The Silver Chair Essays - Narnia, Aslan, Underland, The Silver Chair

The Silver Chair Imagine that you are in a different world from earth, time is different, and all living things around you can talk. While in this world you will go through the most amazing adventure that you could ever think of. That is just what happens in the novel The Silver Chair. It is an action packed, and keeps you wanting to read the whole way through. The author of the novel The Silver Chair is C.S. Lewis. The most well known novels that C.S. Lewis has written are The Chronicles of Narnia, which is made up of seven novels. This story takes place in the present time. The adventure in Narnia that these children go on takes about 12 days, however on earth it is like you had never left as time is different in Narnia. For example, if you left to Narnia while shooting hoops you would return to earth at that exact day and time when you were shooting hoops. This story starts out on a dull autumn day at a special school called the Experiment house. As the story goes on they are transferred to a knew magical world called Narnia. While in Narnia the children travel around a lot and go to several different places, they include: The Wild Waste Lands of the North, The Hill of the Strange Trenches, The House of Harfang, and The Underland. The main characters of this story are: Jill Pole, Eustace Scrubb, Puddleglum, Aslan, Prince Rilian, and The Queen of Underland. Jill Pole is a wimpy girl that gets picked on at the Experiment House who meets a unpopular boy named Eustace Scrubb, and the two of them travel to the magical world Narnia. Here they meet Aslan, Lord of the whole wood, and son of the Emperor across the sea. Aslan is the Lion, the Great Lion. He comes and goes as and when he pleases; he comes to help guide Jill and Eustace on their great adventure. They also get help on their travels from a Marsh-wiggle named Puddleglum, who helps guide the children as they do not know this knew world well. Prince Rilian disappeared when riding his horse in the woods about 10 years ago. The Queen of Underland is a bad green witch that is up to no good, living in the Underland of Narnia. This story starts out at the children's school (The Experiment House) where Jill and Eustace meet each other. They are both unpopular children who were hiding behind the gym from the other kinds when they noticed a hole in the wall. The hole seemed to be some sort of passage way, and at the end of this passage was a great lion. By now the teacher's and students were looking for the children, Jill and Eustace did not want to stay so they traveled down this tunnel to meet this great lion Aslan. Eustace is sent to Narnia right away but Jill is left behind, Aslan explains that he let them come to Narnia because he needs their help. What had happened was that the resent king of Narnia was very old and needed a replacement, the king has a son (Prince Rilian) but he mysteriously disappeared about 10 years ago. It was the two children's job to find Prince Rilian, and to do this they must follow the steps that the lion tells Jill. Eustace and Jill meet up in Narnia and set out on their journe y, early on they meet a marsh-wiggle(Puddgelum) who joins them on there great journey. First they must travel to the Wild Waste Lands of the North or the Land of the Giants. It is very rough terrain and very cold, Jill and Eustace are dying for a warm place to stay. The three travelers bump in to a beautiful lady dressed in green and a mysterious knight dressed in black, the lady explain that they could stay with the giants. They would provide food, cloths, and a warm place to stay, because Jill and Eustace are so hungry and tired they decide to go to the castle(The House of Harfang). Puddgelum explains that this might be a bad idea but they still end up going, while staying

Heart Location What Side of Your Body Is Your Heart On

Heart Location What Side of Your Body Is Your Heart On SAT / ACT Prep Online Guides and Tips What side is your heart on? It may not be the answer you’re expecting! Chest pain is an issue that understandably makes many people nervous, but knowing some basic facts about your heart and the rest of your body can help you feel more at ease and informed. Read this guide to learn your heart location, where the heart is located in relation to other organs, what kind of chest pain may indicate a heart issue, and other potential causes of chest pain. What Side Is Your Heart On? Where is the heart located? While most people think their heart is located on the left side of their chest, (after all, isn’t that where you place your hand when you say the Pledge of Allegiance?) your heart location is actually close to the center of your chest, just slightly shifted to the left side. About two-thirds of your heart is on the left side of your chest, and one-third is on the right side, so it’s pretty nearly centered. To get technical about it, your heart is located in your mediastinum (a membranous space located between the lungs), which itself is in the center of your thorax (the part of the body between your neck and abdomen). The heart is commonly thought to be on the left side of your body since it’s this side of the heart that does most of the work. The