...Introduction: Perfusion is defined as, “the flow of blood through arteries and capillaries delivering nutrients and oxygen to cells” (Giddens, 2017, p.167). Perfusion is comprised of the heart, blood vessels, and the blood itself. Perfusion requires the heart to be healthy and working properly to have adequate perfusion. The blood vessels also have to be functioning properly without any narrowing or any dysfunction. Additionally, the components within blood must be functioning properly in order to have adequate perfusion. If a person is lacking in parts of their blood this can lead to inadequate perfusion, which can cause tissue damage or even tissue death. The scope of perfusion ranges anywhere from adequate perfusion to absolutely...
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...Congestive heart failure is defined as; “the heart does not pump as well as it should to meet the body’s oxygen demands.” (Congestive Heart Failure, John Hopkins Medicine) The heart has four chambers; two atria in the upper part of the heart, and two ventricles in the lower part of the heart. Ventricles transport blood to the organs and tissues. The atria receive blood after it circulates from the body. When another condition has damaged or weakened the heart, and the heart can’t maintain the normal demands of pumping blood to the rest of the body, heart failure occurs. The ventricles can become stiff and not fill properly in between beats. The ventricles can also stretch causing the heart to not be able to properly pump blood to the whole body. Increased heart rate usually occurs which is caused by increased sympathetic activity trying to maintain cardiac output. When the sympathetic stimulation is increased, it releases vasopressin (antidiuretic hormone), which then causes fluid retention in the kidneys. When this happens, one can have hypertension There...
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...anxious and actually having an adverse physical reaction because you had to guess at the specifics of the lie? What’s even more daunting is what you thought was believed to have been forgotten, may now be overwhelming your thoughts despite your efforts to forget about “it”. Psychology researchers at the University of Notre Dame conducted a 10-week study on a group of 110 individuals, half of which were asked not to lie, and the other half told to keep track of how many times they actually lied. [1] The researchers followed each participant’s mental and physical health with survey’s...
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...Surgical Patient Case One: Activity One: With reference to anatomy explain how a gall stone can migrate into the pancreas, causing pancreatitis. The pancreas is in the upper abdomen and lies behind the stomach and intestines. It makes a fluid that contains enzymes that are needed to digest food. The enzymes are made in the pancreatic cells and are passed into tiny tubes. These tubes join together to form the main pancreatic duct. This drains the enzyme-rich fluid into the duodenum. The enzymes are in an inactive form in the pancreas, they are 'activated' in the duodenum to digest food. Groups of special cells called 'Islets of Langerhans' are scattered throughout the pancreas. These cells make the hormones insulin and glucagon. The hormones are secreted directly into the bloodstream to control the blood sugar level. The bile duct carries bile from the liver and gallbladder. This joins the pancreatic duct just before it opens into the duodenum. Bile also passes into the duodenum and helps to digest food. Pancreatitis occurs when the pancreas becomes inflamed. When pancreatitis occurs, it's largely due to digestive enzymes attacking and digesting the pancreas, which produced them in the first place. There are two types of pancreatitis: Acute pancreatitis - when the inflammation develops quickly, over a few days or so. It often goes away completely and leaves no permanent damage. Sometimes it is serious. Chronic pancreatitis - when the inflammation is persistent...
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...Introduction: The cardiac cycle is associated with the blood flow through the heart (Saladin, 2015). The heart rate is a term describing the regularity of the cardiac cycle (Marieb,2007). The heart rate is the amount of times it contracts or also known as beats in a unit of time, nearly always per minute. The normal pulse rate for healthy adults ranges from 60-100 bpm(beats per minute), approximately the adult heart rate regulates 75 bpm but this varies from person to person (Saladin, 2015). The heart rate generally slows down through childhood, as you develop (MacGill, 2015). Abnormal heart rates have medical names and harmless for some (MacGill, 2015). Tachycardia refers to the heart beating too fast at rest being over 100 beats per minute...
