Staffing difficulties in the long term care nursing Essay

Staffing difficulties in the long term care nursing - Essay Example A recent research effort suggests that nearly 60% of all people will need extended help in one or more of the areas above during their lifetime (Thomas, 2008). The need for long-term care may for a short period or it may go on for years because it all depends on the underlying reasons for requiring the care. Temporary long term care includes nursing care needed for patient rehabilitation from a hospital stay, recovery from illness, recovery from injury, recovery from surgery and care needed by those with terminal medical condition (Dickinson, 2006). On the other hand, ongoing long term care is help need by those with chronic medical conditions, chronic severe pain, permanent disabilities and those with dementia among others. The main objective of this research paper is to examine staffing difficulties in long term care nursing One main staffing difficulty in the long term care nursing is clinical hand over. Clinical handover is the transfer of responsibility for care of patients between health care professionals (Whitt N, 2007). To this date, with the ever-transformation face of working hours for nurses the domain of handovers has come under debate in recent years. There is little or no study that has been carried out in this area and globally there is meager literature about nurse handovers in the long term care nursing. It is truer to say that as nurse work hours decrease, the number of handovers conducted should logically increase. In addition, the benefit of the patient being treated by a less fatigued nurse may be offset by the risk of information breakdown due to poor handover practices and systems (Whitt N, 2007). A reviewed research has found that more than half of nurses report that they had encountered difficulties more than seven times in their most recent clinical rotation. This in essence directly contributes to a poor handover in the long-term nursing care.. Other studies reveal

Security on the Internet Research Paper Example | Topics and Well Written Essays - 4000 words

Security on the Internet - Research Paper Example Information technology and internet in the present scenario has become extremely important for every business organization. It has become the most appropriate means for carrying out long distance communication across global organizations. In addition, the continuous technological advancement is argued to inherent security risks. If the statistical reports are taken into consideration, multiple cases of online data theft and fraud can be brought up through which the safety and the integrity of internet can specifically be questioned (Koskosas et al., 2011). Moreover, by taking into consideration, the rising level of online attacks, it has become a challenge for the IT engineers to counter such unwarranted situations that might risk the integrity and survival of multiple organizations along with all the stakeholders associated with it. As a result, this report will focus towards evaluating the security issues identified within the IT structure of ‘XYZ Ltd.’ through which t he inappropriate loopholes that existed within the system can be identified. Adding to that, the report will also emphasize on the available solutions through which such security issues are being resolved (Koskosas et al., 2011). As already discussed above, security issues within IT organizations has become a common trend. Reason for this cause can be provided by taking consideration of the level of data being accessed within these companies on daily basis. Adding to that, majority of the IT companies appears to have taken appropriate steps regarding minimizing the percentage of confidential data loss. As a result, the procedure of centralizing the operational data is often opted. Nevertheless, the procedure of centralizing the operational data is perceived to increase the risk of data loss from the central servers. Moreover, in order to carry out the daily

