Reciprocal and Reflexive Sentences in Spanish

Understanding or translating reflexive or reciprocal sentences in Spanish where there are two or more subjects can be confusing because they can be ambiguous without qualifiers. Learn how these types of sentences are constructed and how to eliminate ambiguity in Spanish using two common phrases. Why There Can Be Ambiguity in Spanish Sentences First, let us define and expand upon what a  reflexive sentence is. The pronoun se is commonly used (although it has many other uses as well) to indicate that a person is performing some type of action on or toward that person. For example, se ve can mean he sees himself and se hablaba can mean she was talking to herself. The confusion with reflexive sentences can come when the subject of such sentences is plural. See, for example, how the following Spanish sentences are ambiguous. Either of the translations given after the Spanish sentence is valid: Se ayudaron. (They helped themselves. They helped each other.)Se golpean. (They are hitting themselves. They are hitting each other.)Pablo y Molly se aman. (Pablo and Molly love themselves. Pablo and Molly love each other.) The same ambiguity can exist in the first and second persons as well: Nos daà ±amos. (We hurt ourselves. We hurt each other.)Nos amamos. (We love ourselves. We love each other.) ¿Os odià ¡is? (Do you hate yourselves? Do you hate each other?) The problem occurs because in Spanish the plural reciprocal pronouns are the same as the reflexive pronouns; they are nos in the first person, os in the second person, and se in the third person. (Note that in Latin America os is seldom used, as se is typically used in both the second- and third-person plurals.) This is in contrast with English where the reflexive pronouns in the plural are ourselves, yourselves, and themselves—but the reciprocal pronouns are each other and one another. How To Clarify When Context Doesn’t Help Most of the time, the context of the sentence will make clear what meaning is intended. If the context does not help, there are two very common phrases that can be used to eliminate the ambiguity. First, the idiom a sà ­ mismos is commonly used to indicate that a reflexive meaning is intended—in other words, that the subjects are acting on themselves rather than each other. For example: Se aman a sà ­ mismos. (They love themselves.)No pueden verse a sà ­ mismos. (They cant see themselves.)Es importante que nos escuchemos a sà ­ mismos. (It is important that we listen to ourselves.) If all the persons involved are female, or if the names of all subjects are grammatically feminine, the feminine form a sà ­ mismas should be used: Cà ³mo se perciben a sà ­ mismas las mujeres con la infertilidad? (How do women with infertility perceive themselves?)Cuà ­dense a sà ­ mismas. (Take care of yourselves.)Estas piernas robà ³ticas son capaces de enseà ±arse a sà ­ mismas a andar. (These robotic legs are capable of teaching themselves to walk.) Second, the phrase el uno al otro, which can be literally translated as one to the other, is the rough equivalent of each other: No debemos hacernos eso el uno al otro. (We shouldnt do that to each other._Se golpean el uno al otro. (They are hitting each other.)El ordenador y el monitor se necesitan el uno al otro. )The computer and the monitor need each other.) ¿Os odià ¡is el uno al otro? (Do you two hate each other?) El uno al otro can also be used in feminine and/or plural variations: Pablo y Molly se aman el uno a la otra. (Pablo and Molly love each other.)Se abrazaban la una a la otra. (The two females hugged each other._No se cuidan los unos a los otros. (They (multiple persons) dont take care of each other.) Key Takeaways Reflexive pronouns are used to indicate that two or more persons or things are acting on themselves, while reciprocal pronouns are used to indicate that two or more persons or things are acting on themselves.Although English has separate reflexive and reciprocal pronouns, in Spanish they are identical.Spanish can use the phrases a sà ­ mismos (or a sà ­ mismas) and el uno al otro (with variations for number and gender) to clarify reflexive and reciprocal verbs, respectively.

