...NUR 180 February 24, 2009 Case Study on Client with Breast Lesions 1. (a) Was it painful and tender? (b) When was your last Mammogram? (c) Have you being doing your BSE regularly? (b) Are you taking any hormonal replacements or antidepressants? (c) Did you notice any changes in the breast symmetry, skin temperature and color changes? 2. Yes, it is very important that you go see your Doctor for an evaluation. Secondly, it has taken two years since your last mammography. This should be the best time to have it done again either for screening or diagnostic. 3. (a) Explore the client feelings for a frozen section and possible mastectomy by encouraging her to express her feelings about her illness and determine her level of knowledge. (b) Evaluate the client and family coping ability (c) Provide a clear explanation of the procedure and her post operative care such as the placement of tube to collect the drainage from the incision and that her arm on the affected side will be elevated. In addition to the above, she would have to begin arm exercises shortly after sugery. Nurse to demonstrate the exercise and have client repeat the exercise. (d) If the client seems able to absorb the above information, provide other information such as the types of beast prostheses available. (e) Take measurement on both sides of the breast to obtain baseline data (f) Explain to the client that if she is going to have a radical mastectomy, the skin on the anterior surface...
Words: 864 - Pages: 4
...Betty Ford as First Lady: A Woman for Women Author(s): LEESA E. TOBIN Source: Presidential Studies Quarterly, Vol. 20, No. 4, Modern First Ladies White House Organization (FALL 1990), pp. 761-767 Published by: Wiley on behalf of the Center for the Study of the Presidency and Congress Stable URL: http://www.jstor.org/stable/20700159 . Accessed: 05/04/2014 08:14 Your use of the JSTOR archive indicates your acceptance of the Terms & Conditions of Use, available at . http://www.jstor.org/page/info/about/policies/terms.jsp . JSTOR is a not-for-profit service that helps scholars, researchers, and students discover, use, and build upon a wide range of content in a trusted digital archive. We use information technology and tools to increase productivity and facilitate new forms of scholarship. For more information about JSTOR, please contact support@jstor.org. . Wiley and Center for the Study of the Presidency and Congress are collaborating with JSTOR to digitize, preserve and extend access to Presidential Studies Quarterly. http://www.jstor.org This content downloaded from 163.238.9.21 on Sat, 5 Apr 2014 08:14:55 AM All use subject to JSTOR Terms and ConditionsBetty Ford as First Lady: A Woman for Women LEESA E. TOBIN Archivist Gerald R. Ford Library On April 4, 1954, the women's page of The Washington Post carried a fea ture story on Mrs. Gerald R. Ford, a young congressman's wife with a penchant for "quiet" suits and "slightly more talkative" hats...
Words: 4067 - Pages: 17
...those papers, I suspect; that some people will react to by thinking: "I wish I had written that!" Further, I can see others I know well in the field as fitting'the description of the tempered radical, at least in some circumstances and at different times. The reviewers, while suggesting changes, as reviewers do, were also very taken with the paper. It is intellectually interesting, and evocative. It provides us with a perspective on organizational issues that is typically glossed. It opens an arena for organizational analysis that is missed in r most theoretical frameworks. Tempered radicals, Meyerson and Scully argue, are individuals who identify with and are committed to their organizations and also to a cause, community or ideology that is fundamentally different from, and possibly at odds with, the dominant culture of their organization. Their radicalism stimulates them to challenge the status quo. Their temperedness reflects the way they have been toughened by challenges, angered by what they see as injustices or ineffectiveness, and inclined to seek moderation in their interactions with members closer to the centre of organizational values and orientations. The paper is a scholarly treatment of a complex concept. It is radical in its charge to us to see new possibilities in the study of organization. It is tempered, even hopeful, in its prescriptions for harnessing participants who are often on the margins of organizational life and who have much to offer to enrich and sustain...
