Comparison: the Jade Peony, horses Of The Night, Masque Of The Red :: essays research papers

Comparison: "The Jade Peony", "Horses of the Night", Masque of the Red Death" I noticed that i enjoyed most of the storys not only for the obvious reasons such as good charactors, mood, and imagery but also because of writing style and fluency. I noticed some storys I enjoyed reading even thought nothing in it really interested me too much, while other storys that were about topics I usally enjoy reading about I had to put down because I would end up going over every sentence two or three times each. So on that note I belive the most important part of writing is making it fluent and easy to read. The three storys I will compare and contrast are: "The Jade Peony", "Horses of the Night", and "The Masque of the Red Death." I intend to fine wether or not the author of these storys was sucessful in making it readable in the sence of comprehanceability and fluency. The first story I will be discussing is called "The Jade Peony" by Wayson Choy. I did not enjoy what this story was about nor did I enjoy reading it. Luckly it was short, If It wasnt I doubt i would have made it throught the whole thing. The main problem with this story was the inconsistance of the sentences, some sentences were too long while others were very short. The only way to truly fix this story would be to re-write it. The second story I chose to write about is called "Horses of the Night" by Margaret Laurence. I did enjoy reading this short story dipite the fact it seem to jump around alot; it would talk about somthing fairly in-depth then just suddenly jump to a different subject or time-era of the story. The author seem to show very good writing ability however so I think perhaps she did this on purpose either just for somthing different or maybe to give you a break from what she was currently writing about. And finally the third and personal favourite story i chose to include in this paper is called "The Masqe of the Red Death." This story is nice and easy to read even though it uses fairly large words and complex sentences. This story just happens to be writen by one of my favourite writers as well: Edgar Allen Poe. I enjoyed this story mainly because like i said it was easy to read

The Democratic Republic

Politics or the art and science of government are very important to all of us, because this will affect the kind of life that we may able to have. Politics originated in Greece where democracy was first established. And as time passed by changes are made to the system of government and there are also other organizations that exist. One of this is the political party.A political party is a group organized to support certain policies on questions of public interest. The aim of the political party is to elect officials who will try to carry out the parties policies. The question may range from issues of peace, war, and taxes to how people should earn a living. A large political party has million of supporters. When people in a democracy disagree about what the government should do, each voter expresses his opinion by voting for the candidate that supports his side of argument. (Flanders, 1989)An example of a political movement in the United States called the Democratic Party. This is on e of two major political parties in the United States, the other being the Republican Party. It is the oldest political party in the United States.Since the 2006 midterm elections, the Democratic Party is the majority party for the 110th Congress; the party holds an outright majority in the House of Representatives and the Democratic caucus (including two independents) constitutes a majority in the United States Senate. Democrats also hold a majority of state governorships and control a plurality of state legislatures. In 2004, it was the largest political party, with 42.6 percent of 169 million registered voters claiming affiliation.The Democratic Party traces its origins to the Democratic-Republican Party, founded by Thomas Jefferson, James Madison, and other influential opponents of the Federalists in 1792. Since the division of the Republican Party in the election of 1912, it has consistently positioned itself to the left of the Republican Party in economic as well as social mat ters. The economically left-leaning activist philosophy of Franklin D. Roosevelt, which has strongly influenced American liberalism, has shaped much of the party's economic agenda since 1932.Roosevelt's New Deal coalition usually controlled the national government until 1964. The civil rights movement of the 1960s, championed by the party despite opposition at the time from its Southern wing, has continued to inspire the party's liberal principles. (Cited in http://en.wikipedia.org/wiki/Democratic_Party_ (United_States), 2008)The goal of the democrats in the 2006 elections as chosen and not by votes but of what the country need are the following: To withdraw from Iraq and to use some of the money saved to fund security for Americans instead of funding security for Iraqis and   50% reduction in CO2 within 10 years.Not only do we have to implement but as well as to understood solutions at home, but must provide global incentives for other countries to reduce their emissions, totally eliminate our dependence on foreign oil within 5 years, implement a successful policies of which lead to a high level of healthcare for all