Communication Interpersonal Skills in Nursing - 2610 Words

Introduction In this assignment, I am going to review four cases, which will require a number of different communication skills focusing primarily on; developing a therapeutic relationship, communicating assertively, communicating effectively with an individual with a disability/impairment and communicating with individuals from another culture. I will discuss building a therapeutic relationship and effective communication with each patient. Part 1: Developing a Therapeutic Relationship A therapeutic relationship is a professional, inter-personal alliance in which the nurse and client join together for a defined period to achieve health-related treatment goals (Chauhan Long, 2000), which may only last for a short period of time but†¦show more content†¦Non-verbal communication is used to give us cues about what is being communicated (Underman and Boggs, 2011) and involves listening, eye contact, body language, facial expressions and movements. Posture can be open or closed reflecting a person’s emotions and attitudes (skillsyouneed, 2014). Listening can create trust, act as an advocate and build a therapeutic rapport with the patient. Barriers to listening are a noisy environment, tone of voice, timing and tiredness. Kinesics (body language) is an important non-verbal skill that involves the conscious or unconscious body positioning or actions of the communicator (Underman and Boggs, 2011). Following the SOLER guideline is useful. S- Sit squarel y to the person (face them). O- Maintain an open position, L- Lean slightly forward, E- Maintain comfortable eye contact and R- Relax and take your time (Egan, 2002). There are a number of bridges and barriers to developing a therapeutic relationship with a patient and nursing communication is crucial to efficient provision of quality care for clients (Finke, 2008) I will ensure that Regina is psychologically prepared or her operation and discuss post-operative treatment such as a physiotherapy, agreeing on a treatment plan for the rehabilitation of her knee (Arnold and Underman BoggsShow MoreRelatedNursing Theorist, Hildegard Peplau Knew That In Order To1533 Words   |  7 PagesNursing theorist, Hildegard Peplau knew that in order to care for patients, the nurse must establish a strong relationship with the patient. This is an essential element in being able to provide adequate planning, diagnosing, and the successful treatment of patients. Personally, my desire to learn more about Peplau’s theory is because it is a very significant quality to have as a nurse. Nursing is a very interpersonal career, and by forming trusting relationsh ips with patients early in one’s nursingRead MoreThe Theory Of A Nurse1497 Words   |  6 PagesNursing theorist, Hildegard Peplau knew that in order to care for patients, the nurse must establish a strong relationship with the patient. This is an essential element in being able to provide adequate planning, diagnosing, and successfully treating patients. Personally, my desire to learn more about Peplau’s theory is because it is a very significant quality to have as a nurse. Nursing is a very interpersonal career, and by forming trusting relationships with patients early in one’s nursing practiceRead MoreEssay on Four Principles of Interpersonal Communication1459 Words   |  6 Pageshas been noted about the four principles of interpersonal communication demonstrates that King (2000) has provided the definitive source for reviewing these issues. According to King, interpersonal communication is: inescapable, irreversible, complicated and contextual. Using thes e four principles as a basis for research, the current investigation provides a review of each of the four principles and the implication of each of these principles for the nursing professional. A situation is described inRead MoreThe Work Environment At A Large Community Hospital1331 Words   |  6 Pagesenvironment at a large community hospital is unfavorable. Recent change in senior management is producing much anxiety and uncertainty among the nursing staff. Nursing staff perceives they are required to work with limited resources. For the past two years, wages and benefits have not increased for the nursing staff. Presently, there is a national nursing shortage. As a result, the nurses feel overworked and underpaid. Also, their work efforts go unappreciated and unrecognized. A small group ofRead MoreDiscourse Is A Discourse Community1170 Words   |  5 Pagesmembers of one would ever be able to communicate with the members of another† (Schmidt). The communication is done with other discourse communities is hard to understand because we are not aware of what they are talking about. A discourse community of nursing would be a perfect fit to show a example of its the characteristics that makes it a discourse community. Communication is a important aspect in nursing because it is significantly important to guarantee quality care for all patients that areRead MoreEssay on Why Effective Communication Is