Comprehensive Evaluation of Patient Essay -- Nursing Paper

History Mr. S. G is an eighty year old African American male who was brought into the emergency room of County Hospital on the second of May, 2015 and was admitted with the complaint of Respiratory distress. He has no known allergies and he is on full code status. While he was at the hospital, Mr. Geis was diagnosed with Hyperkalemia, Hypernatremia and acute renal failure. He was then transferred to the intensive care unit to be stabilized and then transferred to the floor for recovery. He has a past surgical history of vertebrae fracture from a fall seven years ago. He also has a past medical history of pneumonia, prostate cancer, diabetes, cardiovascular accident, osteoporosis and hypertension. Mr. Geis is a retired school bus driver and has been married to his wife for forty-five years. They have five children together. He used to drink alcohol heavily and also was a smoker, smoking a pack of cigarettes a day but stopped nine years ago. He enjoys fishing and travelling but has been unable to do this due to his deteriorated state of health. Acute and Chronic History Mr. Geis’ acute medical problems which include Hyperkalemia, Hypernatremia, acute renal failure and the chronic illness that are listed in his past medical history were aggravated by aging ,alcohol consumption and smoking. Organ function decreases with age which in this case, the ability of his kidneys to perform the excretory function decreased which thereby resulted in acute renal failure which is also the leading cause of Hyperkalemia and Hypernatremia in him. Also the chronic illnesses of Diabetes, Cardiovascular accident and Hypertension contributed significantly in the acute renal failure. The fracture of the vertebrae from a fall was aggravated by age and... ...better understand and manage the diseases that are affecting his health. References Sheldon,J.H (1960). On the natural history of falls in old age. British Medical Journal, 2, 1685-1690. Huether, S., & McCance, K (2012). Understanding Pathophysiology. (5th ed.).St. Louis:Mosby. Casino, S. (2009). episodic memory decay along the adult lifespan: A review of behavioral and neurophysiological evidence. International Journal of Psychophysiology, 71, 64-69. Shon beck, Joan. â€Å"Cerebrovascular accident.† Gale Encyclopedia of Nursing and Allied Health. Ed. Jacqueline L. Longe. Vol. 1. 2nd ed. Detroit: Thompson Gale, 2006. Nursing Resource center. Gale. Potter, P., and Perry, A. (2009). Fundamentals of Nursing. (seventh. Ed. St. Louis; Mosby. Lippincott W. & Wilkins (2014). Nursing 2014 Drg Handbook (Eighth Edition). Philadelphia. Lippincott & Co. 198, 233.

Bags

BAGS Whole document is based on my observation of bags at places, time and culture. I have tried to critically analyze and examine that how people wear bags at different places like streets, parks, shopping center, railway station and how their unconsciousness of mind changes the style of carrying it for example people hold their bags tightly in the railway stations its not because somebody is stealing their bag at that moment but in reality people are scared of pick pockets present in the surrounding and moreover announcements which are being done again and again has left a mark on people’s mind.Now even sometimes you notice there is no announcements going on but still people carry their bags so tightly as if they are going to be robbed, it just because of unconsciousness of mind which is ruling ones body language. I have also observed different types, shapes, sizes and colors of bags, and tried to judge the hidden meanings behind the scene, different perceptions and use valu es of the bags.Lets take an example of fashion orientated women which I have observed in the gally lafatte to them a tiny clutch in hand or back pack slung over shoulder, never mind what is inside in it, the thing which matters to them is a bag, which tells their whole life story, her reality and her dream. This type of behavior pattern is may be because handbags are visible on the body and gives the wearer chance to show off and publically declare their status, fashion statement or inspirations like Channel, Hermes silently.Today when you walk into any luxury brand store any where in the world, you will find yourself surrounded by millions of identical bags who have lost their meaning since they are mass produced as Marx says, â€Å"Abstract member of species identical by definition with its other member. † (Taken from class handout) In simpler words, today buying a luxury brand handbag is an exercise in banality, where you walk into the well appointed store pass the chic su ited security guards, see different peruse what is on display, choose one of them, pay bill and walk out with your purchase.The shopping experience may have been pleasant but in the end it was not a different experience then going to the H&M, ZARA or GAP, except from the price. There is nothing unique about the handbag: the brand has churned out thousands of them, absolutely identical. But this fact cannot be ignored that the handbag, which has been brought temporary satisfies our desire and makes us feel special by this thought that we own something, which is socially recognized and well perceived by the materialistic society who recognizes a person from its possessions owned.Despite this worldly feeling which excites us that we ignores the fact that bag which we have brought might not be able to fulfill