The Search For Self-Acceptance in the Color Purple by...

If any woman had to answer if she ever had trouble accepting herself, the response would be yes. According to Susan David, â€Å"All healthy human beings have an inner stream of thoughts and feelings that include criticism, doubt, and fear† (125-128). Depending on the person Alice Walker has as the recipients of Celie’s and Nettie’s letters, the text alters. The Color Purple is about a girl named Celie, who grows up in the south during the early 1920’s, surrounded by racism, sexism, and abuse from her father and husband. Alice Walker wrote The Color Purple in epistolary style and it traces Celie’s journey of finding her identity and path of finally accepting herself. On her journey she encounters a couple of women including one named Shug†¦show more content†¦It all I can do not cry. i make myself wood. I say to myself, Celie, your a tree. Thats how come I know trees fear man (Walker 23). Mr.___, who is a violent, controlling husband, treat s Celie as a child and causes her to believe she is powerless. As a result of these tragic events, Celie writes to an unknown audience, resembling her unknown identity. In the beginning, the only person she can talk to is God. She writes her first letters to God shortly after her so-called father raped her. Each one of the letters is short, choppy and has a similar rhythm. The patterns found in her letters symbolize her state of mind; she feels depressed and weak. Celie does not think of her letters as anything else than just that, as written documents saying the things she wishes to tell the recipients she cannot speak to in person†, making God the person she has always wished to communicate with (Boynukara). Her letters in the beginning are also mostly written to God and not signed off, illustrating her lack of identity. Her conception of God is a â€Å"Big and old and tall and graybearded and white. He wear white robes and go barefooted† (Walker 195). Celie’s first letter proves that she has a low self-confidence when she writes, Dear God, I am fourteen years old. I am I have always been a good girl. Maybe you can give me a sign letting me know what is happening to me. (1). According to Janoff Bulman, â€Å"cognitive strategy used to makeShow MoreRelatedDouble Discrimination Exposed in The Color Purple Essay953 Words   |  4 Pages discrimination, demoralization, subjugation and hatred, especially colored women.nbsp; Black women have had to face unbelievable odds at obtaining self-assurance. nbsp; nbsp; nbsp;African-American woman have had to deal with being black and female, a double-edged sword.nbsp; In her novel, The Color Purple, author Alice Walker introduces southern black female characters that not only faced slavery, but sexism, racism and oppression.nbsp; Through a series of letters, mostlyRead MoreThe Color Purple By Alice Walker1495 Words   |  6 PagesThe Color Purple, is a novel written by the American author Alice Walker. The novel won the 1983 Pulitzer Prize for Fiction and is also regarded to be her most successful piece of work. It has developed into an award winning film and was recently made into a Broadway play. The story continues to impress readers throughout the decades due to its brutal honesty. The novel successfully and truthfully demonstrates what life was like for black women during the early twentieth century. The book discussesRead MoreThe Color Purple By Alice Walker1540 Words   |  7 Pages Alice Walker is an award winning   author, most famously recognized for her novel   The Color Purple ;aside from being a novelist Walker is also a poet,essayist and activist .Her writing explores various social aspects as it concerns women and also celebrates political as well as social revolution. Walker has gained the reputation of being a prominent spokesperson and a symbolic figure for black feminism. Proper analyzation   of Walker s work comes from the   knowledge on her early life, educationalRead MoreThe Color Purple And Stephen Crane s Maggie, A Girl Of The Streets1565 Words   |  7 Pagesloss, or other tragedies. People can choose to descend into self-loathing and destructive behavior, or they can make an effort to overcome their battle, and make something of themselves. Regardless of the contrasting endings in Alice Walker s The Color Purple and Stephen Crane s Maggie, a Girl of the Streets, both female protagonists are impacted immensely by the abuse and neglect they endured early on in their lives. In The Color Purple, Celie, a young black woman is abused by her father. EverRead More Compare racial and cultural struggles in Alice Walker’s The Color2850 Words   |  12 Pagesracial and cultural struggles in Alice Walker’s The Color Purple as well as Toni Morrison’s The Bluest Eye. In African-American texts, blacks are seen as struggling with the patriarchal worlds they live in order to achieve a sense of Self and Identity. 