PARA 2000 Written Assignment for 2018
It is the intention of this assignment to highlight social, environmental and genetic factors of acute coronary syndrome (ACS) and cardiac failure. Furthermore, paramedics need to understand the complexity of patient assessment, and appreciate the value of looking into risk factors and genetic markers for potential ACS. Treatment pathways for these patients will vary depending on the region in which you work, many paramedics will be placed in regional and remote communities where access to cardiothoracic surgeons is not possible.
Case Study: A 56-year-old Australian Indigenous male has called an ambulance for localised left bicep pain that started two days ago. You have difficulty in gaining further history due to language barrier, but you gather from a bystander that the pain is worse when he moves his arm. The patient declines all further assessments with the ambulance crew, and just wants to go to hospital, so you take him. From a basic visual assessment, the patient does not look unwell, and it is only a slightly elevated respiratory rate of 22/min that is outside normal limits.
At the emergency department they confirm the patient is suffering an acute myocardial infarction (STEMI).
From the above Case Study present your essay to include discussions on: 1. Consider at least FIVE social determinates of health-factors for this patient, describe the clinical course of such patients’ developing ACS at an earlier age and subsequently lead to potential cardiac failure
2. Outline the clinical assessments that you would perform on this patient, if he did consent, and argue your rationale given that all this patient is complaining of was a sore bicep on movement
3. How would your management of this patient differ if he was located in Port Pirie rather than Port Adelaide, if in fact he was suffering an acute myocardial infarction (STEMI). Include both prehospital and in-hospital treatments available for this patient.
Assessment Requirements: It is expected that you site current research articles as well as textbooks to demonstrate your understanding of these issues. At least FIVE (5) journal articles are expected to be part of your literature search (none less than 10 years old).
You will also need to review the clinical practice guidelines of at least TWO (2) Australian ambulance services. The goal is to provide up to date evidence-based practice for the management of the patient’s condition.
Higher grades will be awarded for the extensive use of relevant evidence-based literature, and the quality of your rationale behind your clinical assessment of this particular patient.
Word Limit: 2,500 (excludes references)
Dante Alighieri played a critical role in the literature world through his poem Divine Comedy that was written in the 14th century. The poem contains Inferno, Purgatorio, and Paradiso. The Inferno is a description of the nine circles of torment that are found on the earth. It depicts the realms of the people that have gone against the spiritual values and who, instead, have chosen bestial appetite, violence, or fraud and malice. The nine circles of hell are limbo, lust, gluttony, greed and wrath. Others are heresy, violence, fraud, and treachery. The purpose of this paper is to examine the Dante’s Inferno in the perspective of its portrayal of God’s image and the justification of hell.
In this epic poem, God is portrayed as a super being guilty of multiple weaknesses including being egotistic, unjust, and hypocritical. Dante, in this poem, depicts God as being more human than divine by challenging God’s omnipotence. Additionally, the manner in which Dante describes Hell is in full contradiction to the morals of God as written in the Bible. When god arranges Hell to flatter Himself, He commits egotism, a sin that is common among human beings (Cheney, 2016). The weakness is depicted in Limbo and on the Gate of Hell where, for instance, God sends those who do not worship Him to Hell. This implies that failure to worship Him is a sin.
God is also depicted as lacking justice in His actions thus removing the godly image. The injustice is portrayed by the manner in which the sodomites and opportunists are treated. The opportunists are subjected to banner chasing in their lives after death followed by being stung by insects and maggots. They are known to having done neither good nor bad during their lifetimes and, therefore, justice could have demanded that they be granted a neutral punishment having lived a neutral life. The sodomites are also punished unfairly by God when Brunetto Lattini is condemned to hell despite being a good leader (Babor, T. F., McGovern, T., & Robaina, K. (2017). While he commited sodomy, God chooses to ignore all the other good deeds that Brunetto did.
Finally, God is also portrayed as being hypocritical in His actions, a sin that further diminishes His godliness and makes Him more human. A case in point is when God condemns the sin of egotism and goes ahead to commit it repeatedly. Proverbs 29:23 states that “arrogance will bring your downfall, but if you are humble, you will be respected.” When Slattery condemns Dante’s human state as being weak, doubtful, and limited, he is proving God’s hypocrisy because He is also human (Verdicchio, 2015). The actions of God in Hell as portrayed by Dante are inconsistent with the Biblical literature. Both Dante and God are prone to making mistakes, something common among human beings thus making God more human.
To wrap it up, Dante portrays God is more human since He commits the same sins that humans commit: egotism, hypocrisy, and injustice. Hell is justified as being a destination for victims of the mistakes committed by God. The Hell is presented as being a totally different place as compared to what is written about it in the Bible. As a result, reading through the text gives an image of God who is prone to the very mistakes common to humans thus ripping Him off His lofty status of divine and, instead, making Him a mere human. Whether or not Dante did it intentionally is subject to debate but one thing is clear in the poem: the misconstrued notion of God is revealed to future generations.
Babor, T. F., McGovern, T., & Robaina, K. (2017). Dante’s inferno: Seven deadly sins in scientific publishing and how to avoid them. Addiction Science: A Guide for the Perplexed, 267.
Cheney, L. D. G. (2016). Illustrations for Dante’s Inferno: A Comparative Study of Sandro Botticelli, Giovanni Stradano, and Federico Zuccaro. Cultural and Religious Studies, 4(8), 487.
Verdicchio, M. (2015). Irony and Desire in Dante’s” Inferno” 27. Italica, 285-297.