Nursing Diagnosis and Care Essay

1: Analyze Assessment Data: Based on the health history information, identify the following: A. Areas for focused assessment (30 points) Provide a brief overview of those areas of strength and weakness noted from Milestone 1: Health History. From the conversation with JAW on her medical history she is in denial about the occurrences that is happening in her life which is making her non-compliant about taking her medications as prescribed. It appears that taking her medications will make her an unfit mother in the presence of her children according to JAW. Being a hospital corpsman in the Navy she is well aware of the ramifications about taking medications especially the ones that will help her overcome these issues. B. Client’s strengths (30 points) Expand on areas identified as strengths related to the person’s overall health. Support your conclusions with data from the textbook. JAW is in good shape according to military regulations. She runs at least three times a week which is keeping her physically in shape thereby not subjecting her to hypertension, any cardiac diseases, or joint problems at the present. I asked JAW was she uncomfortable talking to me about her health history and the issues that are related to her and me being her best friend. Her health patterns are excellent compared to others because she does follow the rules and conforms to the Navy standards. She also watches what she consumes to  stay compliant with the nutritional needs as part of her physical fitness regimen. C. Areas of concern (30 points) Expand on areas previously identified as abnormal and those that place the person at a health risk. Support your observations with data from the textbook. JAW has anxiety and depression concerns. Her failed two marriages and raising her three children as a single mom are causing her some undue stress in her life and it could possibly lead to some bad decisions about her life choices. Stress can sometimes motivate or enhance a person performance and JAW chooses to run to help her escape what she is experiencing in her life. Fitness influences some qualities such as mental alertness and emotional stability because it is known that the body affects what it does to the mind. If she would take her medications as prescribed it could help her take control of the amount of bad or negative thoughts she may be having as far as her marriages and being a single parent. She has to be willing to verbalize that she has a problem and that she needs help which will be the first step to understanding what the underlying cause of her unresolved uncertainties is truly. D. Health teaching topics (30 points) Identify health education needs. Support your statements with facts from the Health History and information from your textbook. JAW does not have any pertinent health issues that require immediate attention but the issues that she does have can manifest into something major because she does have a diagnosis of anxiety and depression. The emotional reactions to stress may include difficulties sleeping, inability to concentrate, or in her case anxiety and depression. There are many support groups out there for JAW to join such as single parents and marriage counseling to name a few to help her overcome her problems. She can also schedule some sessions with a psychologist to talk through her problems and try and devise a plan to move forward with her life. At this point I would strongly suggest that she does seek some type of counseling because her masking the stress in her life will not help her cope. 2: Nursing Care Plan Next, plan your care based on your analysis of your assessment data: A. Diagnosis (30 points) Write one nursing diagnosis that reflects a priority need for this person. Remember a wellness diagnosis is a possibility. Ineffective individual coping related to situational crisis as evidence by anxiety, depression, and alteration in lifestyle. B. Plan (30 points) Write one goal and one measurable expected outcome related to your nursing diagnosis. Explain why this goal and outcome is a priority. Include cultural considerations for this client. Goal: JAW will verbalized the ability to cope effectively with anxiety by instituting three new stress-reducing skills by April 30, 2014. Outcome: JAW will be able to identify the stressful situations in her life and adjust changes suited for her and her children. African Americans are very hesitant to seek outside help to solve their problems because they are regarded as private people and JAW doesn’t want anyone to know that she feels might jeopardize her career. C. Intervention (30 points) Write as many nursing orders or nursing interventions that you need in order to achieve the outcome. Provide the rationale for each intervention listed. 1). Inter: Provide information regarding different ways to deal with the current situations that promote anxiety feelings and the feeling of being depressed. RAT: With this information it provides JAW an opportunity to learn new coping skills. 2). Inter: Teach importance on how to balance life. RAT: A life out of balance adds immensely to stress and anxiety. The changes affects adequate sleeping patterns, family time, quiet time, and overall enhancements of quality of living. 3). Inter: Refer to outside resources, including support groups, psychotherapy, and community recreation involvement. RAT: People have a tendency to benefit from the support of other people with similar problems and the resources available will help keep her life in balance and monitor her stress levels. 4). Inter: Encourage JAW to identify and verbalized feelings and perceptions. RAT: The process of identifying feelings that remain underlying and drive behaviors enables the clients to begin taking control of their lives. 5). Inter: Teach JAW the physiologic actions of taking antidepressants and how it alleviates symptoms of anxiety and depression. RAT: Many depressed people resist  taking medication because they fear becoming â€Å"addicted† to the drug. However antidepressants are not addictive drugs and providing her with the information about the drug’s physiologic action helps with adherence. D. Evaluation (30 points) You will not carry out your care plan so you cannot evaluate the effectiveness of your nursing interventions. Instead, comment on what you would look for in order to evaluate your effectiveness. I would inquire about rather JAW has started her medication regiment and if she has any questions in regards to how it will affect her as far as her family and her career. Did she make the time to seek a physiologist to help her and her family overcome these difficult times of being just the four of them and also a psychiatrist to continue to prescribe the necessary medications? JAW will be able to discuss 3 coping techniques that she utilizes to help her feel more in control over her current situation. She will also be able to share the support system of people she can talk to when she is faced with a crisis. The way she has adjusted to her new life will ensure that she has become compliant with the medication regime and have sought the appropriate to help her overcome these issues so she ca n move forward.

