Junot Diaz Bio Essay Example for Free

Junot Diaz Bio Essay Loaned DDS was conceived In the Dominican Republic and raised New Jersey. He Is an experimental writing instructor at MIT and fiction proofreader at the Boston Review. He additionally serves on the leading group of counselors for the Freedom college, a Volunteer association in Georgia that gives present auxiliary guidance on undocumented foreigners. From what I have perused I have assembled that he truly needed to depend on himself. Getting him through school maintaining the Sources of income where you need to accomplish the grimy work, dishes, and siphoning gas. As far as anyone knows Drown reflects Diazs stressed relationship with his own dad, with whom he no longer stays in touch with. Diaz was conceived in Villa Juana, an area in Santo Domingo, Dominican Republic. He was the third youngster in a group of five. Through the greater part of his youth he lived with his mom and grandparents while his dad worked in the US. Diaz emigrated to Parlin, New Jersey, in December of 1974, where he had the option to rejoin with his dad. He lived near what he thought about probably the biggest landfill in New Jersey. His short fiction has showed up In The New Yorker magazine, which recorded him as one of the 20 top journalists for the 21st He has additionally been distributed in Story, The Paris Review, and in the collections The Best American Short Stories multiple times (1996, 1997, 1999, 2000), The PEWO. Henry prize stones (2009), and African voices. He s most popular for his two significant works: the short story assortment Drown (1996) and the novel The Brief Wondrous Life of Oscar Wao (2007). 80th were distributed to basic praise and he won the 2008 Pulitzer Prize for Fiction for the last mentioned. Diaz himself has portrayed his composing style as a rebellious offspring of New Jersey and the Dominican Republic If that can be Imagined with an abundant excess Diaz has gotten an Eugene McDermott Award, a cooperation from the John Simon Guggenheim Memorial Foundation, a Lila Acheson Wallace Readers Digest Award, the 2002 PEN/Malamud Award, the 2003 us-Japan Creative Artist Fellowship from the National Endowment for the Arts, an association at the Radcliffe Institute for Advanced Study at Harvard college and the Rome Prize from the American Academy of Arts and Letters. He was chosen as one of the 39 most significant Latin American journalists younger than 39 by the Bogota World Book Capital and the Hay Festival. [18] In September 2007, Miramax obtained the rights for a film adjustment of The Brief Wondrous Life of Oscar Wao. [19] The narratives in Drown ocus on the young storytellers ruined, illegitimate youth in the Dominican Republic and his battle adjusting to his new life in New Jersey. Audits were commonly solid however not without grumblings. 20] Diaz read twice for PRIs This American Life

The Canterbury Tales Writing Assignment Essay Example | Topics and Well Written Essays - 1000 words

The Canterbury Tales Writing Assignment - Essay Example Later on, the Miller’s Tale tells a fairly lewd and profane story of a Carpenter and his significant other who beguiles her better half with an agent. By and large, the accursed and disgusting character of the Miller outperforms the repugnance of different characters from The Canterbury Tales. The Miller’s Tale viably outlines the lascivious character of the Miller who portrays a scurrilous story of a craftsman named, John and his better half, Alisoun. John, who fills in as a woodworker leases a room of his home to an understudy named Nicholas. Another representative named Absolon is additionally there around who later experiences passionate feelings for Alisoun. The story shows a high level of double dealing where Alisoun gets engaged with Nicholas just as Absolon simultaneously while her better half leaves town for a couple of days. At another event, Nicholas fools John of a storm of a similar power as that of Noah’s time. John moves into a bushel to spare hims elf from the flood while Nicholas and Alisoun are getting to know each other in their bed. Simultaneously, Absolon shows up and marks Nicholas whereupon he cries â€Å"Water!† (Chaucer 3815). After hearing this, John slices the rope to his container and tumbles down. The townspeople show up at the scene and giggle at John. The entire story of the carpenter’s spouse, Alisoun swindling her better half by taking part in an extramarital entanglements with two more youthful men simultaneously speaks to a foul and clumsy side to the character of the Miller. Subsequently, this model proposes the lewd inner character of the Miller separated from his effectively unpalatable physical standpoint. The Miller is a character had by an abhorrent inside nature as well as an over the top physical character. The insight about the Miller’s exercises and interests expand on to his solid and physical character. In the preface, Chaucer acquaints its perusers with the Miller’s most standard act of wrestling where he generally wins the smash (548). His capacity to break entryways with his head (Chaucer 550-551) and the wrestling matches he has won exhibit his solid physical abilities including to his enormous and disturbing standpoint. Further subtleties of his appearance uncover his unappealing outward picture that makes him a monstrous person. The portrayals of monstrous highlights including his red facial hair, colossal physical make-up, mole with tufts of hair, and immense dim nostrils show a terrible character that invokes horrendous pictures in the brain of the perusers. As an individual intently watches the clarification of the Miller’s character, it isn't difficult to picture an appalling character with awful highlights that is unscrupulous and obscene ordinarily. During his discussion with the Host before the portrayal of his story, he reports that he is tanked and that he ought to be excused on the off chance that he says anything incorrec tly. At the point when he proceeds to tell his story, his story brings up the improper side of spouses. The Miller’s immense character alongside his red facial hair and furry mole speak to a coarse side to the character of the Miller who in spite of the fact that has a huge physical make-up however little insight. Aside from the Miller’s discourteous and indecent tendencies, he is additionally an unscrupulous man in his business. The Miller isn't just an obscene and genuinely disturbing character, yet additionally an exploitative man who deceives his clients by taking corn or getting them to pay more (Chaucer 562). With the enormous