Eastern Philosophy Essay Example for Free

Eastern Philosophy Essay Eastern philosophy is the philosophies of the eastern continents. Many postmodern philosophers believe the only variant of Eastern and Western philosophy is that of Geographic’s however some scholars will disagree that it is not geographical but of natural language and investigated thinking. Eastern philosophy touches base with three traditions —Indian, Chinese and Persian philosophy—which are just as different from each other as they are from Western philosophy. Eastern religions have not spent as much time as western philosopher questioning the nature of God and his role in the creation of mankind. More recently philosophical schools are teaching both religious and philosophical concepts. East Asian Philosophy includes Confucianism, which is a complex system of moral, social, political, philosophical, and quasi-religious thought that has had tremendous influence on the culture and history of East Asia[1], Taoism which refers to a variety of related philosophical and religious traditions that have influenced Eastern Asia[2], Shinto which is the indigenous religion of Japan[3], Legalism which was one of the main philosophic currents during the Warring States Period[4], and Maoism, which is officially known as Mao Zedong Thought[5]. Indian philosophies were several traditions which included but limited to, Hindu philosophy, Buddhist philosophy, Sikh philosophy, Jainism and Carvaka (atheist school of thought with ancient roots in India). Indian philosophers live life by a philosophical custom. They believe this is the righteous way to best live their lives. Whether Indian schools believe in god or not, they all share the same perception of the truth through logical practices. West Asian Philosophies include to Babylonian philosophy, Iranian philosophy, Zoroastrianism, Islamic philosophy, and Sufi philosophy, however they can also be referred to as western philosophies. Babylonian philosophy dates back to the Mesopotamian era which demonstrated certain philosophies of life, in the forms of dialectic, dialogs, epic poetry, folklore, hymns, lyrics, prose, and proverbs. [6] Iranian Philosophy is the same as Persian philosophy and is said to date back to the beginning of the science of philosophy. Zoroastrianism was philosophy influenced Indo-Iranian Philosophy. Islamic philosophy is summed up as the philosophical harmonization of Sufi philosophy reason and faith. Sufi philosophy involves a school of thought, in the form of manuals, dictations, poetry, and other written works as a means of thinking and meditation. In conclusion, Eastern philosophy is more about, the scientific aspect of philosophy without questioning the practically of it. All cultures involved have lived their lives by means of experience and by doing so they have gotten the best out of their lives. Even in religious culture, they do not question the beliefs but rather embrace them without fear of judgment and ridicule from others. http://en. wikipedia. org/wiki/Postmodernist http://en. wikipedia. org/wiki/Eastern_philosophy#Classification [1] http://en. wikipedia. org/wiki/Confucianism [2] http://en. wikipedia. org/wiki/Taoism [3] http://en. wikipedia. org/wiki/Shinto [4] http://en. wikipedia. org/wiki/Legalism_(Chinese_philosophy) [5] http://en. wikipedia. org/wiki/Maoism [6] http://en. wikipedia. org/wiki/Eastern_philosophy.

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Sam Gourley rotherham Being a mechanical design engineer is not easy, however mechanical design engineering is one of the oldest and most respected engineering disciplines. Some skills that a mechanical design engineer will use in an average day are: math, physics, and chemistry principles, not to mention their imagination.With a Bachelor’s degree in Mechanical Engineering, one could focus on standard menial duties such as a machine operator on the factory floor, yet with this degree and additional specific education, the same person would be able to move into advanced disciplines or work a combination of the two. (A manager on the factory floor.) In mechanical engineering you can make between $46,432 and $106,848 annually. Some advantages to mechanical engineering are that you get to design and or build the products of tomorrow, such as: touchscreen devices, personal supercomputers, online social networks, and electric cars. Though this sounds like a dream job mechanical engineering does have its disadvantages, it includes using math and physics, and may require excellent management skills to organize resources. At minimum, mechanical engineering uses math and physics principles to help design product components with specific functions. (Such as the gears of an analog clock.) These skills are used by multiple industries; including medical, automotive, architecture, (e.t.c) No matter the project, most mechanical engineers are responsible for a single component of a system. Although smaller companies often depend on a single mechanical engineer for work that needs to be done, it’s common for larger companies to have entire teams. Though, in the case of a complex system, several mechanical engineers will usually work toge... ...part of a team that designs the first teleporter. Imagine discovering new ways to harness energy. Imagine creating the first personal consumer spacecraft. The imagination is the limit. In manufacturing industries, mechanical engineers may organise the installation of new equipment and plan schedules for regular servicing and overhauling of all the machinery and equipment involved. Mechanical engineers need excellent management skills to organise resources like people, money and equipment. Projects can vary significantly, from researching and developing medical products (such as mechanical hearts) to improving production processes in large oil refineries. Depending on the employment market in your area, it may be possible to enter the profession at technician level as an apprentice, for which a GCSE ( General Certificate of Secondary Education) will be required.

