...ASSESSMENT: NURSING HEALTH HISTORY
COLLECTING AND CLUSTERING SUBJECTIVE DATA (Initial Interview – Comprehensive)
BASED ON GORDON’S FUNCTIONALHEALTH PATTERNS
I. BIOGRAPHIC DATA
___ Age: _______ Sex: ___________
Marital Status: ___________ Occupation: _________________________ Religious Orientation: ________________
Health care financing and usual source of medical care: ____________________________________________________
II. CHIEF COMPLAINT OR REASON FOR VISIT
What brought you to the clinic or hospital?
What is troubling you?
III. HISTORY OF PRESENT ILLNESS
Ask what was the chronological sequence of events in reference to the client’s chief complaint.
When symptoms started? ________________________________________
How often? _____________________________________________________
Type of activity of client when problem occurred, etc. ________________________________________________
Was help/consultation sought? ____________________________________________________________
Medication used? ____________________________________________________________...
...Spontaneous Pneumothorax 1
Professional Role Development
Middle TN State University
Spontaneous Pneumothorax 2
Kevin is a healthy nonsmoking 18 year old male who was 6'2" and weighed about 145 pounds. On May 16th, 2001 he was sitting in his high school chemistry class when he started getting hot and sweaty. He got up and went to the water fountain when he started noticing right arm pain. When he returned to the class room the teacher told him he looked green. The pain he was having in his right arm was spreading to his whole right upper side of his body. He said it felt like a bad muscle cramp. His teacher made him go to the school office where they called EMS and brought him to the hospital. On the ride to the hospital an IV was started along with 2L of O2 per NC. Kevin also said he was starting to get short of breath. Once in the ER Kevin had a chest x-ray that showed a 25% pneumothorax of his right upper and middle lobes. A Chest tube was placed and Kevin was admitted. Kevin stayed in the hospital for 5 days, with his chest tube in place for 4 of those days. He had a chest x-ray done every morning. Kevin was also on 2L O2 per NC as needed. An incentive spirometer was given to him on his last day in the hospital. Kevin has never had his pneumothorax reoccur.
What Kevin had was a spontaneous pneumothorax. A spontaneous pneumothorax...
Death has become highly impersonal in the United States and is seen as “culturally invisible.” In the past, the bodies of those who died used to be prepared by someone within the family or community and their lives were then celebrated by a larger group of people. Today, however, corpses are sent off to funeral homes, then mourned over with a relatively closed off service at either a church or funeral home. With emerging advancements in technology, medicine, military tactics, and aspects of everyday life, it’s clear that over the last fifty years, the United States has devoted a great deal of money and time in order to control death. As our emphasis shifted from the number of people alive to the quality of life lived, lives lost due to causes other than old age or risky behaviors shake personal lives as well as those of the culture and society as a whole. Tragic, unexpected deaths result in questioning of both personal and cultural standing. Senseless deaths that have no easily determined rationale are deeply personal for those who are not even directly related to the event, and these losses complicate the mourning process, increase anxiety, change cultural values and threaten the persistence of society. A spontaneous memorialization is a public means of coping with unforeseen circumstances and is a method of restoring balance to society.
In the United States, it...
...The second stage begins with complete cervical dilatation and ends with the delivery of the fetus. The AmericanCollege of Obstetricians and Gynecologists (ACOG) has suggested that a prolonged second stage of labor should be considered when the second stage of labor exceeds 3 hours if regional anesthesia is administered or 2 hours in the absence of regional anesthesia for nulliparas. In multiparous women, such a diagnosis can be made if the second stage of labor exceeds 2 hours with regional anesthesia or 1 hour without it.1
Studies performed to examine perinatal outcomes associated with a prolonged second stage of labor revealed increased risks of operative deliveries and maternal morbidities but no differences in neonatal outcomes.9,10,11,12 Maternal risk factors associated with a prolonged second stage include nulliparity, increasing maternal weight and/or weight gain, use of regional anesthesia, induction of labor, fetal occiput in a posterior or transverse position, and increased birthweight.11,12,13,14
Third stage of labor
The third stage of labor is defined by the time period between the delivery of the fetus and the delivery of the placenta and fetal membranes. During this period, uterine contraction decreases basal blood flow, which results in thickening and reduction in the surface area of the myometrium underlying the placenta with subsequent detachment of the placenta.15 Although delivery...
