...During his conversation with Horwitz, Holden thinks scientifically about the ducks in the Central Park lagoon. One can infer that Holden is smart after all even though he fails at four subjects at Pencey Prep. When Holden talks about the ducks in Central Park, he is actually saying a metaphor and comparing himself to the ducks. So, when he asks where the ducks would go when the lagoon freezes, since they can not swim, he is actually asking, where he would go if he lived in a place full of phonies and mean people. The answer for Holden is that he would not stay in a school of phonies, which could possibly explain why Holden deliberately failed four of his classes at Pencey Prep even though he is smart and can think scientifically. When Phoebe made Holden reveal what he liked in his life, the first things that came up to his mind were the nuns and James Castle, who was a student at Elkton Hills. This quotation shows something very unique about Holden because it is unusual that he only thinks of people. In addition, it shows that he only values exceptional individuals. But why does Holden only value a few remarkable individuals? Well, Holden only values those who are not phony, wealthy, or famous. This means that Holden knows only three valuable individuals at the top of his head, which are the two nuns and James Castle. Conclusively, the significance of the quotation is that it proves Holden does indeed care about some individuals....
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...Peter Blackwell Chapter 2 Test April 30, 2012 (1) Distinguished between the care provided in a/an: a. Hospital treats the acutely ill whereas a SNF cares for those less acutely ill. b. Level of care required is less in ICF c. RCF residents carry out activities of daily living on their own, whereas ICF residents may need some help. d. Trauma center is equipped to handle more severe injuries. (2) Distinguished between: a. Medicare id for people age 65 and older. Medicaid is for the poor. b. Retrospective is upon or after discharge, concurrent is during hospitalization. (3) Describe the type of care provided by a Primary Care Centers. Basic care by an internist, family practice physician, or pediatrician (4) Name : (a) An ancillary service . X-ray, labs test, physical therapy (b) A primary care physician. Internist, family practice physician , or pediatrician (c) Medical ,surgical, newborn, obstetrics (d) AMA (against medical advice (e) 14 (5) State the term for : a. satellite b. hospice care c. swing beds d. observation beds e. respite care f. intrahospital transfer g. incident report (6) Identify the initials AMA as related to discharge. Against Medical Advice (7) Is the adolescent included in adult or children statistics ? Adult (8) Name a list compiled daily in a hospital ? Admission, transfer, death, discharge (9) Name three indexes maintained in a a hospital. MPI, number, disease, procedure/ operation (10)...
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...Pay Attention or Pay a Lawyer All jobs require alertness and to be constantly on watch while working. One job that requires these qualities more than most jobs would be nursing. Neonatal nursing, specifically, has had more and more cases rise daily revolving around nurses not being alert or focused while working. In general, no matter what the job is there will always be expectations that should be reached and exceeded while working, therefore not being alert can result in serious altercations involving the employee and the company such as the switching or abduction of babies as well as the hospital being sued by an upset or angry family. According to Lori Carangelo, 100,000 to 500,000 babies are switched or stolen at birth while in the care of a neonatal nurse while hospitalized (Carangelo par. 1). This sad truth is something that is occurring daily all over the world for many reasons. The main reason being that the nurses who are working during these altercations are not focused or alert while working, letting strangers into their facility to steal the newborns. Another reason still starts with the nurses not being alert, resulting in the nurses placing the child with the wrong family or in the wrong bed. Although most babies do resemble each other a lot when newly born, this is no excuse for the poor focus seen from many nurses who have been part of any of these unbelievable cases, letting strangers intrude into the facility. We know now that not being alert can be a...
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...According to The March of Dimes Global Report on Birth Defects, every year an estimated 8 million children – 6% of total births worldwide – are born with a serious handicap. Of these 8 million children, at least 3.3 million children younger than 5 years of age die annually because of their handicap condition (CITE). Those children who do end up surviving will most likely be mentally and/or physically disabled for the rest of their life. With at least two handicapped newborns being born everyday, the healthcare industry is constantly faced with decisions regarding what the correct ethical treatment options should be for handicapped newborns. Whether or not treatment regimens should even be administered to handicapped newborns has caused a great deal of controversy in our society, and has ultimately come down to two different options: Should there be a law that makes it illegal to withhold treatment from handicapped newborns? Or should the decision of treatment be up to the parents and/or physicians? Since the number of handicapped newborns being born into the United States is only going to increase, this is definitely an ethical topic that needs to be addressed by both the public and lawmakers. Withholding treatment from handicapped newborns has been an ongoing issue since 1973, when the first phase of this ethical controversy occurred. Dr. Raymond Duff and Dr. Ian Campbell, physicians in the newborn intensive care unit at Yale-New Haven Hospital, decided to let the public...
