Pablo Picasso Essays (1577 words) - Pablo Picasso, Visual Arts

Pablo Picasso Alfonso 4 One of the Picasso favorite pastimes was during the first winter of the First World War was learning Russian. ?It was a fasicination with Russia and mostly a fascination with the Barones Helen d'Oettingen. ? Part f Picasso seductiveness was his willingness to be seduced, and he and the Barones spent many long evenings together, absorbed, as far as the world was concerned, in advancing his knowledge of Russia? (Cooper 15). At the same time when Picasso was having one of his many flings, Eva became very sick. When Eva was hospitalized, that was the first time Picasso was alone in years. He went to see her everyday at the hospital, but he needed someone to comfort him during his lonely nights. He found someone to comfort him during his lonely nights. Gaby Lespinasse was her name. A beautiful twenty-seven year old Parisian. December 14, 1915, Eva dies. ?My poor Eva is dead,? he wrote to Gertrude Stein. ? It was a great sorrow? she was always so good to me.? Ever since his little sister had so suddenly died, it seemed that death always winning.? (Huffington 52). This was Picasso saddest Christmas of his life. After Eva's death Picasso met Olga Koklova, she was the daughter of a colonel in the Imperial Russian Army and had been bornin in Niezin, in the ukraine. Picassso had always had a fascination with Russian things. On July 12, 1918 Picasso married Olga. On February 4, 1921, Olga gave birth to a baby boy. They named him Paulo. Paulo was one of Picasso favorite subjects for many years. He first sketched him on the day he was born, and he continued and paint pictures of Paulo while he grew up. In 1927, Picasso met Marie-Therese, who would later give birth to his daughter. On September 5, 1935 Marie-Therese gave birth to a girl. This was Picasso second child by a different women. ? The baby was given the name of her father's dead sister, Maria de Alfonso 5 LaConcpcion, but on her birth certificate the identity of the father was declared unknown?(Huffington 54). He loved Paulo more than he loved her. He would later change her name to Maya Walter. One of Picasso's best-known paintings is Guernica, done in 1937 during the Spanish Civil War. Nazi airplanes had bombed the Spanish town of Guernica. Picasso was outraged by news of the death and destruction and put these feelings into a painting 26 feet long. It was painted in black, white, and grey, and it shows people dying and suffering raid. (e.library). The novelist Claude Roy, saw Guernica at the Paris World's Fair and described it as ? a message from another planet.? ?Its violence dumbfounded me, it petrified me with an anxiety I had never experienced before.? The Surrealist poet Michel Leiris summed up the sense of despair engendered by Guernica: ? In a rectangle of black and white such as that in which ancient tragedy appeared to us, Picasso sends us our announcement of our mourning: all that we love is going to die?..? Herbert Read went even further: all that we love, Picasso is saying has died. On May 15, 1947, at the Belvedere Clinic in Boulogne, Francoise gave birth to a baby boy. This was Picass's third child by a third women. They named the baby Claude. This is what Dominique Desanti, who visited a few times after Claude was born had to say. ?They were very striking couple together. She was so beautiful and he was really astonishing, so aesthetically they were very striking to look at. He would make aggressive remarks meant to pu down and humiliate her in front of otheres ans she would laugh and make what he said seem innocuous. He would Alfonso 6 refer to her as ?the woman.? ?What has the woman made for dinner he would ask. Or he would look at an erotically dressed woman on a postcard and sight: ?What a dream to have such a woman in front of you.? And Francoise would laugh and diffuse it: ?It's very easy. We can do that. Just get me a dress like that and I'll put ion ? it would be a very amusing disguise.? She

Free Essays on What Is A Sequestrian

to define the type of court action, and a good many are sequestrations. Doverdale parish Sequestration for Delapidations to Rectory 13 July 1568 Churchehill, M. Colles late incumbent Sequestration 20 March 1565 St. Peter's Worcester vacancy Sequestration 2 April 1569 Sequestration can be defined broadly or within the confines of Church of England courts. In general terms it means to confiscate or take possession by force; or to remove property temporarily from the possession of the owner and hold against a debt. You will see the word used in Scottish courts and in connection with the records of the English Civil War period, 1643 to 1660. Both sides sequestered; for example, Parliament took the estates of Royalists to gain the revenue; and, after the Restoration, ministers who refused to conform lost their parishes. In American research the word appears in connection with the confiscation of Loyalist property at the time of the Revolution, and in Civil War records. Here, the subject is sequestration in the courts of