The Clever and Devious Iago of Othello Essays - 609 Words

In Othello, Iago serves as a clever manipulator. He uses his skills on the stupid and naà ¯ve Roderigo to get revenge on Othello. Iago’s main reason for his hatred of Othello is because he is passed over for the lieutenant position given to Michael Cassio. Iago also seems to delight in the manipulation and destruction he is causes. One major way Iago uses his manipulation on Roderigo is by jealousy. At the start of the play, we hear a conversation between Roderigo and Iago. Roderigo is angry because he has been giving money to Iago to help him gain the love of Desdemona, but he learns of Desdemona’s marriage to Othello. Also in Act one Scene one Iago convinces Roderigo to spoil Othello’s marriage by stirring Desdemona’s family against†¦show more content†¦He says that Cassio will be her first choice because he has seen them holding hands. Roderigo argues that Cassio was just being polite, but Iago persuaded him of Cassio’s intentions. Iago then urges him to start a fight with Cassio. Iago encourages the fight because he wants revenge on Cassio for being promoted to the lieutenant position. Iago shows his masterful manipulation skills by having Roderigo being almost invisible in the scene where Roderigo starts the fight with Cassio, who is drunk and chasing Roderigo around th e stage threatening to beat him up. As he was chasing him, Cassio stabbed Montano, the Governor of Cyprus. No one seems to give it a second thought of who started the fight and what the fight is about. In Act four Scene two Roderigo returns. He is enraged that he is not with Desdemona yet and is ready to confess pursuit of her to Desdemona so that he can get his jewels back that Iago supposedly gave her. Iago tells Roderigo that Cassio is taking Othello’s place but lies about where Othello is going. He says that Othello is going back to Mauritania, but actually he is going to Venice. He further says the only way Roderigo can prevent Desdemona from going to Africa is to kill Cassio. Iago says, â€Å"O no; he goes into Mauritania and takes away/ with him the fair Desdemona, unless his abode be/ lingered here by some accident; wherein none can be/ so determinate as theShow MoreRelatedOthello Character Analysis1378 Words   |  6 Pages William Shakespeare’s play â€Å" Othello† like most of his plays is about the premature death of a character who may or may not be considered a tragic hero. Othello, the Moor of Venice, follows him, his wife Desdemona, Cassio, and the main protagonist Iago through a series of unfortunate events that are supposed to be about jealousy between coveting a boss’s wife and a job promotion. The story turns to Iago when he turns into a commanding force that dishevels every character in the play. This is allRead MoreHow Does Shakespeare Use Language and Dramatic Devices to Present the Theme of Jealousy in Othello?1497 Words   |  6 Pagesof jealousy in Othello? ----- Othello weaves a tragic tale of love, jealousy and murder. Set in Venice and progressing to Cyprus, Shakespeare’s Othello follows the cursed path of its namesake, a black soldier whose love for his wife ultimately results in her death. Woven into the socially and emotionally delicate plot is a multitude of key themes, including race (Othello’s colour), love, and jealousy. A key figure, if not the most important in the play, is that of the malcontent Iago, who sows theRead MoreCharacter Analysis Of Othello964 Words   |  4 Pages In the play Othello, written by William Shakespeare, Iago appears to be a clever and manipulative character from the beginning. He attempts to sabotage the main character and Moor of Venice, Othello’s, relationship with his wife Desdemona. Throughout the play, he conceals his true identity and as a result, other characters see him as honest, reliable, and trustworthy. He gains Othello’s lieutenant Cassio’s trust, then backstabs him. He also uses Roderigo, a Venetian, as a piece in his puzzle toRead MoreJealousy, Love, And Death964 Words   |  4 Pagespresent in Othello. However, the most dynamic of themes in this play is jealousy. White describes jealousy as a â€Å"complex of thoughts, feelings, and actions which follow threats to self-esteem and/or threats to the existence or quality of a relationsh ip† (qtd in UK essays par 1). Two types of jealousy are presented to the audience in Othello; the kind of jealousy that is fear of losing what one has, and the kind that is envious of what others have. Jealousy is a prevalent theme in Othello; it is rootedRead MoreMalignant Iago of Shakespeares Othello Essay1721 Words   |  7 Pages      Pure evil is like a cancerous plague that harms all those who come upon it.   