Tuesday, August 6, 2019

Of Mice and Men Essay Example for Free

Of Mice and Men Essay Through considering the roles of characters in the John Steinbeck novel Of Mice and Men I believe that the role of Curley’s wife is significant in the novel. Many aspects of her personality make her so important; other characters opinions on her also form a close judgment towards her from the beginning. I will be analysing her language and the way she communicates with the dominant males surrounding her at the ranch. I will look at how Steinbeck portrays her role in the novel and the impact that has on the reader and how they might perceive her character. When introduced it is clear that she is attention seeking and very much a flirt. Steinbeck describes her by saying, â€Å"She had full rouged lips† and that she was â€Å"heavily made up† and wearing â€Å"a cotton house dress with little red mules, on the insteps which were little bouquets of red ostrich feathers†. It becomes clear that she wasn’t just looking for Curley so she told George and Lennie, but attention from the many men who worked on the ranch. The fact that she was made up also implies that she has a lot of time on her hands and is somewhat bored. Steinbeck portrays her in this part of the novel as a flirt when she’s talking to the men, â€Å"She put her hands back and leaned against the door frame so that her body was thrown forward†. Furthermore, she tries her hardest to make conversation with the men, despite the fact they weren’t interested in speaking to her, she asks, â€Å"you’re the new fellas that just come, ain’t ya? George seemed reluctant to speak to her, he later referred to her as a â€Å"tramp† and â€Å"jail bait† what’s more he snapped at her when she was in the bunk house saying, â€Å"well he ain’t now† suggesting he just wants the conversation to end and for her to go. The introduction of Curley’s wife is an important part of her role, as the reader can easily draw a conclusion about her. Later on in the novel, when she is wit h Lennie in the barn, she says â€Å"go on feel right here† as she entices him to touch her soft hair. She should have known the consequence of what would happen, because she had already unveiled the dead puppy that Lennie had petted too hard, as he liked to pet nice, soft things. Obviously this slipped her mind when asking him to feel her hair, as she was focused on all the attention she craved. A key aspect to look at when analysing this particular character is that the writer, John Steinbeck, calls her â€Å"Curley’s wife† throughout the novel. Not giving her an individual and personal name indicates a lack of authority and that she is owned by Curley and doesn’t have her own independence. Curley’s wife herself also proclaims to being trapped and having regrets about the way her life could have been. In the final chapter when talking to Lennie in the barn she says, â€Å"I can’t talk to nobody but Curley. Else he gets made. † She also confides in him saying, â€Å"I get awful lonely† Steinbeck tries to paint the reader a picture of how much she despises the way her life is. She tells Lennie about how she could have been a star; how she was spotted and could have been â€Å"in the movies† it’s as if Curley is to blame for the terrible life she seems to lead. She tells him, â€Å"I coulda made somethin’ of myself†. It also becomes very clear that she is in the barn to talk about herself only, when Lennie tries to change the subject and move on to talking about himself being able to â€Å"tend the rabbits† she quickly interrupts and continues to talk about her own ambitions and problems. When she is unsure that Lennie has his full attention on her, she abruptly demands, â€Å"You listenin’? † she then goes onto say â€Å"I don’t like Curley he ain’t a nice fella†. Unusual as it is for a woman to talk of her husband this way, Steinbeck wants the reader to sympathise with her in a way. She didn’t want a life like this as she tells Lennie, and this may be why she acts in a way that draws attention. Before Curley’s wife is introduced properly in the novel, there is conversation about her between Candy, George and Lennie. Candy says, â€Å"Yeah purdy but well she got the eye†. Already we can draw a small conclusion the she doesn’t have the best reputation and the men on the ranch are wary of her flirtatious nature. George warns Lennie to stay away from her; he says fiercely to Lennie, â€Å"You don’t even take a look at that bitch† George acts a little distrustful of Lennie and suspicious that Curley’s wife could end up getting him into trouble. She seems to be aware that the men on the ranch are cautious of her, she says, â€Å"Ain’t I gotta right to talk to nobody? Whatta they think I am anyways? † when she’s talking to Lennie in the barn. She may be flirting to draw attention to herself, however the fact that she may be a little too flirt doesn’t cross her mind, and she is asking Lennie for assurance here and doesn’t quite know what she does wrong. In conclusion, I agree that Curley’s wife plays a huge part in the novel, affecting other characters around her and the opinion they have on her, whether it be good or bad. I can decide upon the fact she is after attention, but not just for vanity and self worth, she is lonely and unhappy with her life she lives along side Curley, she doesn’t like the way he treats her and so confides and gets close to other men on the ranch. John Steinbeck gives her an automatically inferior role as he names her just â€Å"Curley’s wife† and gives a clear understanding of her personality before she is even introduced in the novel.