exactly what we desired or excepted to be in our mind before going to the shop. This can be only possible if we place a special order to have something custom made especially for u s, according to our wish list. Practically speaking in present world there are hardly few companies who produce like this.Hermes would be the perfect example to discuss but they are extremely expensive out of the range of ordinary person so what you get in usual cases is a ready -to -carry bag. Hermes bags on display in the store are just display models to show options, you choose the material, order according to your desired size, color and shape. Then you wait for several months until it is made according to your specifications. When it arrives in the shop they invite you to pick it up, it your bag because of its unique style of making it.When I visited Hermes store I realized most of the designs have been around for century and they still have long waiting list not because they are in fashion but in actual they never go out of the fashion. Hermes bags don’t have logos because bag themselves are sufficiently recognizable. They convey the image of old money, craftsmanship an d refinement _ even if those who carry them have neither. They are luxury discreet symbol of wealth and success.It helps us to understand what luxury once was and what it is no longer. Handbags have become an intoxicating lure, which we don’t realize but it in reality it is killing every single women from inside who cannot afford to buy. Their obsession to have a bag is mounting to such great extend that even don’t bother from where it is coming, only what matters to them is bag and how they can have it regardless of this fact that whether their pocket is giving them permission to purchase it or not.This time when I went back to the Pakistan I observed some girls who belonged to a very reasonable family but this bags lust badly hooked and disturbed them to such great degree that they started to work as prostitutes just to earn enough to get a Channel, Dior or Hermes bag. I know it sounds bit unrealistic but unfortunately it is bitter reality of this cruel society, who have pissed off those poor girl under the pressure of so-called high society where if you don’t carry a nice expensive bag, then you don’t have a right to socialize because there persons are not one who meet with each other its actually things who are displayed on the show.This whole drama staged increases the importance of a bag that it why automatically gets surrounded by thick clouds of wealth and privilege or in simpler words its a way to show off yourself to the society that you are doing well, despite this fact behind the picture that how much you have sacrificed to buy a bag. Once I read a very interesting article written by English journalist during London fashion week in 2006, â€Å"Everybody-everybody is talking about handbag with the intensity of cardinal appointing a new POP†From this we can imagine how serious bags are taken regardless about which culture east or west you are talking about. Women obsession with logos has become such a big part of we stern society that contemporary artists riffed on it, they states these luxury brands often creates great displeasure. Understanding bags phenomena today is not an easy question to answer, it is actually very complicated in a highly complex society where its use values iffer with time-to-time or person-to-person, even if I take my example I might also use my Never full (LV BAG) for various purposes. While going to the university I always use that one because I find it more practical, spacious, strong ideal to put my books and laptop rather then my Armani bag which is new latest above of all its in my favorite color red but still I like to use my Never full more while I am traveling or going to university reason behind might be, that it provides me grater level of comfort and enable me carry my stuff easily.Where as in night when I am going out with my friends, I might prefer to use Armani bag or may be Never full but this time its meaning, purpose would change as it will be more lik e a fashion statement and representative of my personality. To me my bag says everything about myself_ my taste, my style, in short it explains my whole life history and at the same time it represents my present thoughts prevailing in my mind, my mood swings etc. From here we can analyze this small thing â€Å"bags† have become necessity of our lives, which is actually more like our mirror image reflecting unsaid things about us to the society silently.Most interesting thing is that people not only understands this ideology but also responds to it. So we can conclude like this from street bags like H&M, ZARA and MANGO to Haute couture collection, handbags have become carriers of the secret, signifier of power, status and beauty for women or we can say it other way around as it is a keeper of the equipment of daily life which have been strongly influenced by technological and societal changes such as the development of money, jewelry, transportation, cosmetic, smoking, cell ph ones and role of the women in society.In this wonderful modern world of bags in which huge array of different designs and colors have made ones life more complicated, instead of giving pleasure to own something it has become source of displeasure. Even a richest lady cannot afford to buy all desired designs and colors of bags, because everyone has certain limit to