Relationship Between Lithium and Weight Gain

Relationship Between Lithium and Weight Gain Bipolar Disorder Treatment Medications Print The Link Between Lithium and Weight Gain By Marcia Purse Marcia Purse is a mental health writer and bipolar disorder advocate who brings strong research skills and personal experiences to her writing. Learn about our editorial policy Marcia Purse Medically reviewed by Medically reviewed by Steven Gans, MD on May 19, 2017 Steven Gans, MD is board-certified in psychiatry and is an active supervisor, teacher, and mentor at Massachusetts General Hospital. Learn about our Medical Review Board Steven Gans, MD Updated on June 17, 2019 Miguel Sanz / Getty Images More in Bipolar Disorder Treatment Medications Symptoms Diagnosis The mood-stabilizing drug lithium remains an effective mainstay of treatment for bipolar disorderâ€"but unfortunately, it can cause  weight gain. Although the possibility of gaining weight while taking lithium is well known, this side effect does not affect everyone who takes the medication. Approximately 25% of people taking lithium gain weight, according to a review article published in the medical journal Acta Psychiatrica Scandinavica.?? After analyzing all relevant published medical studies, the authors reported an average weight gain of approximately 10 to 26 pounds among those who experience this troubling side effect. Although the biological mechanisms that lead to lithium-related weight gain are not entirely clear, researchers speculate that several processes are likely involved. Additionally, several factors can influence the likelihood of gaining weight while youre taking lithium. Timing and Risk Factors Most people with bipolar disorder take lithium long term to stabilize mood and prevent manic and depressive episode relapses. Your risk of gaining weight while taking lithium is greatest during the first two years of treatment reports the author of a 2016 International Journal of Bipolar Disorders review article.?? Lithium-related weight gain appears to level off after the first two years, although you might also gain weight for other reasons unrelated to the medication. Your risk of gaining weight while taking lithium might be increased if youre already carrying some excess weight  when you start taking the medication. In addition, some evidence suggests that the risk of lithium-related weight gain could be dose-dependent. This means that the likelihood of weight gain increases along with lithium level in your bloodstream. However, not all research studies have found this relationship, as noted in the 2016  International Journal of Bipolar Disorders  study.?? Taking other medications that might also cause weight gain along with lithium  also  increases your risk of putting on extra pounds. Common examples of such drugs include: Clozaril  (clozapine)Depakote  (valproate)Risperdal (risperidone)Seroquel (quetiapine)Zyprexa  (olanzapine) Why Does Lithium Cause Weight Gain? Despite the fact that lithium has been used in the United States for the treatment of treat bipolar disorder since 1970, the mechanisms that provoke weight gain in some people remain unclear. Several theories have been proposed. These processes may work alone or in combination to cause weight gain in people on lithium therapy.?? Early weight gain after starting lithium therapy could represent regaining pounds that were previously lost unintentionally. This situation might apply if you experienced a manic episodeâ€"which can lead to weight loss due to disinterest in eating and increased activityâ€"before starting lithium. Lithium often triggers increased thirstiness. Quenching your thirst with high-calorie beverages, such as full-calorie soda or fruit juice, is a possible contributor to weight gain. Lithium might also cause sodium and water retention in people who consume a high-salt diet, which can lead to added body weight. Reduced thyroid function, or hypothyroidism,?? is a well-known potential complication of long-term lithium treatment. This condition leads to a reduced metabolic rate, which in turn leads to weight gain. Women taking lithium are significantly more likely to develop hypothyroidism than are men, as reported in a 2013 Thyroid Research review article.?? Other hormones and brain signaling chemicals that affect hunger, blood sugar regulation, and fat and energy storage might play a role in lithium-related weight gain. As these processes are very complex and regulated at multiple levels in the body, additional research is needed to determine the possible influence of lithium. A Word From Verywell We understand your concern about gaining weight while on lithium therapy. Weight gain is understandably distressing both in terms of your self-image, and your physical and mental well-being. Keep in mind, however, that lithium-associated weight gain only occurs in approximately 25 percent of people who take the medication. Additionally, there are several common-sense steps you can take to minimize and perhaps even avoid this side effect, including:?? Limit your consumption of high-calorie beverages, such as full-calorie sodas, fruit juices, sugary coffee drinks, and smoothies. Drink low-calorie or noncaloric beverages to quench your thirst. Water with a twist of lemon or lime, hot or iced herbal tea and decaffeinated coffee are a few healthful options.  Stay physically active. If youre not getting much exercise currently, talk with your doctor about getting started. Remember, anything that gets you up and moving counts as physical activity. Walking is always a good option, but the possibilities are almost limitless.Monitor your weight regularly. If the number on the scale starts creeping up or your clothes feel tighter, talk with your doctor about the next steps. She might recommend consulting with a dietitian to review your current diet, a change in your medications or their dosages, or another strategy.  Contact your doctor right away if you develop any signs or symptoms that might suggest an underactive thyroid gland such as a lump near your Adams apple; unexplained constipation; feeling cold most of the time; dry hair and/or skin; forgetfulness, irregular menstrual periods; and unusual sensations in your hands or feet.

