The Fundamental Caring skill of Blood Pressure recording

The Fundamental Caring skill of Blood Pressure recording The fundamental caring skill that was chosen to demonstrate knowledge and understanding within a reflective framework was recording blood pressure. Blood pressure was chosen because it is a critical physiological function and a fundamental indicator of well being (Fullbrook 1993). It is an important and vital observation, in that it allows early therapeutic intervention should a patients status change (Fullbrook 1993). This essay will also demonstrate an understanding of best practice for the theory of blood pressure measurement of the patient. The factors which can influence different results in the measuring of blood pressure. In a model of reflection to aid the reflective process Gibbs (1998) was chosen. Before placement started we were given books for Nursing Midwifery Council (NMC 2004) code of professional conduct, and the NMC (2004) guide for students of nursing and midwifery. This gave me the guidelines and knowledge for my accountability and confidentiality. Marieb (1998) suggests that Blood Pressure may be defined as the force exerted by the blood against the walls of the arteries in which it is contained. Differences in blood pressure between different areas of the circulation provide the driving force that keeps the blood moving through the body. Blood pressure is measured for one of two reasons, firstly to determine the patients blood pressure as a baseline prior to admission and secondly to monitor fluctuations within the blood pressure. Blood flow is defined as a volume of blood flowing from the heart through a vessel at any given time. Blood flow is equivalent to cardiac output. Resistance to the cardiac output is the opposite to flow and is a measure of the friction the blood encounters as it passes through the differently sized vessels. (Marieb 1998). There are three important sources of resistance, blood viscosity, vessel length and vessel diameter. Normal blood pressure is maintained by neural, chemicals and renal controls. Blood pressure varies from not only moment to moment but also between the distributions of the various organs of the body. It is at its lowest in neonates and increases with age, stress, and anxiety (Marieb1998). Hypertension (high blood pressure) is also hereditary, 50% of people with high blood pressure have an inherited predisposition (Marieb1998). Alcohol abuse is also linked to high blood pressure as well as renal disease for e.g. renal impairment (Marieb1998). Other factors also can include shock, myocardinal infartion, and haemorrhage factors that cause a fall in blood pressure as they reduce the cardiac output. Some patients who are taking the oral contraceptive pill can be at risk from hypertension, or anyone whos health status is being assessed. As suggested by Mallett and Dougherty (2000), Systolic pressure is the maximum pressure of the blood against the wall of the vessel following the ventricular contraction and is taken as an indication of the interity of the heart, arteries, and arterioles. Diastolic pressure is the minimum pressure of the blood against the wall of the vessel following the closure of the aortic valve and is taken as a direct indication of the blood vessel resistance. Normal blood pressure generally ranges from 100/60mmHg to 140/90mm Hg but can fluctuate within a wide range and can still be considered normal (Mallett and Dougherty 2000), Hypotension or low Blood Pressure is generally defined in adults as systolic blood pressure below 100mmHg . In many cases hypotension simply reflects individual variations e.g. postural changes that result in lack of normal reflex response leading to low blood pressure (Mallett and Dougherty 2000). Ideally the patient should be allowed to sit down for 15 minutes before blood pressure is measured. Elevation of systolic blood pressure as suggested by Mallet and Dougherty 2000 may be a temporary response to fever, physical activity or pain, even emotional stress other factors may also include obesity, a full bladder, diet, and legs crossed . Persistent elevation is diagnosed in several days apart exceeds upper limits of what is considered as normal for the patient. Mercury will be phased out of clinical use as a result of environmental, health and safety concerns and is being replaced by aneroid devices ( http://www.bpmonitoring.com/pt/re/bpm/abstract ). Two main ways of measuring blood pressure are, indirectly by use of electronic monitoring for example, a Doppler. This is a machine which is attached to a patients arm by means of a cuff. This is inflated automatically by the machine, which then reads the pressure in the artery. The result is displayed on the machine as two readings. Mean arterial pressure (MAP) which is the mean blood pressure during the reading. Mean arterial pressure is the average pressure required to push blood through the circulatory system this can be determined electronically or mathematically. Arterial pressure = 1/3 systolic pressure + 2/3 diastolic pressure. A blood measure of 130/85mmHm gives a mean pressure of 100mmHg (Mallett and Dougherty 2000). A conventional method of recording a blood pressure is carried out using a