Macbeth Blind Ambition Essay Example for Free

Macbeth Blind Ambition Essay The tragedy, ‘Macbeth’, composed by William Shakespeare is a play of manipulation and blind ambition. This is clearly depicted through the character of Macbeth, a great man fallen from God’s grace. Initially, Macbeth’s is presented as a character with noble qualities, who earns himself the trust of King Duncan and admiration of his people. However, the meeting with the weird sisters takes a toll on his personality for the worse, as they ambiguously prophesise that Macbeth will become King of Scotland. Upon hearing this, Macbeth takes fate into his own hands and embarks on a journey of blind ambition. Ultimately, Macbeth’s character deteriorates and is destined to fall. Therefore, through the dramatic elements of the play, we anticipate the downfall of valiant Macbeth as a ramification of the fatal flaw of blind ambition. Blind ambition comes at the cost of our humanity. Macbeth aligns himself with the supernatural elements, which are associated with darkness and evil. Originally, Shakespeare introduces Macbeth as a great man, as depicted through the similes of Yes, as sparrows eagles, or the hare the lion and â€Å"Signs of nobleness, like stars, shall shine†¦Ã¢â‚¬  This reflects Macbeth’s bravery, as he is bequeathed the gift of stars by King Duncan. Quite soon, however; we witness how he morphs into a two-faced, conniving snake, as illustrated through this simile â€Å"Look like the innocent flower, But be the serpent under it. † The audience immediately recognises the disparity between the dark supernatural elements and the elements of goodness and light. We expect the power play will be evoked through the illusions and half-truths through the paradox of â€Å"Fair is foul, and foul is fair. † A strong illusion that Shakespeare evokes to dramatise the mental state of Macbeth is the dagger soliloquy, â€Å"Is this a dagger which I see before me. † Whilst we see him in inner conflict over his intention to assassinate King Duncan, we recognise that he will not deviate from the path of darkness as he calls on the stars as seen through the apostrophe â€Å"Stars, hide your fires, Let not light see my black and deep desires’. This establishes that Macbeth represents darkness and this contrasts to Duncan, as he is a symbolism of light. Through the apostrophe, â€Å"Come spirits, unsex me†, we perceive that Macbeth and Lady Macbeth align themselves to the supernatural world for power, and in return they are stripped off of their humanity. Shakespeare dramatises these events to challenge us to consider of ramifications of blind ambition. Taking destiny into one’s hands for self gain may lead to self annihilation, and unnatural chaos ensues. Once regicide is committed, Macbeth is overwhelmed by nausea, as he has â€Å"murdered sleep. He then realises the magnitude of his sins, as it is emphasised through this hyperbole â€Å"Will all Great Neptune’s ocean wash this blood clean from my hand? † This imagery is juxtaposed with the litotes of â€Å"A little water will clear us of this deed. † Therefore, pathos is established between Macbeth and Lady Macbeth, as they are anointe d by blood through the act of regicide, â€Å"My hands are of your colour†. Dramatic irony is established as we know that this couple can never be extricated from guilt. With little remorse, he embarks on a journey of self destruction and mass murder. There is no salvation for him, and this is clearly demonstrated through the metaphor â€Å"Stepped in so far, that, should I wade no more. † He repeats his mistakes as he continues the assassinations of the innocent, and his sins further escalate when he slain Macduff’s family. However, the further they continue on the path to darkness, the more plagued they are by the blood seeping from their hands, â€Å"Out, damned spot! † Macbeth also hallucinates and is haunted by Banquo’s ghost. This can be demonstrated through the imagery â€Å"Quit my sight! Let the earth hide thee† Unnatural chaos ensues as a result of King Duncan’s death and Macbeth’s unnatural deeds due to blind ambition. This is evoked through the disorderly image of and â€Å"Unnatural deeds do breed unnatural troubles. † Until another great being can overthrow tyrannical Macbeth, then the violation of nature’s order will not be restored. Shakespeare invites us to consider the law of ‘cause and effect’. Blind ambition overrides Macbeth’s rational mind and any sense of inherent moral sensibility. Lady Macbeth and Macbeth are left tormented as they cannot sustain inner peace and sleep, â€Å"Sleep no more! which leads them to the brink of insanity. Furthermore Macbeth acknowledges that Duncan is at peace in the liberation of death, and he dramatises the inner conflict and insecurity through the paradox â€Å"To be thus is nothing, but to be safely thus. † This foreshadows the downfall of Macbeth and soon he will be released from his torment. Blind ambition robs Macbeth’s foresight and without realising it, it puts a strain on his and his wife’s marriage. Macbeth and Lady Macbeth’s mental deterioration is emphasised through their severed relationship. As a result of blind ambition, Lady Macbeth resorts to suicide. She lives in fear, as she is constantly plagued from the murder. Therefore, death is her release. Shakespeare invites us to evaluate our behaviour and challenge us to take responsibility for our own actions. As a result of blind ambition, Macbeth is trapped in an illusion of perception versus reality. He consolidates his relationship with the supernatural elements. The witches present three apparitions, which include the â€Å"armed-head†, â€Å"bloody child† and the â€Å"boy with a crown and a tree from his hand. This directs Macbeth to the road of self-annihilation, and through the half-truths, dramatic irony is established and this serves to heighten tension, as the audience expects the downfall of Macbeth. Macbeth is struggling to find the purpose to live, as exemplified through litotes of â€Å"Out, brief candle†. He compares his life to a â€Å"brief candle† that is easily blown out by the wind and it connotes that human life is uncertain. â€Å"Tomorrow, and tomorrow, and tomorrow,† Macbeth laments on the loss of his future, as he comes to term of his inevitable demise. Therefore, Macbeth is associated with pathos, and as an audience, we do pity his pathetic being. In the climax of the play, Macbeth is confronted by noble Macduff and it is revealed that the witches’ ambiguous prophecies were half-truths and Macbeth was so wrapped up in his own illusion that he could not see through it. As a result, it led to his downfall. The catharsis is established when Macduff defeats Macbeth and claims justice to Scotland. Shakespeare writes to raise awareness that some things are not what they appear to be. By the end of the play, we witness the downfall of Macbeth as a result of blind ambition. Blind ambition robs Macbeth of his humanity and foresight, and because of this, Macbeth’s character has deteriorated, as his deterioration is manifested through acts of massacres. In the end, Macbeth does not fully redeem himself, although he does hold regret for the heinous deeds he has committed, and therefore, he dies an undignified death. Hence, Shakespeare invites us consider the natural cycle of ‘cause and effect’ and how acts of blind ambition can lead to deadly consequences.

