Spensers Amoretti and the Patterns of Domination and Recognition :: Spenser Amoretti Essays

Spenser's Amoretti and the Patterns of Domination and Recognition Edward Spenser's sonnet sequence, Amoretti[1], traces a lover's difficult courtship of his lady. Though he is eventually successful and they wed, the lover and lady must compromise, each giving up some of their independence and power, before they are able to love each other freely. By using Jessica Benjamin's book, The Bonds of Love, one can see the struggle for dominance and independent identity between the lover and mistress slowly evolving and resolving into a relationship of mutual recognition. Benjamin's model of dominance and recognition identifies the lover and mistress's progress as moving through various stages of domination and submission to mutual recognition, with both selves dominating and submitting at different times before reaching a state of equality. Benjamin bases her model of domination and recognition on the intersubjective theory of psychoanalysis. Intersubjectivity "maintains that the individual grows in and through the relationship to other subjects. Most important this perspective observes that the other[2] whom the self meets is also a self, a subject in his or her own right. It assumes that we are able and need to recognize that other subject as different and yet alike, as an other who is capable of sharing similar mental experiences" (20). Edna also needs recognition because that affirms her selfhood. Otto's recognition of her actions lets Edna define herself more clearly through his response to her actions (21). When Otto doesn't recognize Edna, doesn't treat her as an equal, conflict arises. Edna becomes aggressive, trying to force recognition from Otto. He, when faced with aggression, can either choose to be alone, and therefore somehow destroy Edna, or choose to become attuned to her and surrender (28). Surrender doesn't mean submission here; it means Otto recognizes Edna as an equal. From this surrender, a relationship can proceed on equal footing, with occasional imbalances in power common to relationships. If Otto chooses to destroy Edna, however, domination occurs. A self that chooses domination over surrender is generally fighting for independence. It is afraid to relinquish any independence or control.

Education And Teamwork

Is a college degree really necessary, and if so, is it worth the immense amount of debt that so many of us are in? Education importance is a subject that is up for debate, but it can be hard to deny the importance of knowledge in everyday life. One reason why education is important is that, education is about far more than the marks you receive. It's about understanding right from wrong and having the knowledge you need to stay know in today's society.It helps to develop your perspective on the world around you and pushes you to think both creatively and conceptually about many different subjects. Without education, sensory information would simply be lost. Education allows us to process the information we receive on a daily basis and make conclusions and inferences based on what we already know. Another reason why education is important is that, education helps people grow as individuals.It opens your mind to many things that you haven't been exposed to before, and classrooms allow for healthy discussion on difficult subjects. Education helps build social skills, problem solving skills, decision making skills and creative thinking skills. It introduces you to different cultures, religions and thought processes that o may never be exposed to otherwise. Education also provides a stepping stone to the real world, offering many different courses on proper financial techniques, life planning and personal development.TEAM stands for T – Together E – Everyone A – Achieves M – More† Teamwork is very important in everyday life, it teaches us what it is like to work with others, respect, and motivation. In team work you have a greater number of people working together in close proximity on the same goal. The motivation factor is going to be high especially when the team members understand each other, have a sense of healthy competition, are willing to help the others along and are big-hearted enough to take pride in each other's success es.After all, what's the fun in celebrating bayou are going to do it alone? People working in teams tend to learn more by their interactions with each other. Brainstorming sessions can help you view the same problem from different perspectives and arrive at the best possible solution. If you were working alone, it is quite possible that you would have not thought bout the different possible ways through which you could solve the problem.When you have a number of people specialized in different areas working together, it is easy to divide the tasks according the strengths and interests of each person and at the same time, keep everyone happy. If you are able to work in an area which is in task with your likes and interests, you will be able to put in your hundred percent into the job. These two things is very important in our lives and makes us who we are. No matter you like it or not you will always have education and teamwork in your life.

