Religion as a Gothic Element in American Romanticism Essay -- Romantici

Religion as a Gothic Element in American Romanticism American Romanticism can be strongly defined through its use of Gothic elements. Webster’s defines gothic as "of or relating to a style of fiction characterized by the use of desolate or remote settings and macabre, mysterious, or violent incidents" (529). Pre-American Romantic writers, such as Anne Bradstreet and Jonathan Edwards, do not tend towards the gothic in their writings of religion and religious elements. Although God is mysterious to both writers, they maintain certain characteristics and aspects expected of them and their religion. They keep their texts true to their beliefs. However, Mary Rowlandson begins a transition phase for the writers of this period. She begins to view God and religion in a darker and /more mysterious manner. By the time James Fenimore Cooper is writing, he blurs religion between two different religions. The Christian and the Indian God becomes mixed, along with their heaven. Whereas the earlier writers tend to understand and accept their Go d, the writers in the American Romantic period re-create their God adding a gothic twist to their religion and beliefs. Anne Bradstreet believes if she lives her life the way God meant her to live it, things will work out fine for her. She writes, "About 16, the Lord laid His hand sore upon me and smote me with the smallpox. When I was in my affliction, I besought the Lord and confessed my pride and vanity, and He was entreated of me and again restored me" (145). Bradstreet has a traditional view about God. She believes if she lives her life as a good person, she will be rewarded for it. If she lives her life full of pride and vanity, then she will pay the consequences. The good and just are rewarded ... ...us. Cora and Uncas end up together. There is the traditional romantic ending of riding off into the sunset, but into a Heaven which accepts both Indians and whites equally, adding elements of the gothic. Works Cited Bradstreet, Anne. "To My Dear Children." The Norton Anthology of American Literature. Ed. Nina Baym. New York: Norton & Company, 1999. 144-147. Cooper, James Fenimore. The Last of the Mohicans. New York: Viking Penguin Inc, 1986. Edwards, Jonathan. "Sinners in the Hands of an Angry God." The Norton Anthology of American Literature. Ed. Nina Baym. New York: Norton & Company, 1999. 200-211. "Gothic." Webster’s Ninth New Collegiate Dictionary. 1991 ed. Rowlandson, Mary. "A Narrative of the Captivity and Restoration of Mrs. Mary Rowlandson." The Norton Anthology of American Literature. Ed. Nina Baym. New York: Norton & Company, 1999. 148-164.

