EXPERIENCES OF NURSES WORKING IN PALLIATIVE CARE Dissertation

EXPERIENCES OF NURSES WORKING IN PALLIATIVE CARE - Dissertation Example (Harris, Flowers, Noble, 2011) In a qualitative study by (Brajtman, Higuchi, McPherson, 2006) they looked into the matter related to the challenges the nurses face in palliative care, to explore their experiences in caring for patients with terminal delirium and their families. This qualitative research will emphasize the importance of qualitative interviews as most powerful method for understanding the experiences and meanings related to the topic. This study was conducted in a palliative care unit located in a large Canadian city hospital for 5 nurses working in an interdisciplinary palliative care unit and 4 nurses form palliative home care nursing team located in the same city. Few interview questions have been generated for the nurses to proceed with the qualitative study. Based on the questions results which has been found are like most of the participants said that they experience distress while caring for palliative care patients. They said that if they gather convenient skil ls and knowledge in the identification and diagnosis they can help to support the patient in better way and family during disturbed conditions. Understanding the unique nursing experience is very much important in the process of providing the nurses with required support to make them strong and help them to provide care in challenging situations. Nurses also identified their team members as most major source of support. They also mentioned that effective teamwork would help them to deal with palliative care patients and their families more efficiently. There is need for proper education and training for the nurses to face challenges with palliative care patients. Lack of education may experience in serious stress for these nurses in care of the dying people and their families. It is important to check that nurses should receive appropriate knowledge, skills and support to care for this patient (Brajtman, Higuchi, McPherson, 2006, pp.6-7). Thus from this study we can understand that proper opportunities should be provided to the nurses so that they can face challenges confidently. The support of organization, teammates and family will enhance the quality of care. The number of sample chosen here is very small. A primary research should contain minimum 20 samples to carry on with a proper research. But here amount is very small which is not very good to conduct a research. A larger sample would have been beneficial to obtain greater depth of data as there was no clear evidence to overcome the challenges. White, et al (2004) found similar trends in his study. He explored with qualitative descriptive study using semi structured interviews with nurses caring for palliative care patients. Here 9 experienced palliative care nurses were interviewed. The participants here explained about their experience and challenges they face regularly. The nurses reported that they have enormous impact on their work and personal lives. The nurses here describe about two types of su fferings, physical and emotional or psychological. Most of the nurses reported here that they try their best to relieve a patients suffering and when they cannot help the patient with such condition they get a feeling of helplessness, distress, frustration and a sense of failure. Some of the nurses also mentioned that they did not want to dwell with those things and thus tried to go back home with a fresh

Critically analyse the specific nursing care of the woman undergoing Essay

Critically analyse the specific nursing care of the woman undergoing emergency caesarean section,2500 words - Essay Example The anatomy and physiological changes referring to pregnancy will also be established, especially in terms of anaesthesia. My role in preoperative care, preparation of the room and equipment, as well as the positioning of the patient will be included in this essay. Body The needs of the individual patient in this case would refer to the operating room needs, with an operating room made ready, the assisting nurse scrubbed and gowned, and the appropriate instrument tray prepared. Informing the appropriate team for the caesarean section would also be essential (Murray and Huelsmann, 2009). Individuals requiring notice would be the operative assistant, the charge nurse, the nursing supervisor, the anaesthesiologist, the OR team, and paediatrician. Information to be transmitted would include indications, how immediate the surgery needs to be, the gestational age of the mother, major pregnancy problems, medications given in labour, and allergies (Murray and Huelsmann, 2009). It is also imp ortant for the anaesthesia machine and a radiant warmer to be set up in the OR. The roles of the nurses also need to be assigned. As soon as the patient delivers, sponge counts and instrument counts would have to be undertaken (Murray and Huelsmann, 2009). Post-operative care is also in order, after appropriate un-scrubbing procedures carried out. The patient is then wheeled into the recovery room, monitored based on doctor recommended intervals. Monitoring of bleeding and infection is also needed, along with the administration of due medications, including antibiotics and pain medications (Littleton and Engebretson, 2005). It is important for the nurse to participate completely in the nursing care of the caesarean section patient because emergency caesarean sections imply an immediate procedure which is threatened by possible foetal or maternal distress or any other issues or complications of pregnancy (Iyer, et.al., 2006). The assistance of the nurse is essential in these cases in order to ensure a speedy, safe, and efficient delivery. It would allow for the efficient use of hospital resources with the ultimate goal of achieving improved and stable patient outcomes. It is also the responsibility of the nurse to assist the anaesthesiologist during the induction of the anaesthesia as well as the monitoring of the patient during the surgery, mostly in terms of vital signs monitoring or any adverse reactions to the anaesthesia (Maaloe, et.al., 2012). Spinal anaesthesia is usually preferred over general anaesthesia for caesarean patients. Although both anaesthesia techniques provide effective anaesthesia during the delivery, spinal anaesthesia provides more benefits for both the mother and the infant. In a review by Krisanaprakornkit (2006), the author established that both methods proved effective in providing anaesthesia. For spinal anaesthesia, the surgery can be initiated sooner, however the risk of hypotension requiring treatment seems apparent in spinal ana esthesia. General anaesthesia also offers better postoperative control (Ng, et.al., 2004). In relation to other postoperative outcomes, including nausea, postoperative back pain, postdural puncture headache, no effective or definitive conclusion could be established (Krisanaprakornkit, 2006). Regional