sphygmomanometer. Blood pressures were traditionally recorded this way. But in acute settings they are increasingly recorded electronically. However nurses need to learn how to record a blood pressure manually as electronic devices are not always available. When taking a blood pressure I always gain consent of the patient as regulated by the NMC (2004). I washed my hands to prevent any cross infection. Whilst this was gained I explained why, as this will allay any fears the patient may have and always endeavour to make the procedure as private as possible. Allow the person to sit down and relax prior to the procedure. Allow them to sit comfortably with their arm supported, using a pillow if possible as suggested by Mallett and Dougherty 2000 remove any restrictive clothing such as dressing gowns as this can give a false reading. I chose the cuff size as my patient was of normal weight. I position the equipment so that I can see the column clearly. After positioning the patients arm in line with the heart, I located the Brachial pulse, if a communal stethoscope has been used, I always clean the ear with alcohol swab to reduce cross infection between staff. The cuff as suggested by Mallett and Dougherty 2000 should fit snugly to the arm 2 .5 cm above the brachial pulse. Ensure the cuff fits snugly to the arm and is secure. It is suggested by Mallet and Dougherty the cuff bladder should cover 80% of the circumference of the upper arm. I always take this into consideration when choosing a cuff that you use in practice. The sizes are suggested as a guide, a standard bladder 12 by 26 cm is suitable for majority of adults. An obese bladder 12 by 40 cm for obese or oedema of the arms. A small bladder 10 by 18cm for lean adults and children. However there may be some instances where taking the blood pressure on the arm is not possible such as a cerebrovascular accident, trauma, amputation , pain, so the nurse will have to use another site to record the blood pressure . I checked that the stethoscope is in working order and placed correctly in the ears. I palpated the radial pulse, then I inflated the cuff and waited till the pulse disappeared I noted the level at which this occurred as this equates the systolic pressure. I Deflated the cuff and waited for one minute. I placed the stethoscope over the brachial pulse, I inflated the cuff to 20 mmHg above the estimated systolic pressure. Then I started to deflate the cuff slowly, listening carefully for the first korotkoff sound. Korotkoff sounds were named after Nicola Korotkoff who first identified the audible sounds of blood pressure in 1905, (Korotkoff as cited by OBrian 1977). The sounds of the Korotkoff have five phases, phase one a clear tapping sound , phase two a softening of the sound, phase three, return of the sharper sound, phase four , abrupt muffling , phase five disappearance of sound diastolic. (Roper, Logan , Tierney, 1990). I noted the measurement on the column in front of me . This is the systolic pressure- the top number. I continued listening whilst deflating the cuff I noted the change in the sounds when the sound disappears this is the Diastolic blood pressure the bottom number. I Recorded the results clearly the reading was 140/70 mmHg I informed my patient advising them if there is any change as generally patients are interested in the results and often know what their blood pressure is and can advise if its not the norm. I thanked the patient for their cooperation and ask if there is anything else they needed or that they are comfortable. I Documented the result in a clear way as in the NMC (2004) guidelines for records and record keeping. Also is it good nursing practice to compare with the last recording, note any differences and report any abnormal findings. If the result of the blood pressure recording is abnormal I always consult a doctor or nurse in charge of the result. I Disposed of the equipment safely as with health and safety and to prolong the use of the equipment, and cleaned the stethoscope again to prevent any cross infection. Put the equipment back from where I had it from so other members of team can locate it when it is needed as there is nothing more frustrating trying to locate a piece of equipment when one is needed. Whilst on my first placement in the endoscopy and treatment unit, there is a small but extremely busy ward. Patients went to the ward to recover from procedures. Following these procedures observations were routinely carried out, Temperature, blood pressure, pulse and respirations were routinely done. When the patients procedure was over observations were carried out at 15 minute intervals for the first hour, they were taken at these intervals so that if any sudden change occurred there was a possibility something might have gone wrong as a sudden drop in blood pressure can mean internal bleeding. My first blood pressure recording was using a sphygmomanometer the patient was recovering after a procedure taken place and had been sitting comfortably for 15 minutes. I introduced my self that I was a student nurse and explained that I needed to take a recording of their blood pressure and could I do so I gained permission and asked if they had had this procedure done before to which Mrs Smith (a pseudonym) said yes she had. I washed my hands to prevent any cross infection. I followed the protocol for taking a manual blood pressure as suggested by Mallett and Dougherty (2000). I washed my hands and I removed any restrictive clothing, my patient was wearing a dressing gown as this can cause a false reading. I got the equipment making sure it was clean, and cleaned the ear pieces to prevent any cross infection (Wilson. 