Saturday, December 21, 2019

To Know Our Foundations The Greek and Elizabethan Eras Essay

Before enrolling in PERF 115, I never studied theatre in an academic setting. My high school was lucky to have an underfunded drama club, let alone credited classes on the subject. Honestly, I joined PPP simply because I wondered what the class would entail; I enjoy a few stage productions, but I am not as emotionally invested in theatre as my peers. I expected this course to cover the fundamentals and origins of theatre, but I feared that these origins would lie in the the Greek and Renaissance periods. I had little experience in studying classic texts, leaving me trepid and uncertain of myself. However, the ways in which we approached both periods guided my studies, allowing me to overcome my anxiety and embrace the content. From my†¦show more content†¦Each group presented Antigone in a different setting, but in every instance, the gravity of the play remained intact. If not for the in-depth discussions that emerged from this project on, I likely would not have such a fir m grasp on the conventions of Greek theater. In a similar fashion, I only understand the Renaissance period due to our engaging discussions and lectures. The Elizabethan era, like the Greek period, allowed theatre to flourish as a widely respected event and exposed the public to the works of great playwrights. Touring the Folger Library reinforced my understanding that theater conventions of the period, including commercialization and social secularization, have survived through the centuries and remain with us today. Likewise, from my work in the World Cafà ©, I learned how Shakespeares plays embody sophisticated content and subtext, which likely contribute to the Bards timelessness. His plays have been appropriated for years and used to produce new artistic works inside and outside of the theatre. However, studying Greek and Shakespearean works was not without its challenges. The most daunting task I faced, as I had encountered many times before, was comprehending the texts complex use of language. Extensive passages, unfamiliar syntax, and archaic vocabulary had, for many years, frustrated me and kept me from exploring the classics. Reading Shakespeare often felt like deciphering a foreign language, despite the words being written in English,Show MoreRelatedElizabethan Era11072 Words   |  45 PagesThe Elizabethan Age is the time period associated with the reign of Queen Elizabeth I (1558–1603) and is often considered to be a golden age in English history. It was an age considered to be the height of the English Renaissance, and saw the full flowering of English literature and English poetry. In Elizabethan theater, William Shakespeare, among others, composed and staged plays in a variety of settings that broke away from Englands past style of plays. It was an age of expansion and explorationRead MoreThe Character of Macbeth in William Shakespeares Play Essay2231 Words   |  9 Pages respectively, would have resonated at the royal court, where James was busy developing his English version of the theory of divine right. The language throughout the play is constantly troubled, and audience members in the Elizabethan era would have understood this. For example, both Macbeth and Lady Macbeth are emotionally troubled by the killing of King Duncan. This comes across in William Shakespeare’s ability to portray this frustration. Where there is meant toRead MoreGrooming and Etiquette Sample Assignment5628 Words   |  23 PagesEnhances the quality of our personal behaviour towards others. * The right way of responding which mainly focuses on respect and humbleness. * Resembles ones standard in the society. * Makes others to put you in the higher place in their view. * Able to build good relationship with others. * Ability to rule a team professionally. * Projects good command in language and speaking. * Adapts any situations very calmly. Advantages; * Enhances the quality of our personal behaviour towardsRead MoreFrancis Bacon15624 Words   |  63 PagesHe was learned in Greek, French, Latin, English, Science, Philosophy, Classics and many other fields of knowledge. He is regarded as the creator of the modern school of experimental research. He held that â€Å"man is the servant and interpreter of nature†. He supplied the impulse which broke with the medieval preconceptions and set scientific inquiry on modern lines. He emphasized on experimentation and not to accept things for granted. Bacon was indeed an eloquent prophet of new era and the pioneer of

Thursday, December 12, 2019

Diagnosis And Intervention on Nursing Care Plans