Monday, August 5, 2019

The Compare And Contrast Essay English Language Essay

The Compare And Contrast Essay English Language Essay First, lets explain compare and contrastw when we compare, we show our readers a subjects similarities and when we contrast, we show our readers a subjects differences. Compare and Contrast essays are learning-process essays. You learn about your subject as you gather and organize information. This type of essay takes a bit of organization, and its this organizational process, this gathering of facts, that helps you learn as you go. You will create lists of qualities or traits that each of your subjects has, and as you do this, you will discover insights to your subject that, at first glance, you may not have realized were there. Its like buying a new shirt. The moment you spread it out on your bed, you start seeing things you hadnt noticed in the store. Perhaps a button is loose, or the pocket is torn, or its a size too big. But theres more! As an intelligent, probing writer youre going to ask questions of this shirt: why, what, where, when, how, who. Why are buttons on the collar? What other type of shirt does this shirt remind you of? Where was it made? When was it made? How did it get to your store and into your hands? Who made it? The questions are endless. But you must ask them to understand your subject. Using why, what, where, when, how, who, you to probe into the core and the reason this shirt exists. The same type of probing and uncovering will happen to you as you outline your subjects qualities. Youll discover all sorts of new things as you ask why, what, where, when, how, who, and as you uncover these new points, your essay will change. In the end, most essays end up far different than expected. Your Thesis You will offer a thesis, like in an argumentative essay, but in this essay, your thesis sets the tone of your paper. In other words, through your thesis, you want the reader to understand what you plan to compare or contrast. Keep it simple: Your thesis will be one or two sentences on what you want to offer (your subject), and if youre comparing or contrasting. Getting Started If possible, find an interesting subject about which you can write. This is important because your enthusiasm will show in your work. This essay calls for an outline list: you are going to list the qualities of both subjects, qualities that can be compared, contrasted, or shared. For example: lets say your comparing and contrasting surfing to snowboarding. Your first job is to list the qualities of each subject. From these qualities and your insight, you can then develop your thesis. Qualities of A: surfing Shared Qualities Qualities of B: snowboarding surf on water both use a water medium snowboard on snow need wetsuits and trunks both require special clothing need winter clothes and boots A thesis that will set the tone of your essay for the qualities above might read: Though surfing and snowboarding are done in different seasons, these sports have more similarities than differences. Of course, the list above is incomplete, and, perhaps, not as academic is we would want it to be. But its a start. You keep listing qualities until you believe you have enough information to write a valid essay. A list of five to ten qualities works well for the average paper. But you may have to list twenty qualities to get five that will work for you. When listing, it is good to overdo it; this way, when youre ready to write your paper, you can weed out the qualities that wont work and pick the best of the bunch. Three Parts Opening: You will begin your essay, introducing the subjects you plan to compare and contrast and ending your fist paragraph with your thesis. Body: text by text (first discuss all of A and then discuss all of B) or point by point (alternate between A and B). In this class you will stick to point by point. And you will either compare or contrast, not both. Be careful, sometimes going point by point can make your writing sound tedious and repetitive. Watch your language and transition words. Use several points at a time. Ending: As in the argumentative essay, bring it all together. Allow your ending to go back to your thesis. Use the transitional words on the next page to help your papers coherence. Transitions and other connecting words and connecting sentences should be used throughout. Remember: There are no hard and fast rules as to how many comparisons or contrasts you should offer. For a thorough look into your subject, you must offer enough comparisons or contrasts or both to make a valid statement. Transitional Words (Conjunctival Adverbs) Use these words to help you connect your thoughts, your sentences, and your paragraphs: (Lest you wish to sound pedantic, tiptoe with caution through words such as indeed, and of course.) addition again, also, and, and then, besides, equally important, finally, first, further, furthermore, in addition, in the first place, last, moreover, next, second, still, too comparison also, in the same way, likewise, similarly concession granted, naturally, of course contrast although, and yet, at the same time, but at the same time, despite that, even so, even though, for all that, however, in contrast, in spite of, instead, nevertheless, notwithstanding, on the contrary, on the other hand, otherwise, regardless, still, though, yet emphasis certainly, indeed, in fact, of course example or illustration after all, as an illustration, even, for example, for instance, in conclusion, indeed, in fact, in other words, in short, it is true, of course, namely, specifically, that is, to illustrate, thus, truly summary all in all, altogether, as has been said, finally, in brief, in conclusion, in other words, in particular, in short, in simpler terms, in summary, on the whole, that is, therefore, to put it differently, to summarize time sequence after a while, afterward, again, also, and then, as long as, at last, at length, at that time, before, besides, earlier, eventually, finally, formerly, further, furthermore, in addition, in the first place, in the past, last, lately, meanwhile, moreover, next, now, presently, second, shortly, simultaneously, since, so far, soon, still, subsequently, then, thereafter, too, until, until now, when

