...these vital signs, we would need to look at the patient’s baseline vitals and trends in his vital signs. In acutely ill patients, this is important as we develop an understanding of what these vital signs mean in terms of oxygen supply and demand (House-Kokan, 2012). Given the patient’s vital signs, we recognize that if this BP is an increase from his baseline, there is a decreased O2 supply due to vasoconstriction and an increased O2 demand as the heart pumps against vasoconstriction (House-Kokan, 2012). With a RR of 32, we suspect an increased O2 supply as minute ventilation increases but also an increased demand of O2 as there is an increase work of breathing (WOB) (House-Kokan, 2012). Given a SaO2 of 88% of RA, we would immediately apply supplemental O2 while awaiting a physician’s order and then titrate O2 to keep his SaO2 >94%, as per the physician’s...
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...Cincinnati studied peppermint's ability to improve concentration and mental sharpness. Alan Hirsch MD studied peppermint's ability to directly affect the brain's satiety center, which triggers a sensation of fullness after meals. This powerful essential oil is often diluted before topical application. Peppermint may also be used to enhance the flavor of food and water. Peppermint has an approximate ORAC of 373,455 (TE/L). TE/L is expressed as micromole Trolox equivalent per liter. [pic] EarthKosher Certified How to Use For dietary, aromatic, or topical use. When using as a supplement, dilute one drop in 4 fl. oz. of liquid such as goat's or rice milk. Possible skin sensitivity. If pregnant or under a doctor's care, consult your physician. Dilution recommended for both topical and internal use. Do not apply neat to a fresh wound or burn. Dilute before using on sensitive areas such as the face, neck, genital area, etc. Keep out of reach of children. Avoid using on infants and very small children. Product Tips • Add a drop of peppermint essential oil to herbal tea to help aid normal digestion. • Massage several drops of peppermint essential oil on the abdomen, place a drop on wrists, or inhale to soothe the minor stomach discomfort associated with travel. • Rub one drop of peppermint essential oil on the temples, forehead, over the sinuses (careful to avoid contact with your eyes), and on the back of the neck to relieve...
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...What is CPR? CPR stands for CardioPulmonary Resuscitation i.e. to help restart the heart (pulse) and lungs (breathing). When do we perform CPR? CPR is performed when a person stops breathing and/or the heart stops. Why is it important to learn CPR? Every year about 350,000 people suffer cardiac arrest i.e. their heart stops. Sudden cardiac death is the most common cause of death in United States and Canada. If you know how to perform CPR you may be able to save a life. Why timing is important? When the heart (pulse) and lung (breathing) stops, the victim has 5 minutes before (gradual) brain death starts to occur, if no CPR is performed. Therefore, it is very important to start CPR as soon as possible. What is Hands-only CPR? Any bystander who is not trained in CPR can perform this type of CPR to try to save a life. Hand-only CPR is better than no CPR. If you witnessed an adult or a child/infant who suddenly collapses then: 1. Call EMS / 911 2. Push hard and fast in the center of the chest | | Anatomy of Heart and Lungs 1. Heart The heart beats continuously to pump blood to all parts of the body. It has four chambers: Right and left atrium and ventricles. Blood flows from the right side of the heart to the left side. The heart is connected to blood vessels (arteries and veins) which combined make up the circulatory system. 2. Lungs Each person has two lungs underneath the ribcage: One on the left side and the one on the right. Its main function...
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...Bleeding Bleeding refers to the loss of blood. Bleeding can happen inside the body (internally) or outside the body (externally). It may occur: • Inside the body when blood leaks from blood vessels or organs • Outside the body when blood flows through a natural opening (such as the vagina, mouth, or rectum) • Outside the body when blood moves through a break in the skin Considerations Always seek emergency assistance for severe bleeding, and if internal bleeding is suspected. Internal bleeding can rapidly become life threatening, and immediate medical care is needed. Serious injuries don't always bleed heavily, and some relatively minor injuries (for example, scalp wounds) can bleed quite a lot. People who take blood-thinning medication or who have a bleeding disorder such as hemophilia may bleed excessively and quickly because their blood does not clot properly. Bleeding in such people requires immediate medical attention. Direct pressure will stop most external bleeding, and is the most important first aid step. Always wash your hands before (if possible) and after giving first aid to someone who is bleeding, in order to avoid infection. Try to use latex gloves when treating someone who is bleeding. Latex gloves should be in every first aid kit. People allergic to latex can use a non-latex, synthetic glove. You can catch viral hepatitis if you touch infected blood, and HIV can be spread if infected blood gets into an open wound -- even a small one. ...