Failure of Democracy Essay - 870 Words

Failure of Democracy According to David Herbert Donald in the article Why They Impeached Andrew Johnson, â€Å"Rarely has democratic government so completely failed as during the Reconstruction decade.† As voiced by Lincoln in his Gettysburg Address, the nation is a â€Å"government of the people, by the people, and for the people.† However, during the period of reconstruction, the government was far from this philosophy. Public opinion was all but ignored, and all matters were decided by either President or Congress. Southern voice in government policy was essentially nonexistent, and the former states were compelled by military rule to accept northern laws. Lincoln understood that in a democratic nation, the will of the public was very†¦show more content†¦Johnson argued that the bill was unconstitutional, and vetoed it, despite wide support for it in Congress. He also vetoed a Civil Rights Act, which guaranteed black liberties, however his veto was overridden by a majority in Congress. â€Å"In the clash between the president and Congress, Johnson was his own worst enemy. His language was often intemperate, his handling of opponents inept, his analysis of southern conditions incorrect† (Garraty 421). It was important for Johnson to be cautious as a president, but he was the exact opposite – reckless and imprudent. He had no true political following, and was only considered for the vice presidency in 1864 to appeal to southern voters. The only reason he became President is because he succeeded Lincoln after his assassination. Many people called him the president of an assassin, rather than the president of the people. Johnson seemed not to realize the weakness of his position. He was on very insecure ground because he did not represent any major interest. However, even under such precarious conditions, he persistently disregarded public opinion, acting of his accord. â€Å"Such open defiance of northern opinion was dangerous un der the best of circumstances, but in Johnson’s case it was little more than suicidal† (Donald 5). Johnson was adamant in his own beliefs, and was entirely impervious to theShow MoreRelatedFailure of Democracy in Pakistan1801 Words   |  8 PagesFailure of democracy in Pakistan: Pakistan, since its day of inception, has faced several challenges to establish a true democratic system, which could guarantee its survival, stability and development. Unfortunately, the plant of democracy has not taken its roots deep enough to make the country, â€Å"a durable democratic state†. Pakistan was conceived on the Islamic ideology which is truly democratic both in letter and spirit, but we remained incapable of sticking to the guiding principles of IslamRead MoreThe Role Of Nationalism As A Cause Of The Failure Of Democracy2966 Words   |  12 PagesAssess the importance of Nationalism as a cause of the failure of democracy in Germany in the period 1918-1934. Nationalism was an important and fundamental factor in the downfall of the Weimar Republic and in turn, the ensuring failure of democracy in Germany in the period of 1918-1934. Nationalism is a political and social philosophy that aims to emphasise the nation’s virtues above others. It is a principle of a nation’s demand to be more powerful and successful than any other. A sense ofRead MoreThe Failure of Democracy in Germany in the Period 1928 to 19341117 Words   |  5 PagesThe Failure of Democracy in Germany in the Period 1928 to 1934 Those in power in Weimar Germany so consistently mishandled the political and economic situation leading up to the period 1928-1934, that a well-structured challenge from the Nazi Party brought about the fall of democracy. This Nazi Party was stronger ideologically, structurally within the party and politically, with Hitler as Fuhrer a major factor himself. In addition, factions within Germany for whom a Read MoreThe Failure of Jacksonian Democracy by Andrew Jackson585 Words   |  2 PagesHistory to 1877 What does the term â€Å"Jacksonian† democracy mean, and how it accurate is it to describe the period between 1824 and 1844. The â€Å"Jacksonian† Democracy’s meaning originates from the political philosophy of the 7th President of the United States, Andrew Jackson. The philosophy stated intentions was to strengthen the power of the poor lower class while weakening the influence of the rich upper class. As stated in â€Å"Jacksonian† democracy was intended to elevate the political process ofRead More Failure of Parliamentary Democracy in Germany and Hitler’s Rise to Power2956 Words   |  12 PagesFailure of Parliamentary Democracy in Germany and Hitler’s Rise to Power German history is seen as a ‘painful issue for thousands of Germans and other Europeans’ . However it has interested many historians over the years into inquiring how and why Hitler came to power and how much of this was to do with the failure of parliamentary democracy in Germany. To fully ascertain to what extent these events have in common and what reasons led to the fall of democracy and rise of the Nazis, each haveRead MoreAssess the importance of nationalism as cause of the failure of democracy in Germany in the period 1918-1934.1828 Words   |  8 PagesNationalism was an important and integral factor in the downfall of the Weimar Republic and in turn, the ensuing failure of democracy in Germany in the period 1918-1934. The sense of loyalty and devotion to ones nation, which the German citizens had felt in their militaristic past, was ultimately devastated by WWI and its consequences. Although nationalism was a major cause of the failure of democracy in Germany, there were many other factors adding to the stress upon the countrys government at this timeRead MoreAccount for the â€Å"Failure of Democracy† in Eastern Europe (Excluding the Ussr) in the Period 1918-1939.2189 Words   |  9 PagesAccount for the â€Å"failure of democracy† in Eastern Europe (excluding the USSR) in the period 1918-1939. According to Robert A. Dahl, there are certain criteria that a government must meet for it to be called a democracy. Democracy must provide first of all, opportunities for effective participation, where all members of an association concerned with a certain policy ‘must