...Nutrition and Recovery Nutrition and Recovery Nutrition affects every part of our daily lives. We eat nutritional foods to stay healthy and live active lives. We also eat nutritiously to regain our lives after an accident or surgery. This paper highlights the importance of nutrition after surgery. Nutrition plays an important role in the reducing the risk of infection and wound healing after surgery. Understanding how nutrition can benefit as well as hurt recovery after surgery when caring for all patients. Malnutrition as a result of critical illness has been defined as ‘acute disease or injury-related malnutrition’, which is associated with severe, acute inflammation. During periods of critical illness, the inflammatory response elevates energy expenditure and nitrogen excretion that is only partially attenuated by the provision of nutritional support. Contributing to this weight loss is inadequate nutritional intake with ICU patients only receiving 60–80% of their prescribed energy and protein requirements.( JCN, 2014) These suboptimal intakes result from delays in initiating feeding and feed interruptions due to nausea, vomiting, abdominal distension, large gastric aspirates, tube displacement, investigations and prolonged fasting for procedures. Oral diet following extubation from mechanical ventilation has also been shown to be inadequate. Peterson assessed the oral intake of 50 patients for the first...
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...TYPES OF HEALTH RECORDS Types of health Records Andre Cornwall Westwood College TYPES OF HEALTH RECORDS Types of Health Records There are all types of Health Records documentation available; it may be paper or electronic. The first type of documentation is Acute Care. Acute Care is the foundation for content and practices for other healthcare settings, like Clinical Data, Administrative Data, Consents, Authorizations, and Acknowledgments. Next is Specialized Health Records like Emergency Care, Ambulatory Care, Ambulatory Surgical Care, Long-term Care, Hospice Care, Behavioral Healthcare, and Rehabilitation Services Documentation. Paper or Plastic? That is what the grocery store would ask you, but the times are changing and so is the Healthcare field. Now you do not have the choice in how your information is documented in the Medical Record. There are still paper records but workers of the Health field find them self-scanning paper information into the EHR’s system. Let’s describe the different documentation, may it be paper or electronic. Clinical Data is all the information one will get for a patient when they are admitted to the hospital. While the patient is admitted other info will be add to the patients chart: * A patient’s medical history, like the Chief complaint, Present illness, and Review of systems. * The reports of consulting physicians which is the opinion of another physician. What I call “Get a second opinion”. * A discharge summary...
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...or healing processes. McCubbin and McCubbin (1993) developed the Resiliency Model of Family Stress, Adjustment, and Adaptation which identifies how families cope with hardships and/or stressors such as chronic illnesses, addictions, deaths, etc. Stress is a concern central to most families. Family involvement provides a greater overview of the care patients should receive to cope with stressors. Therefore, nurse practitioners (NP) have the duty to involve each individual patient in his or her care as well as any identified family member. This paper will focus on the importance of implementing the Resiliency Model of Family Stress, Adjustment, and Adaptation as a foundation to...
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...public about the major diseases, its prevention and management and also the importance of healthy life style. Health promotion gives emphasis on the actual definition of health, that is not only just lack of disease, but also physical, mental and social well being. Health promotion provides new information and teachings to individuals, families and societies. It enhances the family unity and community engagements; it brings positive contributions to their health status. According to world health organization (WHO, 2012), health promotion is the process of enabling people to increase control over and improve their health. There is a broad range for health promotion, it is about developing healthy conditions in people's everyday life. This paper briefs health promotion, its significance in practice of nursing, roles and responsibilities of nurses in health promotion, in different areas of nursing the implementation of health practices incorporating health promotion in three different levels. Total well-being of people is the core of health promotion. The basic element for this is a healthy balanced life style, this can be achieved through proper education and awareness programmes to public and the community. Health education aims to make people to be aware and alert of the diseases and the contributing factors, importance of health check-up at least yearly, screening programmes, vaccinations, and to take precautions when subjected to communicable diseases. Encourage the public...