left side is stronger and is the part of the heart that pumps oxygen-rich blood to other parts of the body, so it’s primarily this side of the heart (located slightly on the left side of your chest) that you feel beating when you put your hand on your chest, leading people to think that the entire heart is on the left side of the chest. Your heart is about the size of your fist, so if you make a fist and put it over the center of your chest, you’ll get a good idea of where your heart is located. Where Is the Heart Located in Relation to Other Organs? Because of its central location in your chest, your heart is close to a lot of other vital organs. Your heart is located behind your sternum and between your two lungs. The heart is located closer to the front of your chest, in front of your esophagus and spine. Below your heart is your diaphragm, stomach, and liver. The diagram below shows where the heart location in respect to other organs. What Kinds of Chest Pain Indicate a Heart Issue? Often when people feel chest pain, they worry they are experiencing a heart attack or other serious heart issue. While many times the chest pain is caused by something other than your heart (see the next section), you should always call your doctor, call 9, or go to the hospital if you’re concerned that you’re having a heart issue. The classic symptom of a heart attack is pain on the left side of your chest. This pain can range from mild to severe, and many people report feeling pressure or a squeezing sensation in their chest. The pain may be steady or come and go. Common symptoms of chest pain that is caused by heart issues include: Pain that is usually worse in the morning Pain that feels deep or heavy as opposed to sharp and stabbing Pain that feels worse when you exert yourself However, chest pain due to a heart issue is not only limited to pain on the left side of the chest. Pain may also occur in other areas such as on either side of the upper chest, radiating down one or both arms, and behind your ribs. The pain can also spread to your back, upper part of the stomach, shoulders, neck, and jaw. Other common symptoms of a heart attack include: Shortness of breath Nausea and/or vomiting Dizziness Breaking out in a sweat If you experience these symptoms, call 9 immediately, even if you're not sure you're having a heart attack. What Are Other Causes of Chest Pain? Chest pain isn’t something you should brush off, but fortunately there are many causes of chest pain besides a heart attack. In fact, the pain may not even be related to your heart at all. Below are some non-cardiac causes of chest pain. Pain on the Left or Right Side of Your Chest Tear or strain in your chest wall: Pulls, strains, or tears to the Pectoralis Major or Pectoralis Minor can also cause chest pain. The pain often increases when you touch the area or move in certain ways. Pneumonia: Pneumonia is a lung infection that inflames the air sacs of one or both lungs. If you only have pneumonia in one lung, that may be the only side of the chest where you feel pain. Pneumonia is often accompanied by a fever, cough, and a general feeling of malaise. Pulmonary embolism: A pulmonary embolism is when a blood clot lodges in an artery of the lung. If a PE occurs, you’ll often feel a sharp, stabbing pain on the side of your chest where that lung is located that feels worse when you take deep breaths. Inflamed pancreas: If your pancreas is inflamed, you’ll often have intense pain that begins behind your rib cage and spreads to the right side of your chest. The pain is often worse when you lie down. Pain in Your Upper Abdomen Appendicitis: Appendicitis occurs when your appendix becomes inflamed. Your appendix is located in the lower right side of your abdomen, but the pain can spread to your middle and upper abdomen, especially if the infection becomes severe. Gallbladder infection: If you have a gallbladder infection or gallstones, you may feel sharp, stabbing pains in your upper abdomen. Liver infection: When the liver is inflamed or infected with hepatitis, it can cause pain in your upper abdomen which also spread to the right side of your chest. Digestion issue: Indigestion, heartburn, or other digestive issue can cause discomfort and pain that spreads to the upper abdomen and sometimes the chest and esophagus. Recap: What Side Is Your Heart On? What side of the body is the heart on? The heart’s location is erroneously thought to be the left side of the chest, but your heart is actually located nearly in the center of your chest, behind your sternum and between your two lungs. Pain on the left side of the chest is often connected with heart problems because it usually the left side of the heart that causes pain when there is a health issue. Heart problems are a serious, and sometimes fatal, health issue, and if you’re ever concerned about chest pain you’re experiencing, contact your doctor or go to the hospital immediately. However, chest pain can be caused by many issues not related to the heart, such as an issue with your lungs, liver, or digestion. Don’t spend too much time trying to self-diagnose though. Whenever you have a health issue that worries you, make an appointment with your doctor so you can get an accurate diagnosis.