Cause and Effects of Watching Too Much Television Essay Example for Free

Cause and Effects of Watching Too Much Television Essay Cause and effects of watching too much television Discoveries and invention of devices are always welcome till we, humans, find a way to abuse its benefits and be adversely affected by it. This was the case when Wilhelm Roentgen discovered x-ray and within five years, the British Army was using a mobile x-ray unit to locate bullets and shrapnel in wounded soldiers in the Sudan. Television was also invented with positive thoughts in mind – there would be no national borders, education and communication would be worldwide, etc. However, we are now trying to overcome its physiological and psychological adverse effects on human beings. People mainly watch television for entertainment especially when they are bored or â€Å"have nothing to do†. It is also used for relaxing, as most people like to sit and back and relax while watching their favourite television show. Watching the television however, may become addictive and a hard habit to break. There are many effects of watching too much television. One of the physiological effects of watching television in excessive amounts is eye-strain. It is true that there are specifications for watching television; television should be 5 m. away from the eye, the room should be adequately lit, television should be placed at the same height with our eyes, etc. However, these do not prevent our eyes from getting tired if we keep watching television for a long time. Another effect is obesity, which is widely observed in people who like watching television and eating snacks everyday (there is even a term â€Å"television snacks† to refer to fast food that is suitable for eating in front of the television). Television is such a powerful machine that people cannot get away from it – it is addictive. Apart from the physiological effects, television also causes psychological effects. One is a result of being exposed to violence. After seeing so many violent scenes on television, people start considering violent actions normal and they lose their sensitivity to their environment. Partly connected to this effect, the interpersonal communication among people decreases. Being insensitive to the suffering of other people causes people to become alienated. Also, after coming home from work people seek to relax n front of the television, and generally people prefer watching television to talking to each other. This issue is very important since lack of interpersonal relationships mostly end with divorces. Shortly, inventions are meant to be beneficial for human beings, if we know how to benefit from them. Television is one of such inventions that need to be used for the right purpose only – being educated and entertained for a reasonable (according to age) period of time. We may, then, be safe from or at least reduce the adverse physiological and psychological effects of watching too much television.

