Saturday, February 22, 2020

Gastrointestinal disorders Essay Example | Topics and Well Written Essays - 1000 words

Gastrointestinal disorders - Essay Example Only 30% of the consumers are not the patient. These types of patients have low tolerance of pain and would resort to analgesics for pain relief. These patients have common complain of back ache or hip pain, headache, strains and sprains, osteoarthritis, sinus pain, fever, tendonitis, and tennis elbow. Generally, most of these patients asking for analgesics have no knowledge on the precautions, contraindications, adverse and toxic effects, tolerance, and physical dependence of the medications they requested. All they know about is that analgesics provide acute and chronic pain relief. Patients who came in to the pharmacy requesting for OTC analgesics oftentimes think that it can be used anytime without acquiring the potential side effects of the medications. Other than that, these patients are anticipating that pain relief can be achieved through constant intake of OTC analgesics. These expectations are often not met by the patients. A careful titration of analgesics by the patient is required for an effective management of pain based on valid and reliable pain assessment and pain relief (American Society for Pain Management Nursing, 2009). Over the counter analgesics are much exploited medications. These patients have no knowledge on the potential side effects of the medications they are taking. All they knew is that OTC analgesics provide pain relief. Research study carried on by the researchers in the US presented the potential risks of constant intake of non – prescription analgesics. Pain killers that include aspirin, ibuprofen, and acetaminophen have the capacity to increase high blood pressure and pose a great risk of myocardial disease in men (Reuters, 2007 cited in Harrell, 2007). The pharmacist and pharmacy staff must discuss with the patient the appropriate pain medication that has to be taken, exact dosage of analgesics, and how to avoid exceeding maximum dose and potential drug interaction. To provide

Thursday, February 6, 2020

Review of the film The Immortal Beloved Essay Example | Topics and Well Written Essays - 1000 words

Review of the film The Immortal Beloved - Essay Example After this, Ludwig and Casper’s relationship was increasingly strained, and Ludwig continuously referred to Johanna as a whore, even going so far as to attempt to have her arrested. The implication was that the reason why he wanted her arrested was because she was a whore, and he burst into the room when Johanna and Casper were lying naked. The movie also portrayed Ludwig as relentlessly pushing his nephew Karl towards music, even though Karl could not play very well and desired to be a soldier. While there is some truth to these complicated relationships that he had with Casper, Johanna and Karl, there are also many inconsistencies with the historical truth, according to Maynard Solomon (1977). According to Solomon, there was some hostility between Ludwig and Casper, due to Casper’s marriage to Johanna, as he wrote â€Å"my brother’s marriage was as much an indication of his immorality as of his folly† (Solomon, 1977, p. 299). Solomon stated that the reas on why Ludwig was against the marriage was because Casper and Johanna had premarital sex, as Johanna was pregnant with Casper’s child before they got married. ... Solomon stated that Casper did small errands for Ludwig, and that Ludwig actually stated with Casper and Johanna when the French bombarded Vienna in 1809. Solomon also stated that the relationship between the brothers was on and off – â€Å"After 1812, the brothers were in close contact, which, for them, consisted of furious conflicts alternating with passionate reconciliations† (Solomon, 1977, p. 299). Solomon also stated that, in the conflict between the brothers, that Johanna played the part of the peacemaker. This is also in contrast to the film, as Johanna never played the part of the peacemaker, and it appears that her relationship with Ludwig was constantly stormy. In the end, the film stated that Johanna was the immortal beloved in the letter. This is in contrast to Solomon, who stated that, while Beethoven probably did have a secret attraction to Johanna, and theorized that Beethoven took his nephew Karl from Johanna to keep Johanna in his life, there was no in dication that Beethoven and Johanna had an affair. The way that Solomon described Beethoven’s attraction to Johanna was that it was unacknowledged, even to himself - Solomon stated that Beethoven’s hostility and apparent hatred towards Johanna was a form of denial for his actual love and attraction for her – â€Å"Feelings of love that have not yet become manifest express themselves to begin with by hostility and aggressive tendencies† (Solomon, 1977, p. 306). This implies that Beethoven never actually stated, even to himself, that he was in love with Johanna, so she probably was not the immortal beloved. As for Beethoven’s relationship with his nephew, there is no indication in Solomon’s writings that Beethoven tried to push young Karl