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nina negri resume A joke is the most powerful thing there is, the most terrible: it is irresistible. . . . Great pity for people who believe in the seriousness of life. –Gustave Flaubert, Intimate Notebooks. What Is Reality? Flaubert has often been credited as being the Care Authorization Form Sample, Father of Project-Log-Template.jpg Realism. Madame Bovary , his first and most classically plot-driven novel, has been labeled as “realist” because of–as many critics would have it–the author’s choice to depict “mediocre” and “vulgar” protagonists circling around a subject as “trite” as adultery. Like much criticism, these readings tell us a great deal more about the critics than the novel. Care Authorization Form Sample Template! Implicit in such statements are the assumptions (a) that there is anything “trite” about the conflict between human desire and the social demand for monogamy–which, as we will see, was applied selectively in Flaubert’s time to the lower reaches of the Restaurant Brochure Ideas, French middle class; and (b) that the Authorization, author himself was immune to the trashy and fickle illusions embraced by his characters.

Writing in 1964, critic and novelist Mary McCarthy describes Emma Bovary as “a very ordinary middle-class woman with banal expectations of life and an urge to dominate her surroundings. Her character is remarkable only for an unusual deficiency of human feeling” (“Foreword”). Sensing, perhaps, a need to distance herself from the Brochure | Graphic Ideas & Inspiration, proto-feminist implications of Care Authorization Sample Emma’s dilemma, the Project-Log-Template.jpg, brilliant, prolific McCarthy could only describe her as “trite.” Instead, she chooses to valorize Charles for his unfailing love of Form Template his wife–a love that is no less misguided and false than Emma’s romantic illusions. Except for the brief deathbed appearance of Dr. Free Resume Templates! Lariviere, a man who “disdainful of Authorization Template honours, of Needs And Program titles, and of academies . . . generous, fatherly to the poor, and practising virtue without believing in Care Authorization it, . . . would almost have passed for a saint if the keenness of his intellect had not caused him to be feared as a demon” (p.

295), all of Flaubert’s characters are equally flawed and deluded. There is the rapacious, progressive pharmacist Homais and Template the dull-witted Charles, who loves his young wife for Template all the wrong reasons. Pleased with himself for possessing such a fine wife, Charles is Restaurant Ideas By, so completely seduced by Emma’s well-rehearsed feminine wiles–her new way of making paper sconces for candles, the flounces she puts on her gowns, her little wine-red slippers with large knots of ribbon–that he cannot see her unhappiness. Care Sample Template! There is Emma herself, whose suffering never opens her eyes to the misfortunes of others. Her affairs, and her two lovers themselves, Rodolphe (the seducer) and Leon (the poet of adultery), prove to be equally untrustworthy and disappointing. Car Show – Premium Flyer + Facebook Cover | Exclsiveflyer! There is Lheureux, the Care Authorization Form, usurious loan-shark and salesman, and a large cast of pompous officials and idiot villagers. In a novel that is so technically modern and ground-breaking, it is interesting to note that Flaubert draws on the medieval slapstick tradition of Review Download naming his characters after their foibles: the Mayor Tuvache (“you cow,” in translation); the booster-ish technocrat Homais (“what man could be”: “homme,” the noun “man,” cast, like a verb, in the future conditional tense); and Authorization Form Sample Lheureux, the purveyor of expensive false dreams, his name taken from the Final Session Ba 128a - Ppt, French word for Authorization Form Sample Template “happiness.” Finally, it is the very idea that romantic love could be conducive to Brochure | Graphic Ideas & Inspiration By happiness that is most deeply discredited. When Rodolphe makes Emma fall in Care Authorization Sample Template love with him at Yonville’s agricultural fair, it’s not exactly Rodolphe she falls in Project-Log-Template.jpg love with.

When she is Sample Template, caught in his gaze, the little threads of gold in his eyes and the smell of pomade in his hair sets off a rapture of memories of all of the Free Resume Templates Microsoft, men she’s been in love with. Because she is in love with love, Rodolphe merely serves as a trigger, and at the time this is marvelous. Template! But as the novel moves on, Emma behaves more and Project-Log-Template.jpg more like an addict. By part three, chapter six, when the Authorization Form Sample Template, novelty of her affair with Leon begins fading, Emma summons an Review imaginary Leon in Care Authorization a letter-writing delirium. “But while she wrote it was another man she saw, a phantom fashioned out of her most ardent memories, her finest reading, her strongest lusts, and at last he became so real, so tangible, that she palpitated wondering, without, however, the power to imagine him clearly, so lost was he, like a god, beneath the abundance of his attributes” (p. 269) . After this free-basing binge, Emma “fell back exhausted.” These “transports of love” gave way to a “constant ache all over her.” (In Crack Wars: Literature, Addiction, Mania , philosopher Avital Ronell extrapolates from this metaphor with wild perfection.) “There is no goodness in Review Session Ba 128a this book,” wrote Charles-Augustin Sainte-Beuve, the most eminent critic of Flaubert’s time, in an otherwise favorable review of the novel.

And yet the book breathes with compassion. Preparing to write the scene of Emma and Leon’s first meeting, Flaubert describes a strategy that informs the whole book in a letter to his sometime-lover and literary confidante, Louise Colet: “My two characters . . . will talk about literature, about the sea, the mountains, music–all well-worn poetical subjects. It will be the first time in Care any book, I think, that the young hero and the younger heroine are made mock of, and Project-Log-Template.jpg yet the irony will in Authorization Form Sample Template no way diminish the pathos, but rather intensify it” ( The Selected Letters of Gustave Flaubert ). In the tour-de-force scene of the Project-Log-Template.jpg, book, Flaubert cuts back and forth between the Care, civic banalities spewed on the floor of the agricultural show and Rodolphe’s worn-out seduction scene, staged for Purchase Emma on the balcony. This technique of dual recitative, used to tragic effect in opera, becomes giddy high comedy as the pace escalates from whole speeches to fragments of sentences: “Seventy francs.” “A hundred times I wished to go; and I followed you–I remained.” “Manures!” . . . “And I shall carry away with me the remembrance of you.” . . . Care Authorization Form Template! “But you will forget me; I shall pass away like a shadow.” . . . “Pig race; prizes–tied by Messrs. Leherisse and Cullembourg, sixty francs!” (p. 139-40).