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Though the characters endure many hardships they survive not only by not becomingRead More The Struggles Faced In The Color Purple And The Joy Luck Club1809 Words   |  8 Pages The Struggles Faced in The Color Purple and The Joy Luck Club A common bond of struggle links the novels The Color Purple by Alice Walker and The Joy Luck Club by Amy Tan. Rape, suicide, death, war, oppression, and racism invade the two novels. In The Color Purple, Celie overcomes racism, violence, and other issues to find dignity and love. In the Joy Luck Club, the daughters struggle for acceptance, love, and happiness. Though the characters endure many hardships they survive not only by not becomingRead MoreThe Unspoken Lullaby: Women, Music, and Oppression Essay2109 Words   |  9 Pagesgroups an escape from the oppressor and is used as an act of resistance in order to find a true sense of identity and to achieve social acceptance by refusing to conform to American society. In Alice Echoll’s, Hot Stuff and Alice Walker’s, The Color Purple, music is shown as a tool used by minority groups particularly African Americans women to find power within one’s self despite the pressures of society. In America there has always been a strong connection among the African American community, whichRead More15. . . . . Womanism Vs Feminism . Tessa King. Evans High4725 Words   |  19 Pages15 Womanism vs Feminism Tessa King Evans High School â€Å"Most of us did not learn when we were young that our capacity to be self-loving would be shaped by the work we do and whether that work enhances our well-being.† – Bell Hooks Black Feminism is a theory which argues that sexism, class oppression, gender identity, and racism are interconnected. However, womanism or white feminism is a social theory which is strictly racial and gender-based oppression of black women. Black feminism andRead MoreStephen P. Robbins Timothy A. Judge (2011) Organizational Behaviour 15th Edition New Jersey: Prentice Hall393164 Words   |  1573 PagesWork–Life Conflicts 21 †¢ Creating a Positive Work Environment 22 †¢ Improving Ethical Behavior 22 Coming Attractions: Developing an OB Model 23 An Overview 23 †¢ Inputs 24 †¢ Processes 25 †¢ Outcomes 25 Summary and Implications for Managers 30 S A L Self-Assessment Library How Much Do I Know About Organizational Behavior? 4 Myth or Science? â€Å"Most Acts of Workplace Bullying Are Men Attacking Women† 12 An Ethical Choice Can You Learn from Failure? 24 glOBalization! Does National Culture Affect Organizational

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Haematology Medications in Nursing

Question: Discuss about theHaematology Medications in Nursing. Answer: Introduction Warfarin indirectly alters the synthesis of clotting factors ii, vii, ix and x by hindering the manufacture of vitamin K which is crucial in the production of the factors (Brenner Stevens, 2012). Also, it prevents the manufacture of anticoagulant proteins C and S which leads to an escalation of the clot-eliminating process in the body. After ingestion, it typically takes less than twenty-four hours for it to achieve a therapeutic effect. In the case of Mr. Pap, there is a thrombus in one of his deep veins. Administration of an anticoagulant agent is necessitated to get rid of the solid body,. Warfarin is a typical example which works by altering the various factors that collectively form the coagulation cascade hence eradication of any clot in the system. Warfarin can cause excessive bleeding especially if the blood clotting proteins are severely affected (Williams Wilkins, 2014). Stoppage of the medication after initiation of hemorrhage does not counter the effect; the bleeding may progress for even a week. Patients are advised to sensitize their doctors in case they have a previous history of a condition that causes prolonged bleeding such as a prolonged menstrual period. Warfarin can also cause drug-induced skin necrosis. This generally occurs nine days after initiation of the therapy and usually affects obese women. Some patients report of the effect after several months or years of treatment. Necrosis is usually manifested in the regions of the body that are well endowed with fatty tissues such as the thighs, abdomen, breasts and extremities. A typical sign of necrosis is the presence of a lesion on the surface of the skin which is usually painful (Fox, 2015). The lesion presents with an abrupt onset besides being erythematous a nd tender in nature. Necrosis comes about due to an imbalance between vitamin k dependent clotting factors and protein S or C. If the lesions dont resolve, there is an increased chance of developing hemorrhagic bullae which ultimately leads to necrosis. When these signs are depicted, withdrawal of the therapy is advised. This does not help in resolving the condition but rather curbs against further deterioration of