Teaching - Every Day Brings Something New :: College Admissions Essays

Teaching - Every Day Brings Something New I started seriously thinking about what I wanted to do with my life, concerning my career, in the 11th grade. From my junior year until my first semester in college, I was certain my purpose in life was to teach. However, people I spoke with, including some family, friends, and even schoolteachers, repeatedly crushed this choice: "Why would you want to be a teacher? Don't you know how much they make? Why would you want to deal with bratty kids all day? Don't you know teaching is one of the most stressful jobs you can have?" Being the naà ¯ve, 17 year old that I was, I listened, and changed my career choice-3 times! I went through 2 years of computer classes to become an administrative assistant, 1 year studying law for paralegalism and 1  ½ years focusing on business management. Throughout those 4 years of unfulfillment, the idea of teaching still lingered in my head. I started asking myself why I decided teaching was not for me. I discovered that even though teaching did ca rry a few negative aspects, they could never come close to the positive. For the past 5 years, I have been coaching the varsity dance team at Woodhaven High School. Although there have definitely been some difficult, stressful situations, I have found the experience very rewarding. The greatest thing about coaching is the satisfaction you feel after a student succeeds in what he or she has set out to accomplish-not only physically, but also mentally. Being a coach is more than just a 9 to 5 job. It's more than staring at a computer for 8-10 hours, not caring about the people around you or your work. This is even more apparent in teaching in a classroom 5 days a week, for as much as 7-9 hours a day. Teaching is adventurous, challenging, and exciting, because every day brings something new. As a teacher, you're not only working for a living, you are acting as a role model to every child around you. A teacher has the chance to change a child's life everyday. The main element of lifelong learning is to never stop learning. One must understand that there's no such thing as a person who knows everything.

Friendship Essay

What Makes a Good Friend? Friendships are vital to a person’s life. Although, people have quality requirements that they look for in the â€Å"perfect† friend. There really isn’t the one â€Å"perfect† friend out there that everyone is looking for. They come in all shapes and sizes and each and everyone of them have a different personality with their own faults and imperfections. They are people we associate to having a good time with and, or being sad with. But what makes a true good friend? Qualities that make a good friend are loyalty, trust, and reliability.A quality that makes a good friend is their degree of loyalty to you. A loyal friend will want to be around you. They will make an effort to be with you, and calls you to say hello when you can’t be together. For instance, if your friend is meeting other people at the movie theater, they will call and invite you to go along as well. If you go away for a vacation, your friend will tell you how much they are excited for you to return home. A loyal friend will pull their own weight in your relationship.Leaving everything up to one person in a friendship isn’t fair. They will help you plan times when you will get together, or events so other people can join as well. They will contribute to sharing phone calls between the two of you, instead of making you do all the calling. Another attribute that makes a friend loyal is a possible understanding of an event you have gone through. Having a friend that relates to events in your life is very comforting because they know how you feel or had felt.For example, if you lost a grandparent that was very close to you and your friend did as well, they can relate to your feelings which will make them feel more attached and loyal to you, and you to them. Another quality found in a good friend is their reliability. A trait of a reliable friend is how honest they are with you. If they are completely honest with you, then you can coun t on them in the future. Honesty is a key quality in a true friendship. A reliable friend keeps their promises.They do what they tell you they were going to do instead of doing something else. For example, when they tell you that they are going home and that they don’t want to hang out, they actually go home instead of going out with other friends. Another trait of a reliable friend is how encouraging they are for you. When you doubt yourself about your greatest dreams, they encourage you not to give up on them and remind you that you can do anything you want to. They tell you to shoot for the skies, and that the sky is the limit to what you are able to do in your life.They remind you of who you are and what you stand for when you forget, or when you are going through a rough time. They continuously let you know that you are special in their life and that they would miss you if you weren’t in it. A very important quality to look for in a friend is trust. Some people ca n seem very trustworthy but turn out not to be as you get to know them. A trustworthy friend tells you just about anything. If they trust you, they will confide in you their deepest secrets.For example, they will tell you who they have a crush on, or possibly dangerous things that you might be able to help them with such as substance addictions or other fatal problems. A trustworthy friend will tell you about relationship problems and ask advice that they wouldn’t with their parents or even another friend. They might even give you relationship advice if you need it. In other words, if your friend is in an abusive relationship, they would share as much as they wanted with you and possibly ask your advise about what they should do even if it is hard to hear.Another trait that makes a trustworthy friend compassionate they are. If your friend does something to hurt you, they own up to it and apologize. With all of this being said, a true friend is someone to count on in times of need, someone to have a good time with whenever, and someone to talk to about absolutely anything without being judged or misunderstood. Loyalty, trust, and reliability are three major qualities to look for in a true friend. Once you have found that one â€Å"perfect† friend for yourself, they will be around forever and always have your back.