Analysis Of Homer s The Odyssey - 957 Words

In Homer’s The Odyssey, men acquire all the power, and women live only as aides to men; however, women assert their dominance over men in many occasions where they actually strip men of their dominance. At the end of Book 21, the main character, Odysseus, strings his bow, and shoots it through the row of axes winning Penelope’s competition. By doing this, Odysseus asserts his dominance which he has not had in many years because women stripped him of it. Odysseus’ entire demeanor relates to dominance, or masculinity. He resembles the ideal man through his warrior abilities, ideal body, and cunningness. In the Iliad, Odysseus fights alongside the Greek army at Troy as a commander. In fact, the idea of the Trojan Horse attack came from Odysseus, and, inevitably, his strategy allowed for the Greeks to win the war exemplifying his abilities as a warrior. His body â€Å"taller to all eyes, his build more massive now, and down from his brow . . . ran his curls like thick hyacinth clusters† (6: 253-255). This description resembles what the ideal man looks like. He had many instances where his cunningness showed as well. For example, the episode with Polyphemus: Odysseus and his men attempt to steal from a Cyclops, but when Polyphemus captures them, and eats the men twice a day until Odysseus thinks of a plan to get them out. Odysseus tells Polyphemus, â€Å"Nobody – that’s my name. Nobody† (9: 410); which leads to Polyphemus screaming â€Å"Nobody’s killing me† (9: 455) when the other CyclopesShow MoreRelatedAnalysis Of Homer s Odyssey By Homer1202 Words   |  5 Pagescoping with the idea of losing his father and letting others to rule Ithaca. It is noticeable from the beginning of The Odyssey, written by Homer that Telemachus finds himself in a complicated situation where his life is seen to be in danger. He is a character of being distance from people. The idea of Telemachus becoming his own father, threatens suitor’s control in Ithaca. Homer describes Telemachus as a teenager who has not found himself and is on a mission to become an adult as his father. TelemachusRead MoreAnalysis Of Homer s Odyssey By Homer1095 Words   |  5 Pagesused in Homer’s Odyssey is the digression. The digression is departure from the main storyline that does not alter the action of the story, but adds a layer of sentimental content to the plot which usually helps undersco re themes central to the story. The digressions in the Odyssey are meticulously written with great attention to detail just like the rest of the epic, and they truly help readers grasp the important aspects of the story. The liberal use of digression in the Odyssey helps build a vividRead MoreAnalysis Of Homer s Odyssey By Homer2018 Words   |  9 PagesThe Odyssey by Homer is more light in tone than the Iliad, of the same author: The good wins while the evil is punished. Even though the gods are still strict, the relationship between Odysseus and Athena is a more sincere and equal a relationship than between God and Man in the Iliad. Odysseus is distinguished not only by his bravery, but largely by his intellect and cunning. He is the type of resourceful man whom never gives up, thinks of the causes, is reverent and never gives in. The Odyssey isRead MoreAnalysis Of Homer s Odyssey, By Homer915 Words   |  4 PagesThroughout the Odyssey, the hero, Odysseus is portrayed in two di fferent and contradicting lights: the wise hero and the capricious leader blinded by his own pride. The epic writer, Homer, embodies the theme of hubris throughout Odysseus’ journey home. The idea of hubris, a trait of excessive pride, significantly develops personalities of characters within The Odyssey, and Homer ultimately creates a statement about excessive pride. The dual portrayal of Odysseus leads the reader to ultimatelyRead MoreAnalysis Of Homer s Odyssey By Homer Essay1479 Words   |  6 Pages The word â€Å"Family†, according to Merriam Webster, is thought to be a group of people brought together by common affiliation. The same cannot be said for the culture in the Odyssey by Homer. In the Odyssey, Odysseus is trying to get back home from fighting in the Trojan War. He has been away from home for almost 20 years longing to just be reunited with his kinfolk. Along the way, he comes across many obstacles that hinders him from reaching his home and family in in Ithaca. Luckily, the memoriesRead MoreAnalysis Of Odyssey By Homer s Odyssey2253 Words   |  10 Pagesand Midwifery Council, 2006). The literature surrounding the subject of mentorship is vast and fails to provide a single definition, however the terms used are often similar. Colley (2000) writes that the word mentor originated in Homer’s poem ‘Odyssey’ in which the character oversees the development of Telemachus. Usually mentoring describes the process of an experienced team member using their skills and knowledge to educate and develop a junior or less skilled co-worker (Chartered Institute ofRead MoreAnalysis Of Homer s The Odyssey 1483 Words   |  6 PagesViolence in The Odyssey Violence in Literature can take any form, whether it be natural disaster like and earthquake or a human based disaster like war (Campbell). In Homer’s The Odyssey both types are found†¦ whether it’s Odysseus’s hardships like making it home or dealing with the wrath of the god Poseidon. Every violent scene has its own reasons, some are more reasonable than others. For instance, the gods were angered by the disobedience of the mortals, this is more reasonable than the killingRead MoreAnalysis Of Homer s The Odyssey 795 Words   |  4 Pages Odysseus Epic