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...Fountain Valley Regional Hospital and Medical Center ETH/316 April 26, 2013 Fountain Valley Regional Hospital and Medical Center Fountain Valley Regional Hospital and Medical Center was opened in 1971 and is owned by a group of physicians. Over the years the hospital has expanded in many ways. In the 1980s, the hospital opened with four beds in the neonatal intensive care unit and eight beds in the pediatric intensive care unit. According to www.fountainvalleyhospital.com, as of today Fountain Valley Regional Hospital and Medical Center is a 400-bed, acute care facility with comprehensive services spanning from award-winning heart and stroke care, neonatal, and pediatric intensive care, high-risk obstetrical services, bariatric surgery, orthopedics, spine, and neurosurgery. Social Responsibilities Fountain Valley supports the community by sponsoring and participating in community events. According to www.fountainvalleyhospital.com, “As a healthcare facility, we are committed to providing quality care to our communities.” They are also committed to the growth and development of the City of Fountain Valley. As part of an investor-owned hospital system, they pay more than $2.3 million in local taxes that go toward the improvement of local infrastructure, and community programs. Fountain Valley also hosts an annual charity Golf Tournament in conjunction with the Fountain Valley Firefighters Association to help raise money for local charities. Factors that influence Social...
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...support from their family and community to make a successful transition into the adult world.4,5Almost two decades of study indicate that young people with disabilities and chronic health conditions do not have the same outcomes as their peers on such important domains as health status, academic achievement, interpersonal relationships, community participation, and employment. During the transition to adulthood, young people with disabilities are transferred from child- and family-centred systems, such as school and pediatric rehabilitation centres, into adult systems6,8 The importance of adequate preparation for young people with chronic health conditions and disabilities as they move towards adulthood has been identified by a joint consensus statement on healthcare transitions released by three American professional bodies representing pediatricians, family physicians, and internists.2 Whereas earlier consensus statements focused on transition from pediatric to adult healthcare institutions,9 recent publications promote a more holistic set of goals highlighting the need for services to maximize lifelong functioning, not just preparation for a new healthcareenvironment. 2,10 Although the idea of a holistic, functional approach to adult transitions for young people with disabilities is now being advocated, there are few guidelines...
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...Prevention of nosocomial infection of neonates in the NICU Nosocomial bloodstream infections play a big part in infections that affect the very premature low birth weight infants in the Neonatal Intensive Care Units which can cause morbidity and mortality. Numerous attempts have been made to prevent infections and the outcomes have gone both ways with mixed results. The rates have varied from unit to unit and research has been performed to distinguish if the models that are used in each unit have made a difference in the prevention of infection. The population of the NICU is vulnerable and the effects of infection can increase the length of stay and the cost of the hospitalization. Many efforts have been successful but some variances in the rates still exist. Strategies have been attempted to be identified to minimize the risks of nosocomial infection in low-birth-weight infants (Newby, 2008, p. 421). In the NICU population the nosocomial infection rate is the highest in the VLBW (very low birth weight) infants. They are amongst the largest of the groups of infants that require more interventions and support procedures that come along. The smaller, less mature infants are more prone to infection since they have sensitive and immature skin that from any portal of entry, the higher infection rates are almost impossible to overcome. There are several factors to consider such as if the problem exists because of the prematurity of the infant or is it the effect of the environment...
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...10/27/2011 Arnold Palmer Hospital Is First to Receive New FDA-Approved X-ray Imaging Technology New System Dramatically Cuts Radiation Exposure for Young Patients MEDIA CONTACT Geo Morales, APR 321.841.5766 geo.morales@orlandohealth.com | | |Orlando, FL (October 27, 2011) - Arnold Palmer Hospital for Children is the first hospital in the United States to receive innovative | |new x-ray imaging technology that decreases radiation exposure to young patients and produces high-quality images. The system, | |manufactured by Siemens, is called Luminos Agile and received approval from the Food and Drug Administration in June 2011. | |A key feature on the Luminos Agile system is a large flat-panel detector that enables physicians to examine an image that is up to 117 | |percent larger than images generated by older technology. A larger image allows physicians to examine a wider area of the anatomy | |without repositioning the patient - reducing scan times and radiation dose. | |Luminos Agile delivers a package of features designed to increase patient comfort and enhance efficiency in the exam room. It offers the| |flexibility of a table that adjusts height from 25 inches to 44 inches to easily accommodate children and patients with mobility | |challenges. The adjustable table also has a weight capacity of 600 pounds and a 24-inch wide opening to provide easy...