the Church of England, where it was a legal procedure used primarily when a parish was without a minister, due to the death or suspension of the incumbent. The bishop was concerned with th... Free Essays on What Is A Sequestrian Free Essays on What Is A Sequestrian Sequestration sounds nasty, so I concluded it might get your attention. In actual fact the term relates to money matters, debt, and legal proceedings; but read on, because finding one of these in the parish of your ancestors could lead to useful information. You'll find the word in the list of sources that make up the Gloucestershire, Wiltshire, Berkshire, Oxfordshire, Worcestershire CD (ancestry.com/rd/prodredir.asp?sourceid=831&key=P2464): for the last of these counties there are "Wills and Administrations in the Court of the Bishop of Worcestershire, also Marriage Licences and Sequestrations." What this contains is an index to names, a date, and one or two words to define the type of court action, and a good many are sequestrations. Doverdale parish Sequestration for Delapidations to Rectory 13 July 1568 Churchehill, M. Colles late incumbent Sequestration 20 March 1565 St. Peter's Worcester vacancy Sequestration 2 April 1569 Sequestration can be defined broadly or within the confines of Church of England courts. In general terms it means to confiscate or take possession by force; or to remove property temporarily from the possession of the owner and hold against a debt. You will see the word used in Scottish courts and in connection with the records of the English Civil War period, 1643 to 1660. Both sides sequestered; for example, Parliament took the estates of Royalists to gain the revenue; and, after the Restoration, ministers who refused to conform lost their parishes. In American research the word appears in connection with the confiscation of Loyalist property at the time of the Revolution, and in Civil War records. Here, the subject is sequestration in the courts of the Church of England, where it was a legal procedure used primarily when a parish was without a minister, due to the death or suspension of the incumbent. The bishop was concerned with th...

The Problem of Authority in the Continental Reformers Assignment

The Problem of Authority in the Continental Reformers - Assignment Example Luther's detestations towards the power of the Catholic Church and the' legitimacy of the Pope's indulgences, for instance, were marked by the dictates of his belief in political realism which was coupled with the 'ethical consequences of his doctrines' (Davies 37. Scholars contend that Luther was an 'accomplished theologian politician' whose struggles were 'inner' and spiritual yet, he likewise took controversial political stands in order to defend his goals of religious reformation. This clearly depicts Luther's ambivalent position on religion and politics. Luther asserted that men needed the restrictions that laws provide and advocated absolute obedience to authority while upholding spiritual freedom (New 34). This contention on absolute obedience is dubious since Luther decried the same absolutism brought about by the 'indulgences' of the Pope. Furthermore, his overly passionate stance on the foreigners' exploitation of Germany evoked hostile resentment against the foreigners, as well as patriotism and indignation from the Germans (New 35). For many liberals and humanists in that period, Luther's type of reformation was fundamental - overly passionate and almost bordering on rebellion. John Calvin employed the same kind of radicalism in order to alter the political and social environments of his day. Fashioning social and political organizations completely from biblical principles, Calvin impressed on the people of Geneva, a very stringent moral system obtained from a literal reading of the Bible. These new impositions went through protestations as the people believed that they successfully dislodged the Papacy only to be disappointed by the experience of a similar form of the papacy with Calvin at the helm. Calvin's innovative political philosophy and social reforms had brought about a radical transformation in Europe. Zwingli, as compared Luther and Calvin who discussed various theologies in their writings and arguments, opted for a unified theme. Nevertheless, Zwingli tackled an analogous fundamental movement in the form of a very stringent Protestantism in which the Gospel was almost treated as a law (Bromiley 121). Zwingli's contribution to the social life of his generation cannot be discounted as his teachings became the foundation of social and organizational principles of the fundamentalist Protestants and the Puritans which later became the basis of the political and social structures of the English colonies in the United States. Zwingli's ideas were so pervasive that up until this day, the principles of a social organization still persist. Hence, Zwingli's reformation movement can be characterized as rather revolutionary and political as observed in his preoccupation with both clerical and secular politics (Bromiley 128).

