Wednesday, May 6, 2020
Of MIce and Men Naturalism - 867 Words
John Steinbeck s novel Of Mice and Men is a famous Naturalist work in American literature. Various elements of Naturalism is exhibited in this novel through its character types and story plot. Charles Darwin, an English Naturalist proposed a theory called natural selection, meaning that nature selects the best adapted varieties to survive and reproduce. Darwin also identified this theory as survival of the fittest. Steinbeck incorporated this belief of natural selection in many instances throughout Of Mice and Men using characters and their circumstances. One character named Candy has an injury and is old in age. They were leading factors in his fear of being unemployed. His dogââ¬â¢s old age and uselessness also resulted in its death.â⬠¦show more contentâ⬠¦Another example of Naturalism is the death of Candy s dog. Candy s dog was old and sick with rheumatism. All the men recommended to shoot the dog because it would not be beneficial to anybody. ââ¬ËHe ain t no good to you, Candy. An he ain t no good to himself. Why n t you shoot him, Candy?...You wouldn t think it to look at him now, but he was the best damn sheep dog I ever seenââ¬â¢ (Steinbeck 44). Candy s dog was useful in the past when he was a sheep herder. He was young and energetic, but he started to age and was infected by disease. Candy s dog depicts natural selection because as his effectiveness on the ranch declines, the need for him decreases as well, resulting in a different dog to take his place. Candyââ¬â¢s dog was not able to endure the competition because he did not have the best adapted varieties to survive. In this novel, Darwin s speculation of natural selection is demonstrated through Lennie s mental condition. His condition was a catalyst for all the predicaments he caused for himself and George. Although Lennie has an abundance of physical power, he lacks knowledge and common sense. ââ¬â¢Maybe he ainââ¬â¢t bright, but I never seen such a worker. He damn near killed his partner buckinââ¬â¢ barley. There ainââ¬â¢t nobody can keep up with him...Sure heââ¬â¢s jesââ¬â¢ like a kid. There ainââ¬â¢t no more harm in him than a kid neither, except heââ¬â¢s so strongââ¬â¢ (Steinbeck 39-43). Lennie being mentally handicapped illustrates survival of the fittest becauseShow MoreRelatedOf Mice and Men: Naturalism716 Words à |à 2 PagesNaturalism is a very intense style of literature that an author can use. With naturalism, the author is trying to convey knowledge acquired through the senses and experiences they them selves have been through. In the novel of Mice and M en, by John Steinbeck, he portrays elements of naturalism through his very own sights and experiences. During the depression John Steinbeck got a first hand dose of what it meant to deal with sordid aspects of life. Just like his book, he portrays his accounts usingRead More Life Of John Steinbeck Essays1314 Words à |à 6 Pages John Steinbeck was a writer who used naturalism in his works to to bring awareness about problems in society that he dealt with in his own life. He frequently dealt with the economic and social problems of migrant workers in California and how they dealt with everyday life. He wrote through his fiction about what he knew and what affected him personally. Specifically, he wrote a novella entitled, Of Mice and Men, about two California migrant workers, George Milton and Lennie Small, who are tryingRead MoreWhat Influenced John Steinbeck?. What Exactly Influenced884 Words à |à 4 Pagescome from California. John Steinbeck was born and raised in Salinas, California, a town well known for farming and being poor. Its thought that his many conversations with the migrant workers of the area inspired a lot of his work, such as ââ¬Å"Of Mice and Menâ⬠, a story he particularly wrote about some migrant workers. Or, ââ¬Å"The Grapes Of Wrathâ⬠a story he wrote about a family suffering in the dust bowl as they worked their way around California. Migrant workers obviously had a large impact of his workingsRead MoreAnalysis Of John Steinbeck s The Grapes Of Wrath 1594 Words à |à 7 Pagesproblems of labor. After the humorous Tortilla Flat, Steinbeck decided to write a more serious novel, In Dubious Battle, in 1936. It deals with the strikes of the migratory fruit pickers on California plantations. Then in 1937 Of Mice and Men was published. Later, The Long Valley, was published in 1938. In 1939 The Grapes of Wrath was published, the story of Oklahoma tenant farmers who couldnââ¬â¢t earn enough money for a living, so they moved to California and became migratory workersRead MoreJohn Steinbeck s Of Mice And Men1659 Words à |à 7 PagesJohn Steinbeckââ¬â¢s Of Mice and Men Olivia Settlemires John Steinbeck - John Steinbeck was born in Salinas, California, in 1902. In 1919 he went to Stanford University, where he enrolled in literature and writing courses until he left in 1925 without a degree.For the next five years he supported himself as a laborer and journalist, as well as working on his first novel, Cup of Gold (1929). After his first marriage, He published many books, such as The Pastures of Heaven (1932), The Red Pony (1933),Read MoreMice of Men Dreams of Commitment2273 Words à |à 10 PagesOf Mice and Mein The Dream of Commitment. Louis Owens The Eden myth looms large in Of Mice and Men (1937), the playnovella set along the Salinas River a few miles south of Soledad (Of Mice and Men, p. 1). And, as in all of Steinbecks Califomia fiction, setting plays a central role in determining the major themes of this work. The fact that the setting for OfMice and Men is a Califomia valley dictates, according to the symbolism of Steinbecks landscapes, that this story will take place in a fallenRead MoreAnalysis Of John Steinbeck s Of Mice And Men 2778 Words à |à 12 Pageswell renowned American writer. A compassionate understanding of the world s disinherited was to be Steinbeck s hallmark. The novel In Dubious Battle (1936) defends striking migrant agricultural workers in the California fields. In the novel Of Mice and Men(1937; later made into a play), Steinbeck again utilizes the hardships of migrant workers, but this time in terms of human worth and integrity. With the country struggling to recover the collapse of the economy and a second world war, the peopleRead MoreSalinger s The Catcher Of The Rye2057 Words à |à 9 Pagesglimpse into the dark enigma that is Holdenââ¬â¢s mind, and as he continues his adventure, he lets more details slip as he slowly loses his grip on his sanity. But, what really ties the idea of Holdenââ¬â¢s insanity together is naturalism. Salinger was particularly fond of the naturalism movement; throughout the book, Holden has already accepted his fate and understands the consequences of his actions. He merely delays the inevitable by roaming around NYC. When the time finally comes, and the truth is revealedRead MoreHenrik Ibsen s A Doll s House2136 Words à |à 9 Pagesprotagonists entrapment in A Doll s House. The set in A Doll s House proves to be an effective construct in the entrapment of Nora, as an exhibition of the problems of the bourgeois family is assembled in the form of the living room. In naturalism emphasis is placed on the importance of walking and immersing oneself in nature in order to remove limitations and control destiny. Yet we are shown a room that seems to engulf and limit Nora just as her husband does. our attention is directed toRead MoreStatement of Purpose23848 Words à |à 96 Pagesareas of interest. Remember, your statement should mention a specific program and perhaps even target a subdivision or an area within that programââ¬ânot American literature but the 19th century American novel with an emphasis in American Realism and Naturalism. Learn about the professors in the program and familiarize yourself with their research; in other words, read some of their scholarly worksââ¬âreviews, articles, monographs, and books. Learn about campus and program r esources, such as research facilities
Towards the Quality of Higher Education Free Essays