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...Acute Biologic Crisis General Description: This concept in N-302 deal with clients in acute Biologic Crisis. The nurse, utilizing the nursing process, focuses in assisting and giving immediate care and attention to the client to restore life processes to a state of dynamic equilibrium. • Attend to specific needs of patient under ABC • Identify types of data needed for care • Prioritize NCP • Alleviate physiologic stressors specific to patient • Describe and appreciate the role of a critical care nurse The Topics A. Concept of Critical Care Nursing B. Application C. Definition Pre-term Post-term Acute MI Thyroid Storms and Crisis Hepatic Coma ARDS Diabetic Ketoacidosis CVD End Stage Renal Stage The Concept of Critical Care Nursing Delivery of specialized care to critically-ill patients with life-threatening such as major surgery, trauma, infection, and shock as well as prevention of potential life-threatening conditions. The critical care nurse is responsible for ensuring that all critically-ill patients and families receive optimal care. Common Illnesses and Injuries seen in ICU: 1. GSW (Gunshot Wounds) 2. Traumatic Injuries (car collision & falls) 3. CV D/O (heart failure, acute coronary syndrome, unstable angina, MI) 4. Surgeries (abdominal aortic aneurysm repair and endarterectomy) 5. Renal D/O (acute and chronic renal failure) 6. GI and Hepatic D/O (acute pancreatitis, acute UGIB or Upper Gastro Intestinal Bleeding, acute...
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...Procedia - Social and Behavioral Sciences 00 (2011) 000–000 Procedia - Social and Behavioral Sciences 30 (2011) 1416 – 1424 Procedia Social and Behavioral Sciences www.elsevier.com/locate/procedia WCPCG 2011 The relationship between study skills and academic performance of university students Afsaneh Hassanbeigi a, Jafar Askari b, Mina Nakhjavanic, Shima Shirkhodad, Kazem Barzegar e, Mohammad R. Mozayyan f, Hossien Fallahzadehg * 1 b a Mental Hospital, Shahid Sadoughi University of Medical Sciences, Yazd, Iran Department of Psychology, Shahid Sadoughi University of Medical Sciences, Yazd, Iran c Medical Student, Shahid Sadoughi University of Medical Sciences, Yazd, Iran d Medical Student, Shahid Sadoughi University of Medical Sciences, Yazd, Iran e School of Medicine, Shahid Sadoughi University of Medical Sciences, Yazd, Iran f School of Medicine, Shahid Sadoughi University of Medical Sciences, Yazd, Iran g School of Health, Shahid Sadoughi University of Medical Sciences, Yazd, Iran Abstract Objective: The purpose of the present study was to investigate the relationship between various study skills and academic performance of university students. Materials & Methods: A total of 179 male and female junior and senior medical and dental students participated in the present study. The instrument was "Study Skills Assessment Questionnaire" taken from counseling services of Houston University. The content validity of this questionnaire was approved by ten psychologist...
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...Rene Descartes March 24, 2014 Case Study Case: Negligent Sterilization 1. I think I do agree with the court’s decision because Seslar had a very healthy baby. There was no harm done to the baby, the baby doesn’t have any kind of medical conditions. I think Seslar should be a little upset at the fact the she still had a baby even though she had surgery that was suppose to stop her from having children. After reading the case many times, now I get to the point where I don’t know if I agree with the court’s decision. I think it is kind of hard to make a decision because the doctor did not harm or hurt Seslar in any kind of way. I think that she may be emotionally hurt because she is having another child and may not be able to afford the expenses that come with it. But I think after having the surgery and still being able to have a healthy child, if it was me I wouldn’t go so hard on the doctor because even though she conceived a baby and she was not suppose to it’s still healthy. I also feel that she should just be happy with the outcome because the baby is not hurt, and there could have been many things that happen to the child but nothing happen and she should be happy with the outcome. The court can’t offer you money to help you raise a child, that’s her job even though she is not the reason the baby came. 2. I would not agree with the court when it comes to not rewarding money for educating and raising the child. The court doesn’t know if Seslar was mentally ready...