citizens at a reasonable cost, instead of business as usual, we want to adopt worldwide best practices.We'd adopted the highly successful policies of which the best educated children in the world, invest more money in homeland security inside the US than we are spending abroad, implement real immigration reform, not stop-gap measures (like Frist's approach), implement all the recommendations of the 9-11 committee, our foreign policy should be revamped so that we start making more friends than enemies, achieve energy independence within 10 years, e.g., adopt the recommendations of Amory Lovins or someone else who has credibility and knows how to get there, cheaper energy (both to fuel our cars and power our homes),   e.g.Adopt the recommendations of Amory Lovins or someone else who has credibility and knows how to get there, increase funding f or energy research, e.g., top universities complain that the funding for energy research hasn't increased at all and Bring US education up to foreign standards (i.e., achieve educational â€Å"parity† with foreign schools) within 10 years.Tactics are also made by the democrats for them to get the votes of the people. One of it was used by the democrats during the 2006 elections. And this is what they’ve said:The Democrats need your vote to make these bills a reality: Elect us and we will end the Republican corruption that has led to higher energy prices, more costly prescription drugs, an increased peril for our troops in Iraq. (Cited in http://skirsch.com/politics/ goals/goalsDemocrats.htm, 2008).Democrats have s great influence to the current presidential elections because the two candidates for this coming election belong from the democrats. These are Hillary Clinton, U.S. Senator from New York and former First Lady and Barack Obama, U.S. Senator from Illinois, and former Illinois State Senator.Democrats really have a great impact to American politics because they have a large number of supporters and are choosing the leaders who can improve the type of government they have or can give them a better life. ( cited in http://en.wikipedia.org/wiki/Democratic_Party _(United States)_presidential _primaries,_2008,2008)

Sixties Culture Shows the Need to Legalizing Medical...

The sixties will always be a time looked back on with fond memories and great stories. Many things occurred during that time that shaped the way American culture. Rock Roll, hippies, movements such as the civil rights, Woodstock, art, all new and fantastic things that were born out of this era and continue to bloom and influence our present day society. Although mostly left unsaid, drug use did play a major role throughout this time period and became almost an unspoken icon of the time. One of the more popularly known drugs is marijuana, then and now, and continues to become be more controversial as time progresses. Legalization has been a hot topic of discussion for a long period of time now, and although for many it is an intimidating†¦show more content†¦Medical marijuana had been the last resort for Hester, being that she had never been a user herself, but felt there was no where else to turn while her son was â€Å"knocking on death doors,†(Mother gives son mari juana to treat autism). She described Joey to be hostile, dangerous, and that his weight plummeted to just forty six pounds while using thirteen conventional medications to try and stifle his erratic behavior, but unfortunately all seemed to be failing (Mother gives son marijuana to treat autism). The marijuana was baked into quarter sized brownies and given to him every couple of days, rather than the other medications that were given to him three times a day. After the first use of the marijuana Hester reported a significant change in her son within hours, he was requesting food he never had before, and he had a calm attitude. After regular use of medical marijuana he gained thirty eight pounds, maintaining a more stable and healthy weight, his temper had nearly ceased to exist, and began to show signs of communication. â€Å"He is now no longer a danger to himself or society, and is like a completely different boy,† Hester told Good Morning America. Not only did it affect his overall body and mind but also cut down his once thirteen medications down to only three medications, working on getting it down to only two (Mother gives son marijuana to treat autism). Joey’s psychiatrist stated â€Å"it’s affect on Joey’s brainShow MoreRelatedDrugs Are Bad For You2330 Words   |  10 Pagesour culture is marijuana and it is all around everywhere. Marijuana is shown throughout today’s culture in the media that people enjoy such as: movies, music and TV shows, the people using it do not even attempt to hide the fact that they use this substance. Young adults who have personal experience with the drug know its effects on themselves, as well as others, and wonder why it is still illegal. Why is it that this drug has been illegalized across the globe? The debate to legalize marijuana inRead MoreDrugs Are Bad For You2267 Words   |  10 Pagesit is illegal and they do not understand why someone would go against the law and even jeopar dize their health to use such drugs. The drug most commonly seen in our culture is marijuana and, surprisingly, it is all around us. Marijuana is shown throughout today’s culture in the media that people enjoy such as: movies, music and TV shows, the people using it