string(137) " that various aspects of the university Education in India and means for the improvement and reorganisation of the university education\." TOWARDS THE QUALITY OF HIGHER EDUCATION Brief review of the quality of Higher Education in Ancient India: The system of higher educaton is started from the ancient times in India. During the ancient times, Education was closely linked with religon. It was taken up by Teachers as a labour of love and by the students as part of their training for culture and citizenshp. We will write a custom essay sample on Towards the Quality of Higher Education or any similar topic only for you Order Now It was not universal education. In regard to higher instituton of learning ââ¬â Tols (Higher Education) was developed among the Hindus and Madrassah (Higher Education) was existed among the Muslim. Although the Hindu and Muslims had separate learning institution, many features were common to both the types of institution. Under the Buddhist rulers in India, Learning was fostered by the numerous monasteries under the guidance of monks and nuns. The Brahmanical system of education mainly centered at home of Individual Teacher was superseded by monasteries system of Buddhist education. For the first time in India, and perhaps in the whole world, a great famous Buddhist seat of higher learning like Taxila, Nalanda, Vikramshila and Vallabhi Universities were flourished in India which can be compared with modern Universties. These Universities were better well organised than the Brahmanical higher education because they recieved state endowment for many centuries from the successive kings from the time of Buddha. The Universities introduced regular course of studies in different subjects and admission test for all students. There was no discrimination in admission and Technical Education and Women Education were also introduced as it recieved encouragement from the ruler and the rich people. Amongst these Universities of ancient India, Nalanda Universities was take its specialities. Students from China, Nepal, Tibet, Korea etc came to study and obtain valuable knowledge. Entrance examination was very strict and only 20 percent of the candidates succeeded in getting admission during this period. Brief review of Indian Education Commission in Modern India: The system of higher education, which we find today in our country, started after the advent of the British in India. When the Brtish established their authority in India, they did not willing to take responsibility of educating the Indian people. In order to trained some Indians for minor jobs in the companyââ¬â¢s office, they started schools and colleges. By the charter act of 1813, only one lakh of rupees for the improvement of the quality of education was left. The British rulers only established many government and private colleges and the higher education was in a very disorganise at the time. Within a period of time, The British rulers realised that the necessity to organise and improved the quality of education and appointed Woodââ¬â¢s Despatched of 1854. As a result of the recommendations made by Woodââ¬â¢s Despatched of 1854, the Universities of Culcutta, Bombay and Madras were established n 1857 on the model of London University. On the model of the formers, Allahabad University was also established in 1882. But all universities performed the functioned of only conducting examinations and affiliating bodies and undertook no teaching and research. In order to enquired the standard of Indian education and prepared recommendations, the Government of India appointed various Indian Education Commissions and selected eminent educationist as a members. Within a period of hunhred years, sixth Education Commissions were appointed. The recommendations of sixth Indian Education Commissions can be conveniently studied under the following:- i) Indian Education Commission or Hunter Commisson, 1882:By accepting the recommendation of Hunter Commission 1882, the college education recieved a great impetus and a number of colleges were established during 1901-1902. ii) Indian Universities Commission in 1902:During the period of Lord Curzon, University Education made a great progress. In order to improve the quality of University Education in all branches, Lord curzon adopted the policy of control and improvement. He appointed Indian Universities Commission in 1902 in order to enquired the conditions and working of the Indian Universities and made necessary suggestions. Two years later, Indian University Act 1904 was passed. This act brought many important change in the organisation, jurisdiction, powers and administration etc of the universties. The expansion of the university education was checked for sometime, due to lack of revolutionary change in the system of universities. But it was admitted later on which improved and reforms the conditions and standards of the contemporary universities and colleges. ii) Culcutta Univesity Commission or Sadler Commission, 1917:After the establishment of Allahabad Universities 1882, no new universitiy was established till 1917. However, a number of colleges were increased. In order to cope with the increased work, the Culcutta Univesity Commission or Sadler Commission was appointed by The British Government. Although, the commission was mainly interfere in the problems of Culcutta University, it gave out reforms and change which were great value into higher education in India as a whole. Now, the Universities were not only examining body, but became a centre of teaching and learning. By accepting recommendation of the Commission 1917, more than 16 universities were established in different places of India till 1947. iv) Indian University Education Commission or Radhakrishnan Commission, 1948:The expansion of higher education has recieved a great impetus after Independence. Number of institution in the field of higher education and enrollement of students in the centers of higher studies were increased year by year. The university education was imparted through arts, science and commerce and professional colleges, researched institution. The institutions deemed to be universities under the University Grants commission Act, 1956. In adition to Central universities, state universties and their affiliated colleges, Indira Gandhi Open Universty and other Open Universities are doing commendable job in the field of higher education. In order to meet the present and future requirements of the country, the Government of India appointed Indian Education Commission or Radhakrishnan Commission in 1948 to suggest improvements and extentions of th Indian Universities. The terms of reference of the commission were very wide and vast. It suggested that various aspects of the university Education in India and means for the improvement and reorganisation of the university education. You read "Towards the Quality of Higher Education" in category "Papers" Research and other standard of university educaton, problems of teachers, curriculum, medium of instructon, religious education, problem of discipline, health and residence of the students an such allied problems in the perspective of the natonal and international conditions. In fact, The report of this Commissions is the most comprehensive report on education, but its recommendations is very important and far reaching consequences. ) Secondary Education Commission or Mudaliar Commission, 1952 vi) National Education Commission or Kothari Commission (1964-66): Since Independence, there has been a good deal of quantitative development of education but qualitative has lagged behind. Unimplementing of the policy of the directive principles of the constitution to make fre e and copulsory education below 14 years, problem of literacy, low standard of primary and secondary edcation, diversification of curriculum and problem of educated unemployment were the the main problems since Independence. In order to evaluate the different stages of education and to evolved a National system of Education, the Government of India appointed the Kothari Commission in July 14, 1964. The Commission submitted its report and recommendation in June, 1966. People expressed high hopes when the Reports of the Education commission was first published in 1966. Already, several years have passed, nothing has practically been done