All aspects of physical, psychological and social needs

All aspects of physical, psychological and social needs Nursing care for ill patient as a holistic and encompasses all aspects of physical, psychological and social needs. Therefore, patients and their families are the center on nursing care by more respect, dignity. Nurses and the other care providers must provide patients needs when dealing with chronic ill patients. The benefits of palliative care cancer/chronic ill patients are significant that enhancing patient quality of life (Lewis et al., 2007). Advanced cancer often causes a pain and other symptoms that need professional team to manage and control it. Pain, nausea, shortness of breath, vomiting and constipation are the most common symptoms appearance with these patients. In addition, each one of them has different experience of pain and the meaning of quality of life. Expert can deal and manage with these symptoms very well. (Backer, 2010). World health organization has defined palliative care as the full care that approach to improve quality of life for patient and their families whom are facing life threatening disease through prevent and relief their suffering and problems. This care concern in pain and other problems treatment, physical, psychological, social and spiritual support (Lugton Mcintyre, 2005). Many patients need palliative care specially the cancer patients those suffering too much at the end stage, regarding the metastatic. Cancer is known as a rapid creation of abnormal cells that grow beyond their usual boundaries which can break into the adjacent part of the body and spared to other organs. Refer this process as malignant tumor can be metastases to other part and organ in the body, which leading to death (WHO, 2011). Quality of life is the maximize comfort to the patient and family through four main areas the quality of physical, psychological, spiritual and existential (Batiste, Caja, Espinosa, Bullich, Porta-Sales, Sala, Lim ´n, Trellis, PascualPuente, 2010). Lung cancer for which surgery is not considered the most appropriate treatment option that called (inoperable lung cancer) due to one of several reasons, including the size of the tumor distant spread (metastasis) of tumor, location of the tumor and other health conditions that could rise the risk associated with surgery. In operable lung cancer does not mean that a tumor is untreatable. Other treatment, such as chemotherapy or radiation therapy may be better options than surgery (Llewellyn, Aun Ang, Lewis, Al-Abdulla, 2006). Lennart has been diagnosed with lung cancer and he has several problems that make him more weakness and affect his quality of life. These symptoms such as elevated blood pressure, diabetes type2, and inoperable lung cancer, cancer spread to his abdomen, pain and draining tube irritate his body tumor growth and constipation; he cannot eat anything and drinks only small sips of water.ØÙ„ØØ ³ÃƒËœÃ‚ ªÃƒâ„¢Ã¢â‚¬ ¦ÃƒËœÃƒËœÃ‚ ¹Ãƒâ„¢Ã¢â‚¬Å¡ÃƒËœÃ‚ ±ÃƒËœÃƒËœÃ‚ ¡ÃƒËœÃ‚ © Ø µÃƒâ„¢Ã‹â€ ÃƒËœÃ‚ ªÃƒâ„¢Ã…  ÃƒËœÃ‚ © للكلÙ†¦ÃƒËœÃƒËœÃ‚ ª   The team should start to control his symptoms 1. Pain 2. Nausea. 3. Constipation diarrhea 4. Lost appetite. 5. No energy. 6. Elevated blood pressure. 7. Diabetes type2. Nursing assessment; Objective data; He has an elevated blood pressure and diabetes type 2. Diagnosed with an inoperable lung cancer. Subjective data; Pain and the draining tubes irritate his body, nausea and diarrhea, fatigue cancer has speared to his abdomen. 1. The problem is pain; pain can be appear due to the direct effects of the cancer (late stage) or caused by some treatment like surgery, drugs and chemotherapy. The patient may also have chronic underlying disease that directly causes or contributes to pain. (Lewis et al., 2007). A- Nursing care plan- pain control. Use analgesics appropriately. Use non analgesic relief measures. Report pain control. B Nursing intervention and rational; Observe for nonverbal cause of discomfort to plan appropriate intervention. Perform a comprehensive assessment of pain to include location, characteristic, onset, duration, frequency, quality, intensity of pain and precipitating factor. Teach Lennart and family the use of non pharmacological techniques e.g. (relaxation, massage). Provide the person optimal pain relief with prescribed analgesics to determine if is effective. Use pain control measures before pain become severe (Lewis et al., 2007). 