do not even attempt to hide the fact that they use this substance. Young adults who have personal experience with the drug know its effects onRead MoreThe Issue Of Marijuana Legalization1712 Words   |  7 PagesThe matters of marijuana Marijuana is still illegal in the eyes of the federal government but the states claim it is, in fact, legal for the states to openly practice recreational and medicinal usage of the drug. Now with many people sick the only other option after numerous prescriptions that make the people sicker marijuana given its pain releasing properties seems to be the only thing we can count on. Marijuana first dated euphoric use dates back to 2737 BC. Its use spread from China to IndiaRead MoreThe Legalization Of Marijuana Should Be Legalized2025 Words   |  9 PagesThe prohibition of marijuana has generated intense debates for years about its effects on the human body, its therapeutic possessions, and its consequence on society. Today, the debate between the Federal government’s policies, state laws, the medical researchers, physicians, and patients has been dramatically unstable. The studies show in-depth research about the effectiveness of medical marijuana as a therapeutic drug; finally persuading state politicians to legalized marijuana. Although many areRead More Legalize It: The Necessity For Marijuana Law Reform Essay1335 Words   |  6 Pages Legalize It: The Necessity For Marijuana Law Reform When I think about social issues that should be discussed more often than they are, I think about the topic of legalization of marijuana. As a person that has consumed marijuana both in legal settings, and illegal settings, I can say that the title â€Å"illegal drug† should not apply to cannabis. The reason that I believe this is because I do not feel that marijuana is a threat to my personal safety, nor is it a threat to the safetyRead MoreNo High Risk : Marijuana2289 Words   |  10 PagesMarijuana is a drug that is misinterpreted by the general public that it is harmful to human beings like all other drugs are capable of. The negative stigma of pot use has certainly made it seem like it’s worse, and since using the drug is still illegal, the fact that only people who are willing to break the law will smoke has inevitably made it associated with a â€Å"pothead† culture. These are just the preconceived notions we’ve been brought up in th ough. A world where instead of drinking cheap beerRead More marijauna legalization Essay1895 Words   |  8 Pages Marijuana Legalization nbsp;nbsp;nbsp;nbsp;nbsp;Marijuana is one of the most controversial drugs today. Everyone is talking about it, and the question everyone is asking is why is it not legal? Many studies have been done on this drug for medical uses. Also to find what harm it can do mentally and physically. Marijuana has many different parts that can be used for everything from a medication to a bedsheet. Many countries use marijuana everyday, they use it for medicine, textiles, religiousRead MoreEssay on Why we should not legalize marijuana?1976 Words   |  8 Pages Marijuana has been used as an agent for achieving euphoria since ancient times (Narconon International, p. 1, para. 1). It was used in early Chinese culture as a medical component since as early as 2737 B.C (Narconon International, p. 1, para. 1). Its use began to spread across the pacific culture and finally ended up in Europe around 500 A.D. (Narconon International, p. 1). It was believed in this early culture to have medical effects th at helped with rheumatism, gout, malaria, and even absent

The Technological Side Of Fashion - 2188 Words

Between the 18th and 19th century, the Industrial Revolution occurred in Britain, leaving results that greatly impacted on the way that people lived their lives. Until this very day aspects of society are continuously changing especially in the world of fashion. The fashion industry is constantly evolving especially both technological and economical aspects. The technological side of fashion has emerged greatly with technology like 3D printers becoming common for fashion brands to use when creating new garments. For example during the winter of 2015 the high street brand Topshop collaborated with Wonderluk, a company who create and sell 3D printed accessories. The collaboration included 3D printed necklaces, rings, and bowties. In economic†¦show more content†¦For example, a main attribute of the economics will be how much each piece of clothing costs to make. Also, other costs such the disruption and shipping of the clothing will be included in the economic side of fashion. Companies spend big amounts of money in all of these elements of fashion, especially on the textiles used to produce the garment with along with the materials that will be used to distribute the clothing in. Cotton, a heavily used material in the fashion industry, is regularly blamed for contributing towards environmental issues that the world is facing alongside other things. Sportswear brand Puma, are aware of the waste the fashion industry is believed to be contributing towards environmental issues, so the company teamed up with designer Yves Behar in 2015 to create the ’clever little bag’. This is their new sustainable way of distributing their shoes to customers instead of using cardboard boxes. Instead the bag is made with less material and as the packaging is a sleeve with handles there is no need for a use of a plastic carrier bag when the shoes are first purchased. The main concept behind the change of the packaging was to help reduce the amount of wastage that happens when shoes are distributed in shoe boxes. Because shoe boxes are not being re-used or recycled into something else more and more cardboard is being wasted, which goes back to a big amount of trees are being cut down to produce these boxes. It

