Fragments of A Painful Case and Paper Pills -- Painful Case Paper Pill

Fragments of "A Painful Case" and "Paper Pills" Although James Joyce and Sherwood Anderson situate their subjects in very different milieux (Joyce's in Dublin; Anderson's in Winesburg, Ohio), two of their subjects speak the same language of idiosyncrasy. In Joyce's "A Painful Case," Mr. Duffy keeps on his desk "a little sheaf of papers held together by a brass pin. In these sheets a sentence was inscribed from time to time and, in an ironical moment, the headline of an advertisement for Bile Beans had been pasted on to the first sheet" (Joyce 103). In Anderson's "Paper Pills," Dr. Reefy records his thoughts on "scraps of paper that became hard balls and were thrown away" (Anderson 36). These scribbled bits of subjectivity offer insight into the constituions of Anderson's doctor and Joyce's painful case. Living "in Chapelizod because he wished to live as far as possible from the city of which he was a citizen" (Joyce 103), Mr. Duffy provides an example of the unwittingly mechanized individual. Mr. Duffy attempts "to preserve an interior life of introspection against the overwhelming and machine-like activities of city life" (134) but he resembles nothing so much as a well-oiled machine. Duffy tries to live self-contained in the gap between nature and culture, when these terms are defined so that "we can see the infant's relation to the mother as somehow 'natural' and the post-Oedipal child as one who is in the process of assuming a position within the cultural order as a whole" (Eagleton 156). Associating with "neither companions nor friends, church nor creed" (Joyce 105), Duffy removes himself from familial and societal ties and from "his body, regarding his own acts with doubtful side-glances" (104). The first threat to... ...uded the world. It became terrible and then faded away and the little thoughts began again" (37). In this cycle of univocity and fragmentation, even the twisted apples have their day in the sun. As opposed to Duffy's ordered collage, Reefy's confounding lack of order -- in a different twist of Modernist irony -- assure his wholeness and his health. Works Cited Anderson, Sherwood. "Paper Pills." Winesburg, Ohio. Ed. John H. Ferres. New York:Viking Penguin, 1977. 35-8. Butler, Christopher. Early Modernism: Literature, Music, and Painting in Europe, 1900-1916. Oxford: Clarendon, 1994. Eagleton, Terry. Literary Theory. Minneapolis: University of Minnesota Press, 1995. Joyce, James. "A Painful Case." Dubliners . New York: Penguin, 1993. 103-14. ---. A Portrait of the Artist as a Young Man.. Ed. Chester G. Anderson. New York: Viking Penguin, 1977.