The Great Wall Of China - 1123 Words

â€Å"The construction [of the Great Wall] demonstrates the manifestation of the wisdom and tenacity of the Chinese people.†(cortland.edu). China is considered one of the world’s oldest civilizations with the first dynasty beginning in 221 B.C.. A famous icon of this great civilization is the Great Wall of China, or known to the Chinese as Wan Li Chang Cheng. During the Warring States period, many feudal societies built their own sections for security. Eventually the walls were connected and there was a unified China. With the wall being 13,171 miles long, it is a major feat in human history. The Great Wall of China is a reflection of chinese culture. This reflection can be identified through the Qin Dynasty, Ming Dynasty, and present China. The first dynasty, known as the Qin Dynasty, was short lived. It lasted from 221-206 B.C.. Before ascending to power, they belonged to a feudal time in Chinese history with the ruling family being the Zhou. They became a close ally to them and were able to expand territory and earn experience in warfare. Their ruthlessness in battle also helped them gain power. The Qin were the main power of the West. From this Warring States period â€Å"Ying Zheng, King of Qin, †¦ emerged victorious †¦ and proclaimed himself Shi Huangti - `first emperor - of China in 221 BCE†(ancient.eu). They ruled using legalism â€Å"under which all resources of the state were concentrated on military power†(The Land People of China). Due to uprisings from the suppressed people,Show MoreRelatedThe Great Wall Of China1196 Words   |  5 Pagesincludes modules of ________ so you can see the construction of _____ Today I am going to be presenting the Great Wall of China and what political and military reasons it was built for. The construction was a feat of great magnitude and reflected the innovations and technological advancements of the Ancient Chinese. The reason I have decided to focus upon the Ancient Chinese is because I find China a very interesting civilisation. The ancient Chinese civilisation began 7,000 to 8,000 years ago and aboutRead MoreThe Great Wall Of China1266 Words   |  6 Pages The Great Wall of China James Allen World History 1st period February 1, 2015 The first unified Chinese empire was formed in 221 B.C., that was when seven states were brought together by Shi Huangdi, a conqueror from the state of Qin. Shi Huangdi means â€Å"first emperor.† Until the twentieth century all rulers of imperial China called themselves the emperor. The emperor was believed, by the people of China, to be the son of heaven, God-like. They believed that each ofRead MoreThe Great Wall Of China905 Words   |  4 Pages It has been said that the Great Wall of China is so immense that it can be seen from space with just the human eye. Unfortunately, that is simply a rumor and has been confirmed false. Nonetheless, the Great Wall of China is also the world’s longest wall and biggest piece of ancient architecture, which is still a pretty big deal. Its official length is about 13,170 miles long, more than four times the width of the United States. The wall crosses over ten provinces and cities, including QinghaiRead MoreThe Great Wall Of China1641 Words   |  7 Pages The Great Wall of China is known as the largest construction project to be put in effect in all of world history. The wall, also known in China as long wall of 10,000 li, is a collection of numerous short walls extending along the crest of hills on the southern edge of the Mongolian plain. Although it is a common misconception that the Great Wall of China is one long continuous wall, it s structural inconsistency in no way undermines its greatness. The wall has been built, destructed, rebuiltRead MoreThe Great Wall of China600 Words   |  3 PagesThe Great Wall of China is an assemblage of smaller walls built by various dynasties over many years. Builders erected these walls for protection from invasions by those from the north. The Great Wall itself, with a history lasting over 2000 years, measures approximately 5,500 miles in length, although some of the sections lie in ruin or have disappeared altogether. It is about 25 feet high and is 15-30 feet wide. It is the longest man-made structure in the world. In the 7th century B.C. the firstRead MoreThe Great Wall Of China2440 Words   |  10 Pagescollectively achieve the objectives. The Great Wall of China is an example of the history of the success goal of organization. Ming dynasty, Zhengtong Emperor has forced approximately 2 to 3 millions labor to build the defense wall to protect the empire and also border control that could encourage trade. With the Zhengtong Emperor led the organization of collective effort of the people, the result is 8851.8 kilometers of defense wall, with combined of previous built great wall is 21,196 kilometers, becomingRead MoreEssay on The Great Wall of China1270 Words   |  6 PagesThe Great Wall of China is one of the greatest architectural achievements ever recorded in history. The Great Wall translates to â€Å"long fortress.