetheart. The remainder of the admirers at Celimene's loft accept equi valent to Alceste. As they're talking, Oronte enters with the marshal who enlightens Alceste to apologize to Oronte regarding the remarks he made on his sonnet. At that point Acaste, played by Brian Levin, and Clitandre, played by Jeff Radue, contend over who is the better sweetheart for Celimene. After that circumstance, Arsinoe comes in to stand up to Celimene about her character. They examine the issue heatedly and Arsinoe doesn't prevail with regards to putting down Celimene. At long last after these discussions, Alceste carries a letter to the consideration of everybody. It is a letter from Celimene to Oronte. He attempts to stand up to Celimene about it, however she denies any such letter. Alceste needs to leave every one of these issues he is having, yet Philinte persuades him to remain and thoroughly consider everything. At that point Oronte goes to Celimene to discover whom she genuinely adores and afterward the entirety of the others come in soon after. While the entirety of the characters are together Acaste peruses his letter from Celimene that unveils her inclination about everybody. When this was uncovered, Clitandre and Acaste conclude that she does not merit their time so they leave. Oronte leaves her with a couple of words and afterward Arsinoe scolds her. Alceste pardons her and still needs to be with her. She truly wouldn't like to be with him and afterward Alceste concludes that she is truly not worth his time and he truly doesn't care for her. Philinte and Eliante choose to get hitched and make it their obligation to make Alceste glad. Despite the fact that this creation coming up short on the language boundary there were some all around depicted minutes in the play. The entertainer who depicted Celimene, Kelly Ann Ford, and the on-screen character who depicted Alceste, Geoff Wilson, made a magnificent showing in passing on their expected message to the crowd. The character of Alceste is intended to take care of business fixated on reality, high ethics, and the quest for insight; as needs be his physical activities ought to show this in some shape or structure. Alceste plainly was focused in his mind, they way he held himself, mirrored this, as he generally had his head marginally improved and looked downward on, truly, everybody. Celimene, then again, was unmistakably focused on her chest. She enjoyed all the consideration and was a very glad lady, as showed during her
Saturday, August 22, 2020
Media Bias in Politics Essay
Journalistic prejudice is fit as a fiddle in legislative issues. It is a ââ¬Å"term used to depict bias in news and media reports, in which it is seen as an awkwardness or out of line introduction of realities or specific announcing of which occasions or realities are accounted for. â⬠Media inclination is available in each part of American legislative issues, and assumes a huge job in impacting votersââ¬â¢ assessments and convictions. The media outlines the data that voters use inside their dynamic procedure. Therefore, many have voiced their anxiety that the media might be ordinarily mutilating political conclusion. Journalistic spin can make voters inclination, and thus, predisposition strategy choices. It is an endless loop that can either represent the moment of truth a candidateââ¬â¢s crusade, just as their odds of getting an office seat. It can make a scoundrel out of an applicant or make him/her a saint. The media influences the publicsââ¬â¢ enthusiasm for governmental issues by giving the individuals what they need to see and hear. Inside a battle, the media will concentrate on the issues that they consider to be the most significant. Different issues will be disregarded, or set as a second thought. This goes for up-and-comer inclusion too. The media will concentrate on the competitors they consider generally significant, and the others will be disregarded. One of the most noticeable instances of journalistic prejudice in governmental issues goes back to the principal broadcast Presidential discussion among Kennedy and Nixon in 1960. It indicated exactly how one-sided the media was toward open figures that overflowed mystique and harbored a compelling enthusiastic nearness. It discolored the battles of those whose atmospheres were less captivating. On TV, Kennedy appeared to the overall population