2. The problem is nausea and vomiting. Lennatr has these symptoms due to 1. Release of intracellular breakdown products stimulates vomiting center in brain. 2. Drugs stimulate vomiting center in brain (Lewis et al., 2007). Nursing care plan nausea and vomiting control. Recognizes precipitating stimuli. Use preventive measures Use antiemetic medications. Report nausea, retching and vomiting controlled. B- Nursing intervention and rational. Perform complete assessment of nausea, including frequency, duration, and severity and precipitating factors to plan appropriate interventions. Reduce or eliminate personal factors that precipitate or increase the nausea (anxiety, fear, fatigue and lack of knowledge to avoid precipitating factors of nausea and vomiting. Use frequent oral hygiene, unless it stimulates nausea to promote comfort. Ensure effective antiemetic drugs are given when possible to prevent nausea and vomiting. Teach the family to use of the non pharmacologic e.g. (relaxation) to manage nausea and vomiting. Promote adequate rest and sleep to facilitate nausea relief (Backer, 2010). 3. The problem is Diarrhea; the patient has it due to 1. Denuding of epithelial lining of intestinal .2. The side effects of if the patient on chemotherapy.3. Radiation to the abdomen, pelvis and lumbosacral areas if he receives it .4. Laxatives, tube-feeding (Lewis et al., 2007). A. Nursing care plan-stop diarrhea. Bowel elimination. Diarrhea. . Pain with passage of stool. (Lewis et al., 2007). B .Nursing intervention and rational; Obtain stool for culture and sensitivity if diarrhea continues to provide appropriate treatment. Perform action to rest bowel (e.g. NPO, liquid diet). Instruct Lennart, and family members to record color, volume, frequency and consistency of stool to monitor treatment. Teach Lennart and his family appropriate use of anti-diarrheal medication to prevent patients use of anti peristaltic agents that prolong exposure to infection organisms. 4. The problem is diabetic. Insulin resistance decreased insulin production and alteration in production of adipokines.Disease is result of complex genetic interactions, which are modified by environmental factors such as body weight and exercise (Lewis et al., 2007). A .Nursing care plan- diabetic control. Description of insulin function. Description the role of diet in controlling blood glucose level. Explanation of the role of exercise in controlling blood glucose level Description of hyperglycemia, hypoglycemia, related symptoms and the procedure to be followed in the treatment. Explanation the impact of acute illness on blood glucose level. Description of when seek help from health care professional team. (Lewis et al., 2007). B. Nursing intervention and rationales Describe the disease process. Appraise Lennart current level of knowledge related to disease to determine the scope and extent of required teaching. Discuss the rationale behind management, therapy and treatment. Instruct Lennart on measures to prevent, minimize symptoms to promote management of disease. Discuss life style change that maybe required preventing complication and encouraging patient in determining change that will be acceptable. Instruct Lennart the signs and symptoms and reported to ensure prompt treatment. Refer the patient to support group to provide continuing support and education (Lewis et al., 2007). 5. The problem is loss of energy. Anabolic processes resulting in accumulation of metabolites from cell breakdown (Lewis et al., 2007). A. Nursing care plan- energy conservation. Recognize energy limitations. Uses energy conservation techniques. Balance activity and rest. Organize activities to conserve energy. Adapts life style to energy level, B. Nursing intervention and rationales. Determine patient physical limitations to plan daily activities. Assist Lennart to schedule rest periods to temporarily reverse effect of fatigue. Teach him and the family activity organization and time management teaching to prevent fatigue. Instruct patient significant other to recognize signs and symptoms of fatigue. Instruct patient significant other to notify health care provider if signs and symptoms of fatigue persist to increase patient support and family understanding of disease and related problem (Lewis et al., 2007). The problem is elevated blood pressure.. Potential complication adverse effect from antihypertensive therapy. 