A Brief History Of Mark Cindy Pentecost Essay - 1174 Words

First, a brief history of the company It Works Global. Mark Cindy Pentecost began the business in 2001, with Luis Mijares, the formulator behind the It Works body, contouring and skin care products. The company was born in Grand Rapids, Michigan. Don VerHulst, MD joined the company in 2005 to expand products to include vitamins and nutrition. By 2009 the company was completely debt free. In 2010 It Works went international. The company was moved to Bradenton, Florida in 2011. It Works Global has 115,000 distributors, worldwide. (It Works Global, 2016) This brings us to Nikki Jones, an independent distributor with It Works. It Works Global considers their distributors to be entrepreneurs. Nikki began her business March, 13th 2014, by this time It Works Global had reached the $450 million mark. (It Works Global, 2016)Nikki is enjoying her business and the structure behind it, she has had much success with her business, although there were some obstacles along the way. The structure of an It Works Global Independent Distributor business is what led Nikki to start her own business. Nikki would not have begun this journey had it not been for the support of an already established company that sold unique products. This took out most of the fear associated with starting one’s own business. Nikki is a certified veterinary aide, having attended Wayne Community College, Abraham Baldwin Agricultural College, and OSU Agricultural Technical Institute. (Jones, 2016) She was not

Space design considerations for an architecture school Free Essays

And teaching staff in newly approved Institution / Program. Then it gives detailed time schedule for processing of applications . Page- 72 : It provides further information about Unapproved Institutions, detailed points to be carried out Action in case of violation of Regulations. We will write a custom essay sample on Space design considerations for an architecture school or any similar topic only for you Order Now It provides objectives , eligibility , processing fee and procedure for approval, conditions for approval regarding Collaboration Twining Program between Indian and Foreign Universities or Institutions in the field of Technical Education, Research and Training . Peg 73- 81 : It gives information about the program , duration and eligibility for students o be considered while giving admission to under graduate degree program, Post Graduate Degree and Post Graduate Diploma Programs (Full Time), Diploma Program, Post Diploma Programs . Page- 107 : It lists the approved Nomenclature of Courses of 400 courses taught under CACTI. It gives information in tabular form regarding the Norms for Intake Peggy-111 . Number of Courses / Divisions in the Technical Institutions of under graduate level, Post Graduate Degree and Post Graduate Diploma Level, Private Limited or Public Limited Company/laundry Establishing Diploma or UnderGraduate or Post Graduate Institute. Peg 12- : it describes the Norms for Land requirement and Building Space for Technical Institution , like the land requirement in acres in Other than Rural places(Competent Authority to certify that the place is not located in a rural area) and Rural Places as defined by Competent Authority. It gives detailed requirements of built-up area divided in 1 . Instructional area (NINA, carpet area in sq. M. ), Administrative area (DAD, carpet area in sq. M. ), Amenities area (AMA, carpet area in sq. 2. Circulation area (CIA) is equal to 0. 250 (NINA+DAD+AMA). M. ). , 3. Total built up area in sq. M. Is equal to (NINA+DAD+AMA) How to cite Space design considerations for an architecture school, Papers

Lack of access to Palliative Care-Myassignmenthelp-Myassignment

Question: Write an Essay on Lack of access to Palliative Care. Answer: Introduction End of life care is particularly challenging for the healthcare professionals as it requires extensive collaboration and critical insight to ensure health and wellbeing of the distressed individuals in need of care. In contrast to the terminally ill patients who require palliative care services for management of their condition, the ones afflicted by dementia like disorders is shrouded with impediments that hamper their quality of life significantly. Dementia has been identified as a debilitating syndrome that causes progressive deterioration of the cognitive brain functioning encompassing memory, perception, reasoning, understanding and behavior. The geriatric population is more vulnerable to acquire this condition and majority of the incidences reportedly occur at age 65 years or more (World Health Organization, 2017). Data in the context of Australia for the year 2014 has revealed that dementia including Alzheimers disease is the second leading cause of death accounting for 7.8% o f total mortalities in Australia (Abs.gov.au, 2017). In consideration of the above situation it is imperative to resort to prudent approaches as offered through palliative care