† The wall was made entirely by hand. It was built to protect the Chinese from intruders from different Nomadic Tribes. The wall is about 5,500 miles long. The wall did not stretch across all of China but it stretched from Shanhaiguan in the East to Lop Nur in the West. Some people say that you can even see the wall from the moon! Wouldn’t that be somethingRead More The Great Wall of China Essay2903 Words   |  12 PagesThe Great Wall of China To the northwest and north of Beijing, a huge, serrated wall zigzags its way to the east and west along the undulating mountains. This is the Great Wall, which is said to be visible from the moon. This massive wall has not only been one of the Ancient Seven Wonders of the World, but it has also been inspiration for many artists, and writers. The building of the Great Wall is one of the biggest tragedies, but through this tragedy arose triumph with the wall, being soRead MoreGreat Wall of China Essay example1375 Words   |  6 PagesThe Great Wall of China stretches about 5,500 miles long crossing deserts, mountains, grasslands, and plateaus. It took more than 2,000 years to build this incredible manmade structure. Many people died to build this wall. It displays the changes between the agricultural and nomadic civilizations. It proves that the superb structure was very important to military defense. It became a national symbol of the Chinese as a security for their country and its p eople. The Great Wall of China must be preservedRead MoreGreat Wall of China Report Essay2063 Words   |  9 PagesThe Great Wall of China The Great Wall of China is truly one of the greatest architectural achievements in recorded history. The longest structure ever built, it is about 6,700 kilometers (4,163 miles) long and made entirely by hand. This wall is said to be visible from the moon. It crosses Northern China, from the East coast to Central China (Karls, 1). This massive wall is not only one of the ancient wonders of the world, but it also has been the inspiration of many writers and artists. With

Respect and Freedom Imperative Civic Values of an...

Imperative Civic Values of an American Citizen This essay is asking a very tough question. It wants to know what I believe is the most essential civic value of being an American. There are many civic values that are essential to being an American such as: Respecting our government, the sense of pride about being an American, Courage, Justice, Integrity, and Freedom. There are several values that stand out, these civic values include: Courage, Justice, Integrity, Respect and the one civic value that stands out the most is freedom. Courage is an essential part of being an American because courage defines the United States of America. US citizens have the courage to stand up for what we believe in, and the courage to follow public laws and†¦show more content†¦Integrity is an exceptionally important civic value to posses because it encompasses many other civic values such as: justice, initiative, respect, responsibility, and compromise. American citizens can demonstrate these civic values through integrity, by showing respect to others, taking initiative in what they do, working for justice, and taking responsibility for the decisions that people make on a daily basis whether they be good or bad. â€Å"President Dwight D. Eisenhower asserted, â€Å"The supreme quality of leadership is unquestionably integrity. Without it, no real success is possible, no matter whether it is on a section gang, a football field, in an army, or in an office.† People should be in agreement with this statement becaus e without having integrity it may be hard to achieve success in life. Americans could do with Integrity as a trait so that they are able to stay true to their word and achieve success in their lives. â€Å"The Founding documents—including the Declaration of Independence, the Constitution, and the Bill of Rights have integrity in their common commitment to principles including natural rights, liberty, and justice.† (http://www.citizenbee.org/user/StudentGuide.aspx?id=639) The concept of ‘Respect’ is very difficult to state because there are many ways that a person can look at it. Many Americans look at respect in several different ways:Show MoreRelatedThe Problem Of A Dichotomy Of Civil And Ethnic Nationalism2247 Words   |  9 Pagesaccording to Kohn (1961), arose and were created within earlier existing government institutions promoting distribution of the process of cultural homogenization (that is relative uniformity of society). The Western model of nationalism borrowed ideas of freedom and equality, fight against dynastic board, equating of nationality with nation accessory when all nations, which are a part, are united by the equal political status and desire (will) of the individual to be part of the nation. Within the WesternRead MoreThe Problem Of A Dichotomy Of Civil And Ethnic Nationalism2246 Words   |  9 Pagesaccording to Kohn (1961), arose and were created