Nursing Care of a Patient Diagnosed with Pneumonia Essay

Patient Description Patient is a Caucasian 83 year old female that came into the emergency department from Wynwood assisted living facility with an increase of fatigue, worsening confusion and a 1 day history of a fever. Patient weighs approximately 90 pounds upon admission with a height of 64 inches. Patient has known COPD and is a former heavy smoker that also has a history of pneumonia, hypertension, atrial fibrillation, and dementia. Upon presentation to the emergency department patient has had increased nasal drainage and cough. Patient came into the hospital about a year and a half ago with a diagnosis of right lower lobe pneumonia. Patient was arousable, alert and pleasant, but not a good historian and appears to be quite emaciated. Patient at first had a non productive cough and was put on anti-biotics and began to have a productive cough 2 days post admission. Patient had dyspnea, increase respiration rate, difficulty talking, coarse lungs, and had decreased SpO2 with activity. Patient lived in Wynwood assisted living facility where she lived almost independently. Patient was able to get around her apartment with a front wheel walker and provided her own care of activities of daily living. With this admission, hospital staff did not recommend patient going back to assisted living as she would not be able to take care of her self until her mobility is back to her normal limits and the dyspnea is decreased. Nursing Diagnosis Ineffective airway clearance r/t bronchospasm, excessive mucous production, tenacious secretions, fatigue AMB dyspnea, increase RR (28), difficulty talking, inability to raise secretions, ineffective cough, adventitious breath sounds. Goals A. Pt will demonstrate effective coughing and clear breath sounds by end of shift 5/15/10 (3 days) and until discharge. B. Pt will continue to have cyanotic free skin by end of shift on 5/14/10 (2 days) and until discharge. C. Pt will maintain a patent airway at all times by end of shift 5/15/10 (3 days) and until discharge. D. Pt will relate methods to enhance secretion removal (drinking warm fluids) by end of shift 5/15/10 (3 days) and until discharge. E. Pt will relate the significance of changes in sputum to include color, character, amount and odor by end of shift 5/15/10 (3 days) until discharge. Interventions| Rationale| 1. RN will auscultate breath sounds Q4 hrs and PRN until discharge. 2. RN and CNA will monitor respiratory patterns, including rate, depth, and effort Q4 hr and PRN until discharge. 3. RN will monitor blood gas values as available and pulse oxygen saturation levels Q8 hr and PRN until discharge. 4. RN and CNA will position the client to optimize respiration (HOB elevated 45 degrees and repositioned every 2 hrs) and PRN until discharge. 5. RN and CNA will help the pt deep breathe and perform controlled coughing Q2hrs until discharge. 6. RN will help the pt use the forced expiratory technique, the â€Å"huff cough†. The pt does a series of coughs while saying the word huff q4hr and PRN until discharge. 7. RN or CNA will assist with clearing secretions from pharynx by offering tissues and gentle suction of the oral pharynx if necessary Q4 hr and PRN until discharge. 8. RN will observe sputum, noting color, odor and volume PRN until discharge.9. RN and CNA will encourage activity and ambulation as tolerated TID and PRN until discharge. 10. RN and CNA will encourage fluid intake of up to 2500 mL/day within cardiac or renal reserve Q2 hrs and PRN until discharge. 11. RN will administer oxygen as ordered until discharge12. RN or RT will administer medications such as bronchodilators or inhaled steroids as ordered until discharged. 13. RN and CNA will monitor the patient’s behavior and mental status for the onset of restlessness, agitation, confusion and extreme lethargy twice a shift and PRN until discharge date. 14. RN and CNA will observe for cyanosis of the skin twice a shift and PRN until discharge. 15. RN or CNA will position patient over bedside table for acute dyspnea PRN until discharge. 16. RN & CNA will help pt eat frequent small meals and  use dietary supplements PRN until discharge. 17. RN will teach pt energy conservation techniques and the importance of alternating rest periods with activity by end of shift tomorrow and PRN until discharge.| 1. â€Å"The presence of coarse crackles during late inspiration indicates fluid in the airway; wheezing indicates a narrowed airway† (Simpson, 2006, p. 487).2. â€Å"A normal respiratory rate for an adult without dyspnea is 12-16. With secretions in the airway, the respiratory rate will increase† (Simpson, 2006, p. 486). 3. â€Å"An oxygen saturation of less than 90% or a partial pressure of oxygen of less than 80 indicates significant oxygenation problems† (Sanford & Jacobs, 2008, p. 125).4. â€Å"An upright position allows for maximal lung expansion; lying flat cause abdominal organs to shift toward the chest, which crowds the lungs and makes it more difficult to breathe† (Sanford & Jacobs, 2008, p. 125).5. â€Å"This technique can help increase sputum clearance and decrease cough spasms. Controlled coughing was the diaphragmatic muscles, making the cough more forceful and effective† (Sanford & Jacobs, 2008, p. 125).6. â€Å"This technique prevents the glottis from closing during the cough and is effective in clearing secretions in the central airways† (Sanford & Jacobs, 2008, p. 126).7. â€Å"In the debilitated client, gentle suctioning of the posterior pharynx may stimulate coughing and removing secretions† (Sanford & Jacobs, 2008, p. 126).8. â€Å"Normal sputu m is clear or gray and minimal; abnormal sputum is green, yellow, or bloody; malodorous; and often copious† (Sanford & Jacobs, 2008, p. 126). 9. â€Å"Body movements helps mobilize secretions and can be a powerful means to maintain lung health† (Sanford & Jacobs, 2008, p. 126).10. â€Å"Fluids help minimize mucosal drying and maximize ciliary action to move secretions. Some pts cannot tolerate increased fluids because of underlying disease† (Sanford & Jacobs, 2008, p. 126).11. â€Å"Oxygen has been shown to correct hypoxia, which can be caused by retained respiratory secretions† (Sanford & Jacobs, 2008, p. 126).12. â€Å"Bronchodilators decrease airway resistance secondary to broncho-constriction† (Sanford & Jacobs, 2008, p. 126).13. â€Å"Changes in behavior and mental status can be early signs of impaired gas exchange. In the late stages the patient becomes lethargic and somnolent† (Sanford & Jacobs, 2008, p. 388).14. â€Å"Central cyanosis of the tongue and oral mucosa is indicative of serious hypoxia and is a medical emergency. Peripheral cyanosis in the extremities may or may not be serious†Ã‚  (Sanford & Jacobs, 2008, p. 388). 15. â€Å"Leaning forward can help decrease dyspnea, possibly because gastric pressure allows better contraction of the diaphragm. This is called the tripod position and is used during times of distress† (Sanford & Jacobs, 2008, p. 388).16. â€Å"Improved nutrition can help increase muscle aerobic capacity and exercise tolerance. Nutritional problems in clients with COPD can be visual; early identification of clients at risk is essential to maintaining BMI† (Sanford & Jacobs, 2008, p. 389).17. â€Å"Fatigue is a common symptom of COPD and needs to be assessed and managed† (Sanford & Jacobs, 2008, p. 390).| Article Summary In the Article, â€Å"Respiratory Assessment,† by Heidi Simpson, intends for the audience to be nurses already working in the field. This article gives an order of a respiratory assessment that works for any nurse, whether they are a new graduating nurse or a nurse who has been working for years. This journal article gives all the required elements in order to do a full respiratory assessment which includes the â€Å"initial assessment, history taking, inspection, palpitation, percussion, auscultation, and further investigations† (Simpson, 2006, p. 484). This article is a general information article that focuses towards all and any patient population as all of our patients need to have a respiratory assessment done. This article gives a good breakdown of a respiratory assessment in which I currently use in practice. The article can be a good reminder of how an accurate respiratory assessment should be done and how to get good results in the technique a nurse may use. References Sanford, J.T. & Jacobs, M. (2008). Impaired gas exchange. In B.J. Ackley & G.B. Ladwig (Eds.) Nursing diagnosis handbook: An evidence-based guide to planning care (8th ed., pp. 388-390). St Louis, MO: Elsevier. Sanford, J.T. & Jacobs, M. (2008). Ineffective airway clearance. In B.J. Ackley & G.B. Ladwig (Eds.) Nursing diagnosis handbook: An evidence-based guide to planning care (8th ed., pp. 124-129). St Louis, MO: Elsevier. Simpson, H. (2006). Respiratory assessment. British Journal of Nursing (BJN), 15(9), 484-488. Retrieved from CINAHL with full text database.

