...specific physical symptoms or illnesses. Not only do people's minds and bodies react differently to stress, but there also are other factors at work when someone falls ill. Most researchers have found the more a person suffers from stress the weaker his or hers immune system becomes. In trying to understand why stress can be bad for the body is to look at it from an evolutionary perspective, where in the past our ancestors were often confronted with life threatening situations and as a result the ‘fight or flight’ response evolved. Whilst being confronted by dangerous situations such as confrontation with a predator it was necessary to send blood to the muscles and be in a heightened state of arousal, however today it might not be relevant to most everyday stressors. So we can say most stressors do not pose a physical danger to us yet the way our nervous and endocrine systems have evolved we react to the stressors as if they did, whilst it might have been an adaptive response for our ancestors it has become maladaptive for us today. In a study done by Cohen et al (1991) the direct effect stress can have on illness was demonstrated when 394 healthy participants were asked to complete a questionnaire assessing their stress levels, there after they were exposed to five respiratory viruses. Those that experienced the most stress were the most likely to develop...
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...Chapter 4 1. Explain what is meant by a chronic and acute health impairment. * Chronic Chronic is when the health impairment is long term. Chronic health impairments are defined to last more than a year after the first diagnosis. One example is diabetes. Pg. 83-84 * Acute Acute is when the health impairment is short term. Acute health impairments are ones that can be helped in a shorter time and not lasting over a life span. Pg. 83 2. Describe the impact of visible versus invisible related to health impairments. * When an impairment is visible there are more precautions and adaptions made. Pg. 84 * The people that interact with the person with a visible health impairment would know and not be surprised when something happens. Pg 84 * Although when health impairments are invisible some people may not be known as really ill and get the treatment and excess aid they need. Pg. 84 * They also may interact in activities that could be dangerous to them. Pg. 84 Asthma 3. Define Asthma and provide 4 facts about it. * Definition * Asthma is the most common pulmonary disease of childhood. Pg. 84 * 4 Facts * Asthma can begin in infancy or develop later in life. Pg. 84 * Asthma is a disease in result of many factors in that genetic predisposition interacts with circumstances in the environment. Pg. 85 * It develops beginning with allergen-induced inflammation followed by a consolidation phase characterized...
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...© 2003, an episode of acute intense anxiety, with symptoms such as pounding or racing heart, sweating, trembling or shaking, feelings of choking or smothering, chest pain, nausea, dizziness, feelings of unreality, and chills or hot flashes. It is the essential feature of panic disorder and other anxiety disorders as well as other psychiatric disorders such as schizophrenia and mood disorders. [Link]http://medical-dictionary.thefreedictionary.com/anxiety+attack *Anxiety is the body’s natural response to danger, an automatic alarm that goes off when you feel threatened. Although it may be unpleasant, anxiety isn’t always a bad thing. In fact, anxiety can help you stay alert and focused, spur you to action, and motivate you to solve problems. But when anxiety is constant or overwhelming, when it interferes with your relationships and activities—that’s when you’ve crossed the line from normal anxiety into the territory of anxiety disorders. Anxiety Disorders The DSM is divided into different sections which represent separate, broad categories of psychiatric disorders. One of these categories is anxiety disorders. The disorders found in this category are: Panic Disorder without Agoraphobia; Panic Disorder with Agoraphobia; Agoraphobia without a History of Panic Disorder; Specific Phobia; Social Phobia; Obsessive-Compulsive Disorder (OCD); Post-traumatic Stress Disorder (PTSD); Acute Stress Disorder; Generalized...
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...CHAPTER I INTRODUCTION THE PROBLEM Nursing school is an exciting, challenging adventure that will demand much of nursing students in terms of time and energy. Because nursing is a discipline comprising knowledge from many related fields, student nurse will be asked to learn to think critically, synthesize information, and then apply it to situations involving live people. (Dewit, 2003) A student may face many challenges and stressors. However, nursing students are likely to experience even “more stress” than their friends and colleagues enrolled in other programs. To support this statement, a study comparing the stress levels of various professional students found that nursing students experience higher levels of stress than medical, social work and pharmacy students (Beck, et al.1997). Even more poignant, another study showed that “one third” of nursing students experience stress severe enough to induce mental health problems such as anxiety and depression. (Pryjmachuk, 2004). One source of stress of nursing students is their Learning Experience. The related learning experience is a series of planned activities in the community that would prepare students technically and professionally should they decide to pursue higher education in the health profession. Specifically, in a selected College of nursing, BSN students spend a maximum of 24 hours a week for their duty wherein they engage in activities such as nurse-patient interaction, nursing procedures...