facilities for enhancing the prevalent scenario with respect to the dementia patients living in Australia. The following essay will highlight on three relevant issues that might hinder the provision of person-centered and family focused palliative care for older people living with end-stage dementia in residential aged care facilities in Australia itself. Issues that may hinder the provision of person-centered and family focused palliative care for older people living with end-stage dementia in residential aged care facilities in Australia Rendering person-centered and family focused palliative care for older people thriving with end-stage dementia in case of aged care facilities may be disrupted due to pervasiveness of various issues such as paucity of access to palliative care, communication problems and faulty pain management. These issues impede the proper management of the deleterious health condition of dementia that tends to rob oneself of her personal stand. Lack of access to palliative care Dementia is a potentially debilitating illness in which the declining cognitive status of the affected person majorly influences the judgment, reasoning, memory and communication skills thereby posing threat to the victims. Hence, providing adequate and most appropriate treatment intervention is a challenging task for the healthcare professionals. Moreover, end stage dementia is particularly hard to handle due to insufficient and considerable knowledge acquisition on the part of healthcare professionals in addition to limited resources and dearth of curative therapies. Transcending the traditional care with respect to dementia patients, novel and improved healthcare practices are required to remedy the sufferings of the dementia affected patients as well as their families thereby providing opportunities for maximizing the quality of life of them across various stages of illness. Poor outcomes because of end of life issues in dementia patients is of particular botheration as it tend t o jeopardize the stability in a persons life and incur threats to health (Lee et al. 2017). Further, researches carried out with respect to the provision of end-of-life care depicted that despite being a terminal illness condition; dementia is often undermined that leads to inadequate healthcare delivery. People with end stage dementia do not have access to most suited end-of-life care needs that compromise their healthcare outcomes in a major way. In contrast to other terminal illness, stereotype and stigma is attached with dementia that makes it more difficult to combat the adverse outcomes. Difficulty in dementia diagnosis coupled with lack of education regarding the disorder by the healthcare workforce, families and caregivers predisposes the vulnerable group of elderly population to encounter the wraths and negative repercussions. Inability to detect complications associated with end stage dementia by the healthcare professionals further aggravates the problem and harness poor end-of-life outcomes to strategize suitable interventions based on the individualized needs of the affected dementia person. The composite needs of the victims are not succinctly addressed due to such negative results emanating from dearth of clinical expertise and insight for recognizing the specific symptoms of dementia. Fewer referrals to suitable palliative care facilities are another major hindrance (Dowling et al. 2015). The culturally, linguistically and ethnically diverse groups are particularly susceptible to face discrimination in terms of access to healthcare and equity in service provision. Therefore, timely diagnosis and prompt intervention are delayed that procrastinates the chances of recovery of the dementia patient in a huge manner. Adequate navigation of the healthcare system if not fulfilled satisfactorily has the ability to diminish the service outcomes for dementia patients in spite of exhibition of similar symptoms like that of pain, confusion, agitation, lack of sleep and eating as happens in terminal illness like cancer (King, Goeman and Koch 2015). Communication issues In contemporary healthcare sector, communication is considered crucial and complementary to other modes of therapeutic interventions for deriving optimal benefits for the distressed patient. In case of dementia-affected patients, similar results may be expected out of appropriate following of communication strategies. The affected individuals may not always verbally articulate sufferings instead, they may resort to expressing their issues of concern through behavioral gestures and similar symptoms. Functional decline of the dementia sufferers is commonly noted that may be indicative of the diagnostic presence of dementia in the concerned individual. Thus, the general practitioners through cooperative and synergistic efforts received from other allied healthcare professionals are capable of rendering accurate diagnosis and management for dementia. Empirical evidences have offered resolution in mitigating the challenging issues with respect to the dementia patients through undertaking of proper training, encouraging the dementia-affected to continue with exercise programs, healthy dietary intake and self-sufficient activities of daily living as much as practicable. Therefore, understanding the underlying symptoms through critical reflection is important for the health service providers to address the