Assignment 1 Example | Topics and Well Written Essays - 750 words - 1

1 - Assignment Example The private sector, on the other hand, is referred to as for-profit sector. These include businesses and institutions that offer goods and services for sale. Their main aim is to achieve profits in the sale of these products and services. This is quite different from the public sector that majors on service delivery not on a profit. It is through the revenue and taxes that the employees in the private sector fund the public sector. The private sector also through their corporate social responsibility programs help the community to develop. Non-for profit organizations are institutions that are not categorized in the public or private sectors and offers goods and services for free. In some situations, good corporate citizens donate to the public sector in an effort to give back to the community. In disaster situations, these groups are affected interdependently. For a case of a mudslide, the demand for public services is increased. Due to the increase in the demand of these services, the budget of the public sector is strained. Companies and businesses in the private sector are also interfered with due to the damage of the disaster. This results to less tax remittance since their services have been affected (Lyon & Hamlin, 2001). In worst cases scenarios, the staff at these businesses may lose their jobs on either a permanent or temporary basis. The tax remittances and contributions to non-profit organizations have to reduce since the businesses are not running as usual. In this type of scenario, the non-profit organization is faced with a decrease in contributions and sometimes an increase in demand of their services. Depending on the cruelty of the disaster and the strains on the local system, funds from outside of the resident community may be required to support the public in its salvage and go back to its normality. Question #2 Disaster and emergency management has had continual evolution through the years. There exists numerous career opportunities in this field since an individual can be employed in the private, public and non-profit sectors. It is a sophisticated field because it disaster affects any part of the community. This interrelationship between the sectors has affected the skills set for disaster and emergency managers. The careers range from the project managers on the ground to policy makers and executives in the office. Employment, therefore, in this field can be permanent or temporary since the disaster and emergency are not always happening (Haddow et al, 2011). An example of a full time employment is at FEMA. At FEMA, Permanent Full-Time (PFT) staffs are employed through a modest procedure that comprises an interview and application. Recruited employees can gain competitive status after one year of continuous service. Temporary employment at FEMA can be as Cadre of On-Call Response/Recovery Employees (CORE). These are employees hired to labour for a specific limited period. This is usually about two to four years. Em ployment is usually renewed if there is consistent disaster and funding for the program is available. These staffs can be employed under a rationalized method instead of a modest process. They are normally qualified for similar remunerations  as PFT personnel, but do not get modest career or status tenure during their period of employment. Other employment avenues are in the disaster management facilities or offices. These range from administrative, accounts, management to support staff who guarantee smooth running of the facilities.

Palliative Care Situation Reflection

Palliative Care Situation Reflection Introduction Reflective practice enables nurses to critically review their actions through a process of thoughtful deliberation about past experiences, in order to learn from them (Tickle 1994; Atkins and Murphy 1995; Bailey 1995; Spalding 1998). Reflection is important since it provides opportunities for learning and continuing professional development (Hinchliff et al. 1993; Spalding 1998). Furthermore, it allows the nurse to better handle future situations and deal more ably with challenging events in everyday clinical practice (Jarvis 1992; Smith 1995). A number of models of reflection have been developed. Gibbs cycle considers the process of reflection as six key stages: (1) description of the event, (2) feelings, (3) evaluation, (4) analysis, (5) conclusion and (6) development of an action plan (Gibbs 1988). In this paper, Gibbs cycle will be used to reflect on an clinical incident that I have experienced which focuses on communication in palliative care and specifically, breaking bad news to a patient and his family. Palliative care is the care of any patient with advanced, incurable disease (Urie et al. 2000). Palliative care involves the management of pain and other disease-related symptoms, and aims to improve quality of life using a holistic approach that incorporates physical, psychological, social and spiritual aspects of care (Urie et al. 2000). Effective communication between nurses and other healthcare professionals, patients, and their families and carers forms a key component of palliative care, particularly when breaking bad news. Research has shown that healthcare professionals cite a number of challenges in communicating effectively, including cultural factors, deciding on the best process of communication and information to deliver, and the difficulty of conveying hope to patients and their carers (de Haes and Teunissen 2005). The NHS Cancer Plan published in 2000 states that: â€Å"the care of all dying patients must improve to the level of the best†, with good communication between healthcare professionals and