Nursing Care Of The Emergency Department With The Primary...

It is important for graduate nurses to be familiar with chest pain management and therapeutic interventions as chest pain can evolve rapidly and require quick responses from nurses and collaborative teams. This essay will critically analyse the nursing care of a patient presenting to the emergency department with the primary compliant of chest pain. In this particular case, the patient’s chest pain is being caused an acute coronary syndrome (ACS) possibly an acute myocardial infarction (AMI) (Kervinen, 2013). Following initial investigations, the priority was to manage pain and lower blood pressure. Severe pain can impact vital signs, therefore vital signs can begin to stabilise with the reduction of pain (ref). Hypertension also needs to be addressed as a priority. Unmanaged hypertension leads to further damage to the myocardium and narrowing of arteries, which increases the risk of adverse complications (refe). The pharmacological interventions carried out in emergency for pain including Glyceryl trinitrate (GTN) and Morphine and stabilising blood pressure with Ramipril are supported by systematic reviews and clinical guidelines including the National Institute for Health and Care Excellence guidelines (NICE). In addition, non-pharmacological interventions to address hypertension included bed rest, provision of comfort and dimming of lights are also supported. Nursing Interventions (critically analyse + may identify others) Chest pain (clinical guidelines + systematicShow MoreRelatedPatient Education Can Be Received Positively Or Negatively?1435 Words   |  6 Pagesnurse’s style of teaching, the patient can still be non-adherence in the treatment process. Often times, in our clinical setting, we are met with patients who will be openly non-adherent and non-compliant and will refuse the nursing education process and chances for improving their health. In an emergency room setting, triage, treatment and patient education can be difficult depending on the patient’s medical status or mental status. Nurses are also met with a variety of intellectual levels. EachRead MoreCopd Exacerbation2973 Words   |  12 Pagesretired male, who presented to the emergency room at Northeast Methodist Hospital initially on February 11, 2011, with complaints of shortness of breath and coughing. He was diagnosed as having a COPD Exacerbation and was placed on antibiotic therapy and was released home. He was also advised at that time to complete the entire course of antibiotics and return to his primary treating physician if his condition did not improve. He reported that he was compliant with is treatment regimen and afterRead MoreEffectiveness Of Discharge Planning For Patients Essay1235 Words   |  5 PagesEvidence-based practice enhances care and the delivery process as well as improving patient outcomes, thus the reason it is recommended when providing discharge planning for patients. Research shows numerous barriers restrict effective discharge teaching. Inadequate comprehension is the leading barrier preventing successful teaching thus increasing patient adverse effects, risks, and poor outcomes according to the article, â€Å"Effective Discharge Communication in the Emergency Department.† Reading level, advancedRead MoreInterdisciplinary Teams2518 Words   |  11 PagesSection One Paper: Interdisciplinary Teams According to Stille and Antonelli (2004), coordination of care is a critical function of pediatric primary care that may be best delivered using a team approach. Coordination of care is a holistic health care approach that is often delivered by a team of practitioners such as a physician, advanced practice nurse, school nurse, social worker, pharmacist, nutritionist, respiratory therapist, and others. Coordination is defined as â€Å"the state of beingRead MoreHospital Acquired Pneumonia Case Study1968 Words   |  8 Pagesto return to the emergency department the following day presenting with signs and symptoms of pneumonia. This paper will discuss her diagnosis, treatment, risk factors, nursing care, socioeconomic influences, and diagnostic testing. Primary Medical Diagnosis Ms. G. was admitted to the hospital with the symptoms of shortness of breath, a low oxygen saturation, tachypnea, tachycardia, anxiety, nausea and vomiting, crackles in both right and left lower lobes of the lungs, pain, a low grade feverRead MoreEvidence Based Nursing Care For A 57 Year Old Gentleman Who Has Been Recently Diagnosed With Acute Coronary Syndrome2805 Words   |  12 Pages The aim of this essay is to discuss and explore the evidence based nursing care for a 57 year old gentleman who has been recently diagnosed with Acute Coronary Syndrome (ACS). A case study will be used in order to explore the pathophysiology, aetiology and how to manage the illness as well as published research in order to increase the nurse’s knowledge of the client and provide the best possible care for him. Throughout this essay, the client along with the family will learn how to manageRead MoreCritical Evaluation Of Critical Analysis Essay2976 Words   |  12 Pagesperspec tive to encourage active participation of the client and their whanau. Pharmacological and non-pharmacological treatments will be assessed appropriately as part of a recovery focused innovation, in providing a ‘seamless’ service for continuity of care. Early Psychosis Prevention and Intervention Centre (2015) suggests psychosis is a word that describes an abnormal affect to the mind, which is not a diagnosis but a term used to describe symptoms that are a group of conditions, such as delusions andRead MoreCase Study Essay33967 Words   |  136 PagesPART ONE Medical-Surgical Cases 1 1 Cardiovascular Cardiovascular Disorders Case Study 1 Heart Failure Difficulty: Beginning Setting: Emergency department, hospital Index Words: heart failure (HF), cardiomyopathy, volume overload, quality of life X Scenario M.G., a â€Å"frequent flier,† is admitted to the emergency department (ED) with a diagnosis of heart failure (HF). She was discharged from the hospital 10 days ago and comes in today stating, â€Å"I just had to come to the hospital today because IRead MoreInternational Classification of Diseases Coding Ii10064 Words   |  41 Pagesto discharge, it should not be coded. a.True b.False 2. If pain does not resolve within one month, it is considered chronic. a.True b.False 3. Codes from category G89, Pain, not elsewhere classified, may be used as the principal or first-listed code when pain control or pain management is the reason for the admission/encounter. a.True b.False 4. Complete the following statement: Postoperative pain immediately after surgery should be coded: A. Only when documentedRead MoreHeart Failure Essay6843 Words   |  28 PagesHeart Failure Christy Harding Western Governors University C155- Pathopharmacological Foundations for Advance Nursing Practice Heart failure affects nearly 6 million Americans. It is the leading cause of hospitalization in people older than 65. Roughly 550,000 people are diagnosed with heart failure each year (Emory Healthcare, 2014). Heart failure is a pathologic state where the heart cannot pump enough blood to meet the demand of the body’s metabolic needs or when the ventricle’s ability

