Comparing Loss of Self in Soldiers Home, Pauls Case, and...

Loss of Self in Hemingways Soldiers Home, Cathers Pauls Case, and Melvilles Bartleby the Scrivener Hemingways Soldiers Home, Cathers Pauls Case, and Melvilles Bartleby the Scrivener all present a loss of self. These stories prove that there is a fine line between finding ones self and losing ones self. I believe this loss can occur at any age or station of life. This idea is seen in each storys main character. Hemingways Soldiers Home depicts a young man in his early twenties after his return from World War I. The young man, Krebs, has arrived home too late. Thus, he doesnt receive the adulation of the town as the others did. This first loss was the beginning of a long inward journey for Krebs. His†¦show more content†¦Due to his situation Krebs is forced to run away to Kansas City. His only refuge is the hope of starting fresh and possibly being able to find himself. Pauls Case, by Cather, is a story in which Paul, an adolescent, is trying to find himself. Unlike Hemingway, Cather exposes the influence of a stable but cold environment to be detrimental to ones well being. Pauls dilemma begins with school, a place he is not fond of. His teachers have a strong disliking of Paul. This is seen at his readmittance inquiry †¦ they fell upon him without mercy, his English teacher leading the pack (161). Pauls inner struggle is recognized by only one teacher, the drawing master. The drawing master had come to realize that, in looking at Paul, one saw only his white teeth and forced animation of his eyes (162). He also noted the time Paul had fallen asleep in class, what a white, blue veined face it was; drawn and wrinkled like an old mans about the eyes, lips twitching even in his sleep (162). This observation clues us that Paul is not a happy-go-lucky teenager; there is an inner battle going on. Pauls true desire is seen in the theater when he sits to watch the symphony: the first sigh of the instruments seem to free some hilarious and potent spirit within him; something that struggled there like the Genius in the bottle found by the Arab fisherman. He felt a sudden zest for life. . (164). After the concert Pauls demeanor changes; he regretfully

A Letter from Ponyboy Free Essays

Greetings to you! How are you, older brother?   It’s been quite a while since I sent you a letter. My mistake. Sorry for that. We will write a custom essay sample on A Letter from Ponyboy or any similar topic only for you Order Now I’ve been busy for the last few weeks here insane Diego. My study is eating up most of my time. Right now, we are approaching already the finals week. A lot of requirements are already on my list. But don’t you worry brother, I am okay. I manage to keep healthy and strong despite the conflicts of time in my part-time job and schooling. And speaking of work, I have some good news for you. The manager of the food chain I am working at was impressed by my dedication to my job. In fact, I was chosen to be the crew of the month. Because of that, I got an additional compensation in my salary. Not too big, but large enough to spend for my thesis. It was a big help since I badly needed to finish my thesis as the final submission of it is nearing. Of course, I have to graduate this semester. That was my promise to you, right? Don’t worry, Darry. All of your spending for my schooling will finally come to an end. A month from now, I will be called â€Å"Lawyer Ponyboy Curtis†. However, I will not be able to reach this status if not because of you. Thank you so much, Darry. I really appreciate all the things you have done and sacrificed for me. I know that you don’t want to marry your fiancà ©e Lindsay until I haven’t finished my studies. But I told you for several times that you don’t need to do that. You don’t have to sacrifice your own happiness just for my sake. I can manage myself now. I am a man now. Being thirty years old is no longer young. But what did you do? You still insisted to pay half of my tuition. I told you to keep them for yourself and for your future. You, too, are no longer young. You must build a family of your own, just like what Sodapop did. You’re such a stubborn. No wonder why they called you Superman back then. You’re such a strong-willed person. But no matter how strong-willed you are, you must promise me that after my graduation, you will take care of your personal life. By the way, how’s work after being promoted as chief lieutenant of the Oklahoma Police Department? Doing well? How’s peace and security there? You know what, I’m very happy with your current situation, actually, with the situations of us three—you, Sodapop, and I. After the long battle between the Socs and the greasers, I was glad that you decided to study and be a cop. I haven’t told you this, but I want you to know now that you are my greatest idol. When I saw how you managed to study while working, I admire you. Aside from that, you managed to raise me and Sodapop well after that horrible loss of our parents. Thank you for that. What’s up with Sodapop, by the way? Have the two of you seen each other lately? I had the chance to meet him personally last month after he visited his in-laws here in California. I also had the chance to meet the kids. Oh, Paul was so cute. He’s so like Sodapop—charming and good-looking. I bet when he grows up, he will be a Sodapop the Second. And have you heard about the good news? Sandy is three- month old pregnant! Boy, you should see the happiness in their eyes—a picture of a complete and a happy family. Aside from that, Sodapop is planning to put up a branch of their bookstore here in San Diego. Looks like he and Sandy are meant for business. I really wanted to be with you now, Darry. How I miss my adolescent days. Right after my graduation, I will spend some time with you. You take care of yourself. Until next time. Your younger brother, Ponyboys How to cite A Letter from Ponyboy, Papers

