Reflection on Patient with Acute Asthma Management

Reflection on Patient with Acute Asthma Management Acute asthma, for a human body is really harmful. Being from a medical background, I understand the seriousness of the issue and regarding the same I want to add on to my strengths learning better to handle any unwanted situation like that overcoming my weaknesses. Here, I will discuss all the related important things in understanding the asthma problem and handling a patient quoting an example. Describe the event or area of learning / knowledge that you identified as part of your clinical scenario Example: A 45 year old female patient with asthma is to be transferred to FMC. She was initially admitted to a local regional hospital at room no. 0139 with severe asthma issue. As a first step to handle the situation she was being settled with salbutamol and amiophylline. She was then reviewed in the morning time and was suspected with chest infection and congestion. The team of the doctors discussed the issue internally and finally decided to transfer the patient to FMC for further review. Now what are the challenges and scope of learning areas I found in the case are listed below but for that I want to start from the introduction:- Acute asthma management is based on some primary steps that include assessing the severity of the patient whether it is mild, moderate, and severe or life threatening. All these will be observed during the startup of the bronchodilator treatment immediately after the patient is being admitted. Next comes the administering oxygen therapy. This is will be observed or implemented if the case is too serious and the therapy is needed to be done. If it is required then there are some things need to keep in mind that saturated oxygen titration to the target or the patient is at 92–95% (adults) or at least 95% (children). After this is done as per the requirement, then comes the number of completing the observations and the assessments that will be solely based on clinical priorities determined by baseline severity. Asthma can be really hazardous for the patient in the longer run, they can cause chronic lung issues and respiratory problems and that is why proper observance and adminis tering is required. Further, keep a close check on systemic corticosteroids within the first hour of treatment is really necessary. Till the time acute asthma gets resolved, a regular and repeated reassessment response to the ongoing treatment is essential. If required the whole process should either be continued or something more should be added to the previous style of treatment. Also, this whole should be repeated in cycle till the patient is transferred or referred to some another hospital or ICU for further observance. Apart from all these, observing the patient for at least 1 hour a day is a must call. Systemic manifestations and comorbidities of COPD- European Respiratory Journal (2009) European Respiratory Journal http://erj.ersjournals.com/content/33/5/1165.full.pdf+html What were you thinking and feeling? Why did you identify the action or leaning as important to you? It was very shocking as well as sad incident for me as since my childhood I cannot see anybody in pain or in any kind of unwanted situation. To me serving mankind is the ultimate goal for my life. If by chance I could help out anybody during any bad or harmful situation through my efforts, I will be the happiest person on this earth and I mean it. And that is the reason why I chose this medical field at the first place despite of the initial oppose from my family on my decision to get into the medical field as they wanted me to be an architect. I believe that you get a chance to be born in the human race just for once, so how will it matter if I dont become the reason for someones happiness. Also, I took this situation really seriously as I wanted to deal with this kind of situation if it occurs further in my family or my neighborhood. If talking medically, at the first place as per my understanding and learning I thought of giving her salbutamol along with atrovent fused by a nebulizer as a first aid to the issue but then suddenly I planned to delay the same as I came to know that the patient has already taken her daily dose of salbutamol puffer. After having a look on her medical history, I gathered the information that the lady has some anxiety disorder and borderline disorder too. Why I am mentioning these issues here is because of the reason that just due to these disorders, a feeling of shortness of breath can be occurred and at that time I should not be or somebody else for that matter should not be panicked. Apart from these observations, her blood pressure level and heart rate were pretty normal and with these now a proper treatment plan can be taken. Also, for some further added information to the case history, while attending the patient I have observed that in the