to achieved the targets as recommended by the commission. The commission give any useful suggestion an the source of finance, on which the implementation of the recommendations entirely depends. If it si of course a fact that it was not the bussiness of the commission to deal with the financial side, but we cannot ignore reality. The suggestion made by the Kothari Commission in respect of different organs of education were very important. The Government have already implemented some of the suuggestions and the effort are still being made to make important the rest of the suggestion. Taking all things into consideration, we may say that the report of the education Commission is a sincere attempt to improve the existing system of education in all aspects and in all stages. If it can be implemented, it will remove some of the glaring defects of our educational system. Problems Higher Education: It is clear from the above discussion that the expansion of higher education has recieved a great impetus since independence. The policy of the government still has been to increase the number of the institutions of higher education rather than the aim at the qualitative progress of higher education. Besides this, the government did not pay proper attention to the multi-lateral problems of higher education and not made special effort to remove the defects of higher education. Since recommendation made by the Kothari Commission, the government declared National Educational Policy of 1986. It is good that is being given to the specializaton in higher education. The problems of the higher and University education in india is nothing but the problems of Indian society in general. If we want to established a society based on the principles of democratic socialism, we must have reoriented the entire educational structure. Without a hgh standard of general, vocatonal and professional education, democracy cannot survived. But there is a still a lag between our Ideal and reality. Our Universities have not been able to shake off the heavy load of bookish knowledge. The main problems for the falling of the standard and quality of higher and universities education in India are under the following:- 1. No definite aims among students of higher education:One of the problem which checked the standard of higher education is its aimlessness. Most of the student are recieved higher education without having any definite aim. the student must have definite aim before starting hgher education. In order to raise the standard of higher education, the university should change the aims and objectives. Newmen remarks the aims of university education in 1952, ââ¬Å"If a practical and must be assign to a university course, the i say it is training of good members of the society. â⬠2. Increase of Wastage and Stagnation:The problem of wastage and stagnaton exist in a greater degree at the stage of higher and university education. Most of the important causes of wastage and stagnation are Ineffective methods of teaching, unhealthy environment of institution and society, defective system of curriculum and examination and lack of finance among the students etc. In order to solve this problem, it suggest that to make healthy environment of institutions and society, revised and reforms of curriculum and examination system, raise the standard of teaching and given grants and loans to effort the study of students. 3. Lack of interesting subjects in Curriculum:Most of the the curriculum of college are old and out of date and failed to fulfil the interest of the student which checked the intellectual developmentof the student. Radhakrishnan Commission remarks, ââ¬Å"A curriculum which had validity in the vedic period or the renaissance cannot continue unaltered in the 20th century. To solve this problem, the curriculum should revised and reforms for the interest of young advanced students. 4. Specialisation in Education:University emphasized spacialization in different subjects. After completed University education, students acquired special knowledge and skills in some particular subjects. Their outlook remains narrow and unbalanced to became c ompletely educated in real sense. This narrow specializaton can be remove by establishing harmony between general education and specialization which developed the personality of the students and will became dutiful citizens. Absence of proper Guidance and Councelling for student:The absence of proper guidande and councelling, the students select their course according to their own choice or with thw advice of some inexperience persons. Consequently, most of the students make a wrong choice in their subjects and lost interest in their study. In order to solve this problem, the educational institution should make provision of experience and trained persons to provide proper guidandance and councelling of students from the beginning till the end. 6. Low standard of Teaching:The standard of teaching in our colleges and university is very low. Many suggestions has made to raise the standard of teaching in education. The more prominents are ââ¬â increase the salary of the teachers, balanced workload of teachers, improvement of service condition of teacher, provision of tutorial classes, well-organised libraries and laboratories, encouragement of debates and discussion, Professional training for Junior Lecturers and Re-orientation Course for new Lecturers. 7. Defective Examination System:The present examination system of our universities has many defects and severely criticized by ndian and foreign educatonist. The university education commission of 1949 points out that, ââ¬Å"If we are any single reforms in universty, it should be that of examinaton. â⬠It can be reforms through scientific method. In order to reforms Examination system, it suggest that adoption of continous comprehensive internal evaluation, semester system and grading system. It also suggest to developed question banks, demarcation of syllabus, setting and moderations of question, Evaluation of answer script and conduct of examinations. 8. Indiscipline among the Student:The problem of indiscipline among students is very serious and complicated in educatonal institution. Financial irregularity, minor and disorderly misconduct, theft and burglary, sex misconduct, misuse of privledge and cheating n examination were the main problems of institutions. Professor Siddhant remarks, ââ¬Å"the best way to solve is to divert the activities into healthy channels including sports, games, cooperative, living in hostels, self-management of masses, organise debates and symposia, councelling of indiscipline students etc. 9. Too much Interference of Student Societies in College Affairs:The student societies in educational institutions of higher education also make a serious problem. They were too much interfered in the affairs of the institutons which prove to be a scourge. In order to reduce this problem, the uiversity ntroduced legislaton for keeping control of student societies. In order to developed the intellectual powers of student and homely atmosphere of instituton, the student societies should also organised programme like leadership training, Life skills training, seminars, workshop etc. 10. Rapid increase of the number of Student:The development of higher education in India is taking place rapidly since Independence. The numbr of students in higher institution is constantly increasing. University Grants Commission remarks that, ââ¬Å"If increasing number admtted in our universites without corresponding expansion of facilities, there is a great risk of the academic standard being imparted further. â⬠In order to checked the ncreasng number of students in university, It has been suggested that the new and modern method of selective system of admission should be adopted. 11. Non-availability of Educatioal Facilities and Lack of Funds :The main reason for the low standard of education in universities is non-availability of educational facilities and lack of funds. The student face shortage of books, libraries are not well-equiped. In many degree college, no proper building and classroom and do not possess even playgrounds. To solve this problem, a high level committee should be appointed for providing necessary funds to the institution. The Government of India, the State Government and non-governmental organisations and the rich people should provide necessary funds and donations to raise the standard of higher education. 