situation satisfactorily and has been categorically stated in the clinical practice guidelines for elderly dementia patients (Dyer et al. 2016). Apart from the healthcare workers, the family members who remain in close association with the patient might also encounter challenges to comprehend the immediate situation that indicate the behavioral underpinning linked to dementia. The healthcare prioritization of dementia like condition have garnered considerable attention in recent circumstances that further necessitated the need to incorporate all the elements surrounding dementia care to harbor positive outcomes. Emphasis has been attached to consider revision of care givers needs in liaison with the cultural values for reducing the subjective burden associated with dementia. The caregiver support mechanisms has been suggested to rest in conformity with the allied concepts of dementia care for prudent intervention regarding the matter. The ability to listen, respond and construe depending on the patients situation has been identified particularly important (Xiao et al. 2014). Better communication and comprehension of the non-verbal behavioral responses is likely to ensure the smooth implementation of the therapeutic interventions aimed to ameliorate the symptoms of the dementia patient. Non-verbal communication has been recognized as the most suitable therapeutic target through psychological intervention models within the delivery care framework. Specifically dementia and Alzheimers disease has been reportedly lead to the generation of improved outcomes through utilization of various technological resources so that communication between people wi th dementia and their caregivers presents significant transformation (Chenery et al. 2016). The inability to voice their feelings or express with the help of words should not stand on the way of offering appropriate health service to the patient, instead behavioral responses and facial expressions must be taken into consideration while assessing the dementia condition for the concerned affected person. The changing behavioral pattern in course of progressive stages of dementia need to be kept into account by the attending healthcare professionals to deal with the ensuing situation perfectly. Study findings suggest that increased education in addition to support for families circumscribing issues pertinent to end-of-life care decisions is fruitful for advanced dementia. In case, the patients do not have the capacity to take decisions about treatment modalities in end of life, the same must be entrusted upon the near ones of the patient comprising of family members preferably. The nec essary decisions on patients behalf will be taken by that concerned individual, which is to be clearly defined in statements surrounding advanced care planning where explanations for choices in end-of-life care will be documented (Reinhardt et al. 2014). Pain management There has been speculation regarding the use of analgesic medications in case of the dementia-affected individuals that has largely accounted for the reduced use of pain reliving medicines in case of such patients. Improper and decreased pain management is thus noticed. Effective treatment faces barriers in absence of successful communication of pain for severe dementia. Systematic study of facial expressions has brought to the forefront distinguished characteristics specific to the perception of pain that hold potential for future implication to alleviate dementia symptoms through proper therapeutic administration. The reliable indicators of pain has been found to be confounded by factors such as contextual variables, observers bias in addition to overall state of the individuals health and wellbeing. Thus, the susceptibility to pain by the elderly individuals is likely to be resolved by allaying the possibilities of under-recognition, under-treatment and under-estimation (Hadjistav ropoulos et al. 2014). Issues like that of grimacing pain because of progressive illness that cause significant decline of their health status compound dementia patients approaching end of life. The healthcare assistants recruited at the aged care facilities spend a bulk proportion of time with the ailing patients as opposed to other healthcare personnel thereby acting as the frontline healthcare workforce responsible for offering accurate healthcare service to the dementia patients. They conduct the operations related to identification of pain in the dementia-affected persons and reporting to the immediate authority for prompt medical intervention. Literature has supported the up skilling of this group of healthcare team members and reversal of the stigma attached to the role to render safe and quality dementia care for the concerned persons (Jansen et al. 2017). Targeted pain management services through incorporation of relevant pain assessment tools has been highlighted in furthe r study to allow better understanding in relation to the prescribing practices within the aged care facilities thereby accounting for improved quality of life for those affected persons (Tan et al. 2014). Healthcare staff and informal caregivers who remain in close proximity with the dementia afflicted patients in the aged care facilities exhibit attitudinal and knowledge barriers in assessment of pain that threaten the status of those persons because of exerting significant influence over practice