A Guide to German Toasts

The origin of the English word toast—in the sense of drink a toast to someone—has several explanations. According to most sources, a drinking toast (a word also used in German) is related to roasted bread, aka toast. Websters says the word is derived from the use of toasted spiced bread to flavor the wine [during a toast], and the notion that the person honored also added flavor. Other sources claim that the word is derived from the 18th century English custom of covering a glass of hot spiced wine with a slice of toast as it was passed around the table. Each person lifted the toast, took a sip of wine, said a few words, and passed the glass on. When the glass reached the person being toasted, the honoree got to eat the toast. Prost!Ein Toast! The German equivalents of Cheers! or Bottoms up! are Prost! or Zum Wohl! But longer, more formal toasts (Trinksprà ¼che, (kurze) Tischreden) are common on special occasions such as marriage, retirement, or a birthday. A birthday toast almost always includes Alles Gute zum Geburtstag! (or nowadays even an English Happy Birthday!), but a real birthday toast would expand on that with more good wishes, such as this humorous jab: Hoffentlich hast du soviel Spaß an deinem Geburtstag, dass du ihn von nun an jà ¤hrlich feierst! Alles Gute zum Geburtstag! (I hope you have so much fun on your birthday that youll celebrate it annually from now on! Happy birthday!) The Irish seem to be a bountiful and universal source of toasts and good wishes. Germans have borrowed many Irish sayings  like the well-known May the road rise to meet you... Although German-speakers often use it in English, there are German translations. This is one German version (author unknown) that  comes closer than most: Mà ¶ge dir dein Weg leicht werdenMà ¶ge dir der Wind immer von hinten kommenMà ¶ge dir die Sonne warm ins Gesicht scheinenMà ¶ge dir ein sanfter Regen auf die Felder fallenund bis wir uns wiedersehenmà ¶ge Gott dich in seiner Hand halten. Germans also like to send shorter greetings via  text to each other on their Handys (mobile phones). There are many Web sites in German with sample text messages that can also be used for toasts. Heres a typical example: Die allerbesten Geburtstagswà ¼nsche send/wà ¼nsch ich dir,sie kommen vom Herzen, sie kommen von mir. Selected Toasts and Good Wishesin German and English Heres how you say Id like to propose a toast to (name)!:Ich mà ¶chte  einen  Toast  auf  (Namen)  ausbringen! Allgemein(General) Genieße das Leben stà ¤ndig!Du bist là ¤nger  tot als  lebendig!Constantly enjoy life!Youre longer dead than alive! Hundert Jahre sollst du leben und dich freuen,und dann noch ein extra Jahr—zum Bereuen.Darauf  erhebe  ich  mein  Glas: Prost!May you live to be a hundred years,With one extra year to repent.To  that  I raise my glass: Cheers! (Irish) Mà ¶gest du  alle  Tage  deines  Lebens  leben!—Zum Wohl!May you live all the days of your life!—Cheers! (Irish) Erst  mach dein Sachdann  trink und  lach!First  take care of business,then drink and laugh! Solange man nà ¼chtern ist,gefà ¤llt das Schlechte.Wie man  getrunken  hat,weiss  man das Rechte.—J.W. GoetheWhen one is sober,the bad can appeal.When one has taken a drink,One knows whats real.—J.W. Goethe Das Leben ist  bezaubernd, man  muss es  nur  durch  die  richtige  Brille  sehen.Life ist wonderful, you just need to see it through the right glasses. Mà ¶ge dir dein Weg leicht werdenMà ¶ge dir der Wind immer von hinten kommenMà ¶ge dir die Sonne warm ins Gesicht scheinenMà ¶ge dir ein sanfter Regen auf die Felder fallenund bis wir uns wiedersehenmà ¶ge Gott dich in seiner Hand halten.May the road rise to meet you.May the wind be always at your back.May the sun shine warm upon your face.And rains fall soft upon your fields.And until we meet again,May God hold you in the hollow of His hand. Geburtstag (Birthday) Du merkst, dass du à ¤lter wirst, wenn die Kerzen mehr kosten als der Kuchen!You know youre getting older when the candles cost more than the cake! Mit dem Alter ist es wie mit dem Wein, es muss ein guter Jahrgang sein!With age its the same as with wine: it has to be a good year! Man sieht mit Grauen ringsherumdie Leute werden alt und dumm.Nur du und ich—auch noch als Greisebleiben jung und werden weise.One sees with shock all aroundthe people getting old and dumb.Only you and I—even as oldstersstay young and become wise. Die allerbesten Geburtstagswà ¼nsche send ich dir,sie kommen vom Herzen, sie kommen von mir.All the best birthday wishes I send to theeThey come from the heart, they come from me. Hochzeit (Wedding) Jeder hà ¶rt die Musik anders—aber der gemeinsame Tanz ist wunderbar.Everyone hears the music differently—but the dance together is wonderful. Die Ehe ist die wichtigste Entdeckungsreise, die der Mensch unternehmen kann.Marriage is the most important voyage of discovery a person can embark upon. Jeder sieht ein Stà ¼ckchen Welt, gemeinsam sehen wir die ganze.Each of us sees a part of the world; together we see all of it. Ruhestand (Retirement) So wà ¼nsch ich dir von ganzem Herzen,tà ¤glich Glà ¼ck und keine Schmerzen,viel Ruhe und Gemà ¼tlichkeit,denn du als Rentner—hast nun Zeit!Thus I wish you from the bottom of my heartdaily happiness and no pain,much peace and cozy comfort,because  you as a retiree—now have the time! Mit der Zeit brauchst du nicht sparen, kannst sogar ins Ausland fahren. Ist das Ziel auch noch so weit, Du bist Rentnegerman—du hast Zeit!You dont have to worry about saving time,You can even travel abroad.If the destination is far away,Youre a retiree—you have the time! Abschied/Trauer(Farewell/Mourning) Dem Leben sind Grenzen gesetzt,die Liebe ist grenzenlos.Life has limits, butlove has no bounds. Der Tod ist ihm zum Schlaf geworden,aus dem er zu neuem Leben erwacht.Death has become his sleepfrom which he awakes to new life.

Feminism The First Wave Of Feminism - 1267 Words

