Death Epitomizes American Dream, Society and Time (The Great Gatsby) Essay

Death Epitomizes American Dream, Society and Time (The Great Gatsby) - Essay Example This paper will discuss the significance of Gatsby’s death based on the three points: death of American dream, death defines the decayed or rotten society, and death conveys the limitation of time. Hard work, success, and prosperity symbolize the American dreams, which are grounded on their aim for life, liberty, and the pursuit of happiness. Gatz is presented as a man filled with spirit: aspiration, commitment, braveness, and faith. This is evident in his longing for Daisy when Gatsby stated that he seemed closer to Daisy similar with the distance of the star to the moon. He further exclaims his proximity to his dreams -- the green light on a dock (Fitzgerald). Gatsby once believed that his dream is impossible to achieve because of his distance to Daisy, but he realizes that his hope and faith never vanish. The commitment of Gatsby to Daisy is apparent in the years that have passed. For five years, they were separated, which inspired Gatsby to accumulate wealth that could mak e her proud of. Fitzgerald wants to emphasize the authentic American dream, which is not adulterated by wealth. The only visible value in the life of Gatsby is the American spirit embedded on his heart through representing his love and commitment for Daisy. Nick ascertains in his observation that Gatsby possesses an exceptional quality that is hope in which he will never find in others (Fitzgerald). This represents the death of American dream, which Fitzgerald aims to restore. He sees it as the authentic American dream that has a substance, which is far from what the 1920’s projection that wealth is an answer in order to belong in the upper strata or to buy love and happiness. It is proven by Fitzgerald that wealth accomplishes nothing. Furthermore, Fitzgerald wants to retrieve the lost American dreams through the death of Gatsby. Its ending serves as a warning to Americans that when the 1920’s perspective continues, the American’s vitality or spirit is lost. We must stop deceiving ourselves that green will lead us to a valuable and significant future in order to restore the American spirit. The unhappy ending of The Great Gatsby symbolizes the decayed society. We all know that society comprises of individuals or group of people; hence, the rotten society is represented by the characters of Tom Buchanan and Daisy Buchanan, Myrtle and George Wilson, Jordan Baker, and Jay Gatz. Nick concludes the story represents west because they are Americans that have common flaws that are not compatible with the Eastern life (Fitzgerald). This line indicates the commonality in Westerners, which depicts lies, carelessness, inhuman, self-centered, hypocrite, and pretentious. Jay Gatsby erases his past, and he is driven by his dream to accrue wealth through the easy money or illegal activities. Furthermore, Gatsby deceives people in his family and educational background by telling that he comes from an affluent family in the middle-west and obtain his educa tion in Oxford because of a family tradition (Fitzgerald). Fitzgerald points out the desire of Gatsby to be accepted in the higher strata, so he devises story. Tom and Daisy Buchanan are an epitome of selfish, inhuman, and careless human beings. Fitzgerald identified them as careless people -- they break things and individuals, then easily escape with their money, and allowed other people to resolve their problem. Tom and Daisy symbolize the new American dream, w

M, a 72 year-old widow with neprohritic syndrome Assignment

M, a 72 year-old widow with neprohritic syndrome - Assignment Example Multiple substances such as, water, urea, creatinine, uremic toxins, and drugs move from the blood into the dialysate, thus facilitating removal from the blood. Solutes are transported across the membrane by either passive diffusion or ultrafiltration. M also received 7 sessions of Plasma Exchange. Plasma Exchange is a procedure in which blood is separated into different parts: red cells, white cell, platelets and plasma. The plasma is removed from the blood and a plasma substitute replaced. M had chemotherapy. Chemotherapy is the treatment which uses anti-cancer drugs to kill cancer (Myeloma) cells. Myeloma is the cancer that affects cells in the bone marrow called plasma cells leading to damage to the kidney. Haemodialysis and Plasma Exchange will correct M's blood chemistry and therefore relieve her present symptoms. M is hypertensive due to fluid overload or as a result of the failure of the kidneys. The Management of M's hypertension will have the highest priority. As Redmond and McClelland (2006) noted prompt recognition and treatment of hypertension are essential because cardiovascular disease including coronary artery disease, atherosclerosis, stroke and left ventricular hypertrophy are the most common cause of death in patients with kidney disease. Risk reduction measures to prevent cardiovascular disease may delay the progression of kidney disease (in ARF or is the effect here Reno protective). ACE inhibitors or angiotensin receptor blockers (ARBs) are the drug of choice (Thomas 2004); however deterioration in renal function may follow initiation of treatment with these medications (DOH 2005, BNF 2006). Since hypertension can have deleterious effects on both cardiovascular and kidney functions, the long-term protection provided by ACE inhibitors (or ARBs) out weighs the risk they pose (Th omas 2004) (this is for ERF is it the same for ARF - CHECK). Because acute renal failure is a catabolic state, the patient can become nutritionally deficient. Total caloric intake should be 30 to 45 kcal (126 to 189 kJ) per kg per day, most of which should come from a combination of carbohydrates and lipids. In patients who are not receiving dialysis, protein intake should be restricted to 0.6 g per kg per day. Patients who are receiving dialysis should have a protein intake of 1 to 1.5 g per kg per day (Agrawal 2000). Hyperphosphatemia The patient has hyperphosphatemia. Phosphate is normally excreted by the kidney and phosphate retention and hyperphosphatemia may occur in ARF. Phosphate - binding agents may be used to retain phosphate ion in the gut. The most common agent is calcicihew, although M is on this drug she needs education on when to take the tablets or maybe increase the dosage. Uremia Caloric intake shou