the situation. Patients who may need to be prolonged therapy are subjected to lower doses which are done in line with heparin bridge therapy. Fresh frozen plasma and packed red blood cells are the most efficient ways of reversing any hemorrhagic complication linked to warfarin administration. For an effective reversal, a dosage of 15ml/kg is given soon after concerns of the drug arise (Beck, 2011). In clinical settings where fresh frozen plasma may not be available, recombinant factor VIIa (rFVIIa) therapy is advocated. The therapy works by correcting INR in the shortest time possible. It has an advantage over FFP because it doesnt have to undergo many procedures such as thawing to be administered. Moreover, it does not result in transfusion-associated side effects like the former. The two therapies should be necessitated after consultation with a medical toxicologist or the poison control center. This is because as at now there is no clear universal dosage for them. Any deviation from the required amount may lead to adverse effects. Vitamin k1 is the alternative antidote which is credited for being effective in cases involving long-term management. Reversal of the side effects takes place after around ten hours. The main shortcoming linked to this is the acute cardiovascular collapse that it predisposes patients to (Pallister, 2012). This is usually attributed to the cascade of anaphylactic reactions that take place in the body. When the vitamin is administered using the subcutaneous or the intramuscular route, it makes patients vulnerable to hematoma. Furosemide (Lasix) is a drug that belongs to the group of drugs that are collectively referred to as diuretics. When administered with warfarin at the same time, it leads to a hypoprothrombinemia effect. The introduction of warfarin into the body culminates to some percentage of it combining with blood proteins before the anticoagulation process is initialised (Beck, 2011). Furosemide, on the other hand, hinders this combination making it possible for more of the warfarin to be available in the blood. This ultimately leads to an increased anticoagulation rate. When the two are used concurrently, clotting of blood is hindered. This predisposes individuals to excessive bleeding. Close monitoring is essential in curbing this especially when there is a medical condition which necessitates the two to be administered at the same time (Fox, 2015). Alternatively, laboratory investigations can be done to determine the correct amount of warfarin that can be administered in view of reducing its bioavailability in the body. Warfarin has an adverse drug interaction with sildenafil which belongs to a group of drugs called phosphodiesterase inhibitors. There is an escalated risk of bleeding especially in patients ailing from pulmonary hypertension. When the two have to be administered concurrently, a dose adjustment is needed to curb the adverse reaction from taking place. This entails checking of one's international normalized ratio (INR) or prothrombin time which acts as a baseline for which an appropriate dose is selected. Aspirin administration to patients who are on warfarin predisposes them to bleeding. It inhibits platelets function by altering the protein binding displacement process. It has also been linked to causing a hypoprothrombinemia effect (Pallister, 2012). This is the reduced secretion of prothrombin hormone to the blood. Moreover, it is very effective in getting rid of clots in the arteries because it initiates a cascade of processes that are geared towards eliminating atheroma substances within the vessels. Most clinical settings prefer using if because it reduces a patient's vulnerability to stroke, but it should not be employed as a substitute to curb against clotting. It has a capability of altering some proteins in the blood which are crucial in clotting. This inhibits coagulation cascade hence increasing chances of bleeding. Both drugs have a protagonist effect .Close monitoring should be done in cases where they have to be used. The enrolled nurse should administer the prescribed dosage of the drug. No measure should be employed to reduce or escalate the amount needed unless a consultation is sought from a qualified medical officer or consultant. In addition, close monitoring of the patients condition is important in determining whether the drug is achieving its recommended therapeutic effect. Any concerns raised by the patient should be accorded maximum attention. This can be done by advocating any problems that manifest ill-health during the therapy. Continued patient education should be provided to allay anxiety and concerns of the patient (Schumacher Chernecky, 2013). Sensitization on the increased vulnerability to bleeding should be done and if possible training should be provided on ways of arresting bleeding at an individual level. Routine documentation of the progress