Wednesday, December 25, 2019

African Studies A Large Part Of The Misconception Of Africa

Stereotypes play a large part of the misconception that the world has on the massive African continent. Africa is not only one of the biggest continents but has a lot of history behind it, this makes people misunderstand the true meaning of Africa as well as Africans. In order to fully grasp the study of Africa, the culture, origins, experiences, environment, etc. of the continent and its people must be studied and understood. (Azevedo 6). Africa’s history is vast and complex continent when compared to the 1st world countries. This makes it difficult for some to comprehend and understand when learning about it. Previous studies of Africa done by specialists mostly took a scientific approach where they try to answer the questions of how, why, who, when, where, and what (Azevedo 7). The answers to these questions incorporate unforeseen behavior of people, which cannot rely on scientific methodologies (Azevedo 7). The errors from early African studies have given generations a mi sconception of Africa’s connection to the outside world. The historical and current stereotypes have led to a flawed view of African economy, politics, culture, and their people. Media typically displays horrendous events happening in Africa which gives the world a false sense of what Africa is and the potential that it has. If that view on Africa is going to change, the western societies must change how they portray Africa in the media and a composite scholarly framework must be established. TheShow MoreRelatedThe Geographic Landscape Of The African Continent1594 Words   |  7 PagesWhen it comes to discussing the geographic landscape of the African continent people are quick to overlook the important role that soil has played in the development of cultures and civilizations in Africa because it can be so easily overshadowed by Africa’s other geographic features such as its rivers, mountains, deserts and grasslands. However, to ignore soil is undoubtedly a mistake because â€Å"African soils cannot be separated from African history† (Showers 118). Soils are literally the foundationRead MoreThe Economic And Social Structure Of Africa1661 Words   |  7 PagesIn the past, research of Africa was not prioritized because it was believed that Africa had not influenced society and that it was not worth studying. Recently, however, more and more people are realizing the value of studying Africa. Studying different aspects of Africa help us understand Africans, ourselves, and the world as a whole. One field of study that should recognize what there is to learn from Africa is economics. Studying Africa gives us a better understanding of how economics influencesRead MoreWhy Is The Perception Of Africa Limited For Violence And Poverty?1490 Words   |  6 Pagesa general consensus of how Africa is depicted as a continent. Today, I challenge you to disregard all that you have been told about Africa and understand that it s rich culture and resources have been in place far before most civilizations in the Western Hemisphere. Most citizens in developed countries see starving children who suffer in Africa, pleading for donations, and associate the images they see with helplessness and draw an assumption that the land of Africa is worthless. However, thatRead MoreRites Of Passage, Right Or Wrong1720 Words   |  7 Pagesor Wrong†? Throughout history the term â€Å"rights of passage† has been used to describe the transition of a person into a new stage of their lives. Rites of passage are relevant in every day life all over the world. Most prominently though, Africa has a large population of people whose groups still practice traditional rites of passage to mark special life achievements. Basically, anything meaningful that happens within their tribe such as the birth of a child, the entrance into adulthood, marriageRead MoreHiv/Aids Essay1086 Words   |  5 Pagestoday are as diverse as the people that are affected by the disease. Advocating for a large group of people takes action at the macro human service practice. The goals and intervention strategies will be similar to micro human service and will involve the same strategies to bring justice to human rights for all members of society. One strategy is including a broader range of other diversity in research in gender studies, including gay, lesbian, bisexual, and transgender people (GLBT). Men and GLBT peopleRead MoreThe World Of The United States Essay1375 Words   |  6 PagesMuslims on Colombus’ ships. The arrival of Muslims was first documented in the 17th century when the slaves arrived from Africa. Dating pre-arrival to America, it is said that some Africans were converted to Islam by Arab invaders during the conquering of North Africa. Between the beginning of the 18th century and the end of the 19th century, an estimated half a million Africans arrived in the U.S. Having an estimated fifteen to thirty percent of slaves arriving as Muslims, Islam was suppressed stronglyRead MoreWesternization