Reflection Paper Essay Example | Topics and Well Written Essays - 1250 words - 9

Reflection Paper - Essay Example Additionally, we ensured that every one of us delivered according to the expectations through proper coordination and task division. Essentially, communication played a key role in our team throughout the entire process, as all the members could only meet at limited occasions to discuss their findings and progress. We would make sure that we communicate to each other through the available channels. Normally, we would meet and communicate verbally or sometimes we would make use of the internet technology, communicate, and share information via the internet. The effective communication that we adopted kept team members on their toes and this ensured the successful completion of our project before the deadline. The most important aspect of our teamwork that I can remember is that we had some background information and experience in the hotel and hospitality industry and thus, the topic we chose suited us most. Furthermore, Savannah was the most experienced among us due to his previous exposure to the operations and logistics of a restaurant. Perhaps I can say that we were so lucky as a team to have members who were competent in their areas of research. Unlike other teams that worked concurrently with us, we were unique in certain ways that made us appear more successful. For instance, my team members and I decided to meet rarely but communicate often through emails and text messages to keep each other updated. Perhaps it is critical to note that we faced a myriad of challenges as a team, but we managed to get over them through appropriate strategies that we device. The major challenge that we encountered when conducting the research was poor communication with the respondents who sometimes feared they would lose their jobs if they were truthful. Therefore, we had a hard time trying to differentiate between genuine and dishonest responses in addition to innumerable participants who declined to respond on certain issues.

Costco retail store-santa clarita Essay Example | Topics and Well Written Essays - 750 words

Costco retail store-santa clarita - Essay Example The company’s typical warehouses measure and average 143,000 squire feet and the outlets operate approximately seven days a week. The core outlets comprise about 3300-3800 dynamic stock. The company’s reported total revenue for year ending August 2012 were $ 99 billion while the income was $ 2.8 billion. The company’s assets many fold surpass their liabilities indicating a stable company (Costco wholesale 1). Costco store layout, visual merchandising, customer service Store Layout There is a constant movement of items and sometimes confuse the price tags and disorient regular customers. This may mislead customers and they may be embarrassed when they are making payments at the teller. The store is fairly clean and the items are generally well organized and tidy. Similar items are located in close proximity hence this makes things easier for the customer. The stores have a specious layout for ample air circulation. There are fire equipments located strategically f or ease of access. The high number of shoppers especially children accompanied by their children make the place especially the alleys very crowded. The concept of having food courts, gas stations, chemists, optical section, salon among others is well designed and located strategically within the outlets. Staff attendees are strategically located within the lane to help assist customers in need. The image below represents a spacious food court and a raised ceiling for ample air circulation.... Their return and exchange policies are great and the staff are helpful. On one occasion, I experienced poor packaging for items purchased since some of them were in poor shape when I received them. I once experienced discrimination and have seen these happen to others in different occasions. The checking out process is supposed to be same for all but some in these occasions some undergo thorough check while a few are allowed with minimal checks. The waiting experience is sometime terrible with customers having to wait for up to 30 minutes after having paid just to be checked out. Despite commendable job by a majority of the staff, a few are still rude and unfriendly to customers. Once I enquired about location of some items from one staff member only to be told to keep looking. My brother once narrated how the management favored a staff in a disputed case and the same supervisor who intervened at the floor in favor of the staff was the same who was assigned to resolve the case. Costc o feedback mechanism is excellent because the outlets allows patrons to air suggestions and reviews through the suggestion boxes, online platforms and user generated networks. The outlet has many affiliate links online where one can leave comments for further actions. Some of the shopping carts have trash inside any occasionally used by children for play. Although most staff show genuine willingness to help shoppers, some probably the new employees often are either not confident or lack the knowledge on what to do. Some of them definitely need more training and motivation. The store offers sampling from time-to-time enabling shoppers to test and experience varieties and consequently make better purchase