Apply Dsm-Iv to William Styron Essay

He chronicles â€Å"the leaden and poisonous mood† (Styron, 1990) that occupies most of his days. He reflects his diminished interest and pleasure towards â€Å"exceptionally island’s pleasure†, his â€Å"beloved home†, writing and other activities that he used to enjoy. He wonders how his friendly place seemed so hostile and forbidding. As a writer it felt helpless and painful to him when he found out â€Å"the writing becomes more difficult and exhausting, finally ceased† because depression has made him unable to concentrate. Styron’s statement of â€Å"two or three hours of sleep I was able to get at night† indicated that he suffered from insomnia and the everyday sleepless was â€Å"a rare torture† to him. It was clear that his insomnia evolved from middle insomnia to severe insomnia just right before his hospitalization (Andreasen & Black, 2011). Styron also stated his slowed psychomotor functions that manifested in â€Å"slowed-down responses, near paralysis, psychic energy throttled back close to zero†. Styron further describes his mental illness severity as â€Å"reached the phase of the disorder where all sense of hope had vanished, along with the idea of a futurity†. While these particular descriptions depict Styron’s hopelessness and despair, he also proposed a question â€Å"Why wasn’t I in a hospital† which implies his later voluntary hospitalization and improvement in his illness. In addition, Styron constantly thinks about death and suicide evidenced by â€Å"Death, was now a daily presence†. His house has also become a place that was filled with possibilities of committing suicide. These core symptoms in Styron’s case defined major depression and has presented for more than two weeks (American Psychiatric Association, 2000). Styron stated by himself that there was no manic episode occurs. And there were no evidence for a Mixed Episode. Although it was clear that client’s alcohol abuse history and his overuse of sleep medication play roles in his depression client’s depression are not due to the direct physiological effects of the substances or any general medical condition (American Psychiatric Association, 2000). It is interesting to address that client’s symptoms are not better accounted for by Bereavement but the unresolved grief Styron had toward his mother can be consider a major factor that contributed to his depression. The childhood trauma and the unresolved grief will be discussed later in this essay. In Styron’s case his depression began gradually during the six to eight month time frame. â€Å"Styron is on point in his astute description of milder dysthymic states that evolve into physiologically engaged forms of sever, endogenous depressions† (England, Ganzer, Foster, & Tosone, 2006). Based on client’s current situation it is reasonable to give Styron â€Å"moderate† with current GAF score of 65. Styron stayed in hospital for nearly seven weeks and discharged with an improvement in his illness and his functions. All of his statements of â€Å"I began to get well, gradually but steadily† â€Å"the fantasies of self destruction disappeared† â€Å"suicidal notions dwindled then disappeared† â€Å"had first dream in many months† indicated that he was in the process of Partial recovery. Not only he started to feel â€Å"peace† in his mind but also he was able to attend hospital group activities. Styron has high adaptive level of defensive functions at current state. The understanding of the causes of depression has evolved over centuries. While Styron was detecting his â€Å"forgotten or buried events† that underlay his depression it will be important to look into his case through the biopsychosocial lens. From biopsychosocial model perspective the three major factors which all play a role in causing depression are biological, psychological and social factors. There are three aspects that contribute to Styron’s biological factor: genetic, alcohol use and medication. Based on Styron’s memory, his father, a shipyard engineer, suffered from clinical depression. When Styron was a young boy he have witnessed his father’s depression and hospitalization. Recent genetic research supports earlier studies reporting family links in depression (Pittenger & Duman, 2008). If one or both of child’s parents have a vulnerability to depression, then it can be transmitted to the child. Therefore Styron’s father’s depression can be viewed as a risk factor to Styron’s later depression. In the narrative of Styron, he stated his dependence on alcohol and the overuse of Halcion for his sleeping problem. Excessive alcohol consumption significantly increases the risk of developing major depression (Gottlieb). Similar to alcohol, the increased risk for developing depression in benzodiazepines might be due in part to effects of drugs on neurochemistry, like decreased levels of serotonin and norepinephrine (Pittenger & Duman, 2008). Styron himself acclaims that â€Å"more significant factor† (Styron, 1990) to his depression was the death of his mother when he was thirteen. In order to view psychological factor in Styron’s case Styron’s early mother lost has strong affect on his depression. Attachment theory predicts a relationship between depressive disorder and the early bond between the child and parents. Particularly the experiences of early loss, separation may all lead to insecure internal working models (Ma, 2006). To Styron, the death of his mother has â€Å"created nearly irreparable emotional havoc† (Styron, 1990) for him. This huge hole in his life may lead to his insecure and self-worthlessness. This insecure internal working models manifest through depressed individuals often blaming themselves for negative events and may not taking credit for positive outcomes. Styron reaction towards can be interpreted as he subconsciously felt he was not worthy of the honor (Marowitz, 2009). Regarding Styron’s own insight of â€Å"incomplete mourning† (Styron, 1990) he is right about the unsolved grief can keep bring the â€Å"insufferable burden of rage, guilt and sorrow†. â€Å"The Styrons were a dignified Southern WASP fanily and open displays of grief were tacitly discouraged† (England, Ganzer, Foster, & Tosone, 2006). Since Styron was stuck in the phase of unresolved grief and using rage, guilt, and sorrow as the fuel for his work he never really learned a correct way to release his negative repeating emotions. Social factor in Styron’s case may be his social isolation during his early life from childhood to adolescent. As an only child in the family Styron’s social support can only come from his depressed father and mother with terminal illness. There was no one to share the burden and loneliness with him. As a pre mature and gifted child Styron went to school’s grade that did not match his developmental stage.