as youthful, lively; brimming with charm, and obviously, ââ¬Å"television friendlyâ⬠. Nixon then again, appeared to the overall population as old and uninteresting, not reasonable for TV. A survey led after the broadcast banter proposed that radio audience members thought Nixon had won, while watchers at home idea Kennedy had won, by an embarrassing margin. Obviously, Kennedy developed as the primary President ââ¬Å"made for televisionâ⬠. Numerous political applicants utilize the intensity of ââ¬Å"image,â⬠anticipated by the media, to impact watchers. When running for President, Bill Clinton utilized the media to further his potential benefit, showing up on syndicated programs where he played his saxophone. To people in general, this caused him to show up all the more a ââ¬Å"people personâ⬠, progressively open, and increasingly charming. Barack Obama did likewise, showing up on the View, SNL, and a few other television shows. The media cherished this carefree side of Obama, and from this anticipated picture, so did the American individuals. Other political applicants have had horrendous karma with journalistic spin. Ron Paul is a prime model. The media depicted Ron Paul as the joke of the 2008 Presidential political race. He got next to no inclusion. He was ââ¬Å"that exhausting, old person with the unprecedented Libertarian sees. â⬠He didn't speak to the American individuals, and subsequently, was viewed as ââ¬Å"unelectable. â⬠Media predisposition is additionally known to incredibly influence ladies competitors. An ongoing report indicated that men got significantly more press inclusion than ladies. Men had about twice the same number of stories expounded on them than ladies. Moreover, investigate indicated that anecdotes about female up-and-comers were enthusiastic about accentuating their physical appearance and individual lives. There were roughly three fold the number of physical depictions (referencing their apparel style, hair, age, and so forth ) as their male rivals in the race. Besides, ladies up-and-comers were depicted in a cliché light, as being increasingly enthusiastic and as a rule, their expert titles were prohibited from stories. In the 2008 presidential political decision, Obama was unquestionably more unmistakable in the press than his female rival, Hillary Clinton. The two up-and-comers declared their run for administration in January of 2007. Regardless of the way that Clinton had higher survey appraisals than Obama, the six most persuasive papers in the United States ran twice the same number of stories referencing Obama in the title text than Clinton that month. Sarah Palin is another lady competitor/ââ¬Å"victimâ⬠of negative journalistic prejudice. A lot of the media inclusion that Palin has accumulated has been negative. The media concentrated a lot on her physical appearance and her family life. During her battle, her 17-year-old little girl, Bristol, got pregnant, and the media heartlessly utilized that to slam Palinââ¬â¢s child rearing abilities, bringing individual life into legislative issues. The media addressed ââ¬Å"how can Palin be a decent president on the off chance that she canââ¬â¢t be a decent mother? â⬠Furthermore, the media condemned Palin for not remaining at home to think about her debilitated youngster who had been brought into the world with Downs Syndrome. Maybe it is this severe journalistic prejudice towards ladies that frightens them off from the political field. The media is powerful in governmental issues, past, present, and future. For the individuals who don't set aside the effort to instruct themselves on issues of legislative issues, they rely upon the media to show the news in a promptly available structure. It turns out to be anything but difficult to get a handle on how critical the media is, and what the impacts of the news on society will be. Journalistic spin can represent the deciding moment a political competitor. Positive and regular media inclusion wins races. Negative and additionally insignificant media inclusion loses decisions. A few up-and-comers have figured out how to utilize the media to further their potential benefit, while others have little control, incapable to recoup from the scars left from negative journalistic prejudice. Journalistic spin will always be a piece of American legislative issues, and to be in support of its invites achievement.