12. Poor conditions of the salary Teachers:The teachers of colleges and universties are getting less salaries and allownces in order to meet their expense. Consequently, they are not able to devote themvelves with heart and soul into the teaching works. The Commission has made important provisions to increase the salaries and allownces of the teachers at different stage should be implemented by the Government. 13. Too much burden of the works and service of the Teachers: The teachers also have been burdened with too much work. and not able to performed th teaching work properly. The prominence teacher of university were given research work. The Kothari Commission has remarked, ââ¬Å"There is much serous concern that in many places there is too much teaching but relatively too little of good teaching. â⬠The Education commission has made important provisions to improvement the works and service of the teachers should be implemented by the Government. 14. Wide gulf between the Teachers and Students:The increasing number of students in higher education making a wide gulf between the students and the teachers. The teachers not able to recognise each students of the class and no interaction between them. While in western countries the students and teachers work together like family and build good relationship between them, there is no relatinship between the students and teachers and separated their interest in India. In order to build relationship between the students and the teachers, it is necessary to adopt tutorial system. Beside this, the educational institution should also organise more interaction programme like debate and discussion, seminar, workshop etc which help the students to increase their knowledge with the help of the teachers. Almost all the above problems have attracted the attention of the University Education Commission, which has made many suggestions to solve these problems. Most of these suggestions have been accepted by the government and many of them have already been implemented. It may, therefore, be hope that after solving all our present problems, the higher education will make the complete development of the personality of the youth and by developing their intellectual and physical powers will make them able citizens of the country. How to cite Towards the Quality of Higher Education, Papers
A Fight With Fear free essay sample
Warning: people with claustrophobia should not enter this tunnel hung overhead ominously in large red letters, a threat I did not feel compelled to face. The wooden stairs creaked under me as I halted in my path, questioning my ability to endure the suffering that entering would entail. My counselor regarded my hesitancy impatiently and gave me three seconds to decide whether or not I would choose to enter Jerusalemââ¬â¢s ancient water tunnels with the group, which had already proceeded to snake down the stairs into the abyss. Iââ¬â¢d stayed towards the back of the line in hopes of having room behind me but as I looked back, hundreds of other kids crowded in. My snap judgment told me not to go as my heart thumped in agreement. Entering the tunnel, I concluded, would imminently cause a break down of sorts. I could not go. Yet, as I stood there with my mind nearly made up, my group-mates squeals of excitement and laughter wafted up from the depths, taunting my desire to no longer be held back by my ever-persistent phobia. We will write a custom essay sample on A Fight With Fear or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page Unwilling to be road-blocked once again, I stepped inside. Plunged into darkness, I promptly began to regret my bold decision. Icy water rushed over my feet as my throat tightened, constricting my breathing. There were countless people behind and in front of me and I could not escape. The tunnel walls surrounding me dripped with slimy condensation and grew gradually closer together as the path advanced, forcing me in some areas to walk sideways or crouch. At times, the procession would stop for up to five minutes, leaving me helplessly hyperventilating and nauseous while there was no movement up ahead. Closing my eyes during these moments, I attempted to drive myself forward by inhaling large breaths of the dank air and holding it in as I fought to forget about the claustrophobia through focusing on other things. The NSYNC songs being joyfully belted by the other kids in the tunnel echoed through my head and refueled my anger for not being able to join in on the fun. After twenty nearly unendurable minutes of struggling between determinatio n and fear, five words from my counselor rekindled my motivation- Iââ¬â¢m proud of you Vanessa. Recognizing that I had thus far made it twenty minutes longer than I originally thought possible, I became proud of myself too. Along with this growing pride came newfound fervor and perseverance to finish my arduous task at hand. Once ten more minutes of agony had passed, I quite literally saw the light at the end of the tunnel. Shoving my way through, I clamored up the stairs to the glaring sun that awaited me. Although it was close to 100 degrees, goose bumps climbed up my back as I stood in the open air, still hyperventilating and shaking. When I was able to pace my breathing better, I sighed; with it came the most intense feeling of relief and fulfillment Id ever experienced. Although my phobia pressed against me in hopes of discouraging myself, I knew the fight had been determined the second I stepped foot into the tunnel. Iââ¬â¢d won.
Sunday, May 3, 2020
Medical Surgical Nursing Vital Signs Charts
Question: Describe about the Medical Surgical Nursing for Vital Signs Charts. Answer: 1. It is necessary to diagnosis and nursing care according to the chart because these vital signs charts enable a person to know if the body homeostasis is functioning properly or not, like the respiratory rate and the temperature of the body. These sign are important for the nurse because these signs make possible for the nurse to find out whether the patient is responding well or not to the treatment provided to the patient by the nurse. In this case, the sign chart explains that a problem is remaining in the Sonyas health condition and therefore she still requires a nursing care (Hooton, 2010). If the documentation is not completed accurately then there will a wrong interpretation of the signs will occur which will ultimately result in a wrong treatment. A wrong treatment can produce an overreaction of the body towards the drugs due to the immune response. This immune response can be very serious and if not dealt with in time it could be fatal. It is not even possible to treat the patient at all if the urinalysis chart is not completed accurately because the documentation provides the information about the type of renal and urinary condition that is present in the patient. It cannot be identified whether the patient is having kidney stone or a urinary tract infection without the accurate data or documentation. Goal of care Nursing interventions/actions Rationale Indicators your plan is working Void in normal amount of urine and with a usual pattern Observing Sonyas urine amount and noting the voiding pattern If the patient is suffering from calculi the pattern will not be uniform since the urge to urinate increases as the stones nears ureterovesical junction (Girard et al., 2015) Voiding normal amount of urine with a normal pattern Voiding normally without retention of urine Measuring the patients inputs and outputs hourly and starting the patient on antibiotic therapy(Vanacomycin intravenous)according to the prescription Provide suitable measures like massage for increasing the relaxation and reducing the tension in the muscles (Gulanick Myers, 2013). Administer regular and break through analgesics as charted 2. Nursing care Plan for Sonya Goal of care Nursing interventions/actions Rationale Indicators your plan is working Minimize pain on