Thursday, August 27, 2020

3 Sentences Demonstrating the Power of the Comma

3 Sentences Demonstrating the Power of the Comma 3 Sentences Demonstrating the Power of the Comma 3 Sentences Demonstrating the Power of the Comma By Mark Nichol The three sentences that follow show the significance of the consideration or oversight of a comma can have in facilitating perception of a sentence. 1. Following two hours at the bar, Jones said Smith was too tanked to even consider driving, and Smith demanded that Jones take him home. This sentence mistakenly suggests that two hours after Jones and Smith showed up at a bar, Jones offered the expression (to Smith?) that Smith was too tanked to even think about driving; it appears to be odd that after Jones stood up to Smith, the last would request a ride home. Nonetheless, Jones is relating, a lot later (and to another gathering), the way that two hours after they showed up at the bar, Smith was too tanked to even consider driving; his interest for a ride was not in light of a fierce remark. Embeddings a comma after said to make â€Å"Jones said† an incidental attribution explains that Jones offered the expression later, not that night: â€Å"After two hours at the bar, Jones stated, Smith was too tanked to even consider driving, and Smith demanded that Jones take him home.† 2. Smith conceded that he thought about the structure side, however he didn’t know an entire hell of a ton about the assembling side. As composed, this sentence proposes that in spite of the fact that Smith recognized out loud that he knew about plan, he clearly minded his own business his obliviousness of assembling. Be that as it may, however the setting isn't clear in disconnection, Smith gave the two snippets of data. So as to impart that reality, the two segments of the sentence must be equal (â€Å"he conceded this and that†), and the comma must be excluded: â€Å"He conceded that he thought about the plan side yet he didn’t know an entire hell of a great deal about the assembling side.† (A rehash of that can be embedded after at the same time, however it is discretionary.) 3. This is the last known picture of on-screen character Robin Williams presenting with a fan. This inscription going with a photo of Williams and a unidentified individual can be perused two different ways: It is the last one he took with an admirer before his passing (and the presence of someone else in the photograph is significant), or it is the last photo taken of him before he kicked the bucket (and for some odd reason it was taken with a fan). Indeed, even outside of any relevant connection to the issue at hand, the principal understanding is suspect; except if the article the photograph goes with explicitly relates to the differentiation of Williams being shot with a fan (not likely), it’s practically sure that the fan’s nearness in the photograph is superfluous to the qualification of the image as the last one known to highlight Williams before his passing, and the expression â€Å"posing with a fan† ought to be treated as a needy proviso: â€Å"This is the last known picture of entertainer Robin Williams, presenting with a fan.† Need to improve your English quickly a day? Get a membership and begin getting our composing tips and activities day by day! Continue learning! Peruse the Punctuation classification, check our well known posts, or pick a related post below:85 Synonyms for â€Å"Help†Connotations of 35 Words for Funny PeopleWhat Is a Doctor?

Saturday, August 22, 2020

As a firm grows the lines of communication are often stretched Essay Example for Free