2001). I ensured the air was removed from the cuff. I located the brachial artery listened for a pulse I found this. I placed the cuff securely then I palpated the radial pulse and inflated the cuff until the radial pulse disappeared I noted this. I waited a minute asking the patient if she was comfortable. I inflated the cuff to around 20mmHg above the expected pressure. I made sure that I could see the column in front of me to avoid any mistakes and putting the patient through the procedure again so soon. I deflated the cuff at around 2mm per second, I listened out for the systolic pressure the first korotkoff phase. These can have many v arying sounds from a thud to a swishing, to a muffled sound. I noted the first sound and waited for the second phase, korotkoff phase 5 to disappear and noted the recording which was 140/70 mmHg I told the patient what the reading was and documented it on her care plan. Throughout this procedure you have to really concentrate and make sure no interruptions can take place as you can miss the korotkoff sounds. I actually couldnt get the first korotkoff sounds on my first attempt so I explained to the patient and gained permission again to take the recording. To which she agreed, I felt self-conscious and nervous as I had missed the first korotkoff sounds but very pleased when I did manage to get the recording a second time. Having an underpinning knowledge in the procedure for taking blood pressure helps to understand the theory behind the practice. To conclude my essay the skill of recording blood pressure is a vital one for the nurse, as we can not always rely on having electronic equipment to hand. I also gained that if different circumstances can have an effect on the pressure reading. I feel I have gained a learning skill I was quite worried about this skill but practice makes easier. The more blood pressure recordings I took me soon realised that no two patients were the same. I also learned that different factors can affect blood pressure, from the patient rushing in late for his appointment which can lead to elevated blood pressure. It has also given me a lot of confidence in myself and confidence with the patients I care for. Word Count 2,200.

La Grande Odalisque Essay

Jean Auguste Dominique Ingres was born on August 28th, 1780. He became one of Jacques-Louis David’s most famous and successful students. During Ingres time working with David, and eventually turning away from him, he became a part of the Neo-Classicism movement; leaving behind, but not forgetting the Romanticism methods. Neo-Classicism is the 18th century restoration of tradition principles which lead Ingres to be one of the most famous draftsmen. Ingres was an extremely precise and talented man of his time and was most famous for his portraits; especially his portraits of female nudes. In the year 1814, Ingres created one of his most famed masterpieces, La Grande Odalisque. It was created in Paris and still remains there in the museum by the name of The Musà ©e du Loure. The painting is well-known for its subject of fantasy and eroticism; she was a passive, mysterious and an unknown being to the Western world, which made her audience long for answers. Throughout Ingres life he created many pieces of work. In his well ahead years, Ingres continued to paint and surprise his faultfinders. He eventually ended up on top, being viewed as â€Å"one of the greatest living artists in France† during that time. (Rifkin 15) He left behind many fans but no apprentices to carry on the Neoclassicism heritage. Ingres painted many historical, mythological, and religious subjects; however, he is probably most respected for his portraits and female nudes. Ingres’s style highlights skilful formations, along with smoothly painted surfaces, and very thorough drawings. â€Å"In 1814, he created one of his many famous masterpieces, Grande Odalisque. It is 91 cm in height and 162 cm in length (35.8 Ãâ€" 63.8 in).† (Peirce 50) It is an oil painting on canvas, with a subject of make-believe and sexuality. The painting was commissioned by Queen Caroline Murat of Naples, Napoleon’s sister. It was painted in the Neoclassicism movem ent in Paris, along with many of his other works. This one in particular is of a nude female, who transpires to be an odalisque. â€Å"An odalisque was a female slave in an Ottoman seraglio, especially the Imperial Harem of the sultan.† (Peirce 54) La Grande Odalisque was formed by Ingres using some of David’s ideas and creating a female nude, in a bizarre and unfamiliar way. To the Western world she was nothing like they’d ever seen before, which caused confusion but a desire to want to know everything about her; â€Å"In the mind of an early 19th century French male viewer, the sort of person for whom this image was made, the odalisque would have conjured up not just a harem slave, itself a misconception, but a set forth fears and desires.