Monday, January 27, 2020

Post Impressionism and Vincent Van Gogh

Post Impressionism and Vincent Van Gogh In and around 1911, there were art critics that freely used the phrase post-impressionistic as a means to illustrate the work of several artists paintings reveal Impressionistic standards. Post Impressionism was a creative shift to follow Impressionism that was to break the Impressionistic style. Post-impressionism consisted of various movements by a group of individual artists searching for a new way to create art. The principal aim of Impressionism was to objectively record the natural world in terms of the protean effects of color and light. The Post-Impressionists modified this aim in favor of a more ambitious expression of color and light (Norfleet, 2009). The new styles that these artists created proceeded to additional influential abstract styles and formed the basis for 20th Century Modernism. Post-impressionist artists pushed Impressionist standards past what they had previously been explored. Arthur Kleinberg (2010) states that artists of the Post-Impressionism period are responsible for putting an extreme amount of emphasis on the movement of color and light, rather than concentrate on the significance of the artwork. The Post-Impressionists aimed to find more depth in the roles of color, form, and solidity in painting, resulting, in artists attempt to use more powerful, brighter or more contrasting colors, in addition to outline. In addition, artists also experimented with the mental properties of brushwork. Post-impressionism used ideas from impressionism, such as using brilliant colours and broken brushstrokes, but eliminated the idea of painting scenes exactly as they appeared. They experimented with unusual compositions and often used the consistency of paint. According to Nancy Moure (2001), European art signifies the style numerous distinct artists working between 1880 and 1906. Artists during this time were concerned with the termination of Impressionisms form and the attempt to invest more importance into paintings when more experiments are performed, during more experiments. The style supported by the Post-Impressionists is a signal of the previous movement where the artists works often possessed a loose-fitting and unclear quality painting that gave simply the idea of the subject instead of a natural duplication and also experiment with techniques like the use of colour. Artists that utilize colour and representation of light not only seize personal analysis of the scene like the Impressionists but also the emotion that the painter can associates with the subject at that time. Artists would often paint their work quickly to capture the light at a particular time of day. Also, artists would paint light-coloured canvases with flat brushes to enhance the brightness in the pieces. More important than subject matter was the artists painting style and the creation of a new paint application. Post-Impressionism includes all artists whose main goal is to express more than a visual interpretation but intend to portray emotion and intellect in addition to imagery. During this time, styles and techniques concentrated on personal impressions and an advanced use of colour to communicate moods and emotions. Post-Impressionism aimed to get additional form and structure, in addition to more expression and emotion into their paintings. However, Post-Impressionist artists continue to develop and experiment these principles with newer styles and procedures; the most famous being the expressionistic, ornamental and regularly abnormal use of colour to portray the artists emotional state. Moure (2001) expresses that Post-Impressionism was an important experimental linkage to modern art leading to upcoming styles. Modern Art obtains an extensive meaning for classifying itself. Modern Art could be sometimes labeled as an art of appearance and an art of freedom. Modern Art can consist of several techniques that are used. The style of art that exhibits an art of expression can be known as the style of Expressionism. In the early years of the expressionism, artists built on the ideas of the Post-Impressionism. Artists continued on with the similar experiments, view, and ideas that were given by the work. Artists continued to look for a new and more intense truth behind their painting. According to Architecture411.com (2006), modern expressionism is characterized as a creative style which the artist produces their artwork by combining illustrations or objects with emotions. This is accomplished by using both factual and theoretical emphasis on color, consistency, unclear su bject matter, deformation, abnormal strength, exaggeration and changed surrounding imagery. A Post-Impressionist painter that was most influential to the modern artists of the 20th century is Dutch painter Vincent van Gogh. Van Gogh influenced expressionism in modern art. It was Van Goghs desire to create stunning things that come from within in addition his desire to reach to those around him that will help to label his role as a painter. In addition, Van Gogh was influential because when it came to expressionism, his work showed his emotions due to the fact that he suffered from depression. Van Goghs work conveys its outstanding colour, coarse brushwork, and curvy forms. These were a close reflection of his feelings as he painted. After Van Gogh moved to Paris, he brightened his colour palette under the influence of Impressionism, and before moving to Arles, in France, he developed the brilliant colours, brushwork and thick, textured paint called impasto of his ultimate style. Impastos provide Van Goghs pictures with a better sense of physical energy and a plain texture surface. Van Gogh achieved great impression about his works since he uses a variety of color pigments to express his paintings. Van Gogh used color for its symbolic and expressive values rather than to reproduce light and literal surroundings like Impressionist artists. In addition, he conveys feelings and generate moods with color randomly use it rather than use the real color of objects. Van Gogh is so instrumental and influential during the Post-Impressionism period because when creating his work of art, he would insert colors into skin where they did not belong. One of the earliest and most famous examples of Expressionism is Van Goghs famous oil paintings Starry Night. This painting was of a typical nocturnal scene in the neighborhood of the psychiatric hospital in Saint-RÃ ©my where Van Gogh stayed for a year. Van Gogh spilled his emotions into this painting. Starry Night is a struggle among a man and his depression. Van Gogh had a passion for the dark night. Starry Night replicates the pain the artist is going through. The brisk strokes, the animated colours of the stars in the painting next to the dark blues and the blacks in reference to the night imitate the need of a hopeless man in the center of the black, starry night. In conclusion, Post-Impressionism projected that the originality of 20th Century art was the primary focus. Artists developed their own style to produce works that lead to developments later in the art of the 20th Century. Some artists concentrated on the fundamental structure while other artists emphasize on the texture and pattern for significant effects. Because of the Post-Impressionist period, many artists have considered painting objects full of color with vigorous surfaces rather than scenes. Impressionalists created a permanent change and that art will constantly increase according to the artist. Whatever was cause, it cannot be denied that several great artists of this period assumed that the main function of art was to express intense feelings to the world. Vincent van Gogh is very influential the modern artists of the 20th Century since he altered the point of views of several artists with his personal paintings. Van Goghs used bright colours when painting and the uniqueness shows through the curves and lines that he used in his paintings as well as the attention of colour that is used to express his emotions which modern artists will continue to do throughout the 20th Century.