movement and urination 1. Assess pain using pain score and PQRST algorithm 2. Monitor for observational pain signs facial expressions, guarding and impaired movement To describe, evaluate, and document the pain of the patient in a correct manner. To look for the vital signs and other impairments and check for any contraindications such as unconsciousness, nausea, delirium and vomiting. Sonya states pain has improved Pain score is low or zero Sonya appears comfortable with no signs of guarding or facial grimacing. Checking the input and the output in every eight hours and should monitor the results of the repeated urinalysis (Oman et al., 2012). Administer regular and break through analgesics as charted To describe, evaluate, and document the pain of the patient in a correct manner. Sonya verbalizes minimal pain on urination Checking for any contraindications such as unconsciousness, nausea, delirium and vomiting. Administer regular and break through analgesics as charted (Oman et al., 2012). To explain the procedure to the patient. If possible, they should also assist the patient in sitting position and stay until the patients swallow the medicine Sonya is relaxed does not have the the feeling of pain (Girard et al., 2015). Divert the attention of the patient in the given case scenario to make her relax and to avoid the feeling of pain. Provide non-pharmacological interventions heat packs, warm shower and position (Gulanick Myers, 2013). To describe, evaluate, and document the pain of the patient in a correct manner (Doenges et al., 2016). Sonya is mobilizing freely with normal gait Checking for any contraindications such as unconsciousness, nausea, delirium and vomiting. Discuss with medical team the use of a urinary alkaliniser to reduce stinging on urination (Girard et al., 2015). Administer regular and break through analgesics as charted (Oman et al., 2012). Sonya is responding to the suitable measures like massage for increasing the relaxation and reducing the tension in the muscles. For oral analgesics, the nurses should confirm the diagnosis as well as age of the patient. To describe, evaluate, and document the pain of the patient in a correct manner (Gulanick Myers, 2013). To improve the symptoms of the disease (Oman et al., 2012). Sonya is giving a positive response regarding the administration of regular and break through analgesics as charted The nurse should also provide suitable measures like massage for increasing the relaxation and reducing the tension in the muscles Checking for any contraindications such as unconsciousness, nausea, delirium and vomiting (Gulanick Myers, 2013). For reducing the pain and eliminating the acidic content of the urine and monitoring the voiding pattern(Oman et al., 2012). Sonya is showing the improvement due to the suitable measures for increasing the relaxation and reducing the tension in the muscles Monitor for observational pain signs facial expressions, guarding and impaired movement Assist the patient in sitting position and stay until the patients swallow the medicine (Oman et al., 2012). Administer regular and break through analgesics as charted Sonya is comfortable in sitting position and can swallow the medicine easily Checking the input and the output in every eight hours and should monitor the results of the repeated urinalysis (Oman et al., 2012). Administer regular and break through analgesics as charted To improve the symptoms of the disease (Gulanick Myers, 2013). Sonya is relaxed and does not have the feeling of pain Provide suitable measures like massage for increasing the relaxation and reducing the tension in the muscles Provide patient education about expected pain levels for this condition (Doenges et al., 2016). To improve the symptoms of the disease Sonya is mobilizing freely Checking for any contraindications such as unconsciousness, nausea, delirium and vomiting. Void in normal amount of urine and with a usual pattern (Girard et al., 2015). To describe, evaluate, and document the pain of the patient in a correct manner Observing Sonyas urine amount and noting the voiding pattern (Oman et al., 2012). Administering regular and break through analgesics as charted If the patient is suffering from calculi the pattern will not be uniform since the urge to urinate increases as the stones nears ureterovesical junction (Girard et al., 2015) Sonya appears comfortable with no signs of guarding or facial grimacing Sonya states that her symptoms are improving Voiding normally without retention of urine Measuring the patients inputs and outputs hourly and starting the patient on antibiotic therapy(Vanacomycin intravenous)according to the prescription Provide suitable measures like massage for increasing the relaxation and reducing the tension in the muscles (Gulanick Myers, 2013). Sonya feels a bit comfortable with respect to the symptoms of her disease. 3. Sonia has been prescribed analgesics orally because analgesics for relieving the symptoms of pain. Analgesics act on the peripheral as well as central nervous systems of the body for blocking or decreasing the sensitivity towards pain. While some of the other analgesics works by inhibiting the formation of some chemicals that mediates pain in the body. She was prescribed vancovmycin intravenously because it will be helpful in the treatment of the Urinary Tract Infection (UTI) of the patient. It works by inhibiting the bacterial growth. Hartmans 1000mls over 12 hours is prescribed for replacing the fluids and, minetrals of the body of a number of medical reasons (Doenges et al., 2016). The nursing responsibilities associated with administering the three medications/ fluid concerns the following; For administering vancomycin intravenous, the nurse should administer the injection by vein as prescribed by the doctor. The dosage of vancomycin is based on the medical condition, response to the treatment, weight and other vital functions. It is used for treating the infections in the different parts of the body. It is mainly administered for severe infections, which cannot be treated with the help of medicines (Butcher et al., 2013). For oral analgesics, the nurses should confirm the diagnosis as well as age of the patient. There is also a need to check the medication purpose and review the record for the dose, which has been given previously (Elkin, Perry Potter, 2003). They should check for any contraindications such as unconsciousness, nausea, delirium and vomiting. They also need to explain the procedure to the patient. If possible, they should also assist the patient in sitting position and stay until the patients swallow the medicine (LeMone et al., 2015). For administering Hartmanns solution, the nurses should use an intravenous drip and it can be administered at different rates depending on the specification and necessity. If in case, it is administered in excessive amount then the patient may have swollen hands, feet and ankles due to retention of fluids (Baird, 2015). For assessing or monitoring, the patient to ensure that she is responding appropriately to these three medications/fluids, which have been administered, the nurses will make a comparison with the normal with the abnormal consequence of drug administration. The effects of each of these medications or fluids will be monitored for reaching to a conclusion that whether the patient in the given scenario needs other medications for her recovery. 4. From the signs and symptoms of the patient in the given case scenario, it can be concluded that her symptoms have aggravated, as it is evident that her Glasgow Coma Scale was 14 confused and disoriented, her heart rate was found to be 135bpm irregular and thready, oxygen saturation was 96% on Hudson mask@6L, and respiratory rate is 26bpm. There is a presence of verbal groans only. The temperature of the patient was found to be 39.90C. The cannula of her right arm revealed signs of inflammation. Thus, from these symptoms, it can be established that the condition of the patient is getting worsened. The current condition of Sonya signifies the problem, which she is facing because of her urinary tract infection and renal symptoms. These symptoms are the main causes of her deteriorating condition. The patient in the given case scenario also had a past medical history of renal calculi, hypertension and hyperlipidaemia but she has not been able to tolerate the regular medications. It has also been revealed that she is allergic to medicine. She did not respond to regular paracetamol, lethargy and nausea with intermittent vomiting. All these symptoms have aggravated her conditions (Dubois et al., 2013). 