And yet Flaubert ends the scene by – Premium Flyer + Facebook | Exclsiveflyer breaking our hearts, with the final award given to one Catherine Nicaise Elizabeth Leroux, an elderly servant, who spent fifty-four years on one farm taking care of the animals. The elderly woman feels no emotion. Living close to the animals, she has assumed their wordless, placid state of being. Finally, a smile crosses her face as she realizes she can give her award to the priest to Care Form Sample Template say masses. Later, at the peak of another duet of Templates Microsoft cliches that marks Emma’s second seduction, her soon-to-be-lover Leon (or is it Flaubert now who is speaking?) observes, “Language is a machine that continually amplifies the emotions” (p. 218). “Madame Bovary, c’est moi,” Flaubert famously stated when his book was a hit and Care he was hounded by critics and fans to identify the real-life, verite source of his character. Yet he also liked saying the opposite: “There’s nothing in Madame Bovary that’s drawn from life,” he wrote to Mlle. Leroyer de Chantepie in a letter dated March 18, 1857. “It’s a completely invented story.

None of my own feelings or experiences are in it.” And yet Flaubert also wrote, in his youth, “There are days when one would like to be an athlete, and others when one longs to be a woman. In the first case it is Project-Log-Template.jpg, because our muscles are aquiver; in the second, because our flesh is Form, yearning and ablaze” ( Intimate Notebook , p. 47). In fact, the Assessment, word “realism” was initially applied to Madame Bovary by its first publishers, who also acted as censors. After agreeing to issue the book in six installments, Flaubert’s friends at the Revue de Paris asked him to cut several scenes that its readers would find much “too real.” At the Care Authorization, top of the list was one of the book’s strongest and funniest scenes (part three, chapter one), in which Emma finally yields to Leon’s advances. Having made no prior arrangements, they take an eight-hour ride in the back of a cab. “Where to, sir?” asks the cabman. “Where you like!” answers Leon, and they’re off on a fornicator’s grand tour past all of provincial Rouen’s doubtful attractions. “Real” in Resume Templates Office this case was a euphemism. They meant obscene. When the Care Form Sample Template, final installment appeared, Flaubert, and the editors and printer of the Revue de Paris were subpoened to court for Final Review Ba 128a - Ppt Download offenses against public morals and religion. (Installed via a coup five years previously, the Form Template, government of Napoleon III had begun to enforce its draconian laws of political censorship.) Public prosecutor Ernest Pinard (who later, hilariously, would be exposed as the anonymous author of self-published pornography) denounced the book’s “realism.” Attorney for the defense Jules Senard argued persuasively that this very “realism,” and Emma’s meticulously described and Car Show Flyer | Exclsiveflyer horrible death, served as caution against the dangers awaiting young women like Emma, when they are educated and exposed to certain ideas beyond their comprehension and station (“Appendix: Speech for the Defense”). The charges were dropped, and Madame Bovary was published in Form Template book form by Michel Levy. “Everyone thinks I am in love with reality,” Flaubert protested, at Needs Assessment And Program Planning the pitch of the controversy, “whereas I actually detest it. It was in hatred of realism that I undertook this book.

But I equally despise that false brand of idealism which is such a hollow mockery in the present age” (Steegmuller, Flaubert and Madame Bovary , p. Care Authorization Form Sample! 377). In a sense, Emma Bovary’s dreaminess is not so very different from Flaubert’s own; he simply adapted it to the limits of her situation. Needs And Program Planning! The only Template child of a prosperous peasant, Emma Rouault is Purchase Proposal Template |, sent to a convent school in Rouen at the age of Sample thirteen. Here she excels, until the – Premium + Facebook Cover, nuns realize it is the erotics of Catholicism that Emma embraces. Emma has a particular talent for recognizing and responding to the sexual subtext of the religio-romantic ideas of her time as taught to young ladies.

She swoons at the mortification of Jesus, practices fasting, and senses the pressing of flesh guarded over by golden-winged cherubs. She yearns along with the virgin hearts who aspire toward heaven. After the premature death of her mother, she abandons herself to more secular forms of soft-core pornography, devouring popular romances written by viscounts and counts. Like Flaubert, she is a child of the Romantic era, in which Great Men of Letters like Lamartine and de Musset concocted washes of sentiment in the noble verse form of Alexandrine couplets. Charles Bovary is the first and last suitor she meets after returning from the Sample Template, convent to her family’s isolated farm. Flaubert has already told us a great deal about Charles before their first meeting. Awkward and bumbling throughout his youth, he was a mediocre student who barely managed to pass despite hard work and | Exclsiveflyer discipline. He attends medical school but never achieves the full status of doctor. Instead he becomes a public health officer, a job that was roughly equivalent to physician’s assistant. Charles knows his limits: His treatments are as noninvasive as possible. He fears killing his patients.

The two meet when Charles is summoned to treat Pere Rouault’s broken leg. Form! He rides eighteen miles through desolate countryside from the small town of Tostes to the Rouault family farm. At the time, he is still married to the forty-ish “rich widow” picked out by his mother. Still, he notices Emma, and in the second chapter of Assessment Planning part one, a vaguely sado-erotic scene occurs between him and Rouault’s virginal daughter. (Flaubert was a great fan of the Marquis de Sade.) After checking on her father, Charles lingers before leaving the farm. He stops in the parlor, where Emma is gazing absently out the Care Authorization Form Sample Template, front window. Startled, she speaks her first line of dialogue. “Are you looking for anything?” she asked. “My whip, if you please,” he answered. He began rummaging on the bed, behind the doors, under the chairs. It had fallen to the ground, between the sacks and the wall.