Feminism is a movement calling for social change, holding to a belief that women are oppressed by American society due to patriarchy’s inherent sexism. This social movement explained quite simply started in the 19th century when women fought for the right to vote, sought to improve workplace conditions for women as well as increase working opportunities. From this initial movement, called first wave feminism, stemmed other waves that though somewhere in the same vein, they held many differing goals and values.. The first movement of feminism is celebrated by many in the United States. What initially comes to mind is the social change brought on in the 19th century when brave women stood up and fought for their right to vote. Suffragists†¦show more content†¦In other words, the third wave believes differences between males and females to be immoral. This brought with it a belief that the family unit oppresses women, women should be free to be sexual promiscuous, and other debilitating facets (Rampton, 2015). The feminist theory described by John Macionis in his book â€Å"Society: The Basics† is stated as â€Å"support of social equality for women and men, in opposition to patriarchy and sexism (Macionis, 329).† Though this is the overarching theory of feminism, there are specific ways to achieve this goal. Thus, there are three types of feminism for all the different solutions to the gender inequality issue. Liberal feminism is first discussed in Macionis’ book. The liberal sect of feminism’s foundation is classic liberal thinking that individuals should possess freedom to pursue their interests and achieve their potential. One of the beliefs is that gender works as a caste to keep women disadvantaged. To solve this problem, liberal feminists seek to pass the Equal Rights Amendments (ERA) and achieve reproductive rights for women. According to this ideology, the family institute requires alteration such as maternity and paternity leave and subsidized child c are for working parents. Second is the socialist view of feminism. Stemming from the ideas of Karl Marx and Joseph Engels, this viewpoint claims patriarchy increases the concentration ofShow MoreRelatedFeminism And The First Wave Feminism1651 Words   |  7 PagesWhat is Feminism? The word feminism originated in the 1800’s from the French word â€Å"feminisme†. So what is feminism exactly? Feminism is usually defined as an active desire to change women’s position in society (Kolmar pg.27). There are many ways that feminism can be described as it is a number of theories, social movements, cultural and political movements. These movements are shedding light to the inequalities and equal rights for women and also equality for everyone. Feminism is a way for womenRead MoreFeminism : The First Wave Of Feminism1776 Words   |  8 PagesIn Disney’s animated children’s films, feminism greatly advocated for change in gender roles. Children often believe and develop in accordance with the kind of life and exposure they are subjected to at the tender age. In spite of the fact that Disney adopted animated film to sensitize the children on changes in gender roles, it is certain that children literally adopted the perception depicted in t he films. In fact, it is exemplified that later generations are raised on Disney fairy tale movies’Read MoreFeminism And The First Wave Feminism2028 Words   |  9 Pages Feminism is the movement towards women’s equality and the fight for equal gender in the social, political, cultural and economical aspects of society. Feminism also fights for equal opportunity for women in employment and education. A feminist is someone who advocates their support for women’s rights but is not restricted to only women; anyone who supports women’s rights and equality are feminists, including men. Feminism is not only about the females; it fights for gender equality forRead MoreThe First Wave Of Feminism767 Words   |  4 Pagesworth 50 points Assignment – What is feminism? Describe how it has evolved in the United States and include the three phases. The belief that men and women should have equal rights and opportunities organized activity in support of woman s rights and interests The first wave of feminism took place in the late nineteenth and early twentieth centuries, emerging out of an environment of urban industrialism and liberal, socialist politics. The goal of this wave was to open up opportunities for womenRead MoreThe First Wave Of Feminism1876 Words   |  8 Pagesfeminists. Feminism can be separated into three waves. The first wave of feminism was from the mid 1800s to the early 1900s. The second wave was from the 1960s to the 1980s. The third wave of feminism started in the 1990s, but its end is unclear. Some people believe it has ended and the fourth wave of feminism has started, but others believe it continues today. The different waves have been very different in some aspects, but very similar in others. The main differences between the first and thirdRead MoreThe First Wave Of Feminism1230 Words   |  5 Pagessociety. Women had experienced change during the first wave of feminism and gained suffrage, but during the second wave feminism wome n experienced a change that greatly altered their lives and consequently, the relationships they shared with others. The first wave of feminism was concerned about suffrage and establish rights as people and equality in regards to property law (The Famous Five and the Persons Case in Canada), the second wave of feminism was concerned about equality in the workplace, amongRead MoreThe First Wave Of Feminism996 Words   |  4 PagesFeminism has been a prominent part in American literature since the late Nineteenth century. In almost every form of media today, there are female characters who are leaders, independent, and do not conform to the submissive image some individuals have of women. The first authors to introduce heroines of independent nature were Gilman, Chopin, and Wharton. They wrote stories about heroines who had their own ideas and wanted their own voice, expressed their own sexuality, and established their independenceRead MoreThird Wave Feminism : First And Second Wave 1813 Words   |  8 PagesEssay 2: Third Wave Feminism First and second wave feminists succeeded in legal and social rights. In addition, they achieved the right to vote, higher education, and the right to their own body. Although, third wave feminists obtained these rights, they differentiated from focusing on laws and political processes like first