2. Potential complication hypertensive crisis.3. Potential complication of stroke. 4. Potential complication of myocardial infarction (Lewis et al., 2007). A. Nursing care plan blood pressure control. Improve myocardial contractility and systematic perfusion. Reduce fluid volume overload. Prevent complication. Provide information regarding disease, prognosis, therapy needs and prevention of recurrent. B. Nursing interventions and rationales; Assess cardiovascular status including vital signs to detect cardiac out compromise. Measurement blood pressure to ovoid complication. Assess neurologic static and observe for any change that can indicate an alteration in cerebral perfusion. Administer medication to lower the blood presser. Make sure that Lennart maintain a low sodium diet. Record and monitor the intake and output. Encourage Lennart and support them to express the feeling of stress to ease the anxiety. Promote quiet environment to reduce stress (Lewis et al., 2007). 7. The problem is constipation. The factors of constipation are many from the mass in anorectic region or neurologic and may be from the mechanical changes from surgery or decrease oral intake and mobility. Medications can affect like opioids and tricycle antidepressants (Lewis et al., 2007). A. Nursing care plan promote bowel movement. Stool soft and formed. Comfort of stool passage. Passage of stool without aids. (Lewis et al., 2007). B. Nursing intervention and rationales; Encouraging Lennart to movement and ambulation Maintaining bowel awareness. Ensuring adequate hydration and bulk-forming diet. Use of laxatives. Encourage fluid and fiber intake (Lewis et al., 2007). All these care it will provide by multidisciplinary team care of the cancer pain patient must be active by continuous care and communication to the patients and their families. It should attend physical, psychological, social and spiritual needs. Moreover, this type of team members need diverse training share the main goal of improving the quality of life with the patient and interact as a group of individuals with the common purpose of working together. Each member has own expertises and training and makes decisions within that area of responsibility. Nevertheless team work does not mean joining health care workers together in one room, nor is it the same as collaboration .information must be the issue for interaction of members and must be shared by the vehicle recorded, such as (physician, psychologist, and nurse, volunteer. social worker, chaplain, physical therapist and occupational therapist). In addition the family is important member of palliative team because they are the on e living with patient at the same home or attend them .the family need more care from the team and teach them the intervention to take care of their patients. (Euro, who, 2010). Effective communication is an important part of the therapy. In treating patients with advanced stages of incurable disease it is mandatory to provide intelligible and coherent information to the patient and relatives, focusing on the development of basic listening skills in the health care professionals all this from patient right and consideration from the ethics of communication (Batiste et al., 2010). ØلقØÙ†¦Ãƒâ„¢Ã‹â€ ÃƒËœÃ‚ ³ Ø ¹ÃƒËœÃ‚ ±ÃƒËœÃ‚ ¶ ØلقØÙ†¦Ãƒâ„¢Ã‹â€ ÃƒËœÃ‚ ³ Øلن¦Ãƒâ„¢Ã‚ ÃƒËœÃ‚ µÃƒâ„¢Ã¢â‚¬Å¾ Conclusion; Palliative care is not cure disease or prolongs life it is control the pain and symptoms and improves the quality of life for patients and family. More than 90% of cancer patients can be achieved relief from pain and symptoms through palliative care. There are effective strategies for the provision of palliative care for cancer patients and their families in places where resources are setting. (Who, 2011).Therefore palliative care is effective out come with professionals team. In addition the teams are requiring a high level of professional ethical skills to cooperate the primary goal. The primary goals of the team are to offers the best possible quality of life for the patient and family as well as to provide support.

