Divided between Carelessness and Care: A Cultural History
An example is the medieval play Everyman, in which the protagonist Everyman stands for all people. The box set represents a real room with doors and windows that work. Bunraku: also Banraku traditional Japanese puppet theater. Each puppet is about one meter tall and is manipulated by up to three people, with each person responsible for a different part of the puppet.
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Their efforts make the puppets appear alive despite the fact that the puppeteers are visible on the stage. Bunraku plays are accompanied by the music of traditional Japanese instruments. Tragedy was born during this period; the Greek Sophocles is one playwright of the period. In ancient Greece, comedies dealt almost exclusively with contemporary figures and problems.
Low comedy is physical rather than intellectual comedy; high comedy is more sophisticated, emphasizing verbal wit more than physical action. Also, a signal from the stage manager to the cast, stage crew, props manager, or lighting technician that a predetermined action—an entrance, sound effect, change in the set or lighting—is required.
Drama is further divided into tragedy, comedy, farce, and melodrama, and these genres, in turn, can be subdivided. The students, sitting quietly with eyes closed, allow pictures to form in their minds. These images may be motivated by bits of narration, music, sounds, smells, etc. In a dramatic production, the director, and perhaps others, will decide how to interpret the play for the audience.
There are several forms of irony. The lowest-priced brand-new, unused, unopened, undamaged item in its original packaging where packaging is applicable.
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Divided Between Carelessness And Care: A Cultural History
Buy It Now. Add to cart. He is in an accident in which he sustains a severe brain injury is and shows no signs of consciousness. In order to withdraw life-sustaining treatment, his parents must present convincing evidence.
Case Studies in Medical Ethics and Bioethics
George did not state his wishes in an advance directive. A large number of Americans are more oral than literate.
This paper details the ingredients of a traditional oral morality capable of engaging biomedical issues and indigenous to people who think in proverbs, stories, and relationships. Omer was a year-old widower who had lived independently for many years. He had always been eager to get health problems fixed, including the most recent issue, which required colon surgery.
When Omer doesn't recover well, issues arise as the physicians do not speak directly with Omer's children. Freda is a year-old lady living in a long-term care facility who is chronically ill with multiple sclerosis. She voices desires to die peacefully and not to have a feeding tube placed. She is taken by her mother to a neurologist and when she returns, she has a feeding tube. Read this case to see how nursing staff responded.
Nursing staff are reluctant to carry out CPR on a patient in a persistent vegetative state despite her mother's insistence and the physician's orders to do so. A nurse experiences moral distress with being told to continue monitoring a year-old patient's blood work as long as she remains on blood thinners.
Mary Jo is diagnosed with bladder cancer but does not wish to have surgery. After refusing surgery twice, her doctor tells her that he cannot be her doctor any longer. This case discusses the dilemmas that occur when a patient does not heed the advice of a doctor, and what obligations do the patient and doctor have in maintaining the patient-doctor relationship. A year-old male came into the cardiac care unit with an inferior wall myocardial infarction, and shortly thereafter coded.
Resuscitation attempts succeeded; however, over the course of a few days he went into multi-system failures. Jennie is a year-old woman who had suffered from hypertension, diabetes and many strokes. She had an advance directive, which indicated that she did not desire any surgery, antibiotics, resuscitation or tube feeding. When it becomes very difficult for her to eat, requiring an aide for a couple of hours each meal, her daughter decides that it is appropriate for a feeding tube to be placed as Jennie does not have a fatal illness, just simply requires adequate nutrition.
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Karen Ann Quinlan, a twenty-two-year-old who ingested a harmful mix of drugs and alcohol, suffered two fifteen-minute periods of interrupted breathing which left her in a chronic vegetative state without any cognitive functions. When the trial court refused the order to withdraw life-support, her father, who was her guardian, appealed. An year-old non-ambulatory nursing home patient was confined to semi-fetal condition with "sever organic brain syndrome.
Her physician declines, and the courts are involved. A year-old accident victim suffered lack of oxygen to her brain for six to twenty minutes. She was in a persistently comatose and vegetative state, sustained by a gastronomy feeding tube. What should happen to this patient when she is in a state of progressive spastic quadriplegia with irreversibly contracted extremities, but doctors say she could live another thirty years. On December 14, , Helga Wanglie, 86, fell in her Minneapolis home and broke her hip. After the fracture was successfully set, she was discharged to a nursing home.
On January 1, , she was readmitted due to developing respiratory failure and place on a respirator. During the next five months repeated attempts to wean Mrs. Wanglie from the respirator were unsuccessful; she was conscious, aware of her surroundings, and could recognize her family. John is a year-old who was recently admitted to a long-term care facility after being discharged from the hospital after a stay for pneumonia. He is nonverbally refusing meals, and with no obvious family members to relay his wishes, staff are finding it hard to determine what the next step should be in his care.
Pat is having a difficult time giving consent for the "Do Not Resuscitate" order for her year-old father, because they never had a discussion about dying. This case raises questions about obstacles to open communication about death and goals of care. Paramedics bring the man to the hospital.
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His past medical history is established to include chronic obstructive pulmonary disease COPD , chronic foot infections, alcoholism, and tobacco use. Physicians recommend a biopsy. Fiona took custody of her two grandchildren and worked as a housekeeper in a private home while the children were in school.
Fiona had no health insurance. She earns too little to buy an individual plan and too much to qualify for Medicaid. When she started bleeding, she just kept buying napkins to absorb the blood. An African American male patient, age forty-two, was admitted to a skilled nursing unit after surgery for head and neck cancer with lymph involvement, newly diagnosed.
Extensive excision of the tumor had been done, and the patient had a newly placed tracheostomy and feeding tube. A year-old, divorced mother of two teenagers is diagnosed with metastatic breast cancer.