Minar-e-Pakistan Essay

Minar-e-Pakistan (Pakistan Day Memorial) is a minar which was built to commemorate the day when the Pakistan resolution was passed on March 23, 1940. The main tower of this memorial was completed on March 22, 1968. The location was originally known as Minto Park. It was here that the historic session of the All-India Muslim League was held on March 23, 1940. In 1960 the Muslim League leaders impressed upon the local authorities the need for building a memorial. The governor of West Pakistan, Akhtar Hussain, issued an appeal to the public for contributions for constructing the memorial. He also constituted a memorial committee and a memorial fund for collecting donations from philanthropists. Murat Khan, a Turkish architect, designed the memorial. The governor laid the foundation stone of the memorial on March 23, 1960. The tower took about eight years to complete, at an estimated cost of Rs. 500,000. The tower rises above a platform shaped like a five-pointed star. The terrace is thr ee feet from ground level, the platform’s height is about six feet, and the star platform is about 12 feet high. It is surrounded by two crescent-shaped pools, four feet deep and lined with green and red marble. The tower has a spring shaped hall spanned by arches. The rostrum facing Badshahi Mosque is a quadrant constructed with Mughal patterned tiles. The circular diameter of the tower is 320 feet. The petals, 30 feet high, look like a blooming flower. The total height of the structure is 203 feet from ground level. On the marble slabs of the central shaft are inscribed a brief history of the Pakistan Resolution in English, Urdu and Bengali, the 99 names of God and poetic verses from Allama Iqbal. The tower has 10 vertical covering slabs interlaced with flower petals and glazed cement domes, with a sightseeing platform and a central spiral staircase. The design of the base and the first four platforms depict the history of the Pakistan Movement through architectural symbols. Rough stones and cement have been haphazardly laid representing the chaotic conditions and the lack of direction in the early stages of the freedom movement of the Indian Muslims. The stones used for the first platform are rough Taxila stones. Hammer-dressed stones are used on the second platform. On the third platform are laid chiseled stones, while the fourth and final platform is of highly polished marble, symbolizing the ultimate success of the freedom movement. The dome is of stainless steel inlaid with fine glass pieces. Up  to the dome there are four stages spread over 162 stairs.The best and encompassing panoramic view of Lahore and the citadel is obtained by using the elevator which takes you all the way up to the top of the tower. The park is a popular recreational spot for Lahorites who congregate there in large numbers. It is often used for holding large public meetings. The locality of the memorial has been highlighted with well planned parks. Eight marble fountains on the main access add to the beauty of the memorial, emitting watery rainbows with the help of multicolored lights.

