A Study On The Patients Physical Examination, Social...

Case Study 1 Based on the patients physical exam, social activities, family history, recent laboratory results and imaging; from a nurse practitioner stand point I am concerned that the patient has coronary artery disease, new onset of congestive heart failure, as well as concerns that the patient may be suffering from depression. Mr. E. W. is an obese African-American male and has uncontrolled hypertension. Given Mr. E. W’s ethnicity, obesity and uncontrolled hypertension he is a likely candidate for coronary artery disease. The patient also presents with an ejection fraction of 46% and a prominent S3 sound upon auscultation. These findings are indicative of congestive heart failure. I am also concerned about the patient’s psychological well-being. The patient openly admits to drinking â€Å"several beers every evening to relax,† and is said to be a widower who lives alone. The patient also admitted to not speaking to his daughter for the past 4 years after she moved out wit h her aunt. These are signs and symptoms of depression coupled with poor coping strategies from tragic life events (CDEM Curriculum). Although there is a multitude of pre-existing as well as new medical conditions that are concerning, my focus during this annual check-up is the laboratory findings that are indicative of coronary artery disease (CAD). This is concerning because the patient has extensive nonmodifiable and modifiable risk factors for CAD. Nonmodifiable risk factors include that he is a male,Show MoreRelatedhkjhjh1374 Words   |  6 Pagesconnections to the religious and philosophical beliefs of each culture. For example, a medicine man would apply herbs and say prayers for healing, or an ancient philosopher and physician would apply bloodletting according to the theories of humorism. In recent centuries, since the advent of science, most medicine has become a combination of art and science (both basic and applied, under the umbrella of medical science). Thus, while th e perfect stitching technique for suturing an artery is still an art thatRead MoreSymptoms And Diagnosis Of Alzheimer s Disease3618 Words   |  15 Pagesparticular, rather than other conditions such as vascular dementia or fronto-temporal dementia for example. Earl symptoms may include problems generating people’s names or the correct names of objects, observable difficulty cognitively functioning in social situations, short term memory retention difficulty, continuously misplacing important objects, poor executive functioning, and a shift in mood such as depressive and irritable swings (Holsinger, Deveau, Bustani, Williams, 2007; Llewellyn, 2010). TheRead MoreThe Management Of Middle Aged Adult By An Adult Geriatric Nurse Practitioner2310 Words   |  10 Pages(Phoenix, Das, Joshi, 2012). If cellulitis is untreated, it may develop into a severe form of soft tissue or bone infection and result in high morbidity. Cellulitis is a common infection which tends to recur in a significant portion of affected patients after an initial episode, especially if the predisposing condition is chronic lymphedema (Chlebicki Oh, 2014). All patients present with cellulitis should be carefully evaluated to establish the risk of recurrence and reduce economical burden to healthcareRead MoreChild Abuse3642 Words   |  15 Pagesï » ¿ Child Abuse Abstract Thousands of children are abused every year and most of the time by members of their own families. A recent study carried out by the WHO estimated 1,273,000 children in America had been victims of some form of abuse in the year 1984. This report was based on projected or actual figures which were supplied by the official state liaisons for child abuse and neglect. It suggested a noticeable increase in the number of cases, up from an estimated 1,007,000 in 1981. The figuresRead MorePagbabago Ng Klima8154 Words   |  33 PagesVigan, City A TERM PAPER Facts About Alzheimers Disease (AD) Presented to: In partial fulfillment of the Course requirement of the subject SOCIAL SCIENCE (General Psychology) Presented by: TABLE OF CONTENTS TITLE PAGE i ACKNOWLEDEGMENT ii DEDICATION III I.INTRODUCTION A. Statement of the Problem B. Importance of the Study C. Scope and Limitations D. Definition of Terms E. Methodology II. PRESENTATION AND ANALYSIS A. B. C. D. E. F. III. SUMMARY IV. CONCLUSIONRead More‚Äà ºa Contemporary View on Health Care System in Bangladesh.