Can Agros enter the chinese market -An investigation about chinese Essay - 1

Can Agros enter the chinese market -An investigation about chinese consumers' attitudes towards the Argos business modle - Essay Example The research tries to find out the market potential of the Chinese consumer market. It also tries to find out the effectiveness of the present business plan of the organization and also its effectiveness in the Chinese market. This is because of the fact that different nations exhibit different buying behaviour which requires a different strategy. The study would try to formulate the best possible strategies for the organizations so that it gains a significant market share in the Chinese market. The main objective of the study is to analyse the effectiveness of the business model of Argos in the Chinese markets. The study would try to analyse the business plan of Argos and would find out whether the same model can be effectively applied in the Chinese market to gain sustainable competitive advantage. Research questions provide the details of the main research. These questions provide an insight into the main subject of research. They convert the main topic of the study into answerable form of questions. The two main factors associated with research questions are framing answerable questions and making the correct questions. The research questions must be answered by the application of various scientific methods. The selection of a research topic must be followed by the framing of the hypothesis for the research. The nature of the questions should be such that these questions are reproducible when the research question is again presented under the same set of conditions. The selection of research questions is followed by the selection of the right combination of variables to answer the main research question (Bordens,2006, p.34). The main focus of the present study is to analyse the effectiveness of the business model of Argos in the Chinese consumer market. The research tries to analyse the consumer buying behaviour of the Chinese consumers and tries to analyse whether

Liberal International Thought Since Immanuel Kant Essay

Liberal International Thought Since Immanuel Kant - Essay Example This essay stresses that liberal thought has followed Kant’s opposition to direct democracy, where individuals in society cannot directly participate in politics. Instead, it has followed the tradition of people selecting representatives to provide representation on the national stage. The discussion above has sought to show that liberal international thought has not really moved on since Immanuel Kant through a study of liberalism in the contemporary world. The arguments within it have shown that from the time of Kant, a liberal international thought has essentially remained the same with very few variations between the various thinkers and has come to the conclusion that liberal thought has become inflexible. One of the arguments that have been made is that Kant’s ideas concerning the creation of constitutional democracies all over the world to ensure peace are still being practiced. Furthermore, a liberal political thought has continued to follow the Kantian belief that the power of the state has to be limited in order to protect individuals against the arbitrary use of power by leadership, hence the definition of the extent of a leader’s authority in a constitution. The discussion has also argued for the persistence of meliorism, which is an idea that was vigorously supported by Kant and remains relevant in liberal international thought today. In addition, it has been argued that liberal Kantian thought has led to a situation where there have developed conflicts between liberal countries and those that tend to be more conservative.