As a firm develops the lines of correspondence are regularly extended Essay As a firm develops the lines of correspondence are regularly extended. To conquer this gatherings could be set up to keep individuals educated. The companys range of control could be re-accentuated with the goal that laborers realize whom to answer to and who to advise regarding their requests. An unmistakable structure and various leveled pyramid will lessen contentions for the time being. Group building practices are a cutting edge method of improving assurance, camaraderie and productivity. They are a drawn out measure to keep all directors taking a stab at indistinguishable points and objectives for the organization from a group. I have been doled out by the organization Koka Kola to sift through the difficult they have where another base 50 miles outside of there London head quarters has been manufactured. The issue is the correspondence between the two bases; I have to locate the most ideal approach to impart between the two bases. Business Objectives The Business has destinations it must accomplish; the organizations fundamental goal is to set up another correspondences framework between the London Head Office and the recently fabricated Production Site. The issue with this is it might conflict with another goal, Profit. In the event that the organization is to burn through cash on another interchanges framework it must make sure that the cash spent on the framework, staff, showcasing and so forth, doesn't eclipse the cash made by deals and different wellsprings of benefit. This, albeit a major issue could have benefits in the long haul. In the event that the cash spent on setting up the Communications System is more than the benefit made that month. In the months after when the System is set up, the advantages in benefit because of the it being set up could be far more noteworthy than that in past months before it was made thus later on could in the long run be greater than the sum paid on the Communications System and perhaps the Production Site. This presumes despite the fact that the momentary targets possibly tangled, the drawn out must be held up upon so as to receive the rewards. Correspondence: Communication is the way toward passing data starting with one individual then onto the next. When the objective gets the data it is followed up on and criticism is sent to the first sender. A case of correspondence in business may be an organization delivering vehicles. The message may be a commercial on TV educating clients concerning another vehicle. The objective will be the fragment of the market keen on purchasing a vehicle. The input will be the degree of deals when the magazine initially goes on special. Correspondences are significant in a business since it stays with the chipping away at the correct track. For instance if a showcasing chief who never asked the clients what they needed in an item made a set up a publicizing plan on TV, the promotion would be founded on the executives interests as opposed to the perspectives on the clients. The clients wouldnt be intrigued and would deliberately ignore. The issue with the business I have been named to is that the business is parting into two bases among which individuals will work who might ordinarily speak with one another. I have sorted out a meeting with a specialist from a nearby business to discover what techniques for correspondence they use: 1) what number strategies for correspondence do you use in your business?