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...Somethings should not be for profit http://core.ecu.edu/soci/juskaa/SOCI2110/Prison_Industrial_Complex.htm http://www.thirdworldtraveler.com/Prison_System/Masked_Racism_ADavis.html http://www.prisonsucks.com/ Paper Topic: The Prison Industrial Complex [Name of Writer] [Name of Professor] [Course Title] [Date] Prison Industrial Complex Prison Industrial Complex – Origin and Establishment The term prison industrial complex ‘ refers to an American criminal justice system that has been substantially transformed by almost three decades of rapid growth and by the increasing importance of private interests in criminal justice policy ... All these factors combined to provide an opening for private sector involvement in prison management and speculative prison building The third factor contributing in the transformation of the American corrections system can usefully be referred to as what Sir Leon Radzinowicz calls penal regression ... the machinery of justice in a democratic society should never be cut off (Radzinowicz , 1991 ) In the American case , massively disproportionate incarceration rates among communities of marginalized peoples , a growing tolerance for violence as a means of social control , and the replacement of rehabilitation with punishment and warehousing as the system ‘s primary ethics , seem to be the main regressive tendencies Overcrowding of Jails That prison and jail crowding is a major national problem cannot be disputed ... Beyond...
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... Assessment of Non-acute Health and Social Services in Ponchatoula, Louisiana The community assessed was Ponchatoula, Louisiana. The focus of the assessment was non-acute health and social services. The community-as-partner model was used as a guide in understanding how the different parts of Ponchatoula’s community make up its core, and to apply the steps of the nursing process (Anderson and McFarlane, 2011). The assessment was based on observations of the community, interview data from a nursing home director, and selected published data related to the healthcare and social services assessed. Assessment data was analyzed, and conclusions and inferences drawn from the analysis will be presented in the paper. Windshield Survey On October 28th at approximately 4:00 pm an observation of Ponchatoula was conducted while driving through the city’s limits. This survey was done to acquire an overall health assessment of Ponchatoula’s environment including buildings and people out and about. The city itself appeared dated as evidenced by the architecture, especially on E. Pine St. However, for being the age they are, the buildings appeared well kept with clean paint jobs. Sidewalks lined each side of E. Pine, which runs east to west through the center of Ponchatoula. Witnessed were 5 men riding bikes, numerous people shopping downtown, and only 1 woman sitting and smoking a cigarette. The focus of the windshield survey was non-acute...
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...multiple complications associated with diabetes. One major and expensive complication is diabetic wounds. The cost of care in the U.S. alone for this population is approximately $245 Billion annually. (American Diabetes Association, 2012) Proper wound care is an essential step in the wound healing process, however,wound care alone is not sufficient. Nutritional status is extremely important in wound healing. Diabetic patients need to be educated and assessed for protein-energy malnutrition (PEM) as the body’s nutritional needs significantly increase during the wound healing process (Demling, 2009). Supplementation (especially protein) and the importance of it for wound healing need to be discussed with the patient. Without all the necessary interventions applied the process of wound healing can be lengthy and may lead to infection, excessive hospitalization and potential amputations. Understanding the body’s nutritional needs and how the body uses protein in the repair process is imperative. The recommendation for the amount of protein supplementation is between 0.8grams/kilogram to 1.2 grams/kilogram and is based on patient nutritional status and severity of the wound (Collins 2014) (Goodridge 2006) (Lansdown 2004). Maintaining recommended amounts of protein intake has shown dramatic decrease in days-to-heal and better patient outcomes overall (Demling, 2009). Purpose The primary purpose of this integrated review is to summarize the findings from studies that evaluated...
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...functional patterns, nurses can more accurately determine and diagnose actual or potential problems, intervene more effectively and achieve outcomes that promote health and well-being (Edelman & Mandle, 2006). This paper will examine the 11 functional health patterns of a selected family; make nursing diagnosis recommendations and offer community and web-based resources for support. Additionally, the paper will review the role systems theory had in assessing the target family. Family Demographics The target family (Family “P”) identified themselves as white, middle class and educated. The husband, age 42, develops computer software. His wife, age 45, home schools their three children, ages 14, 11, and 5. The two younger children are adopted from Guatemala and China. Interview Process and Results Both parents answered multiple questions for each of the 11 functional health patterns, and where applicable, a physical examination was conducted. For the health perception/health management pattern, they answered the question “What are the most important things you do to keep your family healthy and prevent illness?” (Gordon, 1994) Family “P” regularly seeks medical care for sickness and visits the dentist annually. They do not get flu vaccinations. For the nutritional-metabolic pattern, Family “P” answered the question, “Describe the types of meals your family regularly eats?” Most meals are prepared at home and include meat or...