5. The ISBAR framework signifies a consistent approach for communication, which can be utilized in any situation or circumstance. It stands for Introduction, situation, Background, Assessment, and Recommendation. The nurse taking care of the patient in the given case scenario needs to monitor the changes in the colour of her urine, monitoring the voiding pattern. The nurse should check the input and the output in every eight hours and should monitor the results of the repeated urinalysis (Perry, Potter, Ostendorf, 2015). The rationale for this implies to the indications of the progression or deviations from the predictable results. The nurse should also note the location as well as time of the intensity scale. She should also help the patient in the given case scenario for evaluating the place of impediment as well as cause of the pain. The nurse should also provide suitable measures like massage for increasing the relaxation and reducing the tension in the muscles. The patient in t he given case scenario should also be provided with perineal care for preventing urethra contamination. If the nurse is using a catheter, then the catheter can provide a way for the bacteria for entering the urinary tract and the bladder. The nurse should also divert the attention of the patient in the given case scenario to make her relax and to avoid the feeling of pain. She should also give the analgesics for controlling the pain (Juvà ¢Ã¢â ¬Ã Udina et al., 2014). 6. As a nurse, my experience regarding the care plan of the patient is concerned with past and the present condition of the patient in the given case scenario. The care plan aims to improve the symptoms of her disease and make all the symptoms normal. While developing the care plan, the things that were easy for me is to provide mental support to the patient. The things which were challenging for me was in controlling the pain and managing the symptoms of the patient. It took additional time for understanding the main concerns of the patient, and administering the medications in a proper way. I can apply this nursing care plan framework to provide nursing care for the individuals in the clinical setting particularly to the patients suffering from Urinary tract infections. This plan addresses the physical, functional and psychosocial aspects of care. The plan has provided suitable measures such as massaging to enhance the relaxation reduce the muscle tension. The care plan aims to improve the symptoms of her disease and make all the symptoms normal. The plan also contains the rationales behind the the nursing interventions or actions for the management of the symptoms of Urinary Tract Infection in an efficient manner. References Baird, M. S. (2015).Manual of critical care nursing: nursing interventions and collaborative management. Elsevier Health Sciences. Butcher, H. K., Bulechek, G. M., Dochterman, J. M. M., Wagner, C. (2013).Nursing interventions classification (NIC). Elsevier Health Sciences. Doenges, M. E., Moorhouse, M. F., Murr, A. C. (2016).Nurse's pocket guide: Diagnoses, prioritized interventions, and rationales. FA Davis. Doenges, M. E., Moorhouse, M. F., Murr, A. C. (2016).Nursing diagnosis manual: planning, individualizing, and documenting client care. FA Davis. Dubois, S., Larue, C., Dub, V., Brub, M., Glinas, C. (2013). [Project evaluation of nursing interventions: an algorithm to support the practice of clinicians].Recherche en soins infirmiers, (112), 88-93. Elkin, M. K., Perry, A. G., Potter, P. A. (2003). Nursing interventions and clinical skills. Girard, R., Gaujard, S., Pergay, V., Pornon, P., Gaujard, G. M., Vieux, C., ... Group, U. T. I. C. (2015). Controlling urinary tract infections associated with intermittent bladder catheterization in geriatric hospitals.Journal of Hospital Infection,90(3), 240-247. Gulanick, M., Myers, J. L. (2013).Nursing care plans: nursing diagnosis and intervention. Elsevier Health Sciences. Hooton, T. M. (2012). Uncomplicated urinary tract infection.New England Journal of Medicine,366(11), 1028-1037. Juvà ¢Ã¢â ¬Ã Udina, M. E., Prez, E. Z., Padrs, N. F., Samartino, M. G., Garca, M. R., Creus, M. C., ... Calvo, C. M. (2014). Basic nursing care: retrospective evaluation of communication and psychosocial interventions documented by nurses in the acute care setting.Journal of Nursing Scholarship,46(1), 65-72. LeMone, P., Burke, K., Dwyer, T., Levett-Jones, T., Moxham, L., Reid-Searl, K. (2015).Medical-surgical nursing. Pearson Higher Education AU. Lo, E., Nicolle, L. E., Coffin, S. E., Gould, C., Maragakis, L. L., Meddings, J., ... Yokoe, D. S. (2014). Strategies to prevent catheter-associated urinary tract infections in acute care hospitals: 2014 update.Infection Control Hospital Epidemiology,35(S2), S32-S47. Oman, K. S., Makic, M. B. F., Fink, R., Schraeder, N., Hulett, T., Keech, T., Wald, H. (2012). Nurse-directed interventions to reduce catheter-associated urinary tract infections.American journal of infection control,40(6), 548-553. Perry, A. G., Potter, P. A., Ostendorf, W. (2015).Nursing interventions clinical skills. Elsevier Health Sciences. Potter, P. A., Perry, A. G., Stockert, P., Hall, A. (2016).Fundamentals of nursing. Elsevier Health Sciences. Urden, L. D., Stacy, K. M., Lough, M. E. (2015).Priorities in critical care nursing. Elsevier Health Sciences.
Sunday, April 12, 2020
Commercial Analysis Essay Sample
Commercial Analysis Essay SampleAs a student taking a computer-based science course at school, the first question that you might ask is what type of Commercial Analysis Essay Sample should I look at? The commercial world is a very complex place to study, it's a world of advertisement, product, market etc. So, to do this type of reading correctly, you need to have a good grasp of how all this stuff works. To help you out, here are a few tips to think about:First, a critical essay is an essay that looks for errors in the data in your study. You can go on about other issues like business ethics, corporate practices, job market trends etc. but the key point here is to look for errors and inconsistencies in the data or statistics presented. For example, if a company reports something like their market share has gone up. Then the main thing that you must look out for is the sharp decline in their overall sales, or vice versa.By looking for these inconsistencies, you would be able to analyz e the data in a different way, which would help you understand the data in a better way. The more examples you can compare with your own work, the more you would be able to understand the data better.What would a Commercial Analysis Essay Sample be used for? It could be used by your doctor or your employer to tell you about their financial report to the authorities, or to give you an overview of the data or the statistics you are going to use in your own paper. It could also be used as a part of your work application, so it is of great importance to check if the paper you are using is reliable.When writing a formal essay on anything like this, one of the most important things to remember is to keep your tone simple, keep your essay short and to the point. So it is imperative that you give a detailed analysis of the situation, but make sure that it is very easy to read.Another important thing to remember when writing a single or an individual paper is to make sure that you talk about facts. Don't just use statistics or data to support your thesis, it is important to know why these numbers happened, how they happened and where the change came from. This will help you understand the real reason behind the situation.And lastly, make sure that the essay is well organized and readability is not an issue. Just write from the point of view of the reader. Good writing, like good business, has to be eye catching.