Nurse Standards And Documentation Nursing Essay

Nurse Standards And Documentation Nursing Essay Nursing standards are expectations that contribute to public protection. They inform nurses of their accountabilities and the public of what to expect of nurses. Standards apply to all nurses regardless of their roles, job description or areas of practice.(College of Nurses Ontario, 2008, para.1). Documentation is one of the vital components of ethical, safe and effective nursing practices that provide comprehensible image of the client health status and their outcomes. (Practice Standards, 2008, para.2).Whether the documentation is in electronic or written format, hence documentation communicates the nurse observations, decisions, and outcomes for the client. According to the Aga Khan University policy of Documentation of Nursing Care (2008), documentation is a direct nursing activity that ensures the evidence for provision of nursing care and continuity of care. (p.1.1). The quotation indicates that for every events and record it is very important to do documentation as evidence so that the staff would legally be safe. Moreover nursing care provides good and healthy communication between the staff and the patient and further this provides the good continuity of care to the patient. According to Kimberly (2003),if it wasnt documented, it wasnt done. (para.1). This revealed th at in the clinical setting, if the documentation is not complete, then the work will be count incomplete. During my senior electives in my practice setting in Private Wing II (medicine unit) I encountered many issues regarding documentation on bedside files. I observed most of the nursing staff not following the documentation policy. For example, absence of events related to abnormal vital signs, patient response during invasive and non invasive procedures, abdominal pain complaint and its monitoring scale, errors in 24 hours calculations of intake output flow sheet that can impact on patient negative and positive balance. Moreover, issues related Nasogastric feeding and patients tolerance ability, absence of initials and dates on weekends and wrong addressograph of patient on intake output flow sheets, non useable abbreviations, illegible writing and inaccuracy of nursing notes, all these issues identified during rounds and in morning over. So, I planned and decided to bring these documentation issues in front of my preceptor and manager not only to approve my project, but really want s taff to work on it so that they would legally be safe and performance of the organization should be maintained. My preceptor and manager appreciated me and approved my project and this is how my project journey begins. We all nurses knew that documentation is an ethical and legal issue and making a single error in documentation can put the staff in lawsuit. Therefore to bring improvement in staff documentation practices and to observe staff knowledge I developed a questionnaire tool. At last, I come to conclusion that staff really needs to work on documentation as there is a gap identified in some of the staffs knowledge about documentation. Both preceptor and manager appreciated me and permit me to work on it as issues of documentation on clinical setting quite common now a day that does not only put the staff in trouble but this can affect the organization. Therefore, I discussed all the related issues regarding documentation with preceptor and manager and finally the project appr oved by them. Nursing manager and preceptor considered that work on documentation is a good project so that staff should think of it and work on it in order to bring improvement in their documentation and not make further errors that can affect the patient quality of care as this is an ethical issue. For assessing the need of the selected topic, I developed a pre test questionnaire based on staff knowledge about nursing documentation and finally I come to conclusion via assessment that staffs really have to work on documentation as some of the staff had lack of knowledge regarding nursing documentation. Some of the staff have knowledge but do not show accountability which can put the unit and other staff in trouble. I also identified other issues for practice based project. Firstly, non compliance to infection controls policy. The purpose of not selected the topic was that, all the units Head nurses, Clinical Nurse Instructors (CNI) and Infection Control Staff members are working to gether on it. In addition, they do reinforce unit staffs to attend the infection control sessions on constant basis not only to prevent them but also prevent the other members and patients from infectious diseases. Secondly, bed sore issues are the most common problem I identified in unit. The reason for not selecting the topic was as the Case Manager of the unit already made a project on it, she performed rounds on daily basis and every month she takes sessions on bed sores for the staff. Thirdly, communication gap among the staff and patient. For that, CNI and Head Nurse (HN) are taking classes of morning and evening shift staffs on regular basis. In order to support the need of the project, I reviewed the previous quarterly internal audits results of nursing documentation, which showed that staff does not following the principles and the policy of nursing documentation. The main observations in these audits were non useable abbreviations in nursing notes and in flow sheets i.e. @, cc, KCL, etc. Moreover, unauthorized staff documentation, wrong addressograph and wrong calculations of 24 hours documented and identified in intake output flow sheet in the month of February 2010 May 2010. The major observations which I found during the rounds were almost same except one which has not mentioned in audits observation was the events of patient complain, abnormal vital signs and invasive and non invasive procedure that I identified. All these issues have now become the priority of a unit. Therefore, being a responsible staff I decided to take this project as a challenge and plan to work on it. As the documentation is an ethical and l egal concern that provides quality care to the patient. Moreover, documentation is a basic tool of communication in which nurse does assess patients condition in order to document patients records, so that staff would legally be safe and patient care not compromised. Based on above observations and from the audits results, I developed a pre test questionnaire according to staff need that contains 15 questions. For maintaining reliability of the questionnaire