Nursing Diagnosis Handbook Essay Example for Free

Nursing Diagnosis Handbook Essay â€Å"It isn’t fair. I’ve worked so hard all my life, I don’t deserve this,† thought Mrs. Ross as she looked down at her right leg where a large wound gaped open. Two weeks ago, she had a femoral-popliteal bypass, which got infected. The wound was opened up and was healing slowly by secondary intention. It was painful, raw, and frightening. She put a hand on her chest and raised the head of the bed higher so she could catch her breath and stare out the window. Nursing Assessment Including Client Story Mrs. Ross is a previous landowner and farmer’s wife with extensive acreage. Her husband died 2 years ago, and the land was sold. She lives alone in the farmhouse and has help coming in two times a week. As she grew older, she isolated herself in her home and rarely went out. She has had multiple health problems. In her 30s, she attempted suicide and was rescued. She speaks rapidly and seems unable to hold still. Ten years ago, she was diagnosed with chronic obstructive pulmonary disease, but she continued to smoke two packs of cigarettes a day. Five years ago, she was diagnosed with heart failure, yet still she continued to smoke. Two years ago, she developed disabling pain in her right foot and leg. She stopped smoking and worked hard to get healthy. Her right foot turned almost black, she could no longer walk, and she agreed to have a femoral-popliteal bypass. After surgery, when the infection set in the leg, she was very angry and sputtered at everyone. She was transferred to the long-term care section of the hospital. Vital signs are: BP 96/62; pulse: 99 to 122 beats per minute and irregular; respirations: 20 breaths per minute. Heart sounds are irregular and distant; peripheral pulses are very weak; dorsalis pedis pulse is present in both legs but weak; lung sounds include wheezes and coarse crackles throughout; and oxygen saturation is 88% to 90%, on oxygen at 3 L. A wound vac is attached to the wound to help close the large opening. Mrs. Ross has not been out of bed for 4 days. She is eating minimally.

Hawthorne and Young Goodman Brown :: essays research papers fc

It has always appeared to be fact that sin was an easy word to define and that merely doing anything that goes against God and his teachings is a sin. In order to avoid sin, one must possess an infinite amount of faith and be able to follow the teachings of a master that one can’t always see, but needs to understand is always there. In literature, many works have been created dealing with faith and sin, but most are usually not written from a perspective in which a sinning man does not seek redemption. Most stories are not allegories dealing with a man leaving his wife – named Faith – so that he can go off into the woods and, literally, dance with the devil. Most stories, however, are not Young Goodman Brown and most are not written by Nathaniel Hawthorne as a response to the guilt he felt over being the descendant of people involved in the Salem Witch trials. An immensely important part of this allegory is the character of Faith, Young Goodman’s wife, wh o represents just what her name says, and how her character affects the entire story. Her existence alone allows for the crisis Young Goodman Brown feels and even later further enhances that same crisis. She is both the cause and solution to all of Brown’s problems, if only he would allow himself to accept his faith rather than enter into the kingdom of the devil.   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Faith is a highly subjective thing that all people who wish to have religion in their lives must have and embrace. Now, Hawthorne wrote Young Goodman Brown as a commentary on a seriously religious society that went as far as to drown women who were preported to be witches. As Brown tells his wife that he is going away for a while, she – in her pink bows and her young face, implores him not to go. Brown knows that he’s about to embark on a journey where having faith is important and necessary. Even he acknowledges such a fact when he states â€Å"what a wretch am I, to leave her on such an errand.† (Hawthorne 614). Brown is fully aware that on the journey he’s about to embark on, he needs his faith. However, he’s also aware that if he brings his faith along then the meeting with the devil will go differently than planned and will end with him maybe not accepting the devil’s pleas.

Mutations Essy

If these genes mutate, then one is considered as having a hereditary risk of breast and ovarian cancer. The BRCAI and BRCA2 mutation means that a woman has an increased risk of breast and/or ovarian cancer before menopause. Sometimes close family members were diagnosed with cancer at an early age also. These harmful mutations also increase the risk of cervical, colon, uterine. stomach, melanoma and gallbladder cancer. There are no standard criteria for who should be tested for the BRCA gene mutation, but if you have family members who have had cancer, It is a deflnlte clue.If any of these family members were young; before menopause, it is a good idea to think about being testing for the ene. It would be a very good idea to ask the family member to test for the BRCA mutation, so that the rest of the family members would know ahead of time also. According the National Cancer Institute, the risk of having the mutation is higher if you are of Ashkenazlc Jewish descent. If this Is the cas e, pay attenuon to If a parent or sibling has been diagnosed with cancer.Also, find out if any grandparents, half- siblings, nieces or nephews had cancer. Pay special attention to relatives that are male, and whether the relative had cancer in both breasts (bilateral breast cancer,) nd a combination of two or more first or second degree relatives diagnosed with ovarian cancer, no matter what their age was when diagnosed. If you have been diagnosed with the BRCAI or BRCA2 gene mutation, you are really in need of support from family and friends.Some people turn to the national advocacy group called Bright Pink. This organization is specifically geared to young women at high risk of breast and ovarian cancer. Many young women are relieved to find out that they are not the only one suffering alone. Having a list of Advocacy groups is lifesaving because once you know; you understand what you must do. The protocol for women with the BRCA mutations is to do nothing until the age of 25 and after that begin a screening regimen between mammograms, ultrasound and a MRI every six months.At age 35 a woman is advised to consider a double mastectomy followed by a complete oophorectomy (removal of one or both ovaries) at age 40. The solution to the BRCAI and BRCA2 gene mutations is hard to do, but you can still live your life after having a mastectomy and an oophorectomy. Most women are done bearing and nursing their children by the time they are in their mid-30's. Mothers then want to be round to raise their children, they want to be around to see their grandchildren born and they want to live their life with their mate.

Business Structure and Competitiveness in Brazil - Porters Diamond Model Approach Free Essay Example, 2500 words

Reducing activities that negatively affect the environment is not only beneficial to the company but also is good for the country. For instance, mining companies like Anglo American and Votorantim have incorporated benefits from the ecosystem into the environmental impact assessment process while designing new mines. By learning the impacts of mining on the environment and also how much mining is dependent on the ecosystem, the policymakers can reduce the adverse environmental impacts and also can utilize the advantages of enhanced environmental management. Some of the opportunities include diminishing greenhouse gas emissions and functional costs of mining, while also giving scope for income generation and development in the region (Ranganathan, 2013). Porter s Diamond Model In this era of globalization, competition between industries plays a significant role in establishing a country in the global arena. Porter s Diamond Model explains how firms create and sustain competitive adv antage in global industries (Porter, 2011, Ch. 3). The Diamond Model establishes a link between a firm and a particular country s source of competitive advantages, and how the firm utilizes the advantages to acquire an international competitive advantage. We will write a custom essay sample on Business Structure and Competitiveness in Brazil - Porters Diamond Model Approach or any topic specifically for you Only $17.96 $11.86/page