Important for Nursing1620 Words   |  7 PagesEffective Communication is Important for Nursing This essay is set to explore the importance of developing effective communication skills in nursing. It will give a short overview on what communication is and what it involves. Then it will explain the importance of effective communication in nursing. Furthermore, the essay will briefly present some challenges surrounding communication in nursing and suggestions on how they can be addressed before it concludes by summarising the needs for nursing studentsRead MoreInterpersonal Communication Skill Of Feedback983 Words   |  4 PagesThe interpersonal communication skill of feedback is essential for hospital nurses to give a suitable care to each patient because it enables the nurses to learn, and improve their motivation, performance and efficiency that assist to achieve their goal which is to help the patients heal. The interpersonal communication skill of feedback is a system of conveying information between two people regarding the receiver’s performance (Baker et al. 2013 ). In general, feedback is employed to deliver informationRead MoreCommunication1364 Words   |  6 PagesBach and Grant (2009) define communication as the exchange of information between individuals through verbal, non-verbal and written techniques. This coincides with interpersonal skills which focus on the process of building and maintaining relationships and monitoring and responding to the effect of communication on those involved (Callara 2008). Communication and interpersonal skills are a vital element in all aspects of nursing care including prevention, treatment, education and health promotionRead MoreThe Success Of Registered Nurses1291 Words   |  6 Pages Hard work, knowledge, and interpersonal skills are some of the most important aspects that will directly impact the success of registered nurses (RNs) within the medical healthcare field. They are professionals that require an amount of comprehensive education and skills that are related to assessing, planning, and i ntervening to promote patient care (â€Å"The Nursing Process,† n.d.). In order to become RNs, associate degrees in nursing (ADN) must be earned from a state-approved training program. TheRead MoreTherapeutic Relationship in Nursing1433 Words   |  6 Pagesinteraction to be meaningful and have a positive impact on the health outcomes of the patient, the nurse needs to build interpersonal connections with the patient to form a therapeutic relationship. The nurse also needs to be aware of the patient’s culture and practice in a culturally safe way when establishing this relationship. In this essay the main characteristics of both interpersonal connectedness and the therapeutic relationship will be described using relevant literature. It will then go on to

Mathematics Is That Of Pi ( ÃŽÂ ) - 1728 Words

PI (Ï€) One of the oldest and most commonly known and used concepts in mathematics is that of Pi (Ï€). In the earliest of know human civilizations, people realized the importance of finding the exact value of Ï€ for practical reasons. Even by todays standards, we still only need to know the exact value of Ï€ to a few decimal place values, although that hasn’t stopped mathematicians from pursuing a more accurate representation for its value throughout time. The earliest know approximations for the value of Ï€ have been identified on ancient clay tablets, dated 1900-1650 BC, from the Babylonian civilization which states the value of Ï€ as (25/8) = 3.125. and from the Egyptian civilization, from the Rhind Papyrus(1650BC), which approximates the value of Ï€ to be (16/9)^2 = 3.1605. Although these earliest of approximations have been proven to be within 1 percent of todays actual know value, it marks the point of obsession for mathematicians to find an exact value for Ï€. The next advancement in determining a more accurate value didn’t occur for more than another 1000 years. Around 250 BC, the Greek mathematician Archimedes developed an approach using circumscribed and inscribed polygons to prove that the value of pi to be between (223/71) Ï€ (22/7) (3.1408 Ï€ 3.1429). This geometrical approach was predominantly used by mathematicians for the next 1000 years, were in 1630 an exact value of Ï€ was found to 39 decimal palaces. Sometime around the year 1425, a new approachShow MoreRelatedPi And The Real World995 Words   |  4 PagesAbstract Pi has a rich history and numerous applications to go along with it. Pi is used in mathematics, science and engineering. Pi has been traced back to over 1600 BC in Egypt, and today it is celebrated world – wide. Students from elementary school through college know of pi and its multiple applications. It has been used in physics, as well as in geometry. Students will even use it in trigonometry when they are doing sine waves. Students need to see how necessary pi is in mathematics and in theRead MoreA Study On Zu Chongzhi1582 Words   |  7 PagesZu Chongzhi is a famous Chinese mathematician and Astronomer lived in 429-501 A.D., Zu