Role of Supernatural in Shakespeares a Midsummer Nights...

Witches Brew and Fairy Dreams: A Genre Study of Shakespeares Use of the Supernatural (Penn State University, English 444.2: Spring 1998) by Fred Coppersmith Near the end of the opening scene of Macbeth, Shakespeares three Weird Sisters proclaim in unison that fair is foul, and foul is fair, providing us, as readers, with perhaps the best understanding of the plays theme and the tragic downfall of its central character. That this revelation -- this pronouncement that all is not well in Scotland -- comes from a supernatural or otherworldly source is very telling and gives us, I believe, ample cause to further explore the function of the supernatural within the drama. A genuine understanding of Shakespeares reliance on the spirit†¦show more content†¦Macbeth truly is wicked, having murdered Duncan, the king, and taken his place -- having fulfilled the prophecy foreseen by the witches and stepped onto the path that, as the otherworldly Hecate proclaims, shall draw him on to his confusion or ruin. The sisters, then, are a constant reminder to the audience of the darkness that consumes Macbeth, of the unholy acts that he has committed and the tragedy that he brings upon himself. When Hecate reminds the three that security is mortals chiefest enemy, we can (especially upon subsequent readings) view this as a foreshadowing of Macbeths undoing, a sign of the true tragedy that is to follow. For while Macbeth may indeed spurn fate, scorn death, and bear his hopes ‘bove wisdom, grace, and fear, he cannot escape the consequences of the witches prophecy. While the supernatural is also put to substantial use in A Midsummer Nights Dream, its effect on the play is remarkably different. There, rather than cast the action in somber shadows as in Macbeth, the otherworldly Fairies enhance the comedic nature of the text. They can be viewed, in fact, as comic plot devices, created not so much to comment on the action of the play as to move it along. They are active participants rather than passive observers, affecting the outcome rather than simply reminding us of its inevitability. Another of the most strikingShow MoreRelatedWilliam Shakespeare s A Midsummer Night s Dream1357 Words   |  6 Pagesfall into chaos. Within Shakespeare’s ‘A Midsummer Night’s Dream’ these rules can be undermined in the confines of settings in which the supernatural reigns, allowing the char acters to grow and develop before returning to society as changed people. Through this creation of comedic disorder, characters of authority are often displaced from their positions within a social hierarchy, thus making the supernatural an integral part of Shakespeare’s comedy. Without the supernatural elements that feature soRead MoreWilliam Shakespeares Creation of the Magical World of the Fairies in Midsummer Nights Dream1136 Words   |  5 PagesWilliam Shakespeares Creation of the Magical World of the Fairies in Midsummer Nights Dream I feel that the fairies are the very heart of a Midsummer Nights Dream. It is because of fairy magic that we can call some of the action a dream. Nearly everything revolves around them such as nature, humans, emotions, settings, life, death and the weather. Most of the things that happen in the play have some relation to the fairies. All the magic and fantasy that takes place mostlyRead MoreA Midsummer Night’s Dream, by William Shakespeare1368 Words   |  6 PagesA Midsummer Night’s Dream A Midsummer Night’s Dream is an enchanting comedy that presents many dominant views widespread in the society of Shakespeare’s time. Ideas of love and romance are central to the play, and notions of gender and male-dominance prevalent at the time surface throughout the text. Modern audiences may find such notions confronting, whereas Jacobeans might find other elements of the play such as the rampant disorder, uncomfortable. Love is one of the central ideologies presentRead MoreA Midsummer Nights Dream : Reality Versus Fantasy1079 Words   |  5 PagesFantasy In William Shakespeare’s play, â€Å"A Midsummer Night’s Dream,† he tells a tragic yet, comical tale that toys with the boundaries between realism and the fantastic. The play depicts the theme of how reality can often be manipulated by a fantasy due to the results of magical occurrences in the woods. Although the natural world we live in does not contain magic happenings, the play allows the audience to run wild with imagination and essentially invites them into this surreal dream. Shakespeare developsRead MoreSupernatural Soliciting Within Shakespeare s Macbeth1728 Words   |  7 PagesJulia Sawicka Ms. Paolone ENG3U1d Monday, November 6th, 2017 Supernatural Soliciting within Shakespeare s Macbeth Shakespeare’s Macbeth is broadly known as a cursed play by a myriad of individuals globally. Given its appalling history of death and disorder, as well as the supernatural elements present within the play, many have come to the latter conclusion. To add, Macbeth is also a tragedy, adding more malediction to the already allegedly accursed play. To create such a tragic, ill-fatedRead MoreEssay on A Midsummer Nights Dream: Critical Analysis3103 Words   |  13 PagesMandy Conway Mrs. Guynes English 12 16 March 2000 A Critical Analysis of quot;A Midsummer Nights Dreamquot; William Shakespeare, born in 1594, is one of the greatest writers in literature. He dies in 1616 after completing many sonnets