have equal and effective opportunities for making their views known to the other members as to what the policy should be’Read More Democracy: An Analysis Essay1358 Words   |  6 Pagesonce remarked that â€Å"democracy is the worst form of government except all the others that have been tried†. In agreement with his statement, this paper will examine the problems of democratic governments using specific examples, and compare it to the failure of fascist governments in Nazi Germany and Italy and communist governments in the Soviet Union and China. Theoretically, democracy is a stable form of government where power is in the hands of the people. In a democracy, people have the libertyRead MoreEssay about Democracy1421 Words   |  6 PagesLike a living organism, democracy must be born into a time where the parents, circumstances, are right to understand the potential of such a child, democracy, and the soil, society, may be described as the type of state that is ready to accept and nurture that child. Metaphors aside, democracy has been noted to provide a better opportunity for human development. Democracy is also commonly defined as a political system that is associated with free and fair elections. A democratic regime simply refersRead More Constructing and Reconstructing Essay1291 Words   |  6 Pages(for relief from the recession). While citizens were behind on their taxes; states were unable to pay interest on bonds, which crippled the government operations (Hollitz, 91). The idea of Hamilton claiming that states suff ered from an â€Å"extreme democracy†, the Founding Fathers establish a central government that was less responsive to the will of the popular support (Hollitz, 94). The Founding Fathers, Holton says, mistrusted the abilities of average citizens who made up much of America’s voting

The Mental Health Care System - 1414 Words

The Mental Health Care system is really important to our society. What might happen if the workforce in the Mental Health System didn t meet the qualifications to support the mentally ill? It means thousands of people with mental health problems are at risk of not getting the urgent care in emergencies because of a lack in staff and supplies. For the most part America has a better control on their Mental Health Care System, but it is a whole different story in the United Kingdom. One thousand people who had experienced a mental health crisis in the last five years located in the UK were interviewed and asked â€Å"If they had felt they received all the support they needed in their emergency?† Only fourteen percent said yes to this interview conducted by one of the National Health Services (NHS) Mental Health trusts. Trust retain their operational responsibly for acute and primary care services, so in other words England’s Mental Health Care System can make as many mista kes as they want and not get sued for them. We talked about the United Kingdom not having enough qualifications to work with the mentally ill, now lets get more information on these workers and their schooling. In Britain to get a doctorate s degree for Psychology it only takes 3 to 5 years and that is including the little training you need. As for schooling in America for a Doctorate s degree for Psychology it will take you at least 6 to 8 years and that is not including the formal training and supervisedShow MoreRelatedIssues Of The Mental Health Care System2219 Words   |  9 PagesIssues in the Mental Health Care System Introduction Mental illness is a disease found worldwide, affecting a big chunk of the population. Some mental illnesses can be small such as ADHD and anxiety disorders whereas others are more severe like Borderline Personality Disorder and Schizophrenia. Treatment and understanding of these conditions used to be very poor, but the 1980’s started to change that. Although much treatment of mentally ill patients has gotten better, there is still room for improvementRead MoreMental Health Care System Of Australia1814 Words   |  8 PagesMental health services has given significant impact and influence on mental health nursing practice (Ricard, Page Laflamme 2014). This is due to the fact that nurses have shown leadership in the clinical setting and have adapted the needs of their consumers to their services in the primary health care setting (Ricard, Page Laflamme 2014). However, according to John Crowther Theresa Ragusa (2011), mental health nursing has declined in New South Wales (NSW) . Their study provides insight on theRead MoreA Broken System : Mental Health Care Reform2769 Words   |  12 Pages2014 Fixing a Broken System: Mental Health Care Reform Mental health care in the United States is in an abysmal state, and yet the government hasn’t take action to fix it. Individuals suffering from serious mental illness are more likely to be incarcerated than to be receiving care in a psychiatric hospital. Perpetrators of mass shootings are often suffering from mental illness, and don’t receive help despite many warning signs. Homeless people are often suffering from mental illness, and many areRead MoreInadequacy Of The United States Mental Health Care System1104 Words   |  5 PagesStates Mental Health Care System: Barriers to Care According to the World Health Organization, mental illness will affect approximately 25% of people at some point in their life (â€Å"WHO Qualityrights†, n.d.). Despite that, the current mental health care system in the United States is inadequate. Many aspects of the system need improving, especially the barriers to service. In fact, approximately 20% of individuals are left without necessary treatment for their mental health disorder (â€Å"Mental Health†Read MoreTransformational Opportunities Exist With The United States Mental Health System1671 Words   |  7 PagesStates Mental Health System Mental illness refers to all diagnosable mental disorders defined as â€Å"health conditions that are characterized by alterations in thinking, mood or behavior (or some combination thereof) associated with distress and/or impaired functioning.