and second wave feminists did. Instead, third wave feminists strived for individualism and diversity. Unlike labeling each other as feminists, the third wave departed from thisRead MoreFeminism And The First, Second, Or Third Wave1272 Words   |  6 PagesWhen referring to the history of feminism in the manner of the first, second, or third wave, one is undermining the experiences that were ongoing during, in middle of, and before those waves that history defines. What ideologies of oppression were being spoken of to raise awareness and whose experience was being excluded/diminished? The articulation of feminism in using the metaphor of waves to describe how the ideologies peaked and rescin ded, is incorrect because it focuses only on the voices ofRead MoreFirst Wave Feminism By Betty Friedan1171 Words   |  5 PagesBackground Knowledge: Second-wave feminism refers to the period of feminist activity that focused on social and legal issues of gender equality such as sexuality, family, the workplace, reproductive rights and equal opportunity in education and the workplace. Source 1: The Feminine Mystique by Betty Friedan In 1963, Betty Friedan’s The Feminine Mystique was published. Friedan discussed the problem that â€Å"lay buried, unspoken† in the minds of the suburban housewife, saying that they were too socially

Power Duties of a Social Worker - 4076 Words

IntroductionThis paper discusses and explores both case studies in order to find the powers and duties a social worker acting in a statutory capacity might exercise in these cases, how might they be exercised and how might wider principles of welfare law impact on their decision making? It also analyses the tensions and dilemmas that may exist, referring to specific legislative provisions, and identify how anti-oppressive practice might influence the resolution of these case studies. It also demonstrates an ability to study relevant law in social work practice and have a critical and analytical understanding of the service delivery standards and powers and duties of social workers, demonstrate a working knowledge and understanding of key†¦show more content†¦As the father of modern family studies, Whittaker, J. K. and J. Garbarino. (1983) observed, We know too much about the family to be able to study it both objectively and easily Some family needs could be considered as b eing met through a combination of expressive and instrumental functions, such as child care, and health-related supports. This applies on both Case Studies. In line with the above, and in recognition of the diversity of contemporary society, we should emphasize that respect for diversity requires that family be defined openly and broadly so as to include whomever the family itself- with its unique culture, circumstances, and history-designates (Allen and Petr 1998:8). Practitioners should be prepared to understand and account for the special needs of minorities. As reflected throughout this volume, this means that we need to consider carefully in our practice the dimensions of race and ethnicity, including not only their significance for human functioning but also their impact on service delivery. In this regard, Pecora, P. J., W. R. 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That means that they must do everything within there power to keep the pople in their care safe from harm. It is not only the care establishment that needs to prioritise the safety , welfare and interests of the people it cares forRead MoreTraditional Values Based On His Religious Beliefs As A Priest1448 Words   |  6 PagesIn late 1950s, Biestek (Clifford Burke, 2009) developed traditional values based on his religious beliefs as a priest. Biestek constructed seven points of traditional social work principles. These are as follows: 1. Individualisation of Every Person - treating people as individuals; 2. Purposeful Expression of Feelings - allows individuals to freely voice their thoughts and express their feelings; 3. Controlled Emotional Involvement - showing empathy and professional interest; 4. UnconditionalRead MoreThe Code Of Ethical, Principle, And Guidelines1345 W ords   |  6 PagesGuidelines. 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Social workers largely work with people that are affected by different life aspects such as ethnicity, disabilities and culture. The fundamental concern for social work is to understand how these aspects affect the individuals. Applying normative ethical theory, processes of ethical analysis. Virtue ethics concerned

Virtual Case of Mr Harold Graeme Blake †MyAssignmenthelp.com

Question: Discuss about the Virtual Case of Mr Harold Graeme Blake. Answer: Introduction The virtual case world scenario for this essay is the case of Mr. Harold Graeme Blake, he is an 83years old male residing in SA. His physical appearance introduces a slim, calm person with the body weight of 81kg and height 179cm. Mr. Harold is a family oriented male having a beautiful wife, two children and a stable life. However, the health condition of Mr. Harold is a complicated scenario, he is suffering from many critical medical issues that involve Ischaemic heart disease (IHD), angina, left cerebrovascular accident (CVA), Gastro-oesophageal reflux disorder (GORD) and spinal injury along with many other complicated issues. Mr. Harold had various serious surgeries in past that are cholecystectomy, appendectomy, two hip replacements and coronary artery bypass graft. According to Feigin et al. (2014) research angina is considered as one of the major complications of coronary artery bypass graft. Mr. Harold is on critical medication where he takes more than eight medicines on daily basis. In the present case study, Mr. Harold is admitted to the emergency department after his confrontation with an angina episode while taking a taxi as normal daily activity. He was admitted to cardiology unit and further transfer to the surgical ward. Mr. Harold was identified with serious symptoms of angina involving shortness of breath, pain 8.5/10, choking sensation, chest tightness, nosebleed etc. The present situation of Mr. Harold along with his medical history makes his case a complicated one to initiate care and overcome