within earlier existing government institutions promoting distr ibution of the process of cultural homogenization (that is relative uniformity of society). The Western model of nationalism borrowed ideas of freedom and equality, fight against dynastic board, equating of nationality with nation accessory when all nations, which are a part, are united by the equal political status and desire (will) of the individual to be part of the nation. Within the WesternRead More Children and the Censorship of Internet Pornography Essay4060 Words   |  17 Pagesin the critical decision of whether or not to censor child pornography, an individual has to first clearly understand a few terms. These terms will aid in a clear understanding throughout the case study. a.)Definition of Censorship. The American Library Association defines Censorship as the change in access status of material, made by a governing authority or its representatives. Such changes include: exclusion, restriction, removal or age/grade level changes. Censorship predeterminesRead MoreEssay on Islam and Democracy: Mutually Exclusive?3517 Words   |  15 PagesUnited States, in a concerted effort, overthrew the democratically elected Mohammad Mosaddeq because he sought to nationalize Iranian oil; a direct threat to American and British interests. In March of 2003 the United States contravened the wishes of the international community by invading the sovereign Arab state of Iraq. Thousands of American troops remain there as an occupying force. These actions by Western democratic powers marginalized the communities in which they intervened and engenderedRead MoreCommunity Revitalization As A Research Problem Essay4138 Words   |  17 Pagesexample of this concept in progress at the moment. Beames (2 016) states that â€Å"the group is being assisted by interns with the Stephen F. Austin State University School of Social Work.† Beames (2016) continues in that â€Å"the interns are listening to citizens and are trying to make their vision a reality.† But how exactly does Appreciative inquiry work as a research approach for social work? Bellinger and Elliott (2011) aver that â€Å"as action research, Ai is designed to help participants identify achievementsRead MoreThe Historical Progression of African Americans4523 Words   |  19 PagesAfrican Americans Jeff Brown HIS 204: American History Since 1865 Prof Carl Garrigus May 16, 2010 The Historical Progression of African Americans America in 1857 was a â€Å"Nation on the Brink.† Relationships between the Northern and Southern states had been strained for decades. During the 1850 s, the situation exploded. The Compromise of 1850 served as a clear warning that the slavery issue—relatively dormant since the Missouri Compromise of 1820—had returned. African Americans existenceRead MoreA Brief History of European Integration3394 Words   |  14 Pagessocial cohesion, foreign and security policy. In 1995 the European Union is a monument to the dedication of early pioneers. The Union is an advanced form of multisectoral integration, its competence extending to the economy, industry, politics, citizens’ rights and foreign policy. The Treaty of Paris establishing the European Coal and Steel Community (ECSC) (1951), the Treaties of Rome establishing the European Economic Community (EEC) and the European Atomic Energy Community (Euratom) (1957),Read MoreCommunity Revitalization And Unique Change Management Approaches Essay4697 Words   |  19 Pagescommit to the research project over time. PAR understandably demands time, awareness of the community, and compassion on the part of the researcher to contributors’ agendas. It’s apparent that furthermore, there may be a deviation of perspectives, values, and abilities among community members; agreement for figuring out what social problems demand attention and the timeframe proposed for the alteration might th us be tricky. Causatively though, this begs the question of how much this could accuratelyRead Moreethical decision making16006 Words   |  65 PagesRules Utilitarian Theories: Doing the Most Good for the Most People Deontological Theories: Balancing Rights and Obligations Justice in Health Care Values and Health Policy Ethics of Care Ethical Problems Faced by Community Nurses: The Research Ethical Decision Making Service Learning: Discovering the Self and Developing Community Values QUESTIONS TO CONSIDER After reading this chapter, you will know the answers to the following questions: 1. What is bioethics, and how is it importantRead MoreInternal Threats to Pakistan10157 Words   |  41 Pagestheir own selfish perceptions, interpretations and decisions upon the nation and plunged it into one crisis after another.[1] 2. The Muslim community of subcontinent struggled for a sovereign state to achieve social justice on the basis of Islamic values, economical prosperity and religious tolerance. But today, the lack of social justice in Pakistan subject majority of the people of this country to hunger and starvation, deprive them of equitable access to education and economical well being and