The American Revolution Essay - 2121 Words

The American Revolution marked a highly significant time period throughout history. This time period consisted of a variety of changes that would forever change the United States of America. The American Revolution brought upon profound social, economic, cultural, political, military, and religious changes. These were not the only changes that the American Revolution encountered. Many technological and industrial revolutions would later transform the modes of production, which would mark the transition from a rural to an urban economy (Mays 231). This would later stimulate the standard of living. This period consisted of many changes that would later bring upon changes within gender roles in societies, races, national relations, and many more movements (Savas and Dameran 108). Military revolutions brought upon change within the warfare that would later lead to the development of new technology (Greene and Pole 310). Many progressive movements were developed within the American Revolu tion, especially since it was a time where slavery was still considered popular among many states (Mays 253). From 1765 up until 1783, the American Colonies, went through a radical transformation into an independent nation in which they fought for, after many years of being controlled by the English government (Greene and Pole 251). The outcome of the American Revolution not only affected the colonies, economically, but as well as culturally, politically, and would bring upon many changes thatShow MoreRelatedThe American Revolution : The Revolution1367 Words   |  6 PagesThe American Revolution Revolutionizes the World It was the first revolution to majorly succeed and change how people saw their countries, it was the American Revolution. The American Revolution was the first successful revolution against a European empire that provided a model for many other colonial peoples who realized that they too could break away and become self-governing nations (New world Encyclopedia, 1).The American Revolution was vital to history because ideas seen by other countries startedRead MoreThe Revolution Of The American Revolution999 Words   |  4 PagesBetween 1770 and 1776, resistance to imperial change turned into a full-on revolution. The American Revolution, also known as the Revolutionary War, was a time of revolting and political uprising, in which the 13 colonies separated from the British Empire, forming the independent nation known as the United States of America. Though the American Revolution began because the colonies wanted independence from Britain, many important historical events and revolts also lead to the tensions and resistanceRead MoreThe Revolution Of The American Revolution1362 Words   |  6 PagesEvery 4th of July, Americans are told the story of the American Revolution. We remember the oppressed colonists fighting against the tyrannical King George III and the formidable red coats. Patriotic heroes are remembered, evil kings are cursed, and the liberties and freedoms won from the war are celebrated. Though America often likes to look back to the revolution, the question of just how much a revolution was the American Revolution is rarely asked. While the American revolution was not as radicalRead MoreThe Revolution Of The American Revolution863 Words   |  4 PagesThere are many different views on how the American Revolution came to be and how it actually was. One way is that the colonists that had money and were known as the elite were trying to preserve their power from the British and this is what caused the revolutionary war. Then on the other hand bef ore the revolutionary war occurred when the colonists were being over controlled by the British, then in result of the American Revolution the colonists were able to win against the British and become strongerRead MoreThe Revolution Of The American Revolution1582 Words   |  7 Pagesâ€Å"The revolution was effected before the war commenced. The revolution was in the minds and hearts of the people.† - John Adams, 1818 This quote means that the revolution actually took place metaphorically before the actually fighting began. It took place in the emotions and thoughts of the Americans. The Road to Revolution After the Seven Years’ War created a financial problem for Britain The British tried to shoulder some of the financial responsibilities onto the Americas in the form of variousRead MoreThe Revolution Of The American Revolution850 Words   |  4 PagesIn regards to the American Revolution, the point that armed rebellion became inevitable arrived when after nearly five constant years of American colonist protesting. American s had enough and needed to take a stand for the numerous inequalities they were forced to deal with. It was foreseeable that the American Revolution took place due to the unfair taxes that the British were giving Americans. Also, England was not allowing Americans their freedom, along with violence and the political dominanceRead MoreThe American Revolution. The American Revolution Started1581 Words   |  7 PagesThe American Revolution The American Revolution started when King George the 3rd decided to make the American Colonies pay a large amount of money for the debt of the French and Indian War by giving the colonist different types of taxes like the Sugar Act in 1764. The sugar Act of 1764 was a British Law that was passed on April 5, 1764, that collected incomes from the 13 colonies. The act put a huge tax on the sugar and molasses that were imported into the colonies which were a huge impact for theRead MoreThe American Revolution1337 Words   |  6 PagesThe American Revolution was much more than an insurrection against British tariffs and patronage decree. Rather, it was a bureaucratic catastrophe in which colonists from the thirteen American colonies denied the British sovereignty, eradicated the jurisdiction of Great Britain and established the United States of America. The upheaval was a primitive modern revolution in which generality traversed for liberty in the statute of law, constitutional privilege and supremacy. Ensuing years of contentionRead MoreThe American Revolution889 Words   |  4 PagesThe American Revolution was one of the most vital events in American History lasting form 1775 to 1783, it effected the nation socially, economically and politically. The American Revolution brought upon many changes in America, and freedom of the nation. The Revolutionary War was a stepping stone to what we are as a nation today, it created both short and long-term effects on the world. When wanting to blame a certain side, the British politicians or the American agitators, several key points leadRead MoreThe American Revolution993 Words   |  4 PagesThe topic of the American Revolution is a topic that has been discussed on multiple levels and is extremely well-known, especially within the United States. The details are a little on the generic and basic side but it is at least understood on some level. Most people are aware of the American standpoint, the what, why, how, and when , but there is much more depth to what occurred. The war was obviously between the Americas and the Mother country of Britain, but there were more than just those two

