Situation: The client is a 50-year-old female teacher who was notified of an abnormal screening mammogram. Diagnosis of infiltrating ductal carcinoma was made following a stereotactic needle biopsy of a 1.5 x 1.5 cm lobulated mass at the 3:00 position in her left breast. The client had a modified radical mastectomy with lymph node dissection. The sentinel lymph node and 11 of 16 lymph nodes were positive for tumor. Estrogen receptors and progesterone receptors were both positive. Further staging work-up was negative for distant metastasis. Her final staging was stage IIB. Her prescribed chemotherapy regimen is 6 cycles of CAF after a single-lumen central line was placed.…
Coming from Margaret Edson's 1999 Pulitzer Prize winning play, Wit recounts the awful story of Professor Vivian Bearing. Vivian, a savage researcher of seventeenth Century English poetry, is diagnosed of having stage 4 metastatic ovarian growth. Dr Harvey Kelekian, Vivian's expert doctor and driving figure around there of medicinal exploration, clarifies that the best treatment alternative she has is a forceful trial chemotherapy at the full measurement.…
The procedures of a civil war surgeon vary, depending on what side you're on (union or the confederacy), or what knowledge you know such as techniques or an unknown discovery. One technique is putting soldiers asleep when doing an amputation. The surgeons would use chloroform though after the amputation the soldiers would remember everything but would not feel a bit of pain. Later in the war the confederates started to run out of chloroform, a new technique would put one or two drops of chloroform into a sponge and inhale it through a funnel or a tube. Another discovery that was not found out at the time was the germ theory. Neither the union or confederacy knew about germs, going from operation to operation not washing their hands and sticking…
E.P. is an 88-year-old Caucasian male. He was admitted on 02/18/13. His code status is full code, and he declines to bring in his advanced directive. He reports that he is 68.5” tall, and his actual weight is 165 pounds. He and his wife are the sources of information, and they are reliable. His blood pressure is 124/62, taken on his right arm in a lying position, his oral temperature is 99.8, his right radial pulse is 74 beats per minute, his respiration rate is 16 breaths per minute and his pulse oximetry reading is 92 on room air. He is allergic to latex, cephalexin and sulfa drugs, with a reaction of hives, and to IV dye, with a reaction of moderate rash. He was admitted for TURB (Trans-Urethral Resection of the Bladder), and left ureteroscopy related to a bladder tumor, and kyphoplasty secondary to compression fractures of the L1 and L3 vertebrae. His significant past medical history includes hypertension, atrial fibrillation, and chronic heart failure. He had a permanent pacemaker placed in 2003, and a history of MRSA over five years ago. E.P.’s fall-risk score is 2; however, he is on fall precautions related to anesthesia recovery, as fall risk is deemed appropriate by clinical judgment. He reports a pain level of 6 out of 10 numeric scale.…
During the Civil War, Women’s lives were significantly affected very largely. Women were treated so terribly that it got to the point where they tried to dress like men and fight in the war. Mainly, the women who did not fight looking like men were nurses. Both Mary Chestnut and Rebecca Adams share magnificent readings looking at the Civil War through women’s eyes.…
"The grandest and greatest reform of all time,” Susan B. Anthony Stated proudly at the Seneca Falls Convention of 1848.The full importance of the revolutionary convention that changed the perceptions of women's history. The book covers 50 years of women's activism, from 1840-1890, focusing on four key figures in that specific period like Lucretia Mott, Elizabeth Cady Stanton, Lucy Stone, and Susan B. Anthony. Just like the title states, McMillen tells the background stories from where they came from and their lives, how they came about to take upon the cause of women's rights, the astonishing advances they made during their life, and the memorable and astonishing moments they performed during their lifetime. To understand the pain women, felt,…
Forty years after Betty Ford’s groundbreaking breast cancer acknowledgments there is a greater public acceptance of the disease and the crusade to eradicate it. Popular fundraisers called “Mugs for the Jugs” and bummer stickers proclaiming, “Save the Tatas” are now commonplace. This light, breezy and somewhat cutesy approach, King writes, ignores the fact that breast cancer remains a serious disease. It is not glib or cute. It is harrowing, scary and deadly.…
His schooling had been minimal at a young age, in large part because of his poor health. In time, his chronic abdominal pains had been diagnosed as urinary stones. James’ father sent him to Philadelphia in the fall of 1812, to receive care from Dr. Philip Syng, later titled “The Father of American Surgery.”…
Known for centuries as the "dread disease", Breast Cancer, a formidable opponent of any woman alive today, was even more so in the nineteenth century. Women who were diagnose with the disease had very little chance of survival and were all too often subjected to excruciating and brutal breast augmentation surgeries, even when much of the time they were already terminal and the surgery made no difference at all. Robert Shadle and James S. Olson's story about our ill fated heroin Nabby Smith recants a particularly horrifying fight with this villain of a disease at a time when medical knowledge was limited, and Breast Cancer posed an imminent threat to the lives of otherwise healthy middle aged women.…
Prevailing attitudes in the late nineteenth century in America were that women were frail, feeble-minded, and prone to hysteria unless carefully managed by men. A key passage in the story that illustrates this is when the narrator says “If a physician of high standing, and one’s own husband, assures friends and relatives that there is really nothing the matter with one but temporary nervous depression-a slight hysterical tendency-what is one to do?” (Gilman 792). In Gilman’s story, the narrator’s husband John is not only her spouse but a respected physician. This dual status gives John a weight of seeming wisdom that creates an unhealthy atmosphere for the narrator. She says that “It is so hard to talk with John about my case, because he is so wise, and because he loves me so” (797). First she is taken out of her usual habitat as they live in a rented house for the summer, and then she is separated from her family and friends.…
Women’s rights were important to them because they want to have freedom like men’s do. They just don’t want to stay home and take care of their family. They wants to works, rights to vote, gain education and etc. That’s why women’s rights were important to them lot.…
American women from the late 19th Century through the 1970’s fought through discrimination, racism, and sexism. Women struggled to be acknowledged and given the same rights as men. Slowly, through out each century, women’s political, social and legal issues improved, but with challenges. In this essay, I will discuss some of the significant changes that women overcame.…
During the two decades from 1920 to 1940, the number of American women working outside the home increased slightly. In 1920, women made up 23.6 percent of the labor force; by 1940, this percentage had risen to 25.4. Some advances were made in working women's rights, but during the Great Depression, many female workers lost their jobs or were forced to accept severe cuts in pay. Despite the economic difficulties of the period, some outstanding businesswomen achieved great commercial success. In the 1930s, despite the fact that women were a big part of the society, they were not treated equally in the workplace compared to their male counterparts.…
“Cancer is the leading cause of death worldwide and afflicts two of every three families.” (Zelman, M., Holdaway, P., Tompary, E., Raymond, J. & Mulvihill, M.L., 2010). Breast cancer is the most frequent diagnosed cancer in women. More than one million cases occur worldwide annually (Zelman, M., Holdaway, P., Tompary, E., Raymond, J. & Mulvihill, M.L., 2010). When it comes to breast cancer there are many areas that you should look at to understand, and be aware of. The areas are to know the cause and risk factors, prevention and detection, the effects on your health, and lastly your treatment options. We will cover each of these areas throughout this essay.…
The group should select and assign the conditions they are to work with, a meeting before the actual day of the experiment. Each one should take note of his/her weight because the amount of fluid to be consumed should be equivalent to 1% of the weight. For example, if the weight of the subject is 40 kgs- 1% of 40 kgs is 0.4 kg of fluid or 0.4 liter of fluid since 1 kg is equal to 1 liter.…