and plays. One of which is quot;A Midsummer Nights Dream.quot; They say that this play is the most purely romantic of Shakespeares comedies. The themes of the play are dreams and reality, love and magic. This extraordinary play is a play-with-in-a-play, whichRead MoreWilliam Shak espeare is a renowned poet, playwright and actor. Many believe that he was the most2400 Words   |  10 Pagespatriarchy and gender roles while placing emphasis on women’s quest for power, equality, happiness and identity. Shakespeare embarked on issues that everyone could relate to, hence, his stylistic techniques appeal to an extensive audience. Shakespeare wrote for an â€Å"audience encompassing almost an entire social spectrum of his time- from the monarch to the working class citizens who could occasionally just afford a penny to see the play† (Anderson 28). In his plays, A Midsummer Night’s Dream and King LearRead MoreAs You Like It a Romantic Comedy1658 Words   |  7 Pagesfrequently involves a parade of couples to the altar and a festive mood or actual celebration (expressed in dance, song, feast, etc.) A Midsummer Nights Dream has four such couples (not counting Pyramus and Thisbe!); As You Like It has four; Twelfth Night has three; etc. Frequently (but not always), it contains elements of the improbable, the fantastic, the supernatural, or the miraculous, e.g. unbelievable coincidences, improbable scenes of recognition/lack of recognition, willful disregard of the socialRead MoreThe Theme of Julius Caesar Essay2961 Words   |  12 Pagessuitably is the theme of the supernatural depicted in the play ‘Julius Caesar’? William Shakespeare was one of the most influential playwrights, is known today for his plays such as Romeo and Juliet, Hamlet, A Midsummer Nights Dream and many other interesting and different plays. We in the 21st century enjoy Shakespeare’s plays for a variety of reasons. His plays have different themes like love, ambition, pride, friendship, supernatural, etc. His language is rich andRead More Imagery in The Tempest, by William Shakespeare Essay3748 Words   |  15 Pages   Ã‚  Ã‚   William Shakespeares play The Tempest utilizes extensive imagery which goes beyond merely creating atmosphere and background or emphasizing the major themes of the play. The supernatural plays a considerable role in the play, thus so does the use of imagery, which is more extensive and somewhat different from many other of Shakespeares works. The imagery is used as a mediator of supernatural powers, to emphasize the natural scene of action, and establish the enchanted island which

A Brief Note On Race And Gender Oppression - 1880 Words

It is a common fantasy of science fiction writers to imagine a world rid of the social ills of our own–where disease, famine, poverty, and even the hierarchies of race, gender, ability, and class so well known to us are distant memories from a bygone era. These writers, many of whom are white men, in their own eyes might envision these progressive futures, freer societies than ours, as being written specifically for the oppressed–a distraction, meant to give hope for humanity’s future, from the injustices of their present. In the majority of cases, however, they do so with little success, instead mirroring the systems of oppression they sought to subvert in their works. Despite the omission of race and gender oppression their authors sought to implement in their creation, the worlds of both The Stars My Destination and Do Androids Dream of Electric Sheep are occupied in part by the racialized bodies of men and women, with the women in particular struggling in the ir settings for the recognition and affirmation of humanity afforded their narratives’ white-coded, male protagonists. Moreover, these attempts by the science fiction genre’s predominately white, male authors to leave racism and sexism out of their work, while perhaps rooted in a sense of progressivism, are in fact more a representation of their real-world desire to â€Å"move on† from these systems of oppression without sacrificing their privilege inherent to these systems’ continued existence. The erasure of systems ofShow MoreRelatedThe Sexualisation And Popularization Of Feminism Within The 21st Century1296 Words   |  6 Pagescontrolled, manipulated and harmfully misrepresented in an attempt to thwart the movement’s natural evolution and progression. This essay will explore the various aspects to such an argument in a number of steps. Firstly, I will begin with a necessary and brief history of both First and second wave feminism as well as a general evaluation of the current gendered system. I will go on to then discuss new age pop culture and mass media, as well as its involvement with the erroneous, sexulisated and popularizedRead MoreMediation And Race : Mediation1599 Words   |  7 PagesMEDIATION AND RACE 6 mediation or any other reason . Thus, a mediator should decline a mediation if the mediator cannot conduct it n an impartial manner. Still, it is important to note that as humans we all have certain unavoidable notions and we must leave them outside of this process. There is also a need to create a â€Å"safe space† in the session. Though it may be good natured certain â€Å"compliments†Read MoreCommentary and Analysis of the Movie: Matrubhoomi: A Nation without Women1412 Words   |  6 Pagesin what could be labeled as homosexual activities. The men share in communal sexual experiences, viewing