This essay will engage closely in exploring the case study provided during week one through four. It will deal with various issues such as the difference between type one and type two diabetes, outcomes of poorly managed blood sugar levels, the necessity of pain control during post-operative care for Josie, the implementation of Tanner's model of clinical Judgement and lastly but not the least, a summary of Josie's progress note.…
Through tragedy of Macbeth Shakespeare warns that psychological consequences of committing evil are Guilt, action dwell over the doer, affecting the people around you.…
Historically, people have sought to understand the world around them and how they as people exist within that world. Through the desire for understanding of ourselves and our bodies we as people seek to label and quantify bodily functions, behaviors, and illness. People first tried to explain illness in terms of a Biblical context – good verses evil. Therefore, illness was seen as a punishment for some overt or covert evil within the person. Slowly theological explanations gave way to value judgments on those in lower socioeconomic classes and a choice of unhealthy living (Weitz, 101-102). As scientific progress moved forward two models of illness became more apparent: the medical model and the sociological model. This gave way to understanding…
He is 45-year-old. The boodle sugar is 1500, and this creates the need for the patient to be admitted to Intensive Care Unit. The patient is in an insulin glucose tolerance test per protocol. The goal of the treatment is to reduce the blood sugar at 70-200 per md order. The patient has been oriented three times and is alert. During the assessment, I asked the patient about his knowledge about diabetes. The answer revealed that he does not know how to check his blood sugar properly and interpret the results. In addition, the patient is not informed about diet regimes and still does not know about the consequences of uncontrolled blood sugars. Ineffective health maintenance is related to uncontrolled diabetes and reporting the lack of education about diabetes was evidenced by high blood sugar and knowledge deficient about controlled diabetes (Ozcan & Erol, 2007).…
In "A Quilt of a Country", author Anna Quindlen informs that the United states is a diverse nation, but is still interwoven. Anna is trying to persuade the readers that the US should be united and having diversity or being pluralistic shouldn't affect that. She is persuading and informing politicians so they can know the problem and use their power to help. She is also informing adults and anyone reading her text. This text takes place after the World Trade Center attack that happened on 9/11. She talks about how this conflict and act of terrorism has brought the nation closer even if it is diverse. She wrote the text to inform and persuade everyone to unite and not let diversity get in the…
The overarching effect of guilt on the human mind is interchangeable with the effect of addiction, or more commonly known as remorse. Throughout the play The Tragedy of Macbeth, written by William Shakespeare, the effect of guilt is a persistent aid in both character and plot development. Macbeth undertakes in certain actions that will undoubtedly change himself and his wife Lady Macbeth as characters. Shakespeare's prolific use of imagery as a symbol demonstrates the constant feelings of guilt felt by many, eventually leading to their anxiety and terror, and as a way to exhibit special effects in Shakespeare's time to create atmosphere.…
Guilt is a prominent factor in Macbeth and it is experienced by various characters throughout the progression of the play. It could be said that guilt is corrosive but to what extent is open to interpretation. In relation to Macbeth, it breaks away at his sanity however it doesn't do so to an extent to drive him to commit suicide as it does to Lady Macbeth. Although Macbeth was written at a time before the introduction of Gothic literature, Macbeth has many significant Gothic elements, an instance of this being a blurred distinction between sanity and insanity.…
Problem #1 The client is diagnosed with diabetes type 2. She is insulin dependent, she requires blood glucose monitoring every day. Although, the client is very satisfied with her lifestyle, the therapist realized certain things that should be taken into considerations. She knows how to measure her blood glucose; however, she does not monitor it regularly especially when she goes to work. She does not participate in physical activities as much as she is suppose to. Caring for diabetes will prevent life-threatening complications; therefore, the client needs to be educated on how to properly manage her health and wellness.…
