Monday, May 18, 2020
Nursing Diagnosis - 1441 Words
J.P., a 58 year old female, presents to the Emergency Room on March 18th. She has a past medical history of cervical cancer, atheroembolism of the left lower extremity, fistula of the vagina, peripheral vascular disease, neuropathy, glaucoma, GERD, depression, hypertension, chronic kidney disease, and sickle cell anemia. She complains of right lower extremity pain accompanied by fatigue, a decreased appetite, increased work of breathing, burning on urination, and decreased urine output for three days. On admission, a complete physical assessment was performed along with a blood and metabolic panel. The assessment revealed many positive and negative findings. J.P. was positive for dyspnea and a productive cough. She alsoâ⬠¦show more contentâ⬠¦After surgery, her doctors prescribed several new medications to add to the list of medicines that she was taken at home. Ineffective peripheral perfusion related to impaired arterial circulation was the highest priority diagnosis for this patient. The patient had a circulation issue related to a thrombosis that impaired the delivery of oxygen to the lower extremity. A client with a deep vein thrombosis may present to the clinic or emergency room with a red, warm, swollen calf (Ackley Ladwig, 2010). In this case, the perfusion of the tissue in her lower, right leg was inhibited to such a large degree that her leg required amputation above the knee. Another NANDA diagnosis for the patient was Infection related to MRSA and a high white blood cell count (Ackley Ladwig, 2010). This diagnosis became the second highest priority. Methacillin Resistant Staphylococcus Aureus is an infection that a patient may develop many times in the hospital setting. It is resistant to certain antibiotics, thus making it very difficult to treat. MRSA is also highly contagious. A white blood cell count that is above 10.8 is considered elevated; J.P.ââ¬â¢s count was 22.4 (Jarvis, 2012). Due to the thrombosis, as well as having the above knee leg amputation, a diagnosis of Impaired Comfort related to altered health status and chronic pain, became a medium priority (Ackley Ladwig, 2010). A patient that suffers an amputation can experienceShow MoreRelatedNursing Diagnosis875 Words à |à 4 PagesNursing Diagnosis I Nursing Diagnosis I for Patient R.M. is ineffective airway clearance related to retained secretions. This is evidenced by a weak unproductive cough and by both objective and subjective data. Objective data includes diagnosis of pneumonia, functional decline, and dyspnea. Subjective data include the patientââ¬â¢s complaints of feeling short of breath, even with assistance with basic ADLs. This is a crucial nursing diagnosis as pneumonia is a serious condition that is the eighthRead MoreNursing Diagnosis : Health Assessment Essay863 Words à |à 4 PagesConcept ââ¬â4 Nursing diagnosis This concept is taken from ââ¬Å" Health assessmentâ⬠module no.3 and entitled as ââ¬Å"Health assessment in nursing processâ⬠Introduction The practice of nursing involves the provision of comprehensive nursing care to clients based on knowledge from biological, physical and social sciences. Integral to the practice of nursing is the nursing process, an activity that facilitates the nurse s interaction with clients in an effort to assist the clients to maintain and restoreRead MoreThe North American Nursing Diagnosis Association Essay734 Words à |à 3 PagesNorth American Nursing Diagnosis Association uses Gordonââ¬â¢s Framework as a foundation for its nursing diagnosis (Edelman Mandle 2014). Gordonââ¬â¢s framework consists of functional health patterns as defined by Endleman and Mandle (2014) is,â⬠viewing the individual as a whole being using interrelated behavioral areasâ⬠(p. 150). There are eleven patterns used as a tool to collect information during assessments in order to create a plan for validation and communication among the nursing profession. ItRead MorePhysical Examination Of Nursing Diag nosis And The Nursing Process Of Care1648 Words à |à 7 Pagessymptomsâ⬠. She has become dehydrated, so an IV has been placed and fluids have been started. She also has had an arterial blood gas (ABG) drawn that has shown acid-base deficits. This paper will discuss how a focused history, physical exam, nursing diagnosis and the nursing process of care is important in helping this patient get better. It will also discuss the differences between a complete assessment and a focused assessment. Focus History Focus assessments are the most important part of care planningRead MoreSymptoms And Treatment Of Five Nursing Diagnosis1354 Words à |à 6 PagesFive Nursing Diagnosis Acute pain related to lobectomy procedure and rib removal as evidenced by patient whimpering when moving at rating her pain eight to ten out of ten throughout the day. I chose this as a high priority, number one nursing diagnosis because of how high the patient rated her pain. Whether she was just lying in bed, or moving around, she was in pain. The only thing that could somewhat decrease her pain was pain medications, and even then, her pain only went down from a ten to andRead MoreDiagnosis And Treatment Of Nursing Essay2358 Words à |à 10 PagesA consecutive series of patients who had undergone anatomically successful MH closure and were followed for at least 6 months postoperatively were enrolled in this study. All patients were diagnosed with