Hero In the Epic, â€Å"The Odyssey, spoken by Homer, conveys a heroic tale of an epic hero named, Odysseus, who faces many challenges as he sails to get home. One of the tasks Odysseus faces is, The Sirens, who challenge Odysseus s will power. Another challenge Odysseus encounters is, â€Å"The Cyclops, who torments and slaughters some of Odysseus s men due to his curiosity. One of the hardest threats he had to confront was, â€Å"The Land ofRead MoreAnalysis Of Homer s The Odyssey1636 Words   |  7 PagesGreek society, Homer’s The Odyssey provides a detailed insight into the values of this intricate culture. In particular, this epic discusses the ways in which the deathless gods influence the fates of the mortals. The overall impact of the gods’ power is the mental straining that emerges from the unrelenting conflict of man versus immortal. Likewise, the actions and misfortunes of others also catalyze this extremely significant and powerful mental battle. Homerâ€⠄¢s The Odyssey reveals the values of ancientRead MoreAnalysis Of Homer s The Odyssey 1128 Words   |  5 Pages The Odyssey shows a lot of different stereotypes for women throughout the book, taking action to get what they want. Odysseus is trying to get back home after ten long years since the fall of troy, and his son is going out to find him. Throughout the book Odysseus meets lots of woman who vary in personality. He meets woman with the stereotypes: â€Å"mantis†- dominant, eats its mate, destroys to gain power, feared by many. â€Å"Damsel in distress†- persecuted maiden, woman placed in a dire predicament requires

How to Get a Student Visa to the United States

Students who want to travel to the United States in order to study need to meet specific visa requirements. Other countries (UK, Canada, etc.) have different requirements that play an important role when deciding where to study English abroad. These student visa requirements may change from year to year. Types of Visas F-1 (student visa). The F-1 visa is for full-time students enrolled in an academic or language program. F-1 students may stay in the U.S. for the full length of their academic program, plus 60 days. F-1 students must maintain a full-time course load and complete their studies by the expiration date listed on the I-20 form. M-1 (student visa). The M-1 visa is for students who participate in vocational or other recognized nonacademic institutions, rather than language training programs. B (visitor visa). For short periods of study, such as a month at a language institute, a visitor visa (B) may be used. These courses do not count as credit toward a degree or academic certificate. Acceptance at a SEVP Approved School If you would like to study for a longer period of time, you must first apply and be accepted by a SEVP (Student and Exchange Visitor Progam) approved school. You can find out more about these schools at the Department of State Education USA website. After Acceptance Once you are accepted at  a SEVP-approved school, you will be enrolled in the Student and Exchange Visitor Information System (SEVIS) — which also requires the payment of  a  SEVIS  I-901 fee of $200  at least three days before submitting your application for a U.S. visa. The school to which you have been accepted will provide you with a form I-20 to present to the consular officer at your visa interview. Who Should Apply If your course of study is more than 18 hours a week, you will need a student visa. If you are going to the U.S. primarily for tourism, but want to take a short course of study of less than 18 hours per week, you may be able to do so on a visitor visa. Waiting Time   There are several steps when applying. These steps may differ, depending on which U.S. embassy or consulate you choose for your application. Generally speaking, there is a three-stage process for obtaining a U.S. student visa: 1) Obtain an interview appointment 2) Take the interview 3) Get processed Allow six months for the entire process. Financial Considerations Students are also expected to show financial means to support themselves during their stay. Students are sometimes allowed to work part-time at the school they are attending. Student Visa Requirements Acceptance by university or learning institutionKnowledge of English language (usually established through TOEFL scores)Proof of financial resourcesProof of non-immigrant intent For more detailed information visit the US State Departments F-1 information page Tips Double check requirements at the consulate or embassy near you before beginning the process.Find out which school you would like to attend and make sure that it is SEVP-approved.Apply to the school you would like to attend before applying for a visa.Pay the SEVIS I-901 fee well before your visa Interview. Source Your 5 Steps to U.S. Study. EducationUSA.

Pricewaterhousecoopers Human Resource Review - 1346 Words