What are flexible HRM practices To what extent do such practices mark Essay

What are flexible HRM practices To what extent do such practices mark a break from Fordism and the era of mass production - Essay Example These negative features include hierarchy, standardization and an inward focus. This paper will discuss to what extent flexible HRM practices mark a break from Fordism and the era of mass production. The word flexibility itself means differently to different people. Having an employee-centered approach, not being authoritative, being anti-hierarchical, persuasive, or even empowering and considering the employees as equal stakeholders are some of the ways that ‘flexibility’ has been defined (Caldwell). Hence ‘flexible HRM is not a norm which firms follow. It is a state of mind, and the practice itself varies from firm to firm. Within an organization also, flexibility provokes mixed reaction. While some consider flexibility an employee problem, the senior management thinks of it as a cost cutting strategy. The flexible approach has also led to the evolution of self-managed teams who work closely together to achieve greater horizontal coordination across organizational divisions. Marlow (1997) contends that in the UK few HRM initiatives that are being adopted are aimed at raising employee productivity without the return of rewards. Marlow further cites that the destruction of traditional style industrial relations and the lack of industrial policy articulated by the state have led to neo-Fordism. Hence, the flexible HR practices are used to induce the labor into higher productivity. It does not form a part of the larger process of post-Fordism. Since these are not supported by technology and training, these practices become unsustainable. Further arguments arise that flexible HR practices arise due to market volatility and labour weakness, and not due to sophisticated approach to labour management. While the Fordist regime may have had structural deficiencies, flexible HR practices will lead to difficulties in attracting, gaining and retaining a skilled workforce (Fuchs, 2002). Although employees are considered to

Final paper Essay Example | Topics and Well Written Essays - 2000 words

Final paper - Essay Example By studying all of these traditions, one finds that they are all useful or most types if childhood issues. In the 1940s, Carl Rogers (1951, 1955) established a new model of, person centered therapy. Emphasis was placed on the relationship between therapist and client based upon genuineness, acceptance and trust. Person centered theory provided a new perspective of personality structure, psychological health and the process of change in therapy. Largely influenced by the person centered approach, Axline (1969, 1971) developed a new therapeutic approach for working with children - non directive Play Therapy. Based on the person centered theory, Axline devised a clear Play Therapy theory and method. She said "No-one ever knows as much about a human beings inner world as the individual himself. Responsible freedom grows and develops from inside the person". For over 50 years, Play Therapy has been practiced and researched within the United States. This has been led by many Play Therapists, including Moustakas (1953, 1966, 1973, 1981, 1992) and Schaefer (1976, 1986, 1993), who have progressed Axlines original formulations and devised differing models integrating elements of systemic family therapy, narrative therapy, solution focused therapy and cognitive behavioral therapy. Play Therapy started to emerge as a new and differing tradition in the 1980s. Since then, the Childrens Hour Trust has taught professionals the basic techniques of Axlines Play Therapy that are used in a multitude of settings. As play therapy developed it was still applicable not only to all children but in numerous setting. British Drama Therapists started using Play Therapy methods to enhance their Drama Therapy with children. Sue Jennings (1994) and Ann Cattanach (1993, 1994, 1998) integrated parts of non directive Play Therapy to enlarge the British Play Therapy movement. Actualization - Humans are motivated by an innate tendency to develop constructive and healthy

The mental impact of transitioning from working to retirement Research Proposal

The mental impact of transitioning from working to retirement - Research Proposal Example As this is a secondary research study, which is descriptive in nature, the method used in gathering data is a survey of related research studies and related literature using the internet and online libraries. Result of the online research proved inadequate of materials pertaining to research studies focused on the direct correlation of retirement to mental health. Nevertheless, available related studies and literature proved sufficient enough to proceed with the research. Three hypothesized results are determined. These essentially revolve on the following areas of concern: (1) the consistent inconsistency of the mental impact of retirement, (2) the specific state of the retiree, and (3) the correlation of retirement on mental health. The implication of the study shows the need for further research, specifically a focused research on the mental impact of retirement in related line of works and a focussed-research on the impact of retirement on the specific areas of mental health. Ano ther implication is the need for a personalized retirement plan to turn the challenges of retirement into an opportunity rather than a crisis. This calls for the professional intervention of health-care providers. Literature Review With old age normally comes the decline in physical and functional ability (Davies, 1998, p. 7) and inevitably in mental health – of which against diverse yet limited definition of the term, MacDonald (2006) comprehensively denoted to cognitive, emotional and social well-being. The correlation of mental health with age has been proven by various researches. For example, Gottlieb (1995) confirmed that as one reaches old age, cognitive capacity generally declines which Siegler et al. (1996) noted most in ‘information processing, selective attention, and problem-solving ability’. (cited in, Goldman, Rye & Sirovatka, 1999, p. 337) Increased in cognitive impairment is also observed in older people (National Statistics – Great Britain , 2003, p. 3). However, the individual’s lifestyle, psychosocial state (Gottlieb, 1995, cited in, Goldman, et al. 1999, p. 337), level of education, and income level (National Statistics – Great Britain, 2003, p. 3) spell the difference between individuals. On the other hand, Suthers, Saito, and Crimmins (2003) stated that as one reaches old age challenges to emotional well-being are in all likelihood multiply, such as the loss of love ones, decline in health, worsening physical infirmity, or change in social roles (p. 41). In fact, Romsa, Bondy, and Blenman (1985) observed that, â€Å"Generally, retired individuals have stronger needs for love and association with others than do people at other points in the life span† (cited in Nussbaum, 2000, p. 129). While McMurdo (1998) in showing the benefits of exercise across ages noted that physical inactivity in adults – ‘30% of adults in US are woefully inactive’ – will further isolation in old age, as the lack of physical exercise may hasten physical dependency which could be limiting and detrimental to social life (p. 101), as the loss of social relationship may result to loneliness and depression (Baroff & Olley, 1999, p. 355). Cameron and Persinger’s (1983) study found that â€Å"the death rate increases after retirement only for those people who