Mademoiselle Emma saw it, and bent over Templates Office - Neptun the flour sacks. Charles out of politeness made a dash also, and Care Authorization Sample as he stretched out his arm, at the same moment felt his breast brush against the back of the Project-Log-Template.jpg, young girl bending beneath him. She drew herself up, scarlet, and looked at him over her shoulder as she handed him his whip (pp. 19-20) A year later when Charles’s wife dies, it is a foregone conclusion that Emma will accept his faltering proposal of marriage. Like Flaubert himself, Emma, a perpetual dreamer, was ill-suited to marriage or life in the provinces. As McCarthy points out, “Emma’s boredom is a silly copy of Flaubert’s own,” although when we read his letters and Care Authorization Template diaries, it’s a toss-up to Assessment And Program Planning say which of the Care Authorization Sample Template, two was more melodramatic. Describing Emma’s adolescence, Flaubert writes, “She rejected as useless all that did not contribute to the immediate desires of her heart, being of a temperament more sentimental than artistic, looking for emotions, not landscapes” (p. 37). Flyer | Exclsiveflyer! Writing to Care Template Louise Colet after their first sexual encounter, Flaubert exclaims: “I am broken, dizzied, as after a long orgy, I am bored to death. I have an incredible void in my heart.

I once so proud of my serenity, I who worked from morning to night with a sustained rigor, can neither read nor think nor write. Car Show – Premium | Exclsiveflyer! Your love has made me sad. I can see that you’re suffering, I foresee that I shall make you suffer. For your sake first, then for mine, I wish that I had never known you” (Gray, Rage and Fire , p. 140). Later, in a more conversational vein, Flaubert confesses to spending an entire day dreaming of a special pair of divans: one stuffed with swansdown, the other with hummingbird feathers. This dream, he reports, left him sad all through the Form, evening. Emma’s despair after the first disillusion of marriage echoes Flaubert’s shortly before he started work on the novel. In part one, chapter nine, Emma abandons her former pastimes and Review Ba 128a - Ppt Download hobbies, because “What was the good?” (p.

61). Writing to his friend Louis Bouilhet, Flaubert at age twenty-nine is plagued by Care the same question: “From the past I go dreaming into the future, where I see nothing, nothing. . . And Program Planning! . Something–the eternal ‘what’s the point?’ sets its bronze barrier across every avenue that I open” ( Flaubert in Egypt ). Two years after beginning the novel, Flaubert wrote to Colet about the hours he wastes spending an imaginary fortune. He’d give oyster banquets, he’d have golden finches let loose in the house, his shoes would be studded with diamonds. He dreamed of the Authorization Sample Template, Orient. Likewise, to Emma it seemed that “certain places on earth must bring happiness, like a plant peculiar to the soil, and that cannot thrive elsewhere. Why could not she lean over balconies in Swiss chalets, or enshrine her melancholy in a Scotch cottage?” (p. 41). And Program Planning! In a passage whose cadences echo a Nike ad targeted toward female consumers (“You decide to be president.

You decide to Care Authorization Sample be a veterinarian. You decide to be the Purchase, president’s veterinarian”), Emma “wished at Authorization Form the same time to die and to live in Paris” (p. 59). Exiled in Tostes, she lived in a state of perpetual torpor. And what, argues Flaubert, through the immaculate construction that is Madame Bovary , could be more real than illusion? In fact, the novel’s characters, emotional atmosphere, and plot were derived from a multiplicity of sources. Flaubert scholars agree that Madame Bovary’s literal plot outline was drawn from the story of Eugene and Delphine Delamare, a local scandal.

According to Flaubert’s first American biographer, Francis Steegmuller, Delphine, a country girl who had been educated at a Rouen convent, married Eugene when she was seventeen and died of an overdose of poison nine years later. | Graphic Design Ideas! Bored with her marriage to an adoring, unambitious husband, she had numerous affairs and Care Authorization amused herself by buying clothes and decorating. These pastimes resulted in Resume Microsoft - Neptun an avalanche of debt. When the bills came due, afraid of Care Form facing ruin, she killed herself by taking poison. Delphine’s death occurred in Ry in 1848, the year of the Project-Log-Template.jpg, “second” French revolution. (Fifty years after Delphine’s death, Eleanor Marx Aveling, Madame Bovary’s first English translator, would kill herself in exactly the same way in London; she was forty-three when she ingested prussic acid.) In 1848 the activist and writer Amelie Bosquet, who would become Flaubert’s friend and correspondent, was giving fiery speeches about women’s rights at revolutionary rallies. Care Authorization Form! Twenty-one years later, Flaubert would ridicule Bosquet through the character of La Vatnaz, the Final Review Ba 128a, ugly feminist hack who couldn’t get a man, in his novel A Sentimental Education.

In fact, Flaubert had vaguely known the Delamares, or at least known of Care Authorization Form them. Eugene had been a medical student of Gustave’s father, Achille Flaubert, who was chief physician at the Rouen hospital. During their early childhood, Flaubert and his sister, Caroline, had lived with their parents in an apartment at Free Resume - Neptun the hospital. Authorization Form! Their childhood games included hiding in the morgue and spying on all kinds of medical procedures. Like Charles, Eugene Delamare became an officer of public health after failing to pass all his medical exams. Throughout his marriage, he had been blissfully unaware of Delphine’s lovers and indebtedness. He idolized her. After Delphine’s suicide, Eugene also died by his own hand, leaving behind their young daughter.

This tabloid subject matter was suggested to Flaubert by Project-Log-Template.jpg his friend Louis Bouilhet. Returning home in May 1851 from Care, a two-year trip to the Near East with his friend Maxime du Camp, a trip on which he had spent a large part of Assessment And Program Planning his inheritance, Flaubert was oscillating between despair and panic. Now thirty years old, he had dropped out of law school in Paris (at his father’s advice, and to Flaubert’s great relief) when he experienced a series of epileptic attacks at age twenty-two. For the next six years before he left on his travels he had lived with his mother and young niece at Form Template the family estate in Croisset. While still at college and Final Session - Ppt Download during his first year of law school, he had already written one novel , November , and started another, a nascent version of A Sentimental Education (1869), which he would finally rewrite and publish nearly three decades later. While there probably would have been a market for this early work in the thriving mid-century Parisian literary world, Flaubert recoiled from ordinary ambition. Authorization Sample Template! His aspirations were grander.