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...Presence and Influence Western Governors University “Being human means being whole physically, mentally, emotionally and spiritually” (Koerner, 2011). I believe that these are important aspects that contribute to our life as human beings. As a nurse, part of our professional presence is to be able to understand other people by putting ourselves in their situations. When we understand, value and respect others, we are able to provide the healing that they need. A1. Differences Between Two Models of Health and Healing Larry Dossey, a medical theorist and physician, developed a theory of health and healing which incorporates three different eras in healthcare. In 1800s, Era I medicine considered consciousness a mechanical entity like the physical brain (Dossey, 1996). This era looks at the body and the mind as purely physical, as purely pursuing the blind laws of nature. The therapies that shake out of that approach are medications, surgery, radiation and so on (Dossey, 1996). Era II, which is known as the “mind-body medicine, emerged in the 19thcentury, when scientists began to understand what is known today as the mind-body connection. In Era II, consciousness is believed to have an influence on i individual health (Dossey, 1996). Era III medicine adds a spiritual dimension to health, according to Dossey, and captures the idea that consciousness can extend beyond the body. Dossey uses the term “non-locality”...
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...one of the body’s defense mechanisms that indicate a problem. Unrelieved pain presents both physiologic and psychologic dangers to health and recovery. McCaffery 1999, defines pain as “whatever the experiencing person says it is, existing whenever he (or she) says it does.” Basic to this definition is the care provider’s willingness to believe that the client is experiencing pain and that the client is the real authority on that pain. Health care professionals recently have focused on the positive effects of humor and laughter on health and disease. Humor involves the ability to discover, express, or appreciate the comical or absurdly incongruous, to be amused by one’s own imperfections or the whimsical aspects of life, and to see the funny side of an otherwise serious situation. Humor in nursing is defined as helping the client “to perceive, appreciate, and express what is funny, amusing, or ludicrous in order to establish relationships, relieve tension, release anger, facilitate learning, or cope with a painful feeling” (McCloskey 2000). Many health care settings are now interested in providing humor as a caring skill and have recognized that “laughter is the best medicine.” “Humor rooms” are being created for clients and staff that are supplied with games, funny audiotapes and videotapes, humorous books, collections of cartoons, and so on. This study utilizes experimental type of research. This led the researchers to conduct a study to know the effects...
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...BioStatistics June 2012 Throughout a twelve week period from June through August the researcher found that (diet, weight, lack of exercise, environment and family history) have little to no impact on individuals suffering from juvenile diabetes. Juvenile Diabetes is also called Type 1 diabetes while its causes are not yet entirely understood; scientists believe that both genetic factors and environmental triggers are involved. “The word "diabetes" is borrowed from the Greek word meaning "a siphon." The 2nd-century A.D. Greek physician, Aretus the Cappadocian, named the condition "diabetes." He explained that patients with it had polyuria and "passed water like a siphon (www.medterms.com)." Type 1 diabetes is when no insulin is produced at all because the insulin-producing cells in the pancreas have been destroyed. Currently scientist and researchers do not know why these cells have been damaged the most likely cause is the body having an abnormal reaction to the cells. There is nothing that you can do to prevent Type 1 diabetes. This type of diabetes is always treated with insulin injections. Whereas type 2 can be controlled with oral medications, diet or exercise. When your child or someone you love and care about is diagnosed as Type 1 diabetic your whole world is turned upside down. I know my son was diagnosed right after his fifth birthday. There is no family history of diabetes; the doctor informed me it was auto immune...
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...the chosen aspect of care for the management of COPD is oxygen therapy, which is the medical intervention for administering oxygen. Oxygen therapy has been found to be beneficial in reducing breathlessness and increasing exercise tolerance (Journal of Community Nursing, (Edwards) 2005). However, the British Thoracic Society (2008) state that oxygen is a treatment for hypoxamia and, not for breathlessness because oxygen has not been shown to have any effect on the sensation of breathlessness in non-hypoxaemic patients. COPD is a disease that progresses slowly, as a result many other pathological occur, where people cannot breathe in and out properly because of long-term damage to the lungs, and it disrupts the normal ventilation and perfusion process of the lungs (Nurse Prescribing, Barnet, M. 2007). COPD damages airways in the lungs and causes them to narrow, which in turn makes it harder for air to enter and exit the lungs (British Lung Foundation, 2007). The narrowing and blockage of the airways are due to the increasing production of mucous and thickening of the airway walls. Over time, there is also damage to the air sacs where oxygen passes from air into the blood and the changes start with inflammation in the airways. This is the body’s way to responding to harmful substances, often due to cigarette smoking, over a length of time (NICE, 2008). There are over 900,000 patients diagnosed with COPD in the UK currently, and it is believed that as many are not...