Sociodemographic Characteristics of Community Colleg

Sociodemographic Characteristics of Community Colleg This chapter presents the results of the study. Included are an analysis of the five research questions and the six hypotheses of the study. This chapter concludes with a summary of the information presented in this chapter concerning the quantitative statistical findings of this study. As previously indicated, job satisfaction is a term that is difficult to describe as a single construct, and the definition of job satisfaction varies between studies (Morice Murray, 2003; Protheroe, Lewis Paik, 2002; and Singer, 1995). In higher education, a number of researchers have discussed the importance of continuous research on job satisfaction among community college faculty (Bright, 2002; Green, 2000; McBride, Munday, Tunnell, 1992; Milosheff, 1990; Hutton Jobe, 1985; and Benoit Smith 1980). A reason suggested for the continuous study of community college faculty, is the value of data received from such studies in developing and improving community college faculty and their practices (Truell, Price, Joyner, 1998). The purpose of this study was to examine job satisfaction of community college instructional faculty in regards to their role as teachers. Analysis of Research Questions Research question one sort to describe the sociodemographic characteristics of community college instructional faculty. This research question included three variables (gender, age, and race/ethnicity). Sociodemographic Characteristics Gender There were 371 participants in the sample, of which 188 were male and 183 were female. In regards to gender, the analysis showed that 51% of the sample size included males and 49% of the sample size were female. Table 1 identifies the frequency and percentage results as they relate to gender of community college faculty. Table 1. Gender Distribution of Community College Instructional Faculty Gender Percent Frequency Male 51% 188 Female 49% 183 Total 100% 371 Age The sample size consisted of 371 participants. For age, the analysis displayed that 16% of the faculty were both under 30 and between ages 30 and 34 while17% were between ages 35 and 39. 15% of community college instructional faculty were between 40 and 44, while 14% were in the age range of 45 to 50. The last age range consisted of participants who were 50 or over, which was 21%. Even though the largest percentage of faculty members are 50 or over, faculty members who are 34 or under total 32% which indicates that the majority of faculty are under the age of 34. Table 2 identifies the frequency and percentage results as they relate to the variable of age of community college faculty. Table 2. Age Distribution of Community College Instructional Faculty Age Percent Frequency Under 30 16% 60 30-34 16% 60 35-39 17% 65 40-44 15% 57 45-49 14% 51 50 and over 21% 79 Total 100% 371 Race and Ethnicity The sample size consisted of 371 participants. The variable race/ethnicity showed that 83% of the participants were White, Non-Hispanic; 7% were Black, Non-Hispanics; 3% were Asian, Non-Hispanics; 1% were both American Indian, Non-Hispanics and Pacific Islanders Non-Hispanics; 2% were More than one race, Non-Hispanic; and 5% were Hispanics. Over 80% of the participants (308) were White, Non-Hispanic. Table 3 identifies the frequencies and percentages for the variable of race/ethnicity. Table 3. Race/Ethnicity of Community College Instructional Faculty Race/Ethnicity Percent Frequency White, Non-Hispanic 83% 308 Black, Non-Hispanic 7% 25 Asian, Non-Hispanic 3% 11 American Indian, Non-Hispanic 1% 1 Pacific Islanders, Non-Hispanic 1% 1 More than one race, Non-Hispanic 2% 7 Hispanics 5% 18 Total 100% 371 Research question two sort to describe the nature of employment characteristics of community college instructional faculty. This research question included three variables (rank, employment status, and tenure status). Nature of Employment Characteristics Employment Status There were 371 participants in the sample, of which 126 were employed full time and 245 were employed part time. In regards to employment status, the analysis showed that 34% of the sample size was employed full time and 66% of the sample size were employed part time. Table 4 identifies the frequency and percentage results as it relates to employment status of community college faculty. Table 4. Employment Status Distribution of Community College Instructional Faculty Employment Status Percent Frequency Full time 34% 126 Part time 66% 245 Total 100% 371 Rank The sample size consisted of 371 participants. In regards to rank, the analysis displayed that 9% of the sample size was identified as professors. Associate professors were identified at 5% of the sample size while Assistant professors were identified at 4%. Instructors were identified as 45% of the participants and lecturers were identified at 2%. Faculty with other titles were identified at 30% and 5% of the participants answered the question as not applicable. More than 40% of the participants (167) were identified as instructors. Table 5 identifies the frequency and percentage results as they relate to the ranking of community college faculty. Table 5. Rank Distribution of Community College Instructional Faculty Rank Percent Frequency Professor 9% 30 Associate professor 5% 19 Assistant professor 4% 15 Instructor 45% 167 Lecturer 2% 7 Other titles 30% 111 Not applicable 5% 22 Total 100% 371 Tenure Status The sample size consisted of 371 participants. In regards to tenure status, the analysis showed that 18% of the faculty were tenured; 6% of faculty were on a tenure track, but are not tenured; and 76% of faculty are not on a tenure track. More than 70% of the participants (282) were identified as faculty not on a tenure track. Table 6 identifies the frequency and percentage results as they relate to the tenure status of community college faculty. Table 6. Tenure Status of Community College Instructional Faculty Tenure Status Percent Frequency Tenured 18% 67 On tenure track, but not tenured 6% 22 Not on tenure track 76% 282 Total 100% 371 Job Satisfaction of Community College Instructional Faculty Research question three was designed to describe the job satisfaction of community college instructional faculty based on the eight components (Authority to make decisions; Benefits; Equipment/facilities; Instructional support; Overall; Salary; Technology-based activities; and Workload) of job satisfaction from the National Study of Postsecondary Faculty Survey NSOPF: 04. The sample size consisted of 366 participants. In regards to job satisfaction, the analysis showed that 73% of the faculty were very satisfied with authority to make decision; 34% of faculty were somewhat satisfied with benefits; 44% of faculty were very satisfied with equipment and facilities; 40% were somewhat satisfied with instructional support; 55% were very satisfied with overall job satisfaction; 42% were somewhat satisfied with salary; 53% were very satisfied with technology-based activities; and 50% of faculty were very satisfied with workload. Table 6 identifies the frequency and percentage results as they relate to the job satisfaction of community college faculty. Table 7. Job Satisfaction of Community College Instructional Faculty Satisfaction Percent Frequency Authority to Make Decisions Very satisfied 73% 268 Somewhat satisfied 22% 81 Somewhat dissatisfied 4% 14 Very dissatisfied 1% 4 Total 100 366 Benefits Very satisfied 27% 106 Somewhat satisfied 34% 127 Somewhat dissatisfied 19% 70 Very dissatisfied 18% 67 Total 100 371 Equipment/facilities Very satisfied 44% 161 Somewhat satisfied 38% 140 Somewhat dissatisfied 14% 51 Very dissatisfied 4% 15 Total 100 366 Instructional support Very satisfied 37% 134 Somewhat satisfied 40% 147 Somewhat dissatisfied 17% 62 Very dissatisfied 6% 23 Total 100 366 Job overall Very satisfied 55% 203 Somewhat satisfied 38% 141 Somewhat dissatisfied 6% 22 Very dissatisfied 1% 5 Total 100 371 Salary Very satisfied 29% 106 Somewhat satisfied 42% 157 Somewhat dissatisfied 18% 67 Very dissatisfied 11% 41 Total 100 371 Technology-based activities Very satisfied 53% 195 Somewhat satisfied 35% 129 Somewhat dissatisfied 9% 32 Very dissatisfied 3% 10 Total 100 366 Workload Very satisfied 50% 187 Somewhat satisfied 34% 127 Somewhat dissatisfied 11% 41 Very dissatisfied 4% 17 Total 100 371 Predictive Relationship between Sociodemographic Characteristics, Nature of Employment Characteristics and Job Satisfaction Research questions four and five examined the predictive relationship between gender, nature of employment, (rank, employment s