King Lear :: essays papers

King Lear In the play King Lear written by William Shakespeare a collection of images are used to express different points Shakespeare is trying to relay to his audience. One reoccurring image that kept popping up was animal images. Shakespeare displays these animal images when King Lear and many of the other characters in the play talk about Goneril and Regan. The animals that Lear and the other characters compare the two sisters to are not very pretty. They are compared to the likes of tigers, serpents, and even monsters. These reoccurring images have an important idea behind them that Shakespeare hopes to communicate his readers. Shakespeare waste no time in comparing Goneril and Regan to animals. When Lear parts from Goneril at the end of Act I, after she has sneered at him and diminished the number of his retainers, he calls her a â€Å"Detested kite† (I. iv. 269.). He also compares her to â€Å"the sea-monster† (I. iv. 268.), by which he possibly means a mythological monster that would betray its own father. King Lear also comments on his daughters ingratitude using animal imagery when he said,† How sharper than a serpent’s tooth it is to have a thankless child† (I. iv. 295-296.). Lear comments once more on his daughter’s â€Å"monster ingratitude† (I. v. 40.). Lear is showing how he feels about how his daughters are treating him by comparing them to unpleasant animals. Lear in scene IV has a quarrel with his other daughter, Regan, where again he uses animal images to show how his daughters are sinking below manhood to animals. Lear seeks out his daughter, Regan, at Gloucester’s castle, and finds out that her husband has put his faithful friend Kent in the stocks and that both husband and wife have retired to bed and do not wish to see him. When Regan finally comes down, she tells him â€Å"You should be ruled, and led by some discretion that discerns your state better than yourself† (II. iv. 147-149). Lear responds by saying â€Å"struck me with her tongue, most serpentlike, upon the very heart. (II. iv. 159-160). Lear here again is describing Regan to a serpent, which is a large poisonous snake. Both daughters seem to him now like unusually cruel animals. They show this when they shut him out into the stormy night. In the storm scene, Lear’s hurt from his daughters affect his attitude to the mad Tom of Bedlam (Edgar).

Influence of Fictional Character on Casual Fashion

Influence of fictional character on casual fashion:Abstract: This research paper focuses on the influence of fictional character on day to day fashion. The branding of the companies like Netflix, Disney, Marvel, DC has a lot to do in this. This is the reason that this kind of fashion is not bound to any age group or gender. This fictional character prints or motif can change the value of a simple t-shirt, just because someone likes the character. Keywords: Fandom, Graphic, Fiction, Casual Fashion, Street-wearIntroduction: Human being a very social animal tend to look for pathways to convey its unique ideas to a greater majority. Apart from serious topics such as Politics, Religion and Race, fan-fiction or a talk over people's favourite is considered as a very unique way to establish your physical or virtual identity not among teenagers as well as young-adults. Especially for young-adults who navigate from one place to another during their formative years tend to meet a lot of people. Be it the person you sit next to during class or your roommate, you need to establish a social network because most of us don't want to be considered as eccentric or introverts. Hence a popular television fandom is the only way. The term â€Å"fandom† describes a community of people who bond over a common interest. People following such fandom tend to express themselves in very unique ways. As a result they form a huge market for brands such as free authority who excel at merchandising such television shows and movies. Moreover, there are numerous websites who deal with customised t-shirts which absolutely rely on fan-fiction propaganda. Research Objective:To study the impact of popular television series and movie on Casual Fashion for kids and young-adults. To study the role of branding and merchandising in creating such fandom driven products.Research Method:Research Type: Exploratory research as it tries to explore the market of fandom driven productsData Collection Technique: Data collected will only be secondaryReview of Literature:A fictional character is a person or other being in a narrative of a series,videogames,movie etc. It can be 2 dimensional or 3 dimensional. The term cartoon originated in the Middle Ages and first described a prepare story drawing for a piece of art, such as painting, fresco, tapestry or stained glass window . In 19th century, it came to refer to humorous illustrations in magazines and newspapers. And in early 20th century and on words it refer to comic strips and animated films.The populery which this fictional character got,it influenced fashion in many ways.From a kid to a young adult every one wanted this merchandise. Gupta, S. and Panna, B. (2015). Effect of Cartoon Shows on Kids Fashion. International Journal of scientific research and management (IJSRM), [online] 3(6), pp.1-2. Available at: http://ijsrm.in/v3-i6/27%20ijsrm.pdf [Accessed 15 Apr. 2018]. How Manga and Anime influence Fashionhttp://otapleonehalf.tumblr.com/post/126507841313/how-manga-and-anime-influence-fashionAnalysis and Interpretation:Conclusion: RefernceWilkin, D. (2014). The influential impact of fandoms. Fandoms are indicative of passion and dedication, don't be so quick to judge.. [online] The Diamondback. Available at: http://www.dbknews.com/archives/article_fac2e8e6-3def-11e4-ab37-001a4bcf6878.html [Accessed 14 Apr. 2018].http://ijsrm.in/v3-i6/27%20ijsrm.pdfhttp://otapleonehalf.tumblr.com/post/126507841313/how-manga-and-anime-influence-fashionhttps://www.theguardian.com/fashion/gallery/2015/sep/17/minnie-mouse-how-the-disney-cartoon-influenced-fashionhttp://www.complex.com/style/2012/08/how-90s-cartoons-influenced-todays-style-trends/patterned-shorts