Thursday, March 26, 2020
UN Security Council and World Order
Introduction After the world wars I and II, many leaders of the world saw the need of putting in place proper laws and institutions to govern the world in a manner that would make it very difficult for another world war to happen.Advertising We will write a custom essay sample on UN Security Council and World Order specifically for you for only $16.05 $11/page Learn More One of the key steps towards this direction was the establishment and strengthening of the United Nations, so that it could have the power and means of maintaining law and order in the world. This assignment is a discussion of how and why the United Nations, through the United Nations Security Council has been attempting to manage world order and why and how it has been unsuccessful. Discussion The term world order or new world order as its popularly known as, is used to refer to a bureaucratic system of governance of the world which advocates for global governance in disregard to tradit ional State sovereignty which advocates for national governance (Slaughter, 2005). The term has its history from what was referred to as ââ¬Å"illuminatiâ⬠which was the movement responsible for the French revolution as well as revolutions in Europe (Stauffer Williamson, 2005). Recently, new world order has taken the form of institutions which have global influence, appeal and presence like the United Nations and its affiliated institutions as well as the so called Breton wood institutions (Balogun, 2011). One of the key UN affiliated institutions which has been trying to propagate and manage the idea of world order is the United Nations Security Council, which is concerned with global security. The UN, through the UN Security Council has been in the fore front in attempts to have a world which is centralized in terms of governance, administration, justice as well as in terms of trade. The main idea behind the centralization of worldââ¬â¢s governance is that such a world w ould be safer to live in, especially after the September 11 terror attacks on the United States. It is worth mentioning that the United States actually controls the Un Security Council due to its veto power. In fact, many international relations analysts have argued that there is actually no difference between the United States and the UN Security Council. A good example to illustrate this scenario is the US led invasion on Iraq in 2003, in which the Security Council was unable to prevent the US from doing the invasion, despite the fact that there were no enough justifications for the invasion.Advertising Looking for essay on international relations? Let's see if we can help you! Get your first paper with 15% OFF Learn More In its attempts to manage word order, the UN Security Council has been employing the strategy of carrot and a stick, in which countries of the world, especially the developing ones are given aid with strings attached. In some situations, they are re quired to relinquish part of their sovereignty to international bodies like the international criminal court and several other international treaties and conventions. Those counties which fail to comply are not only slapped with economic sanctions, but also military actions as well. Why the UN Security Council attempts have been unsuccessful The initial intention of establishing and maintaining world order was good. But due to the politics of domination between the rich and the poor nations of the world, the idea has been faced with enormous challenges, which have made the UN Security Council strain without much success in the management of word order. It seems that there has been a growing resistance to the new world order which attempts to concentrate resources and power around the ruling elite and the bureaucrats at the expense of the common persons or citizens commonly referred by Karl max as the have nots (MilanoviÃâ¡, 2010). For instance, the recent uprisings in Arabic count ries like Egypt, Libya and Tunisia were seen by many as an indication of civilian unrest and discontedment with the status of affairs in many countries which tend to pursue, propagate or support the ideology of a new world order. The unrest in these countries led to the ousting of the ruling bureaucrats, who had taken the advantage of the capitalist ideology to propagate inequality, lack of fairness and equity between various segments of the society which exists in form of social classes, with the upper social class enjoying the benefits of capitalism in form of surplus, as the low social class suffer from poverty, unemployment and lack of basic social amenities (MilanoviÃâ¡, 2010). There have also been grassroots movements in form of civil society organizations which are formed by countriesââ¬â¢ non-governmental sector. These civil society organizations have been working in a coordinated manner to push governments of countries to respect human rights, provide health care and e ducation to the citizens. The idea behind the formation of civil society organizations is to empower the common citizens with information about their rights and the responsibilities of governments (Barlow, 2003) The universal declarations of human rights agitates for the universal respect of human rights, civil liberties and freedoms like the freedom of worship, movement and expression. These rights and civil liberties advocated for by the civil society have the potential of affecting the stability of the new world order, especially in the fight against terrorism, which is thought to succeed under the limitation of some of the civil liberties and political rights as stipulated in the United States Patriotic Act enacted after the terrorist attacks of United States in 2001 (Abele, 2005).Advertising We will write a custom essay sample on UN Security Council and World Order specifically for you for only $16.05 $11/page Learn More The international criminal system of justice is intended to curb impunity and the violation of basic fundamental rights and freedoms of citizens. It is aimed at detaining and punishing leaders who violate the rights of their citizens. This has happened especially for countries like Rwanda, Yugoslavia among others. However, the court has been explained by many critics as being characterized by double standards between the rich and poor nations. The impact of the international court system on security is that many countries of the world are improving their political systems to become more democratic instead of dictatorial or authoritative. This to some extend has led to increased freedom of expression of citizens which in a way has reduced the grip of the rich nations on the power to control and manipulate the resources of the world. Economically, the grassroots movements have been able to lobby for increased opportunities for countries to do business with each other. The movements have also been very instrumen tal in pushing governments to offer business opportunities and provide friendly loaning facilities to citizens. The world trade organization has been in the fore front in lobbying for increased interaction between nations in terms of doing business. It has also been working closely with individual governments to stream line their loaning facilities to be more friendly and accessible to many citizens (Barlow, 2003). The World Bank and the IMF have been working hand in hand with the world trade organization to offer financial support to the developing countries to fight poverty and disease, like Hiv/Aids and malaria. These institutions have empowered many poor countries to boost their levels of education, health care and overall, their economies. The economies of the poor countries have been improving from time to time, thereby reducing their dependency on the rich countries. This has been compromising the establishment of a new world order because the number of countries which may be manipulated for the gain of the rich countries is declining. Technologically, the grassroots movements and institutions have been working hand in hand with governments to be more open to technology transfer. Many countries of the world are now adopting the use of technology, especially the information communication technology like the use of the electronic mail, the use of the mobile phone networks as well as the use of electronic money transfer systems like wire transfer, money bookers, western union, PayPal among others (Chorafas, 1988).Advertising Looking for essay on international relations? Let's see if we can help you! Get your first paper with 15% OFF Learn More The use of information communication technology and the internet has enabled people to improve the way in which they communicate to each other in many sectors. In the trade sector, many people have been able to do business in various countries due to improved use of information and financial technology. Doing trade and business nowadays has become more efficient and convenient than ever, which has been advantageous to the economies of the poor or developing countries. In the education sector, information technology has opened up more opportunities for people to do research and improve their academic qualifications in a friendly, convenient and efficient manner. This has led to increased literacy levels in many countries, which has got a