Wednesday, January 29, 2020

The three Narrators Essay Example for Free

The three Narrators Essay The lifeless thing that lay at my feet my candle was nearly burnt out. Frankenstein has made himself isolated by abandoning everything to create his creature. Mary Shelley develops the theme of isolation in chapter 21 when Victor Frankenstein is placed in prison; she has now physically isolated him. Frankenstein is shown as very secluded and distraught I was overcome with gloom and misery. Frankensteins closest friend had been killed so his isolation seems to be justified. Shelley used his self-pity to reflect to evoke the feeling that he is alone without a friend; no one is there to help so he goes deeper into self pity no one near me soothed me with the gentle voice of love; no dear hand supported me. Shelley portrays the monster as a misunderstood individual with caring at heart but wants retribution against Frankenstein. The monster mirrors the actions of a child that had been rejected at birth by its parents. The monster looks to the reader as being destined towards a life of isolation and depression. The monster describes himself as a poor, helpless, miserable wretch. Shelley uses these comments by the monster to evoke the feeling of sympathy and make it known to the reader that at that point in the time the monster was feeling rejected and isolated making the monster low in self-esteem leading to the statements being made. The monster also enhances the portrayal of the isolation by admitting he is desolate to the reader making more straight-forward for the reader to identify with the monster and even Mary Shelley as all the characters are related to Shelleys personal experiences during her childhood and adulthood. At the end of chapter 10 when Frankenstein and his monster meet Shelley shows the monster as someone who was willing to make friends among humans. I was benevolent; my soul glowed with love and humanity; but am I not alone, miserably alone? You, my creator abhor me; what hope can I gather from your fellow creatures, who owe me nothing? To the reader the monster is shown as an isolated individual who has unfairly been abandoned by its father/creator. Frankenstein is shown as his father who has left him to rot therefore enforcing the effect of isolation the reader feels about the monster. The reader is then made to feel that Victor Frankenstein is to blame for the monsters feelings of isolation. Shelley used this technique to prepare the reader for the monsters narrative view and to start seeing things from the monsters perspective. In conclusion Shelley has been found to use to several narrative and literal techniques to show the feeling of isolation through all the characters. Shelley very often during the story used the scenery to reflect the emotions of the narrators within the book. The isolation within this book was one of the primary themes contributing to its gothic theme. Shelley uses things she experienced during her experience to create different situations in which isolation and sympathy were portrayed. Shelley (in the book) does not mention the word isolation however using very subtle techniques during the dialogue of the narrators and also scenery description she conveys the emotion fully to the reader about the characters within the story. Show preview only The above preview is unformatted text This student written piece of work is one of many that can be found in our GCSE Mary Shelley section.

Monday, January 20, 2020

Cannery Row :: essays research papers

Cannery Row is a relatively simple novel with basically little or no plot to it. Many critics are quick to call the novel trivial and second rate as compared with Steinbeck’s other works. However this book shows Steinbeck’s renewed interest in the comic portrayal of the basic, uncomplicated lifestyles of the working class. Steinbeck incorporates a few themes into the novel such as failure and historical themes like the depression era. The book is overall optimistic, but Steinbeck takes some off topic chapters to capture some of the darkness that happens within Cannery Row. The underlying story in Cannery Row is about Mack and the boys trying to hold a party for Doc. Mack and the boys are a group of unemployed men living together in the run down fish-meal shack. Doc is a very intelligent and caring man who runs a biological supply house. The boys set up a party at Doc’s place, but Doc is late to get there and the party ends without him there. The boys are upset about their failure. When Doc helps out their dog, the boys decide to hold another party for Doc. This time he is able to go to it and everyone has a good time. (sparknotes.com) Cannery Row does not have much of a plot, but it is still very active as a social document about the attitudes of society during the depression era of the 1930’s. Although the book was published after World War II had ended, it strongly suggests the depression period with both tone and spirit. The majority of the people in the novel are the unemployed are poverty stricken, but all are considered as the good people. There are also no antagonists in this novel, only people who tightly hold on to what they have, such as Lee Chong, and see everyone in distrust.