Friday, August 14, 2020
Does Marijuana Affect Driving Skills
Does Marijuana Affect Driving Skills Addiction Drug Use Marijuana Print How Does Marijuana Affect Driving? Chance of Crashing Increases If You Choose to Drive High By Buddy T facebook twitter Buddy T is an anonymous writer and founding member of the Online Al-Anon Outreach Committee with decades of experience writing about alcoholism. Learn about our editorial policy Buddy T Medically reviewed by Medically reviewed by Steven Gans, MD on July 16, 2016 Steven Gans, MD is board-certified in psychiatry and is an active supervisor, teacher, and mentor at Massachusetts General Hospital. Learn about our Medical Review Board Steven Gans, MD Updated on July 23, 2019 Alexandra Draghici/Getty Images More in Addiction Drug Use Marijuana Cocaine Heroin Meth Ecstasy/MDMA Hallucinogens Opioids Prescription Medications Alcohol Use Addictive Behaviors Nicotine Use Coping and Recovery Using marijuana can impair your judgment, motor coordination, ability to concentrate, and slow your reaction time. Therefore, it can impair your driving skills. Anytime the skills needed to drive safely are impaired, even slightly, the chances of having an auto crash increase. Specifically, studies have found that marijuana use affects the drivers concentration and ability to perceive time and distance. This may lead to poor speed control, drowsiness, distraction, and the inability to read road signs accurately. The Chances of Crashing Increases More than one research study has found a direct link between THC (the psychoactive chemical in marijuana) concentration in the blood and impaired driving skills. An analysis of several studies has found that the risk of being involved in a motor vehicle crash significantly increases after using marijuana. Another meta-analysis estimates that the risk of a crash that results in serious injury or death doubles after marijuana use. In the 2015 Traffic Safety Facts: Drug and Alcohol Crash Risk report, the National Highway Traffic Safety Administration (NHTSA) notes that THC increased crash risk by 1.25 times. This figure took into account contributing factors such as alcohol use and testing procedures for intoxication, so it is actually lower than some contradictory reports. Some studies also note that high-risk groups for car accidents are those most likely to use marijuana. Most notably, this is young men in their late teens and 20s. This could play a factor in some of the statistics as well. Teenage Marijuana Use by the Numbers Higher Levels, Higher Risks When drivers are involved in auto crashes, the drivers with THC in their blood are more likely to be the driver responsible for the accidents. This is compared to drivers who were not using drugs or alcohol. It is particularly true when THC is found at higher levels. When marijuana use is combined with alcohol, the risk of having a highway mishap is significantly greater â" much greater than with either drug used by itself. With the two combined their effect on driving skills are not added, they are multiplied, research shows. Driving While Stoned Is Becoming Common Research from the NHTSA indicates that when drivers are killed in motor vehicle crashes, drugs and alcohol are involved about 11 percent of the time. The NHTSA report also shows an increase in the number of drivers who have tested positive for marijuana. They state that one in four drivers tested had THC in their system. Increases in driving while under the influence of marijuana is attributed to the recent legalization and popularization of medical and recreational cannabis in many U.S. states. Some drivers who use marijuana claim that smoking weed actually improves their concentration and therefore, their driving skills. Researchers have concluded that this might be true for the first few minutes of driving. However, marijuana users can soon become weary, bored, or distracted and their attention can begin to drift. Problems With These Studies The NHTSA, CDC, and almost every researcher that studies this issue do note that there are concerns with the marijuana-impaired driving statistics. One glaring problem is the testing procedures because THC can be detected in a persons system for days or weeks at a time. Unlike roadside tests for blood alcohol content, the tests currently used for marijuana can pick up traces even if the person is not impaired at the time of a crash. They may have smoked the day before or even earlier and the tests will still be positive. The CDC notes that multiple drugs in a persons system make it difficult to determine which contributed to a crash. Also, drivers are not always tested for drugs, particularly if they already have an illegal blood alcohol concentration level. All of these factors can throw off data used in scientific studies. The Risks Do Remain Despite these concerns, the research does show that marijuana impairs a persons ability to drive. Also, though the laws vary by state, it is illegal to drive impaired in the United States. Using marijuana and driving while impaired can have serious legal consequences. As a conclusion, the CDC says that the safest option is not to have any alcohol or drugs in your system at all. DUI Laws by State
Sunday, May 24, 2020