Friday, August 21, 2020

The Truth About Webcam Hacking - Special Review

The Truth About Webcam Hacking - Special Review Make Money Online Queries? Struggling To Get Traffic To Your Blog? Sign Up On (HBB) Forum Now!The Truth About Webcam Hacking Special ReviewUpdated On 13/07/2017Author : Pradeep KumarTopic : SecurityShort URL : https://hbb.me/2sRBsg0 CONNECT WITH HBB ON SOCIAL MEDIA Follow @HellBoundBlogHacking webcam becomes nothing nowadays. Even script kiddies can easily do it if they have some software (I dont want to mention them here). If you are still thinking hacking webcams is possible only on movies based on hacking computer technology, then you should smell the coffee now.Afraid Your Web Cam Is Hacked? Then Check These 10+ Tips To Protect Your Webcam From Being HackedAnd dont forget to install Antivirus software on your System, if you think they are expensive, you can check the Top 10 Best Free Antivirus Software For Your System.Many people still dont believe that their web cams can be hacked. It is possible to hack or take control of your web cam without the hacker having personal cont act with the system. Actually Hackers can even reach your place by that. ??So why the hell should they hack my webcam?Some people do it just for fun. They dont have any intention of doing all these things except for fun. And some people do it intentionally. They are often described as Black Hat Hackers. They are indecently called as Cyber Criminals. They do this for obtaining personal information or photos of the victim. Some people use this for peeping purposes. They afterward use this for blackmailing the victim.So how to know whether my webcam is hacked or not?All webcams have at least a small light that comes ON when they are activated. They should be noticed. It means your webcam is watching you! For laptops also, there is status LED for integrated webcam.Can I prevent those web cam hacks?Webcams can be hijacked if you run an insecure system. Sensible use of applications will reduce the risks a lot. These are the basic steps:Firewall : The first and foremost thing is to enable your firewall. This makes accessing more difficult for hackers. You can also try Zone Alarm for sophisticated firewall.Anti-virus : Make sure you have a good anti-virus and update it properly to prevent such hacks. But remember, your anti-virus is not enough for fighting spyware, which takes control of your peripherals(like webcam). Try Spybot Search And Destroy and Super Anti Spyware. Check the Common Symptoms of Computer Viruses.WEP and WPA : Enable your WEP (Wired Equivalent Privacy) and WPA (Wi-Fi Protected Access). If you are using wireless router or wireless webcam enable your security key. Always enable the highest security encryption possible. Make sure you use a strong password that is not easy to crack. Check Tips For Creating Secure And Strong Passwords.Downloads : Be careful about what you download from your Instant Messaging client, like Yahoo! Messenger, MSN, AOL and many more.Modesty Shield : Webcam like Logitech Quickcam comes with a modesty shield. This is a visor w hich flips down over the lens when you dont want the camera to see anything.READWhat Is Cyber Hygiene and the Benefits of It in Your BusinessSome Web cam hack casesA Middle-aged man from Cyprus has been arrested for hacking the webcam of a teenage girl, with the intention to take illicit and compromising pictures of the girl in her bedroom. This Nicosia computer technician infected the girls computer with a Trojan to spy on her. The suspect is said to have taken pictures of the girl and threatened her with e-mailing the pictures to all of her e-mail contacts if she didnt stand nude in front of the camera. The girl wasnt having any of it, though, and contacted the police.This is not the first offense of its nature. Many are adopting similar techniques. A Spanish computer science student was fined by a Spanish court for a similar offense like this. Another one. But same intention! ??A 23-year old student has been caught using his hacker skills, or more specifically, installing some do dgy software applications to spy on unsuspecting women using their own webcams.Craig Matthew Feigin is a student at the University of Florida who was known for also fixing computers if they had a problem. One woman, named Marisel Garcia, had Craig recommended to her by a friend when her laptop started playing up. He took the machine away for the night and brought it back working the next day.Everything seemed fine, except that every time she went near her machine a little light came on and it also started using the battery a lot quicker.She got a close friend who knew about computers to come and check it over. They found 2 extra pieces of software installed on the machine called Web Cam Spy Hacker and Log Me In. Craig had clearly been spying on Marisel without her knowledge and uploading the pictures to a remote server.A quick trip to the authorities and Craig confessed to not only spying on Marisel, but also up to nine other women whose machines he had fixed. In Marisel’s case, h e had compiled over 20,000 pictures of her in different states of dress, as well as with her friends and boyfriend.Craig is now in custody and faces some charges coming under the Florida Statute of Offences against computer users. Some people even use Social Engineering tactics to get the access for your webcam.You can unplug the webcam when you are not using it or cover it with some stickers temporarily.