it was checked by the preceptor and facilitator. After substantiation of the pre test, I made it fill with the Nursing Assistant (NAs) and Registered Nurses (RNs). I took 20 samples of the staffs that were 40% staffs of the unit. Although pre test require 15 questions but I scrutinize the five major priority questions of the test. An assessment results reveals that 65% staffs answer correctly about the best definition of nursing documentation. Moreover, 50% staffs did correct answer on purpose of 24 hours of intake output balance documentation. Furthermore, 25% staffs answer correctly on purpose of intake out put documentation in flow sheet. Besides this, 50% staffs gave correct answer on responsible of documenting IV fluids and intake output calculations of 24 hours. Analysis of the issue with evidence based literature: According to Aga Khan Policy of Documentation in Nursing Care (2008), Patient record is a legal document; therefore must present legible, accurate, timely, objective and complete information about patient and intervention. (1.2). This definition clearly explains the standard documentation that are necessary for all nursing staff in order to be legally safe as documentation is an ethical and legal issue all over the world. According to Connor, K. et al (2007), nursing documentation has a high priority in all trusts because analysis of records of care and observations has revealed that use of multiple charts and repetitive recording causes practical and legal issues.(para.2). The above quotation indicates that repetitive records can affect patients quality of care. Moreover, this can take the staff in law suit. Furthermore, organization performances would get affected if its taken in the court. Hence, this has been observed that lack of thorough documentation and nurse accountability r eveals many complaints and investigations arising from clinical incidents which were leading to indefensible claims for the staff. According to NMC (2002), Vigilance is required to ensure high standards in record keeping, whether records are in written or electronic form. The audit of patient documentation is a facet of risk management that can help to promote quality of care. Wood, C., (2003) believe that any notes or records demand legal documentation, and if any judgment, vague or unsubstantiated documentation found, it would be difficult to maintain professional reliability in the court. (para.2). Hence, good record keeping promotes better communication as well as continuity, consistency, efficiency that further reinforce professionalism within nursing. Integration of the Model: I run this project through PDSA model, visualized by Walter Shewhart in 1930s and further this was adopted by W. Edwards Deming in 1950s. This model is known as Shewhart cycle, Deming cycle, Plan-Do-Study-Act cycle, and Plan-Do-Check-Act cycle. Also known as Learning and Improvement cycle. In this model, the cycle shows the framework for the improvement of a process or system. (Refer Appendix A). According to Kevin (2008), once target improvement areas identified, the model will provides a framework that can further used to guide the entire project or to develop the specific objects. (para.2). Furthermore, the PDSA cycle also used when starting a new improvement project or when implementing any change. Besides this, PDSA cycle also used as a model for continuous improvement in quality care. According to Tague (2004), The PDSA cycle has 4 steps for carrying out the change. Just the circle has no end; it should be repeated again and again for continuous improvement (para.3). Taking thi s point I would add that in the same manner unless the staff brings change and improvement in them, ongoing sessions for the documentation, activities of documenting notes quizzes and review of policies should be continue. Here I would integrate this model with my project. The first step is plan, in this step I identified the area that needs improvement. Furthermore, I collected data and planned strategies accordingly for change. I identified four issues from the unit and analyzed the significance of each issue. I discussed each problem with my preceptor and planned for prioritizing the issues. Moreover, CNI planned a meeting with unit manager for selection the priority issue for the project. Finally after the discussions and come to conclusion I selected the topic documentation based on staff knowledge, attitude and practices during the clinical setting. I gathered data through observations during rounds and knowledge identified via pre test. I planned strategies for implementation s, that is session awareness and develop innovative flyer. Moreover, discuss with CNI that PowerPoint presentation should be done via multimedia and for the nursing notes activity White Board with markers should be needed. The second step is do, in this implementation of the project done. I conducted three sessions on different days for all the staffs. I carried out the session in the evenings shift staffs. Moreover, for each session I developed an innovative flyer, and pasted on noticed board for the announcement of the session. (Refer Table 1. Action Plan). Moreover, I taught and encouraged the staff how to retrieve the policy on the computer. For sustainability of the project, I discussed with all team members about the results of the project. Moreover, I explained them that for effectiveness of the projects results they have to initiate the staff and take the responsibility to observe the staffs documentation practices in their shifts. In addition, I arranged a meeting with the nursing documentation monitors of the unit and give them the responsibility conduct in service sessions in every fifteen to twenty days. The third step of the model is study, for that I searched many relevant literature that supports my nursing documentation project. And If I take the component check of PDCA model I evaluated the staff by post test; Moreover, I present different scenarios for the staff, based on documentation practices where staffs have to demonstrate documentation according to its principle. Furthermore, I took the redemonstration of the process of retrieving documentation policies and observations to evaluate the staffs on their nursing documentation practices. The fourth and last step of the model is act. In the act phase, first I used power point presentation lecture with two way communication, and showed pamphlets and cards which I made for them for my sustainability. It is decided that the improvement has come in them or not, whether their practices