Thursday, February 20, 2020

In the play Death of a Salesmen What is Miller's definition of the Essay

In the play Death of a Salesmen What is Miller's definition of the American Dream What does Miller suggest that the Am - Essay Example Throughout the text Arthur Miller never openly states his concept of the American Dream, instead demonstrating fallacies surrounding this concept. Still, it’s clear that in considering the cynical elements in relation to their positive converse, one is able to articulate a concept of Miller’s American Dream. In one of the most crucial scenes in the play, Willy Loman asks his boss for a raise. In a desperate plea to convince Howard, Loman relays an anecdotal tale. He states, And when I saw that, I realized that selling was the greatest career a man could want. ’Cause what could be more satisfying than to be able to go, at the age of eighty-four, into twenty or thirty different cities, and pick up a phone, and be remembered and loved and helped by so many different people? (Miller Act II, scene ii). This is a complex statement. In some regards, one can argue that Miller is implementing a touch of comedic irony in Loman’s overly enthusiastic support for his t raveling salesman job. However, in another context the job represents for Loman a partial realization of the American Dream. In this profession he has found a meaningful means of procuring a living.

Tuesday, February 4, 2020

Among chronic patients what is the effect of acupunture on the use of Essay

Among chronic patients what is the effect of acupunture on the use of narcotic over 30 days - Essay Example Appropriate tools for conducting the tests and measurement of results should be available. The primary care settings are an important feature in this undertaking (Perry G. F., 2010). Treating chronic pain conditions with long-standing doses or prescriptions of narcotic (e.g., morphine), anti-inflammatory (e.g., ibuprofen), or other anodyne medications may provide a modicum of just a short-term relief. Initial dose titration and for breakthrough pain should limit the role of short-acting opioids. According to pain specialists and physicians, long-acting opiates should be the lynchpin of treatment if narcotics and narcotic treatments are used for persistent pain. The results of studies done raise an important questions when dealing with narcotic prescription; that is, are physicians well trained in treating chronic conditions or how well are they informed about the prescription they are admitting. In implementation of the treatment one take a sample number of patients and prescribe the m with narcotic treatment drugs and non-narcotic drugs to another sample. Having in mind that chronic pain involves more than just transmission of noxious stimuli persistently through the nervous system but also a high culmination of dynamic process and highly elaborate inextricably bound to the sufferer’s cognitive, social, psychological and cultural history; it would be essential to create an experimental sample of tests. Administering the drugs in correct intervals to avoid any error within the collected results, and considering the experiment has a time frame a drug like hydrocodone/acetaminophen (7.5/500) can be admitted to the patient twelve times a week; for severe pains. The experiment will use the nonrandomized controlled clinic trails with an adequate number of patients that will of comparable conditions. Efforts should be put in place to consolidate physical education and management guidelines about chronic pains and narcotic medication so as to incorporate it medi cal education and continuing medical training. Evaluation of effectiveness and facets of chronic nonmalignant pains in a patient should be the first evaluation procedure one should undertake before use of narcotic. Also the physician or pain specialist should have the appropriate care and measure tools to conduct the experiments. Understanding the current use and effects of narcotic drugs for chronic pains is also a prior practice the physician should undertake (Perry G. F., 2010). Before measuring the outcome, there should be an already available and clear medical review for the patients. The components of this review include; duration, location type, patterns and intensity of the pain; factors that intensify or reduce the pain; prior and current psychiatric and medical conditions; impacts of the pain on mood, functioning and sleep; the patients’ expectations of treatment; the previous use and prescription of pain medications; social environment description of the patients; patients’ history including the physical examination of both the patient and family history. After conduction the above measures then the medication is done, and within the specified period of 30days the results are collected and represented with tables and graphs if possible. From this information collected, the following outcomes will be measured; amount of prescription of the drug; also patient behavior after the medication, the