PricewaterhouseCoopers Human Resource Review Prepared by: Chunming Liu Instructor: Elaine Lau 2014/12/5 Introduction PricewaterhouseCoopers (PWC) is a global professional service company that mainly provides assurance service, advisory service, tax planning and legal and financial business. PWC ranked third in Forbes Global Ranking, ranked first in accounting and it is one of the Big Four audit firms. PricewaterhouseCoopers has opened business in over 150 regions in the world and it owns over 184,000 employees. There are some contributors to its success from human resource management in PWC. The most information in this paper is mainly from official webpage of PWC (www.pwc.com). Recruitment and Selection Practices The PWC select their employees by considering both sides’ need and they also care about the motivation of applications. Similarly in our text book, it is mentioned, most organizations are looking for employees who are â€Å"qualified for the position but also want the job† (Ivancevich Konopaske, 2013). The culture of PWC is â€Å"We recruit top talent with a focus on diversity and inclusion†. PWC believes that their company culture is created by the people they have and it’s the core of their success. Meanwhile, PWC put credit on diversity of their employees. The chairman of PWC says: â€Å"Diversity is a key issue for us†. PWC is currently working on female millennials program, to train and develop female’s leadership to make full use of talents of womenShow MoreRelatedPresentation Of Pricewaterhousecoopers Audit Report1040 Words   |  5 PagesLisa Cohen, Kieran Kays †¢ Guests: Eric Schwartz of PriceWaterhouseCoopers and Tina Naimie of Dartmouth Hitchcock Minutes The minutes of the June 19, 2015 meeting were approved. Presentation of PriceWaterhouseCoopers Audit Report Mr. Eric Schwartz of PriceWaterhouseCoopers (PwC) provided an Audit Committee presentation of the audit of fiscal 2015 consolidated financial statements of Dartmouth Hitchcock-Health and Subsidiaries. PriceWaterhouseCoopers issued an unmodified opinion on the consolidatedRead MorePresentation Of Pricewaterhousecoopers Audit Report1002 Words   |  5 PagesMinutes The minutes of the June 19, 2015 meeting were approved. Presentation of PriceWaterhouseCoopers Audit Report Mr. Eric Schwartz of PriceWaterhouseCoopers (PwC) provided the Audit Committee with a presentation of the audit of fiscal 2015 consolidated financial statements of Dartmouth Hitchcock-Health and Subsidiaries. PriceWaterhouseCoopers issued an unmodified opinion on the consolidated financial statements. Areas identified for audit procedures for NLHA include entity level controlsRead MoreSegment Reporting11070 Words   |  45 PagesA practical guide to segment reporting September 2008 PricewaterhouseCoopers’ IFRS and corporate governance publications and tools 2008 IFRS technical publications IFRS Manual of Accounting 2008 Provides expert practical guidance on how groups should prepare their consolidated financial statements in accordance with IFRS. Comprehensive publication including hundreds of worked examples, extracts from company reports and model financial statements. IFRS Pocket Guide 2008 Provides a summaryRead MoreTo what Extent is Corporate Social Responsibility Beneficial to a Company’s Performance?1078 Words   |  5 Pagesprojects (Cheng, Ioannou, Serafeim, 2014). Consequently, more sources of funds may be available, potentially increasing the market value of those companies. Managers use CSR measures as a way to reduce direct costs of doing business. PricewaterhouseCoopers (2002) surveyed senior executives from 140 large US companies, 73 percent of the respondents revealed that cost reduction was one of the top three reasons for taking CSR measures. Berman, Wicks, Kotha and Jones (1999) propose that â€Å"being proactiveRead MoreFord and Toyota Case Study Essay3959 Words   |  16 Pagesvehicles. They have two operating sectors: automotive and financial services. Within these sectors, their business is divided into reportable segments based upon the organizational structure that they use to evaluate performance and make decisions on resource allocation, as well as availability and materiality of separate financial results consistent with that structure. Automotive segment is divided into â€Å"Ford North America†, â€Å"Ford South America†, â€Å"Ford Europe†, â€Å"Ford Asia Pacific Africa†, â€Å"Volvo†. Read MoreThe Key For Success Is Sustainability1227 Words   |  5 PagesSustainability is the key issue for Human Rights and business leaders worldwide. Sustainability can be defined as the ability to endure or the ability to sustain. Today, it is by no means certain our society has the capacity to endure. The planets ecosystems are deteriorating and the climate is changing. The public is consuming so much, and so quickly, that we are alr eady living far beyond the earth’s capacity to support us, and yet nearly a sixth of our fellow humans go to bed hungry each day. BothRead MoreProblem Solution: Riordan Manufacturing Essays1853 Words   |  8 PagesManufacturing has three major stakeholders; senior management, employees and the customer. The president of the company has listened to senior management and is unwilling to move forward with a new compensation and instead has decided to hire a human resource (HR) consulting firm to determine what the real issues are. The Chief Operating Officer and the Chief Financial Officer are in agreement that the company’s HR director is more than capable of analyzing the results of the employee survey; howeverRead MoreThe Role Of Performance Appraisals On Compensation Decisions1599 Words   |  7 PagesThe Role of Performance Appraisals in Compensation Decisions The rise in the competitiveness of the ever-changing business environment has caused organizations to search for strategic ways to obtain and sustain a competitive advantage. Human resource managers can create competitive advantage for an organization by implementing effective performance appraisal systems, which properly compensate and incentivize employees. Incentivizing and compensating employees through an effective performance appraisalRead MoreMU1 Assignment 2 Essay1711 Words   |  7 Pagesthe business *** identify and establish a process for collaboration on risk mitigation with other organizations and partners *** integrate Enterprise Risk Management into the organization *** focus resources on key risks in order to achieve the organization’s objectives (Source – PricewaterhouseCoopers – effective ERM) Under IAA Standard 2120 – Risk Management: â€Å"The internal audit activity must evaluate the effectiveness and contribute to the improvement of risk management processes.