Sandvik Saws and Tools Industry Essay Example | Topics and Well Written Essays - 2000 words

Sandvik Saws and Tools Industry - Essay Example The essay is about the case of Sandvik saws and tools industry. Sandvik saws and tools I is a saws and other hand tools industry with a global presence. With its Headquarters in Stockholm, Sweden, the organization is known for its technical competence and maintenance of quality. The organization sells its products in more than 60 countries globally and has a strong presence in Europe. With its own centralized supply and distribution mechanism the organization is able to manage the supply of its products. However the management decided to upgrade the quality of the products by using a particular strategy called as ERGO strategy. The organization has spent a considerable amount of money for supply of technically advanced tools into the market. With this ERGO strategy the management hoped to gain a substantial share in the U.S market, which is not to be. The essay probes deeper into the problems or hindrances for the organization which are acting as limitations and suggests strategies for improvement of the same. The essay is about the case of Sandvik saws and tools industry. Sandvik saws and tools I is a saws and other hand tools industry with a global presence. ... 10. Brand value 11. Supply chain mechanism. 12. References Introduction to the case: The essay is about the case of Sandvik saws and tools industry. Sandvik saws and tools I is a saws and other hand tools industry with a global presence. With its Headquarters in Stockholm, Sweden, the organization is known for its technical competence and maintenance of quality. The organization sells its products in more than 60 countries globally and has a strong presence in Europe. With its own centralized supply and distribution mechanism the organization is able to manage the supply of its products. The industry into which Sandvik can be termed as a fragmented industry in which there is plenty of scope for new entrants to come in because of low entry barriers such as technology, or laws regulating its entry. Sandvik Saws and Tools chose ERGO or improvising ergonomics of the tools as a strategy for better positioning of its products in Europe and U.S. The task of implementing the strategy was given another Swedish based organization called as EDG, Ergonomi Design Gruppen, specialists in hand made tools design. According to Sandvik management the ERGO strategy should place the product streets ahead in the competition. However it is not to be. Despite very strong in technology and quality of products Sandvik was unable to maintain a substantial gain in market share in U.S. The essay tries to portray the various reasons for this lack luster performance of the organization and suggests suitable strategies to be applied in the subject area. Parameters chosen for analysis of the case: The various parameters I have chosen for analysis of the case are those which are relevant to any fragmented industry and also a maturing industry. They are such as 1.

Case Study of Managing patient suffering Opoid constipation

Case Study of Managing patient suffering Opoid constipation This case study outlines the clinical management of a client with a problem with Opioid induced constipation. Opioid analgesics (narcotics) cause constipation in most people. Opioids slow down the stool as it passes along the intestinal tract. This causes the stool to become hard. If you have hard stools, have difficulty passing bowel movements and the movements become infrequent, then you have constipation. Constipation can be very bothersome and last as long as you are taking narcotics on a regular basis. Therefore, it is important that we learn to manage our bowels effectively. Throughout the analysis the anonymity and confidentiality of this patient will be protected as outlined by the Nursing and Midwifery Council (2008) and therefore the patient will be referred to as Mark Scott. Additionally consent was gained by Mark to allow the author to use his case for my assessment. History of present illness Mark Scott is a 64 year old gentleman who is 2 days post op following a Right Total Hip Replacement (RTHR). Total hip replacement involves removal of a diseased hip joint and replacement with a prosthetic joint. Whilst doing the medications Mark confided in the nurse that he may have a problem with his bowels and that he may be constipated. To enable the nurse to assess Mark she would have to understand constipation, it helps to know how the colon, or large intestine, works. As food moves through the colon, the colon absorbs water from the food while it forms waste products, or stool. Muscle contractions in the colon then push the stool toward the rectum. By the time stool reaches the rectum it is solid, because most of the water has been absorbed. Constipation occurs when the colon absorbs too much water or if the colons muscle contractions are slow or sluggish, causing the stool to move