recent past she has been already admitt ed to ICU for 3 times and this should be noted down during the treatment plan. During those admissions, she complained of anxiety issues and also that she hates going to the city hospital because of their ICU referral problems. That means she totally hates being admitted in ICU as in ICU the treatment is really complex and hard to adapt. Heart Lung- The Journal of Acute and Critical Care (July–August 2012) http://www.sciencedirect.com/science/article/pii/S0147956312000684 Evaluation Analysis I would like to list my actions in order of appropriateness. What I did well: The Primary survey, observing her social and recent medical history, collecting and placing all the facts related to her health in proper order for further planning, attaching the cardiac monitor with the patients body and then closely keep a check on the whether the assessment of heart rhythm respiratory was a thorough one or not What I could have done better: I should have given her salbutamol and atrovent nebulizer in the beginning itself, making her feel relax and comfortable by giving her instructions for proper postures, I should have also given more detailed info in handover ISBAR, the call for the second crew support was a big mistake as I could have called the local staff of the hospital itself. I will definitely make a note of these mistakes and will keep in mind for future references Also, I could have done a better research on asthmatic patients, the symptoms and the required medical approaches especially for the ones suffering from mental illnesses such as anxiety disorder. Delay in the treatment action plan and decision making was one thing needed to be checked. Apart from these mistakes, one major thing I have learnt is expiratory wheezing can indicate asthma, so I will definitely keep that in mind I take all challenges and the situations coming in my path of learning as a positive one, nothing in this world is negative so the positive thing happened with me is that I was finally able to communicate with both partner and patient really well and I am happy about my competence. Opting and deciding the correct clinical approach is another reason for my happiness on my list. Clinical and economic burden of patients diagnosed with COPD with comorbid cardiovascular disease- Respiratory Medicine (October 2011) http://www.resmedjournal.com/article/S0954-6111(11)00133-8/abstract?cc=y= What was difficult about the scenario and why? As a learner or beginner you can say, I think I have a followed a good approach to the whole situation because from the time she was admitted in the hospital, she is feeling much better now. I believe I have applied full and true approaches from my medical learning and understanding in managing the whole situation and for my leadership I would like to add that considering a beginning it was quite good. I have assessed the vital symptoms and signs of the patient and also have completely referred and observed her past medical history. Not only that during the first step of the treatment, I have linked my approach and planned the treatment as per the history. If I talk about the difficulties and the barriers that I faced during the situation, then I would like to mention this that English is not my first language and during the treatment procedure I find it really hard to convey my intentions to the patient. Also, I was not able to understand her problems so I need really hard to work on that. Apart from that I believe that learning is a 24X7 process and I will definitely focus on polishing my skills further. References Estimating prevalence of common chronic morbidities in Australia-The Medical Journal of Australia (2008) Estimating prevalence of common chronic morbidities in Australia-The Medical Journal of Australia [Online] Available: https://www.mja.com.au/journal/2008/189/2/estimating-prevalence-common-chronic-morbidities-australia?0=ip_login_no_cache%3Dac017679306e921f901be42b8204e158 [Accessed 3 June 2015] Clinical and economic burden of patients diagnosed with COPD with comorbid cardiovascular disease- Respiratory Medicine [Online] Available: http://www.resmedjournal.com/article/S0954-6111(11)00133-8/abstract?cc=y= [Accessed 3 June 2015] Heart Lung- The Journal of Acute and Critical Care [Online] Available: http://www.sciencedirect.com/science/article/pii/S0147956312000684 [Accessed 3 June 2015] Systemic manifestations and comorbidities of COPD- European Respiratory Journal [Online] Available: European Respiratory Journal http://erj.ersjournals.com/content/33/5/1165.full.pdf+html [Accessed 3 June 2015]

James Fenimore Cooper