Overview The Adventures of Huckleberry Finn by Mark Twain

The Adventures of Huckleberry Finn has been viewed as one of the best novels ever written. Matt Berman, a book review writer says â€Å"many consider The Adventures of Huckleberry Finn to be one of the great -- if not the greatest -- American novel. The meaning of the story is a controversial topic with many different opinions. Some say it is merely Twain’s way of showing his views upon slavery. Though parts of the story may be linked to that idea, the story alludes itself to the Old Testament story of Moses and Egypt. Throughout history the Bible has proven itself to be a key document, and relevant in many parts of life whether one realizes it or not. The Bible was a religious book that told stories about how the world came to be, Jesus†¦show more content†¦Huck was constantly worried about what his father would do next until one day he decided he should escape his fathers constant abuse. At the time Huck was being locked in a house with no windows or ways out so th e plan would rely on a lot of luck. Huck Finn used a saw to cut out of the house a little bit at a time until a hole big enough for him to escape from was created. After his initial escape was the moment when luck became especially critical: he had to fake his death and fool everyone while he escaped down the Mississippi river. He did this by cutting up a hog and leaving its remains in his house and in the river to make it look like he was killed by a wild animal. Similar to how Moses’ wicker basket was stationary in the reeds of the Nile river after his mother left him, Huck was forced to hide for many days on Jackson’s island down the river before he encountered a new companion. In Huck’s case, his new ally was Jim. Jim was an escapee slave who had recently run away. After a few days of staying together Huck returns to St. Petersburg only to find out that a search party was created in order to find his new friend Jim. Huck returned as quickly as he could to go warn Jim. They both knew that the search party would find them if they stayed put so they built a raft and went down the Mississippi. This started the great journey of Huckleberry Finn. Similar to how rivers play, an important role in each of the stories, inShow MoreRelatedWhy Should Huck Finn Be Banned? Essay1485 Words   |  6 PagesWhy Should Huck Finn Be Banned? The Adventures of Huckleberry Finn, a novel by Mark Twain, has been controversial since it hit the shelves on its release. The novel had ideals of racism, slavery, tricks, and societal wake up calls that was a smack in the face to readers. This novel has been fought now and again to be censored, or to be banned altogether from public high school reading lists. Huck Finn is a novel in which the reader doesn’t have to look very far below the surface to see the messageRead MoreThe Adventures Of Huckleberry Finn By Mark Twain1164 Words   |  5 Pages2016 Research Paper In The Adventures of Huckleberry Finn, Mark Twain writes about the events in Huckleberry Finn’s life and the people around him. Huckleberry Finn tells the tale of life in the nineteenth century through the eyes of a 14-year-old boy struggling to find his place in this society. Throughout the story Huck deals with several moral issues; such as slavery, his distrust of society, and social order. In this essay I will discuss moral issues that Huck Finn faces in the story. The storyRead MoreEssay on A Brief Biography of Mark Twain1322 Words   |  6 Pagesfrom living life and experiencing the hustle and bustle of a river town. Clemens later went on to become a riverboat pilot perpetuated by displaying his yearning for travel. While on the river Samuel’s pen name became the name we all know today, Mark Twain. A term that riverboat engineers used to describe the depth of the waters the boat traveled. Twain’s humoristic writing style was influenced by his days as an editor of a local newspaper. A news paper that was saturated with jokes and tall talesRead