through the colon too slowly. As a result, stools can become hard and dry. Mark asked the nurse if there was anything she could give him to ease the discomfort he was experiencing, However as Mark has presented with a new problem with the possibility of him needing medication, the nurse would first need to undertake a holistic assessment of Mark. The purpose of assessment is to allow the nurse to examine all relevant factors of the problem and allow her to make the decision of whether prescribing a patient group directive (PGD) is an appropriate intervention (Humphries, 2002). Consider the patient When Mark stated he thought he was constipated, it was important to ascertain his own interpretation of what this meant. For example, Wondergerm (2005) states that for some, constipation may mean opening their bowels less than three times a day. On the other hand, constipation may mean opening of the bowels less than three times a week. There appears to be a general consensus that the range for normal bowel activity lies somewhere between three bowel motions daily to one bowel motion every three days. However, it is important to remember that a change from three bowel motions a day to one every three days may represent a significant change for the patient, despite remaining within the normal limits (Peate, 2003). Mark felt he was constipated because he hadnt had a bowel movement in the last five days. On further questioning it emerged that these symptoms had been going on approximately 4 days before his surgery and when he did have a bowel movement he had difficulty passing the stools and often had to strain. Mark also stated that the stools were very hard and painful to pass, the symptoms that Mark presented with were consistent with the side effects of constipation, However the cause of constipation is multifactoriol with many influencing factors that need to be investigated and eliminated wherever possible (Banks,1998). In Marks case it was the analgesia he was taking to control his pain post operatively. During Marks assessment, enquiries were made as to whether he was experiencing any other symptoms with his constipation, such as blood in the stools, rectal bleeding and/or mucus discharge, recent weight loss, abdominal pain or alternating constipation/diarrhoea. Edwards and Bentley (2001) state that this is important during history taking as all of these symptoms are common of colon and rectal cancer and the possibility of this disease should be in the mind of the nurse looking after Mark. Mark assured the nurse that he hadnt experienced any of the symptoms mentioned although he did have a little discomfort in the area of his abdomen, lots of wind but no pain. If Mark had any of these symptoms the nurse would have to liase with the patients consultant. No medication would have been given by the nurse at this stage. This is because as a nurse, she is accountable for her actions and omissions (NMC, 2008). For example, if Mark was to have a bowel obstruction such as a tumour which is c ontra-indicated for most laxatives, and the nurse had prescribed such medication then Mark may believe he has been harmed by her careless prescribing. Additionally failure to refer a patient for more senior opinion is considered to fall below an acceptable standard of care (Griffith and Tengnah, 2004). It is important to ascertain how much dietary fibre and fluids are being taken by the patient as high fibre content is effective in increasing stool weight and bowel movement frequency, ultimately preventing constipation. Additionally, low fluid intake has been associated with constipation, slowing colonic transit time or reducing stool output (Walker, 1997). Current medication regimes, whether prescribed or purchased over the counter is essential information and can assist in identifying any drugs that may be responsible for causing constipation (Annells and Koch, 2002). Additionally, a history of medicine taking should include noting whether a patient has any allergies. For example, arachis oil enemas have a nut basis and may cause allergic reactions (Edwards and Bentley, 2001). Pre and post operatively Mark had been prescribed analgesics in the form of Paracetamol, codiene and ibuprofen for his pain. He had been taking these regularly daily. Mark wasnt taking any other medication, wasnt allergic to anything he knew of and hadnt purchased anything over the counter for his constipation. Opioids are a common cause of constipation and act by increasing intestinal smooth muscle tone, by suppressing forward peristalsis and reducing sensitivity to rectal distension. This results in delayed passage of faeces through the gut (Fallon and ONeil, 1998). Through assessment together with eliminating possible causes and sinister abnormalities, the nurse diagnosed Mark with constipation secondary to opioid use. Which Strategy/Product Where the patient complains of feeling constipated and is experiencing discomfort, a rectal examination (DRE) is indicated in order to detect