Associates Degree vs Bachelors Degree Essay

Nursing education has progressed throughout history from one of uneducated lay persons to the current standards we know today. As the career has progressed it has become apparent that there is a need for a skilled labor forced trained to deal with the sick and dying, â€Å"the provision of nursing care by American women†¦demonstrated the effectiveness of skilled nursing on improving outcomes for sick and injured soldiers† (Creasia & Friberg, 2011, p. 4). However, as the career progresses so does the need for more specialized training amongst nurses to help them deal with the changing atmosphere of patient care. The future of nursing is trending towards care that involves not only treating the signs and symptoms, but enhancing the patient’s health through prevention and education. In order to meet these new demands the nurse of today needs to be skilled to handle these changes. Bachelor’s degree nursing programs â€Å"encompass all of the course work taught in associate degree and diploma programs, plus a more in-depth treatment of the physical and social science, nursing research, public and community health, nursing management, and the humanities† (Baccalaureate Degree, 2001). This additional training prepares the nurse to have a better understanding of the outside influences that might affect their patient, along with providing them with a scope of practice that is typically broader than that of their associate counterparts (Baccalaureate Degree, 2001). These skills become important for the nurse, they can range the gamut from being able to make split second decisions in critical patient situations to simply designing a comprehensive plan of care for the patient. Many hospitals are currently recognizing the significance of the bachelors prepared nurse and are affording these nurses more responsibilities in providing patient care that highlight the complexity of the their skills over that of associate degree trained nurses (Baccalaureate Degree, 2001). â€Å"Throughout the last decade, policymakers and practice leaders have recognized that education makes a difference† (Impact of Education, n. d. ). Hospitals are also trending towards preferred hiring of bachelors prepared nurses for their workforce. Even national organizations are jumping on the bandwagon requiring â€Å"all nurse managers and nurse leaders to hold a baccalaureate or graduate degree in nursing by 2013† (Impact of Education, n. d. ), likewise the Institute of Medicine has also recommended that all hospitals have at least 80% of their nursing staff with a BSN or higher by the year 2020 (Impact of Education, n. d. ). Recent research has shown that hospitals and health care organizations that employ a higher number of bachelors prepared nurses see better patient outcomes as a result of the nurse having a greater capacity to practice (Impact of Education, n.d. ). Studies have shown that bachelors prepared nurses practice more confidently and as a result can react faster to patient situations resulting in better outcomes (Impact of Education, n. d. ). Also a bachelor’s prepared nurse is trained more extensively in â€Å"clinical, scientific, decision making, and humanistic skills, including preparation in community health, patient education, and nursing management and leadership† (Baccalaureate Degree, 2001) The education that patients get in how to care for themselves after leaving the hospital leads to better outcomes once they are gone and less recurrence of illness. The bachelors prepared nurse is better trained to handle this as their skills â€Å"are essential for practice in other community sites, such as health maintenance organizations, home health services, community clinics, and managed care firms† (Baccalaureate Degree, 2001). Also multiple studies form a variety of healthcare facilities have shown a link between a decrease in patient mortality at facilities that employ a higher percentage of bachelors trained nurses. In some cases the incidence of mortality has decreased by as much as 5% with an increase in bachelors prepared nurses at the bedside (Baccalaureate Degree, 2001). The definition of nursing according to the American Nurses Association is the following: â€Å"Nursing is the protection, promotion, and optimization of health and abilities, prevention of illness and injury, alleviation of suffering through the diagnosis and treatment of human response, and advocacy in the care of individuals, families, communities, and populations† (2012). Nurses first and foremost treat patients through education. In the situation where a patient is admitted to the hospital, teaching beings at admission but the  role of the bachelors trained nurses and the associates trained nurse differs in the roles that they play. In hospitals â€Å"baccalaureate-prepared nurses are utilized in ways that recognize their different education preparation and competency from other entry-level RNs† (Baccalaureate Degree, 2001). These nurses are being afforded the ability to take on more tasks including preparing a plan that incorporates all aspects of the patients care from before they are admitted, encompassing their entire stay and ending with preparing a plan of care for the patient to follow at home. They also keep the lines of communication open between all of the different disciplines involved and coordinate care between them. This is because â€Å"studies have also found that nurses prepared at the baccalaureate level have stronger communication and problem solving skills (Johnson, 1988, as cited by Boren 2012) and a higher proficiency in their ability to make nursing diagnoses and evaluate nursing interventions (Giger & Davidhizar, 1990, as cited by Boren 2012)†, (Impact of Education, n.d. ). In the same situation an associate degree nurse would still provide education but they would participate by providing care at the bedside and teaching on less complex situations such as â€Å"how to cope with their conditions and to maintain their care upon discharge† (Baccalaureate Degree, 2001). Nursing is a constantly evolving career and as nurses the best way to be prepared for these changes is to be educated and to constantly strive to improve and continue our education. The bachelor’s degree program prepares the nurse to be better prepared to handle the workforce through several aspects. Bachelors prepared nurses have a wider knowledge base which can result in improved patient safety, lower mortality rates, and better patient education which in the end results in better patient outcomes. References American Nursing Association (2012), What is Nursing, retrieved 28 August 2012 from: http://www. nursingworld. org/EspeciallyForYou/What-is-Nursing Creasia, J. L. , & Friberg, E. (2011). Conceptual Foundations: The Bridge to professional nursing practice (5th ed. ). Philadelphia, PA: Elsevier Saunders Publishing. The Baccalaureate Degree in Nursing as Minimal Preparation for Professional Practice. (2001). American Association of College of Nursing. Retrieved from http://www. aacn. nche. edu/publications/position/bacc-degree-prep The Impact of Education on Nursing Practice. (n. d. ). American Association of Colleges of Nursing. Retrieved from http://www. aacn. nche. edu/media-relations/fact-sheets/impact-of-education.