† (Williams Torrens, 2008, p. 221) With one in every five American adults experiencing mental illness, the resulting economic burden exceeds $300 billion per year to include approximately $100 billion in direct health care expendituresRead MoreMental Health : Becoming A Public Health Crisis873 Words   |  4 PagesIntroduction Mental illness is becoming a public health crisis through-out the world. Within developing and developed countries there are many different reasons that mental health has caused issues in the countries being examined. Mental health is an issue that can affect anyone at any time in their life. Ones mental health can be affected by many things around a person or just through their own genetics. All people are born into their family situations which can be in a developed or developingRead MoreAccess Of Mental Health Care1105 Words   |  5 PagesAccess to Mental Health Care Headlines worldwide will read of another School Shooting because of a mentally ill person before long. Extra security and drills have placed a Band-Aid on the problem, but this kind of wound needs to be fixed at its source. Access to mental health care is seriously lacking in this country and it is because of the stigma that surrounds mental illnesses which causes people to stray away from treatment. There are not enough mental health care physicians in any givenRead MoreThe Mental Illness Of The United States Essay1652 Words   |  7 Pagesare many people in the United States that have a mental illness that is either not able to be treated or is never diagnosed at all. This is because treatment is very expensive and hard to access, and without proactive care of the mentally ill there can be various unfortunate outcomes, sadly including, death. So, why is access to mental health care so limited and what is the government of Ohio doing to solve it and what else should be done? Mental illnesses are very common in the United States,Read MoreThe Community Mental Health Act Of 19631064 Words   |  5 PagesThe Community Mental Health Act of 1963, was the first federal law that inspired community-based mental health care, and it ignited the transformation of the public mental health system (Young Minds Advocacy, 2016). Other names of the Act are Mental Retardation and Community Mental Health Centers Construction Act of 1963. It was the beginning of the Deinstitutionalized movement in mental health treatment options for children, youth, and adults (National Council for Behavioral Health (NCBH), 2015)Read MoreMental Health Incidents Have Effected Policing1439 Words   |  6 Pagesaddress mental health incidents have effected policing. Through my research I have determined that Canadian law enforcement has failed to manage the new demands placed on them from historical and societal changes towards mental illness. This failure to properly manage has caused ine fficiencies Police have long been the default resource to manage new demands from changes in society, and in regards to mental illness, they have been referred to as the â€Å"informal first responders of mental health† (Council

Ecotourism Free Essays

In the scenario that was given, the type of ecotourism that I identify is â€Å"soft ecotourism†. This is because there was no account of any wild or dangerous animal(s). The writer made mention of quails and roadrunners which are birds. We will write a custom essay sample on Ecotourism or any similar topic only for you Order Now Apart from these, there was no hint of a fearful atmosphere as the mode was mild. From the given scenario, I identified that the tourist centre is a mixture of nature and adventure ecotourism. The writer noted that they went to a museum where they saw some artifacts. Apart for this, she talked about the stars being much there. The hiking up and down the mountain to se where the Indians resided makes us see the adventurous part of the journey. As I perceive, the tourist attraction might not totally be in its natural state because the management might altered something there in order to make the place more beautiful. This is because of the presence of a museum in the place. How to cite Ecotourism, Papers Ecotourism Free Essays STYLES OF ECOTOURISM Ecotourism is a form of tourism enclosing visiting delicate, unspoilt, and generally undisturbed natural areas, purposed as a low impact and often small scale alternative to standard merchant tourism. Its aim may be train the traveller, to ensure funds for ecological protection, to immediately utilize the economic improving and political empowerment of regional communities or to encourage esteem for distinct cultures and for human rights. Ecotourism can be classified into three main categories on the basis of styles: Self reliant ecotourism, Small group ecoturism and Popular ecotourism Self reliant ecotourism is the first style of ecotourism. We will write a custom essay sample on Ecotourism or any similar topic only for you Order Now People who use this style do non motorized travel usually by foot, canoe, sea kayak or similar. Self reliant ecotourism involves individual travellers or groups of less than ten who have high information and skills base needed to make most of opportunity. People who use this style have should be high degree of self reliance because of challenges faced by the traveling places. by giving examples of the style of this activity : bushwalking with an environmental educational focus in remote areas or in remnant forest patches, camping on a coral Kay, guided dive trips, interpreted river canoeing, rafting or sea kayaking, bird watching study groups. The second style of ecotourism is small group ecotourism. People who use this style do non motorized or motorized low capacity vehicle such as car, 4WD, mini bus or small power boa tor mountain bike. mall group ecotourism support infrastructure requirements contain: roads, toilet facilities, camping grounds and interpretive displays and it involves groups sizes of thirty or fewer. Illustration of this style include: interpreted spotlighting tours in the rainforest at night, self guided interpretive forest drives or walks, guided 4WD tours on Fraser Island, specialised dive trips to the Great Bar rier Reef. The final style of ecoturism is popular ecotourism. People who use this style utilize motorized high capacity transport such as larger bus or high speed catamaran. his style promotes full kind of facilities generally anticipated of high quality day trip tourismand it has no maximum group size. People who use this style do not need to high degrees of self reliance because of little knowledge and abilities base required to make most of opportunity. To sum up, there are three main categories of styles on the basic of ecoturism: Self reliant ecotourism, Small group ecoturism and Popular ecotourism. All styles of ecotourism Provide incentive to protect environment. How to cite Ecotourism, Papers

