Physical Examination and Health Assessment †MyAssignmenthelp.com

Question: Discuss about the Physical Examination and Health Assessment. Answer: Introduction The essay describes the case study of Katie McConnell. She was hit by a slow moving car. She is a young woman aged 23 years old who sustained a subdural hematoma in the past 18 hours. Injuries due to road accidents are commonly reported in the age group of 15 to 44 years old (AIHW, 2012). Such accidents on road are a result of carelessness which may be of the driver due to alcohol consumption, using mobile phones by either of the injured person while road crossing or the person who is driving the vehicle. One of the main reasons of deaths among the age group of 15-29 is reportedly due to injuries during road accidents (WHO, 2016). Majority of the people suffer huge economic losses irrespective of income and age due to unfortunate accidents which leads to death, hospitalization, disability and trauma which lasts for life-long. Consequently, minor or major injuries in such traffic accidents require hospital stays for long duration, clinical interventions which are usually expensive and high quality nursing care. Based on the case study Katie on diagnosis with mild traumatic brain injury has been directed to obtain appraisal and therapy to recover at neurosurgical trauma centre. Her vital signs mentioned are BP is 147/78, respiration rate is 13, oxygen pressure is 96% and heart rate is 89. It is recommended that vital signs in brain injury cases are to be inferred in relation to the diagnosis of patient and outcomes based on neurologic assessment (Rank, 2013). For example, the reason for elevated blood pressure may be due to accidental trauma or any other medical reason. Katies Glasgow Coma Score (GCS) is 14. According to the existing reports 95% of patients who survived head injury and experienced normal or slight drop in conscious level scored above 12 on GCS (NICE, 2014). This supports Katies present condition that she has mild traumatic brain injury based on GCS. The information which is essential to be recorded or missing in the records is regarding loss of conscious level just after the injury. Has she experienced any pain in the body parts such as headache or cervical area? Why has she come to hospital whether to report any existing problem or behavioural change since the accident? Katie is unable to recall present information, but she can recollect roughly some data when provoked by her partner. It is recommended that for a complete health assessment detailed medical history and appropriate physical examination has to be achieved as both are of utmost importance (Forbes and Watt, 2015). Physical examination should be done by the nurse to find out if there is any pain in the cervical or spine area, swelling or other relevant sign. She suffers from ankle pain due to basketball playing but avoids consuming painkillers. Katie was dressed neatly and was avoiding eye contact. The nurse discussed the medical history with her and the partner accompanying Katie. It has been asked if she was on any medication or any blood anticoagulant was consumed. Did she have blood clotting disorder or any brain surgery in the past? Was she feeling uncomfortable or had any post-traumatic seizure. While talking to her, it was observed that speech tone was slightly slurred and she was not certain about her health information. It is reported that tone, rate and quality of speech reveal mental status o f a person and anxious patients may get irritated (Daines et al., 2016). After physical examination and data collection on health history neurological assessment has to be carried out. It is recommended that a neurological assessment performed must encompass vital signs, loss of conscious level, and functions of motor and cranial nerves as well as pupils (Rank, 2013). The present situation of Katie can be evaluated in a detailed way by computed tomography (CT) scan. She had subdural hematoma 18 hours ago, and her GCS is not 15, therefore CT scan can provide with some data on occurrence of any lesions in the intracranial spaces or not. All the data assessment carried out so far is focussed and will aid to understand potential risks of the injury. Therefore, phases of assessment have been presented by Alfaro-Lefevare, which are important to decide on diagnosis and data collected in an organised manner so that skills are used in logical advances (Alfaro-Lefevare, 2013). These phases guide us to evaluate the symptoms and signs in a critical manner so as to de rive a diagnosis and medical intervention. Post-concussive symptoms occur during recovery process; therefore Katie has been guided by the nurse regarding the risk factors such as sleep disturbances, headaches or concentration problems. Duration of recovery may vary from patient to patient and proper care and family support is the main requirement. The drawback of performing a CT scan is cognitive or behavioural problems cannot be noticed. If there are no lesions or acute haemorrhages in Katies CT scan then performance dependent assessment of neuropsychology has to be done for cognitive skills. Mild traumatic brain injury or post-concussive symptoms are to be evaluated in addition to comprehensive mental health examination. At rehabilitation centre, she can be facilitated with a care-plan to attain optimal health. She will be under observation so that nurses can keenly observe any degenerating neurological activity for example disturbed balance while walking, abnormal response of pupil, and changes in vision, numbness in legs or arms, anxiety or speech problems. She needs support and care to recover from the trauma of injury both physically and psychologically. Family support is very important in managing trauma patients. Hence, family assessment is also advised to nurses (Gordon, 2016). On discharge Katie will be provided with instructions to be followed at home. In case of any health problem she should contact her physician or neuropsychologist at emergency department. With time and adequate rest she may recover gradually and can continue her regular activities. Conclusion Mild traumatic brain injuries are enormously common during road accidents. Comprehensive assessment of clinical history, physical examination, vital signs, technology based neuroimaging for lesions and fracture followed by neuropsychological assessment altogether play an important role in evaluating condition of patient. Doctors who are treating such patients reveal that recovery from mild traumatic brain injury is rapid only if patients get adequate rest and should slowly resume work. References AIHW: Henley, G., Harrison, J.E. (2012). Serious injury due to land transport, Australia 200809. Injury research and statistics series no. 67. Cat. No. INJCAT 143. Canberra: AIHW Alfaro-LeFevre, R. (2013). Applying nursing process: The foundation for clinical reasoning (8th ed.). Philadelphia: Wolters Kluwer Health/Lippincott Williams Wilkins. Daines, J., Baumann, L., Scheibel, P. (2016). Advanced health assessment and clinical diagnosis in primary care (5th ed.). St Louis: Mosby. Forbes, H., Watt, E. (2015). Jarviss physical examination and health assessment (Australian and New Zealand ). Chatswood, NSW: Saunders/Elsevier. Gordon, M. (2016). Manual of nursing diagnoses. Burlington, Ma: Jones Bartlett. National Institute for Health and Care Excellence (2014). Head injury assessment and early management. Clinical guidelines. Retrieved from: nice.org.uk/guidance/cg176. Rank, W. (2013). Performing a focused neurological assessment. Nursing, 43(12), 37-40. Wolters Kluwer Health /Lippincott Williams Wilkins. WHO (2016). Road traffic injuries. Retrieved from: https://www.who.int/mediacentre/factsheets/fs358/en/