Civilized essays

Civilized essays What does it mean to be civilized? By definition, a civilization is simply a culture developed by a particular society or epoch. Therefore, any groups of people that have developed their own way of life and their own culture have also developed their own civilization. By creating their own civilization and living in this civilization are they not civilized? In the movie, Mr. Johnson, the main questions are, what does it mean to be civilized, who decides what is civilized, and if one is not civilized, what is the correct path to take in order to become so. A path, or more appropriately called a road in the case of the movie, is the ultimate metaphor throughout the whole video. Separated by a barrier of color, the people of Fada, Nigeria work with the whites to create a road, that once built serves as a means of transportation, not only of people and cargo but of ideas, other beliefs, other cultures, and above all, another world. What exactly does the road represent? The road represents many things. In the beginning of the movie, the main character, Mr. Johnson, is introduced. Mr. Johnson is not like other black men from Fada, he is in fact, civilized and proud of that definition. He meets his future wife, Bamu as she works; promising her that he can make her civilized and proper like the English men and women. At this point, the road is a mere hope of combining two different cultures. This project is the dream of Harry Rudbeck. Along with the help of Mr. Johnson, many of the people of Fada, all of color, are recruited to work on the road in hopes of gaining the promised reward when the road is finished. At first glance, the road appears to be simply, a long stretch of dirt and rock that takes many hands to develop. However, if a closer look was taken, it is apparent that the road develops along the same way as Mr. Johnson himself develops. Throughout the movie, it becomes obvious to us, the viewers, that ...

Disability Attorneys of Michigan Helps a Local Bar Manager Get Disability Benefits

Disability Attorneys of Michigan Helps a Local Bar Manager Get Disability Benefits Disability Attorneys of Michigan Helps a Local Bar Manager Get Disability Benefits Michelle was managing a successful bar when she suffered a serious head injury resulting in daily migraines and memory loss. She had to stop receiving treatment because her insurance was cancelled.We fought to get Michelle the social security disability benefits she needed.If you are unable to work due to a physical or mental disability, call Disability Attorneys of Michigan, at 800-949-2900. We will work hard to get you the disability benefits you need.Disability Attorneys of Michigan have helped thousands of people win the disability benefits they need. Living with a disability is hard enough, but without a regular income life is a real struggle.If you are disabled and unable to work, call Disability Attorneys of Michigan for a free confidential consultation. We’ll let you know if we can help you get a monthly check. If we do not win your disability case, you owe us nothing. We only get paid if we win your disability benefits claim.Disability Attorneys of Michigan works hard every day helping the disabled of Michigan seek the disability benefits they need. If you are unable to work due to a physical, medical or mental disability, call Disability Attorneys of Michigan now for a free consultation at 800-949- 2900.Let Michigan’s Leading Social Security Disability Law Firm Help You Get The Benefits You Deserve.Disability Attorneys of Michigan. Compassionate Excellence. DA Michigan, Denied Claim, Disability Attorneys, Disability Attorneys of Michigan, Michigan Social Security Disability Law Firm, Social Security Disability, social security disability law firm, SSD Claim, TV Commercial