Monday, May 25, 2020

How it Feels to be With or Without a Family - Free Essay Example

Sample details Pages: 5 Words: 1639 Downloads: 9 Date added: 2019/02/15 Category Society Essay Level High school Tags: Family Essay Did you like this example? In the novel of The Beet Queen, the main theme that Louise Erdrich presents is family. As the novel begins, the main focus is on Mary and Karl Adare, siblings who are abandoned by their mother Adelaide. They both want to be part of a family because their mom leaves them alone. Don’t waste time! Our writers will create an original "How it Feels to be With or Without a Family" essay for you Create order After her mother’s departure, Mary goes to Argus to live with her aunt and leaves Karl behind. Karl then becomes a transient and meets many new people in his life. He always ends up leaving everybody he meets throughout the novel. He also declares his love to both men and women, regardless of how long he has knows them. Karl will become attached to anyone who shows him love. Then there is Celestine and Russell who do not have anyone else but themselves. In the novel, there is Sita who leaves her family to follow her dreams. However, she is looking for love which does not work out for her. She tries to find someone to be with, but she ends up being alone. In this novel, Erdrich describes the lives of the Adare family and how they untimely end up lonely. Each character tries to find somewhere they feel comfortable to live but setting down and creating lasting bands proves to be problematic for many of them. In the novel, Mary is one of the main characters who is looking for a family. Once her mother leaves her with her baby brother, she intends to take care of him. There is a man in the train who offers Mary to give him the baby. Mary at first did not want too but then ends up giving him the baby. Mary says, â€Å"He grabbed my arm so fervently that the baby slipped, and then the young man caught me, as if to help, but instead he scooped the baby to himself† (Erdrich 14). The guy from the train takes the baby and did not come back. Mary makes this decision because the baby did not stop crying. Mary then finds her aunt’s meat shop and she tells her everything that happened. She ends up staying there expecting to find the family she wants. Mary is thankful for her aunt for letting her stay with them. Mary says, â€Å"I had tried to give them what I thought was my treasure-the blue velvet box that held Mama’s jewels† (Erdrich 20). Her uncle and aunt did not want Mary to pay them, but Mary wants to at least be thankful by giving her mother jewels. She opens the box and finds few thick metal buttons off a coat, stickpins, a ticket describing a ring, and a necklace set with garnets. Sita says, â€Å"I bet it’s empty† (Erdrich 20). Sita from the beginning knows there will not be anything value inside the box. She is taking a fifty percent of being wrong or being right. But she has the feeling their will not be any valued inside the box. Furthermore, Mary wants to give something to her aunt Fritzie and uncle Pete for being so kind and giving her a place to stay. They treat Mary like she is part of the family and that’s what Mary wants. She wants to be part of a family since her mom left her and she does not know anything about her other two brothers. However, her relationship with Sita is not what Mary expected. Mary just wants to have a family, but Sita does not want Mary in her life. Mary finally finds the family she dreams of, but at the same times she is taking over Sita’s territory. Sita hates sharing her room and belongings with her cousin. She does not want Mary to be part of her family or her life. However, Mary gets herself comfortable and her aunt puts her in the same school as Sita. However, Mary ends up being in the same grade level as Sita because she passes a test the school makes her take. Just to check in what grade level they should put her in. Mary already is loved by her aunt and uncl e, which is something she always wanted. Then she noticed she is more like her aunt Fritzie because they seem to have the same mind set. They both have many things in common. Mary will not mind helping her out with the shop. For Mary, love does not seem to work with her and she does not find anyone. Continually, when Mary gets older, she ends up being in charge of the meat shop. She hires Celestine so she could help her out. Celestine helps out and Dot(Wallantee) just seem to hang around, but Mary gets attached to Dot. She