and any procedure done to the patient should be done by the nurse in order to facilitate review and accountability. Patient's International Normalized Ratio (INR) should be checked prior to warfarin administration. This is because it forms a basis which guides the physician to prescribe a precise dosage of the drug. The test depicts the amount of time that blood takes before clotting. When the value of the INR is high, it means that the blood under investigation takes a lot of time to clot and hence increased vulnerability to bleeding (Hillman Hillman, 2011). On the other hand, a lower value reduces the risk of bleeding, necessitating a higher dosage because there is an eleveted chance of developing a clot in the system. In addition, plasma heparin concentration activated partial thromboplastin time (aPTT) and complete blood count should be investigated to determine the patients anticoagulation efficiency before initiation of therapy. A therapeutic INR range of between two and three is considered normal for patients under deep venous thrombosis (DVT) prophylaxis. Coumadin and Marevan contain different amounts of anticoagulant chemicals. Coumadin is available in 1mg, 2mg or 5mg tablets while Marevan is available in 1mg, 3mg and 5mg tablets (Mealey, 2013). The strengths considerably differ hence none should be used in place of the other. Studies have been done to show that none of the tablets is bioequivalent to necessitate substitution. It is not advisable to interchange them since that can culminate into the administration of either higher or lower doses of the drugs. This ultimately predisposes a patient to adverse effects linked to extreme changes in the INR Mr. Pap should adhere to the medication timelines. This is significant because a particular dosage of the drug takes effect for a limited duration of time beyond which an addition is recommended in order to achieve the ultimate therapeutic effect (Haymaker, Hayes Phipps, 2011). Moreover, a disregard in time can culminate to situations where the patient takes an overdose due to a reduction in the intervals of taking it. It should not be taken when symptoms escalate or stopped when the patient feels better. The patient should never use any drug without consulting his physician. There are many drugs which either antagonize or synergize the action of warfarin (Pallister, 2012). Either way, the health of the patient is likely to be compromised because of an increase or decrease in its bioavailability which does not resonate well with the physicians prescriptions. Emphasis should be geared towards discouraging the eating of foods rich in vitamin K. Examples include spinach, parsley and cabbage. These foods reduce the effectiveness of the drug by working against what is being eradicated. Ingestion of other substances that make up a balanced diet is important in curbing other ill effects besides making the body have the energy required in tolerating the treatment regimen. Any deviation from the standard wellbeing should necessitate seeking medical advice. This would be due to effects attributed to the drug or deterioration of the body (Schumacher Chernecky, 2013). Consultation should be sought from the nearest health facility before proceeding to the hospital of choice. For instance severe headache, bloody urine and vomiting of blood should sensitize medical attention. Minor side effects which frequently show up due to warfarin usage should be known so as not to raise much alarm when they manifest. For instance itching and general body, weakness should only be prioritized when they are so much advanced Evaluation of comprehension of the knowledge given can be done through by asking him to restate the instructions given (White Ewan, 2011). The patients relatives can be used to determine whether he is implementing the education accorded. Reviewing the patients progress in subsequent visits can help in the evaluation. For instant keeping of INR values within the normal ranges depicts high compliance. References Brenner, G, M Stevens, C, W 2012,Pharmacology, Pa: Saunders, Philadelphia. Beck, W, S 2011,Haematology, Mass: MIT Press, Cambridge. Fox, S 2015.Human physiology, McGraw-Hill Education, New York. Haymaker, S. R, Kelly-Hayes, M Phipps, M, A 2011,Health promotion, W.B. Saunders, Philadelphia. Hillman, R, S Hillman, R, S 2011,Hematology in clinical practice, McGraw-Hill Medical, New York. In Mealey, K, L 2013,Clinical pharmacology and therapeutics, Pennsylvania: Elsevier, Philadelphia. Lippincott Williams Wilkins 2014,Nursing 2014 drug handbook, Wolters Kluwer Health/Lippincott Williams Wilkins, Philadelphia. Pallister, C 2012,Blood physiology and pathophysiology, Butterworth-Heinemann, Oxford. Schumacher, L Chernecky, C. C 2013.Critical care emergency nursing. Mo: Saunders Elsevier, St. Louis. White, R., Ewan, C. E Ewan, C. E 2011,Clinical teaching in nursing, Chapman Hall, London.