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...the nursing process, clients receive quality care in minimal time with maximal efficiency. The steps of nursing process 1)Assesment 2)Diagnosis 3)Planning 4)Implementation 5)Evaluation Assessment An RN uses a systematic, dynamic way to collect and analyze data about a client, the first step in delivering nursing care. Assessment includes not only physiological data, but also psychological, sociocultural, spiritual, economic, and life-style factors as well. For example, a nurse’s assessment of a hospitalized patient in pain includes not only the physical causes and manifestations of pain, but the patient’s response—an inability to get out of bed, refusal to eat, withdrawal from family members, anger directed at hospital staff, fear, or request for more pain mediation. Diagnosis The nursing diagnosis is the nurse’s clinical judgment about the client’s response to actual or potential health conditions or needs. The diagnosis reflects not only that the patient is in pain, but that the pain has caused other problems such as anxiety, poor nutrition, and conflict within the family, or has the potential to cause complications—for example, respiratory infection is a potential hazard to an immobilized patient. The diagnosis is the basis for the nurse’s care plan. Outcomes / Planning Based on the assessment and diagnosis, the nurse sets measurable and achievable short- and long-range goals for this patient that might include moving from bed to chair at least three times per day;...
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...This essay will examine the challenges of managing Mr. W. Fountain nursing problem on his immobility condition. Developing a care plan for Mr. W. Fountain to aid his recovery due to stroke; resulting to mobility problem. Although, mobility as a result of stroke will be the main focus of this essay but I will also briefly explain the process of developing an effective care plan. I will be relating it to my anatomy and physiology knowledge and show why dealing with my father’s stroke condition some twenty seven years ago make Mr. W. Fountain condition more personal to me. At this stage, I will like to highlight that the nursing management for Mr. W. Fountain will be based on the use of Roper Logan Tierney model in practice. (2003). I will be applying the nursing process that includes delving into the phases and cycle of nursing assessment, planning, implementing and evaluating (APIE). At the implementation stage, a care plan with appropriate objectives, implementation steps and evaluation strategies will be drawn in ensuring that his care is more focused on his needs. I will also be using a range of assessment tools: such as waterloo score and strip, trips and fall. Dignity and respect of Mr. Fountain will be maintained all through in this essay. In conclusion a copy of care, feedback from the Lecturer and reflective summary will be attached. According to Glasper and Mcewing (2010) Stroke occurs if there is an interruption of blood flow to part of the brain. Without blood...
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...NRSG240 Final Test note CARDIAC NURSING 4 AMI 4 Definition (3marks)- very detailed needed. 4 Clinical manifestations of AMI. (5marks) 4 Nursing Interventions and Rationale for Managing a patient with Acute Chest pain(6marks) 4 and Ineffective Tissue perfusion (6marks) 5 Acute chest Pain 오류! 책갈피가 정의되어 있지 않습니다. 1. PQRST questions to evaluate MI- intensity, location, radiation, duration, precipitation & alleviating factors, in order to accurately evaluate, treat and prevent further ischaemia. 오류! 책갈피가 정의되어 있지 않습니다. 2. Semi-Fowler’s position & O2 therapy 2L via Hudson Mask in order to increase oxygenation of myocardial tissue & prevent further ischaemia. 오류! 책갈피가 정의되어 있지 않습니다. 3. Administer medications- Morphin (normally 2.5-5mg) & anginine 600mcg (given every five minutes; maximum 3 tablets in order to relieve/prevent pain & ischemia to decrease anxiety & cardiac workload. 오류! 책갈피가 정의되어 있지 않습니다. 4. 12-lead ECG & monitor in order to check hypotension & bradycardia, which may lead to hypoperfusion. 오류! 책갈피가 정의되어 있지 않습니다. Ineffective tissue perfusion 오류! 책갈피가 정의되어 있지 않습니다. 1. Monitor vital signs (Hourly) and saturation oxygen to determine baseline and ongoing change. 오류! 책갈피가 정의되어 있지 않습니다. 2. Administer oxygen by Hudson’s mask (6-10L/min) and monitor the effectiveness to increase oxygenation of myocardial tissue and prevent further ischaemia. 오류! 책갈피가 정의되어 있지 않습니다. 3. Monitor respiratory status for sysptoms of heart failure to maintain appropriate levels of oxygenation...