porn in a group setting and watching men dressed in drag while dancing, as there are no women for strip tease entertainment. There is even a brief hint of bestiality shown as a man in the film takes on a cow after watching porn. These men have no women to have sex with. As the film goes on, it is obvious that there is a real need for women in the community of mostly single men who need andRead MoreSexuality in the Victorian Era in Sarah Raul ´s In the Next Room 1558 Words   |  7 Pagesto Chapman: à ¢â‚¬Å"Women are organizing, speaking, working †¦ [and] it is now a crucial time, when our Western help may give impetus and permanence to the movement of Eastern women, and when delay may mean a much longer continued oppression of women† (Kelly, 1). In light of this, gender identities and stereotypes that previously mandated how women should: act, look, talk, and even socially interact with others are unmasked. This is depicted through, Sarah Raul’s, In the Next Room, which exemplifies the ideologyRead MoreThe Little Mermaid Deconstructed Essay2856 Words   |  12 PagesThe Little Mermaid (1989). It is important to note that I am viewing and analyzing this text from the positionally of a Caucasian, lower-class, female. Not only do I identify as female, but I also consider myself to be a feminist, which is one of my reasons for choosing the feminist framework. I also feel that it is critical to state that I identify as heterosexual, but consider myself an ally to the LGBTIQ community. Therefore, my views on gender may extend to my views on sexuality, since theyRead MoreGender Inequalities: Yesterday and Today Essay1674 Words   |  7 Pages And we still say that gender inequality exists no more. No one raises a brow when a man wanders in night clubs, or gets drunk, or befriends strange women. It is normal. It is common. He is a man. But even in this day and age, a woman frequenting a night club and indulging in alcohol is deemed â€Å"immoral†Ã¢â‚¬ ¦. â€Å"licentious.† We are in the twenty-first century; we call ourselves civilized, modern, liberal. We claim to believe in equality of the sexes, and non-existence of gender-discrimination. 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Her education allowed her to explore the works of the most celebrated authors, but one who she had a long and complicated relationship with was the Bard of Avon himself, William Shakespeare. As one of the most highly regarded and wellRead MoreThe Bluest Eye And Fun Home Essay2175 Words   |  9 PagesIn her definition of gender, Judith Halberstam notes that gender is socially systematized, performed, and reproduced in cultures, institutions, and individual identities (Burgett, Bruce, and Hendler, 116). In a like manner, in her article on gendered violence, Mimi Schippers notes R.W. Connell’s research on masculinity to expand this definition, implying that masculinity is central to gender relations. In short, Connell defined masculinity as â€Å"simultaneously a place in gender relations, the practicesRead More Is The Second Sex Beauvoirs Application of Sartrean Existentialism?3713 Words   |  15 Pagesposition of 1927 to the feminist engagement of The Second Sex points to the influence of the African-American writer, Richard Wright, whose description of the lived experience of oppression of blacks in America, and whose challenge to Marxist reductionism, provide Beauvoir with a model, an analogy, for analyzing womans oppression. Simone de Beauvoirs 1949 feminist masterpiece, The Second Sex, has traditionally been read as Beauvoirs application of the existential philosophy of her companion, Jean-Paul

Mental DisorderSchizophrenia - 1328 Words

Schizophrenia Schizophrenia is a disease of the brain and is known as one of the most disabling and emotionally devastating mental disorders. It is accompanied by a variety of symptoms, such as distortion from reality, emotional, behavioral, and intellectual disturbances. It is somewhat common, with 1 to one and a half of the population diagnosed, but it is usually misunderstood by the public, which is why researchers have been trying to find the exact cause of this disease and how it can be treated so people affected are able to live a healthy lifestyle with this debilitating condition. The symptoms of schizophrenia may be looked at as positive or negative. People with positive symptoms often lose touch†¦show more content†¦Someone who may have a history of psychiatric illnesses in their family , such as bipolar disorder, depression, etc, have an increased risk of developing schizophrenia themselves. A study performed on twins have shown that if one twin has schizophrenia, the other twin who has the same exact genes as his/her siblings, is only a 50%. Another study done in Finland stated that adopted children that had a higher risk of developing schizophrenia, eventually had an 86% lower rate of developing the disease when brought up in a healthy family. In the healthy family, 6% of children developed the disease, whereas in the dysfunctional family, 37% of children are affected. Environmental influences can range from three main types, fetal issues, drug use, and life experiences. Fetal issues deals with things that happen during pregnancy. For example, if a mother is malnourished, it can put the baby at a higher risk for developing schizophrenia in later life. Also high levels of maternal stress, low oxygen levels, and fetal infections