† (Shelton 75) This was mainly because of the way in which Europe considered Islamic Asia; they viewed the people there as unique, barren and careless. To observers she was located in an almost make-believe world, much like how Western culture viewed the Eastern side o f the world; fantasized. At the time it was ignominious for its physical wrongness; in specific, â€Å"the nude female was thought to have three lumbar vertebrae too many†. (Shelton 78) It was an opinion stressed by art critics, but was never challenged or proven. When it had finally been studied, they found something out of the regular, â€Å"we measured the length of the back and of the pelvis in human models, expressed the mean values in terms of head height, and transferred them to the painting.† (Peirce 81) The falsification was found to be greater than what had been presumed originally; â€Å"La Grande Odalisque had five, rather than three, further lumbar vertebrae†(Peirce 81). Basically, she is structurally impossible; her pose is one that would be impossible to mimic. Since Ingres combined rationality and realism into his paintings some critics believe the deformation may perhaps exist on purpose and stand for an emotional motive. The way in which the woman’s head is placed and how it the distance it is away from her pelvis suggests, â€Å"the artist may have been marking the gulf between her thoughts and her social role† (Shelton 79) The face of the woman is where the observer’s eyes are drawn. Her expression is secluded, care-free and mysterious; giving her an almost secret filled feel about her. Her role as a harem is not to think of feeling; she is there only for the purpose of pleasure. â€Å"This theme is consistent with the role of women in the nineteenth-century views on female gender roles — â€Å"public women,† i.e., prostitutes, fulfilled a vitally important social role as repositories of male sexual desire.† (Siegfried, Rifkin, Willey 34) Her gaze pulls viewers into her unknown world; captures and traps. The main reason for her existence is to wait upon a man, but not just any man; her husband. With knowing that her husband is the only man to ever see her in this state, the viewer is pulled in and knowing they will never be able to experience her, â€Å"she was part of the sultan harem, she was there to satisfy the carnal pleasures of the sultan, despise what she may feel or want. She reflects a woman ´s deep thoughts, complex emotions and feelings.†(Peirce 48) Her gaze tortures the viewer into looking and makes it difficult to look away. This piece is full of sensuality, mystery and romanticism. The woman is surrounded by a dark background; black with many different shades of blue. Her and her body are really the only aspect of the painting holding any light colours. With this, she stand out to the viewer; making her more striking than ever. Even with her imperfections she is blessed with flawless skin, shoulders, legs, arms and hands. The items nearby her, the peacock fan, the turban, and the pearls suggest an unfamiliar place; an exotic place. At her feet lies a hookah, which may come to the viewers as a shock; it’s not for tobacco but rather opium. The harem may come off to observers as irrational, passive and drugged, which creates more desire to know what she’s about. Is she offering it, or is she just high? That is a question that will never be answered, a question that keeps the viewers’ attention. La Grande Odalisque is what Western society believes a harem would look like. She is of the unknown but in a way that it becomes familiar. Since this is what the Western part of the world imagines and fantasizes about Islamic Asia, it makes them believe they are superior to what’s in front of them. Ingres conveyed his subject of wants and desires by painting La Grande Odalisque, and having the Western part of the world view it; you want what you can’t have. That is one way in looking at it, another is: â€Å"Some art historians have suggested that colonial politics also played a role.† (Shelton 81) Either way, Ingres combined what was happening to the world around him, two places so unfamiliar colliding together, with what the Western world wanted to see; what is actually happening is a completely different story than what one wants to believe is happening. La Grande Odalisque is recognized for its subject of desire for the unknown; her gaze, her pose, and the inferior, yet exotic, items surrounding her are what makes her so incredible to what people consider the norm. She has deficiencies but her overall appearance is perfect; she is nothing like her observers, which makes her that much more wanted; it’s a conflict between La Grande Odalisque and the viewer. Society, even today, is scared of the unfamiliar. We take situations, events and even the little parts in life that we are unsure of and turn it into something that can be confronted, even if it’s not reality; it’s what human beings do to feel safe from what we consider the abnormal. What makes this painting so unique is that people critique the way in which viewers see her, instead of the way she sees us; she is an unacquainted with us, as we are with her.