Words: 30873 - Pages: 124
...II. After Effects of Abortion A. Physical B. Psychological III. Prevention to reduce abortion A. Good Policies B. Good Politics IV. Conclusion V. Bibliography Sinag 1 Sinag 1 The Impact of Abortion to the Physical and Psychological Behavior of a Woman Introduction Many women, not only in the Philippines aborting their pregnancy because of economical or financial factor. In this study the researchers aiming to give information what is the physical and psychological behavior implication of aborting pregnancy. What is the process of abortion and reasons why a women needs to abort their pregnancy. In this study, the researcher also sited some prevention to avoid women pregnancy abortion, especially in the Philippines. Abortion is the ending of pregnancy by the removal or forcing out from the womb of a fetus or embryo before it is able to survive on its own. An abortion can occur spontaneously, in which case it is often called a miscarriage. It can also be purposely caused in which case it is known as an induced abortion. The term abortion most commonly refers to the induced abortion of a human pregnancy. The similar procedure after the fetus may be able to survive on its own is medically known as a "late termination of...
Words: 7096 - Pages: 29
...| MALE REPRODUCTIVE SYSTEM | | | | 10/24/2014 | Contents Vasectomy 3 BPH – Benign Prostatic Hyperplasia 4 ED – Erectile Dysfunction 6 Andropause 7 Gynecomastia 8 PSA Testing 9 Peyronie’s Disease 10 Diphallia 12 Cryptorchidism 13 Orchiopexy 14 Prostate Cancer 15 STD’s 17 a) Chlamydia 17 b) Gonorrhea 18 c) Syphilis 19 d) Herpes Genitalis 20 Paternity Test 21 Viagra (sildenafil) 22 Circumcision 23 Vasectomy * A vasectomy is the surgical procedure performed on men in which the vas deferens (the tubes that carry the sperm from the testicles to the seminal vesicles) are cut, ties or cauterized. * The semen no longer contains sperm after the tubes are cut, so conception cannot occur. The testicles continue to produce sperm, but they die and are absorbed by the body. * There are 4 types of vasectomies: * Traditional vasectomy – the doctor will make an incision on the scrotum, allowing access to the vas deferens, which will then be cut. * No-scalpel vasectomy – the doctor cut the vas deferens via a small hole on the scrotum. * Clip vasectomy – small clamps are used to block the vas deferens instead of severing it. * Laser vasectomy – the vase deferens are cut and cauterized with a surgical laser * The vasectomy procedure prevents the release of sperm when a man ejaculates. The man will still produce semen, but will be sperm free. * Vasectomies may be reversed, however...
Words: 4252 - Pages: 18
...S COLOPLAST A/S — ORGANIZATIONAL CHALLENGES IN OFFSHORING w 9B08M031 Ivey Management Services prohibits any form of reproduction, storage or transmittal without its written permission. Reproduction of this material is not covered under authorization by any reproduction rights organization. To order copies or request permission to reproduce materials, contact Ivey Publishing, Ivey Management Services, c/o Richard Ivey School of Business, The University of Western Ontario, London, Ontario, Canada, N6A 3K7; phone (519) 661-3208; fax (519) 661-3882; e-mail cases@ivey.uwo.ca. Copyright © 2008, Ivey Management Services Educational material supplied by The Case Centre Copyright encoded A76HM-JUJ9K-PJMN9I Order reference F240103 Version: (A) 2008-06-24 INTRODUCTION Director Allan Rasmussen took a good deal of pride in the achievements of Coloplast A/S1 (Coloplast) in Tatabánya, Hungary. In consecutive quarters in 2004, the plant had outperformed the company’s longer established Danish production units in quality levels (see Exhibit 1). Rasmussen had been the Tatabánya plant’s manager, its first, since 2001. Just three and a half years later, he was responsible for the daily management of a plant with a head count of 550 and production valued at 1.5 billion Danish kroner (DKK). In 2005, he resumed his position as director of Coloplast’s Danish subsidiary and returned to Denmark. With the Hungarian operation, Coloplast had learned important lessons in designing and implementing...