Sunday, January 12, 2020

Perioperative handouts

Perl-operative Nursing Phases of Perl-operative period 1. PRE- operative phase 2. INTRA- operative phase 3. POST- operative phase PRE-Operative Phase Begins when the decision to have surgery is made and ends when the client is transferred to the operating table INTRA-operative Phase Begins when the client is transferred to the operating table and ends when the client is admitted to the post-anesthesia unit Post-operative Phase Begins with the admission of the client to the PACIFIC and ends when healing is complete Activities in the Pre-pop 1 . Assessing the clients 2. Identifying potential or actual health problems 3.Planning specific care 4. Providing pre-operative teaching 5. Ensure consent is signed Activities during the Intra-pop 1 . Assisting the surgeon as scrub nurse and circulating nurse Activities in the POST-pop 2. Assessing responses to surgery 3. Performing interventions to promote healing 4. Prevent complications 5. Planning for home-care 6. Assist the client to achieve optimal recovery TYPES of SURGERY 1 . According to PURPOSE 2. According to degree of URGENCY 3. According to degree of RISK Effects of Surgery on the Client Stress response (Neuroscience response) is activated Resistance to infection is lowered due to surgical incisionVascular system is disturbed due to severing of blood vessels and blood loss Organ function may be altered due to manipulation Factors influencing Surgical Risk Age Nutrition Fluid and Electrolyte balance General health status: infection, cardiovascular disease, pulmonary problems, liver dysfunctions, renal dysfunctions or metabolic disorders Medications affecting Surgery Anticoagulants like aspirin and UNSAID should be discontinued 2 weeks Tranquilizer may cause hypertension and shock Antibiotics like encyclopedias may intensify effects of anesthesia Diuretics may cause electrolyte imbalance antiphon may cause hypertension Psychological support Assess client's fears, anxieties, support system and patterns of coping Es tablish a trusting relationship with client and family Explain routine procedures, encourage fertilization of fears and allow clients to ask questions Provide for spiritual care if needed Preoperative teaching Assess client's level of understanding of surgical procedure and its implications Answer questions, clarify and reinforce explanations given by the surgeon Explain routine pre-pop and post-pop procedures Teach coughing and deep breathing exercise, splinting of incision, turning side to did.Explain its importance in preventing complications Assure client that pain medication will be given Pre-operative teaching Physical Preparation Obtain hex of past medical conditions Perform baseline head to toe examinations including vital signs Ensure that diagnostic exams are performed CB, Electrolytes, APT/APT, Urinalysis, EGG, Blood typing, Chest Cray Prepare client skin Shower with antibacterial soap to cleanse skin Skin prep if ordered: shave or clip hairs and cleanse appropriate areas to reduce bacteria on skin Administer enema if ordered Promote adequate rest and asleep Instruct client to remain NP after midnight to prevent vomiting and aspiration Pre-pop elimination Laxatives, enemas or both may be prescribed the night before surgery Have the client void immediately BEFORE transferring them to the OR Foley catheter may be inserted as ordered Legal Responsibility Surgeon obtains operative permit (Informed consent) 1. Surgical procedure, alternatives, possible complications, disfigurements 2.Part of nurse's role as client advocate to confirm that clients understands information given Informed Consent An active shared decision making process between the provider and the recipient of are. 3 conditions 1 . Adequate disclosure of the diagnosis, nature and purpose of treatment, risk and consequences, probability of successful outcome and prognosis if treatment is not done. 2. Patient must demonstrate a clear understanding and comprehension of information being provid ed 3. Recipient of care must give consent voluntarily, not persuaded or coerced to undergo the procedure. Consent are not needed for emergency care if; 1. There is an immediate threat to life 2. Experts agree that it is an emergency 3. Client is unable to consent 4. A legally authorized person cannot be reachedPreparation Immediately before surgery Obtain a baseline vital signs Provide oral hygiene and remove dentures Remove client's clothing and dress in clean gown Remove nail polish, cosmetics, Jewelry Instruct to empty bladder Check identification band Intra-operative phase interventions Determine the type of surgery and anesthesia used Position client appropriately for surgery Assist the surgeon as circulating or scrub nurse Maintain the sterility of the surgical field Monitor for developing complications Preparing the surgical site Purpose of prepping is to reduce the unit of organisms available to migrate to the surgical wound. Task is the responsibility of the circulating nur se Principle of scrubbing from the clean area to dirty area is observed at all times Anesthetics Anesthetics are drugs that are used to cause complete or partial loss of sensation. The numerous anesthetics can be broadly classified as : 1. General 2.Local anesthetics General Anesthesia Loss of sensation with loss of consciousness Skeletal muscle relaxation Analgesia Elimination of somatic, autonomic and endocrine response including coughing, gagging and vomiting Protective reflexes are lost Amnesia, analgesia and hypnosis occur Administered in two ways: Inhalation Intravenous IV anesthetics Produces rapid, smooth induction, may be used alone in short procedures Common IV anesthetics: methodical, Sodium tapeline (Penetrate), modally Disadvantages: poor relaxation, respiratory and myocardial depression in high doses, bronchiole's, laryngitis's, hypertension and respiratory depression Dissociation Agents Produce state of profound analgesia, amnesia and lack of awareness without loss of consciousness Astatine (Catalan) Side effects: tachycardia, hypertension, respiratory depression, hallucinations Precautions: decrease verbal, tactile and visual stimulation during recovery periodNarcoleptics Produces state of narcoleptic analgesia characterized by reduced motor activity and analgesia without loss of consciousness Fontanel citrate (Innovator) SE; hypertension, brickyard, respiratory depression, skeletal muscle rigidity, twitching Precaution: reduce narcotic dose to prevent respiratory depression Local Anesthesia Local anesthetics are drugs that cause a loss of sensation in limited areas of the body to abolish pain. They are powerful nerve blockers injected locally. Systemic absorption of the anesthetics can produce numerous side effects. Examples of Local anesthetics: The â€Å"CANINES† Loading Debasing Procaine Terracing The side effects of local anesthetics Local effects- local irritation and skin breakdown CONS effects if systemic absorption occurs- heada che, restlessness, anxiety, dizziness, tremors and blurred vision.GIG system- nausea, vomiting Cardiac- arrhythmias, peripheral vacillation, myocardial depression, and rarely, cardiac arrest Nursing Responsibilities Maintain emergency equipment on standby to provide life-support in cases of severe reactions Ensure that drugs are available for managing hypertension, cardiac arrest ND CONS alterations. Provide adequate hydration to patients receiving spinal anesthesia. Position the client supine for up to 12 hours after spinal anesthesia to minimize spinal headache Provide safety and comfort measures such as side-rails up, frequent skin care and supportive care Give health teaching to explain things the patient needs to know to allay fears. Stages of Anesthesia Depth Usually trained individuals with the special equipments ready for life support administer the agents The patient undergoes through a predictable stages known as STAGES of ANESTHESIA: 1 to 4