In the tragic play â€Å"Othello† by William Shakespeare, Iago is a character that represents pure evil – a malignant cancer to all those around him.   His evil is exposed through his choice of words, his ability to manipulate people, and his opportunistic ways.  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   First, Iago’s evil is shown through his choice of words that demonstrate his vulgarity and his sinister intentions.   Iago’s language is extremely baseRead MoreEssay about Othello: Iagos Soliloquies and Intentions 1009 Words   |  5 PagesTragedy of Othello by William Shakespeare this character is Iago. Iago is a devious man, liar, manipulator, and psychopath. It seems as though in the world of Shakespeare there is always consent power struggles throughout almost all his plays (list several examples) However, to me the most interesting of all of these, is in the play Othello. Where Iago seeks revenge on an unknowing Othello. Iago Othello’s trusted ensign betrays him in the most deceitful ways. One would conclude that Iago would haveRead MoreIago’s Jealousy Essay915 Words   |  4 PagesIago’s Jealousy In Shakespeare’s tragedy Othello, good is often confronted by evil, in which almost every case is in the form of jealousy. Iago, the plays antagonist, is a very manipulative villain. Iago uses his own agony and distress brought upon him by his envy of others, to provoke the same agony within the characters in the play. Jealousy’s ability are shown to influence people to new ends and make all humanistic judgment disappear leaving that man a monster torn apart by envy. Jealousy’sRead MoreEssay about Analysis of an Extract from William Shakespeares Othello980 Words   |  4 PagesAnalysis of an Extract from William Shakespeares Othello In the play Othello, four characters are murdered. The character Iago, who manipulated certain characters into wanting to kill them. Desdemona, Emilia, Othello, and Roderigo, are killed. Iago originally did this out of jealousy of Othello and Roderigo. The deaths of these four characters were inevitable. There was justice in this play for all of the characters who were involved in the killing of the four charactersRead MoreEssay on Iago’s Soliloquies and Intentions 2100 Words   |  9 PagesTragedy of Othello the Moor of Venice by William Shakespeare, this character is Iago. Iago is a devious man, a liar, a manipulator, and a psychopath. It seems Shakespeare developed a very maniacal character but not one that is unreal. I feel as though we have our fair share of Iago’s in today’s society. Many politicians seem to fit into this category, manipulating people for manipulation sake. However, to me the most interesting psychopath of all, is in the play Othello. In this play, Iago is Othello’sRead MoreIago and the Literary Tradition of a Villain in William Shakespeares Othello1896 Words   |  8 PagesIago and the Literary Tradition of a Villain in William Shakespeares Othello In this essay, I am going to explain how Iago conforms to the literary tradition of a villain. Firstly, to answer this question, we must understand what exactly is meant by the term villain. The Collins Plain English Dictionary states that a villain is someone who deliberately sets out to harm other people. It is clear that Iago is clearly someone who has intentions of destroying

The Death Of Robespierre, Leader Of The Jacobins Essay

Marat was sitting in his bathtub, he received a visitor by the name of Charlotte Corday, who had been refused admittance earlier in the day. She claimed to have vital information on escaped Girondins and proceeded to list off the names of the missing Girondins. After he had finished writing out the list, Corday claimed that he told her, It will not be long before they are guillotined, a statement she later changed at her trial to, I will shortly have them all guillotined in Paris. With that statement, Corday retrieved a knife she had brought and plunged it into his chest. Marat cried out in agony saying Aidez-moi, ma chà ¨re amie! (Help me, my dear friend!) and died. After Marat s death, Maximilien Robespierre, leader of The Jacobins, was appointed as the head of The Committee of Public Safety on July 27, 1793. Although Robespierre was a bourgeoisie, he identified with the plight of the sans-culottes and would become their voice as the revolution progressed. It was because of th is representation that he would become a prominent figure at the most radical point in the revolution. He defended the principle that the rights of man should extend to all men – including the poor, and the slaves in the colonies. Beginning in the spring of 1792 and forward, France was in an upheaval. The country was involved in foreign wars, civil war and revolt. While revolutionaries were planning a new