† Practice advisoryRead MoreLeadership Development : An Effective Leader1238 Words   |  5 Pagessurvey by PricewaterhouseCoopers and the Association Resource Center showed the mean return on investment in coaching to be seven times the initial investment, with more than a quarter of respondents reporting returns ranging from 10 to 49 times their initial investment (McDonagh, 2016). The results of these initial studies on the effectiveness of coaching interventions and the return on investment are encouraging indicators of a high performing talent strategy. However, a further review of the available

Man the Maker of His Destiny Free Essays

We are responsible for what we are, and whatever we wish ourselves to be, we have the power to make ourselves. If what we are now has been the result of our own past actions, it certainly follows that whatever we wish to be in future can be produced by our present actions; SO WE HAVE TO KNOW HOW TO ACT. Man is man, so long as he is struggling to rise above nature, and this nature is both internal and external†¦And if we read the history of nations between the lines, we shall always find that the rise of a nation comes with an increase in the number of such men, and the fall begins when this pursuit after the Infinite, however vain the utilitarian may call it, has ceased. We will write a custom essay sample on Man the Maker of His Destiny or any similar topic only for you Order Now That is to say, the mainspring of the strength of every race lies in its SPIRITUALITY and the death of that race begins the day that spirituality wanes and materialism gains ground. You have to GROW inside out. None can teach you, none can make you spiritual. There is no other teacher but YOUR OWN SELF. MAKE YOUR OWN FUTURE. Let the dead past bury its dead†. The infinite future is before you, and you must always remember that each WORD, THOUGHT and DEED lays up a store for you, and that as the bad thoughts and bad works are ready to spring upon you like tigers, so also there is the inspiring hope that the good thoughts and good deeds are ready with the power of a hundred thousand angels to defend you always and forever. I am sure NATURE will pardon a man who will use his reason and cannot believe, rather than a man who believes blindly instead of using the faculties He has given him.. .WE MUST REASON; and when reason proves to us the truth of these prophets and great man about whom the ancient books speak in every country, we shall believe in them. We shall believe in them when we see such prophets among ourselves. We shall then find that they were not peculiar men, but only illustrations of certain principles. Go on doing good, thinking good thoughts continuously, that is the only way to suppress base impressions. Never say any man is hopeless, because he only represents a character, a bundle of habits, which can be checked by new and better ones.Character is repeated habits; and repeated habits alone can reform character. .. The chaste brain has TREMENDOUS energy and GIGANTIC will power. We can overcome the difficulty by CONSTANT PRACTICE. We must learn that nothing can happen to us, unless we make ourselves susceptible to it. `It is the coward and the fool who says, â€Å"THIS IS FATE†- so says the Sanskrit proverb. But it is the strong man who stands up and says, â€Å"I WILL MAKE MY FATE â€Å". It is the people who are getting old who talk of fate. Young men generally do not come to astrology. How to cite Man the Maker of His Destiny, Papers

Lady Macbeth In The Tragedy Of Macbeth; The Iron Butterfly Essay Example For Students

Lady Macbeth In The Tragedy Of Macbeth; The Iron Butterfly Essay Lady Macbeth in The Tragedy of Macbeth; the Iron ButterflyIn William Shakespeares, The Tragedy of Macbeth, Lady Macbeth is the dominator of the play. Lady Macbeths character is not as eclectic as her husbands but it is just as dramatic. Lady Macbeth has a rich and fascinating combination of qualities. She is not a monster without feeling; her husband adores her, for example, Be innocent of the knowledge, dearest chuck, (III, ii, 45). Macbeth also refers to Lady Macbeth as his dear partner. Lady Macbeth is horrified by blood and during her sleepwalking soliloquy she refers to her little hand suggesting a delicate nature and stature by uttering this: All the perfumes / of Arabia will not sweeten this little hand. (V, i, 43-44). All of this, however, does very little to soften her true nature.She is sly and artful as she urges Macbeth to kill Duncan and she is particularly treacherous when she continually urges him to shake off his torments. For example, in this scene from the play, Shakespeare gives the reader an idea of the twist that he gives her personality and how ruthless she can be:I have given suck, and know How tender tis to love the babe that milks me: I would, while it was smiling in my face, Have plucked my nipple from his boneless gums, And dashed the brains out, had I so sworn as you Have done to this. (I, vii, 54-59). In the next examples you can see how she persuades Macbeth to ignore his torments of his guilt of the murder: These deeds must not be thought / After these ways; so, it will make us mad. (II, ii, 33-34), and Why, worthy thane, / You do unbend your noble strength, to think / So