Management Contract Definition, Pros and Cons, and More

Management Contract â€" Definition, Pros and Cons, and More Are you running a business and you’ve been exposed to the term management contract? Perhaps you’ve been offered the option of having a management company look after your business or a part of it. But before you make the decision to transfer a part of your business to another company, you should read more about management contracts.In this guide, we’ll explain what these agreements are all about and the functions they entail. You can read a bit about the different types of management contracts in use, as well as download a template to use as part of your deal. We’ll also look at the benefits and possible downsides to signing a management contract. THE DEFINITION OF MANAGEMENT CONTRACTLet’s first look at the definition of management contract and the elements needed to create, enter, and enforce it. The Business Dictionary defines a management contract as an“agreement between investors or owners of a project, and a management company hired for coordinating and overseeing a contract”.A business or an organization will hire a management company to perform specific tasks. The management company will receive a compensation for the work. Your organization might hire a management company to look after its marketing and under the contract, the management company would perform marketing on your company’s behalf and receive a fee for doing so.Under the management contract, the operational control of the enterprise or the specific department would be in the hands of the management company. Therefore, the management company you would choose, would be able to make all the operational decisions regarding the function you specified, i .e. marketing.Your contract might limit the excess of the control, but in most instances, the contract includes all operational functions of that specific enterprise or department. The compensation for the management might be decided based on performance or it can be a set sum decided between you are the management company. You might provide the company a fixed monthly remuneration or a fixed percentage of the profit. On the other hand, your company might pay a specified sum based on certain performance metrics the management company is able to meet.A management contract will always consist of three core components. The three parts are the first things you will need to specify when seeking out a management contract. The parts are:The conditions of the contract â€" The lengthiest and most detailed part of the management contract is naturally the conditions of it. The contract must clearly identify the parties involved and the functions that are being transferred to the management com pany. This includes the outline of the rules and responsibilities both parties have and the extent which either party can influence the operational functions once the contract starts. To avoid confusion and conflict later on, the conditions must be clarified and the functions and operational responsibilities outlined in detail.The duration of the agreement â€" The section specifies the duration for how long the management company will be in charge of the enterprise or department. The duration could range from a few months to years, and you might have set specific conditions for the duration. For example, if certain performance metrics are not met, the contract can be terminated sooner and so on.The method of computing the management fees â€" The management contract should also discuss the compensation method. As mentioned above, the method for computing the management fee can range from a set percentage, a set sum or a specified sum related to performance. An example fee could be a % of total revenue and/or a % of gross profit.The video below is worth watching to understand the basics of a contract, which are directly applicable in the case of management contract as well. THE FUNCTIONS OF MANAGEMENT CONTRACTThe definition says how under the management contract the operational functions are handed over by a company to the management company. But what are the functions an organization or a company can hand over to the management company? The range of functions is wide and varied. The typical functions entail the following:Technical operations such as production of productsManagement of human resources, including training of personnelFinancial management of the organization such as accountingMarketing services, including promotionsA company can essentially identify the functions it hands over to the management company depending on its needs. Your business might require an outsider to look after your accounting, including a range of financial functions that fall u nder this operational department. On the other hand, larger enterprises might make management contracts on much wider operations, such as looking after a specific store or business entity.Are management contracts franchising deals?Since management contracts entrust the operational control of the entity or function to the management company, the contract is sometimes confused with a franchising agreement. But the two are separate from each other. Both management contracts and franchising deals are both opportunities to earn by selling intangibles and the agreements create an affiliation with another business entity.But under a management contract, a company is provided with structure and framework in the form of the deal, whereas a franchisee is an independent business. A franchising deal creates a contract between a franchiser â€" someone who owns a company â€" with the franchisee â€" the person or organization buying the right to the company name and other trademarks.Let’s look a t the difference in the form of an example. If you own a hotel chain A, you might seek out to make a management contract with a company B over the operational control of a specific hotel. Under the management contract, B would gain the operational control of looking after the hotel and in turn, you would pay a specified fee to company