Vs. Eating Disorders1645 Words   |  7 Pagesideal of relevant culture. Those that are apart of the Pa Dong Tribe, which reside among the boarder of Thailand, practice the elongating of the neck through the use of brass rings. African and Amazonian tribes consider beauty through the stretching of their lips that is achieved using large lip plates. Tribes in Africa strive to achieve a larger body weight by eating over 15,000 calories a day in order to be more desirable partners as well as to gain a higher status. Similarly, in westernized countriesRead MoreWhy Diamonds Are Worth A Diamond1450 Words   |  6 Pagesare a lot of studies dealing with diamonds and the diamond trade. Most of the studies focus mostly on one asp ect of the diamond trade while other show multiple parts of the diamond trade. Some of the studies take into account the area where the diamonds are mined and the how the carat and the cut affect the price. Some of the studies look into the history of how diamond engagement rings became popular and who was responsible for the popularity. The main focus for each of the studies is whether diamondsRead MoreThe Interconnected Nature of Media, Culture and Society Essay example1672 Words   |  7 Pagesthe world. It’s almost impossible these days to have a conversation that doesn’t involve the world of social media. In the world of today, media has become as necessary as food and water as it plays a crucial role in strengthening society. Media Studies is a programme that pursues to comprehend how the world can be shaped by media industries and practitioners (Purvis, T. 2006). The role of the media is to give the public all the relevant information and incidences that are occurring around the worldRead MoreThe National Africana Studies Association Essay1988 Words   |  8 Pagesyouth about the complexity, diversity, and pure beauty that is defined by Africa. I have been sent to speak to you by the National Africana Studies Association as part of a campaign to promote the study of â€Å"Africa in the classroom.† Throughout the course of my journey, I’ve seen how obvious it is that the high schoolers across the country have little to no knowledge about Africa. Qui te frankly, I feel that the lack of African knowledge serves as a tremendous disadvantage to an individual by inhibiting

Tuesday, December 17, 2019

Pastoral Care And Pastoral Counseling Process - 1805 Words

The minister or pastor had many tasks which are preaching, church administration, liturgical leadership and pastoral care. Indeed one of his problems in attaining self-knowledge is the necessity of coming to terms with so many demands and the discrepancy between what he conceives as his chief ministry and the preoccupation with running the church. Two points concerning the vocational aspect of the minister’s self-knowledge need special attention. First, the pastor must work out his definition of what of what is distinctive in his counseling as pastor. Second, the pastor must be a theologian, and the kind of practical theologian who can keep theological concepts in significant relation to human experience. II. Theological reflection on pastoral care and the pastoral counseling process What is the relationship between theology and the work of pastoral care and counseling? The theological reflection on pastoral care and the pastoral counseling process have several directions one may take. I believe that this topic is huge and I am going swam around it because it is not my subject of interest. I believed that theology is the heart which we discourse about God. But remember every one of us have its own theology sort of. Each person has some idea about the nature of the universe, about humanity, and about the purpose of life. Sometimes you may find someone who says that they are an atheist or know about atheist. Somehow they may have been raised in a church but now haveShow MoreRelatedPASTORAL COUNSELOR S IDENTITY AND ETHICS PAPER BClayton1713 Words   |  7 PagesUNIVERSITY PASTORAL COUNSELORS IDENTITY AND ETHICS PAPER A PAPER SUBMITTED TO DR. STEVEN BROOKS PACO 500 INTRODUCTION TO PASTORAL COUNSELING BY BEN CLAYTON JR. DETROIT, MICHIGAN MARCH 22, 2015 Abstract This paper is comprised of information gathered in order establish and identify ethical boundaries and guidelines that are to be adhered by this counselor. This study also includes information that is needed to obtain necessary licensing and training to ensure proper pastoral care training isRead MoreTheological Of Pastoral Care And Pastoral Counseling1354 Words   |  6 Pagestheological of pastoral care and pastoral counseling I will view all the human being as it was written in the beginning with Genesis 1:27: And God created man to his own image: to the image of God he created him: male and female he created them. As I know the creation of human being, therefore, my pastoral care and pastoral counseling will also views all human being as spiritual and bodily creatures created by God. As a result, my priority in pastoral care and pastoral counseling is that I wasRead MorePastoral