The Sublime Savage Caliban on Setebos - 1106 Words
The Sublime Savage: Caliban on Setebosnbsp;nbsp;nbsp;nbsp;nbsp; nbsp;Caliban my slave, who never / Yields us kind answer.nbsp; (The Tempest, I.ii.310-1)nbsp;nbsp;nbsp; Caliban on Setebos was one of Robert Brownings more popular poems among the Victorians, for its presumed satire of orthodox Calvinism, Puritanism, and similarly grim Christian sects. And Browning as Shakespeares savage does indeed seem to hurl a few barbs in that direction, but the poets exercise seems to be as much one in alternative theology. Calibans bog-bound conjectures, in their significant departures from standard religious doctrine, serve as both an interesting repudiation of Archdeacon Paleys attempts to rationalize God, and as anâ⬠¦show more contentâ⬠¦26) as almost a creative afterthought. The concept of a deity who dwelleth i the cold o the moon (l. 25) influences all of what is to come, for Calibans unhappy living conditions become Setebos, Calibans yoke of drudgery in an unhappy home the kernel for a limited deity ill at ease: / He hated that He cannot change H is cold / Nor cure its ache (ll.31-33). From the very beginning, Calibans nocturnal habits and marginal humanity have produced an interesting variant on traditional religion: that the eventual result will have some resemblances to Brownings rejected orthodox Calvinism is both an interesting philosophical twist and an effective satire. nbsp; Caliban proceeds, Descartes-like, to further deduce the existence, personality, and behavior of his deity, all based on his own condition. Archdeacon Paleys similar natural theology soon becomes ridiculous-looking in comparison with Brownings counter-example. For what Calibans musings most reveal is Calibans own self-serving egotism: with almost every point he proposes, he relates a story or theory of himself in a similar situation, describes his behavior, then attributes the same to Setebos with the recurrent, terse refrain so He. nbsp; Caliban dislikes his condition and wishes he could create servants, distractions, baubles: so Setebos. Caliban, enslaved by a sometimes capricious Prospero, believes in the power of the stronger working
Wednesday, May 13, 2020
Differences in the American and Ecuadorian Culture Essay
Tyler Copier Autoethnography Com. 3190 Differences in the American and Ecuadorian Culture Culture makes up who we are, what we believe and how we behave. About four years ago, I had the opportunity to live in Ecuador. I found the relationships and communication perspective to be very interesting and after spending two years there, I was able to notice several distinct intercultural differences between the American and Ecuadorian cultures. Since my analysis of Ecuador is only based off of my personal experience, Iââ¬â¢ve also invited my friend Luis Salas from Quito, Ecuador who is currently attending Brigham Young University to give his own insights. By gaining his perspective of what itââ¬â¢s like to live in America as anâ⬠¦show more contentâ⬠¦Ã¢â¬Å"Whether itââ¬â¢s international politics or economic trends, there is always going to be some level of uncertainty in any culture.â⬠(Davidson). I noticed that Ecuador is very different from the U.S. in its acceptance of uncertainty. Most everyone works for their specific needs and not their wan ts, risk is not affordable in the Ecuadorian Culture. Failing to succeed at any sort of risk could cost someone everything that theyââ¬â¢re worth. Most of them are very comfortable with their finances, and find no reason to take a risk. Luis says that he noticed from the beginning of his time spent in the U.S., that he has noticed that we take more risks when it comes to money. He also stated that he appreciates the American ways in that change is acceptable to us. We view change as a good thing that adds variety to our lives. Luis recognized that taking risks has allowed many people to be successful. The fact that the idea of risk is new to Luis concurs that the U.S. has lower uncertainty avoidance. I imagine that since the U.S. is made up of several successful companies and distributions, taking a risk would not be as ââ¬Å"riskyâ⬠as taking a risk somewhere else with high uncertainty avoidance such as Ecuador. Since the action of taking a risk could always result negatively in a down fall of something, it is predictable why so many people would be against doing so. In a place such as theShow MoreRelatedLiving Up to Ethical and Social Responsibilities: The Case of Occidental Petroleum Corporation1394 Words à |à 6 PagesLiving Up to Ethical and Social Responsibilities: The Case of Occidental Petroleum Corporation Introduction The recent assassination of a U.S. ambassador in Libya and the rampant anti-American sentiments being expressed in other parts of the world is proof positive that many American-based multinational are faced with a hostile operating environment that demands informed and timely responses. Likewise, many multinational corporations are subscribing to calls for giving back to the communityRead MoreEssay about Intercultural Communication1427 Words à |à 6 PagesIntercultural Communication Intercultural communication is commonly explained as an interaction between people of different cultures whether defined in terms of racial, ethnic or socioeconomic differences. Human communication consists of verbal and nonverbal messages (language and gestures) which are shaped by gender, social class or culture. Thus, what perimeters define the intercultural exchange and what primary messages do we need or try to convey? 