wants Dot to have all the trust in her. However, Dot takes advantage of Mary because she knows Mary will always believe in her. Conversely, Mary has a brother who turns out to be Dot father, in which Mary does not seem to be have any interest anymore. Celestine and Dot are the only family member that are around Mary her whole life. Conversely, Karl has his mom’s love and he is the favorite child of Adelaide. After Karl is abandon by his mother and sister. It starts to affect Karl more because he is left alone and has nobody. Anyone who crosses his life, Karl will always end up hurting them. Karl is looking for attention and he just wants to be loved. However, he is not sure what he really wants. Karl will always be everywhere, he could not stay in one place. He does not even know if he wants a family, but deep down he feels lonely. He will go through people to fill him up but does not seem to find any interest in any of them. Karl always leaves them. Throughout the novel, he meets Celestine and ends up having a child with her, which he does not know about until Celestine tells him. Although Celestine kicks him out of her life, Karl still does not want a family. He is not sure what he wants. His whole life consists of traveling around the world and selling merchandise. He could never stay in someone†™s life because he always ends up hurting himself and leaving them indeed. Karl does not know the meaning of family because he never had one. For his daughter, he is not really a father because he never been by her side. He does not know anything about her. He tries to get close to his daughter but does not accomplish this. They do not have anything in common. Indeed, Celestine is described as a tall, strong, and a hardworking woman. Celestine is close friends with Sita and Mary. In the novel, Celestine becomes close to Mary and they end up growing up together. Celestine has a brother named Russell, he is the only family member she has since her parents died. Celestine works hard and does her best to maintain herself. In the middle of the novel, Celestine ends up having a child of Karl, which she does not expect and kicks Karl out of her life. Celestine does not want a family with Karl because he is unreliable. The only family member Celestine has is Russell though he leaves her because he does not like Karl. He did not want Karl to be a part of Celestine’s life. The only person that is by Celestine’s side is Mary. Moreover, Sita has everything, including a family and beauty. Sita thinks just because she is beautiful, she could get away with anything. The problem with Sita is that she is spoiled and she is not used to sharing whatever is hers. As the novel goes on, Sita decides to leave her family to follow her dreams. She does not care about anything else but herself. She does not care if her family agrees with her or not. Sita is a person that searches for love and her dreams. Sita says, â€Å"First my room, then my clothing, then the cow’s diamond. But the worst was yet to come when she stole Celestine† (Erdrich 30). If there is something Sita hates doing it is sharing her clothes and her room. Throughout the novel, Sita feels that she is getting old compares herself with young models. Sita also has bad luck in love. She does not find the right guy until the middle of the novel. In addition, Dot is a daughter of Celestine and Karl. She is a strong woman and seems to have her family habits. Dot gets spoiled from her aunt Mary and mother Celestine. She is not used to anyone saying no to her and she wants to get everything she desires. Dot grows up without meeting her father until she is around the age fourteen. When Dot and her father meet up, Dot shows no type of interest towards her father. He is not what she expects him to be. In the novel it says, â€Å"He felt reckless and desperate, suddenly, with the loss of this unattractive girl† (Erdrich 260). Karl is calling his daughter ugly. Dot is the queen of the beets. She gets on a plane and tries to leave just like her grandmother Adelaide. But she returns back because she starts to think what her mother will feel and all her loved ones. Lastly, this novel is about family. How every character tries to find a place a to fit in. Once they have the family they have dream of, they get attach. However, there are two main character that do not seem to find their family. There is one character who has a family but decides to separate herself from everyone. Every character tries to find someone to understand them.