changed or not. Improvement practices bring changed in them or not. For this project the time was short, so I could not able to perform this step completely but I handed all my things to CNI and the volunteers for further proceed the session. Implementation: Implementation is the most important component of the project. I applied multiple strategies in order to implement the project effectively. My first strategy was to provide knowledge to staff about the documentation and its practices. I searched many literatures on the selected issue and review and retrieved nursing documentation policies and further discuss with my preceptor and facilitator. Also developed PowerPoint presentation slides on the selected project. According to Green, Palfery, Clark Anastasi 2002, The slides are similar to lecture and work well for initial explanation and clarifying the concepts of the learners. (p.2). To observe the enhancement knowledge of the staff, I showed power point presentation slides to the staff, before conducting the session I also showed the slides to my preceptor and facilitator. After justification of the presentation, I conducted three sessions on different days. The reason for three sessions was to expand information to different group s of staff. I conduct all my sessions in overlapping timings and most of the time evening staff attend my session rather than morning. I considered, this strategy was appropriate and relevant to the practice because mosts of the evening staff does attend the sessions on different topic so they do not have to tense that they are giving extra timings to the project or applying any efforts. Green, Palfrey, Clark Anastasi 2002, The slides are similar to lecture and work well for initial explanation and clarifying the concepts of the learners. (p.2). Moreover, I encouraged the staff to participate actively because this helps the staffs to express out their views and carried out their personal experiences and learn different concepts via groups. Group discussions are good for problem solving, critical thinking and demonstrating different points of views among learners.(p.1). My second strategy was to teach the process of retrieving the documentation policy for the staff and encouraged th e staff to re demonstrate it. Also redemonstrate the nursing notes in order to observe the practices of the staff following A-G assessment. The strategy was very effective because here I come to know the staff practices and their knowledge. According to Rodrigo, Meredith Moore 2003, Kinetics learners learn by doing and prefer learning that involves movement, active participation, and concrete objects. (p.1). My third strategy was to develop an innovative flyers that I pasted on the unit notice board for the reinforcement and remembrance of the staff. Evaluation: In evaluation, for RNs I distributed nursing notes paper to observe their documentation practices Moreover, I asked staffs about the Aga Khan University documentation policy. For nursing assistant (NA) I distributed intake output flow sheet where I asked them to document routine amount of fluid intake measurement. Furthermore, I asked the staffs about the documentation error policy. It is saying that no project will be successful without knowing its outcomes. After the implementation I performed an evaluation of my presentation. After providing them the session on documentation, I found t nursing staffs were able to clarify their concepts about the documentation and its error policy. To observe the base line knowledge among staff regarding nursing documentation. For that purpose, I have utilized evaluation tool on nursing documentation formulated by me, after preceptors guidance and approval. (See results of evaluation (Refer Appendix B). The implementation analysis indicates that 85% of my project went successfully (Refer Appendix C). In addition, staff participated well; share the realistic examples related clinical. Moreover, suggested to have these kinds of sessions on quarterly basis so that to improve the knowledge. Furthermore, also suggested to have an activity on nursing notes so that they can bring change in documentation practices. Limitations: Time period for project was short that is why unable to involve all staff in implementation of the project. Another reason for not attending the session by staff was, most of the staffs were busy in providing care to the patient. Moreover, for the evaluation of project I have two weeks in identifying needs, selecting priority issue, observations, assessment and evaluation of the project which was a great challenge for me. Furthermore, lack of resources was a big issue as Learning Resource Center was full most of the time and lots of budgeting issues for assessment, evaluation and on articles but with the great support of preceptor and ongoing facilitation by my facilitator made my life easy in the completion of running the project successfully, smoothly and timely. Recommendations: There are certain recommendations in regards of nursing documentation. Policy of Documentation should be reviewed on daily basis in unit for the knowledge and bring improvement in nursing documentation. Secondly, sessions, quizzes on the nursing documentation should be conducted every month by assigned nursing staffs or Clinical Nurse Instructor (CNI) in order to observe staff knowledge. Furthermore, 8 steps of audit checklist need to be followed and referred. Moreover, nursing documentation should be done by utilizing audit tool every quarterly, for the improvement of practices and monitoring of compliance to documentation policy. Conclusion: To conclude, I will say that documentation plays a vital role in nursing practice because this communicates health care providers about patient assessment, planning, interventions and evaluation of the patient condition. Moreover, it an ethical issue that is a legal documentation and ultimately this safe staff for any legal actions. Documentation shows honesty and care for the patient which should be done on time. If care is not documented, it means its not done. In the last, I would say that this project enhanced my learning. It provided me an opportunity to work as a team member with staff, Head Nurse (HN) and Clinical Nurse Instructor (CNI). This project also enhanced my leadership style what I learned the concept in class. Despite of all this, the project helped me to work independently and to study about nursing documentation in depth. Moreover I learned to integrate new concepts and model that would further help me in my profession career.

