Nursing Assessment Coursework Example | Topics and Well Written Essays - 2000 words

Nursing Assessment - Coursework Example Firstly, the patient should be asked about the details of the shortness of breath by defining the symptoms as well as finding how long the patient has been in that condition. Some of the main variables to identify in the symptoms include onset time, location, severity, duration, radiation and quality. Secondly, there would be the establishment of the history of symptom obtained through talking to the patient about the frequency of short breath. This may uncover the pattern in the symptom presentation and may help determine any respiratory problem if the patient reports regular physical exertion. Thirdly, there will be discussion on pre-existing patient's condition in order to obtain a comprehensive medical history about the patient. Any information on hospitalizations of the patient enhances determination of factors that can result or contribute to breathing difficulties. At this point, the medications should be discussed since some drugs may result side effects, including the shortn ess of breath. The other questions will involve the eating habits. For coughing, the patient should be asked the frequency of coughing and the duration of coughing. The information on the blood or mucus and the color can necessitate getting of some information. The patient will then be asked how the obesity condition affects the life quality like disrupted routines (Beaman, 2011). Physical examination may involve first determining the BMI and examining the body clearly. Secondly, the lungs must be examined. This involved determination of the body weight, temperature and the body mass index (BMI) that entails measuring the height in order to enhance the determination of the effects of weight of the health condition. Also, this would involve listening to lungs and heart beat using stethoscope. Checking of the signs of blood backing up in the neck veins may facilitate determination of cor pulmonale disorder of the heart. Then there should be a full cardiac examination that involves lis tening to the six sections of the heart with the diaphragm and the bell of the stethoscope. This may reveal underlying cardiac condition like murmur which results from incompetent heart valve. Thereafter, the respiratory rate of the patient must be measured to enhance quantification of the shortness of breath. The normal respiratory rate for an adult ranges from 12-18 breaths per minute and the extent of deviation from the normal rate indicates the severity of the patient’s breathing condition (Utian, 2004). Pressing the abdomen enhances determination of abdominal palpation. The lips and fingers must be assessed for cyanosis while fingers must be checked for any clubbing. Physical examination might be a little painful, especially the abdominal palpation. Prioritized health history and physical assessment enhances diagnosis, and must be performed on a regular basis as they may reveal risk factors that suggest increased risk. The physical risks will enhance assessment of severi ty of conditions such as the inability of completing full sentences without having to take a breath (Beaman, 2011). A prioritized history and assessment of the heart enhances the exclusion of heart diseases associated or, which may result into a similar situation. Based on the assessments above, two interventions that I would prioritize include heart and lung interventions; heart failure and pulmonary hypertension for the

To teach children about the prevention about spreading germs and the Essay

To teach children about the prevention about spreading germs and the cold and flu - Essay Example Since viruses are micro organisms, they cannot be seen with naked eyes. When the viruses of contagious diseases like cold and flu, enter our body, they reproduce rapidly and damage cells by secreting poisonous toxins. We become sick when healthy cells of our body are destroyed. Infection is the stage when the viruses invade our body and enter cells to start rapid reproduction process. The rapid multiplication produces a huge number of viruses which then destroy their host cells and cause diseases. The physical symptoms like sneeze, fever, cough, running nose etc. occur as a result of activation of antibodies and other such agents of the body’s immunity system that resist or fight the harmful foreign agents (viruses), resulting in physical symptoms The symptoms are indication that our body has started reacting to the invasion of foreign bodies and may need appropriate backup mechanisms like medicines to kill those germs. Working with a group of four children in the implementation and learning methods of the preventive measures was a whole new experience. The curiosity and enthusiasm of the children was contagious and implementing different measures of prevention turned out to be a great learning experience, which was full of fun. Initially washing hands became a big issue with the children but when their hands were put under the microscope and they saw micro organisms, they were quick to adopt this habit! Showing the presence of micro-organisms was a huge motivator for the children to take up and implement other preventive measures in their daily life. They also assured that all their friends and family members would also be informed about the need to wash hands not only as prevention against the infectious diseases but also for healthy living. Information about balanced diet had become a big debate but ultimately all the children agreed that they all