Robert Frost s A Late Walk - 945 Words

The last days of autumn, or any season for that matter, has the tendency to make an impression on the consciousness that cannot be forgotten. In regard to autumn specifically, the change into winter is more than often associated with somber feelings coupled with the theme of death. â€Å"A Late Walk,† a poem written by Robert Frost, in particular, uses rhyme, simile, metaphor, imagery, alliteration, and symbolism to cement not only the theme of death, but also nature, beauty and nostalgia. This poem, inspired by Frost’s early life as a farmer at the turn of the 20th century, takes the reader on a short stroll through the crop fields with a farmer to garden. Frost’s use of natural but personified imagery, quatrains, and  ¾ beat lines allow the reader to feel his apparent pensive sadness in the final days of fall. In the opening stanza, Frost describes the narrator, a farmer, walking through the crop field to a garden that appears to lay at its feet. At first glance, the phrase â€Å"The headless aftermath† in line two produces imagery related to warfare(2). One might assume that Frost is attempting to make it seem as if the farmer is a warrior that has battled the field all fall and now stands triumphant over his defeated enemies, now headless and still after the final battle, but they would be wrong. Frost is simply describing a mowing field that has recently been harvested, which signifies that it is complete. This field is also â€Å"smooth-laid like thatch with the heavy dew†, which isShow MoreRelatedAnalysis Of Robert Frost s Poem A Late Walk 971 Words   |  4 Pageschange, new beginnings, and a better understanding of what was and will be. The poetry of Robert Frost particularly uses themes of nature, seasons, nostalgia and remembrance as means to reflect on the past an d their implications on the future. â€Å"A Late Walk,† a poem inspired by his time on his farm during the turn of the 19th century, is one of many that show his melancholy affection for change. In this poem, Frost uses simple natural imaginary, written in quatrains and 3/4 beat line alterations, to takeRead MoreAcquainted With The Night By Robert Frost1553 Words   |  7 PagesRobert Frost s â€Å"Acquainted with the Night† is about a man who frequently journeys out at night and roams about the city alone. He is familiar with the atmosphere around him and it’s apparent he has wandered far beyond the city. Throughout the poem the speaker does not communicate with anyone and a sense of silence and suspense pervade his walks. It is understood that the speaker is very lonely on his walks and often finds himself hoping someone would call out to him. As the speaker strolls throughRead MoreRobert Frost : A New England Poet3698 Words   |  15 PagesRobert Lee Frost Known for being a New England poet Robert Frost was born in San Francisco, California on March 26th, 1874. Born to a New England father William Prescott Frost Jr. and a Scottish mother Isabelle Moodie who moved to the west coast from Pennsylvania after marriage (Bailey). Both his parents were teachers and poets themselves, but his father later became a journalist with the San Francisco Evening Bulletin (Bailey). Frost spent 12 years of his life growing up in San Francisco, untilRead MoreIn Tree At My Window, by Robert Frost.2307 Words   |  10 PagesIn Tree At My Window, Robert Frost addresses a tree growing outside of his bedroom window with these words: But tree...You have seen me when I slept, ... I was taken and swept / And all but lost. / That day she put our heads together, / Fate had her imagination about her, / Your head so much concerned with outer, / Mine with inner, weather. In these lines Frost conveys several emotions and themes that infiltrate many of his works. Thes e common themes include darkness, nighttime, isolation, innerRead MoreAnalysis Of Robert Frost s `` Stopping By Woods On A Snowy Evening `` And `` Mending Wall ``1817 Words   |  8 Pages Robert Frost was an American poet born on March 26, 1874. Living to the age of eighty eight, Frost was able to become an accomplished poet in his lifetime, creating beautiful works of art through his words. In many of his poems one can find similar themes that discuss intense feelings and ideas about isolation and loneliness in one’s life, such as in â€Å"Stopping by Woods on a Snowy Evening† and â€Å"Mending Wall†. Each of the following poems discussed will demonstrate that throughout Robert Frost’sRead MorePoetic Devices and Poems3332 Words   |  14 Pagesthat at first seems self-contradictory but that on reflection makes sense. Ghost House by Robert Frost: â€Å"I dwell in a lonely house I know That vanished many a summer ago.† Symbolism: a thing that suggests more than its literal meaning. A symbol can be a thing or an action. Symbolism is the collective function of symbols in a work, or an author’s use of symbols. Example- The Road not Taken by Robert Frost. Cacophony: deliberate use of harsh, dissonant sounds. Example- Jabberwocky by Lewis Carroll:Read MoreBilly Collins : An Early Age1745 Words   |  7 Pages In that capacity he devised and promoted an initiative called Poetry 180, intended to help high-school students connect with and find pleasure in poetry† (Cunningham). Billy Collins was born an only child to parents who were already on into their late thirties (Whitney). He lived a life of loneliness, simplicity, and monotony which would ultimately heavily influence the subject matter of his writings later in life. His works consistently carry a theme of being about simple, boring, and mundane aspectsRead MoreGary Soto1452 Words   |  6 Pagesso he transferred to a Fresno State in California. After he finished college he wrote and won awards for a book of poetry at 24 years of age called, â€Å"The Elements of San Joaquin.† Mr. Soto is a very talented writer in adult writing but in the late 1980’s he started to tackle children books and succeeded. He currently writes poetry books for all ages and he manages to have time to be a full time English lecturer at the University of California at Berkeley (Needham). I believe that Soto’s work inRead MoreAnalysis Of `` Ozymandias `` And The Ballad Of Birmingham ``1266 Words   |  6 Pagesseemingly unique ways. Robert Frost made an attempt to define poetry, â€Å"A poem is an idea caught in the act of dawning†(Kennedy and Gioia). Poetry can carry a sensitive message, as seen in the poems â€Å"Ozymandias† and the â€Å"Ballad of Birmingham†, as they present two separate ideas. â€Å"Ozymandias† involved the destruction of a statue, and the â€Å"Ballad of Birmingham† depicts racism and segregation of the civil rights era. Racism and segregation were a prominent theme in America until the late 1960s, where it hadRead MoreEssay about Romanticism1678 Words   |  7 Pagestragedy. This new interest in relatively unsophisticated but emotional literary expressions of the past was to be a dominant note in Romanticism. (Frenz, Horst and Stallknecht, Newton P. pgs 70-73) Romanticism in English literature began in the 1790’s was the publication of Lyrical Ballads written by William Wordsworth and Samuel Taylor Cloeridge. Wo rdsworth’s â€Å"Preface† to the second edition (1800) of Lyrical Ballads, in which he describes poetry as â€Å" the spontaneous overflow of powerful feelings