...Communication Barriers at Duke Medical Center Introduction: Effective communication requires messages to be conveyed clearly to the appropriate parties, but along the way there are many communication barriers that can create misunderstandings and misinterpretations of the intended message (Burns et al., 2012). Such misunderstandings and misinterpretations are apparent in the case of Jesica Santillon. This case study will identify the social and cultural barriers that may have made it difficult for the doctors to communicate with Jessica’s family. This case study will also offer recommendations on modification of the transplant process to ensure that misunderstandings are eliminated or minimized; and lastly it will propose some general communication strategies to manage communication with each group involved in this tragic case. Communication Barriers There may have been many communication barriers that hindered the doctors from effectively communicating with Jesica’s family. We will discuss some social and cultural communication barriers between the physicians and Jesica’s family: The language differences may have been a leading obstacle to effective communication between the physicians and the family, The family recently migrated to the United States seeking treatment for Jesica's condition and were not fluent in the English language. Health literacy may have also induced the communication barrier between the physicians and...
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...circumstance may be. One way that the authors of both stories show just how much people can be affected by the personality of a man is by creating strong leading men as the main characters. The main character of “Johnny Lingo’s Eight Cow Wife” is named Johnny Lingo, who is a rich, smart businessman who has a caring heart towards the one he loves. The main character in “My Last Duchess” however, is an wealthy Duke who owns much land and believes that his duchess should have been more proud of the name he had given her while she was alive. One of the striking similarities about the two men is that their names held honor and recognition. However, it is their attitudes toward the people around them and their significant others that differ greatly. Johnny Lingo is humble, and is willing to sacrifice eight cows in order to make the love of his life feel beautiful and confident. On the other hand, the Duke considers himself higher in importance than everyone else, and found it silly and unattractive when his duchess smiled and gave thanks to everyone. Both Johnny Lingo and the Duke are compelling characters, and we care about them...
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...Origin and history Geroldsgrün, Faber-Castell works Faber-Castell works in Stein, Nuremberg Founded in 1761 at Stein near Nuremberg by cabinet-maker Kaspar Faber (1730–1784), the enterprise remained in the Faber family for eight generations.[6] It opened branches in New York (1849), London (1851), Paris (1855), and expanded to Vienna (1872) and St. Petersburg (1874).[6] It opened a factory in Geroldsgrün where slide rules were produced. It expanded internationally and launched new products under Kaspar Faber's ambitious great-grandson, Lothar (1817–1896).[6] In 1900, after the marriage of Lothar's granddaughter with a cadet of the Counts of Castell, the A.W. Castell enterprise took the name of Faber-Castell and a new logo, combining the Faber motto, Since 1761, with the "jousting knights" of the Castells' coat-of-arms.[7] The Castell family were mediatised counts of the old Holy Roman Empire, and as such ranked with the reigning dynasties of Europe.[8] In 1901 the head of the family was granted the hereditary title of Prince by Luitpold, Prince Regent of Bavaria.[8] A descendant of the first prince, Count Alexander Friedrich Lothar von Castell-Rüdenhausen (1866–1928) married Baroness Ottilie von Faber (1877–1944), heiress of the Faber pencil "dynasty" in 1898.[8] Although the immensely wealthy Lothar had been ennobled in 1861 and made Baron von Faber in the Kingdom of Bavaria in 1881,[6] in the German Empire his daughter's marriage to a mediatised nobleman would have been...
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...PERSONAL PROFILE; A professional and friendly individual with excellent customer service skills with experience in working with different people every day. I consider myself a versatile and hard working individual with excellent punctuality keen to flexible team member with good communication and interpersonal skills. I have completed a Duke of Edinburgh Award, which helped me gain so countless skills concluding 6 months of voluntary work. During completing the Duke of Edinburgh Award, I successfully combined my studies with voluntary work and other commitments showing to be self-motivated, organized, and capable of working under pressure. I enjoy working on my own initiative or in a team. I also like considering everyone's opinions while working as a team. In short, I am reliable, trustworthy, and eager to learn new things. I have a clear, logical mind with a practical approach to problem solving and a drive to see things through to completion. I am skilled with hands on approach that perseveres to achieve best results. I am able to quickly grasp training and am a fast learner. I am a good team player, paying meticulous attention to detail and an understanding of targets and tight deadlines. I am currently studying 3 A Levels at New College and I am prepared to multitask if I need to. Looking for a role where excellent customer service skills and a strong work ethic can put to use. EDUCATION; School; Churchfields Academy Subject | Qualification | Achieved Grade | English...
