Patient’s history Essay Example for Free

Patient’s history Essay Nursing Diagnosis 1: Inadequate nutrition Debbie’s nutrition is not adequate for her age, as well as her weight. Due to frequent nausea/vomiting, emotional distress she lost weight. Her weight is less ( 89 pounds) compared to her usual weight ( 110 pounds). The assessment and management of weight is a major preoccupation in contemporary healthcare. Clinical interventions focus on achieving energy balance deficit and are premised on claims that excess weight/fatness (body mass index (BMI) 25) is a significant direct cause of morbidity and mortality and, correspondingly, that weight loss in fat (overweight or obese) people will reduce risk and/or improve health outcomes. (Aphramor, 2010). Desired Outcome 1 Desired Outcome 2 Nursing Intervention 1 Refer Debbie to nutritionist. Debbie will have more information regarding healthy eating within 2 weeks. She will realize the importance of her diet and metabolism. Debbie realized the importance of healthy nutrition and regimen. She gained weight in 2 months more than 10 pounds. She feels comfortable and happy. Nursing Intervention 2 Pharmacological intervention, education regarding medications. Debbie will control her weight also by controlling her nausea using the prescribed medication for nausea. She will receive information on how to use the medication, frequency, dosage, side effects in 2 days. After one week Debbie has more information regarding her medications, realized that medication helps her to control nausea and takes as ordered. Evaluation method Follow up visit in doctor’s office after discharge within 2 weeks, daily weights. Follow visit- patient weighs 12 pounds more, less nauseous, feels comfortable in her weight. Rationale Patient education, more information regarding nutrition, talking, relaxation techniques, pharmacological. Given instructions regarding future appointments and plans on her treatment, daily weights, weight control. Nursing Diagnosis 2: Educational deficit Debbie needs more information regarding her care. She needs education related to medications, self-catheterization, breast self-examination. Patient education is a central the practice of nursing and should be in part of their domain. The most important part of patient education is to prepare Debbie for independence in her care, increase the confidence and competence for self-management. (Bastable, 2006). Desired Outcome 1 Desired Outcome 2 Nursing Intervention 1 Instructions on how do self breast- examinations and self- catheterization, warning signs/symptoms. Debbie will be able to do breast self-examination herself in one week, will be able to perform intermittent self-catheterization. Two weeks passed. Debbie states how she performs breast self-examination, what she needs to look out for. She states how often she does the examination and demonstrates what positional changes she needs to do. Nursing Intervention 2 Patient education Debbie will know information about her medications, route, dosage, side effects in 2 days. Teach back achieved regarding medications. Debbie states that she was anxious previously as she thought the will not remember all the information given. She is happy as she did everything correct. Evaluation method Asked multiple cross questions, Debbie answers as educated, seems more interested in future education. Debbie made an organizer for her. The organizer contains medication regimen, few special considerations, reminders. Rationale Demonstrated Debbie how to do breast examination, catheterization. Used a kit and plastic body to demonstrate. Used the board to give important information regarding medication. Debbie demonstrates what she does at home to do the catheterization, breast self-examination, questions given, answered properly as was educated. Nursing Diagnosis 3: Emotional distress. Debbie is experiencing emotional distress, anxiety. As stated in case study she is tearful, has great concern regarding her future. Effective  communication among nurse and patient/family can improve care and relieve suffering. The diagnosis and treatment for cancer is a major challenge and it affects all aspects of life. By therapeutic communication, providing information, encouraging optimistic outlook, teaching how to reduce stress patient care will have better outcomes. (Yarbro, Wujchik, Gobel, 2010). Desired Outcome 1 Desired Outcome 2 Nursing Intervention 1 Debbie will get used to controlling her stress by daily walks, relaxation techniques, music, spending time with family in 2 weeks. Debbie states she feels better spending time with family, resting, being in the park, meeting friends when feeling lonely and anxious. Nursing Intervention 2 Debbie will be seen by spiritual care in 2 days. Debbie states that her conversations with spiritual care makes her feel more relaxed, she reads books, has prayers at her bedside. Evaluation method Given instructions on how to manage time and stress with different activities, planning activity and periods of rest. Asked questions regarding Debbie’s days, stress management. Rationale Educational packets, brochures, referrals provided. Multiple written stress tests used to find our patient’s emotional condition. Seems more relaxed and less anxious. References Aphramor, L. (2010, July). Validity of claims made in weight management research: a narrative review of dietetic articles. Nutrition Journal, 9(). Bastable, S. B. (2006). Essentials of Patient Education. : Jones Bartlett Learning. Yarbro, C., Wujchik, D., Gobel, B. (2010). Cancer Nursing: Principles and Practice (7th ed.). : Jones Bartlett Learning.

I Love You From the Bottom of My Brain: The Neurobiology Behind Love :: Biology Essays Research Papers