Flower Shop :: Starting a Business Essays

Flower Shop   Ã‚   If you are starting a business and need to borrow money, state the amount of loan money you need, how much capital you have, how long you’ll need to pay the loan, the purpose of the loan, the results of the loan, and the collateral you’re putting up.   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚     Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   Executive Summary Give a brief, concise overview of your business plan, including the company’s name, location, history, management, products, growth projections, and so on. Give the name, address, phone number, fax number, and e-mail address of a contact person inside your company. Business Information In this section you’ll give an overview of your business. Give your company’s name and location. Describe the building (you can also include a scanned photograph of it). State the nature of the business and what kind of business it is (partnership, private, public, whatever). Give the date the company will be open for business. List the names of the owners and how to contact them (addresses, phone and fax numbers, e-mail addresses). Personal Financial Statement If you are starting a business, briefly explain your current finances. You may need to include the last 3 years’ tax returns and a credit report. Business Description Give a detailed account of your business. List and explain the good characteristics of your business that will help you succeed. ï ¡â€™Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  First characteristic ï ¡â€™Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Second characteristic ï ¡â€™Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Third characteristic List the hours your business will be open. Give a brief overview of how you see daily operations running. Explain your accounting processes and quality-control systems. The types of information you give depend on what kind of business you run. Business History Give a history of your business. Who founded it and when? Why? Give the purchase or startup prices and reasons. Explain the market growth or sales trends that made this business possible. Personnel and Organization Overview the organization of your business. Explain how many people work for the company, what their job descriptions are, and their qualifications. You may want to include employee’s resumes. Explain your training and advancement programs. List departments/divisions, and so on, with responsibilities, and numbers of employees. ï ¡â€™Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  First department, responsibilities, # of employees ï ¡â€™Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Second department, responsibilities, # of employees ï ¡â€™Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Third department, responsibilities, # of employees Marketing Information In this section you’ll describe the market your business competes in and your strategy for competing. Fill this in completely, as it can help you keep your goals in mind as you proceed with your business. Market Analysis Give concrete information about the market you intend to compete in: current situations, trends, projections.

