Risk For Imbalanced Nutrition Less Than Body Requirements

Question: Discuss About The Risk For Imbalanced Nutrition Less Than Body Requirements? Answer: Introducation: Philippa is a 36-year old woman diagnosed with the left breast cancer that is metastatic. The metastases are in the lymph nodes of the left axilla, both the lungs and the liver. However, the primary lesion was removed by surgery three years ago but it was aggressively metastatic as it was related to BRACA1 gene. It was two months ago that she developed the axillary, hepatic and pulmonary metastases. She lives with Alice, who is her partner and two children, an 11-year-old girl known as Catherine and a 7-year old boy known as Geoffrey. At a multinational corporation, Philippa was working as a financial manager but ceased after the confirmation of the metastases. Following this, she had to resign from work. Philippas partner works from home as an interior designer but the condition of the partner is overwhelming demanding much time. She is the only person who can care for Philippa and the children. Philippa is experiencing symptoms and signs such as an itching skin, anorexia, abdominal swelling, fatigue, oral thrush, xerostomia, and shortness of breath on exertion. Alice helps in the management of these manifestations. Currently, Philippa is on medications as follows: Oral solution of Nystatin, 1ml after every six hours per day Metoclopramide 10mg after every 8 hours and has to be taken 30 minutes before having meals. 2 puffs of salbutamol inhaler four times per day. 10mg of prednisolone two times a day. Aim: The aim of this poster is to prioritise five nursing issues that arise from Philippas assessment and identify two most critical ones based on the severity as an effect to the patient and Maslows hierarchy of needs. Nursing issues: Ineffective breathing patterns Imbalanced nutrition, less than body requirements Risk for electrolyte and fluid imbalance Risk for impaired integrity of the skin Risk for complicated grieving (MacAvoy, Moritz, 2013) The two main nursing issues to be considered are; ineffective breathing patterns and imbalanced nutrition, less than body requirements. Ineffective Breathing Patterns. The metastases from the primary lesion of the left breast reached Philippas left and right lungs. As such, both of them have cancerous cells that impair the respiratory function of the lung parenchyma. This is confirmed by Philippas shortness of breath on exertion, cough and dry mouth, oral thrush and fatigue, which result from ineffective breathing ("Respiratory System", 2015). The three major nursing issues that must always be assessed first even during resuscitation are the airway, breathing and blood circulation because they are essential for delivery of basic nutrients to the bodys vital organs such as the liver, the kidneys, the heart and the brain. Because Philippa has shortness of breath, the amount of air delivered to the alveoli is lower and subsequently, the vital organs will receive less oxygen (Bockov, Mare?kov, Zapletalov, 2015). This can be identified by taking the saturation rates of oxygen in the blood. Additionally, the impaired pattern of breathing triggers a physiological response that forces Philippa to breathe through the mouth. When oral inhalation is prolonged, further xerostomia shall be witnessed and mouth sores develop. Additionally, Philippa has oral thrush due to the xerostomia and reduced functions of the lungs. Prednisolone is prescribed to prevent further inflammation of the mouth and other parts of the body (Tanser, 2017). T he shortness of breath also causes a straining effect on Philippas diaphragm and the intercostal muscles. Consequently, she developed the fatigue as witnessed on assessment. Because the Philippas lungs are neoplastic due to the metastases, there is need to prioritise and stabilise her breathing because. e any further delay would lead to respiratory arrest and eventual death. Again, this is the reason she is on salbutamol inhaler to dilate her airway (Smith, 2012). Additionally, nystatin is given to prevent the spread of metastatic cells (Sambo, Tumia, Bradaschia, Pavat, Szymska, 2016). Risk For Imbalanced Nutrition, Less Than Body Requirements. Philippa is at risk of lacking vital nutrients such as glucose, electrolytes, proteins, vitamins, water among others in the body. Various reasons underlie this fact. First off, she has reduced appetite, a dry mouth and a swollen abdomen. Lack of appetite results in the refusal to