Thursday, May 14, 2020

PA Admission Paper - 821 Words

I was three when I decided I would become a health care provider. This decision is my first memory and it is why I will become a physician’s assistant (PA). I was watching a documentary and staring into the eyes of a child my age. The announcer said that the child was starving. I could not imagine someone having flies in their eyes and not having food to eat or clothes to wear. I could not believe that such atrocities existed and I vowed to do something about it. I grew up in a small town surrounded by blue collar folks. My father had multiple sclerosis although I don’t remember it getting in the way of his strong desire to make a difference in the lives of the troubled souls with whom he worked as a parole officer. He died shortly†¦show more content†¦In addition, I took socially minded courses, volunteered and contributed to my campus community by participating in clubs. I continued to gain experience in health care. I worked at the student health center, creating and distributing relevant health related information, on campus and I worked as a home health aid. These college experiences enhanced my insight into the world of health care and provided me with greater excitement about becoming a health care provider. Then I got sick and that’s when I met my first PA. It was the summer between my junior and senior year of college and I had been suffering from health problems that were quietly destroying my well-being and studies since I had returned from my sophomore year study abroad in Ecuador. The doctors I had seen in Wisconsin did not address my health problem, so I made an appointment with a PA at home in Montana. I did not know what a â€Å"PA† was, but I was dubious that an assistant could diagnose me. However, not only did he diagnose me, but he treated me so well that I elected to see him over the Wisconsin doctors I had seen previously. Unlike the doctors, the PA was calm, competent and caring. This was the first hint at the fact that PA was the career choice for me. After college, I became a medical anthropologist to help create structural change that would one day improve the system that contributes to the social inequalities that cause to poor health. My plan didn’t work. While myShow MoreRelatedPatient Case Study1630 Words   |  7 Pagesthat exceeds the recipient’s needs, not ordered or prescribed solely for the recipient’s convenience and is ordered with the recipient’s knowledge. 55 Pa. Code  § 1101.66(a)(2): The Department pays for compensable services or items rendered, prescribed or ordered by a practitioner or provider if the service or item is medically necessary. 55 Pa Code  § 1101.21: A medically necessary service is one that is compensable under the MA Program, necessary to the proper treatment or management of an illnessRead MorePharmacy Admission Specialist1861 Words   |  8 Pagesmedications taken by a patient prior to admission to a facility with medication orders at the facility. The Joint Commission (TJC), the accrediting body for health care organizations, stipulates that the medication reconciliation process must be completed within 24 hours of admission (Sentinel Event Alert, Issue 35, 2006). This process begins with compiling an accurate list of the patients home medications which are also referred to as prior to admission (PTA) medications. At Poudre Valley HospitalRead MoreOutcomes For Women Admitted During Active Versus Early Labor1272 Words   |  6 PagesColorado, College of Nursing Author Note This paper was prepared for NUDO 7018, taught by Professors Nelson and Shaw. Perhaps one of the most important and difficult decisions an obstetrics care provider attending births in a hospital setting can make is when to admit women to labor and delivery units. A literature review evaluating the PICO question: â€Å"In nulliparous women with singleton, vertex pregnancies, does admission to labor and delivery units in active labor, defined as cervicalRead MoreTaking a Stand Essay1324 Words   |  6 Pagesbeyond the individual patient to local and global populations, and nationally and globally to the nursing profession itself. The purpose of this paper is to describe this author’s role as a moral agent or advocate for a specific issue in this author’s work, and explain one or more negative outcomes that may result if this role is not fulfilled. This paper will also analyze the skills, dispositions, and strategies necessary to help this author fulfill this role, and explain this author’s motivationRead MoreEssay Job Description1487 Wor ds   |  6 Pagesinstitution, and during this time I have developed a broad range of skills, in-depth knowledge of HE and more specially the medical school and gathered a wealth of experience which ideally suits me to this role. I have worked in recruitment and admission roles previously; as the European recruitment assistant for the Business and Management school at Humberside University I worked closely with the recruiting academics creating and booking their recruitment drives/travel plans, putting together marketingRead MoreHec Montrà ©al Admission4589 Words   |  19 Pagespar le numà ©ro de la demande d admission en ligne. Courrier à ©lectronique : AdmissionEnligne@hec.ca Ou Courrier postal : HEC Montrà ©al Bureau du registraire Service des admissions 3000, chemin de la Cà ´te-Sainte-Catherine Montrà ©al (Quà ©bec) H3T 2A7 Canada Studying at HEC Montrà ©al Each program of studies at HEC Montrà ©al has its own eligibility criteria. For more information, refer to the admission section for the program thatRead MoreRacism And Sexism : A Government Or Private Program1134 Words   |  5 Pages2015). However, they did not outlaw affirmative action as a whole, it still exists, but it has to be tailored to meet a government interest, but not be a quota. This manifested itself so that schools can award extra points to minorities on their admissions, but it should not be the largest factor, and done with the goal of promoting diversity (CrashCourse, 2015). After looking at what affirmative action is, and why it started, I do think it should be removed from the federal government. The mainRead MoreVentilator-Associated Pneumonia Essay1059 Words   |  5 Pageshours of endotrachal intubation (Lewis, Dirksen, Heitkemper, Bucher, amp; Camera, 2011). Although any hospital patient is susceptible to pneumonia, ventilator dependent patients are at the highest risk of acquiring pneumonia. The purpose of this paper is to identify the risk factors, incidences, and preventions of ventilator-associated pneumonia (VAP) using a quantitative research study performed in Malaysia. â€Å"The aim of this study was to determine the incidence and predictors over time during anRead More... Competency Differences of Associate and Bsn Nurses815 Words   |  4 Pageshospitals and a four year university or college program, earning the student a bachelor’s of science degree in nursing (BSN). The practice of the ADN and Diploma nurse is the same. Ea ch nurse is eligible to sit for the NCLEX-RN licensing exam. This paper will compare the competency levels of BSN and ADN/Diploma nurses. The American Association of Colleges of Nursing (AACN) believes that education significantly impacts the knowledge base and competencies of nurses (AACN, 2010). BSN and ADN nursesRead MoreStress For Community Home Health Nurses856 Words   |  4 Pagesreferrals are given through faxes and e-mails, the nurse does not exhibit a way to directly challenge the atmosphere that will be present at the initial assessment of the client. Nurses can never assume that every initial visit for the clients’ admission to the community nurses service will be a pleasant experience. Nurses rely solely on the marketing team to provide the needed information of the client to the nurses so that the initial visit may be smooth runnings. Chapter 2 REVIEW OF THE