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...gallinaceous domesticated fowl, bred and raised specifically for meatproduction.[1] They are a hybrid of the egg-laying chicken, both being a subspecies of the red junglefowl (Gallus gallus). Typical broilers have white feathers and yellowish skin. Most commercial broilers reach slaughter-weight at between five to seven weeks of age, although slower growing breeds reach slaughter-weight at approximately 14 weeks of age. Because the meat broilers are this young at slaughter, their behaviour and physiology are that of an immature bird. Due to artificial selection for rapid early growth and the husbandry used to sustain this, broilers are susceptible to several welfare concerns, particularly skeletal malformation and dysfunction, skin and eye lesions, and congestive heart conditions. The breeding stock (broiler-breeders) grow to maturity and beyond but also have welfare issues related to frustration of a high feeding motivation and beak trimming. Broilers are usually grown as mixed-sex flocks in large sheds under intensive conditions, but some breeds can be grown as free-range flocks. Chickens are one of the most common and widespread domestic animals, and with a population of 19 billion in 2011,[2] there are more chickens in the world than any other species of bird. Contents [hide] * 1 Origins and domestication * 2 Modern breeding * 3 General biology * 3.1 Behaviour * 3.2 Physiology * 3.3...
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...Newtown, Connecticut, when Adam Lanza opened fire and fatally shot twenty children and six adults. What about the event that took place just six months before that in a theater in Aurora, Colorado? On July 20, 2012, James Holmes open fired during a shooting scene in The Dark Night Rises. His actions had killed 12 people and injured 58 others in the meantime. Saying guns are the cause of these shootings, is like saying that the planes that crashed into the World Trade Center on September 11, 2001, were the cause of all those deaths, and that the planes momentarily crippled our nation. Even though changes in gun laws are necessary; Limiting magazine capacity, conducting background checks and reinstating the Assault Rifle Ban will not directly affect gun violence in America. Gun control controversies are not something that has just come about in the past few months. America has dealt with gun control issues for decades, as well as anti-gun groups that want to disarm America. In 2009 before Barack Obama got sworn into office for a second term, gun sales were on the rise around the country. Gun sales continued to rise mostly out of fear that once in office, Barack Obama would promote legislation to disarm the American citizens. In a news conference Mr. Obama stated, “Gun-owning Americans do not need to rush out and stock up before he is sworn in next month. I believe in common-sense gun safety laws, and I believe in the second amendment”. (Hoar, 2009, para. 1) Mr. Obama also states,...
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...Head-to-Toe Examination Write Up Biographic Data Date: 11/8/13 | Name: L.C. | Gender: Male | Race: Hispanic | Date of Birth: 04/15/1972 | Age: 42 | Marital Status: married | Contact Person: J.C. ( Wife) | Occupation: Aircraft mechanic | Source of Data: Patient | HISTORY Reason for Seeking Care/Presenting Problem Cirrhosis Congestive Heart Failure Coronary Heart Disease Diverticular Disease Depression Diabetes, Type 1 x Diabetes, Type 2 Emphysema Glaucoma Gout Hemophilia Hernia Hypertension Irritable Bowel Syndrome Multiple Sclerosis Osteoporosis Parkinson’s Disease Psoriasis Renal Failure Seizure Disorder Thyroid Disease Venous Insufficiency Vision Disturbance Female: Dysfunctional Uterine Bleeding Other (describe):asthma Fibrocystic Breast Disease Premenstrual Syndrome Male: Prostate Disease Current medications (include prescription, over-the-counter, herbs, and vitamins): Name of Drug | Dosage/Frequency | Last Dose Taken | Reason for Taking | Ventolin INH | 2 puffs PRN | 3 years ago | Asthma | Metformin | 500 mg PO BID | 11/8/13 started on 10/28/13 | Diabetes T 2 | Multivitamin | 1 tab PO daily | 11/8/13 | Supplement | | | | | Allergies to Medication/Foods/Medical Products/Other (e.g., latex, contrast, tape): Allergic To | Type of Reaction | PCN | Hives, difficulty breathing | | | | | | | Current medical treatments (e.g., breathing...