B. Company B would be allowed to run the hotel in any way specified in the management contract. On the other hand, you might make a franchise deal with company C, which would allow the C to use the trademark of A and perhaps use some of the business models and tools of A. C would pay a specific fee to you, company A, for the rights.EXAMPLES OF MANAGEMENT CONTRACTSManagement contracts are a popular choice for organizations, especially those with large-scaling functions. The contracts are also used in a number of industries for a variety of functions. Below are some examples of the most common management contract types and brief description of what each contract means.Hotel managementThe hotel industry is one of the most popular industries when it comes to management contracts. The industry has a number of examples where a larger enterprise entrusts the operational management of a specific hotel to a management company. The management contract is made between the owner of a hotel and a management company, which will take operational control, often on the entirety of the hotel.It is common for the contract to provide the management company the control to service guests, maintain the premises, and conduct marketing and other promotional services. The management company will also set operational policies, as well as control the human resources of the specific hotel. The hotel management contracts tend to be long-term agreements due to the nature of the industry.Furthermore, the operator often has the upper hand in terms of the terms of the management contract.The below image clearly highlights the process of a management contract in t he hotel industry and outlines the basic principles of the process. Source: Green Hospitality Management websiteProperty managementAnother popular management contract example comes from the property industry. Property development companies tend to hire management companies to look after specific properties, either in business or residential properties. The management contract in the industry is rather similar to the example above of the hotel management contract.The property management generally is in charge of operations such as maintenance, tenant management and financial collection of rents and other arrays. Property management contracts typically include the whole property, as conflict of interest issues could arise if different management companies are used within a single property.Property management contracts are not only used by large businesses, but individuals can also hire a property management company to look after a second-home or another such real estate. The contract type can be beneficial to both parties.Association managersManagement contracts are not just about handing a number of functions away at once and it doesn’t necessarily need to involve two enterprises. An example of a different type of transfer of functions is contracts of association managers. These management contracts often involve non-profits and other similar organizations, such as trade associations.These entities often don’t have the resources to have the board of directors to be in charge of the day-to-day activities. This might be due to budget constraints, as hiring full time staff can cost much more than handing out operational control to a management company. When such contract is made, the management company tends to take operational control of things like meeting planning, communication management, accounting, and so on. Depending on the organization, the management contract might also include things like website management or the running of different sponsorship programs.Similar to association managers, industries like entertainmen t and sports often use management contracts. Artists and athletes tend to hire management companies to look after the mundane parts of their careers â€" including booking sponsors, dealing with endorsements, enhancing public relations, and looking after their finances â€" while they focus on creating art or performing as a top athlete.Under these management contracts, the fee is often directly linked to the person’s annual earnings, which can of course be enhanced by the management company (getting better sponsorship deals and so on).Food service managersManagement contracts are also used by the public sector. Food service management contracts are a good example of the management contracts in the sector. Under these agreements, schools sports facilities, nursing homes, and public office buildings have their food facilities and services provided and managed by a management company.The management company often pays a specific lease and a percentage of the food sales to the buildingâ €™s owner, while taking on the operational control of preparing, serving and marketing the food. These sorts of management contracts can sometimes be used in the private sector as well, with large corporations often having a management company take charge of feeding the employees, so to speak.The idea of the management contract is to provide smooth delivery of a core function of running a business (creating a place for the staff to enjoy a meal), but which is not the core part of the business or entity (school’s main function isn’t to cater students dietary needs).Management contract templateIf you are considering a management contract, you could contact a third-party to help with the creation of the contract. It’s especially important to seek out legal advice before signing a contract to ensure your business is not walking into a bad deal. You can also find out templates to guide you in the process for example here.THE ADVANTAGES AND DISADVANTAGESSo, why are companies, indivi duals or organizations willing to transfer the control of certain operations to a management company? Should you consider creating a management contract as well or are any dangers lurking around the corner? Let’s look at the advantages and disadvantages of management contracts.The advantages of management contractThe benefits of creating a management contract deal with timesaving, operational continuity and knowledge. Handing out operational control of a specific function ticks out the specific operation from the business’ ‘To Do’-list. The company doesn’t have to worry about this aspect, but instead focus more on important areas or areas the business