Popular Student Neil Perry free essay sample

Popular Student: Neil Perry BY Drassp7878 Neil Perry Neil is the confident and popular student, and is well liked by his friend as well as the teachers at the boys-school. He is a person who cares about his friends, especially Todd, his new roommate. He is portrayed, in the film, as a boy with brown hair, fairly good-looking and tall. In the beginning Neil is inspired by the new English teacher Mr. Keating, who is passionate and interesting, with his ways of teaching and speaking to his students. Mr. Keating teaches his students to think out of the box and to seize the day. Neil is greatly influenced by this and takes it to the/his heart. Neil is curious about who Mr. Keating was when he attended the school when he was younger. And that leads to the boys discovering Dead Poets Society. Neil is the first one to make a move, and re-establish the Dead Poets Society and be the leader of the group of boys. We will write a custom essay sample on Popular Student: Neil Perry or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page This shows that Neil is ready to challenge the schools authority and his parents. Neil is a really good friend with a sense of humour. He is the one making the boys go through the day, Joyous and with their heads held high. In the scene where Neil tries to cheer Todd up on his birthday and make the comment mfou can feel it. This desk set wants to fly! shows how much he cares about his friends even though Todd may not feel like he has any friends. On/At the first meeting of the new re-established Dead Poets Society Neil reads out loud from the book, given to him from Mr. Keating. l went to the woods because I wanted to live deliberately. I wanted to live deep and suck out all the marrow of life. To put to rout all that was not life, and not when I had ome to die, discover that I had not lived Walden Come, my friends, T is not too late to seek a newer world. For my purpose holds To sail beyond the sunset, and though We are not now that strength which in old days Moved earth and heaven, that which we are, we are; One equal temper of heroic hearts, Made weak by time and fate, but strong in will To strive, to seek, to find, and not to yield. Ulysses It was a dark and rainy night. And this old lady who had a passion for Jigsaw puzzles sat by herself in her house at her table to complete a new Jigsaw puzzle. As she pieced the puzzle together, she realized to her astonishment that the image that was formed was her very own room, and the figure in the centre of the puzzle, as she completed it, was herself. And with trembling hands she placed the last four pieces and stared in horror at the face of the demented madman at the window. The last thing that this old lady ever heard was the sound of breaking glass ? The only time Neil considered/consideres suicide was/is after the major confrontation with his father. Normally there are some signs when a person is onsidering suicide, but in this case, the warning signs never showed until the last moment. Mr. Perry is old fashioned and has a difficult time expressing his affections to his son. Neil never really understood that his father Just wanted the best for him, and only saw his father as a tyrant, someone who would always go against what he wanted. Indholdet er s ¦rdeles GODT. Mange relevante eksempler og gode (psykologiske) overveJelser . Du er grundig og nÃ' r helt i dybden. FLOT! Kun fÃ'  fell. Bem ¦rk dit problem med at holde linien mht. TID. Karakter: 12 Youve done it again, girl !!! Analytisk pr ¦sens) predicts his future in the film. The puzzle from the poem symbolizes life, the madman by the window passion, and the death of the old woman iswoman is caused by letting her passion overcome her. In the end Neil realizes that he had/has his own life and he was/is the centre of it. Since his father had/has control over him and Neil was/is too afraid to stand up for himself, Neil lets the passion in himself in a last attempt to control his own life. And throughout the film he continues to put the last pieces in his puzzle together. In the end Neil lies to Mr. Keating about having permission from his father to still be in the play, and does not take up the discussion with his father again, but goes against his wishes and continues to be a part of the play. I have a theory that the last monologue from Puck in the play, where his father has arrived, was/is directed to Mr. Perry as an apology and a plea for forgiveness. Neil can only express himself to his father through his acting and passion for it. If we shadows have offended, Think but this, and all is mended, that you have but slumberd here while these visions did appear. And this weak and idle theme, No more yielding but a dream, Gentles, do not reprehend; if you pardon, we will mend; And, as I am an honest Puck If we have unearned luck Now to scape the serpents tongue We will make amends ere long; So, goodnight unto you all. Give me your hands, if we be friends, and Robin shall restore amends. Finally Neil found/finds the last piece to his puzzle and his only option is to take his own life, to gain control over it. As Mr. Perry says so many times throughout the film thatÃ'› he has sacrificedes a lot for Neil, he indicates that he loves Neil very much but annot express it in exact words to his son, and I get the impression that Neil is Mr. Perrys dream. So when Neils father wakes up after hearing the gun shot, the dream has disappeared Mr. Perrys relationship with his son is Just a lot of misunderstanding between them. Mr. Perry loves Neil and Neil loves his dad even though he was/is controlling Neils life. Neil Just wanted/wants to find out who he was/is and what he wanted/wants to do, but he was/is unable to discuss his opinions with his father and Mr. Perry was/is unwilling to look at Neils outlook on life. Therefore Neil concluded/concludes that