IASB improved conceptual framework for financial reporting Essay

IASB improved conceptual framework for financial reporting - Essay Example Legal entities of different types of ownership are obliged to comply with regulations in financial reporting, stated in the national accounting standards. But the current process of economic and business globalisation caused the necessity of a common set of standards that could be applied in many countries, providing the consistency and uniformity of accounting and financial reporting throughout the world.Thus, in 2001 the special International Accounting Standards Board (IASB) has been established in the UK in order to design standards, intended to attain a global acceptance. If a company complies with the international accounting standard, it will likely achieve a faithful representation of its financial performance; as well as it will provide the basis for analysis of the company’s position on the global market and further prospects for development of its business. Such information is extremely useful for different stakeholders helping them to make better decisions concerni ng the company. The â€Å"decision-usefulness† approach in accounting has been known even from the 1930-40s. Currently it is laid at the heart of the Conceptual Framework of Financial Reporting, which is being developed by the IASB in collaboration with the US Financial Accounting Standards Board (FASB). This essay is aimed to analyse critically the IASB’s Framework, in particular, regarding the objectives of financial reporting and qualitative characteristics of financial reporting information. ... at that time conceptual frameworks with a common standard, which was intended to be â€Å"sound, comprehensive, and internally consistent† (IASB, 2006. p.8). Boards were primarily motivated by two objectives – firstly, to provide convergence of existing frameworks, and, secondly, to secure an improvement of the decision-usefulness approach in financial reporting. The fundamental principles of the new conception were adopted from several previous documents. A monograph â€Å"A Statement of Basic Accounting Theory†, published in 1966 by the American Accounting Association, emphasised that information ensuing from a process of accounting is more important than the process itself; it defined an accounting as â€Å"†¦identifying, measuring, and communicating economic information to permit informed judgements and decisions by users of the information.† (Lewis & Pendrill, 2004, p. 3) Another important document, which has begun to refocus the accounting polic y from stewardship to providing information useful for various stakeholders, is the Trueblood Committee report â€Å"Objectives of Financial Statements† (1973). It formulated an objective of financial statements as: â€Å"to provide information useful to investors and creditors for predicting, comparing, and evaluating potential cash flows to them in terms of amount, timing, and related uncertainty† (Zeff, 1999, p. 100). In July 2006 the first concept of IASB Framework was published in the form of a Discussion Paper. It defines the objective of financial reporting as â€Å"†¦to provide information that is useful to present and potential investors and creditors and others in making investment, credit, and similar resource allocation decisions† (IASB, 2006, p.18, OB2). This objective could be achieved if provided information