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...Comparative essay on ‘My last Duchess’ and ‘Porphyria’s lover’ Robert Browning was born in May 1812 and died at the age of seventy. Browning was an English poet who has become known as the person to invent and popularise the dramatic monologue. This made him the foremost Victorian poet; two of his most successful dramatic monologues are those of ‘My last Duchess’ and ‘Porphyria’s Lover’. The reoccurring theme within the two monologues is murder as they show the idea of men killing a lover Dramatic monologues are significant in that there is only one point of view expressed throughout. In Victorian times dramatic monologues were very popular; Browning was seen as the innovator of this style of writing along with other eminent Victorian poets such as Rossetti and Tennyson. The dramatic monologue takes its style from Shakespeare’s soliloquies were a character speaks their thoughts and feelings aloud. This idea and style has been extended to the preset day, with Alan Bennett’s ‘Talking Heads.’ The speaker in ‘Porphyria’s Lover’ is the lover himself, residing in a cottage in the countryside at the beginning of the poem. The mood of the narrator is established right at the start as he talks about “the sullen wind’ ‘tore,’ ‘vex’ and ‘spite.’ He is clearly angry and unhappy. However as soon as Porphyria ‘glided’ in, the mood changes and she ‘ shut the cold out and the storm.’ The narrator feels warmed by her presence. At once the reader sees that Porphyria has taken control...
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...understanf their friendship as close- as they banter between each other- we seee values and ideas to the society they belong to. Some characters choose not to Belong Meaning: Where most people choose to belong to a place or a person, some people choose not to belong at all. Quote: Jacques to Duke Senior "So to your pleasures; i am for other than for dancing measures" Jacques refuses Dukes invite to stay with him and his men and chooses to leave to go find the self-exiled Duke frederick. Jacques is seen to belong to himself rather than anything else. Belonging to a society or place Meaning: A person that finds pleasure or enjoyment in where they are rather than who they are with. Shown in As You Like It as a bad lifestyle. Technique: Shakespeare shows his discomfort to this lifestyle. This is shown through the murderous intentions of Duke Frederick and Oliver, who at first find their belonging to the court, until they are changed in the Forest of Ardern. Belonging to family Meaning: Where someone feels a sense of attachment to someone due to a family connection. Example: When Oliver is about to be attacked by a lion, Orlando his brother saves him, even though he knew Oliver had been sent by Duke Frederick to kill him. Oliver then sees the strength Orlando's love for Oliver and finds the same...
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...Shakespeare won’t have included this scene just as a way to present the disturbed characters; he will have included it to impress the people watching the play. Religious believers in that time believed in the idea of the religious order, which was the belief that God has created an ordered system for both nature and human kind, every creature/person has a place and the order should not be disrupted. Including the porter scene in the play would of reinforced this belief, as the King was seen to be at the top of this ordered system, meaning once he was murdered this order had been disrupted. This scene showed some the effects of the link between man and God being severed through Pathetic Fallacy. Another way in which Shakespeare would have tried to impress his audience, mainly the monarch at the time (King James 1st) was through the character Banquo. King James believed himself to be a descendent of Banquo, therefore he was written to be a noble, wise and regal man whose good qualities tended to make some of the other characters, particularly Macbeth, envy him. King James 1 considered himself to be an expert on witchcraft, he wrote a book which stated that witches made a pact with the devil, so including the evil ways of the witches and showing them to be dark creatures that turn good loyal men into murderers would have pleased the King as that is how he viewed them himself. If you continue to look into Macbeth’s character, he starts to spiral out of control very quickly. He starts...
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...will not revolve partly around corruption amongst many other themes. Middleton starts this play on a strong note as corruption starts to flow right from the beginning of the text. Vindice a character filled with anger and bitterness opens the play holding the skull of his fiancée who the Duke poisoned upon her refusal to sleep with him. His hatred of the Duke is shown as he describes him saying: “Duke, royal lecher; go, grey-haired adultery.” Vindice talks about lustfulness, which is a form of corruption. His anger and harsh tone towards the Duke is expected as he feels hurt and he even goes as far as to call the Duke myself, adultery. Vindice is also angry about the discrimination his father faced before his death. Middleton uses his character as an immediate way to reflect the unjust treatment during that period and how corruption was almost seen as the norm. It equally shows how power drunk kings got. Lustfulness is a form of corruption present in the play. The first time we come across lust is when Vindice pours out his feelings towards the Duke. He first of all refers to the Duke as committing adultery as quoted earlier on. He also refers to Spurio, the illegimate son of the Duke as “thou his bastard,” which identifies him as being born of wedlock. This reflects the Duke’s lustfulness even further. Hippolito is another character who draws attention to the acceptance of lustfulness as Lussurioso sends him to look for a pander. Hippolito accepts to carry out the future...