Wednesday, May 6, 2020

In ken keseay’s one flew over the cuckoo’s nest a...

In ken keseay’s one flew over the cuckoo’s nest a psychiatric ward becomes a metaphor for the oppressive nature of society In ken keseays one flew over the cuckoos nest a psychiatric ward becomes a metaphor for the oppressive nature of society. This symbolic novel relays the story of an inmate standing up against the powerful forces that operate a mental institute. This novel represents more than man vs the institutions. The novel compels us to think about just how thin the line is that separates insanity from sanity and treatment from control. One flew Over thee cuckoos nest represents a heroic struggle of personality against an institution of mindless conformity. Change becomes relevant in each character in the ward†¦show more content†¦They swallow their tranquillisers, agree to any guilt-mongering diagnosis or humiliating treatment the authorities say is for their good. They take part in democratic therapy sessions that adrupt end if anyone tries to change anything, and know that the ultimate sanction is lobotomy The characters themselves can be viewed as a metaphor of society as well MM for example represents the rebellious faction of society that was so loudly expressing itself during the 60s and 70s, he like the hippies challenge authority and brings about change by inciting others to rebel as well. Bromden sees modern society as a mechanical oppressive force and he views the hospital as the repair shop for people who dont fit into their roles as cogs in the michine. His way of interpreting the world emphasizes the oppressive social pressure to conform. Those who dont conform to the rules and conventions are considered defective products of theschools, churches and neighbourhoods those who dont conform are labelled mentall ill and sent for treatment Kesey demonstrates the change in chief bromden when the character awakes and watches the dog outside the window. Thi shows that chief bromden is now more aware of the outside world. He can conceive of exsistance outside of the institution, as he could not before. MM is the primary cause of this change. When things arent going well for the chief he sees for surrounding him.. he is sure