a stage 2, 3, or 4 idiopathic MH according to the Gass classification system(17) and underwent a comprehensive ophthalmologic examination before and 1, 3, and 6 months postoperatively, including measurement of the best-corrected VA (BCVA), binocular indirect ophthalmoscopy, and non-contact lensRead MoreDiagnosis And Treatment Of Nursing2446 Words à |à 10 Pagesthe area. Most CRNA s have Anesthesiologist working above one. A CRNA that works in a hospital setting has many areas to specialize in, such as cardiology, orthopedics, epidurals, general surgery, pediatrics/neonatal. This role differs from other nursing roles in many ways. A CRNA meets with the patients and gives the patient medication to sleep. The CRNA will monitor the patientââ¬â¢s hemodynamic measures during the procedure and titrate medication based on patientââ¬â¢s response to surgery. A Nurse AnesthetistRead MoreDiagnosis Of Post Operative Nursing Interventions1507 Words à |à 7 Pagesfracture of the hip at the femoral neck. She has a history of severe rheumatoid arthritis, had an upper GI bleed in 1993 and had coronary artery disease bypass graft 9 months ago. In this essay I will discuss the entire continuum of post-operative nursing interventions in the first 24 hours with more emphasis on pain management for Ms Sue following Total Hip Replacement (THR) Pathology There is a high prevalence of degenerative joint conditions such as osteoarthritis among the older adults. MoreoverRead MoreNursing Diagnosis Assessment Data Planning2552 Words à |à 11 PagesGina Fabbro ââ¬â Care Plan 1 : Ineffective Coping NURSING DIAGNOSIS ASSESSMENT DATA PLANNING Ineffective coping r/t past situational crises, unresolved emotional conflict between patient and wife, destructive behavior towards self, increased depressive state and unpredictable episodes of anger and aggression s/t sleep apnea AEB disturbed images of past crises, demands on family imposed by the patients current condition, increased state of depression, disturbed sleeping patterns since returning fromRead MoreTechnology s Impact On Healthcare1227 Words à |à 5 Pages Itââ¬â¢s the twelfth of April 2017. A nursing student sits inside an average home. The lights are brightly lit. A computer sits atop the studentââ¬â¢s lap. A television is across the room. A cellular phone is nearby. In the kitchen there are many appliances. These are everyday pieces of technology present these days. Technology is defined as ââ¬Å"the branch of knowledge that deals with the creation and use of technical means and their interrelation with life, society, and the environment, drawing upon such
Wednesday, May 6, 2020
Problems Faced By Japanese Foreign Investments Relations...
This business study will define the problems in the United States due to Japanese investments. In the current global economy, the foreign investments relations between the U.S. and Japan have been one sided due to the inter-Asian business models of the Japanese markets. Japan has traditionally been cooperative with the United States in allowing its products to be manufactured and sold in the United States, which has provided some manufacturing jobs in the U.S. This causes problems for the U.S. because they are disadvantaged by one-sided trade agreements that decrease job opportunities for American workers, since the Japanese are increasingly moving their manufacturing plants into Asia. More so, the Japanese government has manipulated itsâ⬠¦show more contentâ⬠¦This complex issue defines a major problem for job opportunities for the American economy due to Japanââ¬â¢s shift in foreign investment in the Unite States: The Japanese will place more of their emphasis on investment in Asia, leaving less capital to finance United States budget deficits or to buy up American companies or open new factories. Japanese electronic goods and automobiles will not disappear from American shelves or showrooms, but increasingly they will come from factories in Asia, rather than in Japan or the United States (Sterngold, 2016, para.8). In this manner, Japanese foreign investments will begin to shift away from the American manufacturing sector to Asian labor markets. This is an important problem with Japanese foreign investments that continue to seek out lower cost labor markets in order to avoid the higher costs in America: ââ¬Å"That will mean less job creation in Ohio or Tennessee, as the Japanese start up fewer new ventures in the United Statesâ⬠(para.8). This is an important factor in the evolving foreign investment strategies of Japan, which now threaten American job markets in the 2010s. Historically japan had found the American consumer market to be an invaluable part of consumer orientated foreign investments, which relied heavily on
Social Psychology of Childhood Disability â⬠MyAssignmenthelp.com