Compare To His Coy Mistress by Andrew Marvell and One Flesh by Elizabeth Jennings Essay Example For Students

Compare To His Coy Mistress by Andrew Marvell and One Flesh by Elizabeth Jennings Essay In this essay I will discussing and comparing To His Coy Mistress and One Flesh. Both poems talk about love and passion but they tackle the subject in different ways. To His Coy Mistress To his Coy Mistress was written in 1650, 17th century. It is set in a metaphysical poetry tradition. It is basically about a man who is persuading his girlfriend to sleep with him. He is older than his girl friend and is trying to force her and persuade her to sleep with him as soon as possible. In those days they believed in a convention which was no sex before marriage In the first, third and fourth lines the w sound is alliterated in we, which, way, walk and would. This sound helps the poem flow. Also on line four there is alliteration in long loves day which gives a relaxed effect, long loves day is also a metaphor for eternity spent in love. Also in line four Marvell says long loves day the alliteration sound of the l makes the poem seem more relaxed. In line six the Marvell says shouldst rubies find the word rubies symbolises love and passion. Then he says my vegetable love will grow he is comparing his love to a vegetable meaning it grows naturally and slowly From line fifteen he talks about time; two hundred, thirty-thousand. He uses a metaphor to personify and create and image of time. Times winged chariot hurrying near this is a metaphor for the speed and power of time. Its also an image of time catching him up in life. He wants to have intercourse with her so he tries to persuade her by saying then worms shall try that long preserved virginity hes telling her its not good to die a virgin and the worms will eat her. In line 24 Marvell writes desarts of vast eternity this is saying time is extremely long and he will wait this long for his love. Next he is telling her how passionate it will be when they do it. He uses the phrases at every pore with instant fires, now let us sport us, like amrous birds of prey these phrases are trying to persuade his love to have sex with him. He once again mentions time to try and persuade her rather at one out time devour he is making out that time is a monster chasing after them so they should hurry up and have sex through the iron gates of life he wants her to smash through the restrictions of life. At the end of the poem Marvell says thus we cannot make our sun stand still , yet we will make him run, in the 1700s they believed the sun went around the earth so he is saying they canno stop time so they must hurry. One flesh One flesh is a poem written in the 20th century by Elizabeth Jennings. It uses themes such as love and passion. The poem is about a couple whose marriage had been torn apart over the years and how they are separating more and more every day. The title one flesh is a biblical image that suggests bodily union, however In the first line Jennings uses the words apart, each and separate this suggests that the subjects are not very together. In the first few lines of the first stanza we see how apart they are. The first line reads lying apart now, each in a separate bed this suggests they have separate and shows an impression of estrangement. The man is with a book, keeping the light on late he may not even be reading the book he could just be avoiding communications. In the next line we see how they are doing separate things as while the man reads the woman is like a girl dreaming of childhood The last two lines show that he does not read the book and how the woman has her eyes fixed on the shadows overhead this suggests troubles and shows how she cannot sleep. .u1a817040a55e3ad8a1f7772ad0ed82f9 , .u1a817040a55e3ad8a1f7772ad0ed82f9 .postImageUrl , .u1a817040a55e3ad8a1f7772ad0ed82f9 .centered-text-area { min-height: 80px; position: relative; } .u1a817040a55e3ad8a1f7772ad0ed82f9 , .u1a817040a55e3ad8a1f7772ad0ed82f9:hover , .u1a817040a55e3ad8a1f7772ad0ed82f9:visited , .u1a817040a55e3ad8a1f7772ad0ed82f9:active { border:0!important; } .u1a817040a55e3ad8a1f7772ad0ed82f9 .clearfix:after { content: ""; display: table; clear: both; } .u1a817040a55e3ad8a1f7772ad0ed82f9 { display: block; transition: background-color 250ms; webkit-transition: background-color 250ms; width: 100%; opacity: 1; transition: opacity 250ms; webkit-transition: opacity 250ms; background-color: #95A5A6; } .u1a817040a55e3ad8a1f7772ad0ed82f9:active , .u1a817040a55e3ad8a1f7772ad0ed82f9:hover { opacity: 1; transition: opacity 250ms; webkit-transition: opacity 250ms; background-color: #2C3E50; } .u1a817040a55e3ad8a1f7772ad0ed82f9 .centered-text-area { width: 100%; position: relative ; } .u1a817040a55e3ad8a1f7772ad0ed82f9 .ctaText { border-bottom: 0 solid #fff; color: #2980B9; font-size: 16px; font-weight: bold; margin: 0; padding: 0; text-decoration: underline; } .u1a817040a55e3ad8a1f7772ad0ed82f9 .postTitle { color: #FFFFFF; font-size: 16px; font-weight: 600; margin: 0; padding: 0; width: 100%; } .u1a817040a55e3ad8a1f7772ad0ed82f9 .ctaButton { background-color: #7F8C8D!important; color: #2980B9; border: none; border-radius: 3px; box-shadow: none; font-size: 14px; font-weight: bold; line-height: 26px; moz-border-radius: 3px; text-align: center; text-decoration: none; text-shadow: none; width: 80px; min-height: 80px; background: url(https://artscolumbia.org/wp-content/plugins/intelly-related-posts/assets/images/simple-arrow.png)no-repeat; position: absolute; right: 0; top: 0; } .u1a817040a55e3ad8a1f7772ad0ed82f9:hover .ctaButton { background-color: #34495E!important; } .u1a817040a55e3ad8a1f7772ad0ed82f9 .centered-text { display: table; height: 80px; padding-left : 