BMJ Supportive and Palliative Care †Free Samples to Students

Question: Discuss about the BMJ Supportive and Palliative Care. Answer: Introduction: Palliative care is an essential medical and nursing care for improving quality of life of persons with life-limiting illness. Palliative care refers to a specialized nursing and medical care for patients with life limiting health conditions (Glaser, Strauss, 2017). The palliative care provides relief to patients that improve their quality of life. Palliative care has a role in relieving patients suffering and their families through a holistic assessment and treatment of psychosocial, physical, and spiritual symptoms. Personal values and beliefs shape palliative care provider interactions that are important to delivering effective palliative care. The following essay a self reflection that explains how to provide best holistic end of life care to a person while managing personal values and beliefs and their effect to interaction with a patient. Holistic end of life care is a comprehensive approach for assessing and treating persons in their last days of living. A holistic approach aims at assessing and treating the physical, spiritual, and psychosocial aspect of a palliative patient. The approach recognizes that patients are human beings and are made up of mind, body and the spirit. Balboni et al. (2016) defined holistic end of life care as a comprehensive care that acknowledges and recognizes a person as a whole and there exist interdependency among ones social, psychological, biological, and spiritual aspects. A holistic care approach has to include medication, communication, self-help, education and complimentary treatment (Morton, Fontaine, Hudak, Gallo, 2017). The approach considers all the aspects that affect the treatment process and the patients emotions, thoughts, opinion, attitude and cultures. The holistic end of life care approach is based on equality, relative openness, respect, mutuality as the patient under care is allowed to participate in decision making. The holistic end of life care has several benefits to palliative care providers, patients, and their families. First, holistic approach increases the nurses understanding of the patient physical illness and their specific needs. The holistic approach is comprehensive and involves educating patients to increase their self awareness. The patients are able to understand their condition and its effects that enable nurses to get a clear inquiry of the patients suffering (Gillan, Van der Riet, Jeong, 2014). Secondly, the holistic care approach enables communication between the nurse and the patient. Communication is important to creating therapeutic relationship in palliative care (Balboni et al. 2016). The therapeutic relationship between the nurse and the patient enable the nurse to provide education on self care and have a conversation that reveals patients feelings, emotions, and desires while receiving health care. Thirdly, the palliative care provider is able to understand the patie nts culture, values, and belief. The nurse understands the likely attitude, perspective and values that the patient holds. This enables the nurse to appreciate and offer a respectable palliative care to the patient. Holistic end of life care is also beneficial to the patients families. The approach takes family into considerations when making patients palliative decisions. Aged people like to be close to their families and help offer emotional support to the patient (Mathews, Johnston, 2017). The nurse is also able to provide stress, anxiety or depression treatment to the family as a result of one member unhealthy condition. Another benefit of holistic care approach is that patients have dignified death. The patients are involved in decision making and conversation and their death is not a surprise (Glaser, Strauss, 2017). Patients are able to plan for their advance care. The patients is also able to identify substitute decision maker in case the patient cannot communicate or unab le to make sound decisions. Holistic end of life care is therefore beneficial in providing comprehensive nursing care that improves quality of life through psychological, social, physical, and spiritual approach to assessing and treating patients. Personal values and beliefs of a nurse have an impact when interacting with a palliative patient. Personal values are stable and longlasting beliefs that an individual hold as important and set standard orders that a person lives and make choices (Connor, 2017). Beliefs develop into values when someone commits to them and grow to being important in their life. It is important for a nurse to understand personal values to make rational, responsible, consistent, and clear decisions. Personal beliefs and values of a nurse in palliative affect nurses relationship with the patients and their family. My personal