French Revolution Vs. Immanuel Kant - 1265 Words

DWC 201, Dr. Moffett Allison Lancaster Essay #1 French Revolution vs. Immanuel Kant In 1614, France’s Population changed dramatically. The citizens were placed in three classes of rank in society. These classes consisted of the Nobels, who were born of royal blood, the Aristocrats, who were independently wealthy, and then the rest of the population who were less fortunate in life. These non-aristocratic members made up 98 percent of the Third Estate, but even so, could still be outvoted by the Nobels and Aristocrats. After being silenced for so long by the higher classes on matters of state, the lower class began to read and foster ideas about the Enlightenment. Armed with such knowledge, members of the lower class began question why they were forced to live without say in their government. At this point, the Third Estate began to mobilize support for equal representation and rally for the abolishment of the noble veto. The majority class felt that voting by head count instead of by class would allow them more control in the Aristocracy. While all of the cl asses shared a common desire for reform in the judicial and fiscal system, the nobles in particular were unwilling to give up their privileges and authority they held under the traditional system. Immanuel Kant, a staunch supporter of enlightenment, obligation to society and autonomy in government, waxed philosophically during the French Revolution. Due to Kant’s belief in the public use of reason and priorityShow MoreRelatedThe Eighteenth Century : Age Of Enlightenment2647 Words   |  11 Pages†¢ Held gatherings to discuss ideas of philosophy -French woman, distinguished in France and Europe †¢ 1784: Immanuel Kant: man’s leaving his self-caused immaturity and inability to use intelligence without guidance †¢ Scientific Revolution: reason, natural law, hope, progress †¢ Ideas spread to educated Europeans by popularizers †¢ Bernard de Fontenelle (1657-1757) -linked: Scientific Revolution of 17th and philosophy of 18th -secretary of French Royal Academy of Science (1691-1741) -never discoveredRead MoreEssay about Utilitarianism: Explanation And Study of Criticisms3046 Words   |  13 Pagesfriendship, are good, no matter whether they are desired or not. Welfare consequentialism, which identifies utility with the satisfaction of interests rather than mere preferences. Problem: its hard to come up with a list of true (vs. merely perceived) interests. Utilitarianism may be incompatible with a principle of justice. A serious problem for utilitarianism comes in trying to respond to the following question. Utilitarianism requires that we do that action Read MoreCleanth Brookss Essay Irony as a Principle of Structure9125 Words   |  37 Pageswhat I regard as its inner core of truth. Thus in the essay on The Changing Function of Historical Materialism we can still hear the echoes of those exaggeratedly sanguine hopes that many of us cherished concerning the duration and tempo of the revolution. The reader should not, therefore, look to these essays for a complete scientific system. Despite this the book does have a definite unity. This will be found in the sequence of the essays, which for this reason are best read in the order proposedRead MoreOrganisational Theory230255 Words   |  922 Pagesorganization theory Introduction Conceptualizing management The historical origins and development of management 382 382 384 385 . xii Contents Technological change and the factory system The impact of scientific management The managerial revolution and the origins of managerialism Redefining managerialism Leadership and managerialism Diffusion between institutions: the case of the UK public sector New public management Diffusion within organizations: the infiltration of the rank and file Organizational

Myocardial Infarction with History of Stable myassignmenthelp

Question: What Is The Myocardial Infarction With History Of Stable? Answer: Introducation: Myocardial infarction occurs as a result of blockages in one or more coronary arteries. The blockages occur as a result of the building up of different substances in blood vessels. A coronary artery can narrow from the buildup of various substances, including low density lipoprotein (bad cholesterol), saturated fats, hydrogenated fats produced artificially and blood clots (Levine et al, 2016). Platelets in blood stick to plaque which builds up blockages as a result of bad cholesterol deposition on the walls of blood vessels. The coronary arteries supply oxygenated blood to the heart and therefore any blockages within these particular vessels reduce the amount of blood flowing to the heart muscles. In acute myocardial infarction, the blockages can completely stop the supply of blood to the heart causing a heart attack. Risk factors The first risk factor to myocardial infarction is high blood pressure. Individuals with high blood pressure above 120/80mmHg have higher chances of experiencing