government without the king, counter-revolutionaries were plotting theShow MoreRelatedBiography of Maximilien de Robespierre Essay660 Words   |  3 PagesMaximilien de Robespierre Maximilien de Robespierre was born March 6, 1758 in Arras, France. de Robespierre became one of the most influential French figures of his time. He was a lawyer of the bourgeois class but represented the urban workers of his time and even became a spokesperson for them. After becoming a lawyer in 1781 he was elected to the Estates General in 1789 by Artois and represented the poorest estate, the third estate. Maximilien studied philosophy and was an admirer of the RomanRead MoreCauses of the Reign of Terror1367 Words   |  6 Pagesviolence in which occurred from 1793- 1794 after the strong onset of the French Revolution. It was a time of fierceness and anger, resulting in the deaths of thousands of people living in France at that period of time. The terror followed the trial and execution of King Louis XVI in 1793 and was incited by the conflict between the Girondins and Jacobins. Soon after, King Louis’ wife, Marie Antoinette, was executed in the guillotine- the new form of constitutionalist justice. Many of the people whoRead More The Radical Period of The French Revolution Essay1094 Words   |  5 Pagesdemands of the masses (albeit without much choice). However, due to the fanatical aspirations of men such as Danton, Marat and Robespierre,it would be only a matter of months before the moderate stage of social and political reform was transformed into a radical phase of barbaric and violent force. In their quest for freedom, equality and fraternity, the leaders of the Jacobins inadvertently turned the revolution into an oligarchic dictatorship that threatened to destroy all that was achieved inRead MoreThe Downfall Of The French Social Structure And Civilisation1636 Words   |  7 Pagesfar from finding a solution; for the French population of 1789 this was enough to spark a revolution. Justified by the ideals of equality and freedom for all an uprising like never seen in Europe before engulfed France; lead predominantly by the Jacobin party, who through the enforcement of the Terror policy were able to justify the execution of an estimated 40,000 people including the Royal family, for the sake of protecting the revolution and liberty for France. However, the plausibility of theRead MoreRobespierre and the Reign of Terror1544 Words   |  7 Pagesof the Reign of Terror.[Footnote] Throughout the French revolution, specifically the eleven month, 1793-1794 Reign of Terror, revolutionary leaders, such as Maximilien Robespierre believed in enforcing fear to resolve the instability of France. â€Å"Terror is nothing else than swift, severe, indomitabl e justice; it flows, then, from virtue†-Maximilien Robespierre.[Footnote] This period in history signified great atrocities of massacres, and a time where fear was evoked within every French civilian. Read MoreThree Important Events During The French Revolution1201 Words   |  5 Pagesfuture attacks on Louis and also caused the monarchy to diminish completely. If this event did not happen, the hatred towards Louis XVI would not be as strong and his death may not have occurred. He may have just been banished and that been the end of it. His decision to flee turned his people against him and ultimately caused his death. In September 1791, the National Assembly created a limited monarchy. They also created a new legislative branch, called Legislative Assembly. The duty of LegislativeRead MoreTerror Dominates Our Perceptions Of The French Revolution1132 Words   |  5 PagesTerror dominates our perceptions of the french Revolution. Terror was a brief but deadly period where R obespierre, the Committee of Public Safety and the Revolutionary Tribunals, condemned thousands of people to die on the guillotine. The Reign of Terror was not driven by one man, one body,or one policy; It was shape by different forces and factors. The Reign of Terror was certainly the most violent period of the French Revolution. Between the years of 1793 and 1794 more than 50,000 people wereRead More Maximillien Robespierre Essay1722 Words   |  7 PagesMaximillien Robespierre   Ã‚  Ã‚  Ã‚  Ã‚  Maximillien Robespierre is commonly viewed as the symbol of the Reign of Terror, the short period in which thousands of people were executed because they were thought to be traitors. However, Maximillien was actually an idealistic reformer with an image of peace and equality driving him on, who is unfairly credited with the Terror, and assumed to be a power-hungry tyrant.   