purchase things which does not allow her to have all unlimited designs displayed in a market.Every women is badly in love with handbags but they feel reluctant to express themselves that’s why they take shelter of different excuses for example once I heard a women saying that I pay high price for Hermes or Louis Vuitton bag, because their high quality makes it timeless, radiates richness, glamour and excellence_ even if it is but it does not mean you are paying hundreds of dollar for these factors ignoring your pending credit card, electricity, phone bills to make up for the alligator skin.Have we ever thought why w e do this even when our pocket doesn’t permit us? Is it really important to prove our financial status or power from bags, do we? Personally for me the answer is no, you buy a bag to satisfy your desires, needs and wants _not to show off or to prove somebody that you have power to purchase a bag. I think real power is gaining government positions; raising healthy kids, leaving an abusive relationship, fight against corruption. That’s real power. Power isn’t that poor, dismembered crocodile you’re lugging around everywhere you go.If you have Hermes or LV bag that’s good for you nobody has to do something with its that’s all about our mind, who thinks you have succeed in this world trust me no one even bothers and nor you suddenly gain status in life or neither your nose turns from it natural position to more elevated position. Seriously to me having an expensive bag will never help you to gain respectable position in the society it’s y our behavior, good deeds and nice gesture towards other which actually succeeds in the world not these bags.I don’t know how even a reasonable educated women think like that, why they don’t understand this simple fact that how a man made thing can make once personality on the whole, I am not denying this truth that to some extend it contributes to once look but we cannot give full credit to it. If we will then to me its like you are not giving any room to the rest of the factors education, your brought up and moral values which you have been given by your parents. Don’t feel from my argument and observations that I am against of handbags;I am just opposing wrong behavior pattern, which is being developed by this so-called society in which we live and we don’t realize it, but this problem is growing day by day it has become serious matter of life and death which need to be considered. I know women without her handbag feels as lost as a wanderer in the dese rt because I am also one of them but it does not mean that we should forget everything just go out in a search of nice Hermes leather bag. After all we have other social responsibilities, which should be cater on first priority.Basically handbag is the movable base for supplies or a depot of women expected needs. These eventual needs may reach out to a degree far beyond any man’s power of imagination and becomes a mysterious dungeon. The typical handbag of typical women contains a certain number of fundamental things, plus her individual touch, it is that individual touch that fills the bag. Some item is pretty sure to roll out the moment the bag is opened. Every woman’s handbag is lost and found department in itself. It is strange, but things actually disappear there, as by magic.And then few minutes later, it finally reappears on the surface after three or four investigations. Most funny part is that every man knows about this two-minute drama, which is repeated almo st everyday in life, â€Å"Heaven, I must have lost my watch, or my keys, that important letter† It usually has a happy ending by saying, â€Å"Oh I found that†. Nothing gives a man more self-satisfaction than such an experience, which explains whole myth of the superiority of men is built on the fact that a man never carries a handbag.Moreover it help to develop man’s relationship with her girl even more stronger when he lifts her bag while she is trying on clothes in try room, going to public toilet and she doesn’t want to carry it, when she is holding his baby or too tried to hold it while shopping. This whole act of holding a bag shows a kind and sweet gesture of a man being developed on these bag phenomena, which played a role of bridge between two people, thus bringing them even closer to each other. In order to have better understanding of what is a bag? , How serious they are taken today?What is the current status? _ Hunting these answer since las t two months finally I ended up with an experiment of my theories about bags and how people perceive it, moreover further analyzing how their behavior changes with the power of bags. I went to galle lafate several times in different clothing styles and bags, I won’t take individual brand name because I feel as I am singling or pointing out any particular one among all which is unfair-there what I observed was the treatment gap is likely to occur in almost all luxury retailers based on consumer possessions owned.First I went in carrying a really old bag, which I even don’t remember myself when I used that last time along with this, I wore my last year faded jeans which is almost out of the fashion now days but on the top I wore really nice shirt which I recently brought from Zara, what I noticed was complete ignorance from salespersons who were passing me weird looks and they might be thinking in their mind who let me in this luxury store because my physical appearance reflected an image