He wanted his debut to be a “thunderclap”; he wanted to be a great writer, not a toadying hack. He wanted to live in the company of literary heroes like Shakespeare, Corneille, and Chateaubriand; he craved immortality, and these two books wouldn’t do it. Three years after abandoning his studies, installed at the family home in Purchase Croisset, he had written what he believed to be his first “real” work, The Temptation of Saint Anthony . Care Authorization Template! Inspired by Free Resume Office the Pieter Brueghel painting of that title, it was a visually rich, ambitious, and grotesquely overwritten story about a fourth-century monk, told in Authorization Form Template a lurid prose style borrowed from his Romantic predecessors. Free Microsoft Office - Neptun! Three weeks before leaving for Authorization Sample Template Egypt, Flaubert invited Du Camp and Bouilhet to Croisset for a long weekend. He read the novel to them (this would take three days) and await their judgment. Their advice: “We think you should throw it into the fire, and never speak of Project-Log-Template.jpg it again.” Flaubert was devastated. During the first several months of Care Form Sample Template his travels in Egypt–a trip he had dreamed of since childhood–he asked himself, What is the Project-Log-Template.jpg, point? “I saw everything through the Sample, veil of Free Resume Microsoft Office - Neptun sorrow that this disappointment had cast over Care Authorization Form Template me, and – Premium Flyer + Facebook Cover I kept saying to myself, ‘What’s the use?'”(Wall , Gustave Flaubert , p. 157).

But this unhappiness did not stop him from Care Form, keeping a notebook. Throughout the trip, when he was not brooding about his future as a writer, Flaubert took stark descriptive notes about what he saw. Review - Ppt! Determined not to Authorization Form Sample editorialize, not to embroider, he did his best to Final Review Session - Ppt keep an accurate record of the landscape, people, and customs he knew he would not see again. “Return to Wadi Halfa in Care Authorization Form Sample Template the dinghy, with Maxime. Little Mohammed is Project-Log-Template.jpg, as he was this morning. Rocked by Care Template the wind and the waves; night falls; the waves slap the bow of our dinghy, and Purchase | it pitches; the Sample Template, moon rises. In the Free Microsoft Office - Neptun, position in which I am sitting, it was shining on my right leg and the portion of Care Authorization Sample my white sock that was between my trouser and And Program my shoe” ( Flaubert in Care Form Sample Egypt , p. Flyer Template + Facebook! 136). As Steegmuller suggests, it was in this way that Flaubert arrived at Care Authorization Sample Template the seemingly detached, descriptive style he would use when writing Madame Bovary . Compare that journal entry to this (one of many) evocatively spare descriptive passages in the novel. Recalling Charles’s student days, Flaubert writes:

On fine summer evenings, at the time when the close streets are empty, when the servants are playing shuttlecock at the doors, he opened his window and – Premium Flyer leaned out. The river, that makes this part of Care Form Rouen a wretched little Venice, flowed beneath him, between the bridges and the railings, yellow, violet, or blue (p. 13). Here, Flaubert’s writing is as luminous and presciently modern as the paintings of Vermeer. The passage evokes a whole century, yet it feels suspended and Review - Ppt timeless. In the literary atmosphere of late Romanticism that was still current in Flaubert’s time, with its emphasis on “self-expression,” he is as cool and Authorization Template deliberate as a surgeon. Free Resume Templates Microsoft! Traveling in Egypt, Flaubert was far from unaware of what was happening.

Answering a letter from his mother in Care Authorization Form Template which she wonders if he plans to find “a little job” after his travels, he reminds her that his “job” will be writing. “Is Saint Anthony good or bad? That is – Premium Template + Facebook Cover, what I often ask myself. . . . However, I worry very little about any of this; I live like a plant, filling myself with sun and light, with colors and fresh air. I keep eating, so to Form Sample Template speak; afterwards the digesting will have to be done, then the shitting; and the shit had better be good!” ( Flaubert in Egypt , pp. 74-75). In 1851 Flaubert returned to Croisset and there he would stay, except for spending some winters in Paris. Unlike his friend Du Camp, Flaubert’s family was not extremely rich; they were merely well-off.

He and his brother, like other children of the haute-bourgeoisie, were expected to enter professions. – Premium Flyer + Facebook Cover | Exclsiveflyer! He could never have afforded living full-time in Paris without being a lawyer, or writing quickly and prolifically for Care Authorization Template money, two things he refused to Project-Log-Template.jpg do. But even though he would be thirty-five before Madame Bovary was published, Flaubert hadn’t wasted his time before starting the novel. Everything he would go on to publish was begun during his late teens and Form Sample Template twenties; he remained incredibly faithful to his young self. His Dictionary of Purchase Template Received Ideas , a hilarious compendium of bourgeois truisms published after his death was an extension of an Authorization Sample Template alter-ego called le garcon (the boy) created with a high-school friend. “The boy” spoke exclusively in Car Show | Exclsiveflyer cliches. As Steegmuller notes, “More consciously and Care Authorization Form Sample Template more exclusively than most novelists, he used the feelings and experiences of his early years as the Brochure Design Ideas By, basis of his creations” ( Intimate Notebook , p. 10). Flaubert made up very little. Beginning with Madame Bovary , he became a prodigious appropriationist and researcher, a habit that would metastasize with time. He confessed to taking notes on 1,500 books in Care Template preparation for Bouvard and Pecuchet , his last published novel. During the five years he spent working on Madame Bovary , he holed up for a month at a hotel in Project-Log-Template.jpg Forges-les-Eaux to study the local pharmacist, who, like Homais, was a raging anti-clericalist and republican.

The botched surgery Charles undertakes on Hippolyte’s club-footed leg is not unlike the fatal amputation of Flaubert’s father’s leg, performed by Achille, Flaubert’s older brother. Researching Emma’s childhood, he dug out his own childhood story books and Care Authorization Form colorings to re-enter the Needs Planning, world of secret castles, fairy tales, and pirates. Before attempting to describe Emma’s suicide, he went to the Rouen hospital library and read for weeks about the effects of arsenic. He spent one afternoon wandering around the Norman countryside and Care Authorization looking at Brochure | Graphic Design & Inspiration By the fields through colored glass. Still, he found, it would take more than all of this to write the novel Madame Bovary . Gustave Flaubert and Louise Colet met in Paris, where she was posing in the studio of James Pradier. Pradier was a renowned and well-connected sculptor, and Care Authorization Form Flaubert had taken the train into Purchase Proposal Template |, the city on a mission for his family: to have a marble bust produced in memory of his sister. Flaubert was twenty-four years old and living with his mother.

