Summarize the following:
Interpreting a pulse, especially an apical pulse, is an art. However, there are many things that one can learn from an apical pulse. These are outlined in the following steps. If the pulse rate is very slow, it could be a normal adaptation for somebody who is in good shape. Some medicines also make the heart beat slower; this is especially true for elderly patients. One classic example of this is the class of drugs called beta-blockers (like metoprolol). These are commonly used to treat high blood pressure, and can slow down the heart rate. A slow heart beat can be either strong or weak. A strong heart beat is a sign of health. If the pulse rate is very fast, it could be normal for someone exercising. Children also have much higher pulse rates than adults do. It could also be a sign of: High blood pressure, heart disease, or infection. The apical pulse may be displaced (meaning it is to the left or the right of where it should be). Obese individuals or pregnant women may have their apical pulse shifted to the left, as the heart gets shifted with extra contents in the abdomen. Heavy smokers with lung disease may have the apical pulse displaced to the right. This is because with lung disease, the diaphragm is pulled down to get as much air as possible to the lungs, and in this process the heart gets pulled down and to the right. If you suspect a displaced heartbeat, move your stethoscope to the side and check the pulse again. Consider if the heartbeat seems unsteady or as though it's skipping beats. There are many potential causes of an irregular heartbeat, some of which are temporary and not harmful. An irregular heartbeat may be caused by heart disease, high blood pressure, smoking, stress, drug use, caffeine consumption, medications, and medical conditions like diabetes or sleep apnea.

summary: Understand that interpreting heartbeats can be challenging. Determine if the heartbeat you hear is slow. Consider if the pulse you hear is very fast. Consider the likelihood that the heartbeat is displaced. Notice if the pulse is irregular.

Summarize the following:
Your spouse doesn't have clairvoyant powers. If you want something, ask. If something is wrong, say so. Don't drop hints or figure they'll "come around" or you'll never get anything done. If you want to be able to express how you feel, you should be able to speak with a positive tone and to listen to what your spouse says instead of being accusatory. Here are some ways to do it: Send "I messages." Instead of accusing them of not meeting your needs, focus the conversation on yourself. For instance, tell them, "I feel ignored when I don't see you until 6:30 every night." Listen to what they say. When they tell you something, repeat what they said back to them so that they know you understand. For example, "I hear you saying that you're worried about finances, and that's why you've been working late." Avoid passing judgment. Let them finish what they're saying before you respond. After they're done talking, offer a solution. For instance, say, "I'm willing to live on a tighter budget if that means that I get to see you more often." . Some issues are worth fighting about, and some aren't. If you spend all of your time nitpicking your spouse about minor problems that don't really matter, then they're not going to listen to you when major issues come up. Criticism can destroy a relationship. As long as the dishes are clean and unbroken, for instance, don't nag your spouse about how to load the dishwasher "the right way." Let them do things their own way. Don't sweat the small stuff. Avoid criticizing your spouse without doing it constructively. Remember to try to be calm and rational, as strong emotions can easily turn a discussion into an argument. If you criticize every little thing they do, then they will quickly tune you out. You should praise your spouse for the things they do right much more than you argue with them about things that they do wrong. This will make them much more likely to listen to you, and much happier to be around you. Fight right. Don't let anger take over because it may cause you to say things that you will regret later. Even when you don't agree with your spouse, you need to respect their opinion and their viewpoint. To be a good wife, you need to understand that you may never agree on certain issues. No couple has an identical set of morals and beliefs, which means that both of you will need to learn to cope with occasions where you just can't resolve your opinions. Talk to them at the right time. Don't just spring your problems on them whenever. Avoid bringing up problems before dinner, while they're paying bills or when they're immersed in a stressful situation, like fixing a problem with your car. And never, ever start an argument in front of your children. When you're wrong, admit it. You need to learn to respond to arguments and remain rational so you can recognize and apologize when you've made a misstep. Never talk to your friends or your family and say negative things about your spouse if you're not communicating with them first. Talking about your spouse behind their back is disloyal. When you get married, your first loyalty is to your partner, not to your birth family or your social group. Complaining about your spouse to your friends and family will not only not solve any of your problems, but it will also make them view your relationship in a more negative light. Your friends and family may think they know what's best for you, but they don't know your relationship as well as you do and may unintentionally give you bad advice.

summary: Express your feelings and needs effectively. Pick your battles Be understanding when you discuss an issue with your spouse. Talk to your spouse, not about them.

Summarize the following:
Speak the truth. Live the truth. The truth is absolute, not subjective. But do not be invulnerable to hurt. Pain comes with most of the best things in life. Seek what is beautiful and give yourself the opportunity to just soak it all in. Look at art, listen to music. Real adventure not the substitutes. Always check your motiveswhy are you doing what you are doing? Trying to control others will be a life of constant fear, anxiety and frustration. Control your own need for control foremost, admit your vulnerabilities and work on making yourself stronger. By being sincere at all times, you won't fall into the trap of pretending you care when you don't or being someone you are not. Your authentic self is always the one people get to know, which allows you to know that people are with you because of who you truly are. Always try learn and share what you have discovered and what means most to you fearlessly. Simply rest in who you are. Do not be static. Do not accept wrong, but do be mercifulto yourself.
summary: Seek the truth. Do not let others hinder you or discourage you. Spend time in nature. Seek adventure. Relinquish your need for control. Be sincere. Practice being a good listener. Do not try so hard.