heart attacks (Hazinski et al, 2015). This is because the high pressure destroys the arteries and increases the plaque buildup leading to heart attacks. High cholesterol intake and presence in blood is another contributing factor to acute myocardial infarction. Individuals thus need to take statins to reduce cholesterol build up or reduce its intake through proper diet (Charakida, 2013). Thirdly a high triglyceride amount in blood is another risk as they are fat types which clog up the arteries leading to heart attacks. High blood glucose levels and diabetes are also risky to myocardial infarctions (Amsterdam et al, 2014). The high sugar presence in blood leads to the destruction of arteries among other blood vessels contributing to coronary artery disease which triggers heart attacks in different individuals. Further, obesit y which is associated diabetes and all the above risk factors is a contributing factor to acute myocardial infarction. Other risk factors include smoking tobacco, age of an individual above 45 years for men and 55 years for women, lack of exercise and family history of the disease. Impact on Patient and Family One of the impacts of myocardial infarction on patients and family includes the high cost of treating and managing the disease. Financial resources that could be used to run family issues will be diverted to clearing hospital bills (Torio, 2013). Secondly, an individual patient may be unable to report back to their former workplaces due to the medical condition and therefore limit the financial sources of the family. The family members including children turn into caregivers so as to nurse their parent or family member (Hazinski et al, 2015). Patients with heart disease suffer often from depression and anxiety and the family has to handle this change in the emotional state of their family member. Common Signs and Symptoms for Myocardial Infarction Sign/Symptom Pathophysiology 1. Fast heart rate The first heart rate occurs as a response by the Sino-atrial nerves sympathetic system when the body is under stress. This system triggers faster heart beats in order to restore sufficient flow of oxygenated blood around all the cardiac muscles (Levine et al, 2016). The fast heart rate is also intended to boost the pumping of blood from the heart to the vital organs including the brain and the lungs. 2. Shortness of breath This is caused by different factors including the lowered oxygen levels within the blood, dysrhythmia, anxiety and the failure of the heart. The respiratory center in the medulla oblongata of the brain works hand in hand with the Sino-atrial nerves on the heart to control the heart rate and with extension, the breathing rate (Hazinski et al, 2015). During a heart attack, the hearts pumping function is impaired and cannot effectively respond to the stimulation of the sympathetic and parasympathetic impulses in order to alter its rate. It may even undergo dysrhythmia due to death of its cells and thus lead to dyspnea in victims. 3. Dizziness Feeling dizzy is caused by insufficient levels of oxygen reaching the brain cells (Miller, 2013). In the case of heart attack, the coronary arteries that supply cardiac muscles with nutrients and oxygen narrow up or completely get blocked and this limits its pumping effect of oxygenated blood to the brain (Amsterdam et al, 2014). This eventually leads to dizziness among the victims. 4. Fatigue and anxiety Heart attack victims present with fatigue within the chest and sometimes cannot carry out simple exercises. This is caused by the lack of sufficient amounts of oxygen and nutrients within the muscles and cells within this particular region due to the narrowing and blockages along the coronary arteries serving the heart and limiting its pumping effect (Charakida, 2013). Anxiety is a natural emotional response among acute myocardial infraction victims especially those with a history of coronary heart disease as in this particular case. The patient remains anxious and would want to know the progress in their management. 5. Pressure, tightness in chest; chest, back, jaw and upper body pains lasting in several minutes. The pain can go away and come back. The radiating pain from the heart region to the back, the jaw and two arms is caused by the inadequate supply of blood to the heart muscles (Anderson, 2014). This condition is referred medically as angina and also involves pains in the shoulders. Common Classes of Drugs for Myocardial Infarction Their Physiological Effect Thrombolytic Thrombolytic drugs refer to a class of drugs used to treat acute myocardial infarction among other heart diseases. They can as well be referred to as clot-busters as their physiological effect includes dissolving blood clots along blood vessels including the coronary arteries supplying nutrients and oxygen to the heart muscles (Amsterdam et al, 2014). Blood clots are formed as a result of the accumulation of blood plates around plaques within blood vessels. The plaque develops as a result of the