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...POLK STATE COLLEGE DEPARTMENT OF NURSING NURSING HISTORY AND ASSESSMENT Nursing III Please asterisk any abnormal data. This abnormal data will need to be reflected in appropriate areas of your DMR. Personal Information |Initials: ___JW____ |Age: ___40___ |Gender: _F___ | |Date of Admission: _10/15/09__ |Date of Assessment: _10/16/09_ |Marital Status: _Married | |Ethnic/Cultural Background: _Caucasian American_______ |Religious Preference: _Methodist | |Occupation: _____Cashier_________________ |Education: ______9th Grade_______________ | |Language Spoken: __English_____ |Any Communication Deficits? No______________________________________ | |(If other than English, is an interpreter available? __________) | | |Source and Reliability of Information: __Patient_______________________ | Admission Data |Temp _98.6__ |Pulse __105_____ |Resp. __21_______ ...
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...psychological wounds that may never heal. The words we are told have a psychological impact on all of us, one negative comment about someone can cloud over every single positive thought someone has ever believed about themselves. Isn’t it strange how with a combination of twenty-six letters you can steal someones heart and captivate their soul. Even stranger how with a different combination of the same twenty-six letters you can make their eyes fill with tears and give them enough pain to last an entire lifetime. What doesn’t kill you doesn’t always make you stronger. The words that people say can leave scars, ruins your lungs, dries out all your tears, and leaves you lying awake at 4 in the morning wishing you weren’t alive. Sometimes the words people choose to use on you can make you feel absolutely wonderful inside. Not all things said about someone have to be bad. The teenage years are most likely when your self esteem is likely to be impacted because everyone is at such a vulnerable time in their lives. Being a teenager and figuring out who you are is hard enough without someone attacking you. Because in high school, sometimes being yourself just isn’t good enough. Just because you’re free to say whatever you want does not mean that you should. We are imperfect humans, and on occasion we say things that aren’t nice. We say these things when we are trying to be funny, when following a crowd, when judging too quickly, when stressed, or especially when we are upset...
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...her client is the establishment of rapport. Having a good rapport with the midwife, allows the woman to open up about what is concerning her, whether it’s physical or emotional, but also allows the midwife to discuss things that may be quite confronting or awkward. For example, not every woman will have planned her pregnancy, and so therefore, there can be fear and apprehension about whether she wants to keep the pregnancy or not. Being able to relax means the woman may reveal more about herself than she realizes, such as her general appearance (Dressed appropriately? Does her hair look dull or dry?) or even for signs of skin changes such as chloasma, which is quite normal or dry chapped lips, indicating perhaps dehydration or vitamin deficiency. The age of a woman can also have a bearing on what happens during prenatal visits. For example, issues that we stereotypically apply to one age group can in fact affect the other. Genetic testing is often discussed at the initial appointment so discussing fears,...
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...In my opinion, I do agree that child behavior has worsened and is worse than it was 10 years ago. Western society approved the ‘raise a child – not a temper, voice or hand’ policy. In the late 80’s and early 90’s, schools were stopped from using corporal punishment. Not long after laws became strict on parental rights, newer laws were passed that outlawed hitting and spanking. I think that after all of these new laws were passed, it made parent’s hesitant to punish their children. There are so many contributors to why child behavior has worsened over the years. Some of the contributors that will be discussed in this paper are the effects of violent video games, violent television, and poor parenting/disciplinary skills which negatively impact children’s behavior. In 1972, the Surgeon General issued the following warning on violent TV programs: "It is clear to me that the causal relationship between televised violence and antisocial behavior is sufficient to warrant appropriate and immediate remedial action. … There comes a time when the data are sufficient to justify action. That time has come."" (Steinfeld, 1972). Popular games such as Black Ops and Call of Duty are filled with violence which has an impact on children that play them causing them to become violent. Some resulted actions include physical fighting, poor word usage, or just simply being belligerent. Over time, video games become addicting which is why violence has increased in kids. Although most children...