Question: Discuss about the Nursing Care Plans: Diagnosis and Intervention. Answer: Introduction Nurse and nursing practices involving assessment, diagnosis, intervention and rehabilitation play a very important role in overall health of vulnerable. The nursing care gets initiated with assessment followed by nursing interventions and health promotion activities with their exceptional skills and knowledge. The main aim of nursing practice is to prevent the consequences of disabilities, diseases and sicknesses (Gulanick Myers, 2013). While performing the role of the psychiatric or therapeutic nurse there is a keen requirement of practical approaches and applied knowledge to detect the issue of vulnerable and develop required care process (Edelman, Mandle Kudzma, 2013). This study is one such example of the nursing process involves in developing the care plan for a case study patient named Millie, female, 95 years old. On the basis of initial communication provided regarding patient assessment the overall functionality assessment, focused assessment, detailed study, intervention planning and development of care plan is performed in this study. The study contains every detail about health assessment, development of knowledge and nursing intervention regarding one focused health issue of Mille. The interventions are planned as per the assessment data. Self-Health assessment Health Perception/management Dependant on medications Lacking health promotional activities Self-perception/Self-concept Discomfort, aged (95 years), Lonely, frightened, impaired physical mobility, stress, anxiety, lacking liveliness Nutritional/Metabolic Short height, overweight, No regular and proper health diet, dependent of outside meals (meals on wheels). Role/relationships Lack of family satisfaction, separation at the young age, no children, no work, no friends, and lacking social relationships. Elimination Constipation problem especially on consumption of painkiller. Sexuality/Reproductive Dissatisfaction with sexuality pattern, no pregnancy, no childbirth, dissatisfaction with sexual relationship Activity/Exercise No proper exercise, no hobbies, only dependant on watching television, lack of interest, lacking mobility in daily routine, limited level of independence Coping/Stress tolerance No proper coping strategies to manage stress and anxiety. Cognitive/Perceptual Problem with vision, forgetfulness, partial deafness, pain in right lower portion of body, frightened and unsafe feeling Values/beliefs Having spirituality and devotion Sleep/Rest Disturbed sleeping pattern in night and day, threatened due to loneliness, lack of comfortable and quality sleep (Source: Gordon, 2014) Focused assessment One of the major health issue related to all over health defects of Millie is her impaired physical mobility occurring due to past injury on her right leg that damaged the potential of her body. Regular discomfort, immobility and pain are the problems that she faces due to impaired physical mobility. In this section, a critical analysis is made on the issue of impaired physical mobility of Millie that helped in developing an effective nursing care plan for the patient. Krist, Dimeo Keil (2013) indicated that mobility is essential for independence, well-being, good health, mental stability and quality of life (QoL). In contrast, Impaired physical mobility is a limitation on this independent, purposeful, required movement of body harnessing the quality of life (QoL). The impaired physical mobility is the restriction to freedom of movement that can be the outcome of any process like a disease, stroke, obesity, multiple sclerosis, fracture, accident etc. According to Valenzuela (2012) restriction on independent mobility results in certain critical health conditions that are considered to be an outcome of immobility. Some of the major outcome observations in people suffering impaired physical mobility are pain, anxiety, stress, frightened of discomfort, muscular pain, joint pain etc. Further, Krist, Dimeo Keil (2013) studied the exceptional characteristics of the patient that describes impaired physical mobility. These characteristics are: - Jerky motion of body Inability to perform gross and fine motor skills perfectly Body turns and bends become difficult Decrease in the reaction or physical response time Limited motion and daily activities Shortness of breathe in induced or stressful motion Gait modifications like low walking speed, small motions, problem in initiating gait and shuffles feet Disability in severe situations Some of these specific characteristics were observed in Millie case where she is not able to move her body, performed slow movements, difficulty in turning and twisting, limited daily motions, low walking speed etc. Hence, maintaining nursing care plan for impaired physical mobility requires interventions based on characteristics and factors (outcomes) supporting immobility. Krist, Dimeo Keil (2013) studied that old age people facing impaired physical mobility should be allocated with nursing interventions based on their freedom of choice as per their potential. Slow walking, driving, bed exercises, standing positions etc. are some of the possible intervention practices considered best for old age people. According to Iezzoni, Kilbridge Park (2010) complementary and alternative medicine (CAM) that involves yoga, acupuncture, relaxation etc. are suitable nursing interventions for old age people suffering immobility to reduce pain and discomfort. Further, Pitkala et al. (2013) considered sue of Active range of motion exercises (AROM) and resisted the range of motion (RROM) as the complete form of nursing interventions to relief the pain of impaired physical immobility. According to Berry et al. (2015) studies the most suitable and prominent exercises for initiating mobility