Theatre

Table of Contents Introduction Goldini’s mistress of the Inn Voltaire’s Orphan of China Use female character Similarity and differences Gender Conclusion Introduction The two playwrights revolve around issues of concern to contemporary society. These include violence, love, romance and care, among others. This is evident throughout the play as protagonists interact with other characters to develop themes such as love, chauvinism and romance, among others. One of the playwrights, Orphan of China, gives a story in which the emperor kills rivals in order to remain in power.Advertising We will write a custom essay sample on Theatre – Goldinis Mistress of the Inn and Voltaires Orphan of China specifically for you for only $16.05 $11/page Learn More These plays involve paradoxical events in which people sacrifice their lives for the king’s sake. Interestingly, women are given important roles in the playwrights. However, it is qu ite important to note that they play different roles throughout the stories. Moreover, their stance in tough situations is significant in both cases. This paper will explore these playwrights with a view to establishing similarities and differences associated with the role of women. In addition, it will also explore use of these characters in developing the main themes. Goldini’s mistress of the Inn This story revolves around a young woman known as Mirandolina. Mirandolina is a beautiful woman whose father dies and leaves her an Inn as inheritance. In addition, the father proposes a suitor for her in the name of Fabricius. Fabricius is a waiter in the same Inn. He acts modestly although with great interest in Mirandolina. Three other characters are introduced in the play as Marquis, Count and Cavalier. At first, only Marquis and Count are seen to admire Mirandolina. On the other hand, Cavalier is portrayed as a woman-hater. Marquis on the other hand, lives in poverty, althoug h he is a noble. This is in complete contrast to Count who boasts of riches, which he uses to seduce Mirandolina. The two men circle around Mirandolina as Fabricius watches closely with envy. Mirandolina on the other hand, only wants them to worship her with the aim of remaining single, as she hates men. However, new twists are observed when she decides to seduce Cavalier in order to make him worship her. Cavalier ends up falling in love with her before she turns to marry Fabricius. Ultimately, the three men Marquis, Count and Cavalier decide to leave after realizing her deceit.Advertising Looking for essay on art and design? Let's see if we can help you! Get your first paper with 15% OFF Learn More Voltaire’s Orphan of China The play, Orphan of China is derived from a famous Chinese play, the orphan of Chao, which was written in thirteenth century. Its original version involved a war between Chao’s family and the conqueror who wanted to exterminate them. In the process, the emperor ordered Chao to kill himself, which he did. However, before that, he asked his wife to name their baby after him, in order to conserve his household. In the process, several people sacrificed their lives in order to keep the secret of the orphan’s escape from jail, where her mother had been confined. Of great concern is the fact that his mother sacrificed her life for a child she was not sure could survive. In Voltaire’s orphan of China, the King and his household are captured and killed except his youngest son. Zamti promises to care for the child by saving him from further anguish. However, this could succeed without sacrificing their only son. This is mainly because the Conqueror, Genghis was in hot pursuit of this child. Further twists are witnessed when the conqueror finds them before a decision is made on whether to kill their son. Interestingly, Zamti’s wife, Idame changes numerous things through her contact with the new Conqu eror who ends up falling for her wit. Use female character Female characters are given important roles in both plays. This is evident in Mirandolina’s case where she is left with an Inn as her inheritance. In addition, she is embodied with beauty that appeals to all men within the Inn. She uses this to her advantage in order to continue her hatred for men. On the other hand, one of the customers, Cavalier professes hate for women. In essence, the theme of male and female chauvinism is well developed throughout the play. In this regard, Mirandolina is used to coerce male chauvinism. The theme of love is also prominent in both plays as female characters are used as centers of love. This is evident in Mirandolina’s case wherein everyone falls in love with her. This is similar to the other play