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...White Man’s Burden (Handout) Summary & Annotation: A straightforward analysis of the poem may conclude that Kipling presents a"Euro-centric" view of the world, in which people view society from only a European cultures point of view. This view proposes that white people consequently have an obligation to rule over, and encourage the cultural development of people from other ethnic and cultural backgrounds until they can take their place in the world by fully adopting Western ways. The term "the white man's burden" can be interpreted simply as racist, or taken as a metaphor for a condescending view of non-Western national culture and economic traditions, identified as a sense of European ascendancy which has been called "cultural imperialism". A parallel can also be drawn with the charitable view, common in Kipling's formative years, that the rich have a moral duty and obligation to help the poor "better" themselves whether the poor want the help or not until according to Europeans, "they can take their place in the world socially and economically." The term "white man's burden" is a phrase that became current in the controversy about the United States acquisition of the Philippines after the Spanish-American war of 1898. It was a concept that was the responsibility of white Europeans to bring "proper" European civilization to the nations (mostly brown, black, red or yellow) that did not have it. The underlying thought was that Europeans were correct in their beliefs and...
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...I have drawn the conclusion that you the Count should not precede with the marriage plans. Further, I would advise you to cancel the wedding. Since, I met the Duke of Ferrara I have this feeling that he is not a good party for your daughter. As the duke and I stopped by his collection of individually commissioned art, he showed me the portrait of his late duchess. While discussing the portrait of the last duchess, he reveals himself as a domineering husband who regarded his beautiful wife as a mere object; he said that “I call that piece a wonder, now“. He refers not only the painting, as well, his wife as “the piece”, an object. Indeed, he values his wife as highly as any other piece of art. Nevertheless, he regards his wife as a “wonder, now” in the painting; as she was not much worth when she was a life. He described the portrait as “That’s my last duchess” that shows the presence of the feeling of possessing the duchess, whose sole mission was to please him. He also said that “She had a heart –how shall I say? – too soon made glad, too easily impressed; she liked whatever she looked on, and her looks went everywhere’. I have the impression that the duchess was an enthusiastic and enchanting young woman who was full of life and charms. However, her husband misunderstands true nature of hers. “Sir, twas not her husband presence only called that spot of joy into the duchess’ cheek”. Regardless, the duchess effort to please her husband, he saw her action as a betrayal. He wanted...
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...Prince Fabian Wylie paces anxiously, awaiting news on the whereabouts of King Robert. He glances to the door and asks the one that is entering, “Are you sure his horse is gone?” First Commander Cipher nods, making his way to the king’s desk. “What would possess Robert to leave without telling us?” Fabian probes, resuming his steps on the other side, as Cipher scours through the papers lying on top of it. “Do you think it had anything to do with his odd behavior at supper?” Cipher looks up, holding a scroll in each hands. Right at that moment, both men turns their heads to the door. “Uncle,” Prince Gabriel speaks, crossing the threshold. “Have the men found the King?” “In due time they will, for I have faith in them and the Seekers” Gabriel stood beside Fabian, facing his uncle. “We need to find him and quickly I may add, before he’s found with his hands wrapped around another’s neck.” “Brother…” “I will not be silence,” Gabriel cuts off Fabian. “You have witness his erratic behavior. He nearly ripped the taster’s head from his shoulders.” He looks back to his uncle and says, “The Queen is worry, and neither her Ladies nor I can qualm her fears.” “Gabriel!” Cipher shouts, slamming his fist into the desk. The stress of losing the king has taken its toll on him. “We need to focus on bringing Robert home, and worry later about his state of mind.” “I’m sorry, uncle. Am I speaking my concerns about my brother too loudly for you?” he quips. The tension between Gabriel and Cipher...