Question: Discuss about the Social Psychology of Childhood Disability. Answer: Introduction: According the various medical models of the society, the model of disability is a condition of the health that deals with the medical form of the professionals. The people with the disability are thought to be the different from normal to the abnormal (Agahi, Shaw Fors, 2014). Disability are seen to be the problem in the individual. From the medical model, the person who have the disability always needs to be fixed and cured. Therefore, disability is form of tragedy that the people with the disability are needed to be pitted. The medical model of the disability is all about the person who cannot be part of the situation. The social form of perspective do not really deny the reality of the physical form of impairments that impacts the individuals. The social model always seeks for changing the society in order to accommodate the people who are living with the various impairments and they does not need any kind of changes in the behavior towards them to accommodate in the society. It also supports the view of the people with the disability that has the right to be fully participated the citizens on the equal form of base with the others (Couch, Tamborini Reznik, 2015). The people with the disabilities are not just an object for the charity for their medical treatments but they are also subjected all forms of the rights that exists in claiming the rights for making the decisions for their own lives that are based on the free and the informed consent that exists among the active members of the society. The disabled people who are developed the social models for their problems is because the traditional models did not explain the correct form of the personal experiences for the disability or helping it to develop more inclusive form of living. Therefore, the essay enumerates the various social disadvantages that are been experienced by the disabled people. The people who are living with disability are one of the most marginalized and the most disadvantaged groups in the society. They generally come across two major forms of discriminations. Firstly, with the dimensions that are related to the social form of attitudes that prevails by the differences and also reflects the intolerance rates that are been reflected in the conditions of the various forms of impairments (Kirmayer Brass, 2016). Secondly, the major forms of the dimensions are related to the adequate form that are built in the environment that the makes it more difficult for the disabled people for accessing the ranges of the services that can be participated in a various forms of the economic and the social form of the activities. The people who are having the disability are been estimated to be the 15 percent of the whole population of the world. It has been recorded that more than billion of people are making the largest minority in the global network of the group. The con sistent form of evidences that are abound for demonstrating the larger form of the population of the people with the disabilities that are found in the low income countries of the global south or what has been euphemistically been referred as the majority in the world (Levitt, 2017). The disabled children including the students, who are having the learning disabilities, were about 20 percent of more likely to be reported as been bullied than the other students who are studying in the same school. Various studies have spotted the differences remained in the steady from the third through the twelfth grade. The students with disabilities are also taught the skills in which they tend to respond appropriately to bullying. They needs to what to respond to the particular situations. About two-thirds of those children surveyed received free or low-priced lunches; 43 percent were Latino, 36 percent were white and 14 percent were black. Sixteen percent were identified as having a disability. The surveys asked the students about bullying, which Rose defined as "pervasive aggression." Students responded to questions about whether they had been hit or threatened, had their feelings hurt, or had lies and mean rumors spread about them. Online harassment was not included in the surveys.It has been reported that 60 percent of the disabled students episodes of bullying compared to the 42 other students when they have reached the fifth grades, the gap have remained very similar 62 percent that are compared to the 41 percent. The constant gap of 20 percent was still seen in all across the level of the grades. Some of the researchers have been speculated the students who are having the disabilities that have more form of trouble than the understanding of the peer with a complex form of communication that essentially includes the sarcasm and the non-verbal cues and that makes it more likely to be involved in the bullying. Other forms of the skills included the engagement in the conversations that working with other parts of the group in the participation, knowing how they have responded that tend to not win the game. The basic form of skills that are been seen to be learned and to be thought of. The disabled people includes the long term physical, intellectual, mental and the sensory form of the impairments, some of which are impossible to detect and are often left undiagnosed. Several disabled people often experiences the discrimination and therefore encounters the barriers for participating in all the aspects of the society that readily includes the transportation, economic opportunities, access to education and the health care systems. Therefore, they lead to the high risk factor for experiencing the poverty and the disability and the analysis are the basic cause and the consequences of the level of the poverty. However, it can be globally assessed that there are higher rate of participation in the education for the disabled people since the last two decades. Thus, some of the social groups always somehow remain underrepresented that can be