‚Äà ¹14806 Words   |  60 PagesCHAPTER - 1 Introduction 1.0 origin and background of the report The report ‘‘A Contemporary view on Health Care System in Bangladesh’’ is the outcome of Internship Program which is a precondition for acquiring MBA Degree. Only curriculum activities are not enough for handling the real business environment, so it is necessary to get the better knowledge about the real scenario. The report is a requirement of the internship program for my MBA Degree. Conduction of Internship/ Dissertation startedRead MorePsychology Ncert Book 1 Chapter Notes11190 Words   |  45 Pagesdisciplines, and professions, and appreciate the value of psychology in daily life to help you understand yourself and others better. Contents Introduction What is Psychology? Psychology as a Discipline Psychology as a Natural Science Psychology as a Social Science Understanding Mind and Behaviour Popular Notions about the Discipline of Psychology Evolution of Psychology Some Interesting Landmarks in the Evolution of Modern Psychology (Box 1.1) Development of Psychology in India Branches of PsychologyRead MoreCase Study on Hypokalemia8797 Words   |  36 PagesIn Partial Fulfillment of the Requirements in NCM 105 A Case Study on Systemic Lupus Erythematosus December 2010 Table of Contents Acknowledgement†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦.. 3 Objective†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦. 4 Scope and Limitations............................. 5 Introduction†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦.. 6 Review of Related Literature†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦ 7-8 Case Analysis†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦ 9 Health History†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦.. 10 Family Genogram†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦. 11 Anatomy and Physiology†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦. 12-13 Pathophysiology†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦ 14-17 Nursing Assessment Tool†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦. Read MoreDescription Of An Example Of A Presentation8050 Words   |  33 Pagesdevelopmental disability that typically appears during the first three years of life. The result of neurological disorder that affects the functioning of the brain, autism and its associated behaviors have been estimated to occur in as many as 1 in 500 individuals (Centers for Disease Control and Prevention 1997). Autism is four times more prevalent in boys than girls and knows no racial, ethnic, or social boundaries. Family income, lifestyle, and educational levels do not affect the chance of autism’s occurrenceRead MoreCommunity Acquired Pneumonia18251 Words   |  74 Pagesabuse are all risk factors for having CAP. (Schmitt, 2011) Several tests can be performed to identify the cause of an individual s CAP.  X-rays  of the chest, examination of the  blood  and  sputum  for infectious  microorganisms, and  blood tests  are commonly used to diagnose individuals with suspected CAP based upon symptoms and physical examination. (Smeltzer, 2004) Most cases of pneumonia generally run an uncomplicated course. Complications may include the following: pleurisy, pleural effusion, atelectasis

The Renaissance And Romanticism During The 19th Century

The Renaissance and Romanticism were periods of history in which literature changed the mindset of the people. The Renaissance occurred in Britain during the late fifteenth century to the early seventeenth century, and was a response to the Medieval Age. There was a spike in learning during the Renaissance, because of the invention of the printing press and the return of classical Greek and Roman literature. The Romantic period occurred during the late eighteenth century, as a response to the Enlightenment. The Romantics believed in the importance of the imagination and turned away from logical thinking. The Renaissance and the Romantic periods are similar, because they focus on individuality and occur as a rebellion to the previous†¦show more content†¦During the Renaissance, many believed they were making a leap towards perfection(†¦). This idea of perfection came from the Greek search for excellence (page 4, PDF). Some major figures in British literature during this time period were William Shakespeare, John Milton, John Donne, and Ben Johnson(†¦). William Shakespeare had a large influence on literature(†¦). He was considered one of the greatest and most famous poets of his time(†¦). John Milton was a major figure during the Renaissance(†¦). He was also considered one of the greatest poets of the English language(†¦). His most popular work is Paradise Lost, about? which he wrote during the Renaissance(†¦). Ben Johnson is known for writing satires(†¦). His most famous works are Volpone, â€Å"On My First Son†, and â€Å"Song: To Celia† (†¦). â€Å"On My First Son† was written after the tragic death of his 7-year-old son(†¦). The major works produced during this time are Paradise Lost by John Milton, The Faerie Queene by Edmund Spenser, Romeo and Juliet by William Shakespeare, Macbeth by William Shakespeare, and the translation of