Why is there a glamorization of serial killers Free Essay Example, 1250 words

Media Glamorization of Serial Killers Acts of violence and murder are constantly condemned by the society. Serial killers are among the criminals that are highly despised by the society, people even think of them as animals and demons and threats them that way (Roy 16). Serial Killers are usually motivated in four ways, namely: visionary, mission-oriented, hedonistic, and power of control (24). These different categories will help develop a clear understanding of the psychological condition of the killers. Several recursive cases of murder that happened in the United States were done by serial killers, some of them already caught by the authorities and a few were still out in open and free to do whatever they want. The irony becomes evident when the responses of society are examined regarding criminals that commit serial murders. People deem these criminals as bad individual that deserves to be punished yet people tend to have more interest with the serial killer and cannot even rec ognize their victims (16). The main reason for this is because serial killers are glamorized by the media, which develops interest among people that make people more concerned about the identity and background of the criminal rather than taking time in knowing the victims that have suffered in the arms of those killers. We will write a custom essay sample on Why is there a glamorization of serial killers or any topic specifically for you Only $17.96 $11.86/pageorder now This paper explores five articles that depict how the media plays a role in the glamorization of serial killers. The articles that will be featured in the paper will present several views that will provide a broader understanding of the glamorization of serial killers. Jennifer Copley (2008) had written an article entitled â€Å"Media Glamorization of the Psychopath† this focuses on the premise that movies, games, other forms of media support a sociopathic hero. The article tackles on the subject that North American media glamorizes the psychopath as a â€Å"brave war hero, fearless police officer, the dynamic villain, or the misunderstood hero† (Copley 1). The article on â€Å"Sex Workers in the Shadows† by Allison Burch (2002) basically describes the scenario among sex workers or prostitutes. These sex workers are often maltreated by their clients and abused, with high vulnerability to attacks from serial killers as well as from law enforcement officers. Two articles were also chosen that contains various inputs on how the movies have been used to glamorize the serial killers. Georgia Custer (2008), wrote about the TV series Dexter, entitled â€Å"CBS shouldn’t Glamorize serial killer on Dexter† where the article focuses mainly on the effect of the series among children and teenagers.