Saturday, January 4, 2020

Finance Director Essay - 739 Words

I am applying for the Finance Director position advertised on your website. With over seven years’ experience in finance and accounting along with a solid academic background in Finance and pursuing my CPA license, I am confident I possess the skills and qualifications you are seeking. Being a Controller I deal with a variety of financial budgeting, profit and loss, forecasting, cash flow analysis, cash management, sec reporting, valuation analysis and running a team of 7 accountants, while handling numerous administrative duties. Among the most pertinent to the advertised position would be my financial budgeting, forecasting, cash flow analysis, valuation analysis and business adequate. Having my academic preparation in business†¦show more content†¦I helped set up a 35 million dollar bank according that allows us to draw funds when necessary for capital purchases. Overall I have versatile experience with alternative funding sources and know how to work with the funds readily available to organizations. The Colorado tabor amendment limits the amount of revenue our government can collect and spend. The surplus in taxes collected must also be refunded to Colorado’s tax payers and any tax increases requires voter approval. This limits the ability for governments to raise taxes in order to reestablish programs and update equipment necessary to help the public. Colorado Gallagher amendment set forth the guidelines on how the actual value of property is assessed. This amendment simplifies the method used to determine the actual cost, market value and income based analysis. I bring a unique variety of experience from the private, public, government and nonprofit financial sectors that allows me to understand GAAP, FAR, CAS and other accounting standards currently used. 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