Uncontrolled Blood Pressure Essay Example for Free

Uncontrolled Blood Pressure Essay Physical assessments including fluid balance, skin and weight Life style changes including weight and stress management Mr. Debourg is 62 year old male. In 2013, during routine physical with his physician, he was referred to a cardiologist for further evaluation. Patient was diagnosed with high blood pressure and started on Lisinopril 10mg daily. Due to stress from work, he started having palpitation and shortness of breath. On 4/13/2014, patient started feeling hot and dizzy. When his wife  noticed patient’s face was turning pale, she took his blood pressure. Patient states he’s blood pressure at that time was around 200/100, heart rate above 150. Mr. DeBourg drove himself to the hospital where he was admitted for further evaluation and tests. Angiogram showed 2 blocked arteries and he received Cardiac stent placement. Patient is now on 4 blood pressure medications and sees cardiologist every 3 months for stress test. Patient’s blood pressure is not well controlled due to lack of physical exercise, poor diet, smoking and stress. By the evidence is current diagnosis and history obtained by the patient, Mr. DeBourg is at risk for decreased cardiac output and at risk for having myocardial ischemia if his blood pressure is not controlled by life style changes. According to Elsevier health, cardiac patients require blood pressure monitoring daily, assessment of peripheral pulses, cold clammy skin, fluid retention levels and weight (Gulanick,n.d). Nursing goals and proprieties for this patient is to maintain cardiac function by monitoring t to prevent further complications and support patient with life style changes. Mr. DeBourg will need education on the importance of exercise to improve circulation, and healthy diet plans to control his weight. Patient understands smoking and stress is contributing to his health condition but continue to smoke. Patient will need support from his spouse and children to quit smoking and engage in activities like hobby or relaxation methods. I will provide information on smoking cessation support group called The Freedom from Smoking in Las Vegas, and counseling information at perfect image for life with the nutritionist to go over his diet plans and exercise program.

Civil War Sectionalism :: essays research papers

North and South The United States of America, the great democratic experiment, was just that. Not since the great Greek culture had a government of, for, and by the people existed. The entire world felt, that on a large scale, democracy would inevitably lead to anarchy; our founding fathers were determined to prove them wrong. But as the political stand off with the British became a secession issue, a great issue split the future nation. Slavery, a southern necessity, both social and economic, threatened the unity of our nation. A nation that would one day be the greatest the world had ever known. During the development of the thirteen colonies, diversity set in early. In the south the temperate climate made the growth of tobacco a suitable and very profitable business. Cultivation of this crop required a lot of land, and therefore settlers lived far apart. Northern Colonies, though, were much more dependent on small farms, with closely knit communities. These differences were the se ed of a sectional division that would plague the nation for a century. During the late seventeenth century, this fissure in the ideals of the colonies became apparent. Following the constant political irreverence from Britain, a majority of colonial representatives felt the need for independence. The Declaration of Independence was the document written to do this. It called for an abolition of slavery as well as freedom from British rule. Unfortunately, the South would hear nothing of it. Being strong defenders of states rights, most of the Southern states adhered to their believe in a government less like a supreme authority and more like a dominion of independent states. They would rather stay loyal to their oppressive government than participate in one that shunned their way of life. In order to keep their dreams of independence, they North was forced to make the one cession they did not wish to make. In order to keep a unified nation, the slavery issue was deliberately absent fr om the Declaration. Some of the Northern delegates were outraged, but none more than John Adams. A renowned proponent of equal rights, he was one of few that saw the irony in establishing a free society without freeing those in bondage. John Adams seems now more like Nostrodamus when he voiced his concern about the slavery issue for future generations. He did not know it, but the couldn’t have been more right.