Properties of Heat and Temperature

Properties of Heat and Temperature Heat is the transfer of energy from one body to another due to the difference in temperature between the two. A hotter object placed next to a cooler object will always transfer heat from itself into the cooler object, until both objects are of equal temperature. For example, when we place ice cubes in hot water, the heat from the hot water transfers to the ice cubes. This transfer of heat energy will continue until equilibrium is reached between the hot water and the ice. Heat is a measure of the internal energy that has been absorbed or transferred from one body to another. It is not conserved; it can be either created or destroyed. There are two general ways that heating can occur: from a temperature difference, with energy moving from the region of higher temperature, and from an object gaining energy by way of an energy-form conversion. The SI unit of heat is the  joule. The metric unit of heat is called the calorie (cal), which is defined as the amount of heat required to raise the temperature of one gram of water from 14.5oC to 15.5oC. The English systems measure of heating is called the British thermal unit (Btu), which is the amount of heat needed to increase the temperature of 1 pound of water 1 degree Fahrenheit. Some examples of heat energy are: chemical energy from the foods is converted into heating our bodies; light from the sun is converted to heat as the suns rays warm the earths surface; energy from friction creates heat, like when we rub our hands; in light bulbs, electrical energy is converted into heat energy, etc. What is temperature? Temperature is a degree of hotness or coldness of a body. For example, a hot oven is said to have a high temperature, and the ice is said to have low temperature. Temperature is the measure of the average kinetic energy of the particles, atoms or molecules, making up a substance. Temperature can be measured using a thermometer. It is measured in degrees on the Fahrenheit, Celsius, and Kelvin scales. What is the relationship between heat and temperature? Heat and temperature is not the same thing, but there is a relationship between them. When heat is introduced to a certain substance, its molecules start moving faster and collide with one another, which produce more heat and the temperature of the substance goes up. This implies that heat introduced to a substance, changes the temperature of the body. This relationship between heat and temperature can be explained by a property called specific heat,  c, which is defined as the amount of heat needed to increase the temperature of 1 gram of a substance 1 degree Celsius. Where  Q  is the amount of heat needed,  m  is the mass of the material,  c  is the specific heat of the material, and ΔT  is the change in temperature. From the above equation, the amount of heat needed is proportional to the temperature change, which means more heat will be needed to raise the temperature of the cool water and less heat will be needed to raise the temperature of the warm tea. How are they different? Heat and temperature are most definitely linked one another, but they are not same. Heat is the measure based on total internal energy, internal kinetic energy and internal potential energy, of the molecules of an object, whereas temperature is a measure of the degree of hotness and coldness of an object, a measure that is based on the average molecular kinetic energy. Heat is measured in joules (J) or calories (cal.) and temperature is measured in degrees on the Fahrenheit, Celsius, and Kelvin scales. Heat is an extensive property, while temperature is an intensive property. Heat depends on mass or quantity of the substance, whereas temperature does not depend on the quantity of matter. For example, if the boiling temperature of water is 100 °C, it will remain the same whether we boil one liter or 50 liters of water. But the amount of heat generated when we boil 1 liter of water is less as compared to heat generated when 50 liters of water is boiled to 100 °C. What are the various properties of a substance that determine its heat capacity? The heat capacity is the quantity of heat needed to raise the temperature of a substance by one degree Celsius. It is a measure of how much heat the object must gain or lose to change its temperature by a given amount. The SI unit for heat capacity is J/K (joule per Kelvin). In the English system, its units are British thermal units per pound per degree Fahrenheit (Btu/oF). The heat capacity differs from substance to substance. The amount of substance is directly proportional to the heat capacity. This means the amount of a substance (mass) determines its heat capacity; the more quantity of a substance or the greater the mass, more heat it would gain or lose to change its temperature by 1C. For example, it would take more heat to warm the pitcher of water by 1C than to warm a cup of water by 1C. The heat capacity also depends on the nature or type of material of which the object is composed; different materials require different amounts of heat gain or heat loss to change their temperature by 1 °C, even if they have the same masses. For example, it takes 1 calorie of sunlight to warm 1g of water 1 °C, whereas, it only takes 0.2 calories to change the temperature of 1g of soil by 1C Heat capacity might depend on the temperature of the object or the atmospheric pressure. For a gas, heat capacity would depend on whether pressure was being held constant during the heat gain or loss, or whether the volume was held constant, or neither.