brainsickly of things? (II, ii, 43-45). Seemingly, she suffers no pangs of conscience. It is easy for her to be bright and merry and it seems second nature for her to play at being the most gracious of hostesses. Duncan is completely deceived by her thoughtfulness. Also, take in consideration that in the midst of her chaotic dinner party, she retains her composure and saves her husband from added embarrassment.In todays vernacular, she might accurately be characterized as being an iron butterfly-delicate but invincible. She is impatient and absolute when her husband cannot carry out the details of their assassination plot. Although it is Macbeth who commits the actual deed of murder, it is Lady Macbeth who returns to Duncans chamber and smears the blood upon the grooms. Her self-control is superhuman; in fact, Macbeth is terrified of it and her unfailing resourcefulness. In this example, Shakespeare demonstrates how much self control she has over the evil deed: A little water clears us of this deed: / How easy it is then! (II, ii, 66-67). In fact, Lady Macbeth tried to murder Duncan herself, but he appeared to look like her father while he was sleeping so she could not. Selfishly, she fastens her husbands attention on the throne of Scotland. It is she who sees to the details of the crime: Only look up clear. / To alter favor ever is to fear. / Leave all the rest to me. (I, vi, 69-71). It is she who is more concerned that Macbeth has failed to kill Duncan, when he reconsiders the murder, than the possibility that their plans have been exposed. It is she, rather than Macbeth, who says, Go get some water, And wash this filthy witness from your hand. .u464d162935ba87277c570f176bc7ae36 , .u464d162935ba87277c570f176bc7ae36 .postImageUrl , .u464d162935ba87277c570f176bc7ae36 .centered-text-area { min-height: 80px; position: relative; } .u464d162935ba87277c570f176bc7ae36 , .u464d162935ba87277c570f176bc7ae36:hover , .u464d162935ba87277c570f176bc7ae36:visited , .u464d162935ba87277c570f176bc7ae36:active { border:0!important; } .u464d162935ba87277c570f176bc7ae36 .clearfix:after { content: ""; display: table; clear: both; } .u464d162935ba87277c570f176bc7ae36 { display: block; transition: background-color 250ms; webkit-transition: background-color 250ms; width: 100%; opacity: 1; transition: opacity 250ms; webkit-transition: opacity 250ms; background-color: #95A5A6; } .u464d162935ba87277c570f176bc7ae36:active , .u464d162935ba87277c570f176bc7ae36:hover { opacity: 1; transition: opacity 250ms; webkit-transition: opacity 250ms; background-color: #2C3E50; } .u464d162935ba87277c570f176bc7ae36 .centered-text-area { width: 100%; position: relative ; } .u464d162935ba87277c570f176bc7ae36 .ctaText { border-bottom: 0 solid #fff; color: #2980B9; font-size: 16px; font-weight: bold; margin: 0; padding: 0; text-decoration: underline; } .u464d162935ba87277c570f176bc7ae36 .postTitle { color: #FFFFFF; font-size: 16px; font-weight: 600; margin: 0; padding: 0; width: 100%; } .u464d162935ba87277c570f176bc7ae36 .ctaButton { background-color: #7F8C8D!important; color: #2980B9; border: none; border-radius: 3px; box-shadow: none; font-size: 14px; font-weight: bold; line-height: 26px; moz-border-radius: 3px; text-align: center; text-decoration: none; text-shadow: none; width: 80px; min-height: 80px; background: url(https://artscolumbia.org/wp-content/plugins/intelly-related-posts/assets/images/simple-arrow.png)no-repeat; position: absolute; right: 0; top: 0; } .u464d162935ba87277c570f176bc7ae36:hover .ctaButton { background-color: #34495E!important; } .u464d162935ba87277c570f176bc7ae36 .centered-text { display: table; height: 80px; padding-left : 18px; top: 0; } .u464d162935ba87277c570f176bc7ae36 .u464d162935ba87277c570f176bc7ae36-content { display: table-cell; margin: 0; padding: 0; padding-right: 108px; position: relative; vertical-align: middle; width: 100%; } .u464d162935ba87277c570f176bc7ae36:after { content: ""; display: block; clear: both; } READ: Lower Voting Age In Canada Essay Why did you bring these daggers from the place? They must lie there: go carry them, and smear The sleepy grooms with blood. (II, ii, 45-49). She immediately perceives that the blood and the daggers are incriminating and admonishes Macbeth for being so foolish.Throughout the play, her courage and her practicality work together successfully. It is only in private that Lady Macbeth shows her weariness. Almost naively, she urges Macbeth to sleep and, here, her faith in sleep is deeply ironical. It is only after she has suffered a mental breakdown, that you realize how deeply her crimes have haunted her. This is an quotation from the play from the scene where is Lady Macbeth is sleepwalking and has gone mad: The Thane of Fife had a wife. Where is she / now? What, will these hands neer be clean? (V, i, 37-38). The doctor tells the Gentlewoman that he is unable to tell what is wrong with her, however, he possibly diagnoses her with evil practices: Foul whisprings are abroad. Unnatural deeds Do breed unnatural troubles. Infected minds To their deaf pillow will discharge their secrets. More needs the divine than the physician. (V, i, 62-65). In The Tragedy of Macbeth, Shakespeare illustrates how Lady Macbeth truly controls the entire play. The final result of the many evil deeds that she participated in was death. Lady Macbeth went completely insane from her ill natures and left Macbeth alone to obtain all of the faults. However, Shakespeare makes sure that the reader realizes that she is diverse in her abilities and her character. Lady Macbeth is, in todays colloquial, the iron butterfly in the play.