Death at the Abattoir :: Slaughtering Pigs Personal Narrative Papers

Death at the Abattoir The first time Professor Marx mentioned that we would be given the opportunity to witness a pig slaughtering, I immediately decided that I would do it. I chose the Abattoir because I wanted to be informed about the process. As I walked down the path to the Abattoir I tried not to think about what I was about to witness. After passing through the huge metal doors, stepping in the soap water to disinfect the bottom of my shoes, putting on the hair net, the apron, and hard hat, I felt like I was about to walk on to the production floor of a large factory. The room was an obsessive-compulsive person’s paradise. Everything was spotless and in top condition. On the ceiling were a series of wheels on rails that connected to hooks, which moved the pigs from station to station. Other than an assortment of carts, a monstrous machine in one corner, four butchers, and an inspector, the room seemed empty. The pigs were kept outside the abattoir in a little pen area. The eldest butcher opened the door, and the first pig hobbled in on its arthritis-crippled legs to the first stage. The pig did not seem to have any idea what was going on as the butchers attached a chain to one of its hind legs. The pig was hoisted upside down, and the butcher punctured a gaping hole at the bottom of the pig’s throat. Blood immediately started gushing out. The pig barely struggled as its waning heart pumped out its blood onto the cement floor below. After the pig died, they moved it into a vat of steaming hot water for about ten minutes to help loosen the hair from its skin. The carcass was then shifted onto a giant contraption which removes most of the hair from the now lifeless body of the pig. The machine is a giant metal basket that literally shakes the hair from the pig. As the pig violently rolled over and over, it resembled a hamster whose wheel had not stopped turning after it died. I was taking a few steps back to escape the hair that was flying off the pig, when my finger brushed against burning hot metal. I looked down and saw a small tub of hot water that I later observed the butchers used to sanitize their knives in between slaughters.

Comparison Essay

Schools of Thought Comparison By: Amanda Szyszkowski There are three main types of schools of thought that are noted in the field of philosophy. The three schools are continental, pragmatic, and analytic philosophies. We are going to take a look at all three of theses and compare them, and see which one most appeals to me and why. The first school is continental philosophy. Continental philosophy is a general term that is associated with the philosophical views that originated on the continental England in the 20th century (dictionary. om staff, 2012). It contains many theories such as critical theory, deconstruction, existentialism, hermeneutics, phenomenology, and structuralism (dictionary. com staff, 2012). The two schools of thought linked to continental that are the most important are existentailism and phenomenology (Moore & Bruder, 2011). The most influencial philosophers related to continental philosophy are Martin Heidegger and Jean-Paul Sartre (Moore & Bruder, 2011).Some th emes of existentailism are traditional and academic philosophies are sterile from the concerns of real life, the world is irrational, and the world is absurd in the sense that there are not explanations that can be given for the way that it is. The above are not all the themes for this school of thought but there are the most compelling (Moore & Bruder, 2011). The second type philosophy is known is pragmatic. Pragmatic philosophy is a type of philosophy that rejects the idea that there is a such a thing as absolute truth (Moore & Bruder, 2011).Instead in this philosophy they think the truth is realtive to time, place, purpose, and is ever changing in the light of new data (Moore & Bruder, 2011). Pragmatism roots primarily are located in the United States. It is also know as American pragmatism. The main school of thought for pragmatism is that there is no absolute or fixed truth. The founding fathers of this type of philosophy are C. S. Pierce and William James. James however would not take the credit for the invention of pragmatism that starting in philosophy clubs that the two men set up. He gives all the credit to Pierce.The final type of philosophy that I am going to cover is analytic philosophy. Analytic philosophy is the learning through experience. The mind of a person catorgorizes experiences. The main school of though for analytic philosophy is that the only thing that we know for certain is that we learn through experience (Moore & Bruder, 2011). Analytic philosophy has ties to both England and America, but it is mostly is used in America. The main philosopher for this type of philosophy is Russell. Russell and his wife set up many schools in England and America that proposed a new way of learning philosophy (Moore & Bruder, 2011).All three types of philosophy have strong and valid points and strong ideals. Which one do you think is the strongest one? References 1. Dictionary. com Staff. (2012) â€Å"Continental Philosophy† retrieved from http ://dictionary. reference. com/browse/continental-philosophy on September 2, 2012. 2. Moore, B. N. , & Bruder, K. (2011)  Philosophy: The Power Of Ideas. (8th  ed. ). New York, NY: McGraw Hill. 3. Farlex. (2012) â€Å"Pragmaticism† retrieved from http://www. thefreedictionary. com/pragmatism on September 2, 2012. 4.