Reflection paper1611 Words   |  7 Pagesï » ¿ Pastoral Counseling Reflection Paper University Abstract This paper shares a reflection of my pastoral counseling experiences. My experiences have been while serving overseas as a M, along with my time serving at Church as the Assiocate Pastor. In this paper I will share past events and what I have learned from them when it comes to counseling. I will share what I have learned through reading the assignment required by PACO 500 and how it has changed the way I view my past experiencesRead MoreProspects For Future Study1169 Words   |  5 Pageschaplaincy believes is missing and what the comfortability with using pastoral counseling to inoculate Soldiers would be. Regardless of the official military uses for this training, the Project Director believes that a wonderful future direction would be to find a way to take this training and adapt it to train youth ministers, pastors, and any leaders. This would allow senior pastors or other leaders to train ministers to be better pastoral counselors in their own churches with people who have nothingRead MoreFinal Project Essay7836 Words   |  32 PagesSOLUTION-BLESSED BRIEF PASTORAL COUNSELING PROJECT by Amy Tahran L22263350 Presented to John Hobbs, In partial fulfillment of the requirements for PACO 500 Introduction to Pastoral Counseling Liberty Theological Seminary Lynchburg, VA 12 August 2011 ABSTRACT For this project, I am placing myself in a hypothetical context as a staff pastoral counselor at my home church in Valley City, ND, serving a congregation of approximately 200. I have chosen as my overarching goal forRead MoreBereavement And Pastoral Counseling : The Loss Of A Loved One Through Death1543 Words   |  7 PagesBEREAVEMENT AND PASTORAL COUNSELING The loss of a loved one through death is one of the most difficult situations that people must cope with. People need the support of others during their time of bereavement. Because of this, pastoral counseling plays a vital role in helping people overcome feelings of grief. It is important for pastoral counselors to be able to provide consolation and hope to those who are undergoing the process of bereavement. Death is a natural part of life because everyoneRead MoreTheological Issues On The Body Of A Person Is Broken Through The Lens Of The Adult Mind1436 Words   |  6 Pagesbroken through traumatic experience like CSA, the question of worth within the self, family and in the larger body of Christ emerges. Victims who find it difficult to view God as love and sustainer and thus accurately ascribe self-worth may find pastoral assistance helpful. Sin’s distortion of value causes a restructuring of reality into a more tolerable version and â€Å"these postures of refusal and resistance are an idolatrous turn† (Ramsay, 1998, p. 159) away from God. Selfishness, negativity, promiscuityRead MoreCommunication Strategy in Pastoral Counseling2804 Words   |  12 PagesCS in PC 1 Communication Strategy; Use in Pastoral Counseling Rosa Menchen COMM 200 Instructor B. Matts May 24, 2010 CT in PC 2 I not only plan on furthering my career, but attending post graduate school, and obtain a MDiv. My ultimate goal is to become a health care chaplain, and/or an emergency chaplain. Having previous experience in the health care field, as well as a chaplaincy in the American Legion for several years, I have found that pursuit of this goal would not onlyRead MorePACO 500 Identity And Ethics LAT 2 Revised Essay3666 Words   |  15 Pagesï » ¿ PASTORAL COUNSELOR’S IDENTITY AND ETHICS PAPER Lisa A. Thomas Liberty University CONTENTS Abstract 2 Paradigm for Identity and Ethical Boundaries†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦.4 Potential for Professional Partnerships ...†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦6 An Organizations Ethical Guidelines †¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦.7 Pre-Counseling Package†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦. 8 Conclusion†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦...†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦. 10 References 10 Appendix†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦11 Rubric†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Read MorePastoral Care and Counseling Essay5654 Words   |  23 PagesIntroduction Pastoral care and Counseling is one of the important ministries in the Church at any place in the world. Our churches are filled with people who experience crisis, lost, loneliness, anxiety, depression, divorced, and family problems. Pastors have a huge opportunity to help people just by listening and encouraging those in household of faith. In some cases it is just enough to listen and teach biblical principles of living but in the other cases there is the need to be specifically train

Monday, December 9, 2019

Complex Nursing