Connor Roche Research Paper JAMES FENIMORE COOPER James Fenimore Cooper was an important literary figure of the 1800s, best known for his novels. He is perhaps most noted for his greatest work of literature: The Last of the Mohicans: A Narrative of 1757, a tale that chronicles the journey of several English people and a few Native Americans during the French and Indian War, also known as the Seven Days War. Cooper’s work on this novel and others such as The Prairie reflects his different approach regarding certain commonly held ideas of the time. This was especially true concerning the present-day views most people had about Native Americans. However, Cooper’s work also reflected his compliance with the most popular fine arts movement of his time: Romanticism. To completely grasp the scope of Cooper’s writing, some background on Cooper’s life, and the social customs and ideas of his time are necessary. Cooper was born on September 15, 1789 to Elizabeth Fenimore and William Cooper, the founder of the city of Cooperstown, NY. After expulsion from Yale College, Cooper pursued a career as a sailor on a merchant ship, traveling as far as the Strait of Gibraltar. Following this was a brief stint in the United States Navy, followed by farming. During his expeditions at sea, James Cooper seriously considered becoming a writer. In fact, most of his stories tell tales of sailors and sea trips, inspired by his own days on the water (Literature Network). At the time of Cooper’s writing, Native Americans were often held in contempt, mistreated, and oppressed. This had been a common aspect of society since the days of Columbus’ first expeditions to the Americas (Cassutto). The Native Americans were regarded with prejudice, hatred, and most of all fear, as is present when experiencing any unknown thing. Often times, brutal massacres were carried out, killing hundreds of innocent Native Americans. Cooper attempted to change such ideas through the relationships established between characters in his books, as is best shown by The Last of the Mohicans. This book was actually the second (and best known) in a series of five â€Å"Leatherstocking Tales† In this story, the two of the main characters are a white man named Natty Bumppo and a Native American named Uncas, who is the titular â€Å"Last of the Mohicans†. These two men, though they were from completely different backgrounds, form a very close bond, and show that interracial cooperation is extremely plausible, and actually useful. Furthermore, Natty Bumppo goes as far as adopting a Native American name, Hawkeye, to show that he truly could blend in with the Native Americans and act peacefully with them. The actual story takes place during the French and Indian War, about 30 years before Cooper was born. Though the war is named after two groups, the actual struggle was part of a huge conflict between several nations, including Austria, England, France, Great Britain, Prussia, and Sweden. In the American colonies, the war resulted from excessive pressure from the British for additional resource collection and production. This resulted in higher taxes, more strenuous work, etc. During the war in the colonies, the Native Americans (Indians) faced the French, who, allied with the British, extended the war for seven years. Considering the effects that the events of the time period would have had on the people, the works of James Fenimore Cooper could even be considered revolutionary. Despite the heavy racism of the time, Cooper stressed the importance and possibility of interracial cooperation, and even seemed to promote it. In other words, he was not afraid to change the stereotype and provide an alternate view of Native Americans. However, as with all situations, James Fenimore Cooper also provides a negative, more foreboding side to the relationship between different cultures. Specifically, he seems to promote friendship and brotherhood, but strongly warns against interracial romance. This seems to be a common theme of his contemporaries, who also strongly agreed that interracial romance was to be strictly off-limits. Though not stated directly by Cooper, the fates of several of the characters in The Last of the Mohicans shows that Cooper believed that interracial love would lead to tragedy. This is implicitly stated through the unfortunate deaths of two of the main characters. In the story, Uncas, the aforementioned Mohican, and Cora Munro, an English general’s daughter, begin a budding romance that leads to their eventual demise. Cora is kidnapped by the villain of the story, a Native American of the Huron tribe named Magua. During rescue attempts, both Cora and Uncas are inevitably killed. The death of these two characters seems to suggest that interracial romance will lead only to failure and is highly dangerous. On a very basic level, it is the essential differences between the cultures that cause a split that leads to the failure of the romance. In this case, the brutal nature of the Native Americans causes the death of both the sheltered English girl, and even the tough, hardened Native American man. At this point, it is clear that James Fenimore Cooper did not adhere to the racial conventions