Soap Essay Example | Topics and Well Written Essays - 1000 words

Soap - Essay Example A particular symptom of GERD is heartburn. Other indications involve regurgitation, epigastric pain, hoarseness, wheezing, and coughing. *taken from Chandrasoma & DeMeester, 2006 Pathophysiology of HTN As indicated by pathophysiology of hypertension (HTN) research, high blood pressure could be categorized as either essential or secondary. The former, essential hypertension is a pressure increase because of unidentified clinical causes. While, secondary hypertension is a pressure increase because of some other primary health illnesses such as kidney problems, tumors, diabetes, etc. Chronic hypertension can lead to stroke, heart failure, heart diseases, heart attack, and other illnesses. *taken from Izzo, Sica & Black, 2007 Pathophysiology of DM The pathophysiology of diabetes mellitus is connected to insulin, which is a hormone produced by the pancreas’s beta cells. This hormone is in charge of sustaining glucose amount in the blood. It enables the cells to utilize glucose as t he primary source of energy. Yet, in a person suffering from diabetes, because of anomalous insulin metabolism, the body tissues and cells do not utilize glucose from the blood, leading to an increased glucose level in the blood or also called ‘hyperglycemia’. ... If a person has a low BMD, s/he has osteopenia. Developing osteopenia implies there is a higher risk that, over time, a person could have BMD that is quite lower than normal, referred to as ‘osteoporosis’. *taken from McIlwain, Cruse, Bruce, & McIlwain, 2004 Application of Advanced Nursing Practice Framework Three distinct methods of abdominal pain assessment may be determined from the evaluation, which are (1) the appearance of the patient (dependence on observation), (2) the gestures and statements of the patient (dependence on the expressions of the patient), and (3) the normal condition (dependence on typology). In evaluating the postoperative pain of the patient, the nurse should depend on one of these three methods to get attain the level and quality of the abdominal pain of the patient during assessment. When the nurse depends on ‘the appearance of the patient’ or observation, s/he will make use of information gathered concerning objective facts such as posture or movements, skin color, vital signs to get to abdominal pain assessment. In contrast, when the nurse depends on ‘the gestures and statements of the patient’ or expressions, the nurse will have to regard the patient’s statement and gesture as the appropriate information for the type and level of abdominal pain the patient is experiencing. The nurse depending on ‘the normal condition’ or typology should pay attention to the conditions and characteristics of diagnostic or special tests, the time since examination, or the characteristics of the patient like sex, age, etc. in identifying the kind of pain felt by the patient. *taken from Whyte, 1997 Application of Family Stress Theory Family stress theory offers a

Listening power Essay Example | Topics and Well Written Essays - 500 words

Listening power - Essay Example The technique to manage your boss to agree with you is through finding weak spots in him. If you listen carefully, your boss might give you ways into his weaker side through what he says and you could use them to your advantage. For example, if your boss tells you something like â€Å"I am just 2 years away from a great retirement plan. I don’t want to deal with stupid people like you†, then you must focus more on his retirement and less on you being referred to as a stupid person. Let us now move on and outline the basic steps you must take to get your boss to agree with you. First comes the listening part. You must listen carefully and find out what exactly it is that your boss wants. Every boss is different. Some bosses want to feel the power in their hands, some want security, and some are only concerned with the money. Therefore, you must listen and analyze your boss and find out what his basic requirements are. After that, you must deal with him accordingly based on what he wants. For instance, if he’s looking for power, ask him to give you a chance to do things your own way, and that if you failed, you would be ready to do whatever he wants. Similarly, if your boss appears to be insecure, you could try talking to him like a colleague rather than a subordinate and ask him about his family and interests. This would cause him to be more open to you and would develop a bond of trust and understanding between the two of you. It is important to note that arguing does not lead to any good. Whatever insight to your boss you get from listening and communicating with him, you must ensure that your tone is not that of an argument when you try to convince him. Instead, you should devise a well thought out plan of action for your discussion with him and ask him questions to get to the root of his requirements. Even after all the listening and planning, however, you might not be able to reach a