ingest food and therefore, the absorptive sites of the gastrointestinal tract are less active. The body will not receive energy that is required for cellular respiration and other activities. Furthermore, water is not also taken. Water is vital for blood formation, dilution of toxins and excretion of substances through urine and faeces. Essentially, every body organ needs water for all functions. Again, Philippa has a dry mouth, indicating that saliva is insufficient (Hogan, Gingrich, 2014) The saliva is necessary for lubrication of food for easy peristalsis and digestion. Therefore, a dry mouth will not facilitate swift digestion. One of the major reasons the patient has fatigue is due to the loss of appetite and subsequent deficiency of energy in the body. Philippas swollen abdomen is due to the cancerous cells in the liver. As such, there is impairment of the hepatic functions of detoxification, haematopoiesis, bile manufacturing, clotting factor-formation, protein synthesis, storage and release of glycogen, production of immune factors, clearance of bilirubin among others (Patel, Abate, 2013). Bile salts play a vital role in emulsification and because Philippas liver has cancerous cells, this role is deterred in the duodenum (Heatley, 2013) . The swollen abdomen also may cause pain after eating because there is pressure in the hepatic portal vein that takes nutrient-rich blood to the liver resulting from hepatomegaly (Heatley, 2013) Nutrients play important roles in the body and should always be available to the body. For instance, the brain does not utilise any other form of sugars apart from glucose. If glucose is not available, then cerebral functions are impaired and may eventually cause coma (Lippincott, 2013) Moreover, these nutrients are needed to create energy that is used during movement, basal metabolic rate, cell division, immunity, cognitive functioning, increase in body size among others. Therefore, if they are not consumed, then all the above functions are affected and may lead to eventual death. Therefore, necessary and effective remedies need to be established to help Philippa regain the nutrients needed for her body to function effectively. For instance, a large-bow cannula can be introduced to administer Ringers lactate, glucose, and normal saline to the blood (Lippincott, 2013) Again, a nasogastric tube may be introduced to administer food supplements directly to the stomach. Conclusion Philippa was diagnosed with metastatic breast cancer that spread to the lungs, axillary lymph nodes and the liver. Additionally, she is currently on medications that are sustaining her. The major nursing issues identified in her case includes ineffective patterns of breathing, imbalanced nutrition, less than body requirements, risk for fluid and electrolyte imbalance, risk for complicated grieving and risk for impaired skin integrity. Much focus was on the patterns of breathing and imbalanced nutrition. Breathing is important for delivery of oxygen to the tissues. On the other hand, nutrients are vital for creation of energy, enhancing metabolic functions, body building, strengthening the immunity and other functions. Therefore, prompt and effective measures have to be taken to enhance Philippas functionality and battling of cancer. References Bockov, S., Mare?kov, J., Zapletalov, J. (2015). Content validation of the diagnosis Ineffective Breathing Pattern.Kontakt,17(1), e24-e31. Heatley, R. (2013).Gastrointestinal and hepatic immunology(1st ed.). Cambridge: Cambridge University Press. Hogan, M., Gingrich, M. (2014).Pathophysiology(1st ed.). Boston: Pearson. Lippincott, W. (2013).Brunner and suddarth's textbook of medical -surgical nursing 12th ed. + nursing diagnosis, ..(1st ed.). [Place of publication not identified]: Wolters Kluwer Health. MacAvoy, S., Moritz, D. (2013). Nursing diagnoses in an oncology population.Cancer Nursing,15(4), 264-270. Patel, P., Abate, N. (2013). Body Fat Distribution and Insulin Resistance.Nutrients,5(6), 2019-2027. Respiratory System. (2015).Pathology International,5(3), 214-216. Sambo, L., Tumia, P., Bradaschia, S., Pavat, P., Szymska, K. (2016). H07From scientific evidence to clinical practice in cancer patients: NANDA-I: imbalanced nutrition: less than body requirements (00002) and care planning.Annals Of Oncology,27(suppl_4), iv81-iv81. Smith, I. (2012). Chemotherapy in metastatic disease: an overview.Breast Cancer Research,9(S1). Tanser, A. (2017). Patterns of breathing in health and disease.Thorax,25(2),