Gender Inequality Essay Example | Topics and Well Written Essays - 1500 words

Gender Inequality - Essay Example According to my analysis, Women are more affected by the Gender Inequality in work places, Families, Politics, National and International affairs. While in some Institutions religion and tradition are the main factors leading to discrimination against Women to a lower status. My analysis has shows that in some society's women begin to experience discrimination right from Homes, sometimes from childhood up to the maturity stage. However, history has noted that Gender Inequality has its roots dated back to over one thousand year within Arabian Peninsula. During that period, the Arab's were in the habit of burying their female children alive, soon after they were born. They had a tradition that portrayed females as unwanted creatures. But with the advent of Islam the dirty tradition was wiped away. What I also learnt explains how in some societies women are not allowed to attain any position like men. Unfortunately, women are denied the right for Education because of Gender Inequality. Though they are allowed to attend schools, their chances of attaining the highest level usually restricted by the norms of religion and tradition. In such societies, only men get the privilege of reaching the highest level of education. I observed that Gender Inequality is on the increase in many parts of the world, especially in the African Continent. In northern part of Nigeria for example, Gender Inequality is on the highest rates, reaching to about 55%. Females are denied the right for education, especially in the rural areas. They have a traditional belief which says: "Females are born to grow and produce children's, cook foods for their husbands, and children's. According to another analysis that I made, I found that in some Institutions if a certain family allows women to attend the highest level of education, such family will be discriminated from others with a negative perception. They will be regarded as the "devils that betrays the tradition of their forefathers. In some societies, despite awareness and education, Gender Inequality is practicing by discriminating against women in work places. Some employers do not offer jobs to female, preparing to offer the vacancies to their counterpart. Even in places where the employers agreed to employ females, they offer them lower salaries, because in such places women are regarded as unproductive element. In chapter 10, from a book Introduction of Sociology written by three authors, under a subject "Gender Inequality" I came across an analysis made, on hoe women hold occupation of the lower rank. The authors have this to say: "The increase of women in the work places in the twentieth Century has influenced many aspects of social life. Though high proportions of women are in labor force around the world, they are concentrated in low paying routine occupation" In another paragraph, they also have this to say: "Despite more women moving into higher ranking position, pay between the sexes remains unequal". (Introduction to Sociology)". I have learnt that the Gender Inequality does not exist only in African continent, but it is a Global problem that affected the entire races. It is a natural phenomenon that causes greatest challenges

Orchestra metaphor Research Paper Example | Topics and Well Written Essays - 250 words

Orchestra metaphor - Research Paper Example At the same time, both conductor and project manager maintain responsibility and pay attention to coordinating role performance. An orchestra conductor is responsible for the rhythm and timing of the performance, as well as the mood and interpretation of the original composition, using fortes and pianissimos. Similarly, a project manager must be sensitive to the rhythm of a project, the timing of individual contributions, and the mood and interpretation of the original project proposal goals, intuiting when to push firmly and when to be gentle. The conductor accepts audience appreciation with dignity, and directs appreciation to orchestra members. A good project manager does the same. Unlike orchestra conductors, project managers coordinate with department heads, media, government officials, lawyers, graphic artists, etc., using a sense of humor to keep perspective, and bring everything in on time and under budget. Politician may be an appropriate metaphor. The most important quality to have is excellent communication skills, because a project manager must ask the right questions (Answers.com), influence people, and inspire and communicate shared vision (Bennis).