Words: 6632 - Pages: 27
...4 TH EDITION Managing and Using Information Systems A Strategic Approach KERI E. PEARLSON KP Partners CAROL S. SAUNDERS University of Central Florida JOHN WILEY & SONS, INC. To Yale & Hana To Rusty, Russell &Kristin VICE PRESIDENT & EXECUTIVE PUBLISHER EXECUTIVE EDITOR EDITORIAL ASSISTANT MARKETING MANAGER DESIGN DIRECTOR SENIOR DESIGNER SENIOR PRODUCTION EDITOR SENIOR MEDIA EDITOR PRODUCTION MANAGEMENT SERVICES This book is printed on acid-free paper. Don Fowley Beth Lang Golub Lyle Curry Carly DeCandia Harry Nolan Kevin Murphy Patricia McFadden Lauren Sapira Pine Tree Composition Copyright 2010 John Wiley & Sons, Inc. All rights reserved. No part of this publication may be reproduced, stored in a retrieval system or transmitted in any form or by any means, electronic, mechanical, photocopying, recording, scanning or otherwise, except as permitted under Sections 107 or 108 of the 1976 United States Copyright Act, without either the prior written permission of the Publisher, or authorization through payment of the appropriate per-copy fee to the Copyright Clearance Center, Inc. 222 Rosewood Drive, Danvers, MA 01923, website www.copyright.com. Requests to the Publisher for permission should be addressed to the Permissions Department, John Wiley & Sons, Inc., 111 River Street, Hoboken, NJ 07030-5774, (201) 748-6011, fax (201) 748-6008, website www.wiley.com/go/permissions. To order books or for customer service please, call 1-800-CALL WILEY (225-5945)...
Words: 175164 - Pages: 701
...4 TH EDITION Managing and Using Information Systems A Strategic Approach KERI E. PEARLSON KP Partners CAROL S. SAUNDERS University of Central Florida JOHN WILEY & SONS, INC. To Yale & Hana To Rusty, Russell &Kristin VICE PRESIDENT & EXECUTIVE PUBLISHER EXECUTIVE EDITOR EDITORIAL ASSISTANT MARKETING MANAGER DESIGN DIRECTOR SENIOR DESIGNER SENIOR PRODUCTION EDITOR SENIOR MEDIA EDITOR PRODUCTION MANAGEMENT SERVICES This book is printed on acid-free paper. Don Fowley Beth Lang Golub Lyle Curry Carly DeCandia Harry Nolan Kevin Murphy Patricia McFadden Lauren Sapira Pine Tree Composition Copyright 2010 John Wiley & Sons, Inc. All rights reserved. No part of this publication may be reproduced, stored in a retrieval system or transmitted in any form or by any means, electronic, mechanical, photocopying, recording, scanning or otherwise, except as permitted under Sections 107 or 108 of the 1976 United States Copyright Act, without either the prior written permission of the Publisher, or authorization through payment of the appropriate per-copy fee to the Copyright Clearance Center, Inc. 222 Rosewood Drive, Danvers, MA 01923, website www.copyright.com. Requests to the Publisher for permission should be addressed to the Permissions Department, John Wiley & Sons, Inc., 111 River Street, Hoboken, NJ 07030-5774, (201) 748-6011, fax (201) 748-6008, website www.wiley.com/go/permissions. To order books or for customer service please, call 1-800-CALL WILEY (225-5945)...
Words: 175164 - Pages: 701
...4 TH EDITION Managing and Using Information Systems A Strategic Approach KERI E. PEARLSON KP Partners CAROL S. SAUNDERS University of Central Florida JOHN WILEY & SONS, INC. To Yale & Hana To Rusty, Russell &Kristin VICE PRESIDENT & EXECUTIVE PUBLISHER EXECUTIVE EDITOR EDITORIAL ASSISTANT MARKETING MANAGER DESIGN DIRECTOR SENIOR DESIGNER SENIOR PRODUCTION EDITOR SENIOR MEDIA EDITOR PRODUCTION MANAGEMENT SERVICES Don Fowley Beth Lang Golub Lyle Curry Carly DeCandia Harry Nolan Kevin Murphy Patricia McFadden Lauren Sapira Pine Tree Composition This book is printed on acid-free paper. Copyright 2010 John Wiley & Sons, Inc. All rights reserved. No part of this publication may be reproduced, stored in a retrieval system or transmitted in any form or by any means, electronic, mechanical, photocopying, recording, scanning or otherwise, except as permitted under Sections 107 or 108 of the 1976 United States Copyright Act, without either the prior written permission of the Publisher, or authorization through payment of the appropriate per-copy fee to the Copyright Clearance Center, Inc. 222 Rosewood Drive, Danvers, MA 01923, website www.copyright.com. Requests to the Publisher for permission should be addressed to the Permissions Department, John Wiley & Sons, Inc., 111 River Street, Hoboken, NJ 07030-5774, (201) 748-6011, fax (201) 748-6008, website www.wiley.com/go/permissions. To order books or for customer service please...
