Futility of Resistance:
"Shooting an Elephant" by George Orwell and "What's in a Name" by Henry Louis Gates, Jr.

"Shooting an Elephant" by George Orwell recounts the time the author was serving as a police officer in Burma, which was then dominated by the British Imperial powers. Orwell loathed the British Empire, but he was also enraged at the contempt shown to him by the native peoples as its representative: "With one part of my mind I thought of the British Raj as an unbreakable tyranny, as something clamped down, in saecula saeculorum, upon the will of prostrate peoples; with another part I thought that the greatest joy in the world would be to drive a bayonet into a Buddhist priest's guts."

As a person in authority, when a formerly tame elephant ran wild, Orwell was expected to deal with the situation. The elephant had apparently killed many people during its attack…...

Medical Futility in Nursing Care
CARING AND CHOOSING

ioethics is described as both a field of intellectual inquiry and a professional practice that examines moral questions affecting various disciplines (Arras, 2007). These disciplines include biology, medicine, law, public health, policy and ethics. In these disciplines are scholars, teachers, and clinical practitioners, including nurses. Their work has recently been subjected to an unprecedented turn in perspectives concerning relevant issues and behaviors. Among these sensitive issues are the Do Not Resuscitate Orders in hospitals; the true meaning of informed consent, especially in poor countries; a new understanding concerning clinical trials of various drugs; and the traditional doctor-patient ethics. At least three kinds of bioethical work surfaced from these developments. These are clinical bioethics, policy-oriented bioethics, and bioethics as a theoretical pursuit. The first kind, clinical bioethics, is the most troubling. It utilizes bioethical concepts, values and methods in the hospital or clinic, its specific…...

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BIBLIOGRAPHY

Arras, J.D. (2007). The nature and varieties of bioethics. Undergraduate Bioethics

Program. University of Virginia. Retrieved on April 27, 2011 from  http://bioethics.virginia.edu/nature.html 

Beauchamp, T.L. And Childress, J.F. (2008). Principles of biomedical ethics. 6th edition.

Federwisch, A. (1998). Medical futility: who has the power to decide? Nurseweek.

Still, the unifying factor that is prevalent in both types of physiologic futility is that there is absolutely no chance of recovery or of beneficence to be gained by a particular procedure.
Due to the varying nature of both forms of medical futility, probabilistic and physiologic, the way medical practitioners should deal with these respective situations varies accordingly. In terms of the treatment of probabilistic futility, such practitioners must take account the fact that no matter how remote, there is a possibility of beneficence to be gained by a procedure which is being considered either by the patient or by his family, and must act accordingly. Therefore, a physician or medical staff should not be the sole determinant of a whether such a procedure is undertaken. Instead, medical personnel should consult with either the patient or with his or her family to come to a consensus of opinions -- ideally…...

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References

Walker, R.M. (1999). "Ethical issues in end of life care." Cancer Control Journal. Volume 6, Number 2. Retrieved from  http://www.moffitt.org/CCJRoot/v6n2/article4.htm 

Nash, R.D. (2009). "On the Permissibility of a DNR Orderfor Patient with Dismal Prognosis." Ethics & Medicine: An International Journal of Bioethics. Volume 25 Issue 2. Retrieved from  http://cbhd.org/content/permissibility-dnr-order-patient-dismal-prognosis 

Jonsen, A.R., Siegler, M., Winslade, W.J. (2002). Clinical Ethics: A Practical approach To Ethical Decisions in Clinical Medicine. New York: McGraw Hill/Appleton Lange.

The hypothesis for the proposed study asserts: When over-treatment is implemented for the patient in the oncology setting, then the partnership between the nurse and the doctor may be in peril. 1.3: Study Structure

Chapters following Chapter I, the Introduction, for the proposed study will include:
1. Chapter II: Literature Review
2. Chapter III: Methodology
3. Chapter IV: ResultsAnalysis
4. Chapter V: Discussion, Conclusions & Recommendations

During the forthcoming empirical investigation, the researcher plans to develop the literature review, the second chapter of this study, from a minimum of 25 credible sources.
The third chapter for the proposed study, the methodology will relate the method the researcher utilized to complete the research effort.
Utilizing the methods of
Specific techniques utilized to analyze access to informationdata include Chapter four of the proposed study will present findingsresults the researcher retrieves from the analyses of informationdata secured during the literature review, as well as, data determined from the survey conducted for the…...

