Kidney Stone Ncp

Kidney Stone Care Plan Admitting Diagnoses: Client not being admitted at this time Current Diagnosis: Ureteral Calculi Other Medical Diagnoses: HTN, Hyperlipidemia, Kidney stones, Smokes Tobacco, Tonsillectomy-child age yrs. Pathophysiology: Urinary calculi are solid particles in the urinary system. They may cause pain, nausea, vomiting, hematuria, and, possibly, chills and fever due to secondary infection. Diagnosis is based on urinalysis and radiologic imaging, usually noncontrast helical CT. Treatment is with analgesics, antibiotics for infection, and, sometimes, shock wave lithotripsy or endoscopic procedures.About 1/1000 adults in the US is hospitalized annually because of urinary calculi, which are also found in about 1% of all autopsies. Up to 12% of men and 5% of women will develop a urinary calculus by age 70. Calculi vary from microscopic crystalline foci to calculi several centimeters in diameter. A large calculus, called a staghorn calculus, can fill an entire renal calyc eal system. About 85% of calculi in the US are composed of Ca, mainly Ca oxalate. Composition of urinary calculi; 10% are uric acid; 2% are cystine; most of the remainder are Mg ammonium phosphate (struvite).General risk factors include disorders that increase urinary salt concentration, either by increased excretion of Ca or uric acid salts, or by decreased excretion of urine or citrate. Urinary calculi may remain within the renal parenchyma or renal pelvis or be passed into the ureter and bladder. During passage, calculi may irritate the ureter and may become lodged, obstructing urine flow and causing hydroureter and sometimes hydronephrosis. (Preminger, MD, 2012) Common areas of lodgment include the ureteropelvic junction, the distal ureter, and the ureterovesical junction.Larger calculi are more likely to become lodged. Typically, a calculus must have a diameter > 5 mm to become lodged. Calculi ? 5 mm are likely to pass spontaneously. Even partial obstruction causes decreased gl omerular filtration, which may persist briefly after the calculus has passed. With hydronephrosis and elevated glomerular pressure, renal blood flow declines, further worsening renal function. Generally, however, in the absence of infection, permanent renal dysfunction occurs only after about 28 days of complete obstruction.Secondary infection can occur with long-standing obstruction, but most patients with Ca-containing calculi do not have infected urine. Preminger, MD, G. M. (n. d. ). Nephrolithiasis; stones; urolithiasis. Retrieved from http://www. merckmanuals. com/professional/genitourinary_disorders/urinary_calculi/urinary_calculi. html Textbook clinical symptoms: The major manifestation of stones is severe pain, commonly called renal colic. Flank pain suggests the stone is located in the kidney or upper ureter. Flank pain that extends toward the abdomen or to the scrotum and testes or the vulva suggests that stones are in the ureters or bladder.Nausea, vomiting, pallor, and d iaphoresis often accompany the pain. Frequency or dysuria occurs when a stone reaches the bladder. (Ignatavicius & Workman, 2010) pg 1571 Actual symptoms: Flank pain extending toward the abdomen, dizziness, sweating, and nausea w/o vomiting. Patient states his pain is an 8/10 on the pain scale. Pain is described as constant and sharp with no alleviating factors. Complications or potential complications: Potential; Hydroureter, hematuria, hydronephrosis, abrasion, oliguria or anuria, and infection. Ignatavicius & Workman, 2010) pg 1571-1572 Safety Issues: Fall risk level – Low, but still a potential complication from patient’s c/o dizziness from pain. Delegation Issues: Assist patient when ambulating. |Client Data | |Age | |38 | |Physical Exam (include all body systems) | (Physical Exam) | |Age | |38 | | | |Male | | | |Height | |69. in | |Weight | |180lb | |Temp | |99F | |Pulse | |90 | |Apical Pulse | |88 | |Resp | |20 | |BP | |169/71 | |BP supine | |( Noted | |O2 Saturation | |100% RA | | | | | |NEURO: nonfocal, AXOX4, c/o pain. |HEENT: Denies headache; PERRLA, Ears unobstructed, symmetrical, no loss of hearing, Nares are clear, w/o drainage or obstruction, Oropharynx is clear w/ | |membranes pink in color and intact, Neck is supple with full range of motion, | |INTEGUMENT: Skin warm, moist-diaphoretic, intact w/saline lock in RU-AC, dressing is clean, intact, non-tender, free of redness. | |CARDIOVASCULAR: No JVD noted, apical pulse regular at 88bpm, S1/S2 auscultated, no c/o chest pain/pressure | |distal pulses palpated in all extremities, capillary refill