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...some people, it's just a nine-letter word synonymous with food and dieting. To others - people who know the secrets behind a better workout and a leaner body nutrition means so much more than just filling their plates. These people know that with proper nutrition, your body can experience beneficial results that out-compete any fancy pill or expensive surgical intervention. It's true! And, to take it even a step further, the timing of your nutrition with correct food choices will turn your body into an energetic, elated, lean, fat-burning machine! And who doesn't want that? We sure do! Not that being lean means you'll be automatically happier, but, if you eat the right foods at the right times, you'll feel less grumpy, you'll have more energy to exercise hard the next time you hit the gym, and you'll be pleasant for others to be around! Plus, you'll look good too! You probably already know that eating small, balanced meals every few hours is one of the keys to a healthy physique, but that's not what we're talking about here. In this special report, we're going to show you how eating the right foods at the right times following your workout will make a huge difference in how you feel when you're working out, and how you feel for the 23 hours that you're not working out. Eating correctly after your workout will also help you be able to work out hard the next time you exercise, build more lean muscle, and improve your overall health. Isn't that almost too good to be true? But...
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...Increased specific gravity and decreased creatinine clearance. | Progressive | * Progressive tissue hypoperfusion * Anaerobic metabolism wih lactic acidosis * Failure of sodium potassium pump * Cellular edema | * Dysrhythmias * Decreased BP with narrowed pulse pressure * Tachypnea * Cold, clammy skin * Anuria * Absent bowel sounds * Lethargy progressing to coma * Hyperglycemia * Increase BUN, CREATININE, AND POTASSIUM * Respiratory and metabolic acidosis. | Refractory | * Severe tissue hypoxia with ischemia and necrosis * Worsening acidosis * SIRS * MODS | * Lifethreatening dysrhythmias * Severe hypotension despite vasopressors * Respiratory and metabolic acidosis * Acute respiratory failure * Acute respiratory...
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...Osteoclasts | Reabsorb or remove bone during growth and repair (also assist in the release of calcium and phosphate)**bone reabsorption; bone destroying cells | *So, if one is immobilized then the osteoclastic activity is greater than the osteoblastic activity in bone marrow decreases. This is why we have debone mineralization during immobilization. Maintenance of bone integrity | This occurs through remodeling and it is a 3 phase process where existing bone is resorbed and new bone is laid down [repairs bone, does not heal bones] | Phase 1 | Activation phaseThis is where a stimulus occurs, such as a weight baring exercise, causing the formation of osteoclasts | Phase 2 | Resorption This is where osteoclasts form a cutting zone and resorb or remove bone | Phase 3 | Formation phaseThis is where there is a laying down of new bone by osteoblast | *PAGE 962 Know how bone fractures heal/callous formation (Musculoskeletal System) * Bone Fractures * A broken bone can cause damage to the surrounding tissue, the periosteum, and the blood vessels in the cortex and marrow * Hematoma formation * Bone tissue destruction triggers...
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...PN MENTAL HEALTH NURSING EDITION . CO NT ASTERY SERI ES TM N E R EV MOD IE W LE U PN Mental Health Nursing Review Module Edition 9.0 CONtriButOrs Sheryl Sommer, PhD, RN, CNE VP Nursing Education & Strategy Janean Johnson, MSN, RN Nursing Education Strategist Sherry L. Roper, PhD, RN Nursing Education Strategist Karin Roberts, PhD, MSN, RN, CNE Nursing Education Coordinator Mendy G. McMichael, DNP, RN Nursing Education Specialist and Content Project Coordinator Marsha S. Barlow, MSN, RN Nursing Education Specialist Norma Jean Henry, MSN/Ed, RN Nursing Education Specialist eDitOrial aND PuBlisHiNg Derek Prater Spring Lenox Michelle Renner Mandy Tallmadge Kelly Von Lunen CONsultaNts Deb Johnson-Schuh, RN, MSN, CNE Loraine White, RN, BSN, MA PN MeNtal HealtH NursiNg i PN MeNtal HealtH NursiNg review Module editioN 9.0 intellectual Property Notice ATI Nursing is a division of Assessment Technologies Institute®, LLC Copyright © 2014 Assessment Technologies Institute, LLC. All rights reserved. The reproduction of this work in any electronic, mechanical or other means, now known or hereafter invented, is forbidden without the written permission of Assessment Technologies Institute, LLC. All of the content in this publication, including, for example, the cover, all of the page headers, images, illustrations, graphics, and text, are subject to trademark, service mark, trade dress, copyright, and/or other intellectual property rights or licenses...
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