in which the conqueror falls for Idame and changes from a cruel to an understanding character out of her wits in addition to her husband’s. In this regard, love is used to su bdue a cruel conqueror that turns away from his initial intentions of killing both captives.Advertising We will write a custom essay sample on Theatre – Goldinis Mistress of the Inn and Voltaires Orphan of China specifically for you for only $16.05 $11/page Learn More Moreover, love takes a central role in feminine characters when Chao’s wife offers to sacrifice herself for his son and husband’s sake. Furthermore, this is witnessed more in Idame’s case when she expresses her love for the two infants. Female characters are therefore very instrumental in developing the theme of love. Similarity and differences The female character is used in similar and diverse ways as can be witnessed in both playwrights. In the first case, Mirandolina’s father shows her love by leaving her his possessions. This is similar to Zamti who shows his wife Idame love through his expression from the fear of losing her. Similarity this is seen when the two characters use their presence and wits to persuade male characters. This is also evident in Mirandolina’s case when she is seen to fool male admires and even manages to lure the self-proclaimed women-hater in her favor. This is similar to Idame’s case in which she manages to dissuade Genghis from killing her family. This brings out women’s power in controlling men’s thinking, behavior and emotions. In both cases, the feminine characters are described as beautiful and this makes them command more respect. Differences are paramount in these playwrights when using feminine characters. These include the war between paternal and maternal love, which is argued in the second play. This is also different from Mirandilano’s case in which she portrayed to hate men. In essence, one woman is seen as a chauvinist while the other does not. Other differences include emphasis on maternal love in which the character accepts to die instead of her child. This kind of sacrifice is unimaginable to Mirandolina who loves herself more than others. Another difference that exists is the authority of men over women in Idame’s society. This is quite different in Mirandolina’s case as she shows in her flirts with other men. Furthermore, In Idame’s society, women are submissive and are ordered around by their husbands. This is evident when the husband orders her out of his presence and plans to kill their only son without her consent. In Mirandolina’s case, she controls men but no one dares to stamp authority on her. Moreover, Idame is a homemaker who is noble and traditional while Mirandolina is a modern woman with wealth.Advertising Looking for essay on art and design? Let's see if we can help you! Get your first paper with 15% OFF Learn More Gender Gender is portrayed differently in the two playwrights. This is mainly because Mirandolina feels threatened by men and resorts to using her best asset to make them worship her. On the other hand, Idame is a humble wife who loves her husband and children. She is a happy homemaker although troubled by the Conqueror who intends to exterminate them. Later on, Idame is portrayed as superior in convincing the conqueror against killing them; this gives her a central role and authority as an intelligent woman. On the other hand, Mirandolina is later portrayed as weak and insecure as she seeks protection from Fabricius, a waiter at her Inn. Fabricius, who is earlier seen as weak, ultimately marries her. In essence, the feminine character starts a superior in Mirandolina’s case but ends up inferior while, in Idame’s case she starts as inferior but ends up as superior. Gender therefore, plays a major role in both cases. Conclusion The two playwrights show important roles p layed by women in society. Moreover, they show strength of both paternal and maternal love in society. Paternal love is evident in Mirandolina’s case when he gives her all his wealth. This is also evident when Zamti hesitates to kill his own son over the king’s son. Maternal love is evident in Chao’s mother as well as in Idame since she risks her life for their son. It may also be noticed that there is perversion for maternal love in Idame’s case and perversion for romance in Mirandolina’s situation. This essay on Theatre – Goldinis Mistress of the Inn and Voltaires Orphan of China was written and submitted by user Chase Robbins to help you with your own studies. You are free to use it for research and reference purposes in order to write your own paper; however, you must cite it accordingly. You can donate your paper here.