Except for a brief encounter with his mother’s maid and Authorization an unrequited passion for an older, married woman, all his sexual experiences so far had taken place in Review Ba 128a - Ppt brothels. Colet was thirty-six. Authorization Template! Married to a music teacher, Hippolyte Colet, she had twice been honored for her poetry by the Academie Francaise. For the past six years she had been lovers with Victor Cousin, seventeen years her senior; a well-known critic and philosopher, he had worked his way up from poverty to become a peer of France and Purchase Template director of the Ecole Normale. Though she remained married to Authorization Template Hippolyte, it was understood that Cousin was the father of Colet’s daughter. Cousin extended his protection not only to Louise and to their daughter, but to her husband, helping him get a better teaching job. Flaubert’s friend Du Camp boasted in letters about having fabulous sex with Mme. Valentine Delassert, wife of the Paris prefect of police (she would later show up as Mme. Restaurant | Graphic Ideas! Dambreuse in A Sentimental Education ): “She squirms . . . she screams.” While “adultery” (or a multiplicity of sexual friendships and relationships) may be the source of shame and scandal in the provincial world of Charles and Emma Bovary, in the intellectual and society worlds of Paris it was very much the norm. At Pradier’s, Flaubert and Authorization Form Sample Template Colet chatted. The next night, he showed up at Assessment her apartment, and they discussed their favorite books, her poetry, and his ambitions.

One day later their affair began. Since Flaubert was not about to move to Paris, and he did not want her visiting his family home, their relationship would be conducted in two phases over seven years, and mostly through the mail. “In the deepest and Care Authorization Sample Template most comprehensive sense, [their correspondence] was the source of Madame Bovary ,” writes biographer Geoffrey Wall. After their first meeting, they corresponded for two years before Flaubert left for the Near East. | Graphic Design Ideas! During this time, Flaubert began a simultaneous affair with Louise Pradier, wife of the sculptor, and went on a four-month walking tour of Brittany with Maxime du Camp. Authorization Sample! Colet had a concurrent Polish lover, got pregnant by him, and would later lose the baby. But Louise Colet was the only lover Flaubert wrote to on an extended basis, or about literature and art. From the Final Review - Ppt Download, very start, his side of the correspondence functioned as a kind of Authorization Sample Template diary. Review - Ppt! Late at night, when the Croisset household was in Care Authorization Form Sample bed, Flaubert took out his relics of Louise–a miniature portrait, a blood-stained handkerchief, a lock of Project-Log-Template.jpg her blonde hair, a pair of her slippers–and arranged them on Authorization Form his desk. This was, perhaps, Flaubert’s first experience of writing as a performance. “Twelve hours ago we were still together.

Yesterday at this very hour I still held you in my arms. . . . Do you remember? Your little slippers are here even as I write, facing me, I stare at them. . . . I would like to | offer you only Authorization Form Template joy. . Project-Log-Template.jpg! . . So, a kiss, a quick one, you know what kind, and one more, and oh again still more, and still more under your chin, in Care Authorization Sample that spot I love on your very soft skin, and on your chest where I place my heart” (Gray, p. 139.) She fell in love with him. – Premium Flyer Template! Who wouldn’t? As their meetings became less frequent, his addiction to the correspondence grew. Care Authorization Form Template! Just as Emma Bovary created a universal lover in her letters to Assessment Leon, Colet became Flaubert’s universal listener for Form Sample his thoughts on literature. “Bah!” Colet once complained. Brochure | Graphic Ideas & Inspiration! “Gustave only writes to me about himself, and art.” Though she is Care Authorization, variously described by Flaubert’s biographers as “a pest,” “impossible,” “a nymphomaniac,” and Final Review - Ppt Download “an incurably minor poet,” Colet was a considerable person of her time. Care Authorization Form Sample Template! She published more than twenty books of poetry and fiction, and wrote for most of France’s leading journals.

She was a champion of feminism and an enemy of Catholicism and colonialism; the things for which she was criticized most harshly–her use of personal experience and “poetry of the human body”–have long since passed into acceptability. While Flaubert responded to scenes of human slavery witnessed on Office - Neptun his travels by comparing the skin-tones of the Authorization Template, Nubian women to the color of the earth ( Flaubert in Egypt , p. 103), Colet saw the Ba 128a, same things in Egypt decades later and expressed her outrage. “Brutes,” wrote Flaubert, “take these things as a matter of course.” It is Care Authorization Template, tempting to overlook the race and gender bigotry of great writers like Flaubert as endemic to their century. But in Flyer Template + Facebook | Exclsiveflyer that same century, writers like Colet, Bosquet, and Eleanor Marx Aveling were speaking passionately against those bigotries. Their works are rarely studied. Nor has Colet’s part of this great correspondence been read or studied. Her letters to Flaubert were lost or destroyed. “The truly mad are not content with merely telling stories: they have to act them out,” writes Fanny Howe in Care Authorization Form Template her novel Indivisible . Flaubert was notoriously slow in Review Session Ba 128a Download writing his four novels not just because he sought the perfect cadence for his sentences, but because to some extent he had to live them. Writing to a friend in 1869, Flaubert confided, “When I was writing the poisoning of Emma Bovary, I had such a strong taste of arsenic in Care Sample my mouth, I had poisoned myself so badly, that I suffered two attacks of indigestion, two very real attacks, for I vomited up all my dinner” (Vargas Llosa, The Perpetual Orgy , p. 73). Flaubert scholars find it no coincidence that in Flyer Template 1851, three weeks before he started Madame Bovary , he chose to resume relations with Colet. “What I would like to do is write a book about nothing,” Flaubert wrote to Colet, four months into Madame Bovary . “A book with no external attachment, one which would hold together by the internal strength of its style, as the earth floats in the air unsupported, a book that would have no subject at all, or at least one in which the subject would be almost invisible” (Wall, p. 203). As we have seen , Madame Bovary could hardly be described as being “about nothing.” It was meticulously researched, and drawn from numerous primary sources within Flaubert’s life and the lives of those around him.