Karl Marx And The Communist Manifesto - 1453 Words

In the Communist Manifesto, a document that first proclaimed the ideology of communism itself, Marx declared that the â€Å"history of all hitherto existing society is the history of class struggles† (Marx, Karl and Frederick Engels). As a man who spurred resentment of governments and inspired revolutionaries, Karl Marx is often regarded as a man who led to the rise of 20th century tyrannical dictators such as Stalin and Mao to take power. His ideas are regarded as failures and, by some, are seen as pure evil. However, the ideas of Marx were not evil and did not solely bring about the rise of dictators. Rather, Karl Marx dedicated his life to bring economic equality to Europe and wanted to bring an end to the corrupt inequality that the†¦show more content†¦Furthermore, Marx’s upbringing also showed him religion s â€Å"seductive tyranny†. His father, a Rabbi, had turned away from Judaism, for the family was living in a predominantly Protestant area tha t was discriminatory against the Jewish people, especially by the rulers of the county (Wheen 9). Marx’s childhood had an immense impact on his life. He was born bourgeois Jew who turned from his faith, argued for socialist values, and eventually died penniless and nearly friendless. As a result of his upbringing, Marx was able to be educated on the ideas of socialism, for he lived in a wealthy family and was able to attend college. His father’s religious switch from Judaism to Christianity not only turned him away from Judaism, but ended up preventing Marx from becoming a Rabbi himself. The nurturing, more father-like, nature of his father-in-law prompted Marx to pursue knowledge and growth over religious ideas or social etiquette. His childhood was the mold that shaped Karl Marx into the man he would become. Marx’s contact with Hegelian philosophy in college changed his perception on social and economic classes in society and inspired him to pursue the idea of socialism further in college despite his father’s wishes. While in college, Marx had begun studying law and had planned to become a lawyer. At the University, there were many who had preached the ideas of Hegel, but Marx turned away at first, not wanting to lose his father’s support and fundingShow MoreRelatedKarl Marx And The Communist Manifesto1044 Words   |  5 Pagesworld was forever changed when Karl Marx published The Communist Manifesto, the ideas of a stateless and classless society would inspire many, and forge the path that many nations would follow, and give rise to numerous conflicts throughout the 20th century. Karl Marx was born in Trier, Germany on May 5th 1818. During his early years he studied philosophy and law, in 1834 Marx had moved to Paris and had adopted a radical view of socialism known as communism. Marx met and became friends with aRead MoreThe Communist Manifesto By Karl Marx1364 Words   |  6 PagesThe Communist Manifesto, written by Karl Marx and Friedrich Engels, has become one of the world s most significant pieces of political propaganda written to this date. The main contributor to the book was Karl Marx. Marx was born on May 5th, 1818 in Western Germany. When he turned seventeen he enrolled at the University of Bonn to study law. Due to his social misbehavior, his father had him transferred to the University of Berlin, which had a stricter regime. During this time at college, heRead MoreKarl Marx And The Communist Manifesto1185 Words   |  5 PagesIn their work called The Communist Manifesto, which was created in 1848, Karl Marx and Friedrich Engels are exploring their ideas and thoughts on the situation that was taking place in their time : the distinction that was more and more visible between two social classes - proletariat and bourgeoisie. The two authors are explaining how the bourgeoisie is exploiting the working class. They are encouraging the oppressed workers to rise and to confront this injustice in order to make their life betterRead MoreThe Communist