18px; top: 0; } .u1a817040a55e3ad8a1f7772ad0ed82f9 .u1a817040a55e3ad8a1f7772ad0ed82f9-content { display: table-cell; margin: 0; padding: 0; padding-right: 108px; position: relative; vertical-align: middle; width: 100%; } .u1a817040a55e3ad8a1f7772ad0ed82f9:after { content: ""; display: block; clear: both; } READ: Poetics by Aristotle EssayThe next stanza starts with tossed up like flotsam this is a simile for their marriage covered with debris. The second stanza also says how cool they lie and that they hardly ever touch and it they do it is like a religious confession. Next the phrase chastity faces them means celibacy The first line of the final stanza begins with juxtaposition with the words apart and close together. Silence between them like a thread to hold in the second line is a simile expressing tension. In the third line And not wind in. And time itselfs a feather shows how unaware the couple are of time. In the last two lines the writer reveals that the couple are her parents, my father and mother and shows how there passion used to burn by saying whose fire, from which I came, has now grown cold. Throughout each stanza caesuras are used in the middle of lines to create a pause to emphasize the separation affect. Comparison of the two poems The two poems not only share the themes of time and separation but also love and passion too. Yet in many ways the poems are worlds apart, not only in terms of when they were written (some 400 years apart) but in their perspectives. This is not surprising being that One Flesh was written by a female and To His Coy Mistress by a male. It is interesting that the themes of time and separation (as well as love) are influenced by different periods of history and attitudes to love and being together. Both poems are interested in the idea of two people being one. Jennings calls her poem One Flesh, a reference to the coming together of two people in marriage. On the other hand, Marvell hopes he and his mistress can roll all their sweetness, up into one ball which has a much stronger sexual connotation. In both poems `sex is what separates the couples. Marvell would complain, if he had the time, about their not sleeping together instead he tries to persuade through clever arguments relating to time why she shouldnt be so coy with him. In One Flesh a marriage that was once a fire has now grown cold and a sexless state, chastity, and silence is all that seems to hold them together. Ironically, they are joined, by a metaphorical thread but it cannot be wound in because they no longer have their former passion. Age and the slow melting away of passion has separated them, the couples daughter sadly observes. Rather it is the mistress honour that separates her from Marvell, and one imagines traditional attitudes to love. Society then was much kinder to men who lost their virginity before marriage than it was to women. Time is used by Marvell as his chief argument to win his mistress. The first section of the poem begins: Had we but world enough, and time Marvell goes on to express how, if life were eternal, he would worship her for thousands of years, Till the conversion of the Jews. But he relates in the second part, eternity for humans is a desert, that we cannot escape Times winged chariot. Time he argues will render them dust and although The graves a fine and private place,none, I think do there embrace. So, while they have youth and beauty on their side, he concludes, they should make the our sunrun, in other words they should enjoy themselves! Conversely, time is not expressed as a reason to bring two people together but as a reason why two people are apart. Jennings parents have had their pleasure, and now time has slowly changed them like: ..a feather / Touching them gently .ua54215a4124c8bf568acab51ed116ea6 , .ua54215a4124c8bf568acab51ed116ea6 .postImageUrl , .ua54215a4124c8bf568acab51ed116ea6 .centered-text-area { min-height: 80px; position: relative; } .ua54215a4124c8bf568acab51ed116ea6 , .ua54215a4124c8bf568acab51ed116ea6:hover , .ua54215a4124c8bf568acab51ed116ea6:visited , .ua54215a4124c8bf568acab51ed116ea6:active { border:0!important; } .ua54215a4124c8bf568acab51ed116ea6 .clearfix:after { content: ""; display: table; clear: both; } .ua54215a4124c8bf568acab51ed116ea6 { display: block; transition: background-color 250ms; webkit-transition: background-color 250ms; width: 100%; opacity: 1; transition: opacity 250ms; webkit-transition: opacity 250ms; background-color: #95A5A6; } .ua54215a4124c8bf568acab51ed116ea6:active , .ua54215a4124c8bf568acab51ed116ea6:hover { opacity: 1; transition: opacity 250ms; webkit-transition: opacity 250ms; background-color: #2C3E50; } .ua54215a4124c8bf568acab51ed116ea6 .centered-text-area { width: 100%; position: relative ; } .ua54215a4124c8bf568acab51ed116ea6 .ctaText { border-bottom: 0 solid #fff; color: #2980B9; font-size: 16px; font-weight: bold; margin: 0; padding: 0; text-decoration: underline; } .ua54215a4124c8bf568acab51ed116ea6 .postTitle { color: #FFFFFF; font-size: 16px; font-weight: 600; margin: 0; padding: 0; width: 100%; } .ua54215a4124c8bf568acab51ed116ea6 .ctaButton { background-color: #7F8C8D!important; color: #2980B9; border: none; border-radius: 3px; box-shadow: none; font-size: 14px; font-weight: bold; line-height: 26px; moz-border-radius: 3px; text-align: center; text-decoration: none; text-shadow: none; width: 80px; min-height: 80px; background: url(https://artscolumbia.org/wp-content/plugins/intelly-related-posts/assets/images/simple-arrow.png)no-repeat; position: absolute; right: 0; top: 0; } .ua54215a4124c8bf568acab51ed116ea6:hover .ctaButton { background-color: #34495E!important; } .ua54215a4124c8bf568acab51ed116ea6 .centered-text { display: table; height: 80px; padding-left : 18px; top: 0; } .ua54215a4124c8bf568acab51ed116ea6 .ua54215a4124c8bf568acab51ed116ea6-content { display: table-cell; margin: 0; padding: 0; padding-right: 108px; position: relative; vertical-align: middle; width: 100%; } .ua54215a4124c8bf568acab51ed116ea6:after { content: ""; display: block; clear: both; } READ: 'Dulce et Decorum Est' and 'Disabled' EssayIt could almost be as if One Flesh was a description of the couple in To His Coy Mistress who at one time with great energy