is better at.Consider you are running a start-up and you are trying to establish your business in the sector. Having to do your own bookkeeping might take too much of your time away from things like marketing or product development. By hiring a management company to look after the accounting part of the business, you are able to save time and your resources.Furthermore, that aspect of your business might not require enough attention to justify hiring an accountant as part of your team. The cost of a management contract could be less than hiring a full-time accountant for the business. Therefore, you will be better able to direct your resources in terms of money and time by entrusting the specific function of the business into the hands of a management company.Overall, the management contract can help distribute responsibility better. You won’t be in a situation where the human resource department also needs to manage the bookkeeping, but your resources are directed to deal with the right responsibilities.You also create a situation where the organization receives expertise and experience. Consider the example of a start-up. You might not be efficient in business finances, but instead know everything about marketing and product development. When you are hiring a management company to take control of yo ur accounting, you are seeking out services from a professional. Instead of relying on partial information, you will have an experienced person focusing on the operations they are most capable to perform. You therefore guarantee your business’ finances are in the hand of professionals, which can boost your profitability and operational efficiency.Management contract can also provide more continuity to an organization. The contract company might have individual managers change during the contract, but the standards set at the start of the deal will continue to remain in place. What this means is that you don’t need to worry about change in performance or style, as you have spelled out the conditions in the agreement. For example, you would have identified the expectations and the different processes you might want the management company to use or not use as part of the operational control. Therefore, you can continue to enjoy the same level of function and efficiency, without the need to worry how personnel changes might influence your business. The disadvantages of management contractDespite the obvious advantages outlined above, you shouldn’t jump into a management contract. The contract can pose a few questions, which you need to consider before venturing into an agreement with a management company. The most obvious disadvantage of a management contract revolves around privacy.The organization is essentially surrendering information about its products, finances and other such matters to another entity. While the contract naturally deals with these issues and requires full confidentiality, the information is still not only confined to your organization. If your organization is in charge of every operational aspect, you can confine the information to in-house staff and premises.But with a management company, you entrust the information in the hands of people you haven’t vetted yourself and place your trust on handing over information outside of the phy sical premises of your company. Although this risk can and should be managed by the management contract, it nonetheless exists.Furthermore, privacy issues are not just about your information and relationship with the management company. If your business uses third party suppliers, you need to ensure the contract with them doesn’t deny your business from making a management contract. Third parties might have specific objections towards their information being handled by another entity or have issues with dealing with a third party instead of directly with your business. It’s crucial to consider these issues before you venture into a management contract.Finally, you need to keep in mind overall issues regarding conflict of interest. If you are using a large management company, you need to be aware of the possibility the company also deals with your competitors. You want to ensure the management company resolves such possible conflicts of interest with your business’ interests in mind. Management contracts shouldn’t hinder your company’s success. When drafting the contract, clearly identify the people who are in charge of your business and discuss how you want possible conflict of interests to arise.While it should be obvious from the definition of a management contract, it is worth reminding how the agreement transfers the operational control of your business to the management company. Therefore, depending on the clauses in your contract, you won’t have a say in many of the things the function will do. It’s important to be aware of this because you might find yourself looking to influence decisions when things are not going well, for instance. Yet, the operational control is not in your hands and you just need to trust you’ve made the right decision.THE BOTTOM LINEManagement contracts are a clever mechanism for sharing the burden of running an organization. The process entrusts certain operational responsibilities into the hands of a management c ompany â€" an organization that is an expert in the specific field. The management company will receive a specific fee, while ensuring, the function is performed to the highest of standards.Due to the nature of these arrangements, they tend to be popular in industries such as hospitality, property management and even airline and the hauling industry. Under the management contract, the operations handed over can range from single functions, such as finances, to large-scale business management, such as looking after a specific hotel. Management contracts have the benefit of boosting a company’s performance by enhancing knowledge and dividing responsibilities.On the other hand, getting another entity involved will always create the possibility of privacy issues and conflict of interest clashes. Nonetheless, the system can help large-scale organizations look after their businesses better or provide more resources for smaller companies. The contract is definitely worth exploring if cer tain functions of your business seem time-consuming or difficult to deal with.