had do various of mathematics in his life, he improve Chinese mathematical, and made China become a powerful mathematical countries in 1000 years ago. Zu has many contributions in Chinese mathematical and astronomy such as 7 digits of PI, zhuishu(Method of Interpolation, The definition of zhui is method of ancient Chinese astronomy, shu is book), a nd the Daming Calender. but Zu is live in a war age that causedRead MoreArchimedes Of Syracuse And The Current State Of Computing1250 Words   |  5 PagesAs long as the field of mathematics has existed, people have been searching for shortcuts to eliminate the monotony and difficulty of calculating figures accurately. As a result, human beings began to develop new technologies to simplify this process. In ancient history, the abacus was a useful device in calculating simple numbers requiring addition and subtraction. In the seventeenth century, the first mechanical calculators were able to perform multiplication and division through repetitions ofRead MoreMathematics Is That Of Pi ( ÃŽ   )2249 Words   |  9 Pagescommonly known and used concepts in mathematics is that of Pi (Ï€). In the earliest of know human civilizations, people realized the importance of finding the exact value of Ï€ for practical reasons. Even by todays standards, we still only need to know the exact value of Ï€ to a few decimal place values, although that hasn’t stopped mathematicians from pursuing a more accurate representation for its value throughout time. The earliest know approximations for the value of Ï€ have been identified on ancientRead MoreWilliam Jones and Pi Essay1894 Words   |  8 Pagescreated, and was the first to use, pi. William was born on a farm in Anglesey, then later moved to Llanbabo on Anglesey, then moved again after the death of Williams father. He attended a charity school at Llanfechell. There his mathematical talents were spotted by the local landowner who arranged for him to be given a job in London. His job was in a merchant’s counting house. This job had Jones serving at sea on a voyage to the West Indies. He taught mathematics and navigation on board ships betweenRead MoreA Short Note On Internal And Internal Assessment1596 Words   |  7 PagesIB Mathematics HL Internal Assessment Judy Taylor IB HL Mathematics Word Count: 1311 â€Æ' Table of Contents Abstract†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Page 3 Introduction†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦..Page 4 Exploration†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦...Page 5 Applications†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦..Page 8 Conclusion†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦....Page 9 References†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Page 11 â€Æ' Abstract The sine integral, written as Si (x), is important factor in signal processing as it causes overshootRead MoreThe Contribution Of Leonhard Euler1712 Words   |  7 Pageswas a fascinating and talented man who made significant contributions in mathematics, physics, engineering and astronomy (Stockstill). The incredible amount of work he produced in mathematics has made his name famous around the globe. He has produced more work than any other professional in mathematics (Australian Mathematics). His work in calculus, graph theory, and mathematical notation has greatly influenced mathematics (Euler Website). Euler was a great 18th-century mathematician but also workedRead MoreThe Great Pyramid Of Giza859 Words   |  4 Pagesconstants in created mathematics which are: Ï€, ÃŽ ¦, and e. The slope angle of 51 °51’ also 51.85 ° in decimal form, comes from measurements taken off the remaining casing stones. There is also a debate as to the geometry used in the design of th e Great Pyramid of Giza in Egypt. There is evidence, however, that the design of the pyramid may use these foundations of mathematics and geometry. Here is more evidence of how the design of the pyramid may embody these foundations of mathematics and geometry: -PhiRead MoreThe Ancient Inventions Of The Future994 Words   |  4 Pagesin geometry. Or Aristotle, who mad giant leaps in astronomy (also made a theory that the earth was round in about 384 B. C.). therefore, a new era of philosophy was inaugurated and the course of western civilization was decisively shaped. Modern mathematics, Medicine, and cartography was all modernized during this age of philosophy. Without the Greeks, present ideals and the way we live our life would not be the same. So it is important that we know what the Greeks invented and their power over ourRead MoreJohn Wallis3283 Words   |  14 Pagesallowing themselves to discuss any other outside topics such as politics (OConnor amp; Robertson, 2002). Due to these weekly meetings, Wallis read and mastered Oughtred’s Clavis Mathematicae in only a couple of weeks in 1647. â€Å"Quickly his love of mathematics, which he had as a student but which had never found the opportunity to flourish, now came pouring out† (OConnor amp; Robertson, 2002). Shortly after mastering Oughtred’s book, Wallis wrote his own book, Treatise of Angular Sections, but the book