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...Q: Tell me about a time when you were working with someone who wasn't pulling their weight, and they had a different value system than yours. How did you deal with this person? Q: Tell me about a time when you failed. What happened, and how did you recover? Q: Tell me about a time when you had an ethical dilemma at work. What did you do? Q: Tell me about a time when you felt it was you against everyone else. You thought you were right and that everyone else was wrong. What did you do? Q: Why do you want to be a CRNA?** Q: What would make you a successful CRNA?** Q: How do you handle stress? Q: What kind of patients do you take care of? Your favorite and why?** Q: Tell us about your work experience.** Q: How do you describe success? Q: Do you foresee any barriers to your education? (finances, time commitments) Q: What does a CRNA do? How do you think your role as a CVICU nurse relates to the role and responsibilities of a CRNA?** Q: Where do you want to be in 5 years?**. Q: Why our program? Q: What questions do you have for us?** A: What do you look for in potential students? How does your program facilitate student research? I am very interested in teaching and education, how does your program prepare me to be an educator? What do you see as your school's strong points? On avg. how many intubations, art lines and central lines do students graduate with? Is there competition at clinical sites with residents for the opportunity...
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...the science of how foods affect the human body to promote health and prevent disease. Six Classes of nutrients essential for health. Carbohydrates, fats lipids, proteins, vitamins, minerals, and water. What is the science of how foods affect the human body to promote health and prevent disease called? Nutrition What is the true statement about healthy lifestyles? When focusing on a healthy lifestyle exercise and nutrition work together. Recognize the key energy nutrients essential for health? Anything that supply calories, fat, protein and carbs. Which major classes of nutrients? Fats, vitamins, proteins, minerals and carbs. Components of a healthy diet. Adequate amount of fiber, energy and nutrients, with balanced choices. What may a healthy diet contain? Adequate energy intake, variety, moderate amount of treats, fiber, intake all nutrients near the recommended daily. Identify the Standard dietary reference intake for nutrients. Two parts What are different measures of DRI, memorize specific DRI, Calcium, Vitamin C All AMDR. Make sure to know the value through the lifecycles. Baby, Children, Adults What is the tolerable upper intake level? (Attached to the end of the paper) The highest level of daily consumption that current data has shown to cause no side effects in humans. Ensures people do not take harmful amounts of supplements. Analyze how the dietary guidelines for Americans can be used to design a healthful diet. Identify how to choose healthy...
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...Health Assessment Physical Assessment Documentation Form Date: __3/1/16________ Patient Information Patient Initials BR Age 30 Sex Female General Survey Does patient appear to be their stated age? Yes Level of consciousness Alert and Oriented to person, place and time. Skin color Pinkish tan Nutritional status Well nourished Posture and position Good posture, sitting upright Obvious physical deformities None noted Mobility: gait, use of assistive devices, ROM of joints, no involuntary movement Steady gait, no assistive devices, no involuntary movement Facial expression Symmetrical Mood and affect appears to be in good mood Speech: articulation, pattern, content and appropriate, native language Speech appropriate clear, English Hearing No difficulty hearing Personal hygiene Clean, Good hygiene Measurements and Vital Signs Height 5’7” Weight 144 BMI 22.6 Radial pulse: • Rate • Rhythm 62 bpm, Regular rhythm Respirations: • Rate • Depth 12 breaths per min, regular Blood pressure (indicate if sitting or lying) 118/76 Pain assessment 0/10 Physical Assessment Skin Hands and nails no clubbing biting or discolorations Color and pigmentation Uniformly pinkish tan in color. Warm, dry, intact, good turgor. No lesions, birthmarks, edema. Moles noted, al round shape and circular borders. Presence of lesions? none Temperature warm Moisture dry Texture smooth, firm...
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