Act 3 Scene 5 dramatic in romeo and juliet Essay

The play Romeo and Juliet is set in Verona, Italy, in the 1600s. During this time violence and rivalry had been common around rival families; fighting and feuding because of their differences. Discipline was an issue in a household. Rules and regulations were to be obeyed and if one chose to break the authority, their sins would have to be confessed to the church. Religion was very important to a catholic family. Going to church and praying was an obligation. Parents had a strict conduct at the time. Weddings were arranged usually by the father of the household; mainly choosing a wealthy man to suit his daughter. Most children from rich and influential families were cared for by a Wet Nurse; normally a lady who had lost a child previously so she would care for another child as if it were her own. As Juliet grew up her wet nurse became a very important figure in her life. William Shakespeare creates tension when Capulet sends Lady Capulet to Juliet’s room to tell her of the marriage they have planned for her. The audience knows that Romeo and Juliet are married and actually in bed together. The audience wonders if the lovers will get caught. As Romeo and Juliet are lying together in Juliet’s chamber they discuss whether it is morning or night. †It is not yet near day: it was the nightingale, and not the lark†. Juliet is pretending that it is not morning, all the while Lady Capulet is on the way to her room. Juliet’s nurse breaks the atmosphere of tension when she warns that Lady Capulet is approaching the room. †Your lady mother is coming to your chamber, the day is broke, be wary, look about†. Romeo escaped out through the window just in time. †Farewell farewell, one kiss and I’ll descend† When Lady Capulet enters Shakespeare uses dramatic irony to cause confusion and misunderstanding between Juliet and her mother. †Indeed I shall never be satisfied with Romeo, till I behold him- dead†. Lady Capulet believes Juliet wants Romeo dead, however the audience is aware of the truth; Juliet’s heart is dead without Romeo. When Capulet enters he speaks kindly to Juliet at first but becomes insulting and violent. Shakespeare is the master of the Elizabethan insult. This makes the scene extremely dramatic for the audience. Capulet threatens Juliet †hang thee young baggage, disobedient wretch, I tell thee what, get thee to church a’ Thursday, or never after look me in the face†. Juliet’s father is confused at how his daughter isn’t thankful for the marriage arrangement he has made for her and takes it personally which makes him react unsympathetically. Lady Capulet stands back and watches, not wanting to help her daughter from unrestrained fathers anger. Juliet pleads with her mother to call the wedding off but she refuses to interfere. †Talk not to me for I’ll not speak a word, do as thou wilt, for I have done with thee†. The audience would feel pity for Juliet, as a parent deserting their child is a very dramatic statement. The nurse is aware of Juliet’s grief and hopelessness and she suggests that Juliet marries Paris even though this will be bigamy. †I think it best you married with the county, o he’s a lovely gentlemen†. Juliet is discomforted at her nurse’s proposal so she goes to see Friar Laurence to see if there is anything he could do to stop herself from marrying Paris. Juliet then states that if this fails she will kill herself. †Ill to friar to know his remedy, if all else fail, myself have power to die† this is a self-fulfilling prophecy, which the audience will understand because it was mentioned in the prologue. The fact that the audience knows that the ‘star-crossed lovers’ will die creates a dramatic atmosphere. Shakespeare makes act 3 scene 5 dramatic through the use of many techniques viz: dramatic irony; the creation of suspense; the use of insults and the prophetic prologue. All of this would have ensured that an Elizabethan theatre audience were sat on the edge of their seats throughout the dramatic and exciting performance. Of this, Shakespeare’s most famous tragedy.