Question: Case Study Report onthe potential impact of chronic and complex conditions on the patient. Answer: Introduction In medical science, the comorbidity refers to one or more than one additional disorders or diseases co-occurring with a primary disorder or disease. According to ACCORD Study Group (2010), it is found that the comorbidity may include behavioural as well as mental disorders along with several related issues. Although the concept of comorbidity initially indicates an association of other diseases or conditions independently along with another medical condition or disorder, it is found that sometimes the sense of this terminology is overlapped with the concept of complications. In the case of prolonged diabetes mellitus, Group (2010) opined that it is very complicated to measure whether the occurrence of coronary artery disease is independent of the primary disease (diabetes mellitus) or it is the comorbidity of the primary disease. In medical science, the comorbidity can be synonymised as polymorbidity, multimorbidity, polypathy, multifactorial diseases, dual diagnosis and pluralpathology (Scirica et al., 2013). In this article, the researcher aims to identify the comorbidities of type 2 diabetes based on a case study. Over View of the Case Study Luigi (77), a retired old man is living in Australia for 40 years with his wife and a son. His health condition is declining from past 15 years as he is suffering from type 2 diabetes. Although he was consuming metformin 500mg BD, it is found that he is careless about his declining health condition. Luigi never pays attention to his overweight or increasing blood sugar level. It is found that he is also very reluctant about his diet chart. Recently, Luigi noticed that his vision is blurring and ankles are swelling. It is also recognized that his blood pressure has increased, and protein, as well as glucose, is present in his urine sample. Later he is diagnosed with "chronic renal failure." The pathophysiology of chronic and complex conditions and their related clinical manifestations According to Malik et al. (2010), the diabetes mellitus type 2 can be characterized as insulin resistance, high blood sugar as well as the relative lack of insulin. The common symptoms of this disease may include frequent urination, increased thirst, as well as unexplained weight loss. On the other hand, Nouwen et al. (2010) opined in their study that diabetes mellitus type 2 is a heterogeneous syndrome, which can be characterized by abnormalities in fat and carbohydrate metabolism. It is also found from the research study that the causes of type 2 diabetes are multifactorial, which may include both environmental as well as genetic elements, which can affect tissues (muscle, adipose tissue, liver, and pancreas) as these are insulin sensitive. The environmental and genetic factors can also have an impact on the beta-cell function. All though both reduced insulin sensitivity and beta-cell dysfunction play an important role in the development of type 2 diabetes, it is found that the res earchers debated about the relative contributions of these two factors to the pathogenesis of type 2 diabetes. The pathophysiology is considered as a junction of physiology with pathology. Pathology is defined by Chen et al. (2012) as the medical discipline, which elaborates conditions typically notices in the period of a disease state. On the other hand, physiology can be best described as the biological discipline, which elaborates mechanisms or process operating within an organism. While discussing the pathophysiology of the type 2 diabetes, it is found that both environmental and genetic factors play an equal role in the occurrence and severity of the disease. However, the mechanisms to control the interplay of environmental factors and the genetic factors are not very clear. Carter et al. (2010) suggested in their research study that there may be some factors that can be possibly linked with beta-cell dysfunction and insulin resistances in the context of the pathogenesis of type 2 diabetes. From the study of Ismail-Beigi et al. (2011), it is found that a majority of patients who are suff ering from type 2 diabetes are diagnosed as obese with central visceral adiposity. Therefore, it can be said that the adipose tissue should play an important role in the pathogenesis of diabetes mellitus type 2. One of the most important paradigms used to explain this link is the visceral / portal hypothesis, which plays a key role in the elevation of the concentration of non-esterified fatty acid. Apart from this paradigm, two new paradigms are also discussed among the researchers, such as "ectopic fat storage syndrome" as well as the adipose tissue as endocrine organ hypothesis. The hypothesis of ectopic fat storage syndrome is focused on the deposition of triglycerides in pancreatic cells, liver, and muscle. On the other hand, the adipose tissue as endocrine organ hypothesis includes the secretion of different adipocytokinase such as leptin, resistin, TNF alpha, which take part in beta- cell dysfunction and insulin resistance. The comorbidity, which is related to this chronic disease are obesity, glaucoma, chronic kidney failure and high blood pressure. According to