of his time. Despite some warning of the dangers of cultural mixing, in his literature, he stood by his own beliefs of interracial interaction. However, James Cooper did follow others in his era with the type of literature he wrote. His work was reflective of the Romantic style of writing and at the time of his novels’ creations, the Romantic Era was in full-swing in America. The Romantic era was a movement in the fields of art, literature, and intellectualism that originated in Europe in the late 1700s. The movement placed a heavy emphasis on emotions such as fear, horror, and awe rather than reason. Also, there is a superiority of mystery over clarity, and importance given to the individual, rather than the standards of society. This could be easily expressed through art, but through literature, the conveyance of such emotions was a very new experience. Certain effects of the movement were clearly reflected in Cooper’s literature. For example, along with the Romantic movement came the inspiration of political change, and also, in stark contrast, descriptions of heavily romanticized (hence the name of the period) situations and settings, such as â€Å"a mock-medieval castle perched dramatically above a craggy ravine† (History World). Elements such as these are clearly evident in Cooper’s work, especially the emphasis on setting. Using rich descriptive language, Cooper gives details of all the areas that his characters venture through. At times, the extensiveness of his description is so rich that a reader may feel as though he or she is actually experiencing the setting. This was very common in Romantic literature, and can be seen in the following passage from The Last of the Mohicans: â€Å"The mountain on which they stood, elevated, perhaps a thousand feet in the air, was a high cone that rose a little in of advance of that range which stretches for miles along the western shores of the lake, until meeting its sister piles, beyond the water, it ran off toward the Canadas, in confused and broken masses of rock thinly sprinkled with evergreens. † (The Last of the Mohicans, James Fenimore Cooper, 177) Aside from the Romantic descriptions of locations and characters, Coopers work also showed a great amount of diversion from previously held ideals, as mentioned above in his explorations of interracial friendships and interaction. This seems to carry an underlying feeling of political activism, which was another of the attributes of the Romantic Movement. The activism lies in the implication that racial boundaries should be reexamined and reevaluated. Though Cooper does not say outright that his novel should spark a revolution, his work does imply that there is a desperate need for change in society. Furthermore, some aspects of the novel could be seen as an anti-war statement made by Cooper. This was a shared sentiment among many of his contemporaries, and carried on even through the Vietnam War in the late 1900s. However, this sentiment could be seen by analyzing the novel from a Romantic Movement point of view. Returning to the idea of descriptive nature, Cooper often gives descriptions not only of the beauty of the land, but also of its inherent danger. In the story, nature provides almost as much of a struggle for the main characters as the war does for the soldiers. In a sense, it seems as if Cooper was trying to say that nature was the real enemy, not other humans. The anti-war sentiment could not only be interpreted metaphorically through the text, it was also sometimes stated explicitly. In the following passage, James Cooper’s disgust for war and fighting is evident, as he describes the battle as an extremely gruesome occurrence: â€Å"More than two thousand raging savages broke out from the forest at signal and threw themselves across the fatal plain with instinctive alacrity. We shall not dwell upon the revolting horrors that succeeded. Death was everywhere in his most terrific and disgusting aspects †¦ The flow of blood might be likened to the outbreaking of a torrent†¦ and as the natives became†¦maddened by the fight, many among them†¦drank freely†¦hellishly of the crimson tide. †(Mohicans, Cooper 222) As was made clear by this passage, Cooper clearly resented the war and the horrors it brought with it. In Conclusion, the works of James Fenimore Cooper gave a clear representation of the ideals and movements of his time. His writing was reflective of the new intellectual, artistic, and literary Romantic Movement, shown by its beautifully descriptive passages and also by its deviation from what was previously accepted as normalcy. Furthermore, his works deviated from not only his predecessors, but also his contemporaries, as he implicitly supported the furthering of positive interracial interaction and cooperation. Coopers work was a great addition to his era, and greatly helped reflect the changing times and culture of the 19th century.