belief and values have been shaped by my background. My decisions while providing holistic palliative care will be highly influenced by personal values and beliefs. One of my personal values and belief that can affect interactions with palliative patient is spirituality. Spiritual care is an important aspect to providing a holistic end of life care. Spiritual care involves a nurse recognizing and responding to human spirit needs. I think spiritual care and spiritual wellness of a patient are culturally bound and there is not standard method of offering spiritual care. I also think that spirituality care should be a role of spiritual experts such as pastoral team. Gardner, (2017) stated that spiritual care difficulties are caused by nurses differing beliefs and perception of spirituality as contentious, taboo and sensitive subject hence assuming it importance in holistic health care delivery. Centeno, Ballesteros, Carrasco, Arantzamendi, (2016) found that nurses spiritual awareness and understanding can improve end of life care delivery. Human beings need spiritual care to when faced with trauma, sadness, or ill health that leads them to struggl e with self worth, meaning of life, expressing themselves, and require faith support. Spiritual care help treat spiritual distress to restore patients belief system. According to my personal beliefs and values, I find it uncomfortable to talk about death with a patient. I understand the importance of communication in delivering quality palliative care but find it hard when it has to be a topic on preparing the patient for last days. I belief death is something that takes loved ones life away leaving grief and agony to family and friends. I feel like talking much about death leads to death occurring earlier than it would have happened if I didnt talk about it. Coelho et al., (2016) stated that communication is an important aspect of providing a holistic palliative care. Conversations about death enable the patient to share about their agenda and preferences. Communication helps nurses to identify and address all needs of the patient which is central to holistic approach to palliative care. Teixeira, (2016) acknowledged that communication in palliative care is a complex challenge to excellent care. Therefore lack of proficient when communicating ca n overlook patients goals and wishes of the care undermining the holistic palliative care. In summary, personal beliefs and values influence a nurses ability to provide effective and holistic end of life care. Palliative patients need a holistic end of life care to relieve pain, improve quality of life, and have a dignified death. I found that I have to change my perspective and attitude about spiritual care and communication and appreciate their role in providing holistic palliative care. Spiritual care helps to treat spiritual distress while effective communication enhances conversations with the patient that enable them to prepare and have a dignified death. Therefore, nurses should understand and appreciate a holistic approach to providing effective palliative care. References Balboni, M. J., Sullivan, A., Enzinger, A. C., Epstein-Peterson, Z. D., Tseng, Y. D., Mitchell, C., ... Balboni, T. A. (2014). Nurse and physician barriers to spiritual care provision at the end of life. Journal of pain and symptom management, 48(3), 400-410. Centeno, C., Ballesteros, M., Carrasco, J. M., Arantzamendi, M. (2016). Does palliative care education matter to medical students? The experience of attending an undergraduate course in palliative care. BMJ supportive palliative care, 6(1), 128-134. Coelho, S. P., Costa, T., Barbosa, M. M., Capelas, M. L., De Mello, R. A., Sa, L. (2016). Palliative Home Care, for a Holistic Approach to the Patient and Family. Palliative Medicine, 30(6), NP294. Connor, S. R. (2017). Hospice and palliative care: The essential guide. Taylor Francis. Gardner, F. (2017). Critical spirituality: A holistic approach to contemporary practice. Routledge. Gillan, P. C., van der Riet, P. J., Jeong, S. (2014). End of life care education, past and present: a review of the literature. Nurse Education Today, 34(3), 331-342. Glaser, B. G., Strauss, A. L. (2017). Awareness of dying. Routledge. Morton, P. G., Fontaine, D., Hudak, C. M., Gallo, B. M. (2017). Critical care nursing: a holistic approach (p. 1056). Lippincott Williams Wilkins. Mathews, G., Johnston, B. (2017). Palliative and end-of-life care for adults with advanced chronic obstructive pulmonary disease: a rapid review focusing on patient and family caregiver perspectives. Current opinion in supportive and palliative care, 11(4), 315-327. Teixeira, E. (2016). Mindfulness Meditation: One Holistic Approach to Reduce Pain and Suffering in Patients with Chron-ic and/or Life Threatening Diseases.(2016) J Palliat Care Pain Manage 1 (2): 1-2. J Palliat Care Pain Manage, 1(2).