Essay on Shakespeares Presentation of the Witches in Macbeth

Shakespeares Presentation of the Witches in Macbeth The witches are a physical embodiment of evil in the play Macbeth. Like the serpent in the Garden of Eden, they represent temptation. The world of the witches is terrifying and their language full of spitefulness, violent and grisly references to mutilation. Banquo senses that they are evil and he is very mistrustful of them. Macbeth is tempted by their predictions, because they perhaps echo his own thoughts. The witches never tell lies but, because they speak in puzzling riddles, it is possible for Macbeth to hear only what he wants to hear. By the time Macbeth realises that he has made the mistake in trusting them it is too late. In†¦show more content†¦Nature is turned upside down after king Duncan’s murder, when hawks are killed by their prey and Duncan’s horses eat each other. Blood often seems to run through the story. Thunder, lightning, storms and shipwrecks are connected to the witches and the influence of evil in the world. Howling and shrieking seem to follow Macbeth. He is forever in a hurry, spurred on by his ambition. He cannot stand uncertainty, waiting or inaction, and has little patience. The theme of chaos is related in this way to that of time. By starting the play with the witches and with thunder and lightning, Shakespeare leaves you with no doubt that the play is going to be about the struggle of good and evil; light and the darkness. It is also clear who is to be the target for the forces of evil; the witches make an appointment to meet again tom lure Macbeth to destruction. Shakespeare instantly creates a mood of terror and unearthly evil: the first stage direction, ‘Thunder and Lightning. Enter three Witches’. When the witches chant ‘Fair is Foul and Foul is Fair:/Hover through the fog and filthy air’ you can guess that it is going to be hard in the play to tell the difference between good and evil. The way things appear may not be the way they really are. Things that look good may turn out to be evil, evil things may seem to be good; just like someShow MoreRelatedShakespeares Presentation of Witches in Macbeth Essay1118 Words   |  5 PagesShakespeares Presentation of Witches in Macbeth When Shakespeare was writing plays in the 17TH Century many people had strong beliefs in witches and other supernatural creatures. The play Macbeth is written for King James, he employed Macbeth to write plays and other forms of entertainment for him. Seeing that supernatural beings and witches were very relevant and to the fore in the 17th Century, Shakespeares Macbeth would have interested King James and other audiencesRead MoreThe Presentation of Witches in William Shakespeares Macbeth Essay928 Words   |  4 PagesThe Presentation of Witches in William Shakespeares Macbeth Shakespeare is known all over the world for his advanced techniques in writing plays and the one I am studying is Macbeth. Macbeth was written for James the first, and was written because he was interested in witchcraft. In the 17th century witchcraft was frowned upon to say the least, and most people who practised witchcraft were burned at the stake. This was because society couldnt handle witchcraft; they were Read MoreThe Presentation of Witches in William Shakespeares Macbeth Essay2764 Words   |  12 PagesThe Presentation of Witches in William Shakespeares Macbeth Act 1 Scene 1 gives us our first impressions of the Witches. In Polanski and the stage play a definite atmosphere is created in the opening scene, when the witches plan to meet Macbeth when the fighting has finished and the battle is won. The first line in the play, Act 1 Scene 1 Line 1, the first witch says â€Å"when shall we three meet again?† I think the reason Shakespeare chose this as his first line becauseRead MoreGender And Its Impact On Gender Essay2026 Words   |  9 Pagesfound that that is not the case. 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The two and a half hours I had predicted to be less than enchanting were filled with symbolism, and an overall attitude towards the Shakespeare classic that I had never contemplated before. Upon entering the theatre, the audience was confronted with a stark stage, boasting only a large hollow cube with a single, leafless tree standing alone within

Descriptive Essay My Hometown - 872 Words