, 2007).
In another relative study, oares and colleagues (2008) focus on the impact that a prolonged length of stay (LO) in the ICU setting can have on the cancer patients. This particular approach to analyzing medical futility is rare and hence is important as the scarcity of research leads to gaps in our knowledge on this particular aspect. Hence, this study mainly assessed the personality traits and influences of cancer patients on their treatments of fatal medical intricacies that took place during their in the ICU for ? 21 days (oares et al., 2008). They define the ICU LO as simply that lasted less than or equal to 21 days in total.

The results of the study were as follows:

There were a total of 1,090 patients in the ICU, 15% (163) of which experienced prolonged ICU LO

The total ICU bed-days for these patients were a total of 48% only i.e. 5,828…...

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Soares, M., Salluh, J.I.F., Torres, V.B.L., Leal, J.V.R. And Spector, N. (2008). Short- and Long-term Outcomes of Critically Ill Patients With Cancer and Prolonged ICU Length of Stay. CHEST, 134 no. 3 520-526.

Stengel, B., Billion, S., Van Dijk, P. et al. (2003). Trends in the incidence of renal replacement therapy for end stage renal disease in Europe, 1990 -- 1999. Nephrology Dialysis Transplantation 18: 1824 -- 1833.

The Robert Wood Johnson Foundation (RWJF) (2000). Pioneer Programs in Palliative Care: Nine Case Studies. Milbank Memorial Fund.

Very senior executive-branch employees are restricted from so much as advising or aiding official foreign entities in matters where they intend to influence officers, employees, and/or other agents acting on behalf of the United States.

Bank examiners and inspectors are prohibited for one year following their term with s Federal Reserve bank or Federal banking agency from receiving any compensation as an "employee, officer, director, or consultant" of institutions intertwined with banks which fell under their inspection duties.

Likewise, procurement officials who worked on behalf of government departments or agencies are prohibited for one year from acting in any way which entails receiving compensation from certain private contractors in related industries and segments.

There are, lastly, heavy restrictions on the rights of employees of the government to negotiate post-government employment while still working for the United States.

Consider the following marks on the timeline of regulation of the revolving door:

In 1969 the United States…...

" There is a more calm feeling to his description. This is not to say that the author was portraying war as being a patriotic act, but the author was not as graphical in his describing what the soldiers were seeing and going through. The reader is more connected to the actions of the poem and not the fact that someone is dying. He ends his poem by referencing "hell" and the reader is left wondering whether the hell that he is referring to the war that is being left behind, or to dying itself.
3) Rites of Passage Activity

In speaking to my grandmother, I was able to find out what it was that she took when she first left her home. At the age of sixteen, she was married to my grandfather and was getting ready to start her knew life as a wife and very soon, as a mother.…...

Dim through the misty panes and thick green light,/as under a green sea, I saw him drowning./in all my dreams before my helpless sight / He plunges at me, guttering, choking, drowning./if in some smothering dreams, you too could pace/Behind the wagon that we flung him in,/and watch the white eyes writhing in his face,/His hanging face, like a devil's sick of sin,/if you could hear, at every jolt, the blood/Come gargling from the froth-corrupted lungs/Bitter as the cud / of vile, incurable sores on innocent tongues, -- / My friend, you would not tell with such high zest/to children ardent for some desperate glory,/the old Lie: Dulce et decorum est / Pro patria mori. (Owen)

This is not how Owen "might" respond to patriotism this is a direct assault upon it. The words of Dali ring true as the toll of war is counted up among the youthful wasted lives…...

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References

Owen, W, Anthem for Doomed Youth, at  http://www.englishverse.com/poems/anthem_for_doomed_youth 

On Seeing a Piece of Our Artillery Brought into Action, at  http://www.poetryconnection.net/poets/Wilfred_Owen/1215 

Dulce et Decorum est at  http://www.potw.org/archive/potw3.html 

Remarque, E.M. (1958). All Quiet on the Western Front. Boston: Little Brown.

Futile medical care is the ongoing provision of medical treatment or care to a patient who does not show any hope of recovery. It is either that his condition is not curable and therefore the treatment that he is receiving is of no benefit. The common examples of these are that a surgeon is performing a surgery on a patient with terminal cancer. Patients who have terminal cancer have gotten the cancer spread all throughout their body. It is only until time that their organs will go into failure and they will pass away. Another example is of keeping brain dead people on life support for other reasons. As it would be expected, this is quite a sensitive area and it would involve arguments with the patient's relatives and friends.
It is understandable that the loved ones do want to do anything they can to keep the patient in front…...