Absolute Appraisal Method Essay

The Absolute Standards Approach is an appraisal method used to assess the performance of employees by presenting a detailed description of the employees’ actual behavior in comparison to a certain set of standards. In this type of appraisal format, the appraisers compare the employees to a certain set of standards, which may come in the form of checklists, rating scales, etc, rather than to other employees within the organization. The Absolute Standard Appraisal method has 4 techniques: Checklists, Essays, Critical Incidents, and Behaviorally Anchored Rating Scales. Checklist is the most common technique used by companies. It is a rating containing statements describing both effective and ineffective job behaviors. Behavioral checklists are well suited to employee development because they focus on behaviors and results, and use absolute instead of comparative standards. An advantage of using checklists is that evaluators are asked to describe rather than evaluate a subordinate’s behavior. The supervisor weighs the high and low points on his list and comes up with an overall rating for employee performance. On the other hand, a disadvantage of using checklists is the money and time it can consume for the construction of its instruments. The essay method is a written narrative assessment for employee performance. The employers indicate the subordinate’s strengths, weaknesses, potentials and areas of improvement in the workplace. A disadvantage of essay appraisals is that they can be very time-consuming, and to a large extent, unstructured. It may also come as discriminatory and susceptible to evaluator bias, which may misrepresent the real picture of the employee or the performance. Critical Incidents are specific behaviors essential to doing a job successfully. Behavioral traits that employees exhibit in the workplace – both effective and ineffective, are documented in writing. Employers then analyze these incidents from which a checklist is developed, indicating employee’s critical incidents that either needs praise for successful performance or training for further improvement. Behaviorally anchored rating scales (BARS) are rating scales, which define scale points with specific behavior statements that describes the varying degrees of performance. The scales represent a set of descriptive statements, ranging from the least to the most effective. It combines the elements from critical incident and graphic rating scale approaches. The evaluator must then indicate which behavior on each scale best describes the employee’s performance.