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Major languages spoken in Latin America are French, Portuguese, and SpanishRead MoreThe World Is A Large Place Essay1754 Words à |à 8 Pagesuncountable number of cultures. To try to expose oneself to every different variety of person is simply impossible in the short lifespan of humans ââ¬âon average about only 80 years. What one can do, however, is try to learn and expose themselves to culture as often as they can. The purpose of this study is to compare two different ways of exposing people to new and different cultures ââ¬âthat of short times spent traveling to and in foreign cou ntries, and that of exposure to foreign culture through media- andRead MoreNative American Children And The Educational Assault On Indian Children1571 Words à |à 7 Pagesprotest, but indigenous populations have sui generis interactions with governments, ones that are often more complicated by differences of culture. Many threats that indigenous people in particular encounter fall under the header of ethnocidal interactions with foreign parties in which missionaries, governments, and corporations come into indigenous-held areas and destroy their cultures, often deliberately. These outsiders will often believe that they are helping savage indigenous people by civilizingRead MoreYasuni Itt7226 Words à |à 29 Pagesa symbolic example of the dispute of the logic of ââ¬Å"capitalist developmentâ⬠: the Yasunà -ITT6 Initiative. This project consists of keeping the oil underground (not drilling for it) in one of the most mega-diverse areas of the world, located in the Ecuadorian Amazon. In that sense it is a concrete example of the ways a society of good living can be built. The framework for this analysis is a discussion taking place globally among a certain branch of Leftist thought that believes that what is most progressive
Wednesday, May 6, 2020
Humanities-Ancient Greece Free Essays
Ancient Greece and Roman civilization comparison The first Olympic games were held in Olympia, Greece. These games were part of the ââ¬Å"Panhellenic Festival, instituted in 776 B. C. We will write a custom essay sample on Humanities-Ancient Greece or any similar topic only for you Order Now E in honor of the Greek godsâ⬠. The Olympic games occur in an every ââ¬Å"four-year periods beginning with the first games in 776 B. C. E. â⬠The Greeks had many sports such as, ââ¬Å"200-yard sprint, footrace, wrestling, long jump, and boxing. â⬠Greek athletes competed nude. However, women were not allowed to compete in the Olympic games. The Greeks believed that a ââ¬Å"true sport was that which gave athletes an opportunity to rival the divinity of the gods. In contrast to Greece, the Romans had a ââ¬Å"variety of brutal blood sports. â⬠Gladiator fights were ââ¬Å"introduced in Rome in 264 B. C. E. â⬠These games would symbolize the power of the emperors. In Rome, these events were held in the Coliseum. Gladiators fought wild animals. ââ¬Å"Most Gladiators were criminals, prisoners of war, or slaves. â⬠They were trained in schools and were forced to take part in the events. The Olympic games and Gladiator fights are different because in Greec e it was mostly sport festivals, while in Rome it was representation to honor the emperors. Greek architecture monuments were designed to serve the living. One of the many type of Greek architectural structures is the Parthenon. It is a temple dedicated to Athena, the goddess of war. Built in glittering Pentelic marble. The Parthenon represents the ââ¬Å"apex of a long history of post-and-lintel temple building among the Greeks. â⬠The functions of the Parthenon, was to ââ¬Å"display statues of the gods, for the rulers to go and sacrifice and worship in as a recognition of the protection provided by the gods. In contrast, Roman architecture reflected the practical needs of the empire. The Romans are considered one of the greatest architects of ancient times. Also the Romans made good use of the ââ¬Å"aqueducts, arches, vaults and domes. â⬠For example, the Pantheon is ââ¬Å"a temple dedicated to the seven planetary deities. â⬠Its exterior is covered with a ââ¬Å"veneer of white marble and bronze. â⬠The Pantheon has many features such as, ââ¬Å"a portico with eight Corinthian columns originally elevated by a flight of stairs that now lie buried beneath the city street. Greek and Roman architecture are similar because Roman architecture was based on the knowledge of the Greeks. Although thereââ¬â¢s a difference because Greeks used single row columns for actual structural support, while the Romans were progressing technologically and using rows of concrete columns for luxury purposes. The arts in Greek were based on Humanism, Realism, and Idealism. The Greeks used the abstract geometric methods in their paintings. For example, Greek artists painted their ââ¬Å"ceramic wares with angular figures and complex geometric patterns arranged to enhance the shape of the vessel. Greeks