Tuesday, May 5, 2020

Contemporary Clinical Manifestations Patientâ€Myassignmenthelp.Com

Question: What is the Contemporary Clinical Manifestations of the Patient? Answer: Introducation The contemporary clinical manifestations of the patient include the increase in the ischemic stroke which he got diagnosed within the last six months. The ischemic stroke gets caused by the reduction in the blood flow into the brain of the patient. Thus, the patient experiences a decrease in the cerebral blood which accelerates the reperfusion through the thrombolysis using the recombinant tissue of the plasminogen activator (rt-PA)(Brambilla, et al., 2013). The rt-PA has got an association for an improved clinical result. Further, his hypertension has increased with the high prevalence of the Ischemic Heart Disease. Hypertension involves the chronic surge of the blood pressure which in the long-term results to the destruction of the organ. It also leads to the increased morbidity and the mortality rate. Moreover, the patient complains of the continued gastro-oesophageal reflux. The patient narrates that he feels kind of a gastric juice that comes back into the esophagus exceeding th e reasonable limit. The Patient Information Mr. Tim Hewson, aged 61 years old, who got widowed and left with no children. He lives alone in the apartment block. As a nurse, I feel that my client does not receive entirely any family-centered care and support since there is no family member or relative living with him. Hence, the patient may develop stress and have a feeling of loneliness which most likely would render the medications he receives ineffective and have a reduced efficacy(Ringoir, Pedersen, WIddershoven, Pop, 2014). The patient has got a medical history for ischemic stroke, high blood pressure, ischemic heart disease and the signs of gastroesophageal reflux disease. There is strong medical rationale currently for the patient that include the drug and the prescribed dosage. For instance, the 20mg Lisinopril, the Frusemide 40mg each day, 150mg of aspirin for a daily dosage. Furthermore, the Coloxyl and Senna tablets for a dosage of 2 tabs daily, the Nexium which is 40mg mane, Panadol, 400mg Ibuprofen TDS (taken prio r retire to bed). Further Assessments and the Issues to Consider I would like to acquire more information regarding Mr. Tims height, weight, whether he smokes or not. Moreover, would require additional information if the patient consumes alcohol and the kind of meal that has got prescribed for him. The height and weight would assist me to check on the patients basal mass index (BMI) so as to rule in or out obesity condition based on the index value obtained. In most instances, patients who are obese do experience high blood pressure(Shekelle, et al., 2013). Information about smoking gets critical in determining whether the patient might have any signs of the cigarette components related cancer or noncancerous lung disease as a result of the hydrogen cyanide gas from the cigarette smoke. The type of meal prescribed for the patient would assist me in knowing what balance diet I should offer my client during the nursing care(Aust, 2013). The knowledge about patient alcohol consumption would create the basis for determining whether the patient suffers from alcohol-related diseases in case he drinks. Establishment of the Care Goal As a competent nurse, I would first start by introducing to my client and bring to his attention that I would be the one taking of him. I should listen to him carefully and note any difficult in his communication if therein and devise a mechanism for effective communication. Based on the nursing practice standards, I should show empathy and deep concern for my client by creating enough time to stay close to the patient(Kitson, Marshall, Bassett, Zeitz, 2013). Thus, fight the loneliness feeling and offer more opportunity to learn more about how my patient feels. Besides, I shall encourage the client to enjoy his meal and take the medication rationales as prescribed for the faster recovery. Finally, I would always give my patient hope that he shall recover and all shall get well. Evaluation I would apply three strategies to evaluate my patient. The strategies include monitoring, outcome and the impact evaluation. The follow-up evaluation is the kind of assessment that takes effect shortly after the nursing intervention begins and goes up to the midway. The monitoring assessment would allow me to determine what I should do for my patient next. The patient outcome evaluation would enable me to assess the medication results on my client(Arora, Goldeberg, Menchine, 2014). The outcomes may be short-term or long-term. The impact assessment would assist in measuring the changes in the patient before and after receiving medication and other nursing care services. Examples of other nursing care services include the consolation, stress management, and the loneliness feeling fight. Usually, the impact assessment would help to answer some nursing questions on how much have the patient condition has improved References Arora, S., Goldberg, A. D., Menchine, M. (2014). Patient impression and satisfaction of a self-administered, automated medical history taking device in the emergency department.Western Journal of Emergency Medicine,15(1). Aust, M. P. (2013). Critical care nursing: a holistic approach. Brambilla, G., Bombelli, M., Seravalle, G., Cifkova, R., Laurent, S., Narkiewicz, K., ... Grassi, G. (2013). Prevalence and clinical characteristics of patients with true resistant hypertension in central and Eastern Europe: data from the BP-CARE study.Journal of hypertension,31(10), 2018-2024. Kitson, A., Marshall, A., Bassett, K., Zeitz, K. (2013). What are the core elements of patient?centred care? A narrative review and synthesis of the literature from health policy, medicine and nursing.Journal of advanced nursing,69(1), 4-15. Ringoir, L., Pedersen, S. S., Widdershoven, J. W. M. G., Pop, V. J. M. (2014). Prevalence of psychological distress in elderly hypertension patients in primary care.Netherlands Heart Journal,22(2), 71-76. Shekelle, P. G., Pronovost, P. J., Wachter, R. M., McDonald, K. M., Schoelles, K., Dy, S. M., ... Bates, D. W. (2013). The top patient safety strategies that can be encouraged for adoption now.Annals of Internal Medicine,158(5_Part_2), 365-368.