...to an oral anti-coagulant Xarelto at 10mg once daily. During her care I was educated by the interdisciplinary teams managing mobility, safety, and the more modern approaches with a total knee replacement. The purpose of this clinical summary paper is to discuss managing mobility after a total knee replacement. REVIEW OF RELATED LITERATURE In seeking out information on this topic, I used the Amarillo College Library Network and CINAHL database on campus and opened as many articles that I believed would aid in my research. The words I used for searching were: TKR, total knee care, and managing total knee replacement. The contributing factors gave me the articles that related to my patient that I had cared for in clinicals. These searches took me to the information that I was in need of for my paper. Turner’s (2011) primary focus was about care prior to surgery, during, post-operatively, and nursing care. Although this article is a basic overview from preoperative care to discharge, her agenda is clear that importance of risk factors, assessments and labs should be monitored. The main emphasis of this article is to follow assessments and interventions post operatively. Starting with vital signs and trending them as well as pain status and level of consciousness....
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...of life of most individuals in the world. Real Estate: I. Background: The real estate industry is in a unique state of flux brought on by the proliferation of the sharing economy. The advent of AirBnB, UBER, Lyft, Zip CAR have effectively demonstrated that communal ownership of an asset is often much more efficient than singular ownership, provided an efficient channel for distribution and use of the asset exists. Though AirBnB has made great strides towards bringing home ownership into the fold of the sharing economy, an analysis of the notion and future of home ownership indicate that substantial room for innovation exists in addressing the pain points associated with the use of property. II. Pain Points: Despite the innovation of recent years, homeowners continue to be plagued by several persistent pain points related to liquidity, taxation, equity and maintenance of property. Liquidity: Real estate still remains largely an illiquid asset due to the high costs associated with the sale of property. No reliable peer-to-peer network exists for the sale of property, thereby leaving homeowners to rely on a network of real estate agents who extract significant amounts of value from sale proceeds - often 6% of the sale price. Aside from commissions, often closing cost contributions are required by home owners in addition to the correction of defects discovered by inspectors. Tax: Taxes associated with the sale of real estate (i.e. capital gains and property...
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...The man was laying in his bed with a towel wrapped around his head. Right away he asked us for pain medication, Xanax, a fresh pitcher of ice water. The day night said he had been putting on the call light all day to ask for various items. We told him we’ll be back soon with his medications. I thought to myself this is going to be an interesting night. The fourth patient was a 49-year-old male who is a full code with admitting diagnosis of central venous catheter. He has a history of end stage reno disease (ESRD), congested heart failure, hypertension, and hepatis C. Just like the others we went into the patient’s room to introduce ourselves after receiving report. He was resting in his bed while watching the news. The man was shivering and appeared to be uncomfortable. I asked him if was cold and needed a blanket. The nurse introjected...
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...THE GIVER Lois Lowry ← Plot Overview → The giver is written from the point of view of Jonas, an eleven-year-old boy living in a futuristic society that has eliminated all pain, fear, war, and hatred. There is no prejudice, since everyone looks and acts basically the same, and there is very little competition. Everyone is unfailingly polite. The society has also eliminated choice: at age twelve every member of the community is assigned a job based on his or her abilities and interests. Citizens can apply for and be assigned compatible spouses, and each couple is assigned exactly two children each. The children are born to Birthmothers, who never see them, and spend their first year in a Nurturing Center with other babies, or “newchildren,” born that year. When their children are grown, family units dissolve and adults live together with Childless Adults until they are too old to function in the society. Then they spend their last years being cared for in the House of the Old until they are finally “released” from the society. In the community, release is death, but it is never described that way; most people think that after release, flawed newchildren and joyful elderly people are welcomed into the vast expanse of Elsewhere that surrounds the communities. Citizens who break rules or fail to adapt properly to the society’s codes of behavior are also released, though in their cases it is an occasion of great shame. Everything is planned and organized so that life is as convenient...