Sunday, August 4, 2019

Racism, Society, and Martin Espadas Beloved Spic Essay -- Espada Belo

Racism, Society, and Martin Espada's Beloved Spic On April 4, 1968 America experienced the tragic loss of one of its greatest social leaders, Martin Luther King, Jr. He was a pivotal leader in the civil rights movement who permeated American history as a man who maintained the importance of nonviolent social change. He fought racism within the public domain by pursuing school integration and basic civil rights for the African-American community. Thirty-one years after his death, America is forced to evaluate the exact implications of his legacy on modern society's attitudes towards race and race relations. Did the civil rights movement really promote positive changes in race relations? How far has American society really come? Despite the efforts of King and many of his comrades, racism is still prevalent in modern society. However, its presence is evidenced primarily in the attitudes and values which are taught to individuals in the private sector of American life as opposed to the laws and restrictions placed on individuals in the public sector during the civil rights era. Therefore, while racism appears to have dissipated within the public arena, it is most powerfully present in the privacy of our families and homes. This is also the most destructive arena for racism as seen in the poem "Beloved Spic" by Martin Espada. Espada uses his own life experiences to illustrate racism's continued effect and presence in American culture today. Despite society's best efforts to keep racism contained within the private domain, its effects filter through familial boundaries and mock the efforts of past martyrs for social change. There is a marked dichotomy between attitudes and behaviors exhibited within ... ...So the question still remains, has American society really come that far in race relations and where do we go from here? Martin Espada answers the question by illustrating the intense level of racism experienced by a minority living in modern society. The civil rights movement did make positive changes for the African-American community on various different political and social levels. However, racism needs to be broken down to its smallest components, which are the individuals who support and teach racist attitudes. The family itself is the basic unity of society. Therefore, the only way racism will be completely eliminated on a social level is if it is stopped on the individual level. Treating racism as a social phenomenon will provide short-term solutions, but will not treat the virus of hatred perpetuating its continued existence in our society today.

Saturday, August 3, 2019

lord of the flies :: essays research papers

Lord of the Flies Imagine yourself lost on an island with three other people you barely even know. In are eyes this is a scary feeling when all think about ever seening yourself in a situation like this. While unfortunely this can happen not to us but to somebody else. In the book Lord of the Flies by William Golding are numbers of boys who are under twelve years old stuck on an island after a plans crash. In the story there are four main characters name Ralph, Jack, Piggy, and Simon who are the oldest of the boys. On the island there are many conflicts. In the beginning Ralph was the leader and everyone had a job they were responsible and keep up until they were rescue. Many of the boys start to lack off especially Jack’s who was in charge of hunting. Ralph and Jack never saw eye to eye during the novel because Jack at the same wanted to be leader of his own tribe. Besides all the chaos within the group there are three major symbols that conch shell, Piggy’s glasses and the fire that ha d everyone’s attention and also savage each other on the island. Conch shell At the start of the novel Piggy and Ralph both discover this conch shell. The conch shell is the most powerful symbol on the island. The conch shell symbolized to bring the boys together to discuss their meetings on the island. At the meetings who ever has the conch shell in there hands they have the right to speak quote "We can't have everybody talking at once. We'll have to have 'Hands up' like at school."(page 33) With the to help the group hunt for food, build shelters, and find any empty areas were they can have a restroom at and to survive on the island. All boys had a jobs and they had to keep to up by Ralph’s orders. From the start all boys respect the conch and fellow the rules of the island accept for Jack who believe at the beginning he should the new leader and that Ralph was a weak leader. Later Jack begin to ignore Ralph’s orders and at ever meeting Jack always going against Ralph’s word and he eventually leaves the group. After Jack leave s the group Ralph slowly loses respect from another boys. Around this time Jack begin to start his own tribe, which made many of the boys seek away from Ralph’s camp.