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...Haircolor Overview Although it can be one of the most rewarding services a stylist can provide at the salon, it is also one of the most challenging. Without proper knowledge of the level system, color theory, and the levels of decolorization, the client may not get their desired result; that can ultimately cause a loss of profit, and even clientele. If the stylist has a full understanding of all of the factors, there is a lot of money to be made. Both men and women are changing the color of their hair, and with the help of a stylist, they can achieve whatever look they desire. Stylists utilize what is called the level system, which is a system that is used to determine the lightness to darkness of a client’s hair. This helps decide whether the haircolor needs to have lift or will be deposit only. Color theory is used to determine they actual color of the clients hair. This is determined by use of the color wheel and the three primary colors; red, blue, and yellow. These are colors that cannot be created by mixing other colors, but with equal part of two of these colors you can create secondary colors. Tertiary colors are colors that can be made when a secondary color and its neighboring primary color are mixed. With knowledge of this, a stylist can change the client’s hair any color of the rainbow. The degree of decolorization comes into play when the client’s hair needs to be lightened to the extreme. If a client is a level 5 which is the lightest brown, and they...
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...The heritage Assessment Tool is a questioner design to assist individual to determine his or her ethnic, religious and cultural background in relationship with health, illness and diseases. Heritage and culture are different just like individual fingerprint. When looking at someone’s heritage and tradition, it consists of methods used to maintain health, protect health, and restore health. These concepts deal with person’s physical, mental and spiritual belief. Every individual has their own heritage, and this is very different among different cultures. ( Spector 2009). Heritage assessment tool in combination with questions relating to health and illness belief and practices was helpful in helping individuals remember events in their childhood and also the influence of culture and belief relating to health and illness practices. To summarize heritage assessment tools, people have diverse beliefs about health, Illness, disease, birth and death, which are directed by culture. Heritage assessment is an important step towards building understanding of cultural competency. It is a phenomenon that recognizes diversity, both in linguistic and cultural adeptness by the health care provider. A person’s culture, beliefs, heritage, and language have a substantial impact on both the patient and the health care provider within the health care system (Spector 2009). The question in heritage assessment tool cleared a pathway...
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...ASSESSMENT Gather Equipment/Provide Privacy/Ensure Proper Lightening Wash Hands Ensure visualization of each body part as its examined Introduce self to patient (my name is….. how are you doing today) General Survey Say all of this… Can you state your age for me? Client appears to be stated age. LOC-Ask client: Can you tell me you name please, DOB, and where are you today, what month and year. Client is alert and oriented x3 -- to person, place, time Client’s skin color appears like pink and evenly pigmented without lesions or redness Client nutritional status appears appropriate for weight, height and body size. Client is sitting upright and appears to be relaxed and comfortable Clients body parts are intact and appear equal without no obvious physical deformities. Client is cooperative and smiling, expresses her feelings appropriate to the situation. Client’s speech is in a moderate tone, clear, and culturally appropriate. Upon general observation clients hearing is intact, she hasn’t asked me to repeat anything. Clients dress is appropriate to the season and client is cleaned and well groomed Ask her to walk a few feet and then walk back… State “ Gait is rhythmic and coordinated, with arms swinging at side., walk is smooth and well balanced” Posterior Lungs – stand behind client State out all parts as you inspect. Inspect rhythm, depth and pattern of breathing. State I’m going to inspect respirations for depth, rhythm, and pattern. Client’s respirations...
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...Running head: COMPRHRENSIVE PHYSICAL ASSESSMENT Linda McGoff Indiana Wesleyan University NUR 334: Comprehensive Physical Assessment of the Well Adult Facilitator: Tracy Kastenhuber October 31, 2011 Plagiarism Policy Interview for Health History Guidelines Student: Linda McGoff Core Group: RNBO142 Date: 10/15/2011 Initials of Client: MEV Sex: Female Age: 79 CONFIDENTIALITY OF IDENTIFICATION OF CLIENT Present Health Status: Fair Current medications and/or herbs: Synthroid 125mcg qd Cytomel 25mg BID Neurotin 300mg TID Plavix 75mg qd Voltaren 75mg BID Nexium 40mg qd Naproxen 500mg BID Xanax 0.25mg BID Botox 2000 U given in different areas in the neck Current treatments: Treatment for hypothyroidism, hyperlipidemia, GERD, osteoarthritis, anxiety and cervical dystonia Allergies: Allergic to Morphine Sulfate - vomiting History of Present Illness (if applicable): Left knee pain which is causing difficulty with ambulation & Cervical dystonia aka spasmodic torticollis causing head tilting, neck pain, and neck muscle spasms Location – Left knee and neck Character or quality – Left knee pain is described as sharp, grinding sensation with ambulation, reported considerable swelling prior to starting Voltaren medication. Neck has sensation of spasms and involuntary head tilting or movements Severity-Yes, debilitating Aggravating or relieving factors: Ambulation causes increase in pain...