behaviour. Thus, discernible attention and prudent intervention with respect to pain management through knowledge and other skills acquisition is desirable to elicit positive responses through better pain handling in the dementia patients during their end-of-life care (Chandler et al. 2017). Critically analyses Management of dementia in aged care facilities calls for greater insight, prudence and pragmatism through utilization of suitable multidimensional composite healthcare interventions that are capable of eliciting positive results on application. A team comprising of interdisciplinary healthcare members may undertake measures that properly address the needs of the dementia patients so that quality of life of both patient as well as caregiver may be improved. Prognosis, management and advanced care planning for the dementia patients are likely to culminate in generating holistic outcomes that will cause emancipation of the individuals health in addition to assessing their palliative care needs (Brody 2016). Delivery of effective dementia care planning has been found to be thwarted due to poor symptom assessment alongside possible inappropriate prescription of antipsychotic medication that may be further attributed to the lacunae in understanding and knowledge in managing dementia patien ts by the healthcare workers during their clinical intervention (OShea et al. 2015). Deeper probe into matters relevant to the dementia patients have referred to both the under-treatment and under-recognition of pain among the elderly dementia patients. The deficits in nursing knowledge and attitudes owing to the complexity and individualization with respect to pain behaviors have been held responsible for such implications. However, a standardized approach to pain management in conjunction with workforce stability and accessibility of proper training for the nurses might lead to successful management of pain in case of dementia patients (McIlfatrick 2015). Further, critical appraisal of dementia patient condition has talked about implementation of a facilitated approach to better equip with relevant resources essential to deal with older patients suffering from dementia. A collaborative nursing home culture supported by activities and ongoing associations for the healthcare workers is desirable to ensure safe and quality healthcare facility for dementia affected, palliative care patients (Luckett et al. 2017). Recommendation Positive healthcare outcomes specific to the elderly dementia patients may be represented through access to palliative healthcare services in residential aged care settings where the nurses and other healthcare staff make endeavors to render all round support for managing their condition. Information available in the context of Australia suggest that the escalating numbers of dementia diagnosed patients require extensive care in the form of palliative care services as accessible in the aged care facilities to ameliorate their declining health status symptoms (Aihw.gov.au, 2017). Empirical evidences have argued in favor of improvising and implementing appropriate interventions for the sake of addressing the end-of-life care services specific to the dementia patients that aim to harp on matters related to the challenges in course of the illness and trajectory. In conjunction with the interactive responses, the non-verbal communication has been considered crucial to better manage the co ndition besides being heed to the sufferings of the caregivers who remain in close association with the patients (Rexach2012). Apart from the traditional modalities of dementia management, it has been increasingly emphasized to recover the knowledge deficits and apply relevant learning, desirable skills regarding palliative care management of dementia patients among the healthcare workers and families of patients surviving with dementia that may be enhanced through evidence based practice. Palliative care has been identified as a potential way of managing dementia to live up to the heightened demands of optimal care for dementia afflicted (Robinson et al. 2014). Further, recommendations have highlighted on maintaining the ethical and legal standards of practice in nursing for safeguarding the choices, autonomy and dignity of the patients by means of providing insight pertaining to advanced care planning (ACP) that in turn may be facilitated through arranging training sessions for th e concerned healthcare professionals in charge of dementia affected patients (Health.gov.au, 2017). Conclusion Critical evaluation of the condition prevalent among the dementia patients receiving end of life care has brought to the forefront the barriers to management of such individuals within the residential setting framework of palliative care unit. Until date no cure for dementia has been discovered, however alleviation of the symptoms associated with the disorder has been found to be effective in tackling the situation specific to the patient. Therefore, it must be ensured so that they get access to specialized palliative care health services at par with others suffering from terminal illness. Accurate assessment and interpretation of the patient situation carried out by the nurses and other healthcare personnel is crucial to treat them holistically by catering to their individualized needs. Pragmatic observation of both the verbal as well as nom-verbal communication is