Motivation and Emotion free essay sample

J. Aznarez Motivation is the force behind behavior. Different things can be factors for motivation. Instincts make us eat when we are hungry, sleep when we are tired, and drink when we are thirsty. The body’s basic needs are taken care of by the natural instinct to fulfill those needs. I think it could be argued that the basic needs are also motivated by drive, or lack of, to satisfy those same natural behaviors. You know you will be hungry by a certain point so you may snack in order to reduce the drive to overeat later, or to satisfy the need before instinct takes over. There are some who seek out stimulation and excitement, thrill seekers, who are motivated by the adrenaline rush they receive. Their motivation is aroused by the anticipation of something that might be considered dangerous by others. Skydiving, bungee jumping, zip lining are all examples of things that would motivate a thrill seeker. We will write a custom essay sample on Motivation and Emotion or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page Motivation can also be brought on by setting goals for ourselves. Cognitive motivation is the explanation for wanting to lose twenty pounds in time for bikini season. At the same time, being able to fit into the bikini is the incentive motivation to lose the weight. For children, you might use incentive motivation so that they complete homework, by telling them they will receive a snack afterward. Eventually, the child will know that they will always receive a snack and it becomes a goal to finish the homework. Incentive and cognitive motivation are a yin and yang of sorts; they co-exist with each other to push us to complete tasks. Our motivations are usually accompanied by our emotions, both positive and negative. Positive emotions such as love and joy are felt when we meet and exceed our goals and expectations or because someone has helped to keep their motivation to complete the goals. Fear, anger, and sadness are negative emotions that accompany not satisfying a need or a goal. I start every week in this class fearful that I overthink the assignments or that I do not understand it properly and I will make a mistake. By the next week, I am happy that I did better than I thought I would. I am driven and motivated by the need to achieve, to accomplish school, to show my children that nothing is impossible, and to show them that we always have to work to achieve our dreams and goals. I think I tend to take a cognitive approach to school, because my ultimate goal is to use my education to help my son, my nephew, and other children work through their emotional and behavioral disorders, but it could also be incentive driven because my reward is to help them achieve their goals and expectations.

Sample Op-Ed Essay Topics - How to Write a Good Essay?

Sample Op-Ed Essay Topics - How to Write a Good Essay?When you are planning to write an op-ed or a short article, it is good to have some sample essay topics that you can work with. That way, you can practice how to write your essay on topics related to your topic. These sample topics can be a good help to you so that you can write a better essay for your readers.Sample essays and stories may be of great help in preparing your essay. You can search the internet for various resources that can help you find the right topic that best fits your taste and interest. You can also search for the samples available in the web.If you want to write a good essay on a specific topic, then you should have the knowledge of the right topic. Then, you can do some research for more information on the topic you would like to write about. But, this may be hard if you do not know the topic well.Research is very important to you. Before you start writing, you should do some research on the topic that you w ould like to write about. You should know what are the top reasons why people choose a certain topic to write about. This will help you focus your essay.After researching, you can now choose the main topics to write about. Once you know what is the main topic that you would like to write about, you can now begin writing. You can start with something that you have personally experienced and written about. This will give you a sense of what are the main points of your article.To write a good essay on a topic, you should now read and search a lot from different research sources. This will help you come up with a number of options for your topic. Basedon these sources, you can then choose the best one for your essay.Once you have chosen a topic, you can then write in your own personal opinion. Then, you can now get some samples of how to write your essay on the topic that you would like to write about. You can use these samples as references when you will start writing your essay.By usi ng the sample op-ed essay, you can now write your own essay on a particular topic. Of course, you need to do some research to know the best choice for you. The result is that you can write a quality essay that will be most appropriate for your readers.

Annotated Bibliography For Gang Violence Research Paper Example

Annotated Bibliography For Gang Violence Research Paper Example Annotated Bibliography For Gang Violence Paper Annotated Bibliography For Gang Violence Paper Academic Search Premier Obscenest (accessed July 21 , 2014) In this article the authors focus on limiting or disentangling youth gang membership. They also talk about the violence associated with youth gang members. They explain and give data that supports violent and nonviolent offenses committed by youth gang members. Youths that report gang membership whether female or male experience some type of violence throughout their adolescence years. This article basically promotes how strongly gangs influence youths and how life situations can lead to criminal involvement. It highlights ways to prevent youths from turning to gangs for family support and love. The article also recommends interventions to shorten gang careers. This article will help me come up with ways to stop youths from becoming gang members and slowing down gang violence involving youths. Congress of the LLC. S. , Washington, DC. Senate Committee on the Judiciary. Youth Violence and Gangs. Hearing on the status of the Juvenile Justice System in America, Focusing on Activities of Youth Gangs and Their Access to Guns, and How Programs Can Help Prevent the Violence Associated with Youth Gangs before the Subcommittee on Juvenile Justice of the Committee or the Judiciary. United States Senate, One Hundred seconds Congress First Session, (November 26, 1991) n. P. : 1992. Eric Obscenest (access July 21, 2014) This article discusses several different ways to prevent youth gang violence. It talks about how youth and gang violence is ruining the country. It enlightens you on how youths are being robbed, raped and killed by one another. It talks bout strengthen law enforcement and about securing a safe haven for the next generation. I had no idea youth gang violence was this massive. Gang violence involving youth membership has gained attention worldwide and this article will be useful toward research paper. Simon T, Ritter N, Menhaden R, editors. Changing Course: Preventing Gang Membership. Washington, D. C. : U. S. Department of Justice, Office of Justice Programs, and the Centers for Disease Control and Prevention, 2013 This article discusses different options on how to prevent youths from joining gangs, which will change the course of their future. It talks about how it requires the public health and safety professionals to work together to minimize youth membership and gang violence. It list key points on why youths join gangs. This article talks about supporting community activities and addressing substance abuse. It educates you on some great ways of resolving youth gang membership. This articles offers a lot of facts and solution to preventing youths from joining gangs and it will be very helpful in writing my research paper.