And yet the feeling of the book is that it is Authorization Sample Template, suspended, floating, caught in time like Eadweard Muybridge’s stop-motion photographs or a painting by Vermeer. “Everything one invents is true,” Flaubert wrote to Colet as he entered his second year of working on Project-Log-Template.jpg the novel. “Poetry is just as precise as geometry. Induction is as valid as deduction, and after a certain point, one is never wrong about matters of the soul” (Vargas Llosa). How does Flaubert do this? In his book-length essay about Care Authorization Form Sample, Flaubert and Madame Bovary , novelist Mario Vargas Llosa describes Flaubert’s invention of a literary form known as indirect free style. In this form, the “omniscent narrator” of the Resume Microsoft, classic story-driven novel moves so close to his characters that the reader can no longer be sure who is speaking. (T.

S. Eliot’s original title for early sections of The Waste Land was “He Do the Police in Different Voices.”) In Madame Bovary , the point of Form Template view shifts constantly among the speakers. For example, in Template + Facebook | Exclsiveflyer part one, chapter three, while seeming objectively to describe the brief negotiation between Charles and Pere Rouault of Emma’s marriage, Flaubert slips effortlessly into Rouault’s head: “He certainly thought him a little meagre, and Care Authorization Sample Template not quite the Project-Log-Template.jpg, son-in-law he would have liked, but he was said to be well-conducted, economical, very learned. . . . Now, as old Rouault would soon be forced to sell twenty-two acres of ‘his property,’ as he owed a good deal to the mason, to the harnessmaker, and as the shaft of the cider-press wanted renewing, ‘If he asks for her,’ he said to himself, ‘I’ll give her to him'” (p. 26). As Vargas Llosa notes, Flaubert makes good use of the interrogative. The characters question themselves, unleashing interior monologues. In part one, chapter five, describing Charles’s happiness, Flaubert lets Charles ask himself: “Until now what good had he had of his life?” When Rodolphe enters in Care Form Sample Template part two, chapter seven, the rhythm of the “objective” narrative becomes suddenly as terse and brutally direct as Rodolphe himself. Yet this technique, so crucial to twentieth-century modern literature, did not entirely originate with Flaubert.

During their first night of flirtation, Colet read him her translation of The Tempest . Flaubert himself studied, read, and translated Shakespeare, and would return to Shakespeare’s plays throughout his life. Needs Assessment And Program! He studied Greek and Latin, and read the classics as avidly as the works of his contemporaries. Still, since the eighteenth century, novels had been earmarked by their author’s point of view. Fielding, Defoe, Balzac, Austen succeeded by Authorization Form establishing themselves as “the most credible witness.” The narrator was a wit, a raconteur, a knowing friend, a moralist. But in Madame Bovary , the narrator virtually disappears. “An artist,” wrote Flaubert to Mlle. Chantepie, “must be in his work like God in creation . . . he should be everywhere felt, but nowhere seen” (Vargas Llosa, pp. 124-125). What Flaubert achieved in Madame Bovary was the imposition of a medieval worldview, in which everything–landscape, people, animals–was alive, and Project-Log-Template.jpg similarly charged, upon Sample Template a modern story. It is the construction, not the Resume Microsoft, author’s voice, that holds it all together.

Despite its bone-deep irony–the daughter of Form Sample Romantics Charles and Project-Log-Template.jpg Emma will end up in the poorhouse, and cupidity and avarice in the person of Homais will triumph–an experience of Care Authorization Sample Template poetry and grace pervades the novel. Reading the Marquis de Sade for Review Ba 128a - Ppt the first time at age nineteen, Flaubert wrote in his notebook: “When you have read de Sade and recovered from Authorization Form Sample, your dazzlement, you begin to wonder whether it isn’t all true, whether everything he teaches isn’t the truth–and this is because you cannot resist the Template + Facebook Cover, hypothesis of limitless mastery and magnificent power that he makes us dream of” ( Intimate Notebook , p. 27). Flaubert would finally achieve this mastery through composition. Care Authorization Form! After finishing the scene where Rodolphe and Emma consummate their flirtation, in which Flaubert notes that “something sweet seemed to come forth from the trees (p. 150),” he reported to Colet: “It is a delicious thing to write, whether well or badly–to no longer be yourself, but to move in Needs an entire universe of your own creating. Today, for Authorization Form Sample Template instance: I was man and woman, lover and beloved, I rode in a forest on an autumn afternoon beneath the yellow leaves, and I was the horses, the wind, the words my people spoke, even the red sun that made them half-shut their love-drowned eyes” (Steegmuller, Flaubert and Madame Bovary , p. 330). In 1861, having dinner in Paris with his friends the Goncourt brothers, Flaubert explained: “The story or plot of Planning a novel is of no interest to me. When I write a novel I have in mind rendering a color, a shade.

For example, in my Carthaginian novel [ Salammbo , 1862], I want to do something purple. In Madame Bovary all I was after was to Care Authorization Sample Template render a special tone, that color of the Final Review Session, moldiness of a wood-louse’s existence” (Goncourt, The Goncourt Journals , p. 98). Years later Flaubert would state that the impulse for Care Authorization Template A Sentimental Education , his next contemporary novel, which set out to “tell the moral history of the men of Project-Log-Template.jpg my generation” around the revolutionary events of Care Authorization 1848, began with a desire to recall a certain shade of peeling yellow paint around a windowsill he had once seen in Paris. Flyer Template | Exclsiveflyer! The book was attacked and praised by Faubert’s contemporaries. One correspondant claimed it evoked as “a spineless cowering half-baked generation that has produced nothing”.

Critics spoke more about Flaubert’s subject matter than the form of the book. Still, A Sentimental Education would influence a new generation of French writers who called themselves the Naturalists and Care Authorization Form favored description over plot. Most found it depressing. Others memorized it. “Work,” Flaubert told the Brochure | Graphic & Inspiration By, Goncourts, “is still the best means of getting the Form Sample, better of life.”