Inzucchi et al. (2012), due to type 2 diabetes mellitus the adipose tissues get harmed and lead towards the increase of weight. On the other hand, the study showed that the patients with type 2 diabetes mellitus also have uncontrolled hypertension as the blood pressure continuously get elevated. According to Qaseem et al. (2012), the kidneys cells are also affected due to type 2 diabetes mellitus and leads to the acute kidney failure. Increasing level of glucose can also affect the retina and cause blurred vision. And last but not the least occurrence of this chronic disease can lead toward the cardiovascular disease (CVD) and cause heart failure. A discussion of the complexity and chronicity of the patients condition Based on the case study it is found that Luigi is suffering from longstanding type 2 diabetes mellitus (from last 15 years). The health condition of Luigi is continuously declining due to the suffering of type 2 diabetes which is recognised to be a chronic disease. According to Singh et al. (2013), chronicity is considered as a term, which denotes continuance and consistency, in the onset of an illness. It is also found that the chronicity of an illness indicates to the disease, which goes upon for a prolonged treatment. It is found from the research study of Rubino et al. (2010), that diabetes can be considered as a chronic illness, which anchors other illnesses and increases morbidity. Luigi is suffering from this disease for a long time, which has a deep impact on his health. Due to the presence of type 2 diabetes and his negligence he developed other diseases such as chronic kidney failure, glaucoma, high blood pressure as well as overweight. The increasing number of anchored diseases in his body also increased the complexity of his treatment and in his lifestyle. According to Bangalore et al. (2011), it is found that the management of the complex chronic diseases is always difficult as well as critical for the older people. Patient like Luigi, who is suffering from several comorbidities, needs to have special care as well as specific medical attentions. The patients comorbidities According to the case study, Luigi is suffering from a chronic disease (type 2 diabetes mellitus) from past 15 years. As a trained professional nurse, after reviewing his present condition, it can be said that the reason behind the continuous declining of the health of the patient is not only the occurrence of type 2 diabetes mellitus but also the comorbidity-related with this chronic diseases. It is found that Luigi is already suffering from several comorbidities such as glaucoma, dyslipidemia, high blood sugar (hypertension), glucosuria, obesity, cardiovascular disease and acute kidney failure. According to Lee et al. (2011), it is recognized that these comorbidities are the medical conditions that occur and are facilitated by the primary diseases; however, they can also exist as own specific disease. On the other hand, it is also found that it is not necessary that all of the comorbidities should occur in every person who are suffering from the same chronic disease. In this case study it is found that Luigi is suffering from most of the comorbidities of type 2 diabetes but not necessarily all of them. According to the study of Singh et al. (2013), NAFLD (Nonalcoholic fatty liver disease) is one of the most frequently occurring comorbidity of type 2 diabetes; however, after studying the case study, it is found that Luigi was not suffering from NAFLD. Impact of these conditions on the health of the patient and his family According to Qaseem et al. (2012), the occurrence of type 2 diabetes mellitus not only has an impact on the health of a patient but also has an impact on the social life as it interferes with day to day work of the patient. Luigi is unable to perform the outdoor work, which is evidently not supporting the sustainability of the family. Uncontrolled diabetes leads to elevated blood sugar and eventually welcomes the risk of heart failure, damage of blood vessels, nerves and eyes. According to () fifty per cent of the patients with type 2 diabetes undergo heart stroke. Damage of nerves or neuropathy causes numbness of feets, hands and limbs including pain (Chen et al. 2012). Neuropathy accompanied with reduced blood flow in the feet enhances the possibility of foot ulcers and further limb amputation. Retinopathy was found to be the contributing factor of blindness resulting from damage of retinal blood vessels (Lee et al. 2011). According to (Rubino et al. 2010) about 10 % of patients develop visual impairment after being diagnosed with diabetes for fifteen years. On the other hand, the occurrence of type 2 diabetes mellitus and comorbidities of this disease can also have an impact on the family economy. According to Ismail-Beigi et al. (2011), the increasing rate of fees and cost of medicines in Australia for the treatment of diabetes is considered as a burden on the family who has members suffering from type 2 diabetes mellitus. Clinical manifestations and medications