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...Physical medicine and rehabilitation, which falls into the subdiscipline of biomechanics, because it aims to restore functional physical ability in order to improve the biomechanics of a particular person. It is also known as physiatry, which is the branch of medicine that aims to enhance and restore functional ability and quality of life to those with physical impairments or disabilities. This is an ideal area of study for those planning to pursue a career in physical therapy or any rehabilitation setting. The definition of biomechanics is the muscular, joint and skeletal actions of the body during the execution of a given task, skill, or technique. Adequate understanding of biomechanics relating to sports has the greatest impact on performance,...
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...the ocean. Mangroves thrive in the salty coastal water, where other plant species would die. Aquaculture practices in the Philippines have had negative impacts on mangrove tracts, resulting in more than 337 000 hectares lost since 1925 (Samson and Rollon, 2008). The removal of mangroves for aquaculture creates exponential environmental backlash, as the role of mangroves is replaced with polluting aquaculture. The purpose of this paper is to compare the benefits of aquaculture to the negative effects on mangrove ecosystems. When considering the negative aspects of aquaculture it is also important to provide solutions to help mitigate mangrove damage and destruction. This paper has been organized to first provide a background on mangroves and Philippine aquaculture, specifically brackish water ponds. The second portion of this paper is to provide information on the damages caused by aquaculture unto mangrove ecosystems and the environment. The third portion provides solutions to the problems facing mangrove ecosystems because of aquaculture. This paper looks to inspire and educate on the relationship between aquaculture and mangrove ecosystems in the Philippines. The Benefits of Mangroves Mangroves provide countless benefits to coastal and inland ecosystems. Acting as a boundary between ocean and land, mangroves help to buffer and dissipate wave energy. As sea levels rise, coastal erosion is degrading the shores and depositing sediment into the ocean. Mangroves work against...
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...Professor Kathy McDonnell-Corrections MALE AND FEMALE PRISON DIFFERENCES 2 Abstract This paper will point out some of the differences between the men and women prisons. This paper will also give examples of how gender plays a huge role in the prison systems, regarding programs that are offered to both women and men in the prison system. MALE AND FEMALE PRISON DIFFERENCES 3 A prison is a supervised facility for adults that have committed a crime. These facilities house both women and men. The housing structure for men and women are different. The women prisons do not have the heavy armed guards, watch towers or the high barbed wire fence (Schmalleger & Smylka, 2013,p 351), that we all are so use to seeing, when we ride past the men prisons. With the rise in women being jailed, for the crimes that they commit, it is only a matter of time, before the structure will change. “Between” 1980-1999 the incarceration rate for women out -weighed the men. During that time the incarceration rate for men was 303 percent, and for the women it was 576 percent (Austin, Bruce, et al. 2001). Although the incarceration rate has increased for women, the men still out-weigh the women, when it comes to men and women being in prison (Schmalleger & Smykla, 2013). The prisons, like other correctional facilities are designed to reform and rehabilitate their prisoners. Part of the rehabilitation processes are services and programs that they offer the men and women. These programs include,...