Franz Kafka s Life And Work - 1738 Words

Author Franz Kafka was born on the third of July, 1883, as the oldest child of Hermann Kafka and his wife Julie in Prague. His family from the fathers side was from Sà ¼dbà ¶hmen und moved later on to Prague. His mother was originally from a wealthy and popular german-jewish family. His father grew up in a part of the tschechisch-jewish part in Milieu, but the family was more orientated at the german speaking culture in Prague, like everyone else in this time at this place. Kafka had three younger sisters, Valli (1890), Ottla (1892), and Elli (1899). All children were send to german schools and were able to speak better the german language then the tschechis. Franz Kafka visited from begin of 1893 the high school in â€Å"Altstà ¤dter-Ring† and became his highshool diploma there. He studied law and right at the university of Prague and was also taking classes of germanistik and art history. In 1906 he became his University diploma with an promotion to an Ph.D. in right. Starting a t around 1907 he began to write and in 1910 his first short story â€Å"contemplation†. He was visiting the theater multiple times where he made friends with Marx Brod, Felix Weltsch, and Oskar Baum. The year 1912 counts towards the most productive years of Kafkas life. Franz Kafka was not able to get in a long term relationship with woman. All of his affairs had an ending. Kafka created his first big pieces of work in the fall of 1912: The short story â€Å"the Judgement†, The roman â€Å"the missing person†, and theShow MoreRelatedGregor Samsa Essay1280 Words   |  6 PagesFranz Kafka writes Gregor Samsa in his novel The Metamorphosis to portray specific details of his childhood life. In the early 1900’s the Great Depression occurred which changed the romantic time period into the modernism that focused on grotesque imagery. The Great Depression caused people to appreciate their beautiful world, before it turned into the dark and gloomy atmosphere it was for ten years. Kafka and Gregor’s lives share the similarity that both of their fathers were aggressive, alienatingRead MoreThe True Metamorphosis.. Franz Kafka Owns A Part Of The1448 Words   |  6 PagesTrue Metamorphosis. Franz Kafka owns a part of the human emotional spectrum, which the world can now call the Kafkaesque, a term for someone who exhibits nightmarish qualities of Kafka’s fictional world (Franz Kafka). Kafka’s twisted world is in no way pleasant, very Kafkaesque. It feels like a nightmare, and yet it is a place where many people, if only for a moment, will end up. Kafka’s most appreciated piece of literature, â€Å"The Metamorphosis,† creates an extension of Kafka’s life through the story’sRead MoreFranz Kafka s A Hunger Artist And The Metamorphosis1155 Words   |  5 PagesSelf -insertion, a literary device in which a character who is the real author of a work of fiction appears as a character within fiction, either overtly or in disguise. Imagine yourself being unable to obtain the recognition of your parents your whole life and leaving this world as a nobody. The writings of Franz Kafka not only spoke of the absurdity of life, but also about who he was. They told about what type of human being he was, and how he was feeling. You can see this in both of his well knownRead MoreMetamorphosis, By Franz Kafka1335 Words   |  6 PagesMetamorphosis, by Franz Kafka, is a reflection of his unsettled relationship with his family and society. Franz Kafka creates a hideous creature, a monstrous insect, to show how he feels in his reality. Gregor, in Metamorphosis, is a tool for Kafka to psychoanalyze his perceived deficiency in society and communicate his contemplations on his meaning in life. Franz Kafka s estrangement from his family and society started early in his life. Franz Kafka was born on the third of July, 1883 in Prague. Kafka was theRead More Essay on Symbolism in Kafkas Metamorphosis903 Words   |  4 PagesSymbolism in Franz Kafkas The Metamorphosis    Kafka uses symbolism in his short story, Metamorphosis.   He uses this technique to make the reader try and figure out what was going on in his head.   He brought out in this story many things about his life, including his father/family, love life, and his future.   He used metaphors to show his love for people in his life.   This story is autobiographical about the forces that control Franz Kafkas life.   In this paper I will explain how Kafka relatesRead MoreThe Metamorphosis By Franz Kafka1380 Words   |  6 Pagesof â€Å"The Metamorphosis† by Kafka The Metamorphosis is known to be one of Franz Kafka’s best works of literature. It demonstrates the interconnection between his personal life and the protagonist, Gregor Samsa, of â€Å"The Metamorphosis.† Franz Kafka was born in 1883 and grew up in a financially stable Jewish family in Prague. He was the only son left after the death of his younger brothers, Georg and Heinrich, during his infancy. As a result of this situation, he lived his life in the gloom of his domineeringRead MoreReview Of Franz Kafka s The Metamorphosis 958 Words   |  4 PagesBibliography of the Life of Franz Kafka There are several aspects about the writing of Franz Kafka that make it enticing to the reader and tantalizing enough to keep the reader intrigued. The narrative that I find most intriguing by Kafka is The Metamorphosis. The Metamorphosis is a tale wherein Kafka essentially gives his perception of the story of his life through the use of storytelling devices, which without the use of them would have made it a less interesting tale. Franz Kafka was born on JulyRead MoreThe Metamorphosis By Franz Kafka1435 Words   |  6 PagesFranz Kafka is renowned for prophetic and profoundly enigmatic stories that portray human degradation and cruelty. (Bloom) The Metamorphosis is said to be one of Franz Kafka’s best works of literature. It shows the difficulties of living in a modern society and the struggle for acceptance of others when in a time of need. (Bloom) The Metamorphosis is about a young man, Gregor Samsa, who is transformed overnight into a bug. He soon becomes a disgrace to his family. After his metamorphosis, hisRead MoreThe Trial and Guilt1381 Words   |  6 Pagesdenial is an inherent tendency. Franz Kafka’s The Trial opens with an idea of guilt and innocence. â€Å"Someone must have slandered Joseph K., for one morning, without having done anything wrong, he was arrested† (Kafka 3). This introduction initially implies to the reader that Joseph K. is innocent. However, as the novel unfo lds, and we are given more, yet unlimited information, the reader’s concept of K.’s innocence shifts. Though we never find out what he did wrong, K.’s guilt becomes more present withRead More Mental Isolation in Franz Kafkas The Metamorphosis Essay1428 Words   |  6 Pagesin Franz Kafkas The Metamorphosis The metamorphosis very possibly was written by Kafka as an outlet for his feelings of isolation and helplessness. In it, the protagonist, Gregor Samsa, awakens one morning to find himself spontaneously transformed in his bed into a monstrous vermin. The story continues from there in a most realistic fashion: his family rejects him, and he stays cooped up in his room until he dies. Although interpretations of the story differ, my opinion is that Kafka wrote