Ã‚  Ã‚  Ã‚  Ã‚  Maximillien was able to attend a prominent educational institution. He became an intelligentRead MoreThe French Revolution : The Reign Of Terror And The Thermidorian Reaction1744 Words   |  7 Pagesthe Jacobin Club’s leader Maximilien Robespierre and Louis Antoine de Saint-Just. Members of the Jacobin Club would interrupt meetings that the National Convention would hold and accuse the Girondin members of participating with members of higher societies. Another leader of the Jacobins, Maximilien Robespierre, attempted to banish the members of the Girodins so that the Jacobins could rule. That attempt resulted in the removal of the Jacobin clubs and called for the remaining Girondin leaders toRead MoreRobespierre And The Revolution By Oscar E. Segovia1568 Words   |  7 Pages Robespierre and the Revolution Oscar E. Segovia History of Modern France Dr. Rosamond Hooper-Hamersley April 11, 2015â€Æ' Maximilien Robespierre also known as â€Å"the Incorruptible†, is regarded as one of the most notorious figures of the French Revolution. He became involved in the Revolution in 1789, after he was elected into the Third Estate in the Estates General. He strongly advocated against tyranny but that would all change after he gained leadership of the Committee of Public

Islam` Essay - 1261 Words

The Islam faith was a very predominant one in the world’s past history. When it first started to rise along with the teachings of Mohammed, it was very popular. Their military and cultural achievements were remarkable. When the Arabs first started conquering land, they had affected the language and cultures of those lands. Mohammed was a very spiritual man, who helped Islam rise and conquer. nbsp;nbsp;nbsp;nbsp;nbsp;Mohammed was born in 569 B.C.E. Mohammed had lost both of his parents by the age of 6, leaving him in the care of his grandmother and uncle. At 12 years old, his uncle took him on a caravan to Syria, where he picked up certain points from the Jewish and Christian religions. He married a wealthy woman at age 25, and they†¦show more content†¦nbsp;nbsp;nbsp;nbsp;nbsp;Mohammed converted many people, starting with family and close friends. These first converts got the reputation of having the title of ‘companion of the Prophet’. Mohammed made his hegira to Medina in 622 B.C.E. and this is the year that the Moslem calendar started. Mohammed had expected the Medina Jews to welcome him with open arms, when in fact, they mocked him and forced Mohammed to go against them. Mohammed then in turn drove them out of their town and split the land up among his people. After a while, the Arabs accepted this new religion and a theocratic state was organiz ed. From Medina, Mohammed arranged raids on the Mecca caravans, which were accepted and were one of the popular economic activities among Arabs. By 630, the Moslems were powerful enough to confine Mecca, and shortly thereafter Mohammed made the black stone the chief shrine of his religion. nbsp;nbsp;nbsp;nbsp;nbsp;When Mohammed died in 632, the Arab tribes paid tribute to him. Perhaps the biggest tribute was that the Islam faith continued with great force. When Mohammed went to the Arab nations, they were falling apart, but he fixed them and brought them back together by introducing this faith. Within a century, Mohammed’s followers were always victorious. They built a strong empire across Eurasia and stood together as a strong community, as one. nbsp;nbsp;nbsp;nbsp;nbsp;During the rise of Islam, Arab nations were very extensive.Show MoreRelatedThe Islam Of Islam And Islam1398 Words   |  6 Pagesreligion of Islam today, there is a general that women are considered to be oppressed and deprived from becoming successful and powerful women. There is a claim within the Muslim community that Islam helped to elevate the status of woman with the creation of the religion in 610 A.D. The Muslim woman in Islam, specifically the married Muslim woman is not protected in Islam through the Quran. They are not considered to be of equal status of their male counterparts.. Many people in Islam believeRead MoreIslam : Islam And Islam869 Words   |  4 PagesIslam is a religion that developed in Arabia in the 7th century C.E. Islam was founded on the teachings of the Prophet Muhammad. Islam belief centers on the premise that Allah is the one and true God with no partner or equal. Islam is divided into several branches each with its o wn interpretations. Founder Followers: Muhammad is considered the founder of the Islam faith. He was born around 571 CE in Mecca, in what is today Saudi Arabia. Much of what we know about him comes from his sermons andRead MoreThe Arrival Of Islam And Islam952 Words   |  4 PagesThe arrival of Islam brought many changes to Arabian life and society as it then existed. One of these changes was among the treatment of women and their place in society. Before the coming of