Manifesto By Karl Marx1094 Words   |  5 Pagesthe rich and the o ppressed would battle the oppressor. During the time â€Å"The Communist Manifesto† was written, we can see two distinct classes battling out as well. These two classes are the bourgeoisie and the proletariat. According to Karl Marx in â€Å"The Communist Manifesto†, the battle will end â€Å"either in a revolutionary reconstitution of society at large, or in the common ruin of the contending classes† (Marx 8). Marx argues that in the end the proletariat would remain because the bourgeoisie areRead MoreKarl Marx And The Communist Manifesto1112 Words   |  5 PagesFail- Past, Present, and Future Karl Marx was born in Prussia in 1818. Later in his life he became a newspaper editor and his writings ended up getting him expelled by the Prussian authorities for its radicalism and atheism (Perry 195). He then met Fredrich Engels and together they produced The Communist Manifesto in 1848, for the Communist League. This piece of writing basically laid out Marx’s theory of history in short form (Coffin 623). The Communist Manifesto is mainly revolved around how societyRead MoreThe Communist Manifesto By Karl Marx Essay1374 Words   |  6 PagesKarl Marx is undoubtedly one the the most influential and controversial writers in modern history; Robert Tucker, a noted political scientist at Princeton University, once asserted, â€Å"[Marx] profoundly affected ideas about history, society, economics, ideology, culture, and politics [and] about the nature of social inquiry itself. No other intellectual influence has so powerfully shaped the mind of modern left-wing radicalism in most parts of the world.† (9). Indeed, his innumerable works, in particularRead MoreThe Communist Manifesto By Karl Marx Essay1426 Words   |  6 PagesKarl Marx is undoubtedly one the most influential and controversial writers in modern history; Robert Tucker, a noted political scientist at Princeton University, once asserted, â€Å"[Marx] profoundly affected ideas about history, society, economics, ideology, culture, and politics [and] about the nature of social inquiry itself. No other intellectual influence has so powerfully shaped the mind of modern left-wing radicalism in most parts of the world.† (9). Indeed, his innumerable works, in particularRead MoreThe Communist Manifesto By Karl Marx1678 Words   |  7 PagesThe Communist Manifesto composed by Karl Marx in 1848 is noted as a standout amongst the most powerful political archives on the planet. The distribution of the book earned Marx the notoriety of a conspicuous humanist and political scholar. Regardle ss of his eminence, there are numerous discussions concerning the thoughts and ideas of socialism figured in the papers that are still heatedly faced off regarding even today. Marx (1998) opened the book with, The historical backdrop of all up to thisRead MoreKarl Marx And The Communist Manifesto993 Words   |  4 PagesKarl Marx published The Communist Manifesto in 1848, and with it a public warning to capitalists that the entire economic, social and political systems would soon crumble. His prediction continues by stating where society was headed as a result of bourgeoisie economics: a revolution by the workers and the eventual ushering in of socialism. Soon after Marx publicized the reasons communism would come to conquer capitalism, riots, strikes and general unrest surfaced in France – just as he predictedRead MoreKarl Marx And The Communist Manifesto Essay1691 Words   |  7 PagesKarl Marx (1818-1883), in collaboration with his benefactor and friend, Friedrich Engels (1820-1895), founded the Marxist Theory. Both men were philosophers, however were referred to as revolutionaries. ‘The Communist Manifesto’, was written collaboratively by both Marx and Engels, as they explored the argument that â€Å"history and progress can be seen dialectically as societies shift from one mode of production to another†. This will be argued through a contextual account of Marxism, its development