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admin | reflection of the past meaning | 23.03.2015
One of the hardest aspects of learning a foreign language is finding the courage to practice it with native speakers.
The best way to begin is by diving right in at the deep end and start speaking as soon as you start learning. Try speaking aloud in front of the mirror so you can get used to how you sound when you are speaking the language, and how your facial expressions and mouth change with each word. Don’t overwhelm yourself to begin with; take small steps that will build up your confidence as you complete each one. Most importantly, you don’t need to be fluent to have a conversation with a native-speaker – far from it in fact. Whilst it’s ideal to learn a language in its native speaking country, this is often not possible. Remember, we are our own worst critics – no one is going to be as harsh to you about your speaking skills than you.
Author Bio: Lizzie writes for a number of language schools that offer immersion classes abroad, such as Arabic in Morocco with Languages Abroad, and Italian in Rome with Teenagers Abroad. When this happens, you might just need a break, but it’s also good to remind yourself about the real benefits of learning English. So today, I’d like to share a great infographic with you that shows the benefits of learning languages. Without knowing why you’re really learning English, it will be hard to push on and gain the type of fluency that only the top learners ever achieve. I think this infographic is great because it explores the usual practical benefits, like traveling and getting a better job, as well as emotional and health benefits that people sometimes forget to consider.
If you’re a teacher, I think it would be a great idea to have a classroom discussion around this infographic. TweetLanguage serves as a means by which an individual accesses the health care system, learns about services provided, and accordingly takes decisions about his or her health behaviors (Woloshin, Schwartz, Katz, & Welch, 1997). What if a nurse is unable to effectively communicate with her client in the client’s preferred language? During my community clinical at a nearby community, I selected and interviewed a nuclear family comprising of a 75 year old man and his 74 year old wife.
During the entire teaching session, I watched her confused expressions and realized that she was not able to absorb few chunks I was trying to explain her. Besides, I also felt sorry for the lady whose right to knowledge about her need was violated. According to Poisson (2009) “When clear communication is not possible, a disparity to access to quality health care is created”. Another reason patient showed decreased levels of understanding and interest was confusion created by my abrupt switching of Gujrati to Urdu language while delivering teaching.
As a student nurse, such a situation can reoccur so I thought about the options that I could have opted for to handle the situation in a better way and I came up with a few ideas.
Thus, I could have asked someone from that community who has mastery over Gujrati as well as Urdu to help me deliver my teaching effectively and attain my client’s satisfaction. Disclaimer: JPMS Medical Blogs are published by the same publisher of Journal of Pioneering Medical Sciences (JPMS). It is April 2012 on a not-so-busy Thursday afternoon and my colleague and I have just dashed into town to pick some documents from the district medical officer of health’s (DMOH) office. Nowadays violence is the major issue in our country which adversely affects each and every individual of the society including children, youth, adults and elderly people. Consuming food popularly known as eating is nothing more than a primitive instinctive behavior which is shared by almost all living beings.
As I started doing research on the most effective ways of learning a language, I started thinking back to how I learned English at the age of 8. While that definitely can help, it isn’t something you need to do if you don’t feel like it, and I’ll tell you why by sharing my personal experiences with language acquisition. While I believe that you can learn a language in 90 days, I think fluency takes a few years.
The first thing I did when I got serious about learning Spanish was to start watching cartoons, TV series and movies in Spanish. When you start watching something in a new language, you probably won’t understand anything, but as you keep watching, your brain will start picking up simple things, such as “hi”, “apple”, “bye” and so on. When you’ve gone from cartoons to more complex TV series like Lost, Star Trek or Friends, you probably will be able to start listening to the radio, podcasts, interviews or even audio books.
Teachers may tell you to get familiar with the grammar first, but I say forget it if you don’t like it. Depending on how much time you put into listening, watching and reading, you will automatically start being able to write.