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Root Cause Analysis of a Sentinel Event Essay Sample. A root cause analysis (RCA) is Sample a method by which we can examine a serious adverse event and identify the cause, or causes, that led up to the event. Although personnel are involved in these events, the primary purpose of the RCA is to identify the cause, not to Restaurant Brochure | Graphic & Inspiration By assign blame (Agency for Healthcare Research and Quality, 2014). It is through identifying a cause, or causes, of an adverse event that we can improve on patient care processes and thereby patient safety. The RCA is designed as a specific protocol that starts with data collection looking at the sequence of events that led to the adverse event (Connelly, 2012).

Additionally a review of the patient record along with interviews of the personnel involved provides valuable insight into how the patient care processes broke down. Hospitals are complex organizations that have many layers of Care Authorization Sample safety erected to protect the patient from action taken by Assessment Planning healthcare providers. These safety measures include policies, protocols, and guidelines. The reason for multiple layers, or measures, is that there can be weaknesses in the process that forms an opening for an error to occur (Elliott, Page, and Care Sample Template, Worrall-Carter, 2012). The fundamental goal of the RCA is to prevent future patients from being harmed through understanding how an adverse event could occur. Root Cause Analysis. We are examining the events surrounding the treatment of Mr. Restaurant Brochure Design Ideas. B in the emergency department for a dislocated left shoulder. Prior to Care Authorization Form Sample Mr.

B’s arrival at the emergency department (E.D.) on Thursday afternoon he reports that while showering he “just blacked out” and when he awoke his left arm was quite painful and obviously disfigured. Mr. B was brought to the hospital by his son and taken by Nurse J to an examination room to Restaurant Brochure | Graphic Ideas & Inspiration obtain a health history and physical assessment. Important facts to know are: Mr. Care Template. B was sixty-seven years old; he had no known allergies; he appeared to be in moderate distress from the pain of his injury; he weighed 230 pounds or 104.5 kilograms; his left arm is exhibiting signs of impaired circulation with a capillary refill time (CRT) of six seconds; his vital signs on Project-Log-Template.jpg arrival are blood pressure 140/96, heart rate 97 and Care Authorization Form, regular, temperature 98.8, and respiratory rate 22. His past medical history included: hypertension, a back injury (old), gastric reflux, and depression. Most recently his primary care physician noted his cholesterol and lipids were elevated. Medication reconciliation included: Hydrochlorothiazide (HCTZ), Tenormin, Prilosec, Crestor, Cymbalta, and Lortab prn for Project-Log-Template.jpg, pain. The E.D. physician examined Mr.

B and Care Form Sample, the decision was made to relocate the shoulder using moderate sedation. The shoulder was successfully reduced at Purchase, 1625 hours and Mr. Authorization Form Sample Template. B tolerated it well. At 1643 hours Mr. B’s son comes out of the Proposal Template room to report that the monitor was alarming. Nurse J finds Mr. B not breathing, no palpable pulse, a blood pressure reading of Authorization Sample 58/30, and pulse oximetry reading 79%. The code team was called and after thirty minutes there was a return of Car Show – Premium Template + Facebook a pulse and Authorization Sample, the blood pressure recorded was 110/70. Mr.

B was transferred to a tertiary care facility for advanced care but after seven days it was determined that he suffered brain death. The family decided to remove life-support and Final Session - Ppt, Mr. B died. The root cause analysis will ask several questions in Authorization Form Template, order to identify the cause, or underlying causes, that contributed to the occurrence of an adverse event. Like the toddler that continually asks “Why” we will ask “Why” until we can be satisfied that there is Final Review Download good comprehension of how this adverse event occurred. What happened? The decision was made to perform a closed reduction of the shoulder with moderate sedation. There is a policy for moderate sedation that requires the patient be continuously monitored throughout the procedure and until discharge criteria are met. As stated in the policy, continuous monitoring includes blood pressure, ECG, and Authorization Sample Template, pulse oximetry; the ECG monitoring would give evidence of Free - Neptun respiratory rate and effort. The discharge criteria in the policy states the patient will be fully awake, vital signs stable, no nausea or vomiting, and Care Authorization Form Sample Template, the patient is able to void.

All practitioners that provide moderate sedation must complete a training module prior to providing moderate sedation, this includes personnel assisting with the procedure. The first process failure was not meeting the required monitoring of the patient as mandated by the moderate sedation policy. In the absence of ECG or respiratory monitoring the sedation administered produced apnea then asystole without ED personnel being aware of acute changes in the patient’s condition. There is no explanation for why the patient was not on continuous ECG monitoring. Equipment was found to be in good working order. Another causative factor was the Final Review Session Ba 128a - Ppt drug selection. The same moderate sedation-training module that practitioners complete contains a section on appropriate drug selection. Authorization. Moderate sedation is designed to alter the Car Show Flyer Template + Facebook level of consciousness of the Authorization Template patient while enabling the patient to maintain independently a patent airway (Pinto, Bhimani, Milne, and Nicholson, 2013). The drugs used during this procedure were a potent benzodiazepine and opioid analgesic. If using Valium for sedation/relaxation a narcotic dose is reduced by one third or omitted entirely (Medscape, 2014). The addition of the – Premium + Facebook Cover full dose of an Form opioid analgesic, in this case Dilaudid, was enough to cause slow, shallow respirations, and depress the respiratory effort enough to cause apnea.

The moderate sedation module contains a section on dosing ranges/guidelines. Mr. B received, within a fifteen minute period, Valium 10mg intravenously and Dilaudid 4mg intravenously. Resume Microsoft. A Valium dosing recommendation for sedation in an intensive care unit (ICU) is 0.03mg/kg up to 0.1mg/kg at an interval range of thirty minutes to six hours. Care Authorization Form Sample. For Mr. B this would have been a dose range of 3.12mg, as the low, up to 10.4mg for an upper limit. Mr. B received 10mg of Valium in ten minutes with a full dose of an opioid analgesic. Both drugs used for this procedure are known to cause respiratory depression. This combination for Free Resume Templates Microsoft Office, moderate sedation was not the best choice. The adverse event demonstrated a lack of knowledge regarding acceptable dosing range and interval.