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References

Appel, J. (2009). What's So Wrong with "Death Panels"?. [online] Retrieved from:   [Accessed: 26 Jul 2013].http://www.huffingtonpost.com/jacob-m-appel/whats-so-wrong-with-death_b_366804.html 

Doyle, D. (2010). WebmedCentral.com:: Baby K. A Landmark Case In Futile Medical Care. [online] Retrieved from:   [Accessed: 26 Jul 2013].http://www.webmedcentral.com/article_view/969 

Gardent, P. And Reeves, S. (2009). Ethics Conflicts in Rural Communities: Allocation of Scarce Resources. [e-book] Lebanon, NH: University Press of New England.   [Accessed: 26th July, 2013].http://geiselmed.dartmouth.edu/cfm/resources/ethics/chapter-09.pdf 

Pomerance, J., Morrison, A., Williams, R. And Schifrin, B. (1989). Anencephalic infants: life expectancy and organ donation.. Journal of perinatology, 9 (1), pp. 33-37.

Twilight" by Louise Gluck and Stephen Crane's "Four Poems" on the Theme of Futility
The poem "Twilight" by Louise Gluck describes a specific moment in time of the subject's life, the only point during his day when he can experience any sense of freedom in his otherwise futile existence. This is highlighted in the first words of the poem "All day he works at his cousin's mill, / so when he gets home at night, he always sits at this one window, / sees one time of day, twilight." During the day he is a prisoner of his office and all he can observe of nature is the window showcasing "a squared-off landscape / representing the world." The word "representing" is significant, given that Gluck is suggesting by implication that the landscape in the window merely represents reality and is not reality itself, It is through this window that the…...

1982 Lebanon ar
Introduction / Thesis:

The Middle East is famous for being a battleground. Throughout history, wars have been staged towards this corner of the world to gain control over religious Holy Land. Much of the modern conflict in the Middle East centers on the nation state of Israel and the responses of other countries to the presence on Israel. The Israeli film industry's portrayal of past ethnic conflicts present intimate points-of-view from which the audience can learn both the truth behind the events as well as the director's message. In the case of both Lebanon (2009) and altz with Bashir (2008), applying a human face to tragedy makes the conflict more personal and allows the audience to relate more to the events and to understand the inherent futility of violence and warfare and the damage to the survivors as well as the deceased.

History of the Conflict:

The 1982 Lebanon ar, also…...

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Works Cited:

Erlanger, Steven. "A Tank's-Eye View of an Unpopular War." The New York Times. 2010. Print.

Lebanon. Dir. Samuel Maoz. Perf. Oshri Cohen and Italy Tiran. Sony Pictures Classics, 2009.

DVD.

MacBride, Sean. Israel in Lebanon: the Report of Intentional Commission to Enquire into Reported Violations of International Law by Israel During its Invasion of Lebanon. London: Ithaca. 1983. Print.

But there will also be situations where clinicians are asked to discuss with a patient whether they want to or should have resuscitation if they have had a cardiac arrest or life-threatening arrhythmia. The potential likelihood for clinical benefit in accordance with the patient's preferences for intervention and its likely outcome, involves careful consideration, as with many other medical decisions, in deciding whether or not to resuscitate a patient who suffers a cardiopulmonary arrest. Therefore, decisions to forego cardiac resuscitation are often difficult.
Cardiopulmonary resuscitation (CP) is a set of specific medical procedures designed to establish circulation and breathing in a patient who's suffered an arrest of both. CP is a supportive therapy, designed to maintain perfusion to vital organs while attempts are made to restore spontaneous breathing and cardiac rhythm (Braddock 2).

The standard of care is to perform CP in the absence of a valid physician's order to withhold…...

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References

Braddock, C.H. (1998) Termination of life-sustaining treatment. University of Washington School of Medicine. Seattle: Department of Medical History and Ethics. Retrieved 3/12/07 at  http://depts.washington.edu/bioethx/topics/termlife.html .

Frequently asked questions. (2007). The World Federation of Right to Die Societies. Retrieved at  http://www.worldrtd.net/faqs/qna/?id=8 .

Guru, V., Verbeek, P.R. And Morrison, L.J. (1999). Response of paramedics to terminally ill patients with cardiac arrest: an ethical dilemma. CMAJ. 61 Nov; 161(10).

Hilz, L.M. (1999). Psychology Terms: Transference and countertransference. Kathy's Mental Health Review. Riverside, CA: Mental Health. Retrieved at  http://www.toddlertime.com/mh/terms/countertransference-transference-3.htm .