Computer Software Piracy And Its Impact On The International Economy :: essays research papers fc

Computer Software Piracy and it's Impact on the International Economy The PC industry is over twenty years old. In those twenty years, evolving software technology brings us faster, more sophisticated, versatile and easy-to-use products. Business software allows companies to save time, effort and money. Educational computer programs teach basic skills and complicated subjects. Home software now includes a wide variety of programs that enhance the users productivity and creativity. The industry is thriving and users stand to benefit along with the publishers. The SPA (Software Publishers Association) reports that the problem of software theft has grown, and threatens to prevent the development of new software products. Unauthorized duplication of software is known as software piracy which is a "Federal offense that affects everyone† ("Software Use..." Internet). The following research examines software piracy in its various forms, its impact on the end user and the international industry as a whole, and the progress that has been made in alleviating the problem. Software piracy harms all software companies and ultimately, the end user. Piracy results in higher prices for honest users, reduced levels of support and delays in funding and development of new products, causing the overall breadth and quality of software to suffer† ("What is...† Internet). Even the users of unlawful copies suffer from their own illegal actions: they receive no documentation, no customer support and no information about product updates ("Software Use..." Internet). The White Paper says that while virtually every software publisher expresses concern about their software from unauthorized duplication, over time, many have simply accepted the so-called "fact" that such duplication is unavoidable. This has created an atmosphere in which software piracy is commonly accepted as "just another cost of doing business" ("With the Growth..." Internet). In a brochure published by the SPA it is stated that a major problem arises from the fact that most people do not even know they are breaking the law. "Because the software industry is relatively new, and because copying software is so easy, many people are either unaware of the laws governing software use or choose to ignore them" ("To Copy or not to Copy" Internet). Robert Perry states that much of the problem of software theft arises from the way the software industry developed. In the past, when a software firm spent millions of dollars to write a program for a mainframe computer, it knew it would sell a handful of copies. It licensed each copy to protect its ownership rights and control the use of each copy. That is easy to do with only a few copies of a program. It is impossible for a software company to handle

How does Hare convey the changes in Gerard McKinnon ‘s state of mind during the course of the play?