patients as central to achieving this goal (Department of Health 2000). The Gold Standards Framework (GSF) is a framework designed to ensure a gold standard of care is provided for all patients who are nearing the end of their lives (NHS 2005). There are three stages in this framework: (1) identify, (2) assess and (3) plan, with effective communication a key goal underpinning each of these stages. National Institute for Health and Clinical Excellence (NICE) guidelines on improving supportive and palliative care for adults also stresses the value of good face-to-face communication both between healthcare professionals and patients and also inter-professional communication (NICE 2003). This guidance supports the use of the Liverpool Care for the Dying Patient Pathway (2004) which provides a fr amework for improving communication. It is therefore important that nurses develop the required skills to enable them to communicate effectively with patients and carers, and also with other healthcare professionals within the multidisciplinary care team. Reflection using Gibbs cycle (1) Description of the event Mr Smith is a 39 year old father and company director who discovered a testicular swelling. He chose to ignore this, initially because he misinterpreted it as a sports injury, and later because he felt embarrassed about discussing this with a doctor. Nine months later he presented to the emergency admissions unit as he was becoming breathless far more readily than usual, and suffered a constant backache. These symptoms were found to be due to lung metastases and referred pain caused by metastases in the para-aortic lymph nodes. His prognosis was poor and his family were called so that they could be there when he received the diagnosis to help support him. The consultant delivered the news to Mr Smith and his family in a quiet room, with both myself and another staff nurse present. Understandably, both Mr Smith and his family were devastated. (2) Feelings This case has had a huge impact on me. As this was the first time I had attended a case where bad news of this nature had to be broken to the patient and their family, I was naturally apprehensive prior to the event. On seeing the reactions of Mr Smith and his wife to the news, I was unprepared for the strength of my own emotions and found it hard not to cry. Initially, I felt helpless and unable to do anything to help relieve their suffering. I also felt awkward and as if I was intruding at a time when they should be allowed to grieve together privately. However, these feelings quickly passed and were replaced by a desire to do my best to make Mr Smith’s end-of-life care the best possible and provide as much support to both the patient and his family as I could. (3) Evaluation The consultant broke the news to Mr Smith and his family very well and was able to draw on his considerable experience to handle the situation in a professional manner while showing empathy and sensitivity. The choice of a quiet room rather than an open hospital ward provided an ideal environment which afforded Mr Smith privacy to receive the news. The consultant primarily focused on verbal methods to communicate effectively, but also used non-verbal methods, such as sitting down on their level, rather than standing while they sat down; maintaining eye contact with both Mr and Mrs Smith throughout the conversation; using open body language (e.g. not crossing his arms); and using a soft tone of voice. The consultant did not rush in breaking the news and took time to explain Mr Smith’s diagnosis and prognosis, ensuring that what he was saying was understood and providing clarification where necessary. He was also careful not to give unrealistic answers to any difficult questions that were asked and was as optimistic as possible, while still being open and honest. While the consultant was speaking, the other staff nurse observed the reactions of Mr Smith and his family closely to pick up on non-verbal clues to their thoughts and feelings and was quick to step in to place an arm around the shoulders of Mrs Smith when she began to cry which was clearly of great comfort to her. The only negative aspect of the incident was that I felt that having two staff nurses as well as the consultant present was excessive and initially unsettled the family, serving to emphasise the gravity of the situation. (4) Analysis Effective communication As this was the first time I had been involved in a case like this, my role was largely one of observer. Nonetheless, this was still an excellent learning experience and provided me with the opportunity to develop my verbal and non-verbal communication skills through observation. On reflection, I feel that I could have kept my emotions more under control, but I was unprepared for the strength of Mr and Mrs Smith’s response to the news. The consultant played the key role with support from the other staff nurse, both of whom have considerable experience in palliative care. It was clear that hey had already gained the trust of Mr Smith during previous consultations. Trust has been identified as a major factor in establishing successful relationships between healthcare professionals, patients and carers (de Haes and Teunissen 2005), and this enabled more effective, open and honest communication. In palliative care, it is important to relate to the patient on a personal as well as a professional level (Lugton and Kindlen 1999). There should be consistency between verbal and non-verbal communication in order for the healthcare professional to be perceived as genuine (Benjamin 1981). Evidence has shown non-verbal methods of communication to be more powerful than verbal methods (Henley 1973), with listening and eye contact among the most