beneficial in this respect where the nurses may satisfactorily acknowledge the distinctive scenario. Further, the pain management regime needs to be well monitored and comprehensive to prevent adverse outcomes and ensure better quality of life for the dementia affected old. Overall the end of life care for dementia patients needs to be framed in coalition with inputs received the respective healthcare professionals, the patient and their families so that all aspects of health including the physical, emotional, spiritual, as well as cultural domains is addressed for harboring optimal outcomes. References Abs.gov.au (2017).3303.0 - Causes of Death, Australia, 2014. [online] Abs.gov.au. Available at: https://www.abs.gov.au/ausstats/abs@.nsf/Lookup/by%20Subject/3303.0~2014~Main%20Features~Dementia,%20including%20Alzheimer%20disease%20(F01,%20F03,%20G30)~10040 [Accessed 25 Aug. 2017]. Aihw.gov.au (2017).Palliative care services in Australia (AIHW). [online] Aihw.gov.au. Available at: https://www.aihw.gov.au/palliative-care/ [Accessed 25 Aug. 2017]. Brody, A.A., 2016. Dementia palliative care. InDementia Care(pp. 247-260). Springer International Publishing. C Chandler, R., MG Zwakhalen, S., Docking, R., Bruneau, B. and Schofield, P., 2017. Attitudinal knowledge barriers towards effective pain assessment management in dementia: a narrative synthesis.Current Alzheimer Research,14(5), pp.523-537. Chenery, H.J., Atay, C., Campbell, A., Conway, E., Angus, D. and Wiles, J., 2016. Using technology to enhance communication between people with dementia and their carers.Alzheimer's Dementia: The Journal of the Alzheimer's Association,12(7), pp.P279-P280. Dowling, M., Dempsey, L., Larkin, P. and Murphy, K., 2015. The unmet palliative care needs of those dying with dementia.International journal of palliative nursing. Dyer, S.M., Laver, K., Pond, C.D., Cumming, R.G., Whitehead, C. and Crotty, M., 2016. Clinical practice guidelines and principles of care for people with dementia in Australia.Australian family physician,45(12), p.884. Hadjistavropoulos, T., Herr, K., Prkachin, K.M., Craig, K.D., Gibson, S.J., Lukas, A. and Smith, J.H., 2014. Pain assessment in elderly adults with dementia.The Lancet Neurology,13(12), pp.1216-1227. Health.gov.au (2017).Department of Health | National Palliative Care Projects. [online] Health.gov.au. Available at: https://www.health.gov.au/internet/main/publishing.nsf/content/palliativecare-program.htm [Accessed 25 Aug. 2017]. Jansen, B.D.W., Brazil, K., Passmore, P., Buchanan, H., Maxwell, D., McIlfatrick, S.J., Morgan, S.M., Watson, M. and Parsons, C., 2017. Exploring healthcare assistants role and experience in pain assessment and management for people with advanced dementia towards the end of life: a qualitative study.BMC palliative care,16(1), p.6. King, J., Goeman, D. and Koch, S., 2015. Dementia care in the community: Access for culturally and linguistically diverse communities.Alzheimer's Dementia: The Journal of the Alzheimer's Association,11(7), p.P581. Lee, E.E., Chang, B., Huege, S. and Hirst, J., 2017. A Complex Clinical Intersection: Palliative Care in Patients with Dementia.The American Journal of Geriatric Psychiatry. Luckett, T., Chenoweth, L., Phillips, J., Brooks, D., Cook, J., Mitchell, G., Pond, D., Davidson, P.M., Beattie, E., Luscombe, G. and Goodall, S., 2017. A facilitated approach to family case conferencing for people with advanced dementia living in nursing homes: perceptions of palliative care planning coordinators and other health professionals in the IDEAL study.International Psychogeriatrics, pp.1-10. McIlfatrick, S., 2015. Palliative care in dementia: literature review of nurses knowledge and attitudes towards pain assessment.International journal of palliative nursing,21(8), pp.400-407. OShea, E., Timmons, S., Kennelly, S., Sin, A.D., Gallagher, P. and ONeill, D., 2015. Symptom Assessment for a Palliative Care Approach in People With Dementia Admitted to Acute Hospitals: Results From a National Audit.Journal of geriatric psychiatry and neurology,28(4), pp.255-259. Reinhardt, J.P., Chichin, E., Posner, L. and Kassabian, S., 2014. Vital conversations with family in the nursing home: preparation for end-stage dementia care.Journal of social work in end-of-life palliative care,10(2), pp.112-126. Rexach, L., 2012. Palliative care in dementia.European Geriatric Medicine,3(2), pp.131-140. Robinson, A., Eccleston, C., Annear, M., Elliott, K.E., Andrews, S., Stirling, C., Ashby, M., Donohue, C., Banks, S., Toye, C. and McInerney, F., 2014. Who knows, who cares? Dementia knowledge among nurses, care workers, and family members of people living with dementia.Journal of Palliative Care,30(3), pp.158-165. Tan, E.C., Visvanathan, R., Hilmer, S.N., Vitry, A.I., Quirke, T., Emery, T., Robson, L., Shortt, T., Sheldrick, S., Clothier, R. and Reeve, E., 2014. Analgesic use, pain and daytime sedation in people with and without dementia in aged care facilities: a cross-sectional, multisite, epidemiological study protocol.BMJ open,4(6), p.e005757. World Health Organization (2017).Dementia. [online] World Health Organization. Available at: https://www.who.int/mediacentre/factsheets/fs362/en/ [Accessed 25 Aug. 2017]. Xiao, L.D., Wang, J., He, G.P., De Bellis, A., Verbeeck, J. and Kyriazopoulos, H., 2014. Family caregiver challenges in dementia care in Australia and China: a critical perspective.BMC geriatrics,14(1), p.6.