Should Our Nation Provide Healthcare For Everyone Sample Essay?

Should Our Nation Provide Healthcare For Everyone Sample Essay?If you have been asked to do a sample essay on healthcare for everyone, then here is a bit of information to help you out. Healthcare reform in the US is a really big deal because the cost of healthcare in this country has skyrocketed over the last few years. You would have to go back as far as 1950 before your state had comprehensive healthcare.Unfortunately, you cannot see the sky falling, but there are some huge problems at work in the country that could really cause a lot of problems. If you were asked to write a short essay on healthcare for everyone, what would you say? Think about it.You might consider taking a look at how some of the other countries in the world provide their citizens with healthcare. For example, Canada has universal healthcare in their country and they provide free prescription drugs to their citizens. They have a massive health care system that has never let a single person die.The United State s has a similar system in place where they have a well-balanced budget, but our expenses seem to be out of control. Our budget is one of the largest deficits in the world. The amount of debt we have got is ridiculous.There are a number of things that could be done to improve the quality of healthcare in this country. It has already been said by the US Congress that they are going to have a health care bill put forward before the end of 2020.However, the problems that are currently being experienced is simply not good enough and healthcare is not something that we should just ignore. If you are asked to write a sample essay on healthcare for everyone, you should really think about what your options are and how you could improve the situation.We all know that the problem with healthcare is that people get sick, get really ill and need medical treatment. That is why everyone who is getting a little older, we cannot afford to put them on life support anymore. In order to combat this pro blem, we need to better regulate healthcare costs, so that we can all get our fair share of healthcare.

Build And Position Your Brand With John Hall [Podcast]

Build And Position Your Brand With John Hall [Podcast] Thought leadership: You’ve no doubt heard the buzzword, but do you know what it means? More importantly, do you know why it matters when it comes to building and growing your business? Today we are going to talk to John Hall, the co-founder and CEO of Influence Co., is going to chat with us today about how thought leadership can help you scale your business and take it to the next level. How John got started with Influence Co., how the company helps other businesses, and why they developed the technology needed for content creation and distribution. What inspired John to write his book, Top of Mind: Use Content to Unleash Your Influence and Engage Those Who Matter to You. Tips on building influence for those who want to use their influence to write and publish a book, as well as the first steps to take when writing a book. How a marketer can find a great idea to pitch to an influential publication. Some tactics John has used to build influence and position himself as an authority. Ideas on measuring intangibles like brand awareness, thought leadership, and influence with both qualitative and quantitative measurements. John’s best advice for someone looking to position themselves as an authority or an influencer. Links: John Hall on LinkedIn Influence Co. Top of Mind: Use Content to Unleash Your Influence and Engage Those Who Matter to You Likeonomics Non-Obvious If you liked today’s show, please subscribe on iTunes to The Actionable Content Marketing Podcast! The podcast is also available on SoundCloud, Stitcher, and Google Play. Quotes by John: â€Å"It’s more important to build trust with specific audiences than just selling to them all the time.† â€Å"So many people get published somewhere and they’re like, â€Å"Great, I got published,† [but] if you don’t do things to leverage a content, the chances are less that you’re going to perform.† â€Å"You got to just start writing, getting content out there and being thoughtful about it.†