Islam in the 7th century, women were thought to be inferior servants to men. The arrival of Islam throughout Arabia opened many opportunities for women that allowed them more rights and more influence on the basis of equality. The arrival of Islam is what was crucial for women to be seen as human beings. WomenRead MoreChristianity And Islam : Islam1317 Words   |  6 PagesChristianity and Islam in Premodern Africa Christianity and Islam date back to a time long before the modern era and both have sizable similarities between the two religions. Many of these similarities can be simplified into three subjects; both have books comprised of holy texts written about events taking place during their prophet’s life, both are believed to have started with God appointed leaders, and both consist of different divisions within their religion. Christianity starting with theRead MoreThe Birth Of Islam And Islam1129 Words   |  5 PagesIntroduction: The birth of Islam published liberal and humanistic origin of Islam in east Bengal. But later this Islam turn into political Islam due to three reasons the emergence of religious based Pakistan state, failure of punished the war criminals and the declaration of Islam as the state religion in replaced of secularism (8th amendment 1988). The failure of the state to provide basic need to the people, increasing violence in Economy and political sector gro wing discrimination in society,Read MoreThe History Of Islam And Islam1247 Words   |  5 PagesThe History of Islam Islam is a religion that was founded in 622 C.E. Its origin is traced to the Arabian Peninsula, and currently has an estimated 1.5 billion followers’ worldwide. The sacred texts that are associated with Islam is the Qur’an and Allah is the Deity they pay homage to. Muslims believe that there is only one true God and several time per day, they stop everything to participate in prayer rituals. The region, in which Islam was founded, was a melting pot of religious beliefs. ThereRead MoreThe Religion Of Islam And Islam1544 Words   |  7 Pagesâ€Å"America and Islam are not exclusive and need not to be in competition. Instead, they overlap, and share common principles of justice and progress, tolerance and the dignity of all human beings† (Barack Obama). For many decades, in most cultures, religious practice has been a controversial issue, because each religion competes demonstrating that their practices are the true path to God. Religious tolerance is very importa nt because followers should be free to choose their own religion. Some religionsRead MoreThe Meaning Of Islam And Islam1047 Words   |  5 PagesThe meaning of Islam is submission to one God. The central point or belief in Islam is to believe in the existence of only one God or Allah. The religion revolves around this one belief known as tawhid. This idea occurs in other religions such as Judaism and Christianity. All of these authentic religions speak of the same God as Islam is the reassertion of the revelation of God to Abraham, Noah and Christ. Islam considers these great figures as prophets and they are included in the Quran, the holyRead MoreIslam : The Rise Of Islam1335 Words   |  6 PagesSimilar to the religion of Christianity, Islam is difficult to generalize. When one brings up the word in conversation, they could be speaking of the religion and its systematic belief system or they could simply be talking about the approximately one and a half billion people who have f lourished and who currently live under the influence of said religion. Extending from Indonesia to Morocco and from Kazakhstan to Senegal, the ideals and mission of Islam were created in the seventh century underRead MoreChristianity And Islam : Islam937 Words   |  4 Pagesâ€Å"CHRISTIANITY AND ISLAM.† Christianity and Islam are the two largest religions in the world, with over 2 billion Christian, and 1.5 billion Muslim followers. Christianity was founded by Jesus Christ approximately 2000 years ago in Palestine. Bible is collection of 66 books containing a message from God. The Muslim name for God is Allah. Islam is based on revelations received by the prophet Mohammad and originated in Mecca, Saudi Arabia. Quran, is the Islamic sacred text. Both are monotheistic

Chronic Heart Failure Case Study Review Concern Patient Giovanni