That is to say that relationships are considered above and beyond medical reasoning. "Futility would not be measured by the medical effect on the patient but by the effect on social relationships" (2000, p. 140). This means that even if a physician were to believe from his or her educated medical perspective that treatment would not prolong life or have any impact on integrated functioning, there is still a purpose in treatment in that it services relationships.
The case of Baby K. was quite controversial and the court's judgment was equally as controversial as they held that it was not within their realm or that it was way beyond the scope of their judicial duties or function to consider the moral decorum of whether or not an emergency room should offer emergency care to sustain life in infants with anencephaly. There are several implications in the case of Baby K,…...

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References

O'Rourke, K.D. (2000). A primer for health care ethics. 2nd edition. Washington, D.C:

Paola, F.A. & Walker, R. (2009). Medical ethics and humanities. 1st edition. Burlington,

MA: Jones & Bartlett Publishers.

This perspective gives us insight into the human condition in that it reveals that life experience is worth something and that notion is something young people simply cannot grasp fully. The young are more confident because they have not experienced as many hardships. For example, the younger waiter is "all confidence" (96) while the older waiter is not. In fact, he can relate to the old man more than he would like to. He knows there is nothing worse than going home to nothing. The younger waiter wants to hurry home while the older waiter feels as if he is doing a good deed by providing a "light for the night' (97) for the old man any anyone that might be like him. The older waiter knows why the clean and bright cafe is appealing to the people that come around at night and he does not mind keeping…...

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Works Cited

Hemingway, Ernest. "A Clean, Well-Lighted Place," Literature: The Human Experience: Reading and Writing. Eds. Abcarian & Klotz. New York: Bedford/St. Martin's. 2006. pp. 96-9.

" The point made by the poet is similar to the poem above. The reference to John,
The Father of our souls, shall be,

John tells us, doth not yet appear;

is a reference to the Book of Revelations, at the end of the Bible.

That despite the promises of an Eternal life for those who eschew sin, we are still frail and have the faults of people. We are still besought by sin and temptations and there's really no escape. People are people. No matter what we say or do, we find that life is not so simple. Consider this reference, which really refers to a person's frame of reference or "way of seeing."

Wise men are bad -- and good are fools,

This is a paradoxical statement: there is large gap between spirituality and reality. Those we consider wise or bad, might make decisions that are globally profound, but might harm specific people, yet…...

One of Edgar Allan Poe’s most enduring themes was the inescapability of death and the “Masque of the Red Death” is a great example of that theme and of the mystery elements in Poe’s gothic fiction. Some titles for an essay about it could be:

1. Prospero Parties While the Poor Perish: If Death is Inescapable, Is It Immoral for Prospero to Party Until Death Comes for Him?
2. Mortality Moral: What Poe Has to Say About the Inevitability of Death
3. Didacticism and Death: Examining the Masque of the Red Death Through a Symbolic Lens
4. The Pursuit of Emptiness: Does Chasing....

Allegory and Symbolism in Edgar Allan Poe's "The Masque of the Red Death"

Explore the multiple layers of allegory and symbolism in the story, analyzing how the characters, setting, and events serve as representations of abstract concepts and societal themes.

The Role of Isolation and Loneliness in Poe's Gothic World

Examine the significance of isolation and loneliness in "The Masque of the Red Death" and its connection to Poe's broader gothic worldview. Discuss how these themes are manifested through the secluded setting, the distancing of characters, and the psychological torment experienced by Prince Prospero.

The Inevitability of Death and the Futility of....

Complex and Thought-Provoking Essay Topics on Research Questions About Life After Death

Topic 1: The Nature and Evidence of Near-Death Experiences

What is the phenomenology of near-death experiences (NDEs)?
Are NDEs veridical experiences of an afterlife?
How can we scientifically investigate and evaluate the authenticity of NDEs?

Topic 2: The Role of Consciousness in Postmortem Survival

Can consciousness exist independently of the physical brain?
What is the nature of consciousness after death?
Are there non-physical realms or dimensions where consciousness continues to reside?

Topic 3: Reincarnation and the Cycle of Rebirth

Is reincarnation a valid concept?
What are the empirical or experiential evidences....

The Subversive Role of Nostalgia in Julian Barnes's Work

In the literary landscape, Julian Barnes stands out as a master of nostalgia, exploring its complexities and contradictions with a keen eye and incisive wit. While many essays delve into the overt manifestations of nostalgia in his work, a lesser-known but equally fascinating aspect lies in its subversive role.

Barnes's nostalgia is often a double-edged sword, cutting through the comforting haze of the past to reveal its darker undercurrents. In his novel "Flaubert's Parrot," the narrator, Geoffrey Braithwaite, embarks on a pilgrimage to the French countryside in search of traces of his literary....