Words: 175167 - Pages: 701
...Acquisitions Editor: Crystal Taylor Product Managers: Kelley A. Squazzo & Catherine A. Noonan Designer: Doug Smock Compositor: SPi Technologies First Edition © 2011 Lippincott Williams & Wilkins, a Wolters Kluwer business. 351 West Camden Street Baltimore, MD 21201 Printed in China All rights reserved. This book is protected by copyright. No part of this book may be reproduced or transmitted in any form or by any means, including as photocopies or scanned-in or other electronic copies, or utilized by any information storage and retrieval system without written permission from the copyright owner, except for brief quotations embodied in critical articles and reviews. Materials appearing in this book prepared by individuals as part of their official duties as U.S. government employees are not covered by the abovementioned copyright. To request permission, please contact Lippincott Williams & Wilkins at Two Commerce Square, 2001 Market street, Philadelphia, PA 19103 USA, via email at permissions@lww.com, or via website at lww.com (products and services). Library of Congress Cataloging-in-Publication Data Lambert, Harold Wayne, 1972– Lippincott’s illustrated Q&A review of anatomy and embryology / H. Wayne Lambert, Lawrence E. Wineski ; with special contributions from Jeffery P. Hogg, Pat Abramson, Bruce Palmer. — 1st ed. p. ; cm. Includes index. ISBN 978-1-60547-315-4 1. Human anatomy—Examinations, questions, etc. I. Wineski, Lawrence E. II. Title. [DNLM: 1. Anatomy—Examination Questions...
Words: 201595 - Pages: 807
...Practice Examination One Part One You will have two hours and 30 minutes to complete Part One. 1. The nurse is instructing an unlicensed assistant on how to collect a urine specimen from an indwelling catheter. Which of the following statements indicates that the assistant understands the instructions? A. "I will empty the catheter drainage bag, have the client drink some water, and an hour later collect the urine that drains into the bag. " B. "I will get a sterile syringe and remove urine from the catheter through the collection port to place in the specimen container. " C. "I should collect urine from the catheter drainage bag at the end of the shift and place it in the specimen container. " D. "I will disconnect the drainage tube from the catheter and let urine run from the catheter into the specimen container. " 2. Linda is a 19-year-old primipara who delivered a viable male neonate 2 hours ago. She has decided to breast-feed. Her 22-year-old husband supports her decision. She tells the nurse, "My mother breast-fed all of her children, but I'm going to need lots of help with breastfeeding. I'm worried that I won't be able to do this. " Which of the following should the nurse include when assessing the client? A. Determine the client's level of motivation to breast-feed. B. Perform a complete physical examination to determine her need for help. C. Assess her body-to-fat ratio and nutritional status before beginning...
Words: 27260 - Pages: 110
...SITUATION : Arthur, A registered nurse, witnessed an old woman hit by a motorcycle while crossing a train railway. The old woman fell at the railway. Arthur rushed at the scene. 1. As a registered nurse, Arthur knew that the first thing that he will do at the scene is A. Stay with the person, Encourage her to remain still and Immobilize the leg while While waiting for the ambulance. B. Leave the person for a few moments to call for help. C. Reduce the fracture manually. D. Move the person to a safer place. 2. Arthur suspects a hip fracture when he noticed that the old woman’s leg is A. Lengthened, Abducted and Internally Rotated. B. Shortened, Abducted and Externally Rotated. C. Shortened, Adducted and Internally Rotated. D. Shortened, Adducted and Externally Rotated. 3. The old woman complains of pain. John noticed that the knee is reddened, warm to touch and swollen. John interprets that this signs and symptoms are likely related to A. Infection B. Thrombophlebitis C. Inflammation D. Degenerative disease 4. The old woman told John that she has osteoporosis; Arthur knew that all of the following factors would contribute to osteoporosis except A. Hypothyroidism B. End stage renal disease C. Cushing’s Disease D. Taking Furosemide and Phenytoin. 5. Martha, The old woman was now Immobilized and brought to the emergency room. The X-ray shows a fractured femur and pelvis. The ER Nurse would carefully monitor Martha for which of the following...