positive impact on the economy of many countries because many people are able to understand the nature of business transactions and how to undertake business in a sustainable manner. This has consequently worked against the establishment of the new w orld order in which the rich states are able to consolidate resources and opportunities at the expense of the poor countries. At the global level, the advancement in technology has been a growing concern especially the advancement of nuclear energy. Some emerging economies in Asia and Middle East are increasingly embracing nuclear technology as an alternative to the use of coal, crude oil and natural gas as sources of energy. The use of nuclear energy is presumed to be environmental friendly and to possess the ability to generate massive energy to power the growth of economies of countries of the world. However, the use of nuclear technology has been a growing concern to the United States especially in regard to the issue of misuse of nuclear technology. The fear is that nations like North Korea, Iran and Syria which are perceived as having a hidden agenda in their nuclear programs and described by the previous US president George W. Bush as ââ¬Å"axis of evilâ⬠may use their nuclear technology to harm the United States, its allies and the world in general. Nuclear energy may lead to nuclear terrorism. It may also have serious negative implications on the environment especially in regard to the disposal of nuclear waste if not properly managed. All these nuclear related issues are perceived as working against the establishment and strengthening of the new world order in which the elite concentrate the possession of technology and even the energy used for boosting economic productivity in countries of the world. If the poor, emerging or developing economies are allowed to pursue nuclear energy, they will not only act as potential terrorist threats but would also act as serious competitors of the advanced economies like the United States and members of the European Union and the establishment of the new world order as well. Conclusion Throughout the discussion in this assignment, what has emerged is that the powerful States have been attempting, through th e United Nations Security Council to establish a bureaucratic arrangement of worldââ¬â¢s governance in which the elite would be controlling worldââ¬â¢s resources and power. The main idea behind this has been to ensure that the super powers maintain the status quo in terms of worldââ¬â¢s politics, economy, culture and technology through the propagation of their ideologies and influence to the less powerful nations of the world. However, there has been a lot of challenges in establishing the new world order, which have to some extend compromised the economic, political, cultural and technological security of the rich nations. The discussion may be summed up as a competition between the bureaucrats and the common person, whom, through the assistance of grassroots movements and institutions has been empowered to rise up and challenge the exploitations and discriminations which comes with the establishment of a new world order. The United Nations Security Council has also been h indered by the presence of many non-governmental organizations, which work in partnership with governments of the developing world to empower the citizens with education, which is a very important tool in fighting the rich nationââ¬â¢s imperialism. Education has enabled many countries in the developing world to embark on research, especially on agriculture and technology, which has enabled them to become self-reliant in terms of food and technological advancement. This has denied the rich nations, through the UN Security Council an opportunity to propagate the idea of world order, especially through giving aid to these countries, with some strings attached. Reference List Abele, R.P.(2005). ââ¬Å"A Userââ¬â¢s Guide to the USA Patriot Act and Beyondâ⬠. Oxford OX2 6DP: University Press of America. Balogun, M.J. (2011). Hegemony and Sovereign Equality: The Interest Contiguity Theory in International Relations. Oxford OX4 2DQ: Springer. Barlow, A.L. (2003). Between Fear and Hope: Globalization and Race in the United States. Lanham, MD: Rowman Littlefield. Chorafas, D.N. (1988). Electronic Funds Transfer. Wellington Square: Butterworths. MilanoviÃâ¡, B.(2010). The Haves and the Have-Nots: A Brief and Idiosyncratic History of Global Inequality. Oxford OX2 6DP: Basic Books. Slaughter, A.M. (2005). A New World Order. Woodstock OX20 1TW: Princeton University Press. Stauffer, V., Williamson, B.J. (2005). New England and the Bavarian Illuminati. Oxford OX1 3BN: The Invisible College Press, LLC. This essay on UN Security Council and World Order was written and submitted by user Margaret D. to help you with your own studies. You are free to use it for research and reference purposes in order to write your own paper; however, you must cite it accordingly. You can donate your paper here.
Friday, March 6, 2020
Mortons neuroma Essays - Foot Diseases, Neurological Disorders
Mortons neuroma Essays - Foot Diseases, Neurological Disorders Mortons neuroma Abstract Mortons neuroma is a condition that affects one of the nerves that run between the third and fourth toes that may at first appear gradually, but becomes more significant and persistent over time. The exact cause is not certain, as there are a number of things that are thought to contribute to this condition. Symptoms can range from pain that starts in the ball of the foot and shoot into the affected toes, to a burning or tingling sensation of the toes. The treatment of this condition varies widely and includes conservative and surgical treatments, depending on the physician. This paper will examine the different causes and symptoms of a neuroma, as well as the different treatment options and recovery period. Mortons Neuroma What is Mortons Neuroma? A neuroma is an enlargement of nerve tissue that occurs at the base of the third and fourth toes that causes pain and numbness in the affected area. The tissue or ligament around the nerve swells up, which causes a pinching of the nerve and results in a sharp burning sensation in the toes. It is sometimes referred to as an intermetatarsal neuroma, which describes its location, and occurs in the ball of the foot between the metatarsal bones (the bones extending from the toes to the midfoot). It is sometimes referred to as a benign growth, or tumor, of nerve tissue that leads to the thickening of the toes, and a sharp burning pain in the ball of the foot. The irritation of the nerve could eventually lead to permanent nerve damage that may require patients to take painkillers, have steroid injections, or eventually surgery to either remove the nerve or release the ligament around it. This condition was first described by T.G. Morton in 1876. He used a more vague terminology of metatarsa lgia which described it as a painful condition in the ball of the foot (Bennett). What are the causes of Mortons neuroma? Doctors are not sure what exactly causes Mortons neuroma, but it seems to develop as a result of an irritation, pressure or an injury to one of the nerves that lead to the toes. One of the most common offenders is wearing shoes that are too narrow or tapered around the toes, or high heeled shoes that force the toes into the narrow part of the shoe. Because the anatomy of the bones in the feet is narrow between the metatarsals, the nerves that run between these are more likely to be compressed or irritated from wearing these types of shoes. People that have certain deformities in their feet, such as bunions or hammertoes which cause the bones to pinch the nerves, are at a higher risk for developing a neuroma. Other potential causes are activities that involve a repeated irritation to the foot, such as running, court type sports, or stress from long periods of standing on the feet. Also, inflammation in the joints or ligaments in the foot next to the nerves can cause irritation that le ad to a neuroma. Improper footwear can cause the toes to be squeezed together that can be problematic. What are the symptoms of Mortons neuroma? The symptoms of Mortons neuroma can occur unexpectedly and get progressively worse over time. You may have one or more of these symptoms: ?XTingling, numbness, or burning sensation in the toes or foot ?XPain in the ball of the foot when weight is placed on it ?XA feeling that something is inside the ball of the foot ?XSwelling between the toes At first the symptoms begin gradually, and then may go away temporarily by removing the shoe and massaging the foot. When wearing narrow-toed shoes or by performing activities that aggravate the foot, the symptoms become more intense as the neuroma enlarges and the damage to the nerve becomes permanent (American). Over time the symptoms progressively worsen and may persist for several days or weeks. How physicians diagnose a Mortons neuroma? To diagnose a neuroma, a podiatrist (foot specialist doctor) will obtain a thorough history of your symptoms, and will examine the foot and try to locate the affected nerve. This can be done by manipulating the foot and toes in trying to reproduce the symptoms. X-rays are also taken of the foot to make sure the
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