MoreViews of American Culture in The Adventures of Huckleberry Finn1899 Words   |  8 PagesThe Adventures of Huckleberry Finn, written in 1885, is a literary satire written by Mark Twain. The setting of the novel takes place prior to the Civil War along the Mississippi River. This novel presents moral and ethical problems that southern culture placed on individuals during the tim e period it was written. Twain wrote his Realist period novel to criticize what he believed was wrong with the society of his time. Twain presented his novel through the eyes and speech of the twelve year-oldRead MoreThemes Of Huckleberry Finn3483 Words   |  14 Pagesbriefly show arguments, and conclusions within the writings of Mark Twain’s story Huckleberry Finn. I will discuss the various themes that Mark Twain is bringing to light within his story. This paper will show how Mark Twain uses those themes within the story, and how they are specifically used. I will also briefly discuss the life of Samuel Clemons, the author known as Mark Twain, and give the reasoning behind choosing the name of Mark Twain when writing his novels. Themes of escapism will be discussedRead MoreThe Adventures Of Huckleberry Finn787 Words   |  4 Pagescriticize the novel, The Adventures of Huckleberry Finn through Mormonism. To Amare and Manning, Twain’s fascination of Mormonism and the character’s literary meanings. Furthermore, they claim of Twain’s use of his use of politician names in the stories, which are seen as juxtaposed by Twain in the novel, impact the character Boggs and Governor Liburn Boggs of Independence, Missouri. However, these uses of political names can be portrayed as simply political satire by Twain. Overall, the criticismRead MoreThe Adventures of Huckleberry Finn by Mark Twain Essay1480 Words   |  6 PagesHuck Finn, the protagonist in The Adventures of Huckleberry Finn, comes from the lowest level of society and yet his personality is more pure than anyone else. Huck’s father is the town drunk, and because he avoids his father, Huck is frequently homeless. The difference in background distances Huck from the mainstream society making him skeptical to change, as he is when the Widow Douglas attempts to â€Å"reform† him. Although he was not integrated into society, he has his own moral outlook on life thatR ead MoreHuckleberry Finn2439 Words   |  10 Pages The novel The Adventures of Huckleberry Finn was written by Mark Twain and published on December 10, 1884. This picaresque novel takes place in the mid-1800s in St. Petersburg,  Missouri and various locations along the Mississippi River through Arkansas as the story continues. The main character is young delinquent boy named Huckleberry Finn. He doesn’t have a mother and his father is a drunk who is very rarely involved with Huck’s life. Huck is currently living with Widow Douglas and Miss WatsonRead MoreThe Land vs. The Rive in Huckleberry Finn2339 Words   |  10 Pagesï » ¿ Contrast of the River and the Land in Huck Finn In the novel Adventures of Huckleberry Finn by Mark Twain it is apparent that there are two different types of lives that can be led- the â€Å"sivilized† life on land or the free life along the river. Living on land is a more socially accepted way of life where there are a lot of opportunities, both good and bad. Life on the river is a lot simpler. Huck and Jim find their new lives to be free of conventionalRead MoreEssay about The Adventures of Huckleberry Finn Should NOT Be Banned2973 Words   |  12 Pagesbooks around the world have been banned because they are offensive. One example is Mark Twain’s The Adventures of Huckleberry Finn, a novel about the journey of a thirteen-year-old boy named Huck, who fabricates his own death to run away with an escaped slave named Jim. The two voyage in a raft along the Mississippi River to gain their individual freedom. In addition, Huck gains a new understanding about humanity. Huck Finn has been creating great controversy on both sides of the argument: to ban or to