Clinical Remediation Activities

Questions: 1. What do you consider to be the main priorities of care for Mr. Teng in the first 24 hours post-op? 2. Describe the assessments that you would undertake in the post-operative period to enable early detection of potential post-op complications? 3. Day 1 post-op. At 1000hrs you assess Mr. Tengs vital signs to be? 4. Identify the immediate nursing priorities of care, with associated rationales, for James on admission to the Emergency Department? 5. Explain why rest and reassurance are an important aspect of James ongoing care? 6. James asks you if he is having a heart attack. What would your response be? 7. How do pre-existing medical conditions predispose Bill to post-operative complications? 8. What are the most likely post-operative complications to develop for Bill? 9. What pre and post-operative nursing interventions will be essential while taking care of this patient? 10. What are the priority nursing interventions on admission to the ward? 11. What are Mrs Johnsons risk factors for peripheral arterial disease? 12. Outline the primary nursing responsibilities when caring for Mrs Johnson? Answers: 1. The key priority of Mr. Teng in first 24 hours post-op include the pain management, control of patients breathing after anaesthesia and proper wound care. 2. The assessments that would be undertaken in post-operative period include: A-E assessment Pain score measurement Consciousness of patients 3. The assessment of data is suggesting a fluid imbalance of Mr. Teng, as a post-operative complication. Other data that helped in clarifying findings are a lower BP, 98/65 and 100 ml urination since 12 midnight. The student nurse will inform the registered nurse, who is patients in-charge and administration of fluid retention medication. 4. James would be admitted to the emergency department immediately and then he would be assessed through cardiac MRI and ECG (Doenges, Moorhouse Murr, 2016). Based on diagnosis, nitroglycerin would be administered, as it helps in widening blood vessel and more blood flow to heart muscle with relieving pain. 5. Sometimes, in case of angina pecortis, chest pain lasts for longer period, in other cases, like exercise-induced chest pain last for less time, however, it becomes difficult to distinguish the cause of chest pain, thus, rest and reassurance of the cause of chest pain is important to be considered for getting proper ECG result. 6. The immediate response to Jamess query would be not sure, prior having the ECG and CT scan reports, which would confirm whether he had an angina or heart attack. 7. Bill has previous history of type 2 diabetes mellitus, smoking history and hypertension and on auscultation, respiratory tract disease. Thus, these medical conditions can pre-dispose to poor immunity, tendency of delayed recovery and breathing problem. Answer 2 8. Bill can have several post-operative complications like delayed wound recovery, blood loss during surgery and risk of revive after anaesthesia. 9. Pre and post operative assessments are required to ensure healthy condition of patient. A-E assessment, fluid balance and consciousness should be assessed during both pre and post operative period. 10. During admission, taking the incident report, medical history and reason for admission should be noted. 11. Risk factors of developing peripheral arterial disease by Mrs. Johnson are her medical history of hypertension, myocardial infarction, smoking history and type 1 diabetes. 12. The key responsibilities of the caring nurse towards Mrs. Johnson include proper wound management, surgical site infection prevention, control of blood pressure and blood sugar level (Gulanick Myers, 2013). Bedside check AM Shift Patient/time 0700 0800 0900 1000 1100 1200 1300 1400 1500 Mr. Campbel Atenolol due Mr. Nash Oral antibiotic due Physiotherapy appointment, dressings are stained and peeling Panadol due Oral antibiotic due Mr. Bates Usual meds Appointment with hand physiotherapist Panadol due Discharge Mrs. Brason Sinemet tablet due Regular meds due Sinemet tablet due Regular meds due Sinemet tablet due Regular meds due Triggers Patient Triggers Bed 1 What are the complications related to abdominal polyps? Why doctors ordered to cease IV fluids immediately? What is the cause behind patients infrequent urination? What is the role of atenolol at this time? Bed 2 Why the team doctors of the patient suggested ceasing PCA and starting Oxycotin BD with Endone PRN? What are the post knee surgery complications? What others information a nurse should know to ensure proper wound management? Bed 3 What complications may the patient experience, while travelling by train after 1 day of left hand surgery? What complications he can experience during post surgery period? What is the information, which should be conveyed to patient regarding recovery and follow ups? Bed 4 What are patients input and output data? What are the risk factors associated with her symptoms like poor skin turgor and dry mucous membrane? What is the role of Sinemet tablets in her care plan? What should be key priorities of a nurse dealing with a patient experiencing parkinsons disease along with additional complications? Nursing priorities Patient Triggers Bed 1 To ensure ending the IV fluid after receiving the order of doctor Assessment of abdominal discomfort and documenting the assessment findings Conveying the findings to doctors and work according to the doctors orders Taking observations of the patients vital signs after every 4 hours Proper administration of scheduled medications (Kalisch et al., 2011) Completing all the documentation prior patients discharge Communication with the patient and family regarding follow up and further threatments Bed 2 Post-surgical wound management and infection control through maintaining hygiene measures Dressing to be reviewed and dressed accordingly - ensure wound chart in place (Urden, Stacy Lough, 2014) Ensure patient has been charted for regular Oxycontin BD and Endone PRN regime after PCA has been taken down Pain score assessment after scheduled interval Keep patient adhered to the physiotherapy sessions at scheduled time Bed 3 To ensure proper wound dressing and management To ensure proper infection control and hygiene measures while dealing with the surgical wound Documentation of pain score Communication with the patient regarding complications he may have, while travelling by train at this condition Administering due medicines at the scheduled time ordered by doctor(Kalisch et al., 2011) Assisting the patient in the physiotherapy session Communicating with patient regarding the follow up sessions Bed 4 To assist the patient in her ADLs To assist the patient with emotional and moral support