Definitions of College Board Essay Samples

Definitions of College Board Essay Samples When writing a scholarship application, it's critical to accentuate how you are able to add to the college you're aiming for. With low test scores, it's important for students to have other factors which make them stand out. If you would like to create a college essay which works, you will need to provide importance on the content you will supply the admissions officer of your intended university with. Your application essay is able to help you stick out from the remainder of the candidates and get noticed by the admission board. School-based counselors have a great deal of students to advise and are extremely busy, so seek out guidance early and often. Many college authorities ask that you compose an application essay before getting an admission. The overall neighborhood and higher school information won't ever replace student-specific application details. Explain why you would like to attend that specific institution. The Little-Known Secrets to College Board Essay Samples Before you write your essay or get involved in a college interview, you'd be sensible to determine your own response to the question. As stated previously, a superb essay would adhere to the conventional personal essay format. Stephen's essay is rather effective. You should try and follow evocative writing while completing this kind of essay. Writing a college application essay can be hard for you in the event that you don't follow proper guidelines. You might see college essay templates on the internet that offer guidelines about how to structure your essay and what things to say in each individual paragraph. Because you are interested in getting the essay to communicate the ideal information about you, you should do thorough preparation for the sample college admission essays to accomplish its purposes. Writing the college application essay can be among the most daunting pieces of applying to college. Your essay is going to be assessed in three scoring categories, every one of which will be contained on your score report. If you are in need of a well-crafted essay, then you can count on us to deliver. Before you commence writing your college essay, you might want to see the essay examplesA that we've listed for you, so that you may have more idea on what things to put in the college essay which you will create. Following are a few of the sample essay prompts, which can help you in. School Creating is a comprehensive waste. Students should follow the typical personal essay format. Most schools also enable you to send in a paper program, which theoretically offers you increased control over your essay formatting. Individual schools sometimes need supplemental essays. The War Against College Board Essay Samples At the minimum there's an introductory paragraph with at the very least a sentence or two. You could use a protracted analogy, where each paragraph is an area of the analogy. If that is the case, it is vital to be ready for the writing test section. Don't forget, you must create a great impression. There are 3 distinct structures to compose a personal narrative. You will have to use evidence from the text to back up your explanation. Bridget's essay is extremely strong, but there continue to be a couple little things that could be made better. The true aim is to compose an essay that draws their attention and as a consequence, makes you stand out. The very good news is, I can provide help.

King Lear As A Man Of Great Power And Authority - 902 Words

Recognised easily is King Lear being the main character in this script. At the beginning of the play, Shakespeare had introduced him as a man of great power and authority. Lear adopted use of pronouns such as ‘we’, ‘our’ and ‘us’ which showed he believed his regal character to be monumental. Therefore the part he played in this tragedy was the tragic hero. Although he was the most authoritative character in the play, it became highly evident that he was not as astute and quick-witted as others and as he would like to have believed. This was all made apparent in Scene 1 when he thoughtlessly divided his kingdom and fortune amongst his daughters, all of which he had greatly misconstrued, acting as the catalyst of the chain reaction of events that could lead to his death. A ‘love-test’ betwixt his kin ultimately leaving him homeless diminished his authority. Act 1 introduced Aristotle’s aspects of tragedy which greatly helped us to understand Lear’s role. Hamartia and Hubris were present, and an appearance of Anagnorisis surfaced slightly. The Hamartia was King Lear’s misjudgement of Gonoril and Regan’s intentions and loyalty as they had an ulterior motive behind their professed love: to gain the kingdom and power for themselves. This misjudgement became key for Lear’s part in tragedy, as all tragic heroes must have their downfall. Aristotle’s Hubris showed us how Lear’s excessive pride caused him to ignore warning signs. In Scene 1 after King Lear had disowned Cordelia forShow MoreRelatedKingship and Leadership in William Shakespeares King Lear Essay1452 Words   |  6 PagesKingship and Leadership in William Shakespeares King Lear Jonathon Dollimore (1984) focuses on Lear’s identity throughout the play. ‘What makes Lear the person he is, is not kingly essence, but among other things, his authority and his family. 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But the treachery of his daughters, Goneril and Regan, and the loss of the daughter who truly loved him, Cordelia, will make him see clear again. This will make Lear see himself and the world as they truly are. First I ll show how