High Blood Pressure free essay sample

#3 #3 Reason for admission: High blood pressure STUDENT: Jeannette Sutton PATIENT INITIALS: HPT ROOM #_____ Nursing Diagnosis: Risk for imbalanced fluid volume r/t decreased sodium level AEB patient taking hydrochlorothiazide. Supporting data: Thiazide drugs promote excretion of Na, CL, K and water. First time pt will be taking this drug. STG: Pt will maintain sodium levels of 135-145 by 1700hrs after taking initial dose this morning. Interventions: 1. Administer medication as prescribed in the morning. RATIONAL: medication is going to increase output which may cause the depletion of electrolytes. We will be able to see the change in Na by 1700hrs. 2. Monitor strict in out put of fluids. RATIONAL: to prevent dehydration and depletion of electrolytes. 3. Assess neuromuscular and LOC every 4-6 hrs. RATIONAL: low sodium will causes the pt to have muscle cramping, weakness, and fatigue. Teach pt adequate nutritional intake. RATIONAL: Eating the right foods will help the medication regime and disease process. We will write a custom essay sample on High Blood Pressure or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page #2 Nursing Diagnosis: Knowledge deficit r/ disease process AEB pt newly diagnosed with high blood pressure and states not knowing ow to modify lifestyle. Supporting data: Pt diagnosed with high blood pressure. Pt stating doesn’t know how to modify lifestyle. STG: Pt will verbalize 3things that will help him manage disease process by 1700hrs today. Interventions: 1. Teach pt nutritional goals ie low in fat and cholesterol, low in salt; importance of exercise, and smoking cessation. RATIONAL: decrease risk of CHD 2. Instruct patient to take medication at the same time each day and not to stop taking it. RATIONAL: To prevent rebound hypertension. 3. Monitor and teach daily weigh ins. RATIONAL: A wt gain of 2lbs or more in one day can be an indicator of fluid retention and must be addressed to physician. 4. Assess blood pressure and teach patient how to adequately take weekly blood pressure. RATIONAL: Ensure medication is doing its job and another drug is not needed and to monitor BP levels. Good indicator if pt must contact physician. Evaluation: Nursing Diagnosis: Ineffective tissue perfusion r/t cardiopulmonary AEB consistent elevated blood pressures of 160/90, increased cholesterol 278 and LDL 134, and abnormal ECG. Supporting data: 3 BP readings of 160/90 Cholesterol levels 200 LDL 100 STG: Pt will have adequate circulation status AEB strong peripheral pulses with no signs of edema by 1700 hrs today. Interventions: 1. Monitor for edema on extremities. RATIONAL: Complication of high BP can be Right sided CHF which in turn can cause peripheral edema. 2. Assess BP and pulses every 4-6 hrs. RATIONAL: Good indicator of complication with this patient. 3. Teach pt active ROM exercises. RATIONAL: promote peripheral circulation. 4. Administer hydrochlorothiazide as directed. RATIONAL: to decrease fluid overload and prevent edema. Evaluation: Clinical Assignments:

The Tragedies That Ended the Life of the Star-Crossd Lovers

The Tragedies That Ended the Life of the Star-Crossd Lovers Free Online Research Papers The play Romeo and Juliet was written by William Shakespeare was filled with horrible mistakes caused my different characters. Is Romeo and Juliet a play that was filled by characters who did the wrong decision? Or was it fate? Where Romeo and Juliet really meant for each other? Or Just a coincidence? I believe it was just one wrong mistake after another that made this play such a tragedy. Many terrible mistakes made by certain people happened in the play that caused a tragic end. Some of these terrible mistakes where Friar Lawrence marrying Romeo and Juliet, his plan of faking Juliet’s death; Romeo slaying Tybalt; and the most crucial mistake of all: timing. Friar Lawrence made many mistakes in the play which lead to a tragic end. One of the terrible mistakes was marrying Romeo and Juliet. The idea of marrying Romeo and Juliet was the root of this tragic end. If Romeo and Juliet were not married by Friar Lawrence, none of these tragedies would have happened. Friar Lawrence made a bad choice marrying the couple because it was without the consent of their parents, and caused the death of both Romeo and Juliet. â€Å"A pair of star-cross’d lovers take their life† (Prologue, Line 6) Capulets and Montagues where enemies that disliked each other; their parents would not have approved the marriage anyway. Friar Lawrence thought the marriage would help the families get a long. â€Å"For this alliance may so happy prove to turn your households rancor to pure love† (Act II Scene IV Line 91-92). It only caused the death of many people. Another tragic mistake that Friar Lawrence made was his whole plan. Friar Lawrence’s p lan was terribly thought out; it gave people the wrong message thinking Juliet was really dead. Romeo had sent a messenger to Verona to check on Juliet, but she was already â€Å"dead†. Romeo got the wrong message thinking Juliet was dead, and decided to kill himself. As a result of Friar Lawrence’s terrible decisions, Romeo and Juliet had to pay the ultimate price; their lives. Romeo made many terrible mistakes. Romeo killing Tybalt made it hard on him, his family, and Juliet. Romeo was banished from Verona because of the act of killing Tybalt. â€Å"Let Romeo hence in haste, else, when he is found, that hour is his last.† (Act III, Scene I, Line 190-191). Romeo was banished from Verona and went to Mantua, which made it hard for him to communicate with Juliet and Friar Lawrence to figure out the problem he was in at that time. Being banished from Verona made the letter that described the plan and how Romeo would come back arrived late. Romeo did not get mother died of grief from not being able to see her son. â€Å"Alas, my liege, my wife is dead tonight; grief of my son’s exile hath stopp’d her breath.† (Act VI, Scene III, Line 210-211). Many people suffered from Romeo’s actions and his banishment. Another serious mistake in the story was timing. Timing played a critical role in the story. Timing changed the plot of the play completely. If Romeo had waited a couple more seconds before drinking the poison, Juliet would have woken up. Romeo even thinks Juliet is alive because of the redness in her cheeks and the warmth in her lips. â€Å"Is crimson in thy lips and in thy cheeks† (Act VI Scene III Line 95). If the letter that Friar Lawrence sent to Romeo arrived in time, Romeo would have known of the plan and not have killed himself. Instead he would have waited in Capulet’s tomb for Juliet to awake. â€Å"The letter was not nice but full of charge, of dear import, and the neglecting it may do much danger.† (Act VI Scene III Line 17-20). Another instance when timing was a huge factor of the play was when Friar Lawrence did not come in time to Capulet’s tomb after he had known that his letter did not arrive to Romeo. If Friar Lawrence had arrived and mad e it in time, he would have stopped Romeo from drinking the poison, and told him to wait for Juliet to wake. â€Å"Within this three hours will fair Juliet wake. She will beshrew me much that Romeo hath had no notice of these accidents† (Act VI Scene III Line 25-28). Timing played a critical role in the play, only seconds mattered for the life and death of Romeo and Juliet. Romeo and Juliet were filled with terrible choices made by many characters that ended the life of the â€Å"star cross’d lovers† (Prologue, Line 6). Friar Lawrence marrying Romeo and Juliet, his terrible thought out plan, Romeo murdering Tybalt, and the most important mistake of all; timing. These are the major mistakes made by several characters in the play that produced the end result of a tragic end to the play. Romeo and Juliet was a play filled with many wrong decisions made by many characters in the play. Were Romeo and Juliet really meant for each other? 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Wealth disparity and effects of long-term Unemployment on the United Essay

Wealth disparity and effects of long-term Unemployment on the United States Economy - Essay Example It is important to undertake a critical analysis of unemployment in respect of the article to establish the effects this has on the entire economy of US and any other nation.This article explores the varuios employment related economic issues. It is also importasant to note that the author gives a vivid description of the consequences of unemploymdent and the indirect challenges it will pose on the wealth disparity among citizens. 1.0 Introduction Unemployment is a situation where a person is able and willing to perform tasks or work but is unable to find a job. However, there is no clear definition of long-term unemployment. economists define a period of six to twelve months as a long-term unemployment period. This is when an individual is unwillingly unemployed. Several factors lead to long-term unemployment; some of these factors are facilitated by economic changes such as economic recession, an individual not willing to work or dynamic technological changes (Hollander,2011,45). P reviously, the United States’ labor market had short periods of unemployment for most workers who were jobless; they would be easily absorbed into the labor market. Even though jobless workers especially the elderly had a long unemployment period, the level of long-term was less comparing to other countries. The rise in the long-term unemployment and unemployment rates has severe human, social, and economic costs. Wealth disparity, also known as wealth gap or inequality, refers to state of uneven distribution of financial assets among citizens of the United States of America. Wealth includes automobiles, value of homes, savings, investments and businesses. Those who have a great deal of financial assets have primarily acquired them by appreciation of fiscal portfolios. Hence, financial wealth involves mutual funds, stocks, as well as other investments. Thus, there is a greater wealth inequality than basic net worth disparities (Lubik, 2010,20). Statistics show that the top te n percent possess eighty percent of all financial wealth and the bottom ninety percent only hold twenty percent of all financial assets.Employment plays a vital role in determining the amount of economic wealth hence the observed disparity. 2.0 Discussion Unemployment is risky to the country’s economy and to other countries worldwide as well, with some costs of unemployment being levied to the society such as exchequer cost due to unemployment and social cost. While the short term unemployment may or may not have implications on an individual, long term unemployment may have a demoralizing effect to an individual. Long-term unemployment causes negative effects to individuals. Some of the most common effects include financial difficulties, health related diseases, psychological problems, boredom, idleness, losing close friends and relatives and eventually depression. Severe long-term unemployment results are mostly seen in the disadvantaged in the society. The unemployed are w asted resources, and they also waste resources meant for humanity. It is a life full of unhappiness and sorrow as unemployed individuals live in suffering and poverty; economically, human labor is devalued. The social results from unemployment lead to rise of rebellious groups, riots, family breaks, divorce and some cases of death (Hollander,2011,45). The impact of the recession shows in the United States and many countries where long-term unemployment majorly impacts the male. During the recession, construction and manufacturing industries were affected by unemployment. In the United State wealth, ownership has been concentrated in the small minority population due to their well grounded employment status. The minority