Elderly Care Between the United States and Japan[1] Essays

Elderly Care Between the United States and Japan[1] Essays Elderly Care Between the United States and Japan[1] Essay Elderly Care Between the United States and Japan[1] Essay Elderly care between the United States and Japan The difference between Japan and the United States and the care of the elderly is like night and day. The customs between the two cultures are separated by the differences in the respect for the elderly, what is considered acceptable care and how care is provided. These are just the surface of the cultural differences and the basics of elder care should be considered. This is only for care of a fairly healthy person that has just gotten older and needs help in day to day activities but not completely helpless, or hindered by dementia or Alzheimer’s disease. In Japan the elderly are considered a person of knowledge and is to be respected for that knowledge and experience. The elders are the center of the family group because of the life they have led has brought the family to where they are in life today. Usually the In-laws are brought into the family home when they can no longer care for themselves or considered to be infirmed due to illness or disease. The care given is usually done by the women in the house hold but the men, usually the oldest son, has become the primary care giver in recent years. SO Long, PB Harris. (2000). This has been the the family unit for generations and continues to be to this very day. In the United states the Elderly or infirmed are looked upon as an Individual that has already lived a full life and seem to be pitied for living to be so old. They are not respected in the way the Japanese family do. They usually have to turn to retirement homes or what is called extended care facilities. This does create quite the financial burden and will usually drain any kind of savings they have. The facilities are not like a home with all the busy plans and schedules for the children or family events. The care given in these facilities are usually less than what most people, at that age, try to live at but it is all they can afford. In Japan the care that is provided in the home can cover a lot from bathing to cooking to just general housekeeping and laundry. If the Elderly need something more like treatments, medical procedures, or long term hospital tays the family will do everything that is feasible to help with this, either financially or physically making things work to make the elder comfortable. In the United States if the elder has moved in it would be with their own son not the individuals in-laws if at all possible. The level of care would only be determined by the amount of time the son has to give to the elder. The respect would start to wane after a time and roles would be reversed, father is no-longer the head of house and the son is, and tensions would rise. Eventually the elder would be placed in a nursing home or a care facility of some kind. This is always sad to see, but just about every month in the United States there is an article in the news about some nursing home abuse. The different cultures of the United States and Japan are so wildly different that the health care system reforms that the united states has put into place may just bring the elderly back into the family unit but that us another subject. The Level of care and the accepted standards of each culture is almost completely polar opposite. How Japan cares for the elderly in a family unit and the United States depends on its own healthcare system, retirement homes and nursing homes or even extended care facilities, to reliably take care of their elderly. The level of respect for the elderly is provided in Japan has my attention and I wonder if there is some way to turn the United States people around to that way of thinking? REFERENCES SO Long, PB Harris. (2000). Gender and elder care: social change and the role of the caregiver in Japan. Social Science Japan Journal, 3(1), 21. Retrieved April 16, 2010, from ABI/INFORM Global. (Document ID: 407135091).