his sufferings. In the present case scenario, Mr. Harold underwent a 60days treatment process to overcome his present critical encounter with angina. Cardiologist, speech pathologist, occupational therapist and physiotherapist reviewed Mr. Harold. He underwent CT scan, neurological observation and percutaneous endoscopic gastronomy along with insertion of a nasogastric tube (NG) and for feeding. The case study indicated that it was a complicated task to handle the situation of Mr. Harold. Even after five months of the accident he was fully dependant on others for his daily activities. Mr. Harold was in continuous tough with dietician after seven months of surgery in thenursing home. This situation indicates that Mr. Harold specifically needs special care to overcome his present complex health situation. After discharge from thenursing home, it is required to indulge Mr. Harold in care process that will avoid his further readmission to hospital. Therefore, in the present situation it is required to adopt certain specific care strategies, processes, resources etc. providing Mr. Harold proper care at home. This essay involves a step-by-step process for planning care for Mr. Harold that involves identification of his specific needs, care plan and potential barriers to this care plan. The essay structures complete information that is essential to implement a proper nursing care plan for case study patient Mr. Harold. Identification of patient needs As per case study description about Mr. Harold condition at the hospital and after the transition to anursing home it is clear that he needs a high level of care for his basic as well as certain complex needs. The major basic needs for which Mr. Harold will be requiring care involves shortness of breath at exertion (SOBOE), speaking difficulties, care for his right arm and help in daily living activities (ADLs). In the background information about Mr. Harold hospital admission symptoms, his pain rate was 8.5/10. According to Kissela et al. (2012) studied that any kind of severe pain before or after surgeries requires a proper nursing case. The painful conditions if not managed with proper care can lead to degradation in quality of life. Further, Schafer et al. (2012) indicated that pain management through proper care also helps in liberating the dependency of the patient for his ADLs. Therefore, the most basic of Mr. Harold is care for his pain that will help to overcome his issue of dependence for ADLs because even after seven months of discharge from hospital he is still fully dependent for his daily living activities. Alongside, care is needed to improve and overcome his dependency on daily living activities to make him more independent. Another most important need for Mr. Harold is care and treatment for his right arm that was identified as unable to move during his first month of hospitalisation. There was increased tone and reflexes in his right arm. Further, Mr. Harold was having speaking difficulties in the initial stage of his hospitalisation. However, his speaking issue was very well handled and resolved by speech pathologist but still further care plan will help more in the proper improvement of this issue. Mr. Harold has a problem with breath shortness at exertion. Shortness of breath if not taken care can lead to serious hazards for a heart patient. Black et al. (2014) studies that shortness of breath is a common complication for the patient suffering heart disease. As Mr. Harold is a patient of Ischaemic heart disease (IHD) followed by an episode of angina, he needs care for this issue of breathing shortness while exertion. However, it is better to minimize exertion in his lifestyle but still, some care st rategies are needed to improve this condition. Above these basic needs, another important need of Mr. Harold care is the management of his eating and drinking schedule. As per case details, Mr. Harold was induced with PEG tube also provided with a proper fluid intake process. In months after hospital surgeries, his diet intake was very well improved as per reviews from the dietician. But still, proper intake of food and fluid is very important to get proper health betterment. Therefore, need to manage food and fluid intake is an essential component of Mr. Harold care process. Moving forward from basic needs mentioned in the case, there are also some complex needs based on the past medical situation of Mr. Harold for which he needs care plan. Some of the risky and complicated needs in his medical history that require special care are his spinal injury and gastro-oesophageal reflux disorder. In the present case, Mr. Harold uses a wheelchair for movement and walk only with the help of the walker. This indicates the complexity of his spinal injury indicating a need for special care attention. This spine injury, if not taken care of can be a hurdle in nursing interventions for other basic needs in his case. According to Gunn et al. (2012) research about few major complications related to spine injuries that involve neurogenic pain, regular fall etc. leading to hospitalization, pressure ulcers and urinary track infections, respiratory complications and reduced quality of life. More than 50% the patients having mismanaged care after spinal cord injury leads to r ehospitalisation. As the medical condition of Mr. Harold is already very critical as per his case data, any kind of carelessness in managing his spine injury can lead to life-threatening complications. Further, to improve his dependency on ADLs his spine injury is required to be handled with special care. Lastly, one major complex need for Mr. Harold is control over his Gastro-oesophageal reflux disorder (GORD). GORD is acid reflux disorder in the body where stomach acid is reflected back to oesophagus due to the defect in sphincter muscle of the oesophagus. The avoidance and control of this order depend very much on the lifestyle modification, diet, sleeping and eating habits. However, acid reflux still remains a risky life-threatening disorder that can lead to hazards if not managed properly. As the health condition of Mr. Harold is already very depraved which makes management of GORD also remains a complex needs for