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...February 2015 New York State Bar Examination Essay Questions © 2015 New York State Board of Law Examiners QUESTION 1 In 1995, Walt, a widower, executed a will prepared by his lawyer, Len, which contained the following dispositive provisions: 1. 2. 3. 4. 5. I give and devise my residence to my daughter, Amy. I give and bequeath my 100 shares of C Corp. to my son, Ben. I give and bequeath $100,000 to my son, Cal. I give and bequeath $100,000 to the American Red Cross. I give, devise and bequeath all of the rest, residue and remainder of my estate to my grandson, Dave. Walt signed the will at Len’s office, and at Walt’s request, Len and Walt’s son, Ben, signed as witnesses in the presence of Walt and each other after Walt acknowledged that the document was his will. In 2000, Walt duly executed a new will which expressly revoked any and all wills previously made by him. In 2001, Walt decided that he did not like the terms of the 2000 will and physically destroyed it by his own hand. Walt died last year, survived by Amy, Ben, Cal, and Dave. Dave is Walt’s only grandson and is the son of Walt’s deceased son, Ed. The 1995 will has been admitted to probate over the objections of Cal that the 1995 will had not been properly executed and that, in any event, it had been revoked. Walt’s residence has been valued at $300,000, and his 100 shares of C Corp. have been valued at $200,000. After payment of all debts, expenses and taxes, the net estate...
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...reasonable truth that can be explained in both anthropology and psychology. This is a story of how a city's people lost hope. On July 1518, midsummer, A French woman named Frau Troffea went on a narrow street in Strasbourg, starting her frantically dancing. This weird woman danced uninterrupted for almost six days. A week later, there were 34 people joined her, they swung their limbs, shaking their heads. Their feet were badly mutilated, with the exhausted face expression, they looked like dancing death. A month later, there were hundreds of people on the street dancing this irreverently dance. From the beginning of “A Time to Dance, a Time to Die The Extraordinary Story of the Dancing Plague of 1518”, Waller starts narrating the short summary of the major “dance plague” occurred in Strasbourg in 1518. Much of this book is based upon published chronicles. Some of the narrative is based on the written work and recorded by a German-Swiss physician, Paracelsus, who provided a name for the first person to perish to the dance mania. Perhaps, according to published chronicles. Before the Dancing Plague of 1518, there were several similar precedents happened through different centuries. Waller begins the story a quarter of a century before Frau Troffea was seized by a compulsion to dance. By explaining the social, cultural aspect, lifestyle, environmental factors in medieval Europe, it is believable that the life was really assiduous for most people, therefore, these factors might...
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...------------------------------------------------- ------------------------------------------------- July 4, 2013 Title: Life’s Meaningful Challenges Summary: One of the greatest truths is that life is difficult. Most people moan more than facing and solving their problems. Life is a series of problems. It only requires discipline to overcome such pains and problems. We prefer to procrastinate and ignore them. It is in this whole process of meeting and solving problems that life has its meaning. Problems are the cutting edge that distinguishes between success and failure. The tendency to avoid problems and the emotional suffering inherent in them is the primary basis of all human mental illness. Therefore we must inculcate ourselves and in our children the means of achieving mental, spiritual health. When we teach ourselves discipline, we are teaching ourselves how to suffer and also how to grow. Life example: I always experience hardships. Well one of them would be dealing with my major classes. I’m having problems with managing my time to meet my deadlines on my major subjects. Sometimes, I don’t even have time to sleep. I often ignore some of them just to get out of stress. Reflection: Life is never that easy. All of us are meant to try how things would work out rather than letting them just be there. Problems and pains make us...
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...------------------------------------------------- CHAPMAN v. TWIN CITY FIRE INS. CO.WCC NO. 2009-2346. 2010 MTWCC 43 ALLISON CHAPMAN Petitioner, v. TWIN CITY FIRE INS. CO. Respondent/Insurer. Workers' Compensation Court of Montana. Submitted: December 28, 2010 Submitted: December 29, 2010. December 30, 2010. ORDER DENYING PETITIONER'S MOTIONS FOR CLARIFICATION AND NEW HEARING JAMES JEREMIAH SHEA, JUDGE. Summary: Petitioner has filed a "Motion for Clarification" and a "Motion for New Hearing." The motion for clarification was submitted on December 28, 2010. The motion for new hearing is not fully briefed. On December 29, 2010, Petitioner filed a Notice of Appeal. Held: The Court lacks jurisdiction to consider the merits of the motions because jurisdiction over the case passed to the Montana Supreme Court when Petitioner filed her Notice of Appeal. Accordingly, the motions are denied. ¶ 1 Petitioner Allison Chapman moves this Court for clarification of its findings of fact, conclusions of law, and judgment1 regarding her claim.2 Chapman also moves the Court for a new hearing.3 ¶ 2 Chapman's motion for clarification was deemed submitted for consideration on December 28, 2010, when her time for filing a reply brief under ARM 24.5.316 expired. Chapman's motion for a new hearing is not yet fully submitted. However, on December 29, 2010, Chapman filed a Notice of Appeal, asserting that she has appealed this case to the Montana Supreme Court.4 ¶ 3 When notice of appeal...