of the patients The clinical manifestation of type 2 diabetes may firstly, include diagnosis which can be started with blood testing for sugar levels. Secondly, high blood pressure, obesity, decrease sensation in legs, weak pulse rate, ulcers, infections of the feet are the common symptoms that are helpful for diagnosing diabetes. The laboratory tests may include: FPG (fasting plasma glucose), OGTT (oral glucose tolerance test), random blood glucose test, blood creatinine test, and clinical examination for kidney disease and lipid profile of the patient. To control the type 2 diabetes, it is important to follow a proper diet chart and exercise routines. According to Chen et al. (2012), it is found that those patients with type 2 diabetes who are maintaining a good diet chart have improved from their present condition. A healthy diet chart of a person with type two diabetes mellitus should include low cholesterol, less amount of Trans fat, fewer calories and nutritionally balanced food. Apart from these, it is also found that injection of insulin and other medicines such as metformin are essential. Conclusion After analysing the present condition of the patient as described in the case study, it can be said that Luigi is suffering from chronic type 2 diabetes mellitus, which not only has an impact on his health but also in his social life. He is a 77 years old person and therefore he is less potential to fight against this chronic disease. On the other hand, it is also found the comorbidities of this disease has affected his life style. The reason behind of his health decline is not only the type 2 diabetes mellitus but also the comorbidities such as glaucoma, hypertension, chronic kidney failure and obesity. However, his negligence of diet chart and medicines has lead to the deterioration of his health. Therefore, it can be said that with a better diet chart, medicines and involvement in proper exercise procedure, he will be able to recover himself from the current state. Recommendations After reviewing the current state of Luigi, he is recommended to follow a proper diet chart along with a proper exercise routine. He is recommended to adhere to his medication strictly and also intake medicines for the chronic disease as well as comorbidities. He must control his blood sugar level strictly and avoid using NSAIDS. Reference ACCORD Study Group. (2010). Effects of intensive blood-pressure control in type 2 diabetes mellitus.The New England journal of medicine,362(17), 1575. Bangalore, S., Kumar, S., Lobach, I., Messerli, F. H. (2011). Blood pressure targets in subjects with type 2 diabetes mellitus/impaired fasting glucose observations from traditional and bayesian random-effects meta-analyses of randomized trials.Circulation,123(24), 2799-2810. Carter, P., Gray, L. J., Troughton, J., Khunti, K., Davies, M. J. (2010). Fruit and vegetable intake and incidence of type 2 diabetes mellitus: systematic review and meta-analysis.Bmj,341, c4229. Chen, L., Magliano, D. J., Zimmet, P. Z. (2012). The worldwide epidemiology of type 2 diabetes mellituspresent and future perspectives.Nature Reviews Endocrinology,8(4), 228-236. DeFronzo, R. A., Cersosimo, E., Mandarino, L. J. (2011). Pathogenesis of Type 2 Diabetes Mellitus 6. Group, T. A. S. (2010). Effects of combination lipid therapy in type 2 diabetes mellitus.The New England journal of medicine,362(17), 1563. Inzucchi, S. E., Bergenstal, R. M., Buse, J. B., Diamant, M., Ferrannini, E., Nauck, M., ... Matthews, D. R. (2012). Management of hyperglycaemia in type 2 diabetes: a patient-centered approach. Position statement of the American Diabetes Association (ADA) and the European Association for the Study of Diabetes (EASD).Diabetologia,55(6), 1577-1596. Ismail-Beigi, F., Moghissi, E., Tiktin, M., Hirsch, I. B., Inzucchi, S. E., Genuth, S. (2011). Individualizing glycemic targets in type 2 diabetes mellitus: implications of recent clinical trials.Annals of internal medicine,154(8), 554-559. Kohei, K. A. K. U. (2010). Pathophysiology of type 2 diabetes and its treatment policy.JMAJ,53(1), 41-46. Lee, W. J., Chong, K., Ser, K. H., Lee, Y. C., Chen, S. C., Chen, J. C., ... Chuang, L. M. (2011). Gastric bypass vs sleeve gastrectomy for type 2 diabetes mellitus: a randomized controlled trial.Archives of surgery,146(2), 143-148. Malik, V. S., Popkin, B. M., Bray, G. A., Desprs, J. P., Hu, F. B. (2010). Sugar-sweetened beverages, obesity, type 2 diabetes mellitus, and cardiovascular disease risk.Circulation,121(11), 1356-1364. Nouwen, A., Winkley, K., Twisk, J., Lloyd, C. E., Peyrot, M., Ismail, K., ... European Depression in Diabetes (EDID) Research Consortium. (2010). Type 2 diabetes mellitus as a risk factor for the onset of depression: a systematic review and meta-analysis.Diabetologia,53(12), 2480-2486. Qaseem, A., Humphrey, L. L., Sweet, D. E., Starkey, M., Shekelle, P. (2012). Oral pharmacologic treatment of type 2 diabetes mellitus: a clinical practice guideline from the American College of Physicians.Annals of internal medicine,156(3), 218-231.