a loaded rectum and to determine which choice of product to administer, and this will depend on the consistency of the stool found on examination (Edwards and Bentley 2001). Digital rectal examination (DRE) is an invasive procedure and should only be performed after completion of a full assessment of constipation. The Royal College of nursing guidelines (2006) recommend that nurses undertaking digital examination are appropriately trained. Furthermore consent to this procedure needs to be gained as outlined by the Nursing and Midwifery Council (NMC) (2008) Further to examination, it emerged that no stools could be felt within the rectum. However, Edwards and Bently (2001) suggest that it is anatomically impossible to conclude that the rectum is empty through simple digital examination, as the length of the rectum is approximately 15cm and is th erefore beyond the reach of the longest index finger. Therefore due to Marks history, the preferred medical route will therefore guide the need to administer a laxative. Amongst the stimulant laxatives are senna and bisacodyl. These laxatives stimulate the intestinal mucosa, promoting the secretion of water and electrolytes, enourging peristalsis (Duncan, 2004). Timby et al (1999) recommend that stimulant laxatives be used only for short periods of time to allow normal bowel function to return as soon as possible as long term use may result in diarrhoea and hypokalaemia. However Marks constipation may remain for as long as he is using opioids or could re-occur. Therefore this type of laxative may not be sufficient. Osmotic laxatives act by retaining fluid within the bowel that they are administered to or by drawing fluid from the body. They include lactulose, macragols, magnesium salts, rectal phosphates and rectal sodium citrate (Peate, 2003). A phosphate enema would not be used in this case because this is usually used prior to radiology, endoscope and surgery for rapid bowel clearance. Additionally Mark stated he didnt want to go through having an enema, and would prefer something he could take orally. Lactulose is non-absorbable and acts by softening and increasing water absorption. This laxative may take up to 72 hours to act and bloating, flatulence, cramping and an unpleasant taste have all been reported side effects, (Banks, 1998). Additionally, lactulose may not be suitable in constipation where gut motility is impaired such as opioid use in Marks case, unless accompanied by a stimulant such as Senna. However, choosing a senna/lactulose combination, means that taken together they will act at different times (Edwards and Bently, 2001). However, evidence comparing different types of laxative is very limited. Nonetheless, a study was found comparing a low dose macragol with lactulose for the treatment of constipation. The treatment was 1-3 sachets of compound oral powder (movicol) versus 10-30g of lactulose daily. After 4 weeks patients in the movicol group had a mean number of stools and a lower median daily score for straining than the lactulose group (Attar et al, 1999).This concluded that movicol was more effective and better tolerated than lactulose in the treatment of constipation. This would then justify prescribing movicol for Mark, therefore increasing the frequency of bowel movements and reducing straining. However the Nurse had to get Marks doctor to prescribe Movicol as it is not listed in Patient group directive, so the nurse gave Mark 10mls of lactulose and 2 senna until this was prescribed. Negotiate contract In implementing the strategy the consent and agreement of the patient is paramount, and may be viewed as a shared contract between patient and nurse. This is known as concordance. It is important for nurses to adopt this approach to administering medication, as this directly involves patients in decision making about their treatment. It must be remembered that nurses owe a duty of care to their patients. Duty of care is a legal requirement owed by one person to another to take reasonable care not to cause harm. The courts have held that the nurse-patient relationship gives rise to such a duty (Kent v Griffiths, 2001). Additionally, common law decided from cases requires that nurses take care when prescribing, otherwise, a patient harmed by careless medicine administration can sue for damages by claiming negligence (Griffith and Tengnah, 2004). It is essential therefore that duty of care extends to quality of prescribing, including, assessment, advice and information giving, record ke eping, decision making along with medication selection and calculation, as well as communication with the patient and other professionals. The patient needs to know what is expected of them in carrying out the treatment plan and when the nurse needs to reassess the situation. Additionally the patient needs to know what the medication is for, how long it takes to work and how to take the product (Edwards and Bentley, 2001). In Marks case it was explained to him that he would be prescribed