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...The Application of Watson’s Caring Theory Name Institution Affiliation Application of Watson’s Caring Theory Human Caring Theory by Jean Watson contributes to the existential nursing. It concentrates on authentically caring concerning the whole patient. This caring involves the patient’s spirit, body and mind to facilitate the healing process to persist at an optimum level (Watson, 2011). Watson defined it as a caring model, which includes both science and art; providing a framework that intersects with and embraces science, art, spirituality, humanities, and new dimensions of spirit-body-mind medicine in addition to nursing. The essay describes the idea of Watson’s theory, the application of Human Caring theory in nursing practice connected to personal case, and the relevance of Human Caring theory in nursing leadership related to nursing problem. Watson supposes that the theory is ever changing and ought to be open to the evolving nursing practice as well as the human phenomena dynamics. Watson elaborates by explaining that caring art and science goes past an intellectualization of the subject luring us into endless, but timely space to re-examine the recurrent phenomenon of the human ailment. Using such abstract notions of faith, love, hope, caring, trust, and spirituality to nursing art and science could help stratify the human caring concept (Watson, 2011). The current nursing practice is incredibly affected by the theories designed by Dr. Watson...
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...l University of Phoenix Material Personality Theories Matrix THEORY | Psychoanalytic | Neo-Freudian | Trait | Biological | Humanistic |Behavioral/ Social | Cognitive | |School of Thought (List the factors that each school believes influence personality development) |Psychosexual stages: 1.Oral-Focus on mouth and a satisfaction of sucking and biting. 2. Anal-Pleasure of anus and a concern with feces. 3.Phallic-Fear and anxiety of castration from his father because of sexual desires for one’s mother. 4. Latency-Repression of infantile sexuality. 5.Gential-Maturity of sexuality, capable of genuine love. Concepts of Mental structure: 1. Id-Basic impulses, sexual and aggressive. Impulsive and irrational. This is also known as the pleasure principle when one seeks immediate satisfaction regardless of the consciences. 2. Ego-Test reality, seeks safety and survival, rational, and logic. 3. Super-Ego-Ideal and moral, strives for perfection, dictates, incorporative, imposes limitations on satisfactions. Unconscious Conflict: This is when a person may have a fear of certain things and may use other things to describe the fear. Example: If someone was afraid of an animal that they have never been in contact with. This may be a sign of a fear that is revealed as an unconscious conflict with something they know nothing about. |Alfred Adler: Strive for superiority: Born with a sense of inferiority. Striving to overcome these deficiencies of weakness and helplessness...
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...Summary Ron Deal wrote “Dating and the Single Parent”. He starts his book with a foreword, as most books do. However, this is one of the most powerful portions of the book because it gives the reasons for the book. While the content will be summarized, many people (especially the church), have not been dealing or addressing the blended families that are in need of help because the single parent is so prevalent and many people are not going into marriage of blended families with an awareness of how to do this effectively. Here are some shocking, but not unbelievable statistics: 1. “Forty two percent of adults are in a step relationship of some kind. 2. Thirty percent of marriages to attend Family Life’s Weekend to Remember marriage getaways are in blended families. 3. Two-thirds of marriages where one or both partners brings children into the relationship end in divorce” (Deal, 2012). He continues to explain upfront that many of the issues are understanding the difference between “coupleness” and “familyness”, and that the latter is what will create a legacy. The book chapter’s attempts to guide both the single parent and the person interested in dating the parent advice and guidance in the process. The first portion of the book consists of five chapters and it titled “Getting Pas the Butterflies and Warm Fuzzies.” The first chapter “Dating in a crowd: Dating with purpose” (pg. 29) starts off the book with a reminder that when one dates a single parent...