Globalisation Process Essay

The business world is becoming increasingly global. As a result of this, many companies, such as Costa Coffee and Dyson, have changed their strategies in relation to the markets they target or where they produce. Does the increasingly global nature of business mean that all organisations need to change their strategies significantly to achieve higher profits? Justify your answer with reference to Costa Coffee, Dyson and/or other organisations that you know. Globalisation is the process by which the world is becoming progressively interconnected as a result of significantly increased trade and cultural exchange. It has also increased the production of goods and services. The biggest companies (such as McDonald’s, Starbuck’s, Costa Coffee, Tesco, Dyson) are no longer national firms, but multinational corporations with subsidiaries in many other countries. The aim of this essay is to justify whether organisations need to change their strategies significantly to achieve higher profits as a result of the increasingly global nature of business. As a result of globalisation, the world has become a smaller place; however this is a potential benefit for companies that are looking to expand because communication, trade and travel are becoming increasingly easy. Many countries, especially the ‘BRICS’ economies are undergoing industrialisation, giving Western companies the cheaper infrastructure they need to expand. If the business does the market auditing efficiently and they target the right market, with the cheap infrastructure and more potential customers, there are minimal reasons why the business would not achieve higher profits. So having said that, businesses like McDonald’s are a perfect example that higher profits are a result of changing their strategy to relate more to the market they target. Originating from America, McDonald’s are currently market leaders in 96% of the markets they do business in; they operate in 119 countries on 6 continents, with over 33,000 restaurants worldwide, employ ing over 1.7 million people. (http://www.mcdonalds.ca/ca/en/contact_us/faq.html) They first expanded internationally when they opened in Canada in 1967. The international section of McDonald’s has become increasingly more important to the company’s overall success. As of this past year, non-US based restaurants account for over half of the company’s $40 billion in revenues. Foreign restaurants now account for about 60% of McDonald’s total profits. Since coffee has become a necessity in a person’s every day routine rather than a luxury, McDonald’s has recognised this is an opportunity to increase their product portfolio. With the majority of McDonald’s customers being business men and women, coffee is an increased purchase amongst their sales, therefore they have recently announced they will be opening up a â€Å"McCafe† in the UK, having already been opened in Australia since 1993, they’ll be selling a variety of coffee’s other than your standard black, white, latte and cappuccino. As a consequ ence, for companies like Costa Coffee and Starbuck’s, this means that McDonald’s will continue to add to the markets they are in and become increasingly intense competitors. So the increase use of necessities globally definitely has an impact on a businesses strategies. McDonald’s have had to identify a person’s every day need, and cleverly made it as sort of a luxury item because it’s ‘new’ it will be new to McDonald’s. As a result of their new investment, the McCafe generates 15% more revenue than an ordinary McDonald’s. On the other hand, Globalisation is proven to have had a negative effect for some other businesses such as Tesco. This is a business that has strived to expand internationally, and as a result, they struggled/failed as they couldn’t easily adapt to the market change. Tesco has expanded into many other countries over the years, but as the â€Å"BRICS† economies are becoming increasingly attractive, an opportunity to venture into these economies seemed to be a ‘rising star’ for Tesco. Tesco’s ‘eye on the prize’ meant that they took their eyes off what made them successful in the first place- their UK stores. Ultimately, expansion into China, India and Thailand has left what was their ‘cash cow’ UK stores to currently become their ‘problem child’. Losing focus on their original investments meant that they â€Å"slipped behind in terms of stores, service and innovation.† http://www.bbc.co.uk/news/magazine-177 67565 In addition to their struggles to maintain the success of their UK stores, focus on China, Thailand and India had a massive impact on their competitors such as Asda, Sainsbury’s, Lidl and Aldi. During the time that Tesco focused on the new move, it was an opportunity for its competitors to steal Tesco’s 30% market share – Sainsbury’s brought in â€Å"By Sainsbury’s† and Asda brought in â€Å"Chosen By You†. When Tesco realised their mistake and focused their attention on their UK stores, they invested in the â€Å"Big Price Drop Flop† but the  £500m campaign only damaged their branding image, as customers thought the quality of their products had dropped. It was a clear step by step process for Tesco losing its place in the market. All of this is a result of changing their strategy by expanding overseas into a better economy, and that is a result of Globalisation. Overall, Globalisation has so far cost Tesco to invest in a new economy, invest in strategies to save their place in the market, and has now cost them a  £1bn investment making their UK stores a â€Å"warmer look and feel†. It’s safe to say that Gl obalisation has definitely not achieved higher profits for Tesco, only slandered them. Overall, Globalisation has effect on all businesses whether positive or negative, but it does not necessarily make them achieve higher profits due to a changed strategy. In my opinion, it’s not Globalisation itself that makes a business achieve higher profits, it’s how the business takes advantage of the situation, and there are other internal factors involved that make a business achieve increased profits. Tesco could have easily become more successful if they balanced out their investments, keeping the UK stores as a ‘cash cow’ while they invested in their ‘rising star’ in China, and also kept their attention on their main rivals: Asda and Sainsbury’s. Sometimes a business does not need to change its strategy, an investment into the ‘BRICS’ economies could potentially mean more money is required. Having said that, some businesses already have the infrastructure they need to maintain their businesses over in the UK and it would seem moronic to expand overseas, especially if the business is maintaining profits. Although McDonalds has taken advantage of Globalisation, and used their strategy efficiently to become successful and to be as big as they are now – they are one company in a million. They are not proof that just because they managed to successfully adapt to the market, expansion into other countries is not guaranteed success, as proven by Tesco. So no, not all businesses need to change their strategy significantly due to Globalisation, in fact, some businesses don’t need to change their strategy at all.