totally excluded in the participation of the higher education. This has somehow diminished the rate of the arguments that the contemporary form of the higher education can be agenda for propagating the social form of justice. While there has been an increase in the awareness concerning the south global (Thomas, 2015). The problem of the disability remains the same at the periphery level of the policy, practices and the researchers that are undertaken in the higher education sectors. The policy makers of the higher education are the planners for the development for increasing the rate of the social form of justice that may be helpful for the social experience of the disabled people that have been overlooked by reforming the policies and the good form of pr actices in the higher education level. Given the situation, mainstreaming of the disabled people are a bit more difficult for constituting a major part of the experience in the multiple form of dimensions for the various discrimination in the society like the talking the inequality that comes with disability that can be considered as the critical form of agenda of the social justice that are essential for attaining the Millennium Developmental Goals. The existing form of evidences suggests that the MDGs are currently very much limited and they lack the scope and the coverage for the developed and the underdeveloped nations. Disability is somehow more of a personal; form of experience rather than the personal form of experience that the higher education policy makers are been making to acknowledge for the policies and the practice that plays a much significant role in the way that how the disabled form of the people tend to negotiate their form of participation in the higher form of education. () argues that the personal life experiences of disabled people are not simply products of individual cognitive psychology but are deeply embedded in the social . Individual identities are negotiated with others in a social context, in response to cultural values and structural forces. This certain argument draws the point of being to the powerful position for establishing the relationship between the disabled and the non-disabled people (Thomas, 2015). However, it has been noted that under the social model of the disability, the disability are been interpreted to be residing in the society rather than in the impai red form of bodies. The problem of disability resides in the society because there are various forms of the social constraints that are attached with the restrictions in the physical aspects that are been imposed on the people who are with the impairments (Vehmas, Watson, 2014). Therefore, the universities reviews that their positions for the MDGs Post the 2025 agenda, that needs the clarification of the universities in the reproduction of the of the social exclusion and the underrepresentation of the disabled through the policies, research and practices that are non-inclusive and the misrecognises the circumstances of the impairments. It has been reported that the demand for the disabled people that can be seen globally that is just for the improvements in the existing form of services and the change in the activities in their own form of experiences. References Agahi, N., Shaw, B. A., Fors, S. (2014). Social and economic conditions in childhood and the progression of functional health problems from midlife into old age.J Epidemiol Community Health, jech-2013. Anastasiou, D., Kauffman, J. M. (2013, August). The social model of disability: Dichotomy between impairment and disability. InThe Journal of Medicine and Philosophy: A Forum for Bioethics and Philosophy of Medicine(Vol. 38, No. 4, pp. 441-459). Oxford University Press. Couch, K. A., Tamborini, C. R., Reznik, G. L. (2015). The Long-Term Health Implications of Marital Disruption: Divorce, Work Limits, and Social Security Disability Benefits Among Men.Demography,52(5), 1487-1512. Goering, S. (2015). Rethinking disability: the social model of disability and chronic disease.Current reviews in musculoskeletal medicine,8(2), 134-138. Kirmayer, L. J., Brass, G. (2016). Addressing global health disparities among Indigenous peoples.The Lancet,388(10040), 105. Kusumastuti, P., Pradanasari, R., Ratnawati, A. (2014). The problems of people with disability in indonesia and what is being learned from the world report on disability.American journal of physical medicine rehabilitation,93(1), S63-S67. Leinonen, T., Martikainen, P., Laaksonen, M., Lahelma, E. (2014). Excess mortality after disability retirement due to mental disorders: variations by socio-demographic factors and causes of death.Social psychiatry and psychiatric epidemiology,49(4), 639-649. Levitt, J. M. (2017). Exploring how the social model of disability can be re-invigorated: in response to Mike Oliver.Disability Society,32(4), 589-594. Manrique-Espinoza, B., Salinas-Rodrguez, A., Salgado de Snyder, N., Moreno-Tamayo, K., Gutirrez-Robledo, L. M., Avila-Funes, J. A. (2016). Frailty and social vulnerability in Mexican deprived and rural settings.Journal of aging and health,28(4), 740-752. Thomas, D. (2015).The social psychology of childhood disability(Vol. 30). Psychology Press. Vehmas, S., Watson, N. (2014). Moral wrongs, disadvantages, and disability: a critique of critical disability studies.Disability Society,29(4), 638-650.
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