The Later Years and Last Words of John Adams

The Later Years and Last Words of John Adams Thomas Jefferson still survives. These were the famous last words of Americas second president of the United States, John Adams. He died on July 4, 1826 at the age of 92, on the same day as President Thomas Jefferson. Little did he realize that he actually outlived his former rival who turned into great friend by a few hours.   The relationship between Thomas Jefferson and John Adams started cordially with both working on the draft of the Declaration of Independence. Jefferson often visited with Adams and his wife Abigail after the death of Jeffersons wife Martha in 1782. When both were sent to Europe, Jefferson to France and Adams to England, Jefferson continued to write to Abigail. However, their budding friendship would soon come to an end as they became fierce political rivals during the early days of the republic. When new president George Washington was to choose a Vice President, both Jefferson and Adams were considered. However, their personal political views were quite different.  While Adams supported a stronger federal government with the new Constitution, Jefferson was a staunch advocate of states rights. Washington went with Adams and the relationship between the two men began to wane.   President and Vice President Ironically, due to the fact that Constitution did not originally differentiate between president and vice president candidates during presidential elections, whoever received the most votes became president, while the second most voter became the vice president. Jefferson became Adams Vice President in 1796.  Jefferson then went on to  defeat Adams for reelection in the  significant election of 1800. Part of the reason why Adams lost this election was due to the passage of the Alien and Sedition Acts. These four acts were passed as a response to the criticisms that Adams and the federalists were receiving by their political opponents. The Sedition Act made it so that any conspiracy against the government including interference with officers or riots would result in a high misdemeanor. Thomas Jefferson and James Madison were fiercely opposed to these acts and in response passed the Kentucky and Virginia Resolutions. In Jeffersons Kentucky Resolutions, he argued that the states a ctually had the power of nullification against national laws which they found unconstitutional. Right before leaving office, Adams appointed a number of Jeffersons rivals to high positions in the government. This was when their relationship was truly at its lowest point.   In 1812,  Jefferson and John Adams  began to rekindle their friendship through correspondence. They covered many topics in their letters to each other including politics, life, and love. They ended up writing over 300 letters to each other.  Later in life, Adams vowed to survive until the fiftieth anniversary of the Declaration of Independence. Both he and Jefferson were able to accomplish this feat, dying on the anniversary of its signing. With their death only one signer of the Declaration of Independence, Charles Carroll, was still alive. He lived until 1832.

Article Review on Technology in Education Essay Example | Topics and Well Written Essays - 500 words

Article Review on Technology in Education - Essay Example The author describes the technology as the combination of a computer (coupled with internet connectivity) and a projector. The projector is used to create a touch-screen display on a whiteboard that might be mounted anywhere in the classroom. Koven (2008) stated that the touch feature of the screen enables the users to write and erase notes on the board and even control the computer applications that might be running on the computer. The author explains that screenshots can be taken of the board that would facilitate future reference to the information. Figure 1: Display of a mathematics problem with teacher’s notes on the interactive whiteboard (Koven, 2008) SMART Technologies Inc. (2006) stated that the interactive whiteboard provides the functionalities of a traditional blackboard since teachers and students can write on it with ease and it also serves as a multimedia connected to a computer that can project websites, images, videos, documents and applications to make the l ectures more interactive and interesting. The article discusses the advantages of interactive whiteboards in his paper and explains how this technology proves to even help students with special needs and disabilities.

CRITICALLY ASSES WHY ORGANISATIONS SHOULD IMPLEMENT SUPPORTIVE CARREER Essay - 1

CRITICALLY ASSES WHY ORGANISATIONS SHOULD IMPLEMENT SUPPORTIVE CARREER MANAGEMENT PRACTICES - Essay Example good example of these changes is the nature of contracts that are available to potential employees, whereas psychological contracts were mostly the main terms of agreement between workers and their employees and involved issues only relating to the particular position they were applying for at the time, the introduction of transactional contracts that leave room for improvement should the individual progress through the ranks in the organization are now the main type of agreements found in many companies (Yehuda, 2004). It is important to note that a career can either be driven by an individual and is referred to as Individual Career Management (ICM) or the organization they are working for referred to as Organizational Career Management (OCM). ICM can be described as the act of an individual taking charge of the progress of their career through the choices and activities that they indulge in without any assistance from their employees while OCM refers to the progression of one’s career through the assistance of the company that they are currently employed at with the aim of them moving up the ranks within that particular organization (Yehuda, 2004). Job postings – This refers to the internal advertising of available positions within the organization for any interested employees. These job postings can be advertised via communal communication mediums such as notice boards within the company’s buildings. Performance appraisal for Career planning – This refers to the activity of having the quality of an individual’s work determined by their superiors in a bid to determine their chances of progressing through the ranks. This helps an employee know if they are performing well or if they need to improve on their work. Formal education – This involves the organization funding its employees’ further education so as to assist them in improving their qualifications for higher ranking positions that may be available in the future. This funding can be done