deposition of low-density lipoprotein on the walls of the arteries, which may also build up further with the addition of hydrogenated and saturated fats. This plaque blocks the arteries partially and/or completely and thus prevents the flow of blood to the cardiac muscles. As a result, the patient suffers a heart attack. Thrombolytic are thus important as they dissolve the blood platelet composition of the plaque and thus unblocking the arteries (Hazinski et al, 2015). They can be administere d along with cholesterol dissolvers. An example of thrombolytic class of drugs includes aspirin, which is commonly used as first aid medication for a heart attack. It reduces blood clotting and thus maintaining the flow of blood in narrow arteries on the heart muscles. While Aspiring is a first aid remedy for acute myocardial infarction among other heart attack types, hospital management of the patient must be based on the determination of patient aspirin intolerance. Beta blockers Beta blockers are a class of medications that are also given in the emergency management of acute myocardial infarction. Beta blockers are particularly used in relaxing the cardiac muscles and thus easing the pressure within the ventricles (Charakida, 2013). They also lead to a slower heartbeat while decreasing the levels of blood pressure. In essence, beta blockers ease the hearts pumping function. This medication further reduces the chances of potential heart muscle damage. In doing so, beta blockers prevent the recurrence myocardial infarction. Beta blockers are also referred to as adrenergic blocking agents and can be used in the management of both migraines and hypertension. Physiologically, beta blockers act as blocking agents that bar the effect of the epinephrine hormone in the body. They thus slow down the heart beat and even enable the opening up of blood vessels, leading to a smooth blood flow. Nursing Strategies The nursing care strategies for this particular patient in the first 24 hours of post admission include mainly: restoring oxygen demand and supply balance in order to prevent ischemia: relieving pain and: preventing and treating the complication to reinstate blood flow. Therefore as the first step the nurse needs to monitor the oxygen saturation continuously through pulse oximetry. The nurse should ensure that the patient remains confined to their beds in order to reduce all the oxygen need of the now damaged myocardium (Amsterdam et al, 2014). Secondly, there is need to administer antiplatelet drugs to prevent clotting in blood vessels. In particular, the patient can be started on a dose of specifically 300mg of aspirin if the patient is not aspirin intolerant to unblock the arteries in case they have blood clots according to Moran et al (2014). Another important management intervention for this emergency includes reducing the cardiac pain. Therefore, the patient needs to be put on vasodilators such as Nitrates in doses of 0.4gm as a sublingual tablet. Vasodilation reduces the ventricular preload by reducing the amount of the venous blood returning to the heart (Charakida, 2013). The pain and shock can be managed by administering strong pain killers such as morphine. This can ease the patients breathing and anxiety as the patient undergoes oxygen therapy. The patient should also be put on anti-emetics to stop nausea among other signs and symptoms. Another important post admission emergency intervention includes initiating a continuous monitoring of the cardiac functions in order to look out for dysrhythmia and manage the condition (Anderson, 2014). Under this there is need to provide a reperfusion treatment in order to restore the flow of blood within the cardiovascular system. In this regard, the nursing interventions focus on reducing any further damage on the cardiac muscles while preserving the pumping functionality of the heart. Once the patient starts stabilizing but within the first 24 hours, there is need for the nurse to provide psychological support which is a vital component to nursing care for such patients. This is because patients suffering from acute myocardial infarction often present with anxiety and/or fear while admitted in coronary care units. The nurse therefore encourages the patient on their healing process while providing any crucial information regarding their health condition, medical procedures, and patient family among others (Hodis, 2014).In this case study, the patient also presented with mitral valve stenosis which is associated with pulmonary congestion. The patient therefore can be given diuretics to treat pulmonary congestion while ventricular preload can be decreased to desired levels using nitrates. This ventricular rate caused by mitral stenosis can also be treated by the beta blockers and calcium channel blocking therapy. There is need to return the heart to a sinus rhythm in order to also prevent mitral valve stenosis (Anderson, 2014). The nurse can therefore start the patient immediately on an anti-coagulation therapy. In such an