To ensure the patient is consuming required amount of water needed To document proper input and output data of the patient To assess the patients skin integrity and inform the doctor regarding this To ensure proper dressing of wound and infection control (Urden, Stacy Lough, 2014) To ensure proper administration of patients regular medication at scheduled time To document patients vital signs at scheduled time interval Progress Notes Bed 1 Patient name: Mr. Campbell Sex: Male Age: 40 yrs Date and time Notes 0400 hrs Temp- 37.2 degree Celsius, HR- 80 bpm, BP- 150/75 mmHg and RR- 14 rpm. 0800 Patient reported mild abdominal discomfort BP has been lowered to 120/70 mmHg and there was no complain regarding abdominal discomfort prior discharge Passed urine 3 times with a bladder scan result of 40 mls 1400 hrs Patients wife will pick him up upon discharge Bed 2 Patient name: Mr. Nash Sex: Male Age: No information Date and time Notes 0600 hrs Temp- 36.5 degree Celsius, HR-65bpm, BP-110/65mmHg and RR-12rpm, patient appeared to be drowsy but conscious, he was able to communicate 0800 hrs After PCA has been taken down, he had been administered with Oxycontin and Endone 0900 hrs Patient visited physiotherapy session and mobilisation would be reviewed in the afternoon Dressing was done after physiotherapy session. It was observed that the surgical site is oozing. Gauze and Mepilex border has been used for dressing. Dressing need not to be changed regularly, it should be changed only when needed Bed 3 Patient name: Mr. Bates Sex: Male Age: No information Date and time Notes 0800 hrs His regular medicine has been administered 1000 hrs Patient had a physiotherapy appointment. Patient is able to elevate his arm as much as possible and recommended to use arm sling, if needed 1200 hrs Panadol has been administered 1400 hrs Patient will be discharged after review at hand clinic Analgesia script ready for patient Discharge forms and instruction provided to the patient Bed 4 Patient name: Mrs. Branson Sex: Female Age: 90 yrs Date and time Notes 0700 Sinement administered to the patient 0800 Patients regular medicine has been administered 1100 Sinement administered to the patient 1200 Patients regular medicine has been administered 1300 Sinement administered to the patient 1400 Patients regular medicine has been administered Oral intake of the patient has been increased after consulting with speech pathologist and geriatric consult The patient appears to be confused and facing difficult in communicating with staff The patient needs assistance during shower and incontinence pad applied Mrs Branson has been put on a strict fluid balance chart. With the help of assistance and encouragement, she is drinking fairly well Patient has been categorized to have falls risk, for this, fall assessment form and Waterlow charts updated ISBAR Handover Information What do you like to include? I Introduction Parkinson disease is the key concern of Mrs. Bransons case. In addition, she has undergone a fall. Information about patient other medical history are needed to be included S Situation Experiencing a fall, Mrs. Branson has been admitted to the hospital since 5 days. She has a poor appetite and appeared confused, she has hearing difficulty also. She is mobile, but she is not willing to drink water. However, no input and output data for the patient has been found. She is being administered with Sinemet tablets at scheduled intervals. No information regarding current vital sign and pain assessment has been provided to evaluate the situation. These information needed to be included B Background Mrs. Branson is 90 years old. Patient has a medical history of Parkinsons disease. She is undergoing a poor appetite and confusion and refusing to intake water. The team doctors recommended increasing her oral intake. She has several complications related to her health status including hearing issue. But she is mobile. No background information about the patient has been provided, her family back ground, family medical history, since when she is experiencing the neurological disorder and other issues has not been included, which are needed to be included. In addition, information regarding her current family members, occupation and social support are also needed to be included A Assessment A- Airway- No information B- Breathing- No information C- Circulation- No information D- Disability- Needs assistance during shower, inconsistency pad application, hearing difficulties, difficulties in communicating with staffs and confused E- Exposure- Poor skin turgor, dry mucous. Dressings on her skin tears were not appropriate. F- Fluids- Refusing to drink water initially, but now she is drinking fairly well, upon assistance and encouragement G- Glucose- No information Neurological- Experiencing Parkinsons disease, Confusion, communication difficulty, hearing difficulty Respiratory- No information Cardiovascular- No information Gastrointestinal- No significant information found Urology- The input and output information are not available. Patient has urine inconsistency problem, for which she needs to wear pad by taking assistance Musculoskeletal- fall injury, categorised to have fall risk and fall assessment form and Waterlow charts updated Integumentary- Poor skin turgor, dry mucous, dehydrated skin No particular information regarding the assessment tools has been provided, which has been used for assessing the patients vital signs. Patients information regarding airway, breathing, circulation, blood glucose level, BP, gastrointestinal and cardiovascular status are needed to be included R Recommendation Proper information regarding patients background and vital signs are needed to include in the progress note A good moral and emotional support should be provided to the patient to encourage her towards her care plan Her family members should be involved in the care process The fall injury should be assessed along with the pain score, after scheduled intervals A proper speech therapy should be undergone along with geriatric consultation She should be effectively communicated for encouraging her to adhere with the fluid balance chart for improving her appetite References Doenges, M. E., Moorhouse, M. F., Murr, A. C. (2016). Nursing diagnosis manual: planning, individualizing, and documenting client care. FA Davis. Gulanick, M., Myers, J. L. (2013). Nursing care plans: nursing diagnosis and intervention. Elsevier Health Sciences. Kalisch, B. J., Tschannen, D., Lee, H., Friese, C. R. (2011). Hospital variation in missed nursing care.American Journal of Medical Quality, 1062860610395929. Urden, L. D., Stacy, K. M., Lough, M. E. (2014).Critical care nursing: diagnosis and management. Elsevier Health Sciences.