effective forms of non-verbal communication. Touch has also been identified as an important for nurses in certain situations. The consultant relied mainly on verbal communication which may reflect gender-specific differences in communication with men using verbal forms more frequently and women tending to rely more on non-verbal communication methods (Lugton and Kindlen 1999). Observing the other staff nurse readily use touch to comfort Mrs Smith helped the rest of the family to relax and lessened the tension in the room slightly, also breaking down the ‘barrier’ between the healthcare professionals and the patient/family. I observed that the family appeared to view the nurse as a comforter and more approachable than the consultant, a view that continued throughout Mr Smith’s end-of-life care. Although not relevant to this particular case, it is important to acknowledge that effective communication between members of the multidisciplinary palliative care team is also essential. This can be challenging if, for example, team members have differing philosophies of care. One of the key recommendations of the NICE guidelines on palliative care is the implementation of processes to ensure effective inter-personal communication within multidisciplinary teams and other care providers (NICE 2003). During Mr Smith’s end-of-life care, I had to work closely with other members of the care team and there were instances where it was important for me to consider the perspectives of other team members in order to communicate effectively with them. Regular team meetings were beneficial in creating a forum where difficulties could be discussed and solutions to problems found. Reactions to receiving bad news in palliative care After breaking bad news to a patient, healthcare professionals may have to be prepared to deal with a variety of reactions including denial and collusion, and emotional reactions such as anger, guilt and blame. Denial is often a coping mechanism for patients who are unable to face the fact they have a terminal illness but patients will often begin to face reality as their disease progresses over time (Faulkner 1998). Family members and carers may encourage the patient to stay in denial, as this will delay the time when difficult issues have to be faced and discussed. Collusion between healthcare professionals and families/carers to withhold information from the patient is usually viewed as a way to try and protect the patient (Faulkner 1998). However, honest and open discussion with the patient themselves establishes their level of knowledge and understanding and can help to reassure them about their condition and accept reality. Patients and their families and carers often show strong emotional reactions to bad news. Anger may sometimes be misdirected towards the healthcare professional as the bearer of this news, and it is important that the cause of the anger is identified and addressed. Patients may feel guilt, and that they are somehow being punished for something they have done wrong. Alternatively, the patient may serve to blame their condition on other people. While healthcare professionals are unable to take away these feelings of guilt and blame, ensuring the patient has the chance to talk them through and discuss relevant issues can help them come to terms with these feelings. Mr Smith’s reaction to the news was one of self-blame and guilt – he blamed himself for not visiting a doctor earlier and felt guilty that he was putting his family through so much. He appeared to accept his poor prognosis and asked a number of questions which demonstrated a full understanding of his situation. Spiritual and cultural beliefs can influence an individual’s experience of illness and the concerns of both patients and their families or carers may need to be addressed either at the time bad news is broken or at a later stage during end-of-life care when individuals are facing death (Matzo et al. 2005). Incorporating spiritual care into nursing is therefore particularly important in palliative care; however, since neither Mr Smith or his family were particularly religious, this was not a key issue in this incident or in his subsequent care. Control of cancer-related symptoms in palliative care Patients with advanced cancer are typically polysymptomatic (Grond et al 1994). Common symptoms include pain, fatigue, weakness, anorexia, weight loss, constipation, breathlessness and depression. Effective control of these symptoms is essential for optimal quality of life during end-of-life care. As previously discussed, one of the main processes in the GSF framework involves assessing patients symptoms and planning care centred around these, to ensure that these symptoms are controlled as much as possible (NHS 2005). Three symptoms that required effective management as part of Mr Smith’s care plan were pain, breathlessness and depression. One of Mr Smith’s greatest concerns was that he would suffer considerable pain during the advanced stages of his cancer. This is a common fear held by many cancer patients. Pain is a symptom experienced by up to 70% of cancer patients (Donnelly and Walsh 1995; Vainio and Auvunen 1996). Pain may result from the cancer itself, treatment, debility or unrelated pathologies, and accurate diagnosis of the cause(s) of pain is therefore important. The World Health Organisation (WHO) ‘analgesic ladder’ (WHO 1996) provides a system for managing cancer pain and has been shown to achieve pain relief in almost 90% of patients (Zech et al. 1995; WHO 1996). Pharmacological interventions for pain management include the use of non-opioids such as paracetamol, aspirin, and non-steroidal anti-inflammatory drugs (NSAIDS) for the control of mild pain. In Europe, oral