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...mobility solutions offer the expertise gained through successful proven deployments in many of the world’s largest enterprises, a comprehensive and proven enterprises class product portfolio — including wireless infrastructure for seamless ‘inside outside’ mobility, integrated voice and data devices and bestin-class applications through a world-class partner network — and a complete portfolio of services designed to help you get and keep your mobility solution up and running to ensure peak performance and maximum value. For more information on how Motorola mobility solutions can streamline your supply chain, please visit motorola.com/supplychainmobility or access our global contact directory at motorola.com/enterprise/contactus Executive summary The warehouse is at the center of your business, a key area through which nearly everything in your business must pass — from packages in a parcel post environment to raw materials and finished goods in a manufacturing plant to a wealth of products in a distribution center. When mobility is extended throughout your warehouse, a new level of efficiency, accuracy and visibility can be achieved. Paper processes are replaced by real-time computerized forms on mobile computers; bar code scanning enables checks and double checks that the right item is being picked, packed and shipped; and RFID provides automatic tracking of materials without human intervention. With warehouse mobility also comes the collection of a richer data set in real time...
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...includes arts and humanities as well as science. A caring science perspective is grounded in a relational ontology of being-in-relation, and a world view of unity and connectedness of All. Transpersonal Caring acknowledges unity of life and connections that move in concentric circles of caring – from individual, to others, to community, to world, to Planet Earth, to the universe. Caring science investigations embrace inquiries that are reflective, subjective and interpretative as well as objective-empirical and Caring science inquiry includes ontological, philosophical, ethical, historical inquiry and studies. In addition, caring science includes multiple epistemological approaches to inquiry including clinical and empirical, but is open to moving into new areas of inquiry that explore other ways of knowing, for example, aesthetic, poetic, narrative, personal, intuitive, kinesthetic, evolving consciousness, intentionality, metaphysical – spiritual, as well as moral-ethical knowing. Caring science is an evolving new field that is grounded in the discipline of nursing and evolving nursing science, but more recently includes other fields and disciplines in the Academy, for example, Women/Feminist studies, Education, Ecology, Peace Studies, Philosophy/ Ethics, Arts and Humanities, Mindbodyspirit Medicine. As such, caring science is rapidly becoming an Interdisciplinary or Transdisciplinary field of study. It has relevance to all the health, education, and human service fields and professions...
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...Theoretical Framework of Compassion Fatigue September 11, 2014 Theoretical Framework of Compassion Fatigue Compassion fatigue, which is also known, as secondary traumatic stress is a natural effect that occurs as a result of taking care of patients who are in pain, stressed, suffering, or traumatized. Compassion fatigue commonly affects nurses who show extreme empathy for patients and their relatives. Empathy is the act of putting oneself in another person’s situation or understanding one's feelings (Walker & Alligood, 2001). It has always been a nurse’s role to show empathy to patients and their relatives. In the process of sympathizing and empathizing, nurses can easily develop compassion fatigue. Compassion fatigue affects nurses physically, psychologically, and spiritually in addition to affecting their daily duties. Nurses may intentionally stop working with certain patients or reduce their empathy for patients, and others may have repetitive call-ins to avoid working specific patient populations. These adverse effects can easily lower hospital or institution productivity. Therefore, it is advisable for nurses to be encouraged to seek advice and counseling from counselors, mentors, psychologists, and other responsible persons. It is also necessary for nurses to be aware of the symptoms of compassion fatigue to facilitate taking preventative measures as early as possible. The compassion fatigue theory is connected to the relationship between the patient and the...
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...of death, dying and bereavement into the 21st century. Focusing the reader’s attention with a renewed perspective in thanatology, authors help redefine, perpetuate conversation, and add relevance to the topic harmoniously. Orienting the reader to individualistic theories that reach beyond universal attentions, Leming and Dickinson (2011) guide the discussion into a new era of defining a natural, yet, unavoidable topic. A re-education of sorts, thanatology is revived in accordance to contemporary day and time. Keywords: spirituality, death, dying, bereavement, suicide 4-Mat Review; Leming and Dickinson Leming & Dickinson (2011), pen about the manner of dying, death and bereavement supported by research and contemporary social theories. Emphasizing experiential knowledge which reinforces concepts of death, dying, and bereavement, a social-psychological tactic was employed throughout the four chapters. Life span comparisons expanded the reader’s perspective. Not to leave out other approaches, concepts are advanced through biological, philosophical and anthropological edifications as well. These systems reveal the interactivity of behavior and subjectivity within the subject matter. Summary Chapter one develops death and dying through the lens of human development and educational theories. Approaching death and dying by means of examining related behaviors develops meaning. Important to most individuals is the significance of death’s connotation which appears to be...
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