Great Horned Owls Facts

Great Horned Owls Facts Great horned owls (Bubo virginianus) are a large species of true owls that inhabit many parts of North and South America. These nocturnal avian hunters take a wide range of prey including mammals, other birds, reptiles, and amphibians. Fast Facts: Great Horned Owls Scientific Name: Bubo virginianusCommon Name(s): Great horned owl, hoot owlBasic Animal Group: BirdSize: 17–25 inches tall; wingspan to five feetWeight: 3.2 poundsLifespan: 13 yearsDiet: CarnivoreHabitat: Boreal forests of North and South AmericaPopulation: Unknown, stable over the last 40 years in North AmericaConservation Status: Least Concern Description Great horned owls were first described in 1788 by Johann Friedrich Gmelin, a German naturalist who published the 13th edition of Systema Naturae by Carolus Linnaeus. That edition included a description of the great horned owl and gave it the scientific name Bubo virginianus because the species was first observed in the Virginia colonies. Sometimes called hoot owls, great horned owls range in length from 17 to 25 inches, have a wingspan of up to five feet, and an average weight of 3.2 pounds. They are the second heaviest owl in North America (after the Snowy Owl), and they are powerful hunters that can grip and crush a full-grown rabbit: their talons form an oval between 4–8 inches in diameter. Theres a good chance that youve heard the hoo-hoo-hoo call of the great horned owl if youve spent any time in the woods at night; young great horned owls will hiss or screech, especially when disturbed or frightened. Characteristics vital for their hunting success include large eyes, excellent hearing, and silent flight. Their eyes are adapted for night vision but are relatively immobile, directed forward. To compensate, their cervical vertebrae are quite flexible, allowing owls to turn their head over 180 degrees. Great horned owls have prominent ear tufts atop their head, one of several owl species that possess ear tufts. Scientists disagree as to the function of these ear tufts: Some suggest that the ear tufts serve as camouflage by breaking the contour of the owls head, while others suggest that the tufts serve some role in communication or recognition, enabling the owls to convey some kind of signals to one another. Experts agree though, that the ear tufts play no role in hearing. Because they remain largely inactive during the day, great horned owls are cryptically colored- that is, their coloration is patchy so that they can blend with their surroundings while they rest. They have a rust-brown colored facial disk and white feathers on their chin and throat. Their body is a mottled grey and brown color above and barred on the belly. NNehring / Getty Images Habitat and Distribution Great horned owls occupy the most extensive range of any owl species, including most boreal forests of North and South America, from Alaska and Canada, southward throughout the United States and Mexico, into Northern parts of South America and throughout Patagonia. Since they find hunting is somewhat difficult in thick forests and underbrush, owls prefer habitats with open clearings near secondary-growth woodlands and tree-edged meadows and swaths. They also adapt well to human-modified environments, agricultural fields and suburban areas where there are places to perch and open fields to hunt in. Diet and Behavior Great horned owls are carnivores who eat a very wide range of prey. Like all owls, these fascinating carnivores eat their prey whole and then regurgitate pellets containing fur and crushed bones. Usually active at night, they are also sometimes spotted during the late afternoon or during the hours around dawn. These unique and beautiful birds prefer to eat rabbits and hares but will settle for any small mammal, bird, reptile, or amphibian that comes within its reach. They are the only animal that feeds on skunks; they also hunt birds such as American crows, peregrine falcon nestlings, and osprey nestlings. They require an average of 2–4 ounces of meat per day; larger animals are killed and may be fed on for several days. Reproduction and Offspring Great horned owls nest during the months of January and February. During mating season, male and female great horned owls hoot back and forth to each other in a duet. Their mating rituals also include bowing to each other and rubbing bills. When ready to nest, they do not build their own nest but instead seek out existing sites such as the nests of other birds, squirrel nests, tree holes, crevices in rocks and nooks in buildings. Some great horned owls mate for many years. Clutch size varies with latitude, weather, and food supply, but generally, are two or three eggs. When prey is available, nesting begins earlier in the year; in leaner years, nesting is later and sometimes owls will not lay eggs during very poor years. Stan Tekiela Author / Naturalist / Wildlife Photographer / Getty Images Conservation Status Great horned owls are long-lived birds, known to live a typical 13 years in the wild, and have been known to live as long as 38 years in captivity. Their biggest threats come from the activities of human beings, who shoot and trap owls, but also build high-tension wires and run into owls with their cars. Owls have few natural predators but are occasionally killed by members of their own species or by northern goshawks, a species that often battles with the owls for available nesting sites. The International Union for Conservation of Nature (IUCN) classifies the great horned owl as Least Concern. Sources Armstrong, Aaron. Eagles, Owls, and Coyotes (Oh My!): Taphonomic Analysis of Rabbits and Guinea Pigs Fed to Captive Raptors and Coyotes. Journal of Archaeological Science: Reports 5 (2016): 135–55. Print.Bubo virginianus. BirdLife International. The IUCN Red List of Threatened Species 2018: e.T61752071A132039486, 2018.  Newton, Ian. Chapter 19: Irruptive Migrations: Owls, Raptors and Waterfowl. The Migration Ecology of Birds. Ed. Newton, Ian. Oxford: Academic Press, 2007. 563–86. Print.Smith, Dwight G. Wild Bird Guides: Great Horned Owl. Mechanicsburg, Pennsylvania: Stackpole Books, 2002.