Sunday, December 1, 2019

Mary Shelly Essays - Romanticism, Gothic Novels, Horror Novels

Mary Shelly Thesis: Mary Shelley has become one of the most renowned Gothic authors because of her descriptions and settings and her use of many significant themes. Mary Wollstonecraft Shelly has written many books in her life. She has received much criticism about one of her books inperticular, Frankenstien. Frankenstein was one of her most famous novels. Shelly had written Frankenstein in order to enter a contest but what few people realized was that Frankenstein was one of many nightmares that Shelly had during her rough childhood. Shelly has become one of the most renowned Gothic authors because of her use of graphic descriptions and settings and her use of many significant themes. Mary Wollstonecraft Shelly was born in London on August 30, 1797. Shelley was the daughter of a philosopher named William Godwin. Shelly's mother died while giving birth to her and her father was remarried in 1801(Drabble 121). Shelley disliked her father's new wife so, as a result, he sent her to go live in Dundee with the Baxter's, foster parents, where she stayed until 1814. Shelley took many visits back to London to visit her father (Bloom 3014). On May 5, 1814, Mary met Percy Bysshe Shelley on one of her visits to London. Percy Shelley left his wife, Harriet, and went to France with Mary (Bloom 3014). Shelley returned to London to give birth to a daughter only to lose the child two weeks later. Percy Shelley proposed to Mary Godwin and they were married in 1816. Shelley became pregnant again and again lost the child at birth. Out of four children, only one survived, Percy (Drabble 121). While the Shelley's were traveling thought Italy, they had sent letters to their friends asking for financial support. During this time, many legal battles were being fought over publishing matters, the Shelley estate, and the four children from Percy's previous marriage. Shelley's next two children died Clara and William Shelley. In 1818 Clara died barely one year old and in 1819, William died at the age of three. Finally, in late 1819, a forth child was born. A son, Percy Florence, was the only one of the four children to grow to maturity (Bloom 3015). On the morning of July 28, 1822, Percy Shelly was sailing with his close friend Edward Williams in his boat Ariel. The boat was tipped and Shelly drowned in the Gulf of Spezia during a heavy storm. After Percy's death, Mary refused to turn her son over to Percy's father Sir Timothy, so she turned to writing to support her family (Drabble 121). Some of Shelley's earlier novels include: Valperga (1823), The Last Man (1826), and TheFortune of Perkin Warbeck (1830) (Drabble 122). Many people consider The Last Man to be Shelley's most famous work. The central vision of this novel is the spiral of human history in the central vision. The Last Man is set in the distant future, at the time, of the twenty-first century. This novel begins with a peaceful and flourishing society but tragically ends with total death throughout the world by the plague. Only one man survives this decimation, Lionel Verney (Bloom 3018). Lionel Verney has nothing to anticipate except the endless and desolate journey from city to city. All of the world's treasures are his for enjoyment. All of the great libraries and coffers are open to him only. Only one thing is missing from this novel, companionship. Companionship is a key aspect of The Last Man. Lionel doesn't want all the earthly treasures; he only wants a friend (Bloom 3018). Shelley's most famous novel, Frankenstein, has much of the same aspects and ideas. Both novels deal with the knowledge of good and evil and both novels deal with the aspect of friendship and being accepted. Shelley's characters in Frankenstein are all tied together in some shape or form. Victor Frankenstein was one of the main characters in this novel. His actions in the later stages of this novel directly effect the outcome (Bloom 3018). Victor Frankenstein was born in Geneva. Victor showed an early promise in the natural sciences. When he grew older, his father sent him to the University of Ingolstadt. Victor learned all that the university could teach him in the natural science