of below then average class girl who even don’t have a right to see these things but in reality that time I was carrying 500 euros in my bag.Then second time I went in wearing the same jeans with last year top and carrying a regular nice bag which I usually use for everyday grocery or random shopping with 300 euros in it, what I felt this time was quite similar to first one complete ignorance but with little improvement this time there were not passing me those weird looks which were quite embarrassing thank God.Then next time I went there wearing that same jeans and a really old top on it but this time I was carrying my Never full LV bag _you won’t believe it what happened the moment it stepped in the same brand shop were I went before I heard â€Å"hello† from the sales person who was standing right on the front, seriously I was so amazed to see that because she was the same one who passed me such wired looks and now she was greeting me as i f I am a princess. In fact whole time she was there to attend me. Trust me suddenly whole world fell under my knees, asking again and again that how I was doing? Or whether I need some help? I was not dressed any more expensively- in fact I was wearing clothes that would hardly cost 25 euros but the empty bag from inside was only one thing that people could see from outside. Seriously if I had been gone naked carrying my LV bag, I don’t think anyone would stop me or ask me to leave. Of course, this was a strictly informal and non-scientific test, and I’m sure that sales persons at stores would have been happy or at least compelled, if not enthusiastic to help me when I was carrying my regular or old bag and they might have attended me if I had approached or asked them to help me.But from this experiment I got a very clear message that bags are likely to be one of the most important accessory even more important then our clothes which normally persons look upon and judg e whether we are worthy of positive attention and interest by others or not? In short bags is a big deal and understanding that how you should dress largely depends on our bags. So we can conclude this whole experiment by saying, â€Å"yes bags have an ability to change once perception about you. And In this so called- perfect world where its really difficult to judge once mind because society in which we live isn’t without flaws, so for the time being if you want to survive in this materialistic world its better to settle the situation by having nice branded bag to show others you are doing well, even if in reality you are not but it doesn’t matter because you have shelter of your branded bag under which you can hide your reality.I know this is silly to hear but unfortunately this is an easiest solution so far I am able to find, if you really want to be treated as respectable person in this brand conscious society, where they look your bag first and then decide wheth er to talk or not. From the beginning, I knew this was going to be the result but when it happened actually I went into the shock after looking such diversified behavior, which would be even better to say, two opposite ends of one’s personality you can see from this bag phenomena.I would like to sum up my whole document by summarizing what Marx and Benjamin thinks about bags in today’s world and what I have perceived about bags from my last two months observations. Marx is a sociologist and Benjamin is one of his followers, they both focuses on the things taking place in everyday life and strongly rejects the idea of expanding mass culture which is tied to industrialism. They view act of creating an object (for example a bag) as an exercise where worker embodied his sprit to the object and make it special from his feelings, but introduction of mass culture has divorced mankind from the real object.So the bags, which are being manufactured now days are to them, soulless and objectified, Moreover Benjamin feels these bags on display in luxurious stores like Luis Viton store are scene of destruction where workers stand as customer in the foreground who is not capable of buying it, in short in his believe people are enthroned to merchandised, where they are being manipulated by the objects which are out of their approach and at the same time they enjoy feeling of alienation from themselves and others because their social need are not meet when they forced to work whole day with machines, resulting in soulless ready to carry bags available in the market who have lost their actual meaning.I would totally agree with both of them because I also view quite similar to them, now days in actual society has become classless, objectified and materialistic who only look forward to MONEY AND MONEY that all, nothing more then that if you carrying nice expensive bag only then you have a right to breath otherwise not. Seriously I don’t understand why is that so? Why a normal person don’t have right to carry what they like or what suits they budget? Why there is always society pressure on one’s decision making? Why they don’t they analyze person from its skills and ability of doing something instead of looking upon her bags that how many branded bags she own? I know these questions are very frustrating and cannot be answered quickly at once because people behavior pattern vary a lot with time-to-time, person-to-person, culture-to-culture but all it ends at one point â€Å"obsession of bags† and its â€Å"growing hunger† to have more and more.