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...disorder (Gucciardi et al, 2003). In addition, Statistics Canada notes that 90% or more of all cases pertaining to the diagnosis of an eating disorder are for women (Statistics Canada, n.d.). Furthermore, the Canadian Institution of Health Information states that in the year 2000 , 11.54% of women diagnosed with anorexia nervosa, and 15.36% of women diagnosed with bulimia nervosa, reported suffering from depression. Moreover, these percentages equate to more than double of the 5.7% of women from the general population who have reported suffering from depression (Gucciardi et al, 2003). This paper will explore and address eating disorders through past research papers and as well to propose a possible experiment that may be used to further uncover the underlying causes for eating disorders. In the article “Observations on Human Behaviour in Experimental Semistarvation and Rehabilitation” by Joseph C. Franklin, Burtrum C. Schiele, Josef Brozek, and Ancel Keys, explains and explores the affects of low calorie diets. Furthermore, Franklin et. al explains how soldiers were affected by starvation, throughout the World War as the experiment altered the diet of thirty-six young men. The men went from consuming 3,492 calories per day for 6 months to consuming 1,570 calories. The yielded results showed the effects of consuming a low calorie diet,...
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...with partial gross movement of his upper arms. P.R. is able to move his shoulders to slightly lift his arms, but has no movements in his legs or the trunk. P.R. requires total assistance for all activities of daily living, and is incontinent of both bowel and bladder function. He speaks primarily Spanish and cannot communicate in English. He is verbally abusive and becomes combative with care givers. He does not have family support in America and is having difficulty adapting to American foods. P.R. has stage III ulcers on each of his buttocks, with various bruises on his lower forearms from trying to attack the faculty personnel. Both feet are starting to turn downward, indicating plantar flexion contractures. The purpose of this paper is to demonstrate the issues that are involved in nursing care, based on Maslow’s hierarchy of needs. This includes physiological, psychological, safety, and social concerns. An example of a complete nursing care plan will be provided for each category of needs identified in P.R’s case study. Patient Care Issues General Spinal cord injuries to an individual present with multiple areas of concerns to nursing care providers. Physiological issues are first addressed when the patient arrives in the emergency room to stabilize the patient according to the airway, breathing, and circulation. Then, spinal cord injury will lead to loss of motor function, urinary/bowel incontinence, sexual dysfunction, trouble breathing, and difficulty sitting...
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...Running head: HEALTH PROMOTION Health Promotion Grand Canyon University Family-Centered Health Promotion NRS 429v Melanie Escobar, RN MSN March 17, 2012 Health Promotion In today’s society people have taken for granted that they are healthy. Then when something changes in regards to their health they are generally stunned. People, in general, do not see how their health affects every facet of their lives. This paper will define health promotion and its purpose. It will further discuss what our roles as nurses are in the grand scheme of health promotion. Health promotion is further broken down into three levels: primary, secondary, and tertiary prevention, all which benefit the individual. Health Promotion There are various definitions of health promotion, but the U.S. Public Health Service states that health promotion is “the process of advocating health in order to enhance the probability that personal, private, and public support of positive health practices will become a societal norm” (Edelman & Mandle, 2009). For health promotion to be a successful process people must take control over all aspects in relation to their health and their lives. No longer can they blame someone or something when their health declines. People must be held accountable for their life decisions in relation to their health. Purpose of Health Promotion The purpose of health promotion is to not only educate people in regards to their health, but also enlighten them to gain control...
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...Malnutrition among the Elderly Nursing 408 Malnutrition among the Elderly Introduction According to research published in the May issue of the Annals of Epidemiology, in a nation where people die from complications of too much food, some die from having too little (Lee & Berthelot, 2010). Although malnutrition is often thought of as a killer in the developing world, it's also a problem for the elderly in the United States. In this paper, I will discuss multiple concepts related to malnutrition among the elderly, and how this topic relates to epidemiology. First, I will define and describe malnutrition among the elderly. Second, I will explore the steps and methods of epidemiology related to my chosen topic of malnutrition among the elderly. Third, I will converse about the epidemiological triangle, and the type of epidemiology used for my chosen topic. Fourth, I will discuss how the characteristics of the elderly population influence vulnerability. Fifth, I will define how cultural considerations may impact health status, and any ethical or legal considerations. Last, I will explain the relationship of the malnutrition to various levels of prevention. Researchers from Louisiana State University examined data from 3,141 counties and older adult malnutrition mortality using Centers for Disease Control and Prevention data. According to CDC data, between 2,000 and 3,000 older adults die from malnutrition each year (Lee & Berthelot, 2010). Trevor Rowe once said, “Unless...
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