Changes to the American Empire During 1790 to 1850 Free Essays

American imperium alteration from the 1790s to the 1850s The unusual struggle that split American life in the 1790s concentrated on conflicting position of the significance of the American Revolution and the manner its tradition could be developed into a new province. The profound misinterpretation of the 1790s inspired the growing in American political relations. Throughout revolution patriots anticipated and demanded all people give the support because it was the lone manner for the public good. We will write a custom essay sample on Changes to the American Empire During 1790 to 1850 or any similar topic only for you Order Now Many Americans held that was a individual place to travel on this political issue It was unfortunate for John Adams to be the president during these disruptive times. He was a existent nationalist and deeply principled. It was during his term of office that by 1798 he and Federalist Congress had enacted many Torahs that adversely chopped off Americans civil autonomies. To Adams political critics were faithless oppositions of good authorities where he intensified domestic dictatorship under the leading Congress leaders. In so making he was utilizing his ain party in chairing control and as a agency to work the chauvinistic enthusiasm to his ain advantage. The difference that alienates our perceptual experience from those of Adams and his Federalist companions in the late 1790s unmaskings basic revolution of American political idea The philosophical alterations that started by Gallic Revolution had immense effects in France and many European states. It helped to alter American political relations get downing from mid 1790s. It had in the beginning receive overpowering support in the United States but it subsequently lets to divergent positions in America because of radicalization in 1792-1793 America grew and changed from 1750-1850 in all domains i.e. politically socially and economically. In societal and cultural alteration, art changed which was started by Hudson River school motion. American painters for the first clip started their manner, for case Thomas Cole, who gave the American its individuality by switching off from England manner of picture and gave more concentration on landscaping. Literature on the other manus changed whereby authors started prosecuting themselves on American subjects. During this clip the indigens were ill treated by the foreigners. Foreigners introduced remotion policy which forced the Native American move from their hereditary lands. This act was propelled passing of the Removal Act in 1830.Cherokees in 1838 were forced to travel 100s of stat mis from their places to settle in West of the Mississippi river. This motion was referred to â€Å"trial of tears† . Economic alterations took topographic point which majorly affected how America made money, how people earned a life, engineering and trade. In transit changed how goods were ferried from one topographic point to another. This was enabled due to the debut steamboats, canal edifice. Farmers earned more money due to faster and cheaper transportation of green goods to the markets. Progresss in engineering i.e. in of the telegraph by Samuel Morris improved communicating at big since messages could make the receiver in proceedingss unlike months. Invention of whirling Jenny by James Hargreaves changed the fabric industry immensely. Factories emerged ; the first successful mill in the US was started by Moses and Samuel Slater. The Factory was made up of Millss which spin yam. Slater bought the cognition from England where he was working. This aided the sprout of successful mill in America. The British fabric factory engineering brought to the U.S was upgraded by Francis Cabot. He combined b oth the turning of yarn and the weaving of apparels in one mill. It was started in Lowell Massachusetts in 1821. A Boston associate was formed by Lowell and outstanding business communities to finance the factory. As mills grew interchangeable parts and industrial rebellion thought came up. Eli Whitney came up with the idea. The chief docket was to utilize the machine to develop all parts likewise, therefore salvaging clip and money in the industry. This aided the rapid growing of the industrial revolution. As money changed therefore the alterations in foreign policy besides took topographic point. America changed from thought of isolation to neutrality. The chief end was to merchandise with all states and acquiring involved in developing them. The president at that clip was Monroe. President Monroe due to his concern about European states colonising South America ; he made a bold statement warning them to remain off from Latin America. Due to weak military the policy was difficult to continue but the backup of England came in ready to hand. The statement by President Monroe aided to determine the foreign policy for many old ages. American’s