in aged person are bed exercises, one the spot marching, sitting on edges, continuous ambulation walking, Valenzuela (2012) suggested the use of stimulation devices that leads to muscular strengthening in immobility cases. Further, Meijers et al. (2012) indicated the importance of implementing health diet intervention where the patient is provided with suitable food and drinks as per their present health status. The community nurse can implement regular diet schedule where the patient requires consuming foods that are beneficial for their health. Although people in case of immobility, are suggested to avoid heavy food diets like fats, carbohydrates etc. for increasing their inner body strength. But, still, there are food items that are included in the diet to enhance recovery like for example milk, lemon juice, proteins, fluid intake etc. These study sources provide intervention s techniques suitable as per the situation of case study patient. Therefore, these studies are sufficient to develop an effective nursing care plan for case study patient Millie. Internet health resources With the purpose to construct an effective nursing care plan for Millies major health issue that is Impaired Physical Mobility, the Internet resources were critically analysed and studied by the learner. The two resources that were considered effective and beneficial in constructing the recommendation and interventions for Millies care plans were (Gulanick Myers, 2013). The 1st website by Gil Wayne (2016) consist of a detailed description on impaired physical mobility providing complete information about pathophysiology, characteristics, nursing assessment and interventions for impaired physical mobility. The nursing interventions are detailed with particular strategies as well as specific rationale describing importance and effectiveness of the interventions. With the help of this internet resource the community nurse can easily predict the required nursing interventions or recommendations for Millie by linking her condition with assessment details and characteristics of impaired physical mobility provided on the website. Further, the website is also helpful to gather knowledge about a specific rationale for each and every intervention provided for impaired physical mobility. The 2nd website by EHS: Nursing Care Planning Guides - Care Planner: Diagnosis: Impaired physical mobility (2016) contains details on the nursing care strategies or recommendation required for issues of muscular dysfunction, joint immobility and loss of strength that are major outcomes of impaired physical mobility. In the case of Millie the joint immobility, pain, loss of strength due to age and muscular dysfunctions were major characteristics identified as outcomes of impaired physical mobility. Therefore, this website worked as a source of information to construct nursing care plan based on recommended suggestions and nursing actions. Nursing intervention for Millie (essay) Nursing interventions or strategies are preventative measures that are critically helpful in minimising the potential defects and side-effects of disease of health condition. The essay proposes nursing and collaborative strategies that can be helpful to manage the issue of impaired physical mobility considered as major health issue of case study patient Millie. These proposed strategies are collected from most authentic academic sources involving a detailed description and rationale for each particular strategy. Nursing intervention for Millie Pitkala et al. (2013) indicated the Use of assistive ROM exercises (AROM and RROM) to all possible extremities as per the patient potential strength. These ROM (range of motion) exercises will work to increase venous return, maintain muscular strength and provide flexibility for reducing discomfort. The ROM avoids contracture deformations that generally hinder prosthesis utility. As Millie is facing continuous discomfort in body movement, therefore, these ROM exercises will assist her in managing the discomfort of hip, knee, ankle and other organ movement. The AROM (active range of motion) are exercises where patient needs to actively participate in shoulder abduction, knee extension, ankle movement, hip flexion and elbow flexion. Further, RROM (resisted range of motion) are strength exercises against opposition force. The exercises are similar as AROM but require staff support as a form of manual resistance. Valenzuela (2012) opine one of the most effective interventions to control impaired physical mobility that is Use of mobility devices like crutches, walkers and trapeze. In this nursing intervention, the patient will be taught to learn using these mobility devices for future mobility support without discomfort. As Millie is an aged woman walking with the help of a stick, therefore, implementation of mobility device practice will help her in movements. As per recommendation rationale, these devices can increase activity levels by reducing impaired function. These devices confirm major nursing goals to provide safety, fall prevention, enhancing mobility and strengthening of the body by energy conservation. Iezzoni, Kilbridge Park (2010) suggested Movement exercises like marching on the spot where