Syphillis Research Paper Example | Topics and Well Written Essays - 1000 words

Syphillis - Research Paper Example Syphilis is a bacterial infection that is primarily spread through sexual contact, but can also be transmitted from mother to fetus while in the womb or during birth resulting to congenital syphilis. It usually starts out as a painless sore that can be found on the genital area, rectum, or the mouth. Without treatment, syphilis can result to irreversible damage to the brain, nerves or body tissues. This disease has many times been known as â€Å"the great imitator† because its many signs and symptoms are identical from those of other diseases. Sir William Osler stated that â€Å"The physician who knows syphilis knows medicine.† (Rudkin and Blasko, 2011) The causative agent for syphilis is an organism known as Treponema pallidum. This is a gram-negative spirochete and is a parasite. It ranges from 6-20 um, while its diameter ranges from 18-20 um. It is a microaerophilic agent and requires low concentrations of oxygen. This bacterium is corkscrew shaped and has no animal or environmental reservoirs. This organism is usually acquired and spread by close sexual contact, entering the host through openings in squamous or columnar epithelium. It gains access to the blood and lymph systems through mucus membranes. (Dandelin, 2009) Treponema pallidum has four known subspecies which cause different illnesses. The first is Treponema pallidum pallidum, which causes syphilis. The second one is Treponema endemicum, which causes endemic syphilis. The third is Treponema pallidum carateum, which has been known to cause pinta, which is a human skin disease endemic commonly found in Mexico, Central America and South America. The last sub specie is Treponema palidum pertenue which causes yaws. Yaws is a long-term infection that mainly affects the skin, bones and joints. (Doran and Nowadly, 2010) Humans are the only known reservoir for T. pallidum. The portal of entry into the host is mucus membranes. It is transmitted almost always through sexual contact with an infe cted partner. After the spirochetes pass the barrier, they are carried through the bloodstream to every organ of the body. About three to four weeks after the bacteria has gained entrance into the new host, a lesion will form at the point of contact, which is known as a chancre. It usually presents as a firm, painless, skin ulceration with a diameter of 0.3-3 cm in size. This lesion will refuse to go away for about five weeks then eventually will heal spontaneously. This is known as the primary stage. (Brown, 2011) About six weeks later, a localized cutaneous eruption may appear. This is the secondary stage, and there may be many different manifestations. The main characteristics of this stage are skin rash and mucus membrane lesions. There may be other symptoms such as fever, sore throat, and weight loss, feelings of body malaise, hair loss and even headache. At this stage, the infection spreads to the rest of the body. The rash may spread to the feet, the back, or the hands. Somet imes, the rashes that occur with syphilis are so small that they can go unnoticed. One of the dangers of this disease is that the signs and symptoms will resolve with or without treatment, which may lead one to think that the problem is gone; but without treatment, the infection will progress to the latent and possibly late stages of disease. (Dandelin,

Sherry Turkle Essay Example | Topics and Well Written Essays - 500 words

Sherry Turkle - Essay Example But this means many things are lost. For one, people have lost the ability to actually converse with each other in person. People in work spaces â€Å"feel they are bothering† each other when they actually go and talk in person, but don’t get that same sense of intrusion when they send an email or send a text (Turkle). This means that people are creating â€Å"personal bubbles† around themselves at all times (Kakutani). People might spend more and more time together, in both physical and digital spaces. But this does not mean that they are actually communicating the things that are important – rather, they are spending time adjacent to one another while really spending time only with themselves. I see this a lot in day to day spaces. One of the most frustrating things in the world is when people say they want to â€Å"hang out† but then don’t actually want to do anything together during their hangout times. They want to consume media while ad jacent to each other, for instance, or hang out while constantly checking their phones or doing other things. This means that they are not truly interacting – they find it convenient to share physical space for a brief period of

Sunshine State Share Dealing Limited (SSSDL) Support System Essay

Sunshine State Share Dealing Limited (SSSDL) Support System Development - Essay Example This research will offer a deep insight into the system’s business and IT-based aspects. This paper will also outline some opportunities and challenges that Sunshine State has faced in the development of the system. During the system development for the Sunshine State Share Dealing Limited (SSSDL) business, the management has faced a lot of problems and challenges. The new project at the Sunshine State is about handling and managing its large business departments. In this scenario, the business has faced a lot of challenges regarding this system implementation. In this scenario, the main challenge is about the software development that was essential to support all the business processes. Additionally, in this large size project the basic challenge was to meet the needs and requirements of all the type of system users, for instance, management, customers, and working staff. In addition, the new system was indented to fulfill all the working aspects of users, since this system was a multi-site, multi-supplier, multi-system project. Moreover, another main challenge was to meet the project deadline that simply could not be missed. Thus, all these challenges and issues made this project more sensitiv e to manage and develop. This section outlines some of the key factors in the successful development of the Share Dealing system. Sunshine State Share Dealing Limited deals with more than 5 million customers and covers around 20% of the Australian mortgage market. Thus, to manage such a large size business the manual and paper-based techniques were not helpful. In this scenario, Sunshine State Share Dealing Limited was also competing on an equal footing with the existing 4 major banks and to raise the capital they decided to abandon their traditional mutual status. In this working environment, the business was not able to gain a better competitive edge and effective market through the traditional ways of working and business management technology.