Analysis Of Tim Willis s The At T Summer Bridge

When I first arrived to the ATT Summer Bridge, one of the first people I meet was Tim Willis. He was heaver involved the project aspect of the camp, but still present in that time. The more I talked to him the more interesting his experiences were. He then invited me to check out the Sooner off-Road team, and joined the team. Tim is in his senior year of school and is the person with a lot of experience in the Mechanical Engineering field before graduation. His interest was more through tinkering with things. From a young he found it fun to design, build, and test things in his free time. During this time, he joined the Boys Scouts of America and became an Eagle Scout in the organization. To achieve this rank he created a Man-made waterfall in a stream as a final project. I was told by him it was very challenging, but after that he finds a challenge and tackles it head on. However, the greatest challenge he had to tackle was in 2011. During that year Tim was a junior in high school, his house was hit by a tornado. â€Å"Everything I owned was gone. The only thing I had were the clothes on my back. This thought me a lesson in humbleness, through the whole process of getting back to where we were. I mean we went from having a home to being homeless. It made me realize that things don not last forever.† Tim’s family was able to get back to where they were, but he will always remember this experience. Afterwards, this short story Tim told me how he got interested in MechanicalShow MoreRelatedSolution Manual, Test Bank and Instructor Manuals34836 Words   |  140 PagesLane Keller (TB) A Friendly Introduction to Numerical Analysis,Brian Bradie (ISM) A Guide to International Financial Reporting Standards, 3rd Edition_Belverd E. Needles, Marian Powers (SM+TB) A Guide to Modern Econometrics, 4th Edition_Marno Verbeek (SM) A History of Modern Psychology, 10th Edition _ Duane P. Schultz, Sydney Ellen Schultz ( IM+TB) A Microscale Approach to Organic Laboratory Techniques, 5th Edition _Donald L. Pavia, George S. Kriz, Gary M. Lampman, Randall G. Engel (IM) A PeopleRead MoreProject Managment Case Studies214937 Words   |  860 PagesCanada 118 Riverview Children s Hospital 124 The Evolution of Project Management at Quixtar 145 3 PROJECT MANAGEMENT CULTURES 151 Como Tool and Die (A) 153 Como Tool and Die (B) 157 Apache Metals, Inc. 160 Haller Specialty Manufacturing 162 The NF3 Project: Managing Cultural Differences 163 An International Project Manager s Day (A) 172 An International Project Manager s Day (B) (see handout provided by instructor) An International Project Manager s Day (C) (see handout provided byRead MoreStephen P. Robbins Timothy A. Judge (2011) Organizational Behaviour 15th Edition New Jersey: Prentice Hall393164 Words   |  1573 Pagesand permission should be obtained from the publisher prior to any prohibited reproduction, storage in a retrieval system, or transmission in any form or by any means, electronic, mechanical, photocopying, recording, or likewise. To obtain permission(s) to use material from this work, please submit a written request to Pearson Education, Inc., Permissions Department, One Lake Street, Upper Saddle River, New Jersey 07458, or you may fax your request to 201-236-3290. Many of the designations b y manufacturersRead MoreHbr When Your Core Business Is Dying74686 Words   |  299 Pagesand Charles Spinosa 90 The Leadership Team: Complementary Strengths or Conï ¬â€šicting Agendas? Stephen A. Miles and Michael D. Watkins 100 Avoiding Integrity Land Mines Ben W. Heineman, Jr. 20 33 FORETHOUGHT HBR CASE STUDY Why Didn t We Know? Ralph Hasson 45 FIRST PERSON Preparing for the Perfect Product Launch THOU SHALT †¦page 58 James P. Hackett 111 TOOL KIT The Process Audit Michael Hammer 124 BEST PRACTICE Human Due Diligence David Harding and Ted