Sir Gawain and the Green Knight Essay - 1395 Words

Sir Gawain and the Green Knight In Sir Gawain and the Green Knight the poet depicts an entertaining story of adventure and intrigue. However, the poem is more than a grand adventure. It is an attempt to explore the moral ideals of Sir Gawain. Gawains standards are represented by the pentangle on his shield. The depiction of the pentangle occurs when Sir Gawain is preparing to gear up for his quest for the Green Chapel. Gawains outfit is described in great detail, including its color, makings, and apparel. His armor is meant to serve as a means of protecting his physical being. This shield has great spiritual values in the five-points of the pentangle. Representing the knights physical being, the shield serves as a form of†¦show more content†¦Marys knights prayers seem answered as a castle becomes noticeable off in the distance. Though is seemingly a miracle Gawain remains true to his chivalric principles. Gawain then rides up to the gate and asks for lodgings for this eve of Christs birth. This simple scene shows how the pentangle can have true balance. As Hollis says, Gawain prays for a solution to his current predicament, and upon finding a solution he procures his lodgings through courtly requests. Finally, he properly thanks Jesus for his good fortune. As a result of Gawains virtue he gains entrance into the castle. However, his entrance into the castle is for reasons that he is unaware of at the time. From the instant Gawain sets foot inside the castle his downfall is inevitable. It is in this castle that Gawains competing values are put to the test. Up until now Gawain has been fitted in his armor and shield, but at the castle he finds that there is no longer a need for his armor. Sir Gawain is now stripped of his symbolic identity by the removal of both shield and gear. In its place he wears mundane clothing. This is the first step toward the disruption of the balance of values that the pentangle represents. It is these clothes he wears when the lady of the castle tempts him during the three mornings. Sir Gawain sees the lady as extremely sensuous. This is not characteristic of the way one views the wife of a lord who is givingShow MoreRelatedSir Gawain And The Green Knight1359 Words   |  6 PagesIn the poem â€Å"Sir Gawain and The Green Knight,† a protagonist emerges depicting an Arthurian knight named Sir Gawain. Sir Gawain, King Arthur’s nephew, takes initiative by accepting the challenge requested by the Green Knight in place of his uncle. He undergoes a perilous adventure, seeking for the Green Knight to receive the final blow. 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In each case, Sir Gawain not only fails to perform well, but performs particularly poorly, especially in the case of his relationship with God. Ultimately, Sir Gawain chooses magic over faith, and by doing so, shows his ironic nature as aRead MoreSir Gawain And The Green Knight906 Words   |  4 Pagesusually the latter. In Sir Gawain and the Green Knight we see Sir Bertilak go off to hunt three very specific animals as a game with Sir Gawain. They agree that â€Å"what ever [Bertilak catches] in the wood shall become [Sir Gawain’s], and what ever mishap comes [Sir Gawain’s] way will be given to [Bertilak] in exchange.† (Sir Gawain†¦, ln 1105-1007). In this deal we slowly see Gawain loose his honor as paralleled with Sir B ertilak’s hunt. 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