Homer’s Iliad and Odyssey(â € ¦). The Romantic period began during the late eighteenth century and continued until the mid nineteenth century(†¦). It began in England and Germany, which some scholars find odd, because neither country spoke a romantic language (public.wsu). William Wordsworth and SamuelShow MoreRelatedOutline of Movements in Art813 Words   |  4 PagesWestern perspective (14 ed., Vol. II, p. 562). Boston, MA: Wadsworth, Cengage Learning. II. Impressionism (began around the late 19th century) a. Impressionism, both in content and in style, was an art of industrialized, urbanized Paris, a reaction to the sometimes brutal and chaotic transformation of French life that occurred during the latter half of the 19th century (Kleiner, 2014). b. Artwork significant to the movement * Monet, C. (1877). â€Å"Saint Lazare Train Station† [oil on canvasRead MoreThe American Renaissance Essay1648 Words   |  7 PagesIn America, the American Renaissance was the period in 1835-1880 in which United States literature came of age as an expression of a national spirit. Literature became one of the most historically significant effects that occurred throughout the time period of the American Renaissance. The American Renaissance is also characterized by renewed national self-confidence new ideas and technologies. Politically and economically, this era coincides with the Gilded Age and the New Imperialism. By the endRead MoreRollercoaster of Arts and Architecture Brought About by Napolean Bonaparte1083 Words   |  5 Pagesof Napoleon Bonaparte. Soon enough art would become a way for people, (even those without high-level education) to express themselves. The new styles of architecture and visual arts that Napoleon introduced in France sparked new eras of art l ike Romanticism that he used to make himself popular; it caused Napoleon to be noticed, not just because of his military conquests, but also because of his artistic vision and innovation. The rule of Napoleon Bonaparte was spectacular because of his elaborateRead MoreBaroque And The Baroque Era732 Words   |  3 PagesWestern perspective (14 ed., Vol. II, p. 570). Boston, MA: Wadsworth, Cengage Learning. II. Impressionism (began around the late 19th century) A. Impressionism, both in content and in style, was an art of developed, urbanized Paris, a reaction to the sometimes brutal and chaotic transformation of French life that occurred during the latter half of the 19th century (Hubbard,2001). B. Artwork significant to the movement ïÆ' ¼ Monet, C. (1877). â€Å"Saint Lazare Train Station† [oil on canvas 2’ 5  ¾ xRead MoreArt Movements From 17th 20th Century1453 Words   |  6 Pages17th-20th Century Art plays important part of mankind throughout our whole existences. During each period of time art has its own movements; the art style of the tendency in art committed by group of artists with common philosophy during a restricted period of time. Throughout the 17th to 20th centuries there are hundreds art movements that contribute to human purposes. Baroque Art, Romanticism, Art Nouveau, Dadaism, and Art Deco are some of the popular art movements during the 17th – 20th century. TheRead MoreCharacteristics of Drama1660 Words   |  7 PagesHistory of Drama Ancient Drama The origins of Western drama can be traced to the celebratory music of 6th-century BC Attica, the Greek region centered on Athens. Although accounts of this period are inadequate, it appears that the poet Thespis developed a new musical form in which he impersonated a single character and engaged a chorus of singer-dancers in dialogue. As the first composer and soloist in this new form, which came to be known as tragedy, Thespis can be considered both the first dramatistRead MoreA Grand Chain Of Rebellion First Beginning Of The Renaissance Era2674 Words   |  11 Pagesa grand chain of rebellion first started in the Renaissance era. Renaissance era covers the 300 years from 1400 to 1699 and is characterized by a revival of Classical scholarship, wisdom and values. European culture was reborn in the 15th century after a long dormant period in the Middle Ages that extended from the fall of the Roman Empire until the beginning of the 14th century. In addition to the revival of Classical scholarship, the Renaissance period also experienced cultural, scientific andRead MoreThe Characteristics Of Classicalism And Romanticism In The Renaissance979 Words   |  4 Pagesthinkers, the Renaissance brought the rebirth of classical philosophy and literature. During the 18th century, Renaissance thinkers began to resonate with their early Greek and Roman counterparts, valuing reason and order. However, in the early 19th century a new intellectual movement would surface as antithesis to the Classicism––revival of classical texts––of the 1700s. What Romantic thinkers