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...Linguistics Yihan Zhou Seton Hall University Abstract According to kinesics and linguistic theories, this project investigates what parts are involved in making gestures and how gestures carry meanings. A wide range of body parts are involved in making a gesture. According to David Mcneill, the physical movements acquire meaning by iconics, metaphorics, deictics, and beats. The project also discovers an etymological way to connect gestures to Chinese vocabulary. Based on the findings, the project further develops some guidelines to design gestures for teaching Chinese. They are making easy movements, identifying teaching content, making gestures understandable to your students, and applying gestures into teaching. In the end, the project applies the guidelines in designing activities for teaching Chinese pronunciation, vocabulary, character, and culture. Keywords: guidelines, gestures, teaching Chinese, kinesics, linguistics 1. Introduction 2.1 Background Gestures are common body movements: teachers instruct with gestures, referees in soccer game use gestures, people greet each other with gestures. Then what are gestures? Generally speaking, gestures are body movements which accompany and even sometimes replace verbal language. Because of its intimacy with language, it has attracted the people’s attention since Greek and Roman era. People back then treated gestures for the purpose of art. Not until modern times did scientific research emerge and shed lights on understanding...
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...1. Define first aid First aid is the provision of immediate care to a victim with an injury or illness, usually effected by a lay person, and performed within a limited skill range. First aid is normally performed until the injury or illness is satisfactorily dealt with (such as in the case of small cuts, minor bruises, and blisters) or until the next level of care, such as a paramedic or doctor, arrives. 2. State the purpose of first aid a) Preserve life - This includes the life of the casualty, bystander and rescuer. b) Protect the casualty from further harm - Ensure the scene is safe. c) Provide pain relief - This could include the use of ice packs or simply applying a sling. d) Prevent the injury or illness from becoming worse - Ensure that the treatment you provide does not make the condition worse. e) Provide reassurance 3. Principles of first aid a. Explain Identification First aid is the initial assistance or care of a suddenly sick or injured person. It is the vital initial care we all feel an impulse to give as soon as possible after an accident or illness. In an emergency situation it is crucial to be able to recognise the appointed first aider. We have a range of first aider identifications such as hivis waistcoats, armbands, badges and helmet labels. First aid is an important part of everyday life, both at home, work or at play. Everyone should learn first aid and be willing to administer basic care until emergency assistance...
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...Written & distributed by Julien Griffault Young Living distributor # 924292 http://www.ylessentialoils.com 1 7 Essential Oils & 100 all natural solutions Introduction Guidelines for safe use of Essential Oils Natural First Aid solutions Natural solutions for your Home Natural remedies for you & your family Self care Nutrition How to order 3 6 7 8 10 14 15 16 2 Join Young Living today For more great resources please visit : www.ylessentialoils.com Let me tell you about the oils I have chosen to talk about in this particular E-Book. I have decided to base myself on a Young Living kit called the ‘Essential 7’ which groups the seven most popular and easy to use oils. LAVENDER is the most versatile of all essential oils. Therapeutic grade lavender has been highly regarded for the skin, and has been clinically evaluated for its relaxing effects. Wait to see all you can do with this one! LEMON has antiseptic-like properties and contains compounds that have been studied for their effects on immune function. CAUTION: Citrus oils should NOT be applied to skin that will be exposed to direct sunlight or ultraviolet light within 72 hours. PEPPERMINT is one of the oldest and most highly regarded herbs for soothing digestion. Jean Valnet, MD, studied peppermint’s effect on the liver and respiratory systems. JOY — is an exotic blend of Lemon, mandarin, Bergamot, ylang ylang, rose, Rosewood, Geranium, Palarosa, Roman chamomile and jasmine that produces an uplifting magnetic...
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...originating in Japan. (アニメ?, an abbreviated pronunciation in Japanese of "animation", pronounced [anime] ( listen) in Japanese, but typically /ˈænɨmeɪ/ ( listen) or /ˈɑnimeɪ/ in English.) The definition sometimes changes depending on the context.[1] In English-speaking countries, anime is also referred to as "Japanese animation".[2] While the earliest known Japanese animation dates to 1917,[3] and many original Japanese cartoons were produced in the ensuing decades, the characteristic anime style developed in the 1960s—notably with the work of Osamu Tezuka—and became known outside Japan in the 1980s. Anime, like manga, has a large audience in Japan and recognition throughout the world. Distributors can release anime via television broadcasts, directly to video, or theatrically, as well as online. Both hand-drawn and computer-animated anime exist. It is used in television series, films, video, video games, commercials, and internet-based releases, and represents most, if not all, genres of fiction. As the market for anime increased in Japan, it also gained popularity in East and Southeast Asia. Anime is currently popular in many different regions around the world.[citation needed] Contents [hide] 1 History 2 Terminology 2.1 Word usage 2.2 Synonyms 3 Visual characteristics 3.1 Character design 3.1.1 Proportions 3.1.2 Eye styles 3.1.3 Facial expressions 3.2 Animation technique 4 Distribution 4.1 Broadcasting 4.2 Influence on world culture 5 See also 6 References 7 External...