patient perform marching for the limited period on time along with relaxation periods. This intervention helps to reveal the joint pain and discomfort. Gronstedt et al. (2012) identified the implementation of kinetic bed therapy where recommended beddings like foam mattress, air or water mattress and pillows are used to provide comfort. This equipment minimises pressure on skin, tissues, and muscles. This can help to minimise the risk of tissue ischemia. According to Berry et al. (2015) Practising standing and sitting balance is another suitable intervention where patient practice balancing for retraining neuronal mechanism, enhancing motor response and initiating proprioception. Here the patient is continuously allowed to move in standing position from sitting position with balancing support or assistance. Further, In the case of Millie, another recommendation of Balanced nutritional intake is recommended to meet the metabolic requirements and work as the source of energy for performing the motion. Meijers et al. (2012) suggested this intervention because nutrition is necessary for impaired physical mobility to enhance energy level, reduce extra fat, balance carbohydrates and minerals accommodation in the body. As Millie is having a very bad diet schedule as well as she is overweight to perform mobility, therefore, this balanced nutritional intake will work as an effortless intervention to overcome mobility issues. Conclusion As per Millies major health issue of Impaired physical mobility and related health issue, these interventions of ROM exercises, mobility devices, mild movement exercises, standing and sitting balance and nutritious intake will surely help to improve her condition. As per the health assessment and nursing intervention performed for case study patient Millie, it is clear that nursing assessment and care plan development is the most basic requirements to establish an effective nursing practice. The health assessment indicated various physical and psychological defects in the patient where impaired physical mobility is one of the major health issues. Further, learner studies focussing on this specific health issues literature related to impaired physical mobility. The focused assessment on this health issue highlights its characteristics, outcomes and required interventions. The Internet health resources detect specific website that contains effective data for constructing interventions. Lastly, the essay on nursing care plan includes specific nursing interventions or recommendations for Millie regarding her Impaired physical mobility. The recommendations are justified along with their rationale and applicability in the situation of Millie describ ing their potential benefits for provided condition. References Edelman, C. L., Mandle, C. L., Kudzma, E. C. (2013).Health promotion throughout the life span. Elsevier Health Sciences. Gordon, M. (2014).Manual of nursing diagnosis. Jones Bartlett Publishers. Gulanick, M., Myers, J. L. (2013).Nursing care plans: nursing diagnosis and intervention. Elsevier Health Sciences. Berry, A., Beattie, K., Bennett, J., Cross, C. S., Hassan, A., Longhurst, E., ... Thomas, L. (2015). Physical activity and movement: a guideline for critically Ill adults. Agency for Clinical Innovation NSW Government. Gronstedt, H., Frndin, K., Bergland, A., Helbostad, J. L., Granbo, R., Puggaard, L., ... Hellstrm, K. (2012). Effects of individually tailored physical and daily activities in nursing home residents on activities of daily living, physical performance and physical activity level: A randomized controlled trial.Gerontology,59(3), 220-229. Iezzoni, L. I., Kilbridge, K., Park, E. R. (2010). Physical access barriers to care for diagnosis and treatment of breast cancer among women with mobility impairments. InOncology nursing forum(Vol. 37, No. 6, p. 711). NIH Public Access. Krist, L., Dimeo, F., Keil, T. (2013). Can progressive resistance training twice a week improve mobility, muscle strength, and quality of life in very elderly nursing-home residents with impaired mobility? A pilot study.Clin Interv Aging,8, 443-448. Meijers, J. M. M., Halfens, R. J. G., Neyens, J. C., Luiking, Y. C., Verlaan, G., Schols, J. M. G. A. (2012). Predicting falls in elderly receiving home care: the role of malnutrition and impaired mobility.The journal of nutrition, health aging,16(7), 654-658. Pitkala, K., Savikko, N., Poysti, M., Strandberg, T., Laakkonen, M. L. (2013). Efficacy of physical exercise intervention on mobility and physical functioning in older people with dementia: a systematic review.Experimental Gerontology,48(1), 85-93. Valenzuela, T. (2012). Efficacy of progressive resistance training interventions in older adults in nursing homes: a systematic review.Journal of the American Medical Directors Association,13(5), 418-428. EHS: Nursing Care Planning Guides - Care Planner: Diagnosis: Impaired physical mobility. (2016). Www1.us.elsevierhealth.com. Retrieved 25 August 2016, from https://www1.us.elsevierhealth.com/SIMON/Ulrich/Constructor/diagnoses.cfm?did=36 Gil Wayne, R. (2016). Impaired Physical Mobility Nursing Diagnosis Care Plan. Nurseslabs. Retrieved 25 August 2016, from https://nurseslabs.com/impaired-physical-mobility/