... Executive Summary
1. Safety Concern about falling malfunctioned Drones from the sky
2. Safety Concern regarding physical threat to the pilot
3. GPS hacking of Drones
4. Privacy Issue such as spying video camera
5. Privacy Issue and Security Concerns by using hijacked or remotely hacked drones
6. Truck delivery also has safety issue such as slippery road due to inclement weather or unexpected car accident.
7. Drones will be helpful from Truck Driver’s safety concern.
8. Drones: Regulations should be placed to decrease public safety concerns
9. Drones: Insurance Costs
10. Drones: Theft More Risky
11. Abused Drone create more terrorists than they kill.
12. Abused Drone target individuals who may not be terrorists or enemy combatants.
13. Abused Drone kill large numbers of civilians and traumatize local populations
14. Another issue: Customer Satisfaction of Drones vs Human interaction involved delivery
15. Another issue: Negative PR regarding Drones replacing human
16. Added Legal Backgrounds and Current News regarding Drones
A recent study by the Chubb Group of Insurance Companies revealed a wide range of public fears when it comes to drones. Almost three-quarters of respondents expressed concerns that drones could damage their property, while 55% feared that a drone could cause eye or finger injuries if it were to crash into a person. Privacy was also a major issue, with 78% believing that drones could be used to turn America into...
...A Cesarean Delivery
A Cesarean Delivery
A cesarean section is also known as a c-section, which is sometimes also written as c/s. This type of
birth is done by a surgical incision in the abdomen and uterus to allow a baby or babies to be born safely
when a vaginal birth is not the safest route. The current cesarean rate in the United States is over 30%.
The surgery is relatively safe for mother and baby. Still, it is major surgery and carries risks. It also
takes longer to recover from a C-section than from vaginal birth. After healing, the incision may leave a
weak spot in the wall of the uterus. This could cause problems with an attempted vaginal birth later.
However, more than half of women who have a C-section can give vaginal birth later.
A C-section may be planned or unplanned. In most cases, doctors do cesarean sections because of
problems that arise during labor. Reasons you might need an unplanned C-section include labor is slow
and hard or stops completely; the baby shows signs of distress, such as a very fast or slow heart rate; a
problem with the placenta or umbilical cord puts the baby at risk or the baby is too big to be delivered
vaginally this is called fetopelvic disproportion.
When doctors know about a problem ahead of time, they may schedule a C -section. Reasons you
might have a planned C-section include the baby is not in a head-down position...
...perhaps, marks the beginning of the present-day scientific foodservice cost accounting.3
The history of food delivery services traces its inception over sixty years. Since this time food delivery services still have the same basic principle to ensure that members of the community can have a hot, tasty and enjoyable meal.
The first meal delivery services are believed to have been started during Wartime, London. As a result of the Blitz, many Londoners had lost their homes and their ability to cook for themselves. In response to this need the WVS (Women's Volunteer Service) produced meals and delivered them to people who had lost practically everything. This caring approach was carried on in various areas of the UK where injured servicemen were provided meals by volunteers in the local vicinity.
After the war the first true food delivery service evolved in Hemel Hempstead in 1947. The recipients were still servicemen who were incapable of cooking their own meals but instead of the vans used to transport meals today, these early services apparently used prams, lined with felt and even straw to ensure that the meal was delivered warm. Understandably this type of service was extremely labour intensive requiring a vast network volunteers, each with good cooking knowledge and skills. Today, the processes involved incorporate mass production principles.
In the UK food delivery services operate in a number of...
Within this reflective essay I aim to discuss types of reliable evidence from practice used as a means of providing substantiation of my learning and development, I will explore and provide a range of evidence from my portfolio, verifying achievement of my 2 chosen NMC proficiencies within the care delivery domain at Bondy level 4 (appendix 1).I aim to support this with a discussion as to how my chosen evidence undoubtedly provides verification of these requirements, a vital component of this is selecting the right types of evidence to properly outline my personal progress; therefore I will offer a sound rationale for my choices of evidence and the strengths and limitations of them.
The proficiencies selected:
3.1.2 Use appropriate risk assessment tools to identify actual and potential risk.
3.1.5 Manage risk to provide care which best meets the needs and interests of patients, clients and the public.
My rationale for the selection of these outcomes relates to experiences whilst working in acute care environments, it became increasingly apparent that management and identification of risk both to the patient and within the environment is paramount. Risk assessments need not be complex. It is usually a straightforward but conscientious study of anything in the work environment that might cause someone harm (Health and safety executive, 2012).Once the assessment is complete, manager’s review the identified risks and decide the...