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...Personal Statement What is pediatrics? What do they do? Pediatrics is a study of children’s health. Pediatrics help children get better. They assist kids with all types of sicknesses and diseases. The kids are so adorable. Pediatrics is my passion because it deals with kids, helps kids get better and it involves plenty of money. First of all, pediatrics deals with children. One loves children; children are very cute and adorable. One is great with kids. This is because one understands children. Children are probably the easiest to work with. This is because children are easy to handle and they will listen, also one loves children. This is because kids are beautiful. I babysit my cousins, so I know how to handle children. Since, I know how to deal with kids that makes the job easiest. Secondly, it allows one to help kids get better. One wants to help kids get better because one does not want them to die. One wants children to have an amazing childhood, so that they will have an amazing life. One doesn’t want children to be ill and be in the hospital constantly. Since, it will cause children to be miserable. Many children in Africa die every year due to lack of treatment. As a pediatrician one hopes to save at least one child’s life. Third, the job involves plenty of money. With the money one will make one will help children in need. One will donate money to cancer centers for children in need. One could also help children in Orphanage...
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...been waiting for him to come to the world because there had been no boys in the house, ”just girls”. Manpower was needed at the farm due to heavy work by hand. The rest of the family spoiled the kid and he got a lot of attention. Arvo was an active boy often teasing his sisters. There were several accidents in Ylppös’ family. One fell from a high tree, and another hit himself with an axe. When things like that happened, Arvo remembered how his mother was worried and sad about her children and the atmosphere was spread around in the house. The medical officer, Kalle Pelkonen, was called to help. At that point, Arvo made his decision about his future career. ”To be able to help my mother I made, already as a child, the decision to study pediatrics so that mother would not have to phone Dr Pelkonen for advice all the time”. Through itinerant school to elementary school The quick-witted and imaginative Arvo did not always fulfill the expectations of a nice child. At that time, the conception of how a child should behave was: talk when you are asked to, otherwise do not bother to exaggerate yourself. Because of this, his parents did not dare to send the wild boy to the elementary school in Akaa, which was well-known for its strict teacher. Therefore, Arvo first was sent to an itinerant school in Hämeenkyrö where he was teached the ABC by Ida Maijala. (It has to be said that education for children those years were a big sacrifice for a farmer. His parents, Henriikka and Heikki did...
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...Megan McCracken 1/15/16 Professor McElrath English 202- 8:00am The NICU’s Symbolic Significance Symbols are pictures or objects that have different connotations based upon each specific person. Each person’s past must be acknowledged to determine whether the memory associated with the symbol is one of negative or positive influence. A symbol of great importance to me is the NICU (Neonatal Intensive Care Unit). About 4 years ago, my younger sister was flown to mission to be placed in the NICU after birth. The thought of the NICU brings about an abundance of emotional responses. It was a nerve-wracking experience. The anticipation of knowing my sisters fate was almost unbearable and that time will forever leave a mark in my thoughts. The favorable experiences are not what made it memorable it was being terrified that something may have been wrong with my younger sister that made the everlasting impression. My outlook on the NICU has slowly changed from one of terror to one of passion. Not long ago I decided to pursue a career in nursing and specialize in the NICU. Specializing in NICU will give me the ability to relate with families on a personal basis. Although my thoughts on the NICU have transitioned, I know a close friend whose memories of the NICU will most likely haunt them forever. My close friend, Jenna, gave birth to a baby girl in 2006, and her baby was placed in the NICU hours after she was born. Jenna’s baby was born with a rare heart defect which needed many...
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...For this assignment I decided to look into the question, I autism a kind of brain damage? I chose this topic because it seems like we are hearing so much about autism anymore and it still seems to be a mystery to people as to what causes autism. I often hear of so many things causing autism that I just find so unbelievable, but I have never looked into the fact of maybe some type of brain damage causing autism. I found two source that talks about autism and the causes of autism. The first reliable website that I visited is the Simons Foundation Autism Research Initiative (SFARI) website. SFARI’s main priority is to do research that helps people who are affected by autism. “With a budget of about $60 million per year, SFARI currently supports 175 investigators. Since 2007, this initiative has provided or committed more than $260 million in external research support to more than 250 investigators in the U.S. and abroad.” (Simons Foundations, 2014) In the SFARI article that I read it covered a study they did on low-birth weight babies with white matter injury. They performed ultrasounds on over 1000 babies who weighed 1.1 pounds to 4.4 pounds in the first few days of the babies’ lives. The ultrasounds determined if the infant had any hemorrhages, ventricular enlargements, and lesions in brain tissue or any other brain damage. The ultrasounds were kept and then the subjects were then assessed for autism about 21 years later. The study found that the infants who had any...
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