made time hurry on and unnoticed they have grown old after years, and now their oneness now disintegrated like flotsam. Though in a sense, time does separate Marvell and his mistress clearly her coyness is because she doesnt want to be rushed into a physical affair and Marvell at this stage hasnt got what he wants! Techniques in the poem- Both poems use imagery to show time as a feather, chariot and a journey, nature as rivers, jewels and feathers Both poems are from different ends of the spectrum, To His Coy Mistress is before passion is indulged and One Flesh is After passion has faded. The tone is different- in To His Coy Mistress the tone is urgent and persuasive because the speaker has a mission but in One flesh it is cooler and observational as the speaker is outside the couple. I dont like either of the poems as I see them as boring and pointless but I would say I prefer One Flesh by Elizabeth Jennings as it is shorter and seems to make sense on the first read.

Abolish The Death Penalty Essays - , Term Papers

Abolish The Death Penalty Abolish the Death Penalty Death Penalty The death penalty is a major issue that brings up a lot of arguments in our society. The most important question concerning the death penalty is whether it should be abolished or not. I think that the death penalty is the ultimate denial of human rights. It violates the right to life as proclaimed in the Universal Declaration of Human Rights. It is the ultimate cruel, inhuman, and degrading punishment. Race, social and economic status, location of crime, and pure chance may be deciding factors in death sentencing. In addition, prosecutors seek the death penalty far more frequently when the victim of the homicide is white than when the victim is black. The actual cost of an execution is substantially higher than the cost of imprisoning a person for life. Death was formerly the penalty for all felonies in English law. In practice the death penalty was never applied as widely as the law provided, as a variety of procedures were adopted to decrease the harshness of the law. Many offenders who committed capital crimes were pardoned, usually on condition that they agreed to be transported to what were then the American colonies; others were allowed what was known as benefit of clergy(Ploski 2). The beginning of benefit of clergy was that offenders who were established priests were subject to trial by the church courts rather than the non-religious courts. If the offender convicted of a felony could show that he had be ordained, he was allowed to go free, subject to the possibility of being punished by the ecclesiastical courts. In medieval times the only proof of ordination was literacy, and it became the custom by the 17th century to allow anyone convicted of a felony to escape the death sentence by giving proof of literacy(Ploski 4). In 18th-century England concern with rising crime led to many statutes either extending the number of offenses punishable with death or doing away with benefit of clergy for existing felonies, which as a result became capital(Black 2). By the end of the 18th-century English criminal law contained about 200 capital offenses. Many offenders who were convicted of capital crimes escaped the gallows as a result of reprieves and royal pardons, usually on condition of transportation, and many others who were charged with capital crimes were acquitted against the evidence, because the jury was unwilling to see the death penalty applied in a minor case(Black 5). The unpredictable application of the death penalty in the late 18th and early 19th centuries led to demands for humanitarian reform. Between 1820 and 1840 most capital statutes were repealed, and by 1861 only murder, treason, arson in a royal dockyard, and piracy with violence retained the death penalty. Until the mid-19th century executions in England were public, and throughout the 18th century great crowds attended the regular executions in London and other cities(Ploski 6). Often an execution was followed by scenes of violence and disorder in the crowd. Public opinion eventually turned against the idea of executions as spectacles, and after 1868 executions were carried out in private prisons( Black 7). The earliest recorded execution committed in the U.S. under state authority was in 1864. During 1864-1890, 57 persons were executed under state authority( Kasper 8). Since the 1960's, 100% of the executions performed under civil authority have been state executions(Mello 7). The power for local governments to perform executions, however, greatly dropped during this century. Perhaps the transfer of death penalty power from local to state governments was partially due to increased technology. Improved communications made it easier to centralize the decision-making about executions with state governments(Black 9). The legal killing of a criminal by carrying out a death sentence is a type of punishment called capital punishment. By taking away a criminal's life, capital punishment is the ultimate penalty. From 1930 to 1933, 4,085 prisoners were executed in the United States(Haines 3). In 1972, the Supreme Court ruled that laws regulating the death penalty in various states were defined as being unconstitutional in the form in which that existed at the time. This ruling prevented any executions from taking place period. In 1976, however, the Supreme Court upheld revised state laws regarding capital punishment, which made it legally possible again for states to carry out death sentences. From 1977 to 1993, 226 prisoners were executed(Kasper 2). Capital Punishment offenses differ between the states, and not all states have a death penalty. Most states with the death penalty choose first-degree murder as a capital offense. Some federal crimes also can be

Health Care Interview Essays