morphine is the dug of choice for the control of moderate to severe cancer pain, but weak or strong opioids may also be used, either with or without non-opioids. Correct dosing of opioids and effective management of common side effects (e.g. constipation) are essential (Walsh 2000), and adjuvant treatment for specific pain may also be required. Non-pharmacological interventions include the provision of emotional and spiritual support, helping the patient to develop coping strategies, use of relaxation techniques, acupuncture or the use of a transcutaneous electrical nerve stimulator (TENS). Evidence from a meta-analysis of randomised controlled trials assessing nursing non-pharmacological interventions demonstrated these interventions to be effective for pain management but some trials showed minimal differences between the treatment and control groups (Sindhu 1996). Breathlessness is a common symptom among cancer patients which can be difficult to control and may cause considerable distress to both patients and their carers (Davis 1997; Vora 2004). Appropriate management frequently requires both pharmacological and non-pharmacological interventions (Bausewein et al. 2008). Pharmacological interventions include the use of bronchodilators, benzodiazepines, opioids, corticosteroids and oxygen therapy (Vora 2004). Non-pharmacological interventions which have been shown to be effective include counselling and support, either alone or in combination with relaxation-breathing training, relaxation and psychotherapy (Bausewein et al. 2008). There is limited evidence that acupuncture or acupressure are effective. Both anxiety and depression are common among patients with advanced cancer but both of these conditions are frequently under diagnosed (Barraclough 1997). Furthermore, these conditions are sometimes viewed as simply natural reactions to the patient’s illness. Pharmacological interventions such as antidepressants should be used if the patient show symptoms of a definite depressive disorder. Non-pharmacological interventions include relaxation, psychosocial therapies and massage (Lander et al. 2000). Optimal management of depression in patients with advanced cancer typically involves a combination of both pharmacological and non-pharmacological approaches (Lander et al. 2000). Ethical and legal considerations in palliative care There are a number of ethical and legal considerations in palliative care such as euthanasia and the right to withhold or withdraw life sustaining treatment. Those aspects which were of importance in this account address the patient’s right to know their diagnosis (i.e. autonomy). Evidence shows that the majority of cancer patients wish to know their diagnosis and the likely progression of their disease (Faulkner 1998). This may present a challenge for clinicians and nurses who may wish to try to protect the patient and convey an optimistic outlook even when the prognosis is poor. In the case of Mr Smith, he wanted to know as much information as possible about his diagnosis and treatment and the consultant and nurse answered his questions as openly and honestly as possible. (5) Conclusion Reflective practice is important both as a learning process and for the continuing professional development of nurses. The use of a model such as Gibbs’s cycle enables the nurse to move logically through the reflective process and provides a structured approach. Effective communication is essential in palliative care. Nurses and other healthcare professionals must be able to communicate effectively both with patients and their families/carers but also with other members of the multidisciplinary care team. The nurse plays a key role in the provision of supportive and palliative care and must develop excellent verbal and non-verbal communication skills. Breaking bad news such as that given to Mr Smith is one of the hardest tasks for healthcare professionals, regardless of their level of experience, and it is essential that the situation is handled professionally, but also with empathy and sensitivity, taking full account of the ethical and legal aspects of the situation. The use of non-verbal communication by the nurse is as important as verbal methods of communication. (6) Action plan This incident provided me with a valuable learning opportunity and were I to encounter a similar situation in the future, I would feel much better prepared to deal with this. I have learnt that preparation is important, for example, selecting a suitable environment in which to break the news, and ensuring that chairs are placed correctly within the room. Rather than relying primarily on verbal communication, I would be more aware of the effectiveness of non-verbal methods, particularly touch, if this was appropriate. I have also developed a greater awareness of the ethical issues surrounding breaking bad news in palliative care, and the need to be open and honest with the patient and their family where possible. References Atkins, S. and Murphy, K. 1995, ‘Reflective practice’, Nursing Standard, vol. 9, no. 45, pp. 3135. Bailey, J. 1995, ‘Clinical reflective practice; reflective practice: implementing theory’, Nursing Standard, vol. 9, no. 46, pp. 2931. Barraclough, J. 1997, ‘ABC of palliative care: depression, anxiety and confusion’, British Medical Journal, vol. 315, pp. 1365–8. Bausewein, C., Booth, S., Gysels, M., Higginson, I. J. 2008, ‘Non-pharmacological interventions for breathlessness in advanced stages of malignant and non-malignant diseases’, The Cochrane Database of Systematic Reviews, no. 3. Benjamin 1981, The helping interview, 2nd ed. Houghton Mifflin, Boston. Davis, C. L. 1997, ‘ABC of palliative care. Breathlessness, cough and other respiratory problems’, British