painted mythology, literature, and everyday life in ââ¬Å"waters jars, wine jugs, storage vessels, drinking cups and bowls. â⬠In contrast, the Roman art was based in Pictorial Realism paintings. The Romans decorated their ââ¬Å"meeting halls, baths, and country villas that were inspired by Greek murals. â⬠Roman art was illustrated in mosaics. This is a technique by which ââ¬Å"small pieces of stone or glass are embedded into wet cement surfaces or plaster surfaces. â⬠Also Romans illustrated landscapes to show affection to their pleasure of nature. Itââ¬â¢s clear that Greek art and Roman art are different because both civilizations used different techniques for their art and showed different interested in what they were trying to portray in their paintings. Roman art was based in Realism while Greek art was more Idealistic. Greek literature was based in the Classical Style in Poetry. This is a combination of the ââ¬Å"arts prevailed in most forms of religious ritual and in public and private entertainment. â⬠For example, Hellenic literature was filled with passion and tenderness written in lyric poetry. In contrast, Roman literature reveals a masterful use of Latin literature. Romans use literature for the purposes of ââ¬Å"entertainment, instruction, and record keeping. â⬠A Roman notable style of literature is the Roman Epic Poetry style. For example, ââ¬Å"Romeââ¬â¢s foremost poet-publicist, Virgil wrote the semi legendary epic that immortalized Romeââ¬â¢s destiny as world ruler. â⬠Virgilââ¬â¢s poems were not an oral tradition but a literacy epic. His work became the ââ¬Å"monumental impact of Latin language. â⬠Greek literature and Roman Literature are similar because they both include comedies, poetry and epics. Also Greek literature dealt with myths while Roman Literature was based on triumphs. How to cite Humanities-Ancient Greece, Essay examples
Sunday, May 3, 2020
Palliative and Rehabilitation Care Samples â⬠MyAssignmenthelp.com
Question: Discuss about the Palliative and Rehabilitation Care. Answer: Introduction The World health Organization (WHO) its definition on palliative care is an active total/holistic care on those patients whose ailments/diseases are not responding to the curative treatment schedule. It involves pain control and all the other symptoms that causes distress to the patient. It is holistic as it involves the psychological, spiritual and social aspects of the patient. The number one goal of palliative care is to ensure that the patients and the patients family gets the best life quality. Palliative care is a multidisciplinary care. It would not be realistic to expect one profession to handle the patient assessments, interventions and monitoring. The persons with chronic ailments or those who are undergoing palliative care requires rehabilitation as their diseases disables them either physically or psychologically and in some cases both. Palliative care has several principle that guides on patient care (Fallon and ONeill, 2016). One of the principles is, it affirms life an d also considers death as a normal process. Second, it does not fasten death or shorten life. Third, its main goal is to improve the quality of life by pain and distress relief. Fourth, it offers a support life to both the patient and the family till death. Rehabilitation of the persons with disabilities is primarily aimed at ensuring that the patients are able to attain and maintain an optimum sensory, physical, intellectual, social and psychological functional levels. Rehabilitation ensures that the people with disabilities are provided with the necessary tools so as to be able attain self-independency and self-determination. Vaughn et al, (2016) recognizes rehabilitationnursing as a specialization that majors in taking care of the persons with disabilities and those with lifelong illnesses for as long as the live. For rehabilitation the following are the requirements. The nurse needs to led interventions, should lead in patients care and management, should promote on health and s uccessful living, and lastly they should demonstrate inter professional care (communication and reporting). Principles of palliative care For successful palliative care the following principles should be adhered to (Brunner and suddarth, 2013). There should be a caring attitude. This is whereby there is demonstration of empathy, compassion and sensitivity to the patient. All aspects of the patients are taken care of not only the medical aspect. It is non-judgmental. The patients individuals factors should not determine the quality delivery of care. The second principal is on the consideration of the individuality. Every patient is unique. There might be patients with a similar condition but their needs varies. For patient centered care to be achieved. The psychosocial needs are not met when patients in palliative care focusses to its patients in wholesome. The patients mental and physical needs at the end of life are being assessed and recognized. The care given to this patients is patient and family centered. The needs of the patients are assessed and documented regularly. The changes in their health status is monitor ed and documented regularly. The mental needs of the patient are met, this includes depression and