Consideration must be given to Form Sample the staff mix of the ED that day. The emergency department has six treatment rooms and Needs Assessment And Program Planning, had three healthcare providers and one support staff present. Nursing personnel included an RN with critical care experience and an LPN. The emergency department is recognized as a critical care environment and not endorsed as a primary work place for a licensed practical nurse by the American Association of Care Template Critical Care Nurses (AACN). Critical care areas require advanced education to enable the nurse to critically think about the care priorities of the assigned patients. Ba 128a. The presence of other patients requiring care, including an eight-month old infant with a respiratory complaint, would indicate the need for Sample, nursing personnel with advanced education and critical thinking skills. The Institute of Medicine has issued a report in 2010 calling for eighty percent of nurses to obtain a bachelor of Review Session - Ppt science in nursing (BSN) degree by 2020 (Institute of Medicine, 2010). It is known that the understanding of the science surrounding best practices by the nurse has a direct impact on Form Sample Template the quality of care provided. A moderate sedation procedure requires competence and critical thinking skills to ensure the safety of the patient. The patient, in this case Mr.

B, receiving moderate sedation requires the | Graphic Design & Inspiration presence, and undivided attention, of the physician and the nurse. This procedure then left the LPN and unit secretary to monitor the activity in the other rooms. Sample. This was not an optimal skill set to meet ED patient needs. Another concern is that no recognition was given in the record that there had been a lapse of time from injury to presentation at Resume Templates Office, the ED. You can presume that Mr. B showered some time in the morning but did not present to Care Authorization the ED until 1530 hours.

The lapse of time from injury to presentation at the ED has allowed the muscles to tighten, or spasm, in the abnormal position. Shoulder dislocation is the most common of joint dislocations reported and should be addressed urgently. Session Ba 128a. The dislocation can impinge the Care Authorization axillary nerve, damage the rotator cuff more often in older patients, or constrict the circulation (McBride and Kalogianitis, 2011). It was noted that the left arm shows compromised circulation with a CRT of six seconds. Brochure | Graphic & Inspiration. There is no supporting documentation to indicate further examination of the left arm or shoulder was completed before reducing the Care Form Sample Template dislocation.

There was no in depth investigation as to why the capillary refill time was prolonged. The abbreviated patient history and assessment is one of the underlying causes for this adverse event. Documentation informs us that the patient “just blacked out” but other than obtaining that statement there is no investigation as to why. The recording of the pulse indicates that it was regular when palpated and Car Show Flyer Cover, the blood pressure elevated. At sixty-seven years old and with a diagnosis of hypertension it is possible that there was a circulation issue. The patient history indicates treatment for hypertension, gastric reflux, depression and elevated lipids. There is no documentation that the cause for the “black out” was analyzed. The medication reconciliation obtained in the initial interview is incomplete. No mention is made of the dosage of prescribed medications, or the Care Authorization Form Sample Template last time a medication dose was taken. Lortab is listed as a medication the patient takes for pain as needed, but no dosage or last dose information is collected. Resume Microsoft - Neptun. The medications selected for the moderate sedation was based on the incomplete medication reconciliation information and presumed that the Form Sample Template patient would have a tolerance to sedative and narcotic medications.

When the patient is Review Session Download older than sixty years of age it is recommended to get an x-ray or ultrasound of the joint to Form Sample Template make sure there is Templates Microsoft Office not damage to the rotator cuff or fracture of the Form Sample humeral head (Shin, Yun, Kim, and Yoo, 2012). The causes of dislocation in an older person are different than for the young, but most protocols surrounding closed reduction of a dislocated shoulder are formulated on a younger person. Project-Log-Template.jpg. The older person more often dislocates the shoulder related to loss of elasticity and support from the cuff and surrounding musculature. In this case closed reduction using moderate sedation was the only option considered. Template. First time dislocation with circulatory compromise may require operative reduction of the Resume joint to Authorization Sample Template preserve the function of the joint and relieve the circulatory compromise, especially in Project-Log-Template.jpg, the older patient. There is no evidence to support understanding the differences in Authorization Form Sample, treatment for older versus younger patients presenting with shoulder dislocation. Restaurant | Graphic Ideas. Just after successful reduction of Mr. B’s shoulder there was an emergency call over the radio. Form Sample Template. The staffing for the ED was insufficient to meet the rising acuity level. In addition to the radio call from paramedics there is Planning noted to be an influx of people presenting in the ED lobby wanting to be seen. Two nurses were insufficient to meet the growing demand for patient care.

Of the three patients occupying ED rooms, the decision was made that the female with a sore throat complaint and the infant with the respiratory complaint could be discharged. The nurses were involved in Care Sample Template, discharging these patients while admitting the patient in acute respiratory distress. No healthcare provider was monitoring Mr. Project-Log-Template.jpg. B. Additional back up staff was available to help care for patients in the ED as acuity and volume increased. Care Form. No request was made for additional help so Mr. B went unattended. The dynamap was set for a five-minute interval, recording blood pressure and Project-Log-Template.jpg, pulse oximetry reading. There is Care Authorization Template no documentation that the data being recorded was noted and the patient assessed. There is a notation that there was pulse oximetry alarm of Purchase Proposal Template eight-five percent oxygen saturation that a nurse responded to by resetting the alarm and checking a blood pressure. There was no assessment of the patient completed at that time.

It is a measure of the growing alarm fatigue experienced by healthcare providers that The Joint Commission (TJC) has made “improving the safety of clinical alarm systems” one of the national patient safety goals (Horkan, 2014, p. 83). The alarm of eight-five present oxygenation saturation should have elicited a physical assessment of the patient. This alarm was lost in the admission of Care a patient in acute respiratory distress. The response to the full code of Restaurant | Graphic Ideas By Mr. B was appropriate.

The ECG monitor was now attached and the rhythm on the monitor immediately recognized as ventricular fibrillation. CPR was promptly initiated. An advanced airway was placed. Mr. B was defibrillated and reversal agents for the sedation were given. Mr.

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