Mr. Harold. Understanding of potential barriers to care and underlying assumptions Age is one of the important components to determine the type and cost of care needed for the patient. Often old people are neglected because more effort and less compensation are received for providing health care to them (LeMone et al. 2015). Usually, long-term care for elders leads to the development of negative attitude in cares providers because a lot of patients, effort, strength etc. is needed in providing proper care (Bruera et al. 2015). In the present case of Mr. Harold, his old age can be a potential barrier affecting his care process. His old age is a stereotypic barrier because the level of care required in his condition is very high, however contrary he is very old to cope up easily. The care provider should have a lot of competence to provide care for Mr. Harold is this age. Therefore, age can be a potential barrier in Mr. Harolds case. Further, the verbal issue Mr. Harold developed, as a symptom of angina will also work as another stereotype barrier in his care process. However, Mr. Harold was attempting very well to talk and almost recovered untill the time of discharge from the hospital. But still, in the process of providing daily nursing care at home, this potential barrier to speaking disorder can hurdle in care process for the care provider. Zaman et al. (2014) indicated that psychological capacity is a key to achieve good health. However, in case of Mr. Harold, his medical condition is very complicated and barrier like speaking issues can lead to lot disturbance in his care process harnessing him both physically and psychologically. On basis of mere assumption, complicated health condition of Mr. Harold can create psychological issues like depression, anxiety etc. in his care process. As he is an old age person it is difficult for him to take a care schedule for such critical issues. Therefore, there are many chances of developing psychological issues like depression. Any kind of psychological imbalance will also create a barrier in his critical care process. Further, from the case details, it is identified that Mr. Harold it consuming more than eight medicines daily because of his critical medical condition. In such scenario, his medication needs can also create a barrier to care process because the working duration of medicine (sleeping, relaxing) can lead to mismanagement in the care process. Lastly, the most important barrier to care process of Mr. Harold shall be his socio-economic status that can develop financial crisis in the care process. Mr. Harold is an average retired elder living a normal life with his wife in a unit. Such high level of nursing care leads to a lot of financial burdens (Duckett and Willcox, 2015). However, there are people mentioned in the case study that will help Mr. Harold to manage the financial concerns of a high level of care process along with aged care assessment team (ACAT) arranging placement and guardianship board application for Mr. Harold. With this application Mr. Harold can get financial support but still for an average man like Mr. Harold care cost would remain a potential barrier in his treatment process. Identification of care plan, community resources and hospital avoidance strategies As per basic and complex needs for Mr. Harold identified in the previous section of the essay, this section deals to identify most suitable care strategies and hospital avoidance strategies keeping in mind the detected potential barriers. Firstly, the basic need of relaxation from pain involves a care intervention to provide periodic care. This periodic care means providing rest periods promoting relief, relaxation and sleep. As Mr. Harold is under severe medication process, this periodic care intervention will also help in better results through medication as well as help in relief from pain (LeMone et al. 2015). Further, mild relaxation exercises and music therapy can also help an elder person like Mr. Harold as per studies by (Bruera et al. 2015). Further, mild breathing exercises would be most suitable care process to resolve the issue of breath shortness faced by Mr. Harold. These interventions are developed keeping in mind the age of Mr. Harold so that the potential barrier of age can be overruled in the care process. According to Feltner et al. (2014) research data old age patients generally, face difficulty in their activity daily living (ADLs) process even after providing them proper care. Some of the smart care strategies are specially designed to help elders who face major difficulty in their daily activities. The care strategies to help Mr. Harold overcome the need for dependency in his ADLs are developed as per this research data. The strategies involve developing short-term realistic exposure goal so that shortness of breath does not take place and he learns to perform his own work. Further, Mr. Harold to feed him using his unaffected hand, utilize stationary chair and wheelchair and use of one size larger clothes for comfort. Further, suggest the use of smart dressing sense like elastic shoelaces, elastic pants, t-shirts instead of shirts and Velcro closures in footwear (Duckett and Willcox, 2015). Verhaegh et al. (2014) opine that defect in right arm is a major consequence of heart diseases. A dual combination of proper care along with medication can result in miracles overcoming these defects. Some of the most workable care strategies that can work along with medication in case of Mr. Harold involve use of semi-Fowlers position, oxygen therapy, periodic rest, mild arm exercises, regular monitoring of blood pressure and heart rate. Further, the need to resolve speaking difficulties can be overruled by care strategies like understanding patients non-verbal cues, maintaining eye contact while talking to them followed by framing short questions that patient can answer easily. Talking and discussing in front of the patient to catch his involvement and correcting his errors along with active listening (LeMone et al. 2015). These minute strategies would surely work for Mr. Harold because he showed the positive response for speech difficulties during his time of hospitalization. Last