The Shift from Realism to Impressionism Essay -- Realism, Impressionis

Both Realism and Impressionism began in France with both art periods lending to the world unique techniques, aesthetic approaches and subjects in painting. While Impressionism stemmed from Realism, it can be argued Impressionism ultimately lead to continued individual expression in art through out the historical art periods to follow. The art period of Realism from 1845 to 1900, has roots which trail back to mid 1800s France and developed as a reaction to the often exaggerated emotionalism of the former art period of Romanticism. Realist artists instead strove to depict the seriousness of every day life. To show subjects or scenes just as they were without involvement of religion, mythology or history. McDowall (1918) pointed â€Å"At the bottom of realism, in all its variations, seems to be the sense of actual existence; an acute awareness of it, and a vision of things under that form. It is a thoroughly natural feeling, it is, in fact, the primitive attitude of man† (p. 3). In painting, film and literature artists aimed to present things as they appear. A major social condition that contributed to the emergence of Realism was the Industrial Revolution. With its mass machinery production of products, the Industrial Revolution not only created an explosion of railroads and cities but also an explosion of wealthy middle class and poor working class. The discovery of photography in 1839 by Daguerre and others also resulted in a growing trend to copy everyday life, which in turn sprouted the appeal of realism in art. Buser (2006) noted that during the Industrial Revolution the rules of life were the fundamental ideas of technology, science and practical business sense. Buser (2006) further theorized â€Å"Since progress in these... ...rowther (2005) reflects â€Å"One can draw a direct line from the Impressionist, through the Post-Impressionists and Neo-Impressionists, to the Fauves, the Cubists, the Symbolists and ultimately to Abstract Expressionists†. Artists through the ages continued to experiment with new technique allowing modern art to evolve and take shape.  References Bingham, J. (2009). Impressionism. Chicago, Illinois: Heinemann Library. Buser, T. (2006). Experiencing art around us. USA: Thompson Wadsworth. Crowther, J. (2005). Impressionism: more than meets the eye. Retrieved from http://www.artist-perspectives.com/articles/impressionism.htm Janaro, R.P., & Altshuler, T.C. (2009). The art of being human: the humanities as a technique for living. Pearson Education, Inc. McDowall, A.S. (1918). Realism: a study in art and thought. London: Constable and Company LTD.

The Rise of Nazism in Germany

The rise of Nazism in Germany during the 1930's was not an inconceivable happening, considering the causes and effects in play at the time. Under the leadership of Adolf Hitler, the popular acceptance of what was later to be Nazism was overwhelming. Nazism's evolution was methodically planned, and boldly executed. The word Nazism is defined by The Concise Columbia Electronic Encyclopaedia as â€Å"the ideology and policies of Adolf Hitler and the National-Socialist German Workers' party from 1920-1945. † Subsequently, a Nazi is defined as a member of the National-Socialist German Workers' party led by Adolf Hitler. Nazism had its earliest roots in another â€Å"ism†. This is Nationalism, the sharing of a common pride, belief and loyalty by a singular group of people of a nation. However, it was this sincere form of Nationalism that was later warped, and used against the majority of the German people by Adolf Hitler for their apparent good. Hitler deceived them and they deceived themselves, all due to the ideal timing and chain of events. Prior to and during World War One, Germany was a powerful nation with colonial interests in Africa and Alsace-Lorraine. Germany was a centre of learning, culture, medicine and industry. The German government was a Parliamentary form, called the Reichstag. This system was efficient and yielded positive results for the people. Germany fielded a large and well-equipped army, led for decades by Generals of the Aristocracy. This all changed after Germany lost World War One, and especially after that fact was repeatedly emphasized. Due to the army's defeat, there was a loss of more than 3 million soldiers and unaccountable civilians. This meant the passing of most of an entire generation of workers, fathers, husbands and sons. Consequently, there came a loss of faith in the country's leadership. When the Treaty of Versailles' terms were being discussed, Germany was not welcomed, the country's leaders were needed only for their signature. They were expected to agree to the terms without question, which they ultimately did. The Germans referred to the treaty as a Diktat, which meant dictated peace. This reflects the feeling of the German people about being disregarded by other countries. Field Marshall Hindenburg said the following: â€Å"In the event of resumption of hostilities we can†¦ efend our frontiers in the east. In the west, however, we can scarcely count on being able to withstand a serious offensive†¦ The success of the operation as a whole is very doubtful, but as a soldier I cannot help feeling that it is better to die honourably than accept a disgraceful peace. † This was the general public opinion; nobody approved of the treaty, but if they did not accept it, they could no longer survive the combined powers of The United States, Great Britain and France, along with Belgium and other relatively small European countries. Even if the thought was there to not sign the treaty, the country had no choice because the consequences were too debilitating. This implied to the German people that Germany, in its present state, was a worthless country that can be pushed around by the others, and was unable to defend itself. The psyche of the people further worsened beginning in 1922 due to the French, who had invaded Germany because the country failed to make its second reparation payment. The French took over the most industrialized area, the Ruhr Valley, where they assumed possession of coalmines, railways and factories. To add to the fact that the German country was losing their largest source of wealth to another country that stole the area, prices were quickly rising as an effect. The price of a loaf of bread rose from half a mark in 1918 to 201,000 million marks in 1923. The Germans were unable to feed themselves and their families because of this hyperinflation. This caused more deaths and suffering among the people and further disappointed them. In 1923, Hitler made his first attempt to overthrow the German government. He was supported by many and began a Putsch, an attempt to seize power by force, in Munich. The government had Hitler arrested for treason and sentenced to five years in prison. Although he served only nine months of his sentence, he had enough time to gather his thoughts and organize the plan he would need in order to rise to power over German people. During this time he wrote Mein Kampf, which was the beginning of his explanation of his hopes and dreams for Germany. His time away from society was just what he needed and without it, would probably not have become the dictator he later became. When Hitler came out of prison, he began offering the people what seemed to be an attractive alternative to their suffering. Some of his alleged goals were to ensure the abolition of the Treaty of Versailles, cease non-German immigration, the abolition of income unless it was earned through work, increase profit sharing and to allow only members of the German nation to work as newspaper owners, editors, and journalists and radio broadcasters. Hitler's ten goals had a goal of themselves, to make German people feel appreciated, important, and superior. This certainly appealed to a population of desperate individuals who would have accepted just about anybody as a leader. Not only were the people gaining hope because they saw a new face, but this face was willing to change Germany in their favour, he wanted Germany to be a better place for them. Hitler's exaggerations certainly improved his odds of becoming a dictator. The economy played an important role in Hitler's rise. As the economy became more unstable, the Nazis won more seats in the Reichstag. In 1924, as the economy was unstable due to the French invasion, the Nazis had 32 seats. The number dropped in 1924 to 14 seats, as the economy slowly recovered and then again in 1928 to 12 seats, as the recovery process sped up. However, in 1930, as the world was suffering due to 1929's stock market crash, the party owned 107 seats. Then, in 1932, the number rose once again to 230 seats as massive unemployment became a harsh reality. In January 1933, Hitler came to power legally. The most important move he made was the passing of The Enabling Laws. This allowed Hitler to make laws without having them approved by the Reichstag. This is when Hitler truly became a dictator. Hitler's rise to power can be accounted for by his luck of appearing at a time when the people of his country were discouraged and desperate, and his twisted, determined drive. Hitler took advantage of the times and without them being what they were, he would have never became a dictator. He united the German people by assigning to them a common foe, and a goal, to rid themselves of this foe. He allowed for his people somebody to blame and resent, which took the hatred away from its original destination, the German government. The death of a generation of men, the loss of a war, the harsh terms of the Treaty of Versailles, mounting inflation, the worldwide economic crisis, the lack of faith in the past government and Hitler's deceiving promises are the causes of his rise to power. He was a frightfully determined man who managed to leave Germany in a state worse than it was when he promised to improve it, without ever losing the faith of his followers. The Nazi party, led by Adolf Hitler had dreams of a thousand year Reich. Thankfully, Nazism lasted only twenty-five years. At the end of World War 2, the Nazi party was outlawed.

Race Labeling Of Non Whites From Clinical Trials - 1656 Words

Moreover, Bidil race labeling might actually have undermined the broader goal of increasing racial minorities’ participation in clinical trials (Winickoff and Obasogie, 2008). For instance, by specifying African Americans as the only beneficiaries of BiDil, the same idea could be applied for a special efficacy drug for Whites, â€Å"the largest and most lucrative population segment of the United States† (Winickoff and Obasogie,2008). This logic could be used to justify the exclusion of non-Whites from clinical trials. This seems to be what happened in 2006 when Schering-Plough decided to exclude African Americans from the Phase 2 trial of SCH 503034, an investigational hepatitis C protease inhibitor. â€Å"Even though African Americans have the highest hepatitis C prevalence of any racial group in the United States, the company excluded this population not for any safety rationale but to boost efficacy numbers† (Winickoff and Obasogie,2008). BiDil, as a race-spe cific medicine also encourages the trend for other pharmaceutical companies to try and come up with other drugs in order to copy Bidil marketing success. The role of law as a player in the emergence of Bidil as an ethnic drug began in the 1980s, around the same time as the initiation of V-HeFT I (Kahn,2005). Two legislations signed by President Carter would encourage interactions between industry and academic researchers and inevitably make it easier for Bidil to emerge as an ethnic drug. The first, the Stevenson- WydlerShow MoreRelatedQuestions On Drug Information Services3242 Words   |  13 Pagesclotrimazole lozenges, nystatin suspension, or oral fluconazole.1 Posaconazole, compared to fluconazole as prophylaxis against fungal infections in hematopoietic stem cell transplant patients with graft-versus-host disease, demonstrated similar rates of clinical failure to fluconazole but was superior in preventing invasive aspergillus infections and in preventing death. 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The War On Women s Health - 1405 Words

Hannah Shotwell Professor T. Seamus O’Sullivan PSCI 1110-52 Due December 2, 2015 The War on Women’s Health One of the United States’ core values is the right to privacy, a right evidenced in the constitution’s fourteenth amendment. This amendment, of course, is the one cited in cases of women’s reproductive health rights, an issue as contentious as ever in the 21st century. With the federal government working seemingly endlessly to revert fifty-year-old decisions pertaining to women’s health rights, one must ask themselves if such undermining of Supreme Court decisions is constitutional, and why it is so important to men in Congress to legislate women’s bodies. With half a century of feminist progress behind us, one would think the†¦show more content†¦Anti-choice legislation stems from the primarily anti-choice makeup of the United States legislature (twenty-eight state governors, fifty-four senators, and two hundred sixty-four house representatives define themselves as anti-choice, as of De cember 6, 2014) (Who Decides?). Twenty-seven anti-choice laws were enacted in 2010 alone, bringing the United States to a cumulative eight hundred thirty-five anti-choice measures statewide (Who Decides?). The state legislature’s over one thousand bills restricting women’s right to legal abortion services in 2011 alone and Congress’ at least eight votes against women in 2012 (Jones) are just further examples of anti-women, anti-choice legislation being enacted in Washington. In fact, Congress wasted no time on its anti-abortion agenda in 2015, introducing measures to ban abortions after 20-weeks on its very first day back in session in the New Year (Culp-Ressler). This measure is unconstitutional under Roe v. Wade, full stop, however, the unconstitutionality of this proposal means nothing to anti-choice legislators. The fact of the matter is that this anti-choice legislation isn’t evidenced in scattered instances across decades, it’s constantly ha ppening. Anti-choice members of the House at the last minute pushed to vote on H.R. 7 in January of 2015 on the 42nd anniversary of Roe v. Wade and just weeks after multiple abortion restrictions were introduced. H.R. 7, called the â€Å"No Taxpayer Funding

Latin Americas Cold War by Hal Brands - 597 Words

Brands, Hal. Latin Americas Cold War. Cambridge, Mass.: Harvard University Press, 2010. In Latin America, the Cold War was everything but cold. Nor was it the â€Å"long peace† provided the world’s superpowers by their nuclear standoff. In this book, the first to take an international viewpoint on the postwar periods in the area, Hal Brands sets out to clarify what precisely occurred in Latin America during the Cold War, and why it was so distressing. The trouble that I usually have with the Cold War it is a lot, in different countries, all around the world. What I enjoyed about this book was that it focused, for the most part only on Latin America which allowed me to, after I finished reading, solely focus on Latin America without having to think about the various countries alongside Latin America all at the same time Delineating the uncontrolled sequence of local businesses from the late 1940s decided the early 1990s, Latin America’s Cold War investigates into the uncountable crises and turning points of the period, the Cuban revolution and its aftermath; the repetitive cycles of insurgency and counter-insurgency; the occurrence of currents like the National Security Doctrine, liberation theology, and reliance theory; the rise and demise of a hemispheric political encounter to U.S. domination in the 1970s; the blaze that surrounded Central America from the Nicaraguan transformation ahead; and the democratic and economic developments of the 1980s. 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