anxiety. Thirdly, the cultural consideration. This is a factor that not only applies to palliative care but it cuts through the medical field. To achieve patient centered care, the racial, ethnic and religious factors are to be respected and put into consideration. Fourth is consent, palliative care is just like any other care. Before initiating/withdrawing any treatment consent is asked for. Many patients appreciates shared decisions although many physicians ignores this fact. Fifth, is the choice of site of care? It is recommended that patients with terminal illness should be nursed at home, although in most developed countries there are other options. For example thenursing homes where they are cared for until they die. Sixth, Communication. As mentioned above palliative care is a multidisciplinary process. For coordination there should be good communication between the different de partments so as to achieve quality patient care. This principles are put into practice by having appropriate treatment to the patient. The treatment should be appropriate to the stage the patient is in their disease and prognosis. Patient neglect is avoided. The life of the patient should not be cut short or prolonged. Its quality should be improved. There should be a comprehensive inter-professional care. The care to the patient should be excellent. There should be a consistency in the medical care. There should be a plan of care for the patients which is reviewed regularly (Smith, S., 2014). This reduces the unexpected and sudden alterations that can cause distresses to the patient and the family. It lessens the medical crises that are usually frightening to the patient and relatives. There should be coordination of care. This factor cannot be over emphasized. There should be continuity of care. This is care given to the patient from the time they are referred to an institution to the time they die. The other important component is on crisis prevention. A good palliative care includes strategies to prevent emotional and physical crises that are anticipated to occur as the disease progresses. The families and the patient should be informed of the future problems that may occur and ways to avoid them. Preparedness. There should be care giver support. As the das progresses the patient demands more attention. The success or failure of palliative care depends on the support and care provided by the caring relatives. There should be continued reassessment. Due to the increment of the clinical problems as their diseases progresses (Michel, M., 2015). Psychosocial state, pain and other physical needs should be assessed, monitored and evaluated regularly. The advanced care planning. This includes how to break the bad news to the patient and the relatives. The treatments regimes. The communication of the prognosis. Being admitted in a palliative program, having to be fed on artificial feeds and artificial hydrations. The medications such as antibiotics. The mercy killing that is the do not resuscitate order. The decisions should be individualized and should be discussed by the patient and the family. Rehabilitation concepts in New Zealand The Australasian Faculty of Rehabilitation Medicine (2014); the Royal Australasian College of Physicians (2014). New Zealand Rehabilitation Association (2014) redefined the concepts of rehabilitation and came up with a new strategy to change the old New Zealand rehabilitation strategy. The new strategy aims at ensuring that people who get disabilities through injuries or experiences diseases gets the support they require optimally for their recovery and also should aid in decreasing the secondary complications by ensuring there are skilled personnels and the person at risk gets timely rehabilitation services. New Zealand rehabilitation systems had not been at pace with the new developments and advances in rehabilitation, the services that were being offered 40 to 50 years ago they are still the same. This was disadvantageous to the New Zealanders. With the adoption of the new rehabilitation strategies there was improvements. The New Zealand signed a United Nations Convention on the R ights of the persons with disabilities. There were standard rules for rehabilitation. The main aim of the strategy is to ensure that there is a guidance policy and practice of the professions with disability. It also aims at improving the health, functioning abilities and the well-being of the New Zealanders who get disabled due injuries or diseases. It also aims on reducing the family and the individual burden due to the impairment. It focusses on establishing an independence and a functional ability so as to reduce the support needed.it reduces the societal disability cost. It also improves on the participation outputs and abilities to be able to contribute to ones community, family and the economy at large. It does this by ensuring that life returns back to normal and one assume their roles. Its goal was to ensure there is that there is equity of the rehabilitation services. To ensure that rehabilitation services are accessible to all. The policy on rehabilitation stipulates that there should be rehabilitation services to people with disabilities so as to ensure they are able to get and maintain