Gerard McKinnon is the protagonist of Hare’s play. He is at the principal point of the action. He is the character, which draws together various strands of the action in the plot, for example, the barrister, the police, the prison officers and the prisoners. Ultimately, he is the victim of the policing system, which â€Å"fitted him up†, the unwilling legal representatives who let him down, the bench, which sentenced him, and the prison service, which fails to protect him. Hare’s exposition starts dramatically with stage directions. â€Å" Then suddenly from nowhere they’re all there- the judge, the jury, the battery of lawyers. Hare’s powerfully dramatic opening is used to emphasise the visual impact of the â€Å"power† of the court. Gerard is juxtaposed with the legal system. Hare portrays him as being vulnerable as he is set apart from the other suspect’s Travis and Fielding through the use of lighting. â€Å" But the emphasis is on McKinnon. † The whole company is lit to show the power of the law, and then changing it to concentrate on Gerard in the midst of it all, is delicately done by Hare to represent him as the victim. Hare uses the dramatic device of a stream of conciseness in order for the audience to gauge his innermost thoughts. The repetition of the phrase â€Å" Its coming, It’s coming†, shows Gerard’s anticipation for outcome. The long sentences with many caesuras and hyphens breaking them up suggest that his fear is overwhelming him; it also indicates his panic stricken mind. Thus, encouraging the audience to view the bar in a less favourable light. The word â€Å"slowly† indicates that Gerard is experiencing disbelief that the verdict is imminent. He contrasts this feeling with the slowness of the court case building up to his moment. When Gerard’s soliloquy resumes and he is found to be guilty. He tries to not take responsibility for his actions. Hare illustrates Gerard’s detachment from his crime, with the line, â€Å"part of me thought, this is really stupid, I mean I’m not really doing this†. He remarks of the clear distinctiveness of the lawyers and the judiciary, who after the sentencing will go â€Å"home to their wives, to wine in fine glasses and the gossip of the bar†¦Ã¢â‚¬  while he, who is â€Å"the stuff of their profession† will be locked away in gaol. There is a finality and submissiveness in Gerard ending his stream of conciseness using the word â€Å"gaol†, indicating that Gerard feels hopeless and trapped. Here, Hare through the use of juxtaposition, illustrates Gerard’s discontent towards the judiciary. Moreover, Hare draws a divided society comparison of â€Å"us versus them†. The lawyers and the judiciary represent the wealth and elite, whilst Gerard represents the lowest of the social heap. Hare, uses the character Irina to give the audiences glimpses of Gerard in jail, the audience witness Gerard’s decline and despair. When Irina first visits him, Gerard, is wary of receiving a lawyers help, given that he has been let down by the legal profession before, as Sir Peter his solicitor never came back to visit him. He bluntly states that he wishes he gave him a pen for his help with, â€Å" Don’t jerk me off I’ve already come,† written on it. The crude lexical choice of the word Gerard uses, shows his complete lack of faith of lawyers and the judiciary system. However, as the conversation progresses, Gerard begins to trust Irina. He starts to view her as a friend, as there is an unconscious solidarity between them, as the are both potential victims of marginalisation. She’s a black female lawyer working in a man’s world and he faces discrimination on the basis that he is Irish. They both identify with each other’s victim status. Gerard opens up to Irina, and expresses intense fear â€Å"cos im scared. Scared, so I have to use the lavatory. † Hare uses the repetition of the word â€Å"scared† to further point out Gerard’s vulnerability in the fact that he has no one to depend on. Their conversation becomes more private with a sudden intimacy between them, which Gerard enjoys. In the last part of the scene, Gerard believes he has a friend who he can dependent upon to help him in appealing his verdict. He becomes more optimistic when Irina says that she’ll come back to see him. Yes. Yes, I’d like that. † The repetition of the word â€Å"yes† indicates that Gerard suddenly realises how much he would like to see Irina again. In Act two scene one, Hare again uses the literary device of Stream of conciseness to revel Gerard’s innermost thoughts. The audience realise that Gerard is losing hope very rapid ly and the thought of winning the appeal looks very bleak. This is illustrated when Gerard says, â€Å"Calm down, Gerard. Don’t get excited. † This shows that Gerard does not want to give into false hope. His glimmer of hope that he had with Irina seems to have faded. When Irina Visits Gerard for the last time, the audience see the decline of Gerard’s character. This scene is after the violent assault that Gerard has just experienced. Irina states that his sentence has been reduced, however, Gerard seems indifferent to the news she brings him, this reduction is not enough to save him from the brutality and crime that happens in jail. Their conversation lacks the intimacy of their earlier encounter; Gerard uses abrupt short dismissive sentences, â€Å"Thank you then. Thank very much. † To indicate that there is no need to carry on with the conversation, as all hope is gone. Towards the later part of the scene, Gerard expresses interest in read Irish books now. â€Å"When I was brought up, it was always a background. But I laughed it off†¦I’m not laughing now. † Hare leaves us with an impression that Gerard’s newly aroused interest in Irish history indicates a spark of defiance, an increased awareness that in this world it is a case of â€Å"them and us. † There is finality to the words â€Å"Goodbye, Irina. † Which Gerard uses to end the scene ,he acknowledges that Irina will probably not see him again as the court case is adjourned and that he must face his life in isolation as a victim of marginalisation.