A Manager’s Performance and Success Free Essays

Knowledge about organisational behaviour has become very important to a manager’s performance and success. Therefore, it is not surprising that writers often claim to have the information that managers need if they are to excel in their jobs. In Search of Excellence is one of the most well known books of this type. We will write a custom essay sample on A Manager’s Performance and Success or any similar topic only for you Order Now In the book, Peters-and Waterman outlined seven principles that they claimed to be excellent management tactics and a â€Å"7-S Framework.† In Search of Excellence is a book dealing with many different principles of economics and what makes big business’ excellent. The first idea that the author discusses is his chart of the 7-S Framework. The graph is very simple but the ideas are fairly complex. In their research, they found that their concepts were too hard to explain and easily forgettable. They made this framework to deal with strategy, structure, style, systems, staff, skills, and shared values. This has 7 S’s and a graphical representation to visualize. This shows the businessman that problems can be managed. For example, anyone assuming that a new manager of a Macdonald†s will perform exactly as the old manager did is ridiculous. The workers must adjust and adapt to the new manager’s way of business. The first principle is a bias for action. This is basically saying â€Å"Stop talking and do something about it.† When Macdonald†s has a rush of customers and their supplies for making food are low, they (usually) don’t say â€Å"You know what, I have no more cheese† or â€Å"Could someone get me some more cheese?† They take action and get the cheese, make it if necessary, and get the problem solved as quickly as possible. The second Principle they deal with is to be close to the customer. This means good service and listening to what the customer has to say. If the producer, Macdonald†s, is not in touch with what the customer wants to eat, then the business will most likely fail. Although it also refers to customer satisfaction; quality food made right and good service, â€Å"Have a nice day and enjoy your meal!† The third basic principle is productivity through people. This deals with the individual as the best means for efficiency improvement rather than capital investment. If Macdonald†s could put everyone in the area of work they most enjoyed (drive-thru, washer,†¦) then they could produce more food and maximize their business. The forth basic principle is hands on, value driven. This is the standard setting and enforcing values in a company. This is keeping the boss in touch with the assembly line worker and projecting the company’s original ideas, instead of an image of some suited businessman who confines himself in an office. The fifth and often obvious principle is to stick to the knitting. The basically says that if a company is in the food business, it should not branch off into the computer business unless they have no where else to expand in the industry they are already in. The sixth basic principle is a simple form, lean staff. This means leaving few people up top to manage a company and keep the form of management simple. The seventh and final basic principle is simultaneous loose-tight properties. This is another value-based principle. This could be described as the ability for a worker of Macdonald†s to do his/her job in his/her own way as they incorporate the company’s values and concepts into their work. These values demonstrate that they don’t just work because they work, but rather because they just make sense. In search of excellence shows that the excellent companies had been based on the basics. The companies had to try to keep things simple. Sometimes, to a big business, it might seem logical that business should be run more complex the larger it is. From research, this is usually not true. Ignoring the seven principles above would be foolish in the business world. How to cite A Manager’s Performance and Success, Essay examples

A Better Person / More To Life free essay sample

I was raised in a middle class family where I once lived a one-dimensional life. I have everything I ever needed and everything I ever wanted. However, the value of appreciation was absent in me. Growing up in a materialistic world, I thought having expensive items would make me a better person. On a wintry December day, I went downstairs and noticed my grandfather packing his luggage with tons of clothes. I asked, â€Å"Where are you going?† He responded, â€Å"I am going to Vietnam. Do you want to come with me?† I swiftly replied, â€Å"No, there is nothing to do there.† â€Å"There are lots of delicious food there and beautiful places,† he answered back. Since I really had nothing to do at home, I decided to go along with him to Vietnam. The plane ride was awfully long. When we arrived in Vietnam, my grandfather and I took a taxi to one of the poorest areas in Vietnam. We will write a custom essay sample on A Better Person / More To Life or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page â€Å"Are we heading in the wrong direction?† I thought to myself. There were no signs of beautiful places or delicious foods. Surprisingly, we were not going in the wrong direction at all. My grandfather then told me that we were going to go donate clothes to the needy. For a minute, I was stunned. Then I began to wonder why every Christmas, my grandfather would pack plenty of shirts, pants, socks, and even shoes for such a short vacation. We stopped at an orphanage called Hy Va »?ng NhA , which translates to Hope House. While distributing these clothes to the orphans, I saw the warm smiles upon their faces and their welcoming arms to accept anything that would be beneficial towards their needs. One girl caught my attention. The sheer joy in her eyes while receiving a dress was mesmerizing. As I helped my grandfather, my perception of being a better person changed. I kept questioning myself, â€Å"Does having expensive stuff truly make me better than all these orphans her e?† After an hour or so of donating clothes, my grandfather and I were treated to a pleasant meal and had the opportunity to get to know some of the orphans. Hearing their stories of how they ended up here was quite poignant. It was time to head off back to our hotel. I knew that I would never forget this remarkable episode of giving to others. Upon arriving home after a few days in Vietnam, I reflected on this significant experience which truly showed me how bad life could be for anyone and that I should be more appreciative of things, such as having a home, food to eat everyday, and loving parents. Thus, I have learned that there is more to life than just material wealth.