I Love You From the Bottom of My Brain: The Neurobiology Behind Love You're at a typical weekend party. You spot someone across the room. They look over in your direction. "Wow, they're so beautiful," you think. You want desperately to go over and talk to them, but at the very thought of it, your heart starts racing and your palms begin to sweat. Looking over at them again, you see that amazingly enough they are coming over to you. Even before speaking to them, you feel like you have just fallen in love. Is this feeling really love at first sight? Or is it merely the release of hormones in the brain? What causes the feeling of being in love? How can we know for sure if we really are in love? Love is one of the strongest and most elusive emotions. Nearly every person seeks to experience the feeling of being in love. And once it is achieved, one's life is forever changed. Yet, most people would have extreme difficulty describing what exactly love is, how they know for sure that they are in love, or why love is so universally important. Understanding the neurobiology behind love might help to give us a more clear perspective on social bonding and raises the question of whether love is nothing more than the release of certain chemicals. The hormone oxytocin plays a significant role in many animals' instinct to love and form social bonds. In fact, it has been called jokingly, "the cuddle hormone." (1) Oxytocin is a small protein composed of nine amino acids. It is produced in the hypothalamus and is released by the pituitary gland. (2) Oxytocin is also produced in the ovaries of women and the testes of men. However, the hormone's most well known function is specific to females. (3) First, it plays an integral role in the delivery of a baby. When a woman goes into labor, oxytocin levels increase. This stimulates contraction in the smooth muscle of the uterine walls, thereby facilitating delivery. Secondly, oxytocin plays a role in milk letdown in nursing mothers. Milk is initially released into small sacs, called alveoli, which are surrounded by smooth muscle cells. Oxytocin stimulates contractions of this smooth muscle, causing the milk to be released to the mouth of a nursing baby. (3) Lastly, and most importantly, oxytocin causes the formation of maternal behavior.

Investigation of My Personality According to Five Personality Theories

Psychology is the combined elements of Physiology and Philosophy. It is the discipline concerned with behavior and mental processes. It also covers how they effect the external and internal environment of on organism. There are numerous approaches to discovering a systematic theory of personality in order to answer some of the bothersome questions that have developed in psychology regarding this phenomenon. Personality is believed to be possessed by all people in differing degrees. How people tend to think, feel, and behave and what causes individuals to have these tendencies are questions addressed by personality theory and research. Whereas developmental psychology and social psychology have merged as a subject matter in psychology, personality has never truly found that unity. There has never been a fundamentally acceptable definition as to what personality is. These aspects have not prevented personality from being the subject of psychological research and theory-making. One day I’ve began to consider about my personality detailed while studying Psychology. Then I’ve just realized changes in my character and behavior, but didn’t pay much attention to study each side of my personality deeply. During the investigation of my personality I’ve done some tests to learn about my personality better. My personality according to psychoanalytic theory: When I passes the test questions C. Jung’s analytic theory I have realized that I am related to the â€Å"ESFP† providers. I am not an extraverted person and reserved person and I usually prefer being alone. My personality according to Humanistic theory: The focus of the humanistic perspective is on the self, which translates into â€Å"YOU†, and â€Å"your† perception of â€Å"your† experiences. This veiw argues that I am free to choose my own behavior, rather than reacting to environmental stimuli and reinforcers. My personality according to Behavioral theory: A behavioral theory is relatively easy to develop, as you simply assess both leadership success and the actions of leaders. With a large enough study, you can then correlate statistically significant behaviors with success. According to Social –learning theory: I think People learn through observing others’ behavior, attitudes, and outcomes of those behaviors. Social learning theory explains human behavior in terms of continuous reciprocal interaction between cognitive, behavioral, and environmental influences. According to Trait theory: The trait approach to personality is one of the major theoretical areas in the study of personality. The trait theory suggests that individual personalities are composed broad dispositions. Consider how you would describe the personality of a close friend. Consequently,I would like to say that I believe people are an open book. If you watch what they do and listen to what they say over time, I think they give us a pretty good picture of their personality and attitudes. I know that is a sweeping generality, but I think it holds true in most people†¦

Essay on finance case vanguard international growth

Issues 1. Explain why an individual investor might want to invest in an international growth fund? 2. Describe the risk associated with making an investment in an international growth fund. Identify the risks that would be common to domestic an international funds, and those risk that would be unique to an international fund. 3. Discuss how the fact that foreign companies are not subject to the same accounting, auditing, and financial reporting standards and practices as U.S. companies poses a risk not typically encountered when investigating in the stock of U.S. companies. 4. Consider the allocation of funds assets by region. Speculate as to why the portions of fund assets are distributed in this manner. 5. Consider the country†¦show more content†¦The International Growth Fund annual report that ended in August 31, 2009 showed that 94% of the Funds portfolio was invested in 177 non U.S. stocks and 6% was in temporary cash investments. All values are presented in the tables. Analysis 1. An individual investor may want to invest in an international growth fund because of trying to expand or growth in the foreign market. Another reason would be to diversify and acquire more knowledge about the foreign economy. 2. Some risks that are common between domestic and international funds are: losing money and management risk. Any investment has some type of risk. Losing money is the first risk that every investment has whether it is domestic or international. Management risk is the bad management decisions that a company makes. Some unique risks that only international funding has are: economic risk, country/regional risk, and currency risk. Currency risk is the chance that the value of a foreign investment, measured in U.S. dollars, will decrease because of unfavorable changes in the currency exchange rates. Economic risk is the stability of a country’s economic. Country/regional risk is political, financial troubles, and natural disasters that will affect the value of securities issued by companies in foreign countries or regions. 3. Foreign companies are not subject to the same U.S. Accounting Practices the foreign stock and bond markets operate differently from theShow MoreRelatedClosing Case 13953 Words   |  4 PagesClosing Case: Chapter 13 Bonnie Jordan Managerial Finance Instructor: Kristi Rayford March 11, 2013 The Closing Case in Chapter 13 focuses on options for a 401K for an employee of the East Coast Yacht Company. Several decisions must be made regarding investments, which will be highlighted in this discussion. Equity investments can go into the S amp; P 500 or an index related option. The former has lower fees, and the latter higher ones. Other elements to be discussed include theRead More123456787123 Words   |  29 PagesGoldman Sachs while Toronto Domino Bank shows the least economic mass. 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