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...understanf their friendship as close- as they banter between each other- we seee values and ideas to the society they belong to. Some characters choose not to Belong Meaning: Where most people choose to belong to a place or a person, some people choose not to belong at all. Quote: Jacques to Duke Senior "So to your pleasures; i am for other than for dancing measures" Jacques refuses Dukes invite to stay with him and his men and chooses to leave to go find the self-exiled Duke frederick. Jacques is seen to belong to himself rather than anything else. Belonging to a society or place Meaning: A person that finds pleasure or enjoyment in where they are rather than who they are with. Shown in As You Like It as a bad lifestyle. Technique: Shakespeare shows his discomfort to this lifestyle. This is shown through the murderous intentions of Duke Frederick and Oliver, who at first find their belonging to the court, until they are changed in the Forest of Ardern. Belonging to family Meaning: Where someone feels a sense of attachment to someone due to a family connection. Example: When Oliver is about to be attacked by a lion, Orlando his brother saves him, even though he knew Oliver had been sent by Duke Frederick to kill him. Oliver then sees the strength Orlando's love for Oliver and finds the same...
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...Christine Merrill Chapter One ‘Of course, you know I am dying.’ His mother ex- tended slim fingers from beneath the bedclothes and patted the hand that he offered to her. Marcus Radwell, fourth Duke of Haughleigh, kept his face impassive, searching his mind for the appropriate response. ‘No.’ His tone was neutral. ‘We will, no doubt, have this conversation again at Christmas when you have recovered from your current malady.’ ‘Only you would use obstinacy as a way to cheer me on my deathbed.’ And only you would stage death with such Drury Lane melodrama. He left the words unspoken, struggling for decorum, but glared at the carefully arranged scene. She’d chosen burgundy velvet hangings and dim lighting to accent her already pale skin. The cloying scent of the lilies on the dresser gave the air a funereal heaviness. ‘No, my son, we will not be having this conversation again. The things I have to tell you will be said today. I do not have the strength to tell them twice, and certainly will not be here at Christmas to force another 6 The Inconvenient Duchess promise from you.’ She gestured to the water glass at the bedside. He filled it and offered it to her, supporting her as she drank. No strength? And yet her voice seemed steady enough. This latest fatal illness was probably no more real than the last one. Or the one before. He stared hard into her face, searching for some indication of the truth. Her hair was still the same delicate blonde cloud on the pillow...
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... We see Tybalt in Shakespeare’s “Romeo and Juliet” and the man in “Human Interest” in a moment of passion kill; because of a trespass done to them. A moment, that ultimately leads to death of the former, and the latter rotting in a cell. Browning has written “My Last Duchess” in iambic pentameter and rhyming couplets. The only difference in the otherwise organized structure is the use of enjambment. I believe this is a main factor on what makes “My Last Duchess” such a dramatic monologue. Browning has done this to create a very distinct persona of the Duke in his poem. The organized structure of the poem shows us his controlled demeanour; it gives off an impression of how the Duke acts as befitting his rank. The enjambments (as seen in line 9 to name one in many) make us see more of his character. He is unpredictable; beneath his charming exterior he is someone you should be wary of. A wolf in sheep's clothing. The Duke recounts his last duchess and even insinuates killing her in a very casual manner. There isn’t any remorse or sadness in the tone of the poem. He “gave commands” and “all smiles stopped together”. It’s quite...
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...How does Browning tell the story in the Laboratory Robert Brownings, The Laboratory tells the story of a woman entering the “devil’s smithy” in order to create a poison, in which would kill the woman because she was seeing a man. The Laboratory is told in first person narrative so immediately it makes the poem very imitate with the reader and so we feel like the woman is speaking to the reader about her problems and how she is going to kill the woman. The quote “he is with her” shows how she doesn't like how the man has gone for the woman but also the tone of this is very spiteful when she says this and shows how the woman is arrogant. As the woman speaks she uses imperatives like “grind” and “pound” the use of these violent imperatives show her edging on and how she is reinforcing her pleasure showing how she is enjoying herself with what she is about to do. The quote “I am no it haste” also shows how she is enjoying the pleasure of the poison. The woman can also be viewed as scornful shown in the line "he is sure to remember her dying face", suggesting she wants a seemingly innocent woman to die ugly, simply because she spoke to a man she should not have by the woman. Browning also uses the use of exclamttives to show the characters journey through the poem, “a filigree basket!”, this exclamative shows how the woman is getting more excited about the poison and it shows the delight in which she enjoys. Browning also uses context in his he telling of the story in...
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