My hometown is located in Sishui, Jining City, Shandong Province.Sishui is located in the south of Shandong Province, south of Taiyi mountainous areas, county east Pingyi, West Qufu, South Zoucheng, North Xintai, northwest Ningyang. There is a total area of 1118.96 square kilometers, Sishui is the north south high, middle low, sloping from east to west, Hilly land is about 738.5 square kilometers, accounting for 67% of the total area, Fengxian mountains is the highest elevation in Sishui and it is of 608 meters. Sishui is located in the warm temperate monsoon climate zone, four seasons, plenty of sunshine, annual temperature and daily temperature difference is significantly, the annual mean temperature of 13.4â„Æ', frost free period 180 - 220†¦show more content†¦Functional objectives: academic forums, educational bases, study camps, research centers Every year, the Shengyuan academy holds a variety of cultural education activities, increasing awareness of Confucius and Confucianism and spreading the traditional Chinese culture. There are usually several forms: Nishan Forum on World Civilizations〠Chinese classics education〠The village Confucianism lecture hall〠Southeast Asia Group seminar participants, Confucianism etc. 1.Nishan Forum on World Civilizations Nishan Forum on World Civilizations, initiated by the former vice chairman of the Standing Committee of the National People s Congress Professor Xu Jialu initiated, is to carry out the world of different civilizations dialogue as the theme, to promote Chinese culture, promote cultural exchanges between China and foreign countries to promote the building of a harmonious world for academic And international, international and academic characteristics of the international cultural and academic exchange activities,It is biennial. 2. Chinese classics education In order to effectively promote the classical education and enhance the educational connotation and quality in the national education, the academyShow MoreRelatedDescriptive Essay About My Hometown1565 Words   |  7 PagesTo ask me to speak about my hometown is a difficult question. Coming from a split household, I consider both Pittsboro and Goldston my home. Though only 15 minutes apart, and separated by a singular winding road, they couldn’t be more different. Pittsboro is a soon-to be booming community, with an up and coming development called Chatham Parks coming in. The developers call it progress, an increase in the job market. However, many of the locals are discouraged. Yes, there will be more jobs, but they’llRead MoreDescriptive Essay About My Hometown1074 Words   |  5 Pages Linyi is my hometown, and I am deeply in love with my hometown. Linyi is a beautiful place. There are flowers, grass, mountain, water, fresh air. The people here are sincere, hardw orking, simple and kind. Always working for the city and work hard. Linyi is a prefecture-level city in Shandong Province, which is the largest and most populous city in Shandong Province. It is located in the southeast of Shandong Province, near the Yellow Sea, east of sunshine, west Zaozhuang, Jining, Tai an, northRead MoreDescriptive Essay About My Hometown994 Words   |  4 PagesI always knew as a little girl that there was something different about me. The way I acted, how I dressed, the thoughts that crossed my mind, of course, the area I lived in didn’t help much to encourage who I was. My hometown could be described as a small, mostly traditional, Catholic area located at the very bottom tip of Texas, a.k.a the valley. Don’t get me wrong, I loved the city I grew up in. One thing people don’t know much about deep South Texas is that the food is great. 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Nursing Physical Assessment Free Essays

Physical Assessment Lab 120-103 1. General Survey ! Level?! Awake Alert a. Orientation to person, place, time? b. We will write a custom essay sample on Nursing Physical Assessment or any similar topic only for you Order Now Ability to Communicate in full sentences with clear speech? c. Posture: upright and erect, shoulders level and symmetrical? d. Personal Hygiene: Clean neat, no odor, dresses appropriately for the weather. 2. Integumentary System: a. Color: Uniform color – pink, tan, brown, olive. Slightly darker on exposed areas. There are normally no areas of bleeding, ecchymosis, or increased vascularity. No skin lesions should be present except for freckles, birthmarks, or moles, which may be flat or elevated. . Temperature: Warm and dry bilaterally. Hands and feet may be slightly cooler than the rest of the body. Skin surfaces should be non tender. (use back of both hands on patient’s forearms) c. Textures: Skin should feel soft/fine or coarse/thick. d. Turgor: When the skin is released, it should instantly recoil, no tenting. Best place to assess: Ant. ?Chest or abdomen. **Verbalize: I will integrate the integumentary system throughout the rest of the exam through checking and ob serving. 