Sunday, January 19, 2020

ROM and Strengthening Exercises as a Treatment Option

There are multiple kinds of exercise that could be beneficial in treating acute whiplash. Literature shows exercises such as a McKenzie treatment, postural training exercise, endurance strengthening and motor control, eye fixation, isometric exercises, and resistive exercises. In reviewing the literature, these exercises were combined with other treatment strategies such as modalities or mobilization to get the most effective outcome. Also, at this point although there is a large amount of research done on treatment of whiplash injury, the conclusions that are made from this literature conflict each other. However, there is a consensus that excessive treatment of whiplash associated disorder may be counterproductive in the acute stages of injury. (Cochrane review) The evidence does not support episodes of care that last longer than 6-8 weeks with any one or combination of noninvasive interventions. If the intervention that is being attempted at that time is unsuccessful, it is then recommended that a different intervention be attempted. (Cochrane review) Based on this information, if active ROM and strengthening exercises are to be used, the intensity and frequency should be monitored closely to avoid increased injury. In comparing the effectiveness of these exercises, many studies compared them to periods of â€Å"standard care†. Standard Care included rest, analgesia, and general advice on gradual mobilization after a short period of rest. McKenzie treatment is based on the principle of centralization of pain and the use of exercises to reduce the stress on the surrounding neck musculature. For acute WAD patient’s, the goal is to stretch and decrease the tightness of the cervical extensor muscles, which may be overly contracted in this patient population. A common exercise to accomplish this is the chin tuck, where the patient retracts their chin and repeats this activity for a given number of repetitions. In a study by McKinney et al, three groups of patients with WAD were placed in 3 treatment categories and compared by outcome measures. The treatment categories included a home mobilization group who were instructed in postural correction, analgesia, collar, muscle relaxation and mobilization exercises. The second group was a group who received outpatient physiotherapy, including; McKenzie treatment, heat, cold, diathermy, traction, Maitland mobilization, postural correction and home exercise. The final group compared in this study received standard care as defined above. (Seferiadis, European spine journal) All treatments were given over a period of 6 weeks for 24 visits, with the follow up visits at 2 weeks. Cochrane review- exercises for mechanical neck disorders) Patients who received outpatient physiotherapy, including McKenzie treatment demonstrated improved cervical ROM and pain intensity in comparison to the treatment group receiving standard care. However, there was no difference in effectiveness between the outpatient physiotherapy group and home mobilization group. In a second study by Rosenfeld et al, the standard treatment for WAD was compared to active intervention that included McKenzie treatment and active cervical ROM. The group receiving active intervention demonstrated the most benefit when treatment was provided within 96 hours of initial injury. This group also demonstrated lower pain intensity and amount of sick leave, as well as improved cervical ROM in comparison to the standard care group. These outcomes were maintained at a 6 month and 3 year follow up (Seferiadis, European spine journal). Based on this literature and the results of the studies, McKenzie exercises have shown to be beneficial in reducing pain in patients with WAD. Postural training exercises as defined by a systematic review by Drescher et al, includes any correction, exercise or advice with the aim of improving posture. (Drescher) Postural training would be important for patients with WAD to avoid further exacerbation of muscle injury or reinjury at a later date. This could further carry over to job related tasks, as many people spend their day working at a desk sitting for long periods of time. Postural exercises may help patients to be more aware of their posture and make self-corrections to avoid future injury throughout the workday. In the systematic review by Drescher (Reference 22), the study compared a group receiving postural exercises to a control group who were not receiving postural exercises. It