Health Care Interview Essays Health Care Interview Essay Health Care Interview Essay Certified Nursing Assistant (CNAs) The Certified Nursing Assistant (CNAs) department at Arbor Springs Health and Rehab Center consist of nurses and nursing assistants providing direct, physical, and emotional care to the patients. The type work done in this department deals with one-on-one care from the nursing assistant to the patient. The interviewee has the responsibilities of helping patients with personal care tasks such as feeding, toileting and bathing, as well as transporting patients and providing support to both the patient and his or her family. Nursing assistants also monitor the patients condition, taking vital signs and maintaining or checking medical and personal equipment such as catheters. CNAs assist patients with wheelchairs or other assistive devices and may lead patients in therapeutic exercise or other activities to increase strength and range of motion. The interviewee which is a CNA at Arbor Springs Health and Rehab Center provides the same care to the patients that are under the care of the Rehab Center. The interviewee primary responsibility not only consist of helping the patient with his or her personal needs but is also responsible for general care of the patient, such as ensuring that his or her room is clean. In most facilities, it is the nursing assistants who change linens and assure that the patients immediate area is sanitary. Another very important duty of the CNAS being interviewed is to document all care that they give as a part of the medical record. For example, CNAs record vital signs or urine input/output levels. The interviewee career path for being a CNA at Arbor Springs Health and Rehab Center consist of required training programs which were offered at a technical college. The coursework for CNAs is primarily hands-on and includes training in basic patient care procedures, maintaining hygiene and sanitation, proper handling of bio-hazardous materials, patient safety and medical terminology. In order to be eligible for licensure as a CNA, students must successfully pass a professional board examination after completion of the training program. Training to become a medical assistant or CNA is offered by the Red Cross, community colleges, and online schools and through medical facilities. Some clinics will hire untrained and inexperienced workers and provide on-the-job training, but these opportunities may be hard to come by. Many schools offer training within medical facilities as part of their course programs as well. All CNAs must take an examination before they become qualified nursing assistants. To become a CNA you have to complete a training course which CNAs take anywhere from four to six weeks, and then get licensed in the state where you wish to work. After completing training, you’ll need to take a competency exam that tests both your book knowledge and practical skills that were taught during training. Practice tests and study guides are freely available online, so studying for the test should be a breeze. Moving into a new career after being a CNA will probably take at least two years of education, but the increased pay and benefits you’ll receive upon becoming a registered nurse or even an advanced practice registered nurse will easily make up for the time and money spent on education. There are a few positions that are much similar to CNAs. CNAs, orderlies, psychiatric aides, and medical assistants are often lumped into one large category, and though the positions share some similar duties. An orderly is a hospital attendant charged with non-medical patient care and general maintenance of systematic operations. Orderlies do not need a degree or certificate, and their interactions with patients are limited to non-treatment activities. Psychiatric Aides is similar to a CNA, except for the work environment. Mental health wards and psychiatric hospitals have different routines than regular hospitals, and psychiatric aides have to be familiar with the unique privacy concerns and treatment needs of mental health patients. A medical assistant does not need a degree or certificate, and their main responsibilities are to help doctors and nurses with routine tasks. Medical assistants have less authority to participate in patient treatment than CNAs. One important attribute for CNAs to be successful is to be professional. Nursing assistants often have to work with hospital patients or nursing home residents who are injured, handicapped or elderly, possibly resulting in feelings of loneliness, self-pity or depression. Its important for nurse assistants to remain professional and calm in the face of this behavior. Nursing assistants must have the ability to put their personal feelings in the background and focus on providing quality patient care under all circumstances, including differences of opinion, race, creed, color, nationality, sexual orientation and religious practices. Another key attribute to being successful as a nursing assistant is to be compassionate. Nurse assistants work daily with individuals unable to care for themselves; their patients are often suffering from an injury, disability or illness. Nurse assistants who treat their patients with compassion will deal with them gently, careful not to cause them additional pain. They will listen and speak to their charges with genuine respect and caring because they know heartfelt kindness CNAs be the first step on the road toward improved health. Although nurse assistants work mostly with patients, they must also have certain characteristics necessary for dealing with co-workers and colleagues. They should be adept at following written and verbal and instruction, they should be able to communicate both orally and in writing, they should feel comfortable working both independently and under supervision and they should consistently collaborate with fellow nurse assistants to provide patients with the best possible care. In conclusion, the interview has some very important role and responsibility as a CNA at Arbor Springs Health and Rehab Center. The CNA work to care for the needs of the patients whether it is direct, emotional, or physical care. The interviewee chosen department is unique because it allows them to meet and care for the needs of their patients. This would include feeding, bathing, or even monitoring and getting vital signs. It also allows the CNAs to build a relationship with his or her patient. As stated by the interviewee, it is not easy being a CNA but I love what I do and I love to see the smile on the face of the patients I care for.