their optimum level of functioning and independence. James (Jimmy) McGregor. A 68 year old patient with prostate cancer. It is a terminal illness that requires palliative care so as to improve on the quality of life of Jimmy. The illness disables Jimmy, he has self-care deficiency and requires to be taken care of. The palliative care also aims at rehabilitating him making him attain independency and self-determination. Firstly, there was no continued care in the case of Jimmy. He was diagnosed and treated for cancer five years ago. There was no follow up reassessment and evaluation. The metastasis of the prostate cancer is diagnosed years later. If there was reassessment and continued care this would have been caught early enough. Secondly, Jimmys choice of care is not taken care of. His wife feels unable to take care of him. This angers Jimmy as he does not contemplate to be treated far from him. He even confesses that if he is forced to be cared outside he will end his life. This shows that he is depressed and can commit suicide. This is an indicator that h is psychosocial and mental needs have not been met. This is one of the fundamental principals in palliative care. Thirdly, the physical needs have not been met. He has an ulcer on his leg. This is a distress to his body and on top of that he gets an allergic reaction during its treatment. This shows there is poor inter professional networking. Fourthly, the advanced care plan seems to have not been done properly. The patient and the family were not informed about the reoccurrence of the ailment after its treatment five years ago. They were not informed that care of the patient is lifelong. Lack of this information is what makes the family and the patient panic (Worden, J., 2015). Lastly the drinking and smoking of Jimmy. He is a known hypertensive patient. This behavior is a challenge to the management of this condition. He needs rehabilitation so that he can stay without. He needs a well-planned care plan so as to ensure he gets quality care and his life is of quality till death. I t will also anticipate the future crises and offers solution. Conclusion Palliative and rehabilitation care are essential when dealing with patients who develops disabilities either through injuries or by having an ailment that renders them disabled. They are both multi-disciplinary. They require coordination from other firms/departments. They all aims at improving the quality of life of the patient and also helping the patient to attain their independence and self-determination as quickly as possible. This is achieved through palliative and rehabilitation services that involves; continuous care, advanced treatment plan, support. From the Jimmy case above New Zealand evidently shows that it still has a long way to go so as to achieve its goals on rehabilitation. The new Zealanders are still not getting the palliative and rehabilitation services in a timely manner. They are also lacking the skilled health care providers. Jimmy has no caregiver. The wife has given up on him despite that he requires personal assistance as he has self-care deficit. He is stil l a drunkard and a smoker despite having been treated in the health institution for years. This means that no one identified it as a problem and also tried to council him on his behavior. There is poor inter-coordination in the New Zealand health institution. The patient needs were not met holistically. New Zealand have improved although it requires a lot more. References Brunner and suddarth, (2013). Textbook of medical and surgical nursing, 13th edition Fallon, M., ONeill, B., (2016). Principles of palliative care and pain control. Thebmj. Kassa, R., Kassa, G., (2014). Nurses Attitude practice and barriers towards cancer pain, management. Journal of cancer sciences. Vol. 6, pp. 483-487 Ministry of health. (2010). Adult literacy. Mishel, M., (2015). Uncertainty in chronic illness. Annual Review of Nursing Research. Vol. 17, pp. 269-294 National Advisory Council on health and disability (2007). Meeting the needs of people with chronic conditions. New Zealand Rehabilitation Association (2014) Palliative care Australia, (2016) Principles for palliative care in the end of life care. Rehabilitation strategy working party, (2014) Shaw, S., (2015). Professional Interpersonal relationship. Vol. 2, pp. 51-53 Smith, S., (2014). Hospice concepts: A guide to palliative care in terminal illness. Champaign, IL: Research press. The Australasian Faculty of Rehabilitation Medicine (2014); The New Zealand Statistics, (2016) The Royal Australasian College of Physicians (2014). Vaughn, S et al., (2016) the competence model for professional rehabilitation nursing. Rehabilitation nursing. Ed. 41, pp. 33-44 Voshall, B., Dunn, K., Shelestak, D., (2013). Knowledge and attitudes of pain management. Pain management nursing vol. 14, pp. 226-235 Wiener, C., Dodd, M, (2017). Coping amid uncertainty: an illness trajectory perspective. Scholarly Inquiry for Nursing Practice. Ed. 7(1), pp. 17-35 Worden, J., (2015). The grief Counselling and grief therapy. World Health Organization. Rehabilitation. Retrieved on 6th October 2017 from https://www.who.int/topics/rehabilitation
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