Question: Discuss about the Chronic Heart Failure. Answer: Introduction The case study review concerns patient Giovanni aged 72 years diagnosed with chronic heart failure. The patient was admitted at the emergency section with symptoms, of shortness of breath, sensation and suffocation. He has experienced breathlessness in the recent days and has developed oedema in the feet. Further assessment of the patient reveals that he has been smoking and unable to change his diet with no success. His vital signs indicate that his temperature is below the normal range , it was indicating 36.9oc, his heart beat rate is 115/minutes, the ECG are normal and his blood pressure is 118/60. His respiratory rate is 26 /minutes. The parent upon physical assessments has developed auscultation and the cardiothoracic ratio is also enlarged, this case presentation is a classical acute heart failure. Thenursing problem under this review will be to decrease the cardiac output under which the following two interventions will be initiated; monitoring and assessing abnormal heart an d lung sounds and assessing the patients skin temperature and peripheral pulses and the secondnursing issue is to manage oedema of the foot with key interventions being management of anxiety and depression management and management of fluid intake. Cardiac output The patient has a history of chronic heart failure and has been brought at the emergency centre. His prior history of medication is that he is smoker. Assesment of patient vital information reveals elevated blood pressure coupled with increased heart beat rate and respiration rates at 26 respirations per minute, which the recommended are below 20. His blood pressure is relatively elevated at the systolic measurements being 118 while diastolic readings are 60. It is essential in that it determines the effectiveness of the heart to supply blood to the rest of the body effectively. Elevated cardiac activity have shown to increase the incidence of stroke, it makes the heart to pump more blood to fill the left ventricle before being pump out. It is evident in the case study in that there increased respiration rate due to the action of the heart beating faster than normal. Abnormal heart and lung sounds The rationale behind this intervention is that it allows for the detection of heart failure on the left side of the heart which often occur at episodes of chronic heart failure due elevated accumulation of blood due to poor excretion process of the kidney. This intervention will be administered independently with the appropriate tools for measuring the vitals such as respiration rate and sounds of the heart. The theory behind this intervention is that it is defined by the amount of blood pumped by the heart, thus it is the product of the heart rate, number of beats per second with stroke volume of the heart. Abnormal heart and lung sounds refer to assessments of lung pathology and the heart in measuring the auscultation, which is an important clinical tool in assessing heart failure conditions, (Chen et al., 2015). Chest auscultation is performed using a stethoscope placed on the chest, placing it on the chest of the patient while heart sounds are assessed using stethoscope being pla ced on the diaphragm, sound recognition is heard when high pitch sounds are heard. Normal heart rate should be between 60-100 beats per minute in regular rhythm flow, (Gallie et al., 2015). These interventions are suitable in determining the heart beat flow and function ability. The vital signs displayed by the patient thus are relevant in assessing the abnormal heart sounds and chest for evidence of cardiac output fluids. The advantage of this intervention is that onsets of gallop rhythm of the lungs if present can be an early warning of heart failure in the acute phase. Any presence of pulmonary oedema can signify presence of inspiration and occurrence of dyspnoea to the patient. The risk assessments are important in assessing the disease stage and progress. In most of the scenarios fluttering feelings in the chest are dangerous and hence the need for immediate treatment, hence there is need of identification of irregular heartbeats and the natural ways of managing the arrhythmias is. Irregular heartbeats are normally harmless but reoccurrence for long duration of episodes leads to development of symptoms such as fatigue, dizziness, fainting, and shortness of breath as typical in this case study, chest pain and cardiac arrest occurrence, (Liu et al., 2016). Hence assessment of the functioning of the heart and chest is a remedy for various associated complications which must be minimised at any medica l costs, to avoid damage especially for older patients like Giovanne. Irregular beating of the heart can refer to faster rate of the heart or slower rates with or without presence of irregular rhythm. It often occurs as fluttering. the irregular heart beats are the cause of arrhythmia. The most significant type of these is the a trial fibrillation which happens due to the regular heart beat of the upper chambers is irregular and it limits blood flow. Premature heart beats have the main cause of the collapse and deaths