valued, Classic thinkers rejec ted. Placing emphasis on notions like imagination and nature, Romanticism soughtRead MoreMadam Odalisque and Lady Olympia1168 Words   |  5 Pagessubject of human body and nudity has always been a topic that artists have taken into consideration when painting, depending on the time period that they were living in and style that they were working in. By looking at the history of art through the 19th century, it is very clear that this subject was by far the most important and most consistent topic throughout this specific time period. Other subject matters such as still life, everyday life, landscapes, biblical and mythical stories and etc at someRead MoreThe Renaissance And The Renaissance796 Words   |  4 PagesThe transition from the middle ages to the renaissance drastically changed art, culture, and the common worldview. The middle ages were viewed in a negative connotation as far as art and music goes. It was a religious time, focusing on God above all else unlike the rena issance. The renaissance brought about works of Michelangelo, Da Vinci, and Raphael. It brought about an appreciation of humanism and secularism along with the renewal of the ancient Greeks and Romans. Causes of a shift from focusing

Management Accounting and Leadership Style †Free Samples for Students

Question: Discuss about the Management Accounting and Leadership Style. Answer: The leadership style of the manager of Suite III will be more effective since he is following the participative style of the leadership. Under this type of the leadership, the decisions are made up by the group and this is done by the way of occulting or voting. All of the members of the group are bound to vote and the decision is made and then that decision is supported. In this role, the manager is the leader of the team or the chair to the group. The main disadvantage of this style is that the decisions takes much longer and in case, the team is not skilled, then the empowerment through the making of the decisions would fall down [1] This leadership works the best when the people are very much capable and also motivates when it comes to making their decisions. This is mainly strong when there is as such no need for the central coordination to be made. A very good example of the same is through the work of the directed work teams in which are teams are empowered in order to make the decisions and are also empowered in order to get the job done through the work of the team [2] The stylists would both leave their jobs and start looking for the new ones or they would become disgruntled. Their role very much revolves in and around the leader. He is the one who makes all of the decisions for the group and also manages a very tight ship. This means that the team members are controlled and are also managed through the way of some close supervision [3] The leaders take on the full responsibility for the decisions of the team and they also review their work. The leaders are busy and this could lead to a high amount of stress and also create the health problems and issues. They would indicate their displeasure simply by making and following their rules and by not listening to the leader. An alternative to this issue is the fact that the stylists could work extra and go for lesser offs for breaks. The manager of the hair suite I has simply stated that the customer would be scheduled for 40 minutes and there would be breaks of lesser duration. This would lead to an increase in 1 customer each day. This just means that the manager has set a target for the hair stylists that they would cater to the needs of so and so customers. The manager has neither consulted the members of the team nor has he invited any suggestions. He just laid down the ground rule for the hair stylists and they would have to follow the same, no matter what. Stretch targets for the salon would not be successful since the hair stylists are highly skilled and it spreads dissatisfaction amongst the employees [4] References: (2017),Understanding effective leadership styles. [online] Available at: https://www.educational-business-articles.com/effective-leadership-styles/ [Accessed 14 May 2017]. (2017),What's Your Most Effective Leadership Style?. [online] Available at: https://www.americanexpress.com/us/small-business/openforum/articles/whats-your-most-effective-leadership-style/ [Accessed 14 May 2017]. (2017).Advantages Disadvantages of Setting a Performance Target. [online] Available at: https://smallbusiness.chron.com/advantages-disadvantages-setting-performance-target-35371.html [Accessed 14 May 2017]. (2017).Advantages Drawbacks of the Autocratic Leadership Style. [online] Available at: https://smallbusiness.chron.com/advantages-drawbacks-autocratic-leadership-style-16616.html [Accessed 14 May 2017].