As you do this more and more, you naturally become familiar with the grammar and the structure of the language.
As you get better, I recommend you go to different chat rooms where you can get in touch with natives. If you want to learn a language in 90 days or less, you will have to immerse yourself in the language, and by immersion, I mean many, many hours per day. If you aren’t in a country where it is widely spoken, this can be difficult for many reasons – mainly because it’s harder to find people to interact with. Don’t wait until you’re at a certain standard or in the right situation, because I guarantee that you will keep putting this off until you have completely paralysed yourself with the fear of making a mistake.
When you know how you look and sound whilst talking you will feel more comfortable interacting with native-speakers because it eliminates the fear of looking silly. If you’re in a country where they speak the language, simply try to strike up a conversation with the cashier in the local shop. If you don’t have regular access to native speakers, invest in some decent audiotapes so you can familiarise yourself with the way the language sounds, the different intonations, and conversational sentence structure.
Even those who are fairly new to the language can interact with others, even if they are adamant that they can’t because their vocabulary range is small. However, there are many ways you can practice with native speakers; you can book some Skype sessions with a native speaker who can help you out, attend an Intercambio session for your target language, or find a club dedicated to native speakers.
Everyone makes mistakes, but language learning is a great achievement and a difficult process, so you should be proud of yourself for every step you take in the right direction. There are times when you feel tired and frustrated, and that’s completely natural when learning any foreign language. When you’re feeling like your love of English is wavering, remember some of these benefits to get excited about learning English again. Moreover, language also offers means by which the nurse gets an understanding of a patient’s need, and thus is able to address it in the best possible way she can. Upon interviewing and filling out family assessment forms the lady told me that they can only speak and understand Gujrati. On discussion with my faculty, she helped me identify loop holes in my history and guided me to further teach the lady about osteoarthritis along with its range of motion exercises. However, I was relieved that I tried my best and the lady was at least able to understand and perform one exercise. Firstly, I lacked appropriate words in Gujrati to be used in my teaching, to give the lady information about her health status and its preventive measures. Primarily, I could have come pre planned for my teaching by searching and listing down Gujrati words that were used in my teaching on Osteoarthritis. The more strategies we can involve in the learning process the greater the likelihood that our patient will understand and remember information. I could have also asked my faculty to check my teaching plan and they suggest me the words used to make sure my teaching is understandable by the patient.
Using words in client’s preferred language and using strategies would not only help with the language barrier in understanding the concept and create less confusion but will also assist in continuum of care.
This article does not reflect the policies of JPMS or its Staff or Editorial nor it intends to provide legal, financial or medical advice. When I moved to Spain in January of 2010, I wasn’t interested in learning the language, but I am now. You’ve probably been taught that learning a language is done in school, and that you have to understand grammar to use a language.
There are people who like to start talking as soon as possible, such as Benny, and that’s completely fine.
It’s not hard, it just takes consistency, and that is why you pick a language you are passionate about. They have written for the LA Times, The Washington Post, President Bill Clinton's White House, Forbes, and more. However, there are a number of activities you can do to increase your confidence when speaking, whether or not you have access to native-speakers. Instead, start speaking from day one which will give you plenty more time to build up your confidence and – remember – practice makes perfect! It will be a nasty shock if you have only worked with textbooks and internet resources and then try to have a conversation with a native-speaker! Reading blogs and articles in your target language is a great way to get to grips with sentence structure and grammar, but you can also use them to practice your speaking skills.
If possible, use all of these techniques to gain a broad range of understanding and to meet a variety of different native-speakers who may have different accents for you to get used to.

Take it slowly and comfortably, and you will see your confidence build along with your ability.
This usually means that when there is no one around to force you to keep doing it, you stop. By talking about all the ways it could benefit them, they might come to their own conclusions about why English is important to them. The difference in language between health care providers and patients increasingly imposes barriers to the implementation of health care. Currently a significant and growing number of the Pakistani population is non- Urdu speaking. As I had some command over Gujrati I was able to communicate and identify their teaching needs.
After evaluation, I felt that all my hard work; my time, my goals and objectives for community were fruitless. Secondly, I used only verbal teaching methods to deliver my teaching rather than using visual aids and demonstration. Moreover, while teaching the patient I remained task oriented and ignored my patient’s preference to language. In addition, whenever there is a language barrier a nurse should use verbal means as well as nonverbal teaching methods such as hand gestures, demonstrations, visual aid and facial expression that can help client understand some meaning within the conversation. Aboul-Enein, and Ahmed (2006), stated, “A great obstacle…occurs when a language barrier exists between the nurse and patient. Thus, I should have worked on all components of teaching, learning principles before preparing and delivering my teaching. If you live in the U.S and want to learn Chinese, there is nothing stopping you from doing so.
If you aren’t in a native speaking country, try and find a restaurant or bar where you can practice, and try ordering your food and drink in your target language.
Read texts aloud and repeat them if you need to until you are comfortable with the way you sound.
Think about it this way – it’s unlikely that you know every single word in English, so what do you do when you can’t think of a word or don’t know it?
This population presents to the health care system, and the nursing profession specifically, with challenges to find solutions to language barriers which impact health outcomes.
The lady had pain in her knees since last couple of months and it hindered her in walking, standing and doing household chores like cooking and dusting.
As I did not have mastery over Gujrati I could not convey everything about the disease process (Osteoarthritis). According to Ambrose et al, (2010), nurses who depend on a list of tasks to be done are losing something in their compassionate care of patients.
According to Friedman (2011), commonly during teaching patients; different strategies are used by a nurse that include traditional lectures, discussion, demonstration and use of simple language for effective teaching. This is when you just allow yourself to relax and allow your ears to pick up whatever they can. Don’t get ahead of yourself and start an in-depth political debate – work on the basics and you’ll find yourself happy to engage in small-talk in no time. This works with audiotapes, too; always repeat what has just been said and go over it as many times as you need. I tried my best to deliver all the information but on evaluation it came out that the lady did not understand many of the things I taught her. The inability to read and understand verbal recommendations by client limits their access to care and ability to make informed decisions” (Jacobsons, 2005).
There is not right or wrong way to learn a language, so trust yourself and go with the flow. Don’t focus too much on getting every sound perfect, otherwise you’ll start to become disheartened if you can’t.
Instead, focus on getting a good flow going and working out how different words are formed phonetically. For example, if you don’t know the word for banana in your target language, you can describe it as a long, yellow fruit, which is a description that most native-speakers will be able to put a name to.
The vast majority of people will help you out if they see you struggling, plus you’ll learn some new vocabulary in the process.

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