Liberal Theories of International Relations Essay

Liberal Theories of International Relations - Essay Example The apparent peaceful behavior of democracies was only an extension of the domestic ideal into the international sphere. At the end of the Cold War, with the fall of communist Soviet Union (USSR), the ideological triumph of liberal democracy (and its implications for IR) was celebrated with much gusto, with some going so far as to claim that the event signified the â€Å"end of history† (Fukuyama 1992). Liberal states were deemed to be internally more stable and externally most peaceful.  Such a description, however, is not an accurate reflection of the true nature of democracies in the international sphere. As two seminal studies on the democratic-peace thesis note, democracies are equally aggressive as any other rà ©gime type in their relations with authoritarian states (Doyle 1995: 100) and young democracies tend to be more war prone than other states (Mansfield & Snyder 2005). In fact, even this explanation remains somewhat inadequate; take, for instance, the dyad of In dia and Pakistan, two countries with a long history of confrontations. The last armed conflict between the two states in 1999 occurred when a democratic government led either state. This shows that there may be contextual reasons for states go to into war, and their internal configurations may not matter in this regard.  The optimism of liberal international theory at the end of the Cold War was buoyed to a large extent by the hopes attached with the resurgence of the United Nations (UN) and the collective security system. In fact, the success of the multilateral venture at Iraq in 1991 reinforced these hopes.

Flexibility in Education in order to cut cost in college. E.g allowing Essay

Flexibility in Education in order to cut cost in college. E.g allowing students not to take classes not related to there major and still graduate - Essay Example Community colleges also have a reduced cost of tuition, as they charge a fraction of what regular colleges charge thus the debt incurred by students is low. Another way of reducing the cost of college education is allowing for dual enrollment programs where students do not have to go through all their classes in college. It also reduces the workload on the students by removing unnecessary requirements that only bloat their duties as students. This can be done by colleges cooperating with high schools in order to accumulate credits and higher placement in college. With this option, students will not have to go through the burden of classes as some of the courses will have been covered in high school. Joining college with early credits, cuts costs by an enormous margin and the advanced placement cuts the number of classes that one has to attend (Vedder et al. 8). Furthermore, colleges can offer reduced time to students to complete their degree programs. This is by offering 3-year programs instead of four by streamlining the curriculum significantly (Vedder et al. 26). Reduced amount of time in completing a program can be done by offering online courses, summer sessions and taking increases credit hours per semester. As a result, students will end up saving their finances and time for other productive purposes. This is unlike having a 4-year program in which students pay dearly for each semester, and the cost at the end of the 4 years is enormous. In addition, eradicating unnecessary programs also cuts the cost of college education by removing courses that bloat the curriculum.