a product by the name of movicol for his constipation and evidence found on its appropriateness along with possible side effects for his condition was explained. He would receive 20 sachets with a view to taking 1-3 sachets a day. It was explained he would have to mix 1 sachet with 125ml of water (British National Formulary, BNF 2009) and the importance of drinking 2lts of fluid was explained along with the effects that movicol will have within his bowel. Mark was alerted to any know side effects of movicol as these could be alarming to the patient if that information is not given, for example, abdominal distension, pain and nausea. However this does not mean that Mark will experience any of these. Nonetheless, this information is essential and Mark was told to report any adverse effects to the nurse. Record keeping The NMC (2005) guidelines for records and record keeping, state that good record keeping is integral to our role as records are sometimes called in evidence in order to investigate a complaint. In light of this all details, including full assessment details, along with care plans which were both planned and executed, plans for review, and medications and prescriptions given, were all entered into Marks patient held records immediately. Additionally this was also recorded within notes in Nursing Notes. Marks own consultant was also informed of this information in order to assist with prescribing and also to avoid polypharmacy and adverse events from drug interactions. The nurse also ensured the drug card was signed as per NMC guidelines. Complementary Therapies Complementary therapies are treatments used to support regular or orthodox treatments such as medication. These treatments may be used to reduce stress and anxiety or may be used to help with problems such as pain, nausea and constipation. Abdominal massage has been shown to be effective as a marginally effective laxative regimen in one trial. However, massage is extremely demanding on staff time, and consequently is unlikely to be of widespread benefit to the patient. Acupuncture, One small within subject trial of sham versus true acupuncture showed some benefit in chronically constipated children, but acupuncture has never been tested for opioid-induced constipation. Herbal preparations such as Senna, a laxative, may be used as pods or a tea. Rhubarb stems (not the leaf, which contains poisonous oxalic acid), chrysanthemum stems, and peach leaves have laxative properties. Many preparations promoted as herbal or natural laxatives are in fact bulk forming preparations which should be avoided in opioid-induced constipation. However, if possible medication can be avoided as bowel movements may be facilitated if done at the same time every day, by mobility and physical activity, and increased dietary fibre and fluid intake. However, these approaches alone may not benefit all patients, especially those with severe constipation. Nevertheless, deficiencies in physical activity, and fluid and fibre intake should be addressed. Physical constraints and barriers should also be rectified, and commonsense toilet practices should be reinforced, such as not suppressing the urge to defecate, and using public washrooms if out of the house rather than waiting to return home. Summary The above account highlights that in the clinical management of medicine administration, it is vital that this is undertaken in an informed and systematic manner. This can be achieved through the selection and application of an assessment tool and by having clarity about the decision-making framework used to underpin Evidence Based Practice. The NMC emphasises that the administration of medicines is an integral and essential entry criteria for the Councils Professional Register (NMC, 2008). Furthermore, the Code of Professional Conduct clearly states that medication administration must not be seen solely as a mechanistic task but as a task that requires thought and the exercise of professional judgement (NMC, 2008). For nurses to practice competently, they must ensure that they possess the knowledge, skills and abilities required for lawful, safe and effective practice. They must acknowledge their professional competence and only undertake practice and accept responsibilities for those activities in which they are competent (NMC, 2008). The NMC guidelines of professional conduct (2008) require that nurses must maintain knowledge and competence. This can partly be achieved by the use of reflection on prescribing and administrating decisions. Word Count 3012 References Annells M Koch T (2002) Faecal impaction: Older peoples experiences and nursing practice. British Journal of Community Nursing. 