Words: 53501 - Pages: 215
...FRONTLINE JANUA RY 1 3, 2 012 WWW.FRONTLINE.IN INDIA’S NATIONAL MAGAZINE RS.25 WORLD AFFAIRS IRAQ FOOD SECURITY PDS CLIMATE CHANGE DURBAN Exit America 49 What people say 96 Uncertain stand 114 Remembering TAGORE On his 150th birth anniversary VOLUME 28 NUMBER 27 TH E STAT E S Fiery trap in Kolkata 41 SC IE NCE Higgs signal? 44 WOR L D A F F A I R S Iraq: Exit America War crimes in the trash Russia: December Revolution Pakistan: Volatile state India & China: Troubled equations DECEMBER 31, 2011 - JANUARY 13, 2012 C O V ER S T O RY 49 52 ISSN 0970-1710 Timeless Tagore As an activist, thinker, poet and rural reconstructionist, Rabindranath Tagore continues to be relevant. A tribute on the 150th anniversary of his birth. 4 WWW.FRONTLINE.IN Jayati Ghosh: Mess in eurozone R.K. Raghavan: A lost battle? 108 118 BOOKS LE TTE R S 73 127 54 57 61 TR AVE L Jungles of Borneo 64 AR T Achuthan Kudallur’s journey 85 H ISTOR Y Of Quit India, Nehru & Communist split 89 FOOD SEC UR I T Y Understanding the PDS Kerala: Power of literacy Bihar: Coupon fiasco Jharkhand: Strong revival Chhattisgarh: Loud no to cash E CONOM Y Losing momentum Interview: C. Rangarajan, Chairman, PMEAC CL IM A TE C H A N G E Uncertain stand in Durban CONTR OV E R S Y Mullaperiyar dispute: Deep distrust Fallout of fear OBITU A R Y Humble genius: Mario Miranda Korea’s...
Words: 77117 - Pages: 309
...Language Programs Division had published a book of American essays for foreign students – especially students at the advanced level. Having to respond in the negative, I was, nonetheless, “intrigued” by the idea of a collection of essays that would form a source of stimulating ideas or thoughts that could be thoroughly examined in the EFL classroom, discussed and debated in free conversation, and perhaps, ultimately, lead to a significant growth in the exchange of information between cultures – via the printed page. From this rationale, then, there issues an explanation for the title, Mind Speaks to Mind, which itself is an “exchange of information” between the editor and Edward Hoagland in his essay, “On Essays”! And, readers are encouraged to study this essay first as a type of guideline concerning the nature/purpose of the essay. It is found on page 26. For ease of reference, the essays are presented in alphabetical order according to the last name of the author. This does not mean, however, that teachers should adhere strictly to this order of presentation. Given the varied scope and subject matter of the essays, teachers should feel free to establish their own order of presentation within the classroom in accord with the needs and interests of their students. The reader who enjoys pursuing ideas into the realm of...
Words: 42425 - Pages: 170
...___________________________ LIVING HISTORY Hillary Rodham Clinton Simon & Schuster New York • London • Toronto • Sydney • Singapore To my parents, my husband, my daughter and all the good souls around the world whose inspiration, prayers, support and love blessed my heart and sustained me in the years of living history. AUTHOR’S NOTE In 1959, I wrote my autobiography for an assignment in sixth grade. In twenty-nine pages, most half-filled with earnest scrawl, I described my parents, brothers, pets, house, hobbies, school, sports and plans for the future. Forty-two years later, I began writing another memoir, this one about the eight years I spent in the White House living history with Bill Clinton. I quickly realized that I couldn’t explain my life as First Lady without going back to the beginning―how I became the woman I was that first day I walked into the White House on January 20, 1993, to take on a new role and experiences that would test and transform me in unexpected ways. By the time I crossed the threshold of the White House, I had been shaped by my family upbringing, education, religious faith and all that I had learned before―as the daughter of a staunch conservative father and a more liberal mother, a student activist, an advocate for children, a lawyer, Bill’s wife and Chelsea’s mom. For each chapter, there were more ideas I wanted to discuss than space allowed; more people to include than could be named; more places visited than could be described...
Words: 217937 - Pages: 872