12 Interesting Facts About Activist Grace Lee Boggs

12 Interesting Facts About Activist Grace Lee Boggs Grace Lee Boggs isn’t a household name, but the Chinese-American activist made long-lasting contributions to the civil rights, labor, and feminist movements. Boggs died on Oct. 5, 2015, at age 100. Learn why her activism earned her the respect of black leaders such as Angela Davis and Malcolm X with this list of 10 interesting facts about her life. Birth Born Grace Lee on June 27, 1915, to Chin and Yin Lan Lee, the activist came into the world in the unit above her family’s Chinese restaurant in Providence, R.I. Her father would later enjoy success as a restaurateur in Manhattan. Early Years and Education Although Boggs was born in Rhode Island, she spent her childhood in Jackson Heights, Queens. She demonstrated keen intelligence at an early age. At just 16, she started studies at Barnard College. By 1935, she’d earned a philosophy degree from the college, and by 1940, five years before her 30th birthday, she earned a doctorate from Bryn Mawr College. Job Discrimination Although Boggs demonstrated that she was intelligent, perceptive and disciplined at a young age, she couldn’t find work as an academic. No university would hire a Chinese-American woman to teach ethics or political thought in the 1940s,  according to the New Yorker. Early Career and Radicalism Before becoming a prolific author in her own right, Boggs translated the writings of Karl Marx. She was active in leftist circles, participating in the Workers Party, the Socialist Workers Party and the Trotskyite movement as a young adult. Her work and political inclinations led her to partner up with socialist theorists such as C.L.R. James and Raya Dunayevskaya as part of a political sect called the Johnson-Forest Tendency. Fight for Tenants’ Rights In the 1940s, Boggs lived in Chicago, working in a city library. In the Windy City, she organized protests for tenants to fight for their rights, including living quarters free from vermin. Both she and her mostly black neighbors had experienced rodent infestations, and Boggs was inspired to protest after witnessing them demonstrate in the streets. Marriage to James Boggs Just two years shy of her 40th birthday, Boggs married James Boggs in 1953. Like her, James Boggs was an activist and writer. He also worked in the automobile industry, and Grace Lee Boggs settled with him in the auto industry’s epicenter- Detroit. Together, the Boggses set out to give people of color, women, and youth the necessary tools to effect social change. James Boggs died in 1993. Political Inspirations Grace Lee Boggs found inspiration in both the nonviolence of the Rev. Martin Luther King Jr. and Gandhi as well as in the Black Power Movement. In 1963, she took part in the Great Walk to Freedom march, which featured King. Later that year, she hosted Malcolm X at her home. Under Surveillance Because of her political activism, the Boggses found themselves under government surveillance. The FBI visited their home multiple times, and Boggs even joked that the feds likely thought of her as â€Å"Afro-Chinese† because her husband and friends were black, she lived in a black area and centered her activism on the black struggle for civil rights. Detroit Summer Grace Lee Boggs helped to establish the organization Detroit Summer in 1992. The program connects youth to a number of community service projects, including home renovations and community gardens. Prolific Author Boggs penned a number of books. Her first book, George Herbert Mead: Philosopher of the Social Individual, debuted in 1945. It chronicled Mead, the academic credited with founding social psychology. Boggs’ other books included 1974’s â€Å"Revolution and Evolution in the Twentieth Century,† which she co-wrote with her husband; 1977’s Women and the Movement to Build a New America; 1998’s Living for Change: An Autobiography; and 2011’s The Next American Revolution: Sustainable Activism for the Twenty-First Century, which she co-wrote with Scott Kurashige. School Named in Her Honor In 2013, a charter elementary school opened in honor of Boggs and her husband. It’s called the James and Grace Lee Boggs School. Documentary Film The life and work of Grace Lee Boggs were chronicled in the 2014 PBS documentary â€Å"American Revolutionary: The Evolution of Grace Lee Boggs.† The director of the film shared the name Grace Lee and launched a film project about well-known and unknown people alike about this relatively common name that transcends racial groups.

11 Tips for Getting the Salary You Want

11 Tips for Getting the Salary You Want Salary negotiating can be terrifying- particularly for entry-level workers who feel they have yet to prove their obvious worth to the profession and aren’t allowed to ask for what they want. Here are 11 tips that will help you get the salary you want.1. Know thyselfKnow what a typical employee makes at that job level in that industry. But also weigh that against your particular skills and experience, and how much you know you’re worth. Do you think you deserve the higher end of the starting range? Then ask for it. Know what you want and then give them the chance to give it to you. It never hurts to ask.2. Stay coolYou really need this job. But that doesn’t mean you should just take the first salary offer they make. Opening the lines of negotiation will not cost you the job. Not opening them might, however, cost you the salary you deserve.3. Ask higherWant a 25% hike in salary? Ask for 35%. They’ll bring it down and think they’ve won the day. And you ’ll still get what you need.4. Be popularThe best way to get what you want from one employer is to have a counteroffer from another one. Show you have many more options and offers. Make them sweat a bit that they won’t land you. Show them how highly other companies value you.5. Think benefits and bonusesDon’t forget to take these into account when comparing the salary you’re currently negotiating with your past salary package. And don’t forget they can be useful extras to sweeten your deal if you can’t get the dollar amount you asked for.6. Keep your headDon’t be petulant or pout. Don’t be aggressive. Stay calm and logical and present your case like a grown-up. Act like a grown-up and HR will treat you like one.7. SnoopIt’s always good to have some idea what your colleagues are making before you go into negotiations. This gives you a great sense of range. If you’re moving to a new company, see if you can’t find someone who knows someone who might know roughly what the salary packages are at that company for your position.8. Be thoroughMake sure you get all of the details. Talk through your salary breakdown line-by-line and avoid being surprised on payday.9. Don’t be greedyAt the end of the day, salary isn’t everything. If this is your dream company, you can probably afford to work for them for a little less than you would make at the sell-out company of doom and ennui. If they’re not being unreasonable with you, but just can’t give you what you’re asking, don’t storm out without thinking it through. Remember: you’re playing the long game here.10. Be ballsyIf you can afford to, and this isn’t your dreamiest of dream jobs, it’s okay to walk away sometimes. You can say ‘no.’ Sometimes showing your back on the way out the door can be the thing that actually gets you what you want. Just don’t bank on this ha ppening. Only walk away from negotiations if you can be comfortable with the possibility of it ending there.11. Know when to fold ‘emDo all of these things before you get your offer letter. Once that thing hits your inbox, all typed up and official-looking on the company letterhead, that’s the official number. HR isn’t going to budge.Remember to do your homework, have a clear idea of what you’re worth, and ask for something within the realm of fairness. Chances are, you’ll get it. Worst case scenario: you’ll have learned a valuable skill that will serve you next time- and throughout your whole career.