Friday, August 2, 2019

Fashion Isnt Fur

Fur is not a Fashion Statement. Every year 50 million animals are violently killed for our own selfish needs to look high status in the fashion industry. Most of these helpless animals with Just as much right as us are raised on fur farms in brutal conditions. Death is really their only escape from these dreadful prisons, which is mostly caused by stress, illness and pain. Sometimes animals are caught using a trap mechanisms and can be left there to die for up to 7 days.Animals often tend to chew their own paw of Just to free themselves from death but to only die only a few days later from excessive injury. Just like we do, animals have rights and needs. Who decided that our comfort automatically comes before theirs? There are groups of people who live in the frozen steeps of Siberia or in upper Mongolia who kills eat and wear the coats of animals. These people do it for survival and it is an absolute necessary which has nothing to o with vanity.However, we are lucky enough to live i n a devolved country that has no need to hunt and kill innocent lives. We even have the choice of buying fake fur which has the exact same look and feel to it. Anytime you wear fur you should always think of the extent of pain and torture this harmless creature went through for that fur to be wrongfully wrapped around your skin. In the end it all comes down to you.

Thursday, August 1, 2019

The Beginner Nurse

CHAPTER 1 PREPARATION TO THE JOB A. Transition from beginner to Professional Before a nurse can become effective as a health care provider he or she should be psychologically and physically prepared for the job. Psychological preparedness means that the mental set and emotional state of the nurse must be ready for the everyday routines and stressors in the job. Psychological preparedness requires assessment of the self or awareness of the self. The nurse should know own strengths and limitations as a beginner. The nurse strengths include the academic theories and trainings in the BSN degree. This will require the new nurse to refresh self about those principles, fundamentals, and theories learned from the study. Limitations include lack of expert skills and dexterity (speed and efficiency in the use of hands) of nursing procedures as hospital trainings as a BSN student were not enough to encounter those specific procedures. Expert nurses in the workplace shall serve as source of the skills not encountered in academic trainings. Proper and appropriate attitude must be adopted in adjusting into working with colleagues who had earned skills and knowledge by their tenure in their job and the environment they are used to. The beginner nurse must use therapeutic self to gain confidence and trust with existing staff in the hospital. B. Hospital Policies The beginner nurse, if not given the opportunity to have job orientation, should strive to know the existing policies of the hospital. Policies which pertains to absences, tardiness, documentations, and safety of the clients should be given due attention. The beginner nurse cannot put the safety of the patient by sudden absence or tardiness from the job. The nurse should put to mind that the welfare and safety of the patients are his or her main concerns. C. Personal matters A beginner nurse and until such time he or she had become a professional should never allow personal matters to interfere in their responsibilities in the work. This is part of the emotional preparedness of the nurse in order to maintain therapeutic use of the self. CHAPTER 2 THE ROUTINE WORK OF A GENERAL NURSE PRACTITIONER There are areas in the hospitals that have common routines. Routines are nature of works or responsibilities that are normally done and repeated throughout succeeding shifts of the work. The routine works in departments like Surgical, Medical, Pediatrics, Isolation, and some critical care units such as the ICU and CCU may have some similarities. But special areas like Operating Theater, Delivery Room, OPD, Emergency, and ambulatory units may have their own unique routines. Routines in the special areas in the hospital are not taken into consideration in this handbook but individual items may be applicable to such areas. A. First Endorsement of the Shift First endorsement is defined as an endorsement of an outgoing nurse in a shift to an incoming nurse. The main purpose of this endorsement is to ensure continuity of care and avoid errors as well as missing vital interventions to the patient such as medications and special instructions. Endorsement will also safeguard personal safety of the incoming nurse of cases that are infectious that deserves special infection precautions. Below is the table for chronological items for endorsement. Table 1. Relevant Chronological Data for Patient Endorsement Patient’s name and Bed Number Diagnosis (medical) Attending Physician Age of the patient Medications Special InstructionsOngoing Interventions Laboratories and Diagnostics Special Needs of the Patient Latest Vital Signs THE PATIENT’S NAME and BED NUMBER Knowing your patient is an indispensible part of safety of care. This is to avoid mix up in the identification and documentation of the right patient. Though merely knowing the name of the patient is not enough this has to be validated by the incoming nurse when the nurse