ly, another basic need is managing the food and fluid intake of Mr. Harold. This can be achieved through care strategies like scheduling his fluid and food intake (small amount in short duration of time), monitoring maximum fluid intake, scheduling the visit to a dietician, adopting healthy eating habits and foods in meals (Bruera et al. 2015). Now moving to complex needs of Mr. Harold that are control over his reflux and spinal injury defects. Firstly, for managing the issue of reflux, Feltner et al. (2014) mentioned some important interventions that are applicable to the case of Mr. Harold care as well. This involves regular measurement of weight, small frequent meals with high protein and carbohydrates, guiding patient to eat small and slowly, guiding to remain in upright position till 2hours after meals and avoid eating 3 -4 hours before bed. These strategies help to maintain the issue of acid reflux in Mr. Harold case. Further, spinal injuries involve care like encouraging fluid intake, refer regularly to the physical therapist, perform mild spine exercises and providing assistance with coughing, walking etc. (Bruera et al. 2015). The residing location of Mr. Harold as per his socioeconomic details in the case has community support care in place that involves DOM care and Veterans Homecare. These community care services can help to avoid readmission to hospital in case of Mr. Harold. Some of the most workable community resources and services for him are Home Care Packages, Post-acute Services and After hospital care (Transition care) (Verhaegh et al. 2014). The Home Care Packages provide care for people having complex needs and have to live independently at their residence. Mr. Harold care plan can be adopted from these packages, as the services offered are suitable for his present condition. Further, Post-acute care involves services for people discharges from public hospitals, acute services, sub-acute services and emergency departments (Mossialos et al. 2015). However, this care is a short-term community care but this can help Mr. Harold in the emergency situation to avoid readmission to hospital (LeMone et al. 2015). As Mr. Harold is facing many different kinds of health-related issues, post-acute care can help to focus on emergency care for one specific issue resolving it in short duration of time. Lastly, transition care is another recommended community care option for Mr. Harold. In transition care old age people requiring further recovery care after discharge from hospitals are handled providing them benefits to live long term of life. For this service, patients need to be assessed from aged care assessment service (Duckett and Willcox, 2015). As Aged care assessment team handled Mr. Harold after discharge, this transition care will be beneficial for his transition to his home providing care services for recovery and long life. Australian government offers different options of subsidies and supplements for people unable to afford proper medical care due to the financial crisis. These aged care subsidies and supplements are the payment done to care providers by the Australian Government for each care recipient as per their support care needs (Agedcare.health.gov.au., 2018). From various aged care funding schemes of the Australian government, the most recommended once for Mr. Harold is Home care subsidy and Residential care subsidy. Feltner et al. (2014) opine about Residential care subsidy in which Australian Government pays approved care providers for providing care to the recipient an amount of residential care. The Government on monthly basis pays it to the care provider. This subsidiary implies on the basis of a high or low level of care recommended to the recipient (Agedcare.health.gov.au., 2018). As Mr. Harold is recommended high level of care, this subsidy scheme will suit him the best. Further, Home Care Subsidy is one more Australian Government subsidy where care providers are paid for providing home care to recipient. As per Mr. Harold case, he is eligible for this subsidy as well. He can apply for anyone recommended subsidy to overcome the financial burden of high-level care. A proper Government subsidy along with community care resources and nursing care intervention will completely help in his recovery process providing better and longer living conditions for Mr. Harold. Conclusion The provided virtual case world study of Mr. Harold is not at all a common type of patient case study rather it is a very complex case study of old age person suffering critical health conditions and needs a proper care process. this study involves a process to study Mr. Harolds case, his needs, care requirements, care plan and potential barriers in his care process after hospitalization. Mr. Harold as per case details was discharged from hospital after his encounter with angina. He is a victim of serious health hazards like ischaemic heart disease, angina, acid reflux and left cerebrovascular accident. His identified care needs are care for speaking difficulties, shortness of breath, right arm pain, surgery pain, and dependency for ADLs, food and fluid management. His complex needs involve care for acid reflux and spinal cord injury. Further, the study identifies the potential barrier that can hinder the care process of Mr. Harold; this involves his old age, communication issues, psychological inabilities (depression), medications and socio-economic status (financial status). These potential barriers can hinder his care process. Lastly, the study involves identification of care plan, community resources and hospital avoidance strategies along with Government subsidies. These Government subsidies can help to overcome his financial barrier in the care process. The residential care subsidy and home care subsidy are best suited once for Mr. Harold. Further, community resources like post-acute care, home care packages and transition care can help for avoiding readmission to hospital. Lastly, the study involves various nursing intervention and care plans that can help to fulfil his basic and complex care needs identified to provide Mr. Harold with a better and longer life. 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