7 (3)118-126 Banks A (1998) An overview of constipation: causes and treatment. International Journal of Palliative Nursing 4 (6) 271-275. Duncan J (2004) The management of constipation by nurse prescribers. Nurse prescribing 2 (2) 66-69. Edwards M Bentley A (2001) Nursing management of constipation in housebound older people. British Journal of Community Nursing, 6 (5) 245-252. Fallon M, ONeil (1998) ABC of Palliative Care. London, BMJ books. Griffith R, Tengnah C (2004) A question of negligence: the law and the standard of prescribing. Nurse Prescribing 2 (2) 90-92. Hardy, D., Smith, B. (2008) Decision Making in Clinical Practice. British Journal of Anaesthetic Recovery Nursing. Vol. 9 (1), pp. 19-21 Humphries J (2002) Assessment and evaluation in nurse prescribing, 2nd ed Palgrave, Hampshire. Kent v Griffiths (2001) QB 36 IN Griffith R, Tengnah C (2004) A question of negligence: the law and the standard of prescribing. Nurse Prescribing 2 (2) 90-92. Kyle, G. (2007) Bowel care, part 5 a practical guide to digital rectal examination. Nursing Times; 103: 45, 28-29. Nursing and Midwifery council (2008) Guidelines for records and record keeping. London. Nursing and Midwifery Council. (2008) The Code: Standards of Conduct, performance and ethics for nurses and midwives. London, NMC. Wondergerm F (2005) Relieving constipation. Journal of community nursing, 5 12-16 Peate I (2003) Nursing role in the management of constipation: use of laxatives. British Journal of Nursing. 12 (19) 1130-1136. RCN (2006) Digital Rectal Examination and Manual Removal of Faeces: Guidance for Nurses. London: RCN Timby B, Schere J, Smith N (1999) Introductory Medical-Surgical Nursing. 7th edn. , Philadelphia, Lippincott. Walker R (1997) Diagnosis and treatment of constipation. Practice Nursing 8 (4) 20-22

The Sun Also Rises 5 Essay -- essays research papers fc

Brett Ashley: Whore or Herione   Ã‚  Ã‚  Ã‚  Ã‚  After a thorough reading and in-depth analyzation of Ernest Hemingway's riveting novel The Sun Also Rises, the character of Brett Ashley may be seen in a number of different ways. While some critics such as Mimi Reisel Gladstein view Brett as a 'Circe'; or 'bitch-goddess,'; others such as Carol H. Smith see Brett as a woman who has been emotionally broken by the world around her. I tend to agree with the latter of these views, simply because of the many tragedies that befell Brett. She is a heroine who, despite being wounded by love and war, continues to pursue true love.   Ã‚  Ã‚  Ã‚  Ã‚  Mimi Reisel Gladstein does make an excellent case for Brett as a 'modern-day Circe'; or 'bitch-goddess.'; Brett is a '. . . drunkard, a nymphomaniac, or a Circe who turns men into swine. . .'; (58). She has this transforming effect on several men throughout the course of the novel. Because of her extreme physical beauty, men such as Robert Cohn and Mike Campbell place Brett on a pedestal where she can do no wrong. Robert offers himself to Brett, then follows her around as if on a leash, 'sniveling and squealing as if he were swine'; (58). While Brett saunters around on her sexual escapades, she does not take into account the feelings of Jake, the man who truly loves her, because he is unable to meet her sexual needs. Brett does bother with Jake's frustrations; she uses him only as an emotional support to fall back on when the flings leave her emotionally unsatisfied. 'Brett's bitchery is fully revealed by her treatment of Jake. . . he truly loves her but she uses Jake to get the emotional fix she cannot find is sexual union . . . this is ironic since she would most likely find both if Jake were fully functional'; (59). By looking at her treatment of Robert Cohn, Mike Campbell, and Jake Barnes, Brett could easy be seen as a self-centered, promiscuous nymphomaniac whose quest for love destroys men but leaves her relatively unharmed.   Ã‚  Ã‚  Ã‚  Ã‚  As Carol Smith points out, however, '. . . analyzing Brett in terms of bitch-goddess or Terrible Mother does not do justice to her'; (55). Smith's quotation is well-founded. Hemingway has done much more with the character of Brett than it may seem. 'She is a good woman the world has broken . . . a complex woman who has endured much'; (55). T... ...p;  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   Works Cited Bardacke, Theodore. 'Hemingway's Women: 1950,'; Ernest Hemingway: The Man and   Ã‚  Ã‚  Ã‚  Ã‚  His Work. Ed. John K. McCaffery (Cleveland: World Publishing, 1950), pp.   Ã‚  Ã‚  Ã‚  Ã‚  342-44. Rpt. in Brett Ashley. Ed. Harold Bloom. New York: G.K. Hall and Co.,   Ã‚  Ã‚  Ã‚  Ã‚  1995. pp.12-13. Gladstein, Mimi Reisel, 'Hemingway,'; The Indestructible Woman in Faulkner,   Ã‚  Ã‚  Ã‚  Ã‚  Hemingway, and Steinbeck. (Ann Arbor, UMI Research Press, 1986), pp. 59, 62.   Ã‚  Ã‚  Ã‚  Ã‚  Rpt. in Critical Essays on Earnest Hemingways The Sun Also Rises, ed. James   Ã‚  Ã‚  Ã‚  Ã‚  Nagel. New York: G.K. Hall and Co., pp.58, 59. Hemingway, Ernest. The Sun Also Rises. New York: Simon and Schuster, 1926. Smith, Carol H., 'Women and the Loss of Eden,'; Ernest Hemingway: The Writer in   Ã‚  Ã‚  Ã‚  Ã‚  Context, Ed. James Nagel (Madison: University of Wisconsin Press, 1984),   Ã‚  Ã‚  Ã‚  Ã‚  pp132-4. Rpt. in Critical Essays on Earnest Hemingways The Sun Also Rises,   Ã‚  Ã‚  Ã‚  Ã‚  ed. James Nagel. New York: G.K. Hall and Co., 1995. 54-