3. Head, Face, Neck a. Cranium: The head should be normocephalic, midline, and symmetrical.? . Scalp: The scalp should be white to light brown, shiny, intact, and without lesions or masses, flaking, or pidiculi (lice)? c. Hair: Pale blonde to black, thick or thin, curly or straight, coarse or fine, shiny or dull.? d. Frontal Maxillary Sinuses: Should be non palpable and non tender (must ask â€Å"did that hurt? †) e. Cervical Lymph Nodes: Should be non palpable and non tender, non visible or inflamed. (Preauricular, postauricular, occipital, submental, submandibular, tonsillar, anterior cervical chain, posterior cervical chain, supraclavicular. e. Best place to assess: Ant. Chest or abdomen. **Verbalize: I will integrate the integumentary system throughout the rest of the exam through checking and observing. Physical Assessment Lab 120-103 f. Carotid Artery: Has visible pulsation (should be in front of the sternocleidomastoid muscle), palpable bilaterally (not at the same time!!! ), no bruits (soft blowing or wooshing sound from constriction of plaque) g. Temporal Artery: Should be palpable and equal bilaterally h. TMJ: Glides smoothly, no clicking or crepitus. i. Trachea: Midline, Thyroid: non palpable, non tender (ask) j. Neck: ROM Muscle Strength: Stand behind the patient, touch the chin to the chest, look up at the ? ceiling, move each ear to shoulder (without elevating the shoulder), turn head to each side to look at the shoulder. The Cervical spine’s alignment is straight, the head is held erect. Normal muscle strength allows for full, complete, voluntary joint ROM against both gravity and moderate to full resistance. Muscle strength is equal bilaterally. There is no observed involuntary muscle movement. Say: â€Å"full active ROM with no restrictions† k. Thyroid: Palpation: have the patient lower the chin slightly in order to relax neck muscles. Place your thumbs on the back of the patient’s neck and bring the other fingers around the neck anteriorly to rest their tips over the trachea on the lower portion of the neck. Move the finger pads over the tracheal rings. Gently move trachea over to the side, then have patient swallow. Feel for any consistency, nodularity, or tenderness. 4. Eyes? a. Eyelids: Palpebral Fissure are symmetrical, no ptosis or lid lag.? b. Lacrimal Glands: Pale pink, patent, no excessive tearing, dryness, drainage, or edema.? . Eyelashes: Evenly distributed no ectropion no entropion.? d. Eyebrows: Even and equally bilateral? e. Conjunctiva: clear, pink, moist, without lesions? f. Sclera: white intact? g. Cornea: Surface should be moist and shiny and without discharge, cloudiness, opacity, and irregularity.? h. Iris: round, symmetrical, and colored: green, blue, brown, hazel, violet, honey, etc.? i. Pupils : PERRLA (Pupils are Equal, Round, Reactive to Light and Accommodation) Check pupil reflexes. check twice each eye, direct/consensual, then bring penlight toward nose to assess for accommodation. . Ears? a. Pinna: Non tender, symmetrical bilaterally, without lesions or masses, (top of pinna should always be equal to outer canthus) – palpate simultaneously? b. Tragus: non tender, without lesions? c. Mastoid Process (piece of bone inferior posterior ear): non tender, no swelling, equal bilaterally (if one is different, ask for how long)? d. Tympanic Membrane: Pearly gray, shiny, intact (sometimes will see some white-cottage cheese looking bumps = scarring) MAKE SURE TO CHANGE SPECULUM BTWN EARS FOR PRACTICUM Adult: pull back and up, look anterior. Child pull down) **know how to use equiptment!! Instructors/proctors look for this!!! *** e. Umbo: (Part of the Stapes) Make sure this is present, Protruding = dehydrated, Not present = fluid behind eardrum. f. Cone of Light: Tiny triangle anterior inferior on tympanic membrane = healthy. 5:00 on the right ear, 7:00 on the left ear. Physical Assessment Lab 120-103 6. Nose? a. Nares: patent, have patient occlude one nostril and gently blow out air on back of hand to test patency. Mucosa: pink, moist, without lesions, edema, drainage? b. Septum: without deviation. Best was to assess is to push tip of nose up – shows if deviation is present. ! ***If nares are pink = allergies. If nares are bright red = cold. Saline shortens cold as it washes it ! down to stomach, where stomach kills the virus. 