Patient X is a thirty-eight-year-old male with type one late onset diabetes, which is technically called latent autoimmune diabetes in adults (LADA). I chose to interview this person because sadly diabetes is one of the most common incurable diseases of today’s time. I think that the public should know more about this disease and the personal struggles that go along with it. Many new developments have been discovered in the scientific community as it concerns diabetes. “It’s becoming clearer that Type 1 diabetes can occur at any age and sometimes occurs in people who are overweight. In addition, another type of diabetes, called latent autoimmune diabetes in adults, or LADA, that shares some characteristics with both Type 1 and Type 2 diabetes, has been recognized. Muddying the water further is the realization that…
Talking about diabetes in one thing. Talking about diabetes while it waits your doorstep is a whole other story. I live with a high risk of diabetes. Countless members of my family have been diagnosed with this disease and some have passed away because of it. Diabetes runs through both sides of my family. My paternal grandmother, my maternal grandfather, my maternal grandfather’s brothers, and my maternal grandmother’s older sister all suffer from the same disease. For all of them, the daily routine never changed. They all swallowed pill after pill and conducted blood test after blood test. To this day, I still remember watching them swallow pills the size of almonds and cringing whenever they pricked themselves to conduct a blood test. I…
In Orem’s theory of self care, she presents the precept that the nurse’s role in helping the chronically ill patient is to assist them to achieve an optimal level of health and wellness, and to give them the tools they need to maintain it. Orem believed that the nurse should act as an advocate, redirector, support person, and teacher, and, thereby, guide the patient to therapeutic development. Her theory is of interest to me because I currently work as a field infusion nurse, and treat only chronically ill patients. I have chosen Ralph for my case study because of that parallel and also because I identify with him in regard to my own family history. Obesity is the norm, and my lineage is plagued with type two diabetes. A big part of my personal and professional life is spent working as a partner with patients and family. I provide intervention for problems that they don’t have the skills to address, while incessantly teaching them everything I can to enable them to take the best possible care of themselves. I tell every patient that my motto regarding chronic illness is that “you will handle it, or it will handle you.”…
Furthermore, Karnick (2011) explains that " If nursing does not clarify, learn and utilize nursing theory it will proceed toward a slippery slope" ( p.108). Evidently, this statement carries a very negative connotation, and that alone ought to be a motivation for us as professionals to continue and promote theory application which moves us most importantly towards the improvement of patient care. In that case, the example of Theory of Planned Behavior (TPB) which addresses intentional behavioral modification undoubtedly underscores the implication of theory in Advance Clinical Practice in diabetes self-management process. Moreover, this approach " examines what a person thinks about his or her ability to accomplish a particular goal or behavior" (Lee, Bowen, Mosley, Carla & Turner, 2017, p. 266) through evaluation of three components such as attitude known as self-inspection, perceived behavioral control and social support. Subsequently, looking at my current role as the Outpatient Diabetes Educator the acknowledgment of those crucial points deriving from Theory of Planned Behaviour became a staple in…
2. “When is a feeling a mental illness? Where do we draw the line in saying that this feeling is so bad, it deserves not only a name, but a whole set of diagnostic criteria?” “if most Americans are obese, that doesn’t mean we should stop referring to it as obesity just because it become commonplace- the disease still has significant and very real health consequences on those who deal with it everyday.”…
Through out the entirety of the play, Macbeth goes through numerous changes. In the end he seems very distant to how a normal human would act. But one trait he expresses early on is a trait that we all can relate to, guilt. Guilt is a trait that is experienced at all ages of life, its a trait that everone has no matter who you are.…
Malterud, K., & Ulriksen, K. (2011). Obesity, stigma, and responsibility in health care: A synthesis of qualitative studies. International Journal of Qualitative Studies on Health and Well-being, 6(4), 1-11. Retrieved from http://www.doaj.org/doaj?func=abstract&id=880959&q1=vulnerable%20patient&f1=all&b1=or&q2=caring%20for%20vulnerable%20ptatients&f2=all&recNo=1&uiLanguage=en…