acute case though, it is important to use electrical cardioversion to treat mitral valve stenosis. These approaches must however be done step while ensuring the safety of the patient so as to effectively treat the delicate physiological state that he is in References Levine, Glenn N.; Bates, Eric R.; Blankenship, James C.; Bailey, Steven R.; Bittl, John A.; Cercek, Bojan; Chambers, Charles E.; Ellis, Stephen G.; Guyton, Robert A. (2016-03-15)."2015 ACC/AHA/SCAI Focused Update on Primary Percutaneous Coronary Intervention for Patients With ST-Elevation Myocardial Infarction: An Update of the 2011 ACCF/AHA/SCAI Guideline for Percutaneous Coronary Intervention and the 2013 ACCF/AHA Guideline for the Management of ST-Elevation Myocardial Infarction".Circulation.133(11): 11351147. Hazinski, MF; Nolan, JP; Aickin, R; Bhanji, F; Billi, JE; Callaway, CW; Castren, M (October 2015). "Part 1: Executive Summary: 2015 International Consensus on Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Science With Treatment Recommendations".Circulation(Review).132(16 (Supplement 1)): S2-39. Amsterdam, E. A.; Wenger, N. K.; Brindis, R. G.; Casey, D. E.; Ganiats, T. G.; Holmes, D. R.; Jaffe, A. S.; Jneid, H.; Kelly, R. F.; Kontos, M. C.; Levine, G. N.; Liebson, P. R.; Mukherjee, D.; Peterson, E. D.; Sabatine, M. S.; Smalling, R. W.; Zieman, S. J. (23 September 2014). "2014 AHA/ACC Guideline for the Management of Patients With Non-ST-Elevation Acute Coronary Syndromes: A Report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines".Circulation.130(Online first): e344e426. Charakida M, Tousoulis D (2013). "Infections and atheromatous plaque: current therapeutic implications.".Current pharmaceutical design.19(9): 163850. Anderson, L; Taylor, RS (12 December 2014). "Cardiac rehabilitation for people with heart disease: an overview of Cochrane systematic reviews.".The Cochrane database of systematic reviews.12: CD011273. Elmariah, Sammy; Mauri, Laura; Doros, Gheorghe; Galper, Benjamin Z; O'Neill, Kelly E; Steg, Philippe Gabriel; Kereiakes, Dean J; Yeh, Robert W (November 2014). "Extended duration dual antiplatelet therapy and mortality: a systematic review and meta-analysis".The Lancet.385: 792798. Lassen JF, Btker HE, Terkelsen CJ (Jan 2013). "Timely and optimal treatment of patients with STEMI".Nature Reviews Cardiology. 1.10(1): 418. Matthys, F; De Backer, T; De Backer, G; Stichele, RV (March 2014). "Review of guidelines on primary prevention of cardiovascular disease with aspirin: how much evidence is needed to turn a tanker?".European journal of preventive cardiology.21(3): 35465. Miller, J. D. (2013). 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Something I want to do over free essay sample

â€Å"Yixing! Stop!† my friend yelled. I stopped chasing and frolicking, and turned my head to see what had happened. Lu was sitting in the mud, bursting into tears; she was one of my good friends who had lived next to me for 10 years, played the same instrument I did, went to school together every day, talked with me several times each day. My friends told me I tripped her up. I suddenly squatted and checked her in fear and trembling. The situation was much worse than I thought. Her lips and left ear were bleeding; one of the teeth came out and the cry attracted many students who just got off the campus. I knew I was in trouble; I was scared like a bird on a wire. My body shivered. But instead of helping her up, I involuntarily rushed back home. I didn’t hear mama’s greeting, didn’t smell the palatable food, didn’t take my shoes and backpack off; I charged to my room and closed the door sharply. We will write a custom essay sample on Something I want to do over or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page The remorse preyed in my mind, I was worried, â€Å"How’s she? Do I need to pay something? I can’t let my mom know that!† That night was the longest night ever in my life; I tossed and turned restlessly on the bed and couldn’t sleep. The next day, I noticed that her name hadn’t been checked on the attendance list; additionally, my friends who saw me escaped yesterday were â€Å"threatening† me that I was all up. They said she must in hospital. I was like living on a razor’s edge, scared, scared, scared. She came back to class a week later. She looked no different but spoke inarticulately and never talked to me. I will never forget how scared I was, how panic I was, and how timid I was. It’s like a thorn always twinges my heart faintly. I don’t know if the shyness or timidity affects my decision at that moment; it has been a deep stigma in my mind. Moreover, it’s the most important lesson I’ve learned ever since; it teaches me to face the responsibility. If the clock goes back and I have the opportunity to do it over, I will help her up, give her some tissues to stop bleeding, take her to the hospital or back home, show my concern when she comes back. These small actions can easily resolve the ice-world between us and I don’t have to be so self-condemned till now.