7. Mouth/Lips? a. Lips: pink, moist, intact, without lesions? b. Teeth: 32 including 4 wisdom. White with good repair, without caries? c. Tongue: pink, moist, papillae intact, midline, full mobility (ask pt to stick tongue out move left, right, up, down), without lesions? d. Oral Mucosa: pink, moist, without lesions (use tongue depressor penlight) no red, no swelling? . Gingiva: pink, moist, intact, no bleeding? f. Uvula: Midline, rises symmetrically with soft palate when patient says â€Å"Ahhh† If absent patient will be sensitive to gagging. If long may be a sign of sleep apnea? g. Tonsils: Pink, symmetrical. They are graded from â€Å"absent – +4) +1 = peeking, +4 = kissing h. Hard/Soft Palate: pink, intact. Soft palate is pinker than hard Write: â€Å"What you would expect to see† If not, must state what you see. Are the eyelids covering the top of the iris? Always compare OD to OS. First begin assessment with visual acuity.? Corneal Light Reflex: Shine penlight 12-15† away toward eyes (at midline) Should get right reflex in same position in each eye. If asymmetric they have strabismus (weak eye muscle) Ears: Use tuning fork? Weber Test: Hit on palm Hold at tip head (hairline) Should be able to hear equally in each ear. Rinne Test: hearing acuity. Hit prongs on palmar, put it on mastoid process until can’t hear it any longer, then move it to holding it in front of the ear canal. ***Air conduction should be twice as long as bone conduction*** Semicircular Canals: control balance and equilibrium Vertigo can be caused by a foreign body which has been dislodged and landed in semicircular canals. Native Americans and Asians can have â€Å"Torus Palantitis† looks like mountain ranges on palate this is a benign condition. 8. Sensory Neuro (answer to most cranial nerve testing is â€Å"intact†) *verbage: Physical Assessment Lab 120-103 a. Sensation – light touch, sharp/dull, intact? a. Upper Extremities – use cotton ball, sharp dull sides of broken tongue depressor use 3 spots: finger, back of hand, arm. * ! b. Abdominal Reflex * ! ! Positive or not present * ! . Lower Extremities – use cotton ball sharp dull sides of broken tongue depressor use 3 spots: toe, top of ! foot, and shin.? b. Deep Tendon Reflexes – (smack deep tendons using flat side of hammer) *These are graded 0-4 â€Å"What you would expect to find +2/4†) ? a. Biceps – place thumb at patient’s elbow (antecubital) to hold their arm. Hit own thumb with the hammer. ?b. Triceps – hold patient’s muscle so patient’s arm can swing freely. Hit hammer above funny bone. ?c. Brachial Radialis – Hold pt’s hand then hit hammer midway btwn wrist antecubital. d. Patellar – Find tendon right above patellar bone, hit hammer on tendon? e. Achilles – About 2† above heel, support foot, relax leg. Will have plantar flexion.? f. Plantar or Babinski = severe brain damage â€Å"abduction†. So we say â€Å"Positive plantar ? flexion, no abduction† we only expect to find in babies. How to test: use metal side of hammer and trace the outer margin of the foot and across top, under toes. ?babinski or f. Best place to assess: Ant. ?Chest or abdomen. **Verbalize: I will integrate the integumentary system throughout the rest of the exam through checking and observing. How to cite Nursing Physical Assessment, Essay examples

The Work Of Odilon Redon (1840-1916) Vividly Illustrates The Theories

The work of Odilon Redon (1840-1916) vividly illustrates the theories of Symbolism. In reaction to his Impressionist contemporaries, whom he accused of aiming too low, Redon sought to combine human beauty with the nimbus of intellect. In creating such works as 'Closed Eyes', 'The Birth of Venus' and 'The Chariot of Apollo', he unlocked the door to the invisible. Imbued with the music of Wagner, enraptured by the poetry of Edgar Allan Poe, Baudelaire, and Mallarm?, he lent expression to his obsessive fears and dreams in the prints and charcoals he called his noirs. Then, gradually, colour began to filter into his work, and the fallen angels, hideous monsters, gnomes, giants and fantastic forms gave way to women, bouquets of flowers, mythological subjects and butterflies. Oils, pastels and watercolours marked a turning point in his creative inspiration, bodied forth in a new and exceptionally sumptuous handling of colour. Serenity now took the place of fear. This new synthesis, this intimate fusion of the real and the symbolic, which was much admired by his young friends, the Nabis, calls to mind the famous maxim he had long since adopted, one that heralded the advent of Surrealism: