NURSING DIAGNOSIS OF EMPHYSEMA, OSTEOPOROSIS AND HYPETENSION Essay

NURSING DIAGNOSIS OF EMPHYSEMA, OSTEOPOROSIS AND HYPETENSION - Essay Example Emphysema happens mostly in patients with reduced alpha 1- anti-trypsin (A1AT) levels. Alpha 1 anti-trypsin deficiency (A1AD) destroys alveolar tissues. Smoking reduces A1AT to greater extend and cause emphysema People at this stage of life are recovering from middle adulthood and experience Despair versus Integrity. The basic strength at this age is wisdom. Those who lived up to their dreams in life usually enjoy good memories and this is what is identified as integrity. Having failed to achieve better life and bearing in mind the situation of the patient's aliments, the patient is not able to find her true self to develop her personal ego as expected of her age. She may not develop wisdom This is evidenced by the patient's ailments which appear like co morbidity of several disease conditions or a cascade of ailments. she had suffered osteoporosis for 8 years, emphysema for 12 years, hyperlipidemia for 5 years and hypertension for 15 years keeping pain diary to assist in identification of irritating and ease factors on pain, assisted the patient in selecting best management strategy and acknowledge and recognize patients past experience (Green 2007) Aggrenox one (200mg) tablet twice a day, Coreg 3.125 mg per oral administration twice a day and Cozaar 50mg per oral administration everyday to reduce high blood pressure. ... Treatment Open (bronchial ventilation) by suction or giving medication that reduce secretions, acid base management techniques and use of medication. keeping pain diary to assist in identification of irritating and ease factors on pain, assisted the patient in selecting best management strategy and acknowledge and recognize patients past experience (Green 2007) Medication Aggrenox one (200mg) tablet twice a day, Coreg 3.125 mg per oral administration twice a day and Cozaar 50mg per oral administration everyday to reduce high blood pressure. Administer Acetaminophen 650mg six hours interval to relive mild pain and reduce fever. Ipratropium Bromide two puffs twice a day to reduce allergic reactions and secretions as well as for brocho-dilatation Diet 3. The patient to be put on a steady diet with more calcium and vitamin D and also carry out exercises to strengthen the back. Referred the patient to osteoporosis support. Pr Assessment Functional Health Patterns Nursing Diagnosis 1 The patient has intermittent sleep patterns only able to tolerate with HOB up in high fowler position. The patient has suffered osteoporosis for the past 8 years, multiple admission for pneumonia. Osteoporosis causes a lot of skeleton-muscular pain because the bones gradually weaken and any slight strain on the body structure is very painful(Green 2007) The functional health patterns are identified as; 1. Sleep-Rest Patterns 2. Sensory Perception Patterns Psychological Nursing diagnosis the patient experienced stress and anxiety Physiological Nursing Diagnosis The patient experienced disturbed sleeping patterns and Ineffective airway clearance In relation to being

Predictably irrational Essay Example | Topics and Well Written Essays - 1000 words

Predictably irrational - Essay Example As a result of these accounts of conscious perceptions, we often assume that the experiences constitute a single fundamental reality. Based on this broad judgment, Venkat further reaffirms that, â€Å"the imperative nature of consciousness is practically beyond logical doubt and rather evident through predictable behavior.† (n.pag). Many make the assumption that, they are actually settling for rational and smart choices, without taking into consideration the possibility that their behavior is actually predictable. After reading Ariely’s book, I came to realize that I am also predictably irrational, especially in my life as a student, as shown by analogies drawn hereunder between the authors’ illustrations and incidents in my life. According to Ariely, it is rather intriguing to note that, human expectations, societal norms and emotions, among other undermined aspects of life, which ordinarily seem illogical, often control our capability to reason. This is a concl usion that the author draws from the fact that people astoundingly make simple mistakes, yet repeat the same types of faults daily. The author’s line of thought begins when he asks â€Å"Do our first impressions and decisions become imprinted?† (25). He goes on to elaborate that we usually overpay for certain items when shopping, we also underestimate expenses and keep procrastinating duties we are supposed to carry out eventually. The author is keen to note that these misguided doings are not random, and neither are they senseless. Apparently, these actions are logical and foreseeable, as illustrated by the experiment showing how students’ social security numbers influenced their bids for wine (Ariely 28). This possibility is explicated by Ariely in various chapters of his book, as well as, in Plato’s â€Å"Allegory of the Cave†, as discussed in subsequent paragraphs. In chapter six of his book, â€Å"Predictably Irrational†, Ariely focuses on the crucial aspects of self-control and procrastination (Ariely 109-119). Through a comprehensive experiment, the author realizes that his students tend to perform better in class assignments, when deadlines for work submission are spaced all through the semester, than when the deadline is set on the final day of the school term. This is an aspect he attributes to the tendency of learners to postpone work, when they think that they have sufficient time to finish writing the assignments, prior to the semester’s end. In the long run, students rush during the last minute only to do unsatisfactory work and, consequently, acquire poor grades. In contrast, spacing out deadlines and imposing potential grade or financial penalties, in addition to simplification of tasks, makes it easy for students to deal with their assignments early enough. This is because such efforts inspire self-control among students and lower incidents of procrastination. The occurrence of procrastination a mong individuals is also supported by O’Donoghue and Rabin, who suggest that â€Å"people may occasionally purchase items with high prices based on the notion that the price is

Globalisation Of Marketing Design and Innovation Dissertation

Globalisation Of Marketing Design and Innovation - Dissertation Example According to Doyle, innovation, as a marketing strategy, has several times proved to be the key factor to reward success to many businesses. It is also considered to be the path of attaining higher growth in terms of sales, market shares, and others. However, innovation can be referred to as the development of a newly designed product, marketing channels, and marketing concepts. Thus, innovation in marketing can be stated as one of the crucial elements to achieve an efficient competitive advantage and growth. This statement can be well-observed in the case of television industry where analysts claim to witness an extraordinary chain of innovations which brought about changes in shape, color, size and other features of the genre. For instance, Lachenbruch stated that in its performance from 1953 to 1956 the television industry reached its maturity similar to radio and phonograph industries. It was the period when almost every household in America had a television set in their living r oom and thus sales of television begun to fall. By that period, a new version of television was introduced to the market, i.e. color TVs. This innovation again took the industry to its growth.   These kinds of evidence can be witnessed in almost every stage of the industry, especially in terms of style and technology. This shall be evidently identified in the further discussion.  The introduction of television can be identified in the early 1920s when television was presented in two broad paths.

Site visit Coursework Example | Topics and Well Written Essays - 1250 words

Site visit - Coursework Example The National Water Company provides those services and it is important for them to be efficient in providing the services. In order for the efficiency and effectiveness of the company to be realized, the company has an information technology department. The department has the responsibility to provide network facilities, train other employees on the use of new technology and installation of new technology in the organization. IS department of National Water Company is the company’s Information Technology service provider for the company’s department’s, and division. The Information services include network installation, equipment, procurement, systems, and maintenance and operation. I visited National Water Company on 10th April 2014for 6 hours. The report evaluates the company’s computer department facilities, services, and their daily services. The paper also specifies the problems the company faces with their system. The paper has also suggested the solution based on IS study. Therefore, the paper discusses the type of infrastructure, IT security measurements, IT services, IT budget, and IT policies for National Water Company. This report has been prepared with all reasonable skill, care and diligence and summarizes the findings from the 6 hours site visit. All values quoted in this Report are based on information provided by the Client. All values quoted are estimates and may require additional detailed investigation to confirm their validity. The Saudi Arabia government has prioritized the water sector. This is attributed to the importance of the sector in the country. National Water Company abbreviated as NWC, is a Saudi Arabia Joint Stock Company that is fully owned by the Public Investment Fund. The company was established to offer wastewater and water services according to the latest international regulations by the national cadres concerned efforts in liaison with international operators via foreign

Globalisation Of Marketing Design and Innovation Dissertation

Globalisation Of Marketing Design and Innovation - Dissertation Example According to Doyle, innovation, as a marketing strategy, has several times proved to be the key factor to reward success to many businesses. It is also considered to be the path of attaining higher growth in terms of sales, market shares, and others. However, innovation can be referred to as the development of a newly designed product, marketing channels, and marketing concepts. Thus, innovation in marketing can be stated as one of the crucial elements to achieve an efficient competitive advantage and growth. This statement can be well-observed in the case of television industry where analysts claim to witness an extraordinary chain of innovations which brought about changes in shape, color, size and other features of the genre. For instance, Lachenbruch stated that in its performance from 1953 to 1956 the television industry reached its maturity similar to radio and phonograph industries. It was the period when almost every household in America had a television set in their living r oom and thus sales of television begun to fall. By that period, a new version of television was introduced to the market, i.e. color TVs. This innovation again took the industry to its growth.   These kinds of evidence can be witnessed in almost every stage of the industry, especially in terms of style and technology. This shall be evidently identified in the further discussion.  The introduction of television can be identified in the early 1920s when television was presented in two broad paths.

Teaching Tweens and Teens for Optimal Learning Research Paper

Teaching Tweens and Teens for Optimal Learning - Research Paper Example The brain is growing and changing, getting rid of information that seems to have no purpose and building pathways of behavior built upon observations on how to behave in the world. Where the family was once the center of learning, during the adolescent years, the world becomes the representation of knowledge. The size of the world is the key to finding the best possible outcomes, thus through understanding the way in which the adolescent brain works, a better understanding of how to teach teens and tweens emerges in order to create better prepared adults. The teenage mind is defined by its ability to appear to work like that of an adult, but in truth it is set to work in a very different manner. Parents are always shaking their heads and wondering why their teenagers behave the way that they do, making decisions that seem to have no reason and acting impulsively. The blame is often placed upon hormones, the common terminology reflecting an idea that it is the development of the body that is placing the teenage mind in a state of erratic behavior. Advances in neuroscience have concluded that it is not a hormonal issue that makes the behavior of teenagers so radically different than that of adults, but it is a development issue, the brain still in a state of construction in which it is still only at the stage of design, the grey matter physically being built and in the process of cutting away old synapses that are no longer needed (Feinstein, 2009, p. 4). The brain is literally growing and changing, the future of the adult in the hands of the choices made by the teenager, the brain growing in response to those changes. The nature of the teenage brain is such that in order to best teach them new methods in education may be important for producing higher levels of learning. Mind-mapping is a technique that allows for a broader use of the brain in order to see how connections are being made between varieties of concepts. Colors, pictures, symbols, and words are all combined to create a picture of how they combine to form thought (Philp, 2007, p. 17). This concept allows for an educator or academic to see how the connections between concepts are being formed for the teenage mind. According to Philp (2007) each of these conceptualized maps will be different, showing how the ways in which learning are taking place are is varied between individuals. Because the mind is being deconstructed and reconstructed, the mind of each teen is different, creating a chaotic social mix of individuals all trying to conform to teaching methods through perspectives that are all over the place. Sylwester (2007) breaks down the purpose of the brain into the â€Å"planning, regulation, and prediction of movements† (p. 15). The process of thinking can be looked at as a part of the idea of movement. One of the newest developments in understanding how learning is accomplished is through the idea of mirror neurons. The mind will function to accomplish a task, each section of the task being done through sequences of impulses that control the task. Templates of a task can also be created through what is termed mirror neurons that see the task accomplished and make plan from which the individual can also repeat that task (Stamenov, 2002, p. 273). In looking at adolescence, one can see that this process has begun new and is in

Presented in Romeo and Juliet Essay Example for Free

Presented in Romeo and Juliet Essay During the Play of Romeo and Juliet, Shakespeare portrays a very strong relationship between Juliet and her father, Lord Capulet. His initial attitude shows him as a caring, protective father who wants what is best for his daughter. This caring manner continues until Scene 5 of Act 3, in which Juliet defies her father, who wishes for her to marry the County Paris. This scene acts as a turning point in the play; Lord Capulet is now shown as a malevolent father who has his own intentions for his daughters future. However, when Juliet returns apologetically to her father, and agrees to marry Paris, he once again returns to being the loving and caring father we initially identified. Lord Capulets initial attitude to his daughter was generally kind and compassionate. He calls her his hopeful lady of my earth which implies that he expects her to do well for herself. We see him as a typical father late in the 16th Century. It was commonplace for fathers to be in charge of who their daughter married, and Lord Capulet decided that Paris, a handsome, wealthy kinsman to the prince, would be able to provide for his daughters future.  Lord Capulet is very protective over Juliet, he does not think she is ripe to be a bride because she is yet a stranger to the world and hath not seen the change of fourteen years. This prominently reminds us of both Lord Capulets protectiveness, and the ongoing theme of youth and age throughout the play. The point at which Lord Capulet ceases from acting behind the caring faà ¯Ã‚ ¿Ã‚ ½ade come in Scene 5 of Act 3 in the play. Juliet refuses to marry Paris when her mother tells her that they have arranged her marriage. Juliet, who is secretly already married to Romeo, cannot go ahead with the marriage to Paris, and she tells her mother that she is not ready to be married so soon after Tybalts death. Although upset, her mother does not overreact to this situation, and it is only when her father enters that the situation becomes overwhelming. He shouts at her, is unpleasant towards her, and threatens to disown her if she does not do as he says. Lady Capulet is then drawn into more of a quarrelsome situation with her daughter, her line Fie, fie! what, are you mad? could be interpreted either as directed towards her husband or Juliet. It would seem that it was towards her husband as later in the scene she says to Lord Capulet You are too hot, which indicates that he is becoming too aggressive and malicious to his own daughter. This would suggest that Lord Capulet has a very influential personality, and he is able to get other people to do what he wants them to because of his authority, and their fear of what he will say if they, like Juliet did, refuse to co-operate.  Lord Capulets view of a daughter is that they are almost like property, who should be married to a handsome and wealthy gentleman when they are old enough to take on this responsibility. It was usual for this to happen, and so was not treated with the same scepticism as today. In one of Paris meetings with Lord Capulet he tells him that younger than she are happy mothers made. This implies that girls who are younger than Juliet are not only already married, but mothers as well. Even when her own mother asks her about marriage, she says it is an honour I dream not of, suggesting she does not feel ready for marriage, even when her mother reminds us that younger than you are already made mothers. Generally, Lord Capulet does care for his daughter, but does not respect her wishes and opinions as we would expect in todays modern society. Capulets anger at Juliets defiance was the first point when we saw another side to him. He returns to being the gentle father only when Juliet comes to apologise to him. She tells him she has been at confession and has come to accept the offer of marriage from Paris. Her father then becomes the agreeable jovial character we first knew. His angry personality is only evident if things are not going in according with his plans, or Juliet is disobedient to him; he is almost like a spoilt child who does not like it when he does not get what he wants. When Juliet appears to be dead in Scene 5 of Act 4, Capulet seems to be devastated. He states that death lies on her like an untimely frost which to all the other people on stage is accepted as a genuine comment from a grieving father. Alternatively, this could have been interpreted as another selfish comment; the use of the word untimely emphasising the inconvenience of it to his plans. Capulet is once again being slightly selfish, he feels as though he has lost a daughter, rather than his daughter has lost her life, and he is worrying about how it will affect him instead of grieving for her. At the end of the play when Friar Lawrence Tells everyone the truth about the events through the play, I think Lord Capulet realises how narrow-minded he has been. He recognises that he has not treated his daughter with the respect she needed, and is aware that she had to marry Romeo secretly because he would never have agreed to it.  It is this recognition of the error of his ways that leaves the audience feeling that Lord Capulet is a good father. He acts upon what he has learnt straight away by calling Lord Montague his brother, and asking him to give me thy hand to help them reach a better understanding. Behind Lord Capulets capricious faade, we see a father who cares for his daughter, but does not always know how to show it. His unpredictable nature was due to this, and it is not until the end of the play when the true Lord Capulet is revealed. He shows remorse towards the death of his daughter and Romeo also, and looks towards the Montagues to help each other in grieving for their children by settling the dispute between the families.  Overall, Capulet is a good father to Juliet, but his influential position makes him feel under constant pressure to do what is right; both for his daughter and his image to the rest of the Capulets.