Sunday, February 16, 2020

Nursing Practice and Decision Making Essay Example | Topics and Well Written Essays - 2500 words

Nursing Practice and Decision Making - Essay Example Once the patient is relaxed, the chief complaint must be assessed, followed by anamnesis morbid. In this case, the patient stated that he had never felt a pain of this nature before, suggesting that this could be the onset or acute phase of a particular illness (Rogers, A., & Pilgrim, 2010). Therefore, it is necessary to assess the life history of the patient in order to reveal the underlying causes of this pain (Edwards & Elwyn, 2009). In the review of Mr. Singh, there were indications that he was susceptible to cardiovascular diseases. The risk factors that were obtained from the assessment of Mr. Singh include hypertension, which was previously diagnosed and presently at 160/100. Mr. Singh was also a smoker who was suffering from depression and anxiety (Goldberg & Fawcett, 2012). In addition to these factors, Mr. Singh also had been previously diagnosed with hyperlipidemia and type II diabetes which made him susceptible to diabetic heart disease. Due to the fact that the parameter s were normal except for his blood pressure and the sense that he was at risk of developing a cardiac disease, Mr. Singh had to undergo several additional tests to determine his cardiac function. There is a need for shared decision making as Mr. Singh did not present any major signs or symptoms upon his visit to the hospital (Thomson, Kinnersley & Barry, 2012). Other further complications in Mr. Singh’s situation will also be analyzed in the following sections when analyzing the psychosocial issues involved.... Once the patient is relaxed, the chief complaint must be assessed, followed by anamnesis morbid. In this case, the patient stated that he had never felt a pain of this nature before, suggesting that this could be the onset or acute phase of a particular illness (Rogers, A., & Pilgrim, 2010). Therefore, it is necessary to assess the life history of the patient in order to reveal the underlying causes of this pain (Edwards & Elwyn, 2009). In the review of Mr. Singh, there were indications that he was susceptible to cardiovascular diseases. The risk factors that were obtained from the assessment of Mr. Singh include hypertension, which was previously diagnosed and presently at 160/100. Mr. Singh was also a smoker who was suffering from depression and anxiety (Goldberg & Fawcett, 2012). In addition to these factors, Mr. Singh also had been previously diagnosed with hyperlipidemia and type II diabetes which made him susceptible to diabetic heart disease. Due to the fact that the parameter s were normal except for his blood pressure and the sense that he was at risk of developing cardiac disease, Mr. Singh had to undergo several addition tests to determine his cardiac function. There is need for shared decision making as Mr. Singh did not present any major signs or symptoms upon his visit to the hospital (Thomson, Kinnersley & Barry, 2012). Other further complications in Mr. Singh’s situation will also be analyzed in the following sections when analyzing the psychosocial issues involved. After clinical assessment, Mr. Singh was diagnosed with Acute Coronary Syndrome, and was referred to the call of medical team for admission. There are several stages that are involved in the assessment of Acute Coronary

Sunday, February 2, 2020

State of Economy Before the Civil War and Its Grounds Assignment - 1

State of Economy Before the Civil War and Its Grounds - Assignment Example It all went to neglect at a stage in history when political discontent emerged among American-Liberians who wanted and apparently claimed political dominion which could have possibly triggered Charles Taylor (Liberia – First) to pursue an invasion of Liberia when he sought great opportunity at convincing two ethnic groups to redress the prevailing disorderly situation. This move initiated higher conflicts that involved certain tribes as the Gios and the Mandingoes (Liberia – First) who eventually became rebels whose misconception of grounds and events drove them to hatred and aggression that led to the waging of bloody Liberian civil war in Africa. It truly saddens to realize that it was merely a politically generated war which was not even founded on a patriotic cause that should have taken the welfare of Liberian citizens, especially the innocent ones to account. I could not bear to ponder about the exploitation of natural resources by the warlords who were reluctant to negotiate and settle in peaceful terms with the enemies as they gained huge advantage over the fact that disputes had been able to cover their greed and corrupt intention toward the country’s revenues and vast resources of timber, iron ore, rubber, diamonds, and gold. Because of their selfish interest to stay in power, wickedness further maintained this status by utilizing the profits with resources to buy or produce more weapons or deadly tools that killed over 200,000 excluding a million others (Liberia – First) who took refuge beyond Liberia. According to the Bureau of African Affairs: â€Å"The 1989-2003 civil war had a devastating effect on the country's economy. Most major businesses were destroyed or heavily damaged, and most foreign investors and businesses left the country. During the administration of Charles Taylor, relations between Liberia and  its West African neighbors became seriously strained. The outbreak of civil war in Liberia and the long dominance of Charles Taylor soured bilateral relations (Background Note).†