was found that the group that completed postural exercises demonstrated decreased pain and increased cervical ROM. Another high quality study (references 17-19) within this review compared an intervention group receiving postural exercises to the control group. The postural exercise group showed significant reduction in pain at both the 6 onth and 3 year follow up, as well as a lower amount of sick days taken from work at the 3 year study. There was no significant different in cervical ROM improvement in these two groups. Initially the cost of this postural training was higher, however ended up being lower when taking into account the cost of sick-leave days, loss of productivity and other interventions. (Drescher) In a study by Schnabel et al, it was determined that active therapy including postural advice and exercise was superior to passive modalities such as massage and ultrasound. There is limited evidence on specific postural exercises which would best benefit this population, however there has been some proof that this is a beneficial treatment. Therefore, further research into specific exercises and training strategies may be warranted to determine the best options for patients with WAD. A common side effect of whiplash is dizziness, which can limit patient’s ability to perform quick head movements and functional activities such as looking over their shoulder while walking. This dizziness is something which has been addressed by eye fixation exercises in the literature. Eye fixation exercises may also be known as proprioceptive exercise and can include; target exercises with varying degrees of difficulty by changing input from other body systems, and vestibular ocular reflexes with either a target moving or the target moving in the opposite direction of the patient’s head with the patient’s eyes maintaining focus on the target at all times. Eye-fixation exercises are used to restore coordinated movement and proprioceptive movement, which will decrease the degree of dizziness in the patient with WAD. Individually these programs have not shown to be beneficial, however when combined with other therapy treatments there has been minimal to moderate benefit. Based on a Cochrane review of exercises for mechanical neck disorder, it was found that including eye-fixation exercises into a complete physical therapy program showed moderate evidence of benefit for pain and function for acute whiplash disorder. This is also supported in a study by Provinciali, where one group was treated with eye fixation exercises to treat dizziness, along with mobilization and additional neck exercises. This group had significant results in decreased pain on the VAS scale over the group that received TENS and pulsed EMG (Cochrane – exercises). Based on these studies, if a patient with WAD is experiencing dizziness as a symptom, eye fixation exercises may be a beneficial addition to the treatment plan. Another treatment option that has shown positive results in the literature is the use of isometric resistive exercises to strengthen the cervical muscles. Isometric exercises are strengthening exercises designed to strengthen the musculature while maintaining the body in one position. This may be beneficial for patients with acute WAD who are unable to move through a large range of motion, as they will still receive the benefit of strengthening exercises. A study done by Soderlund et al. compared two groups of patients receiving treatment for acute whiplash. The first group was receiving regular treatment that included instructions on what activities to avoid and what activities to continue with. Table 1 describes the treatment plan given to both the normal treatment group and the additional treatment group. Patients in the additional exercise group were instructed to follow all instructions given to the normal treatment group, as well as perform additional isometric exercises. This exercise is described as the patient lying down on the ground, and imagines a â€Å"quadrangle† behind their head. They are then instructed to imagine pushing their head into each corner of the quadrangle, and repeat the cycle 3 times. The result of this study found that patients in the additional treatment group were able to continue to decrease their pain rating at follow up periods of three and six months, whereas the normal treatment group had the same amount of pain at these follow up visits. This study would indicate that the additional treatments are beneficial to help decrease the patient’s pain longer after injury.