Medical Journal, vol. 315, pp. 931–4. de Haes, H. Teunissen, S. 2005, ‘Communication in palliative care: a review of recent literature’, Current Opinion in Oncology, vol. 17, no. 4, pp. 345–50. Department of Health 2000, The NHS cancer Plan: a plan for investment, a plan for reform. Retrieved 1st September 2008 from: http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_4009609 Donnelly, S. Walsh, D. 1995, ‘The symptoms of advanced cancer’, Seminars in Oncology, vol. 22, pp. 67–72. Faulkner, A. 1998, ‘Communication with patients, families, and other professionals’, British Medical Journal, vol. 316, pp. 130–2. Gibbs, G. 1988, Learning by doing: a guide to teaching and learning methods. Oxford Further Education Unit, Oxford Polytechnic. Grond, S., Zech, D., Diefenbach, C., Bischoff, A. 1994, ‘Prevalence and pattern of symptoms in paients with cancer pain: a prospective evaluation of 1,635 cancer patients referred to a pain clinic’, Journal of Pain Symptom Management, vol. 9, p. 372–82. Henley, N. 1973, ‘Power, Sex, and Nonverbal Communication’, Berkeley Journal of Sociology, vol. 18, pp. 1–26. Hinchliff, S. M., Norman, S. E., Schober, J. E. 1993, Nursing practice and health care, 2nd ed, Edward Arnold, London. Jarvis, P. 1992, ‘Reflective practice and nursing’, Nurse Education Today, vol. 12, pp. 174–81. Lander, M., Wilson, K., Chochinov, H. M. 2000, ‘Depression and the dying older patient’, Clinics in Geriatric Medicine, vol. 16, no. 2, pp. 335–56. Liverpool Care Pathway 2004, Liverpool Care of the Dying Patient Pathway. Retrieved 1st September 2008 from: http://www.endoflifecareforadults.nhs.uk/eolc/files/F2091-LCP_pathway_for_dying_patient_Sep2007.pdf Lugton, J. Kindlen, M. 1999, Palliative care: the nursing role. Churchill Livingstone, London. Matzo, M., Matzo, M. L., Witt Sherman, D. 2005, Palliative Care Nursing: Quality Care to the End of Life, 2nd edn. Springer Publishing Company, New York. NHS 2005, The Gold Standards Framework. Retrieved 1st September 2008 from: http://www.goldstandardsframework.nhs.uk/ NICE 2003, Improving supportive and palliative care for adults. Retrieved 1st September 2008 from: http://www.nice.org.uk/guidance/index.jsp?action=downloado=28800 Sindhu, F. 1996, ‘Are non-pharmacological nursing interventions for the management of pain effective? – a meta-analysis’, Journal of Advanced Nursing, vol. 24, pp. 1152–9. Smith, C. 1995, ‘Evaluating nursing care; reflection in practice’, Professional Nurse, vol. 10, no. 9, pp. 593–6. Spalding, N. J. 1998, ‘Reflection in professional development: a personal experience’, British Journal of Therapy and Rehabilitation, vol. 5, no. 7, pp. 379–82. Tickle, L. 1994, ‘The induction of new teachers’, Castell, London. Urie, J., Fielding, H., McArthur, D., Kinnear, M., Hudson, S., Fallon, M. 2000, ‘Palliative care’, The Pharmaceutical Journal, vol. 265, no. 7119, pp. 603–14. Vora, V. 2004, ‘Breathlessness: a palliative care perspective’, Indian Journal of Palliative Care, vol. 10, no. 1, pp. 12–18. 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The Evolution of Change in Pride and Prejudice Essay -- Literary Analy

Pride and Prejudice, by Jane Austen, is a remarkable story showing the complications between men and women before and during their time of falling in love. The plot is based on how the main characters, Elizabeth Bennet and Fitzwilliam Darcy, escape their pride, prejudice and vanity to find each other; however, both must recognize their faults and change them. Jane Austen follows the development of Elizabeth’s and Darcy’s relationship in how they both change in order to overcome their own vanities and be able to love each other. Mr. Darcy is very proud and vain man. Darcy’s pride occurs because his family allows him to follow his principles â€Å"in pride and conceit† (Austen 310). Elizabeth decides soon after meeting him that he is a despicable man, much too abrupt and overweening, and obsequious to be liked by anyone, and lacking even the most basic social skills of the time he is very laconic with everyone The gentlemen pronounced him to be a fine figure of a man, the ladies declared he was much handsomer than Mr. Bingley, and he was looked at with great admiration for about half the evening, till his manners gave a disgust which turned the tide of his popularity; for he was discovered to be proud, to be above his company, and above being pleased; and not all his large estate in Derbyshire could then save him from having a most forbidding, disagreeable countenance, and being unworthy to be compared with his friend. (58) Not only does Elizabeth see Darcy as prideful, but the other characters do as well. Darcy’s pride results in his alienation from the others. Darcy has such a high opinion of himself that he creates a pariah reaction from Elizabeth. Elizabeth has her issues with her prejudice against Mr. Darcy and hi... ...After the proposal they talk about their past relationship by having a very benign conversation, and many misunderstandings are cleared â€Å"In vain I have struggled. It will not do. My feelings for you will not be repressed. You must allow me to tell you how ardently I admire and love you† (Austen 179).Their marriage is presented in a positive light because they have had to work hard to achieve it. Pride and Prejudice is an apt name for the book, since these notions permeate the novel thoroughly, especially in the views of Elizabeth and Darcy. Eventually when Elizabeth accepts Darcy’s final proposal we. Even after they both confess their love for each other; they pose and answer questions for each other. This shows that from the beginning to end, Darcy and Elizabeth have gone through major changes by putting aside their pride of themselves and prejudices for others.