Write (5pages) of Data Warehouse, OLAP and Data Mining for Business Essay

Write (5pages) of Data Warehouse, OLAP and Data Mining for Business Applications - Essay Example This eradicates the need of specialists installing them after purchasing the database (Ling and Tamer, 2009). The research will establish the different areas of running businesses that this technology can be applied. Some of the areas to be checked are budgeting, sales forecasting and determining whether to produce a new product or not. The main objective will be establishing the benefits accrued by multinational businesses when they carry out data mining in their data warehouse. This information will be used in determining if these benefits can be passed to small scale businesses without the capability of purchasing this technology (O’Brien & Marakas, 2009). The research will establish the cost benefit that businesses receive by using this technology. Cost benefit will establish the opportunity cost of using this technology instead of manual data analysis using the stand alone software. The data warehouse is a collection of data which helps management in decision making. The warehouse has a capability of providing enormous amount of information at the same time. This makes it a better tool for use by businesses that are storing amount of information about their production operation process. The data warehouse ability of integration with modern analysis tools like OLAP is an advantage to corporate. This helps in timely and correct analysis of data, which can be used in decision making by managers (Agosta, 2004). These are software tools that enable data analyst analyze data and view it from multiple perspective. The multiple perspective help managers analyze different options of a problem before arriving at a conclusion. OLAP support activities like analyzing the financial trends in businesses. This would bring to the attention a manager a production line that cost of production is rising without any additional benefits accruing from it. OLAP tools are easy to use and do not require massive investment

It's about odyssey Essay Example | Topics and Well Written Essays - 1000 words

It's about odyssey - Essay Example As leaders of their people and key figures in the war, both men tend to cast their personal values back upon those they lead, thus presenting a generalized conception of how the Greeks and the Trojans differed in their overall world view. For this reason, it is helpful to examine these two characters in particular to gain an impression of how these two peoples differed from one another. In their approach to battle, in their adherence to the code and in the way that they each violate this code, the two men demonstrate that the differences between their people is really little more than a gloss of locality. Both Hector and Achilles can be seen to struggle with the heroic code as they prepare themselves for war. Each character has received relatively reliable information that they will be killed in the battle – Achilles through his mother, the goddess Thetis who tells him that he will not die as long as Hector lives, Hector through the pleadings of his wife who urges him to fight from the walls. While Achilles withdraws from the battle on the pretext of a feud with Menelaus, Hector spurns his wife’s pleading to honor the heroic code that insists a true warrior should not hide behind the walls of a fortress rather than stand tall on the plain. Andromache provides him with a moment of foresight as she tells him, â€Å"your valour will bring you to destruction; think on your infant son, and on my hapless self who ere long shall be your widow – for the Achaeans will set upon you in a body and kill you† (Book VI). It isn’t until after Hector kills Patroclus , Achilles’ most devoted friend, who is wearing Achilles’ armor, that Achilles is finally driven to re-enter the war. â€Å"Hector’s words following this action show that he does not realize his own limitations and that he could never have been so successful without the help of Zeus† (Lefkowitz, 2003, p. 66) and the other gods.

HR Planning and Recruitment Essay Example | Topics and Well Written Essays - 1500 words

HR Planning and Recruitment - Essay Example This essay focuses on the Human Resource planning and recruitment, that is one of the crucial requirements of the organizations. The main reasons for ensuring effective management of the company’s personnel is that it ensures that there is adequate number of staff members. KFC is the best example among all the fast food restaurant chains as it has allocated sufficient amount of resources in its personnel. Every aspect of HR is adequately planned out so that the operations of the company are not impacted at all. Even the recruitment of employees is done in accordance to the international standards so that the right people are hired at all positions. In order to sustain the edge within the industry, it is vital for KFC to keep track of the changes taking place in the employment market. It has employed right resources for management of this crucial aspect of the organization and has successfully created a highly, efficient, proactive, sincere and loyal team of employees. Each of the personnel is committed to enhancing the organization’s image in the fast food industry. Hence, KFC has developed an effective HR department for managing its international operations successfully. The success of the company lies in its policy of developing an efficient, loyal and committed workforce by allocating adequate resources in its recruitment and selection process. Even the policies are developed in accordance to the latest market trends so that the gap between the demand and supply of personnel is appropriately planned out.