can lead to a higher risk for schizophrenia. Another factor is drug use. Drug use is very common among the mentally ill, but it is unclear whether the high use of drugs by schizophrenics actually causes the disease or is a result of it. Schizophrenia is a life long condition, which usually isShow MoreRelatedSchizophrenia- Mental Disorder1002 Words   |  5 Pagesthe mental breakdown that forever changed his life. On an early, extremely cold winter morning in northern Iowa, Ron walked out of the farm house in only his underwear, through the large cornfield, and down to the Yellow River that was frozen over with a thin layer of ice. Luckily, his parents caught him in time before he had fallen through the thin ice. Ron was soon rushed to a mental institution where he was observed by psychiatrists that later diagnosed him with disorganized schizophrenia. SchizophreniaRead MoreIs Schizophrenia A Mental Disorder? Essay1418 Words   |  6 PagesSchizophrenia is a mental disorder in which the individual interprets reality abnormally, this means that the person has â€Å"Hallucinations, Delusions, Thought disorders (unusual or dysfunctional ways of thinking), Movement disorders (agitated body movements)†, and most importantly â€Å"it doesn’t have a cure†, as the National Institute of Mental Health states. If you caused a crime and claim that you have a mental disorder it doesn t mean that you get a free pass and not have to pay for your crime, itRead MoreIs Schizophrenia A Serious Mental Disorder?1578 Words   |  7 Pages Introduction Schizophrenia is a serious mental disorder that affects the way an individual thinks, feels, and acts (MHA, 2017). Diagnosed individuals have trouble deciphering what is real or what their mind is making up. This is caused by hallucinations and delusions with sight and auditory. Individuals full heartedly believe the hallucinations are real and it may be hard for loved ones to watch. Social situations are difficult for patients diagnosed because social norms are harder to express. ItRead MoreSchizophrenia And Its Effects On Mental Disorders992 Words   |  4 PagesSchizophrenia While some may understand the concept of not having control over a specific disorder, fewer are able to imagine living with a disorder in which an altered perception of reality is created. â€Å"Schizophrenia is, in fact, a class of disorders that causes a distortion of reality to occur to its patients and effects the lives of many individuals to this day (Feldman, 2013). 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Trudy Meehan and Malcolm MacLachlan, in the article â€Å"Self Construction in schizophrenia: A discourse analysis†, seek to shed light on the topic of self-construction in those with schizophrenia. The main issue they are addressing is whether or not using the discursive model of self-construction will provide a better and more accurate way of analyzing how people diagnosed with schizophrenia construct self as opposed to using only theRead MorePsychiatric Treatment: Mental Disorders, Schizophrenia, and The Yellow Paper2081 Words   |  9 Pagesyear that are diagnosed with a mental disorder. In the world’s entire population, more than one percent of people have been diagnosed with schizophrenia (Brain and Behavior Research Foundation). When thinking of the billions of people in the world, it might not seem like that many people but once the number of those diagnosed is calculated it seems much larger. Currently there are more than seventy million people in the world that have been diagnosed with schizophrenia, only diagnosed. There are probablyRead MoreSchizophrenia Is A Mental Disorder Essay1319 Words   |  6 PagesSchizophrenia is a mental disorder that affects about 1% of the population world wise between the ages of 16-30 (Nordqvist 2016). The word Schizophrenia means, â€Å"Split mind† but it does not cause a split personality and was first introduced by a Swiss man named Eugen Bleuler (Simon Zieve, 2013). Schizophrenia has different subtypes, including Paranoid-type, Disorganized-type, Catatonic-type, Undifferentiated-type, and Residual-type (Simon Zieve, 2013). Men develop the symptoms in their early teenageR ead MoreIs Schizophrenia A Mental Disorder?1107 Words   |  5 PagesSchizophrenia is a mental disorder that is thought to be brought on by certain genetic factors as well as environmental ones. It affects the way a person perceives reality. The person diagnosed with schizophrenia will often perceive auditory, visual, kinetic, and olfactory stimuli that aren’t actually present. The disease also affects how the person feels and acts as well. Scientist who study Schizophrenia have not clearly defined the core causes of this disease however it is thought to have a strongRead MoreIs Schizophrenia A Mental Disorder?981 Words   |  4 PagesSchizophrenia is a mental disorder, which relentlessly affects approximately 1 percent of the world’s population. This term comes from the Greek, Schizo meaning â€Å"splitting† and Phrenia which means â€Å"of the mind† so therefore Schizophrenia is defined as a split mind. This disorder makes it hard for the person who has it to distinguish between what is real and what is imagined. Reason being is that it weakens their ability to think logically, express normal emotions, and behave properly in social situations

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. 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