The Great Gatsby: What Makes Daisy So Attractive?

â€Å"Her voice is full of money† (Fitzgerald, 120). This quote, said by important personality Gatsby, explains Daisy’s character and demeanor. Daisy Buchannan is one of the main characters in the novel The Great Gatsby. The wife of Tom Buchannan and the dream of Jay Gatsby, Daisy embodies the immoral and shallow values of the upper class East Egg. Although she is not very sincere, to most Daisy is attractive, beautiful, and sexy. What makes Daisy so inviting? She makes a man improve for her in order to get what they want, she has standards and she wants the best, and only the best. Since the beginning, Jay Gatsby has been madly in love with Daisy, or the thought of Daisy. Gatsby only knew Daisy for one month before he was deployed to war. Is one month enough to fall in love with someone? Five years later, Gatsby still believed that he was in love, and he conceived a new persona to make Daisy come back to him after she married Tom. â€Å"You're acting like a little boy†¦. † (Fitzgerald, 88). This was a quote that the narrator, Nick Caraway, said to Gatsby about how he was acting around Daisy. Jay Gatsby knew to get Daisy back he would need to become the absolute best, the richest, the most handsome, and the most charming. It might have been the challenge of being superior to the rest that was so appealing to Gatsby or it could have been Daisy’s dead-as-a-doorknob personality. The real question is, Is Daisy worth it? What makes Daisy so appealing to smart men such as Gatsby? Is it the challenge of becoming the best, or is it something else? Jay Gatsby wasn’t the only one who thought Daisy was worth more than perceived. Her husband, Tom Buchannan also believed that Daisy was a prize. To Tom, it seemed, that Daisy was a trophy wife, someone he could show off, not care about, come back, and she would still be there. What brought them together was money, the thing that they both loved and had in common. Nick summed up her love for money well, â€Å"She wanted her life shaped now, immediately—and the decision must be made by some force, of money†¦Ã¢â‚¬  (Fitzgerald, 151). Daisy didn’t care about who she loved more when she had to pick Tom or Gatsby; she cared about the money while she was making one of the biggest decisions of her life. To Tom, Daisy was a beautiful woman who he would love to have for his wife. Tom and Daisy were alike in that way, neither of them cared about personality or values; they cared about their reputation. It wasn’t Daisy’s disposition that made Tom marry her; it was her looks and reputation that he found attractive. Daisy Buchannan wasn’t one of the brightest aristocrats in East Egg to say the least. Her ditzy nature might have been cute to some, but it was obvious that it was more than just a darling quality. Daisy had no common sense, if a man was looking for just looks (like Tom), Daisy was the girl to go to. Her comment to Gatsby, â€Å"I’d like to just get one of those pick clouds and put you in it and push you around† (Fitzgerald, 94) made readers re-think why Jay Gatsby would be so far in love with her. â€Å"She never loved you, do you hear? She only married you because I was poor and she was tired of waiting for me. † (Fitzgerald, 130). There must have been something special about Daisy for Tom Buchannan and Jay Gatsby to have such strong feelings for her. Whether it was her looks, her dimwits, or her money she had what other women would die for, two of the richest and most known men in East Egg fighting over her. What makes Daisy Buchannan so attractive? To some, it’s her looks, the thought of what she might be like, to others it’s her money or her innocent ditz, and certain people might even find her repulsive. The readers of Fitzgerald’s The Great Gatsby will take strong stands on Daisy and her character.