belief of manifest Destiny brought approximately political alterations. The belief stated that U.S had the authorization and duty to spread out ocean to ocean. They achieved this through sign language pacts, annexing and purchasing of land from Latin Americans. The Louisiana Purchase made in 1803 by Thomas Jefferson is a good illustration. He used $ 15 million on 800,000 square stat mis belongings which was about twice size of the U.S. Jefferson decided to look for adventurers to map and analyze wildlife. This occupation was given to Lewis and Clerk. American exceptionalism is an enterprise that America is fundamentally different from other states. This point of view has dominated American economic sciences, political relations and faith for many old ages. Several early settlers proclaimed themselves to be an component of a exclusive venture with plentiful natural wealth, equity of society and faiths. It was non up to the rebellion that exceptionalism took on unfastened political intensions. The oratory of the current democratic government was often connected with expansionist pressing. This aligned foreign policy which stood on the strong belief that to spread out American democracy was reciprocally right and ineluctable. American exceptionalism changed as they enlargement took topographic point. United State and its citizen perceive that they hold the particular topographic point on Earth, by offering opportunity and outlook for world, ensuing from an exceeding sense of balance of public and private benefit governed by legitimate rules that focused on single and economic autonomy. A high spot in the yesteryear of American Exceptionalism is the American rebellion. The ideas that shaped the American rebellion were eventful from a usage of republicanism that has been affected by the British mainstream. Thomas Paine’s general logic for the first point in clip articulated the strong belief that America was non an enlargement of Europe except a new district, a province of about illimitable prospective and opening that had over shined the Britain. These sentiments lay the rational footing for the extremist perceptual experience of American exceptionalism and were strongly attached to republicanism, t he perceptual experience that rule belonged to the citizens, non to a catching opinion category. Alexis de Tocqueville insisted the advanced environment of democratic system in America, in difference that it infused each characteristic of society and traditions, at a minute ( 1830s ) when societal equality was non in tendency anyplace else. How to cite Changes to the American Empire During 1790 to 1850, Essay examples

Conquer Through Character free essay sample

On all fours, I fell to the ground. My legs were exasperated to the point where I felt a strange tingling sensation, and they became numb. The sun’s gaze scorched my skin, and the touch of turf smoldered my forearms and lacerated the palms of my hands; they were a crimson red left with the fresh imprint of ground rubber. My chest was constricted by the pads on my shoulders, as though it could no longer sustain my lungs from bursting and pouring out. The blood in my head was pulsating through my temples at a pace faster than I had ever felt, and the sweat of my brow slowly edged down the cheek of my face. I thought I was going to die. Looking back on this experience, I wondered why I ever joined football. I am not the biggest or the most athletic person, so I do not receive a lot of playing time. We will write a custom essay sample on Conquer Through Character or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page My friends would all ask me why I did not just quit, and spend more time hanging out with friends. I would usually just shrug them off and make up some joke; however, now I am actually wondering why I stayed in football. One thing I do know is that I did not stay in football for myself, but rather for my teammates. In fact, I rarely referred to them as my ‘teammates,’ but rather as my ‘brothers.’ The reason I refer to them as brothers is because of the bonds we created. We all endured the same heat, and we all endured the same pain I described earlier. One team, one heartbeat. I wanted to be a part of something larger than myself. This program was not for everyone, as that only those who possessed true devotion and commitment could go through it. In my freshman year of high school, there were about a hundred freshman football players, all thinking they were the next big thing. However, now there are only about twenty seniors left in our class, with only a bout ten of them going through the program for the entire four years. Because of football, I am now a much more passionate and persistent person who will not back down from any challenge presented before me, no matter how great or small. I can now go through life with a sense of optimism, knowing that whatever life throws my way, I can rise above it and conquer it. My character has ascended to new levels, and I can now accomplish anything I set my mind to.