in many incidences of heart failure, according to American Heart Association, (AHA, 2017). An associative risk on abnormal sounds and heart beats is the use of tobacco. Research has shown it is the single top most modifiable factor for heart related diseases an delay a significant role on irregular occurrence of heart beats, (D'alessandro et al., 2012). Heart and chest intervention measures are thus necessary, for managing heart failure, especially in presence of modif iable factor like smoking as evident form the case study patient. Assessing the patients skin temperature and peripheral pulses Assessing the patients skin temperature and peripheral pulses involves the inquest into the peripheral vascular path for isolation of clinical characteristics of pulse for ascertaining arterial bruits and inflammations cause associated with secondary vein thrombosis. This intervention is independent intervention which involves health care practitioner to administer. Elevated pulse rate can be an indicative of complication associated with the heart. Premature beats are evident observation of irregular pulse rates. Absence of pulse rate in the body parts can be an indicative measure of compromised blood flow to the heart due to the congestive heart failure. Assessments of pulse rates and temperature key factors should be considered which are he intensity of the beats, rate, rhythm and tenderness presence in the site of assessment. Patient is thus recommended to be examined in the room so that both pulses of the patient can be observed. Palpations can be conducted using the finger tips and grading done on the sale, (Ranganathan et al., 2015). Despite the patient vital signs showing the elevated pulse rates, continuous monitoring enables tracking down of the management for the patient for effective care. Care is involved in the assessment of the patient status of the measuring the pulsations, at times confusion arises when unable to distinguish own pulses and the patients pulses, thus there should be no use of the thumb as its usage increases the like hood of false readings. Bruits can be further assessed further using auscultation in the arteries. Usage of stethoscope and diaphragm is important in taking these measurements. In other cases the poor pulses readings is risk factor of impaired blood flow, which can be caused by congenital disorders, (Selvaraj et al., 2016). The decline of perfusion and oxygen supply in the tissue levels associated to anaemia can lead to decline in the temperature and pulses in the peripheral region and can pose danger during the palpations, (Wray, Amann Richardson, 2016). The clinical importance for taking pulses and temperature measurements for the patient is meant to detect for presence of diseases, in this case the patent is experiencing acute heart failure thus the reasons for the elevated readings of pulses and respirations arteries. Evaluation Thenursing interventions will assist the patient to reduce the overall work load exposed to the heart, it is expected that the hemodynamic stability of the patient would have normalized and reduction in the pulse rates of the patient. The pulse rate should have fall below the normal range and the temperature stabilized to. Often patients with heart failure disease, experience shortness of breath and pulsations, under medical managements the signs and symptoms would have normalise and keen observation on managing any symptoms that might proof dangerous to the patient. The overall achievement of the intervention is the reduction of cardiac output which releases heavy burden on the state of the patient, (Mark, 2013).Thus cardiac output is relevant in managing hypertension for chronic disease diagnosis so as to reduce the blood fluid over load in the blood vessels and hence reduce the elevated pressure in the body. Nursing issue is to manage oedema The theoretical result of the oedema is the disproportionate balance between the body ability to filter substance in the capillary and intestinal spaces, (Trayes et al., 2013). The function of the kidneys is the regulation of extracellular fluid though adjustments to the sodium and water level in the body. Causative factors for oedema include obstruction of the venous, increasing the capillary action. Major treatment regime involves restriction of sodium, diuretic use and the treatment of underlying disorder which is congestive disorder in this case, (Yancy et al., 2013). The patient in this case is exacerbation oedema of the feet signifying fluid retention due to fluid overload in the blood system. In congestive heart failure the decline in the functionality of the heart affects the normal ability of the kidney to perform its function thus occurrence of the