Saturday, January 11, 2020

A clinical guide for nurse practitioners Essay

Reflection is a method used in clinical practice, where one expresses the experiences from a given situation, thus helping to learn and improve skills by applying the knowledge gained for future practice (Cottrell, 2011 and Schon, 1984). It is my intention to use Driscoll (2007) model of reflection to present my understanding of the issues I faced during a recent presentation to the medical centre. This case study involves a reflective account of a patient that I provided care for following blunt trauma, eye injury, sustained during exercise. Description of events A 23 year old male soldier presented to the medical centre complaining that he could not see out of his right eye, following being hit in the face with a blunt object. He was clearly agitated and distressed, as he was repeatedly asking if he would be permanently blind. Therefore prior to commencement of any physical examination I felt it was important to create a good rapport with the patient, in oder to gain his trust in my ability (Platt et al, 2001). Good communication skills are vital in building a therapeutic relationship with the patient. Hence I offered reassurance and advised the patient what examination and tests I was going to perform, in order to effectively assess his condition. Through the physical examination I was able to detect minor fractures in his zygomatic bone that where causing him pain. As the patient was concerned about losing his sight, I had to maintain a supportive environment while explaining the need for an Xray and further hospital input, without causing him undue stress. I assured him that he would regain sight in his eye and that the trauma had caused temporary blindness only due to the impact. Analysis of events It is important to take time to listen to the patient and understand how they are feeling following such injury (Barnes, 2003). However, due to the patient’s distress I was unable to begin a physical examination until I had calmed him down and reassured him that he was in good hands. Consequently, IÂ  found it difficult to deal with the patients’ behaviour initially as I was more concerned in ascertaining the extend of his injury. Although I soon realised that in order to gain his cooperation with the physical assessment I first needed to encourage the patient to relax and discuss his concerns. I feel I communicated well with the patient through the application of a well structured consultation and was able to gain an adequate history, to assist with the diagnosis of the patient’s injury (Seidel et al, 2010). Action following events Maintaining a therapeutic relationship with good rapport can be difficult in situations where the patient is uncooperative and/or distressed. Therefore, in order to find solutions for patients I treat it is imperative to learn many problem solving techniques, including effective communication skills (Egan, 1998). This situation taught me that building a rapport with your patient is just as important as developing physical examination competence. As offering encouragement to the patient ultimately led to a more productive consultation and improved patient/practitioner relationship. I intend to utilise the skills learned throughout this module to enable me to adequately adapt to stressful situations and communicate effectively with my patients. References BARNES, K. (2003) Paediatrics: a clinical guide for nurse practitioners. Edinburgh: Butterworth- Heinemann. COTTRELL, S. (2011) Critical thinking skills: developing effective analysis and argument. (Palgrave Study Skills): Palgrave Macmillan. DRISCOLL, J. (2007) Practising clinical supervision: A reflective approach for healthcare professionals. London: Bailliere Tindall. EGAN, G. (1998) The skilled helper: a problem-management approach to helping. London: Brooks/Cole. SCHON, D. (1984) The reflective practitioner: how professionals think in action. New York: Basic Books. SEIDAL, H.M., BALL, J.W., DAINS, J, E., AND BENEDICT, G, W. (2010) Mosby’s guide to physical examination. Philadelphia: Elsevier.

Friday, January 3, 2020

The Representation Of The Speaking Model - 949 Words

The speaking model also addresses the norms of an event, the norms address the shoulds and the should nots that can occur at a wedding. Although every bride and groom follows not each of these practices, there are many norms to a wedding held in America. Many norms followed start even months or years before the ceremony takes place. It all starts with choosing a date. This forms the base for your entire wedding; it defines what colors to use, what materials to wear, if guests can attend, and many other factors. Invitations are they sent out to all guests. Prior to the invitations, guests are chosen wisely to stay within budget. Some brides and grooms will allow their dates to bring a â€Å"plus one† or their own date, depending on the couple. Normally, there will be a pre-written and stamped envelope with the return address for RSVPs (respond s’il vous plait). 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