performs his or her own rounds. The endorsement shall give the name and the bed number of the patient. DIAGNOSIS Knowledge of the diagnosis or diagnoses are both for the safety of the nurse and the client as well. What is endorsed is the medical diagnosis as determined by the attending physician. With knowledge of the medical diagnosis, a nurse can immediately provide appropriate independent and dependent interventions per clinical judgment as he or she performs the nurse rounds. ATTENDING PHYSICIAN Endorsing the name of the attending physician will alert the nurse who to immediately refer to in the event of emergency or urgent situation arises. There should be an established system of how to reach attending physician or an alternate physician in case of emergent situation. One such system is the permanent list of telephone number to which the physician can be reached. If there is special consultant/s assigned to the patient it might as well be included too in the endorsement. AGE OF THE PATIENT Age of the patient is necessary for endorsement information so that the incoming nurse can anticipate what nursing approach to implement. MEDICATIONS As a matter of principle, errors in medication are never tolerated. However, no matter we desire for perfection, the chance and occurrence of an error may always be present. Errors in medication have different aspects. See Table 2 for types of medication errors. Wrong medication administered once absorbed by the body may have from nil to serious effects. We cannot afford to wait for a serious incident before becoming conscious of the proper medication. Table 2. Some Types of Medication Error 1. Failure to properly document medication. 2. Missing to carry out medication advice such as new prescription, modification of medicine, and discontinuance of medicine. 3. Mistake in the correct name, dosage, route, and timing of the medication. 4. Missed or interrupted medication. 5. Failure to observe Rights to Medication 6. Failure to maintain asepsis in medication administration. 7. Failure to validate doubts to medication. 8. Inappropriate nursing assessment of the client prior to medication administration. SPECIAL INSTRUCTIONS Special instructions are instructions coming the principal care provider of the patient such his or her attending physician, specialist, consultant, or from a senior house officer (SNO) Table 3. Some Lists of Special Instructions 1. Complete bed rest without bathroom privileges (CBR w/o BP) 2. On NPO 3. On clear or liquid diet only 4. No dark colored diet5. Gluten free diet 6. Turn to side q certain hours 7. Instructions to known allergies of the patient such as aspirin or a kind of antibiotic 8. For breath retraining Note: the nurse should also exercise clinical judgment to implement independent nursing intervention without the instruction of professional advice. Table 4. Some List of Independent Nursing Interventions 1. Nursing assessment 2. Turning the patient 3. Deep breathing and coughing 4. Checking of gag or swallowing reflex 5. Vital signs as PRN or stat 6. Referral to head and physician 7. Infection control and safety 8. Splinting of abdominal surgery9. ROM exercise 10. Providing comfort and massage 11. TSB 12. Early safe ambulation 13. Oxygen therapy 14. Positioning of HOB or head of bed 15. Oral suctioning 16. Termination of infiltrated IV access ONGOING and TO BE- CARRIED-OUT INTERVENTION Ongoing intervention is a nursing implementation of an advice that is currently being administered and is attached to the patient when the nurse who initiated it is to leave from work or bound for home. The safety of the client is primary purpose of the importance of this endorsement; secondly to avoid miscommunication or confusion to the ingoing process on the patient; and finally to ensure continuity of care. It is best to include in this aspect of endorsement relevant data to obtain accurate fluid intake and output monitoring such as the present volume of current IV, all volumes of catheter bags, level of serous fluids in water seal bottles, level of fluids in drainage bag, syringe pump, and all other similar procedures. Ongoing lood transfusion endorsement shall include the number of bags required, the current number of bag, number of remaining bag, date and time started, blood and Rh type, Serial number, and date of expiration. It is important that pending or to be-carried- out advice such as diagnostics and laboratory studies and fluid therapy be included as well. Missing out the advice and costly redundancy will be avoided through this way. Important attention should be given to blood transfusion advice. To be carried-out blood transfusion or BT should have result of cross-matching before implementation. Blood and Rh type for the right patient should be checked three 3 times with the last time to be confirmed by another staff. Table below lists some common intervention that may be having medium or long term intervention. Table 5. Some Medium and Long-Term Interventions 1. IVF therapy 2. Blood transfusion 3. Bladder irrigation 4. CTT with water seal bottle 5. Machine Ventilator 6. Lavage 7. Central Venous catheter 8. Urinary catheterization9. Phototherapy 10. Wound drainage 11. Hemovac 12. Skin or skeletal traction 13. Infusion pump 14. Syringe pump 15. Antithrombotic device By Dennis D. Monte, University of Sirte, Libya