oedema, (Verbrugge et al., 2014). Reduction of fluid levels in the body The goal of management of is to reduce and minimize fluid intake in the body. Reduction of the fluid intake by the patient is a collaborative intervention which must be initiating by thenursing care and the patient. The theory underlying fluid intake correlates with the kidneys ability to remove water in the body and to manage fluid balance. The patient fluid intake will be limited till the normal organ function is resolved. Anti diuretic use has been implemented to oedema in patients as observed in the case study, application of anti diuretic use for the patient is beneficial,(Mebazaa et al., 2016). Oedema thus occurs due to imbalance of the fluid controlling forces and the various interplay of hemodynamic in the patient, (Packer et al., 2013). For effective assessment of the patient and practice of effective treatment, management of oedema is important in reducing the diseases over load. Peripheral congestion of congestive heart failure develops over long duration of time and patients often exhibit excess accumulation of water in the body, (Campbell et al., 2014). The patient in the case study was admitted with oedema of the feet, which caused immobility thus signifying its prior development. Heart failure is associated with renal perfusion falls, which leads to production of aldosterone and elevated sodium levels thus initiating water retention in the legs, (Miles Griffiths, 2014). Risk associated with the oedema is complicate management and excess accumulation of water retain in the body which leads to worsening of the patient condition. Controlling anxiety and depression Excitement and anxiety is often seen in patients with heart failure. It is a serious condition characterised by feeling of fatigued and worn out, (Hwang, Moser, Dracup, 2014). It is further worsened by breathlessness which the body anxious and vulnerable. Observed symptoms may include prevention of normal actives for the patient like talking and even being jovial. It can be observed with the patient, in that the fear of dying and pain causes depression, (Hare, Toukhsati, Johansson, Jaarsma, 2013). Advising the patient to have a positive attitude for better management of conditions is essential for improving the patient condition status. Concerning the age of the patient will be key in managing the psychological status of the patient and enabling recovery. The disadvantage of depression is that it reduces the quality of life, (Huffman et al., 2014) when depression persists for so long then treatment can be sought as it could signal other underlying condition in the body, (Carney Freedland, 2016). Risks associated with depression are that it can lead to high blood pressure, increased platelet activity and increases probability of heart attacks. In heart failure, it can be fatal to cause mortality. Hence nursing intervention for the patient should be geared eliminating stress related mood despite the age state. This intervention id beneficial to the patient as he is at risks as stress and depression at this age states could be fatal. Evaluation of the care plan With the patient current state, experiencing oedema of the foot, their is need for effective fluid balance for the patients. Fluid intake should be managed effectively and monitored closely. The auscultation the lung is aimed at ensuring the lung pathway is clear. For the patient daily monitoring of the weight will be a key indicator for the reduction and retention of fluid in the body. Measuring of daily output of fluid by the patient will be used as a measure in evaluation the effectiveness of the intervention adoption low salt diets will be definitive measure. Patient relaxed state is key to managing effectively the depression and anxiety state of the patient. Maintenance of fluid balance will be key evaluator outcome and the patient become less anxious of his state as suggested by Yancy et al.,(2013) in guidelines for management of heart failure. He fluid management if carefully managed is able to prevent further complication such as acute kidney failure, (Prowle et al., 2014). Conclusion The patient under review is experiencing acute chronic failure with exonerating symptoms like shortness of breath and hypothermal and increased respiratory rates which must be managed medically. This management hence is dependent on several key factors such as symptoms measure, illness presences, medical history and other factors which have been highlighted. In care management, the key issue is to manage the associated factors; in this case we identified two nursing issues for reviews which include decrease the cardiac output manage oedema. 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