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...ensure that the client can hear at this distance. B. Whisper a statement and ask the client to repeat it. C. Whisper a statement with the examiners back facing the client D. Whisper a statement while the client blocks both ears. 2. During a hearing assessment, the nurse notes that the sound lateralizes to the clients left ear with the Weber test. The nurse analyzes this result as: 1. A normal finding 2. A conductive hearing loss in the right ear 3. A sensorineural or conductive loss 4. The presence of nystagmus 3. The nurse is caring for a client that is hearing impaired. Which of the following approaches will facilitate communication? 1. Speak frequently 2. Speak loudly 3. Speak directly into the impaired ear 4. Speak in a normal tone 4. The nurse has conducted discharge teaching for a client who had a fenestration procedure for the treatment of otosclerosis. Which of the following, if stated by the client, would indicate that teaching was effective? 1. “I should drink liquids through a straw for the next 2-3 weeks.” 2. “It’s ok to take a shower and wash my hair.” 3. “I will take stool softeners as prescribed by my doctor.” 4. “I can resume my penis lessons starting next week.” 5. A client arrives at the emergency room with a foreign body in the left ear that has been determined to be an insect. Which intervention would the nurse anticipate to be prescribed initially? 1. Irrigation of...
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...100 TECHNIQUES for PROFESSIONAL WEDDING PHOTOGRAPHERS BILL HURTER Amherst Media ® PUBLISHER OF PHOTOGRAPHY BOOKS About The Author Bill Hurter has been involved in the photographic industry for the past thirty years. He is the former editor of Petersen’s PhotoGraphic magazine and currently the editor of both AfterCapture and Rangefinder magazines. He has authored over thirty books on photography and hundreds of articles on photography and photographic technique. He is a graduate of American University and Brooks Institute of Photography, from which he holds a BFA and Honorary Masters of Science and Masters of Fine Art degrees. He is currently a member of the Brooks Board of Governors. Early in his career, he covered Capital Hill during the Watergate Hearings and worked for three seasons as a stringer for the L.A. Dodgers. He is married and lives in West Covina, CA. Copyright © 2009 by Bill Hurter. All rights reserved. Front cover photograph by Tom Muñoz. Back cover photograph by Bruce Dorn. Published by: Amherst Media, Inc. P.O. Box 586 Buffalo, N.Y. 14226 Fax: 716-874-4508 www.AmherstMedia.com Publisher: Craig Alesse Senior Editor/Production Manager: Michelle Perkins Assistant Editor: Barbara A. Lynch-Johnt Editorial Assistance from: John S. Loder, Carey A. Maines, Charles Schweizer ISBN-13: 978-1-58428-245-7 Library of Congress Control Number: 2007926665 Printed in Korea. 10 9 8 7 6 5 4 3 2 1 No part of this publication may be reproduced, stored, or transmitted in any...
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...Objectives: * Recognize common and potentially life-threatening postpartum complications * Postpartum Hemorrhage * Postpartum Endometritis * Peripartum Cardiomyopathy * Postpartum Thyroiditis * Postpartum Depression * Direct the initial management of the ill postpartum patient * Know the appropriate threshold for consultation with specialist Postpartum Hemorrhage * Be defined as a blood loss exceeding 500ml after delivery of the infant * Excessive bleeding that makes the patient symptomatic (lightheaded, syncope) and/or results in signs of hypovolemia (hypotension, tachycardia, oliguria) * PPH: occurs in 24 hour of delivery * the late PPH: occurs after 24 hour of delivery to 6 weeks * Obstetrical emergency that can follow vaginal or cesarean delivery * Incidence – 3% of births * 3rd most common cause of maternal death in US Causes of Postpartum Hemorrhage Four Ts | Cause | Approximate Incidence (%) | Tone | Atonic uterus | 70 | Trauma | Lacerations, Hematomas, Inversion, Rupture | 20 | Tissue | Retained tissue, Invasive placenta | 10 | Thrombin | Coagulopathies | 1 | Risk Factors * Prolonged 3rd stage of labor * Fibroids, placenta previa * Previous PPH * Overdistended uterus * Episiotomy * Use of magnesium sulfate, preeclampsia * Induction or augmentation of labor Management * Secondary steps * Will...
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