Essays on Tenderness

Abstract

Heart failure (2.6% prevalent worldwide) is a complex clinical syndrome, resulting from a structural or functional cardiac disorder and impairing ventricular filling or ejection capability. The current case of a 59-year-old male patient admitted on August 18, 2016 due to worsening shortness of breath and bilateral left extremity edema (one week) involved an existing diabetes mellitus type 2 (DM2). Physical and clinical profiles indicate a comorbidity between heart failure (HF) and DM2. Laboratory and imaging findings were not indicated, while diagnosis was based on the NYHA Classification guidelines. A review of literature revealed three crucial weaknesses in the diagnosis. ...

Delirium Case Study

Acute confusional states also known as delirium are medical emergencies associated with substantial morbidity, mortality, and healthcare burden (Bassetti, 2007). The core characteristics of delirium are acute cognitive dysfunction and inattention. Delirium can result in permanent sequelea or become chronic (Fong, Tulebaev, and Inouye, 2009). This paper will examine the case of a 64-year old lady who presents with acute confusion, disorientation, and agitation. It will identify the key information provided and other essential information that needs to be identified. It will also examine the differential diagnoses and the most probably diagnosis for the patient. It will explore the ...

Abdominal Pain

Acute abdominal pain is a common presenting complaint. It can be due to a range of conditions some of which are benign and self-limiting and others life-threatening medical/surgical emergencies (Cartwright and Knudson, 2008). This paper will address the issue of abdominal pain from a paramedicine perspective in reference to a 29 year old male patient who presents with this complaint. It will interrogate the provided information and identify other essential information that is needed, three differential diagnoses for the patient, and the pathophysiology of the most probable diagnosis. Lastly, the implications of the case on paramedicine practice will be ...

R M. G

Dr. S P. A., a 56 year old Italian male that identifies with the Italian culture with no significant past medical history presents to the emergency department with the chief complaint of recurrent chest burning. P.A. says his wife believes that he is showing symptoms of having GERD but he has never been diagnosed. P.A states that “the chest burning and discomfort began five days ago and just got progressively worse despite his self medicating with TUMS” he presented to the emergency department on 05-31-16 and felt “some improvement” after a GI cocktail was administered. One set of biomarkers ...

Headache is a common complaint that afflicts most of the adult population at some point in their lives (Hainer & Matheson, 2013). Headaches are by and large a subjective phenomenon with few objectively measurable factors (McMurtray & Saito, 2014). Most headaches will be the benign, but a small percentage will indicate an underlying neurologic or systemic pathology (Hainer & Matheson, 2013). The purpose of this paper is to investigate the chief complaint, “I have headaches or a headache.” The paper will discuss the objective and subjective data that needs to be collected, headache triggers and drug treatments, and the health promotion strategies ...

In the course of time the society has changed much – people are fighting for their rights and for the equality. This struggle has become prior in every sphere of life as everyone wants to be treated on equal terms with other people. Nowadays most people following the democratic principles have the right to express their position in the society. This issue touches the problem of gender equality which is commonly discussed in the world. In today’s democratic society women do everything for being treated equally with men. It is quite difficult to break the stereotypes of the society ...

Love has long been heralded as one of the most important aspects of the human experience. The bond between two people may be so strong that it is all they need to face very adverse situations. The nature of this relationship may be varied, especially when it comes to the link between a father and a son, as in Cormac McCarthy’s great novel The Road. Even though they never express their love verbatim, the sacrifice and trust that The Man and The Boy have for each other is so strong that it virtually isolates them from their surroundings, ...

SOAP NOTE

Women’s Health / Primary Care SOAP Age Range: 20-30 Gender: Female Occupation: Home maker. Subjective: ID: M.M.

Reliability: Pt is reliable, dependable and a knowledgeable source of information.

Reason for seeking Care (CC): Patient states “I have missed last two menstrual cycles of mine. I just need to confirm if I am pregnant.” History of Present Illness: Patient is a 29-year-old Asian female with no significant medical illness in the past history. Patient is a new patient to the clinic, and has come to confirm if she is pregnant. Travel History past 30 days: Patient has returned from a trip to her home land last week..

Current Medications: She uses some Homoeopathic medicines for constipation and heartburn sometimes.

Allergies (Medication, ...

SOLUTION-FOCUSED AND STRUCTURAL APPROACHES

Introduction of the Paper Family therapy belongs to one of the most comprehensive fields of knowledge, as professional therapist is to be aware of thousands of nuances of human life in order to manage every situation, which is possible to arise. As every human is individual, then every family is unique, hence, there is no universal approach to problem family. It is obvious, theoretical doctrine has accumulated general principles, which have been used for generations. Simultaneously, each family case is extremely sophisticated, with hundreds of hidden influences, secrets and weird aspects, which transform it into exceptional incident that demands ...

INTRODUCTION

The given study involves a 25-year old girl who has met with an accident and fell off the bike on a mountain her right side, while jumping over a curb and presents with a significantly large abrasion and ecchymotic area on the right thigh. She reports to have been wearing her helmet and no loss of consciousness and absence of any swelling. The patient may be evaluated and diagnosed for occurrence of musculoskeletal disorder for pain in her hip, arms and thigh.

ANATOMICAL COMPONENTS OF THE MUSCULOSKELETAL SYSTEM

The musculoskeletal system comprises of bones, muscles, joints, and the other connective tissue constituents combining these structures . ...

SOAP NOTE

Women’s Health / Primary Care SOAP Age Range: 25- 30 Gender: Female Occupation: Receptionist Subjective: ID: M.L.

Reliability: Patient is a knowledgeable and a reliable source of information.

Reason for seeking Care (CC): Complaint of heaviness and pain in the left breast on and off since the last 4 months. History of Present Illness: Not applicable. No history of change in surgical, medical or family history.

Travel History past 30 days: No history of travelling in the last 30 days.

Current Medications: Denies being on any medication currently or in the past. Allergies (Medication, Food, Environmental): Not allergic to any medication, food or environmental influences. Immunizations: Received all the immunizations in a timely manner. History of Present Illness: The patient was ...

Rhabdomyolysis

Introduction In normal conditions, muscles grow when certain activities cause the muscle fibers to become damaged and then subsequently regrown and developed through a series of cellular process. This activity occurs during the body is at rest. In other words, the continuous breakdown is normal for growing muscles as it allows them to become bigger through the introduction of myrofibrils, or muscle fibers. However, there is a condition when the muscle fibers break down rapidly due to a number of reasons, and then they do not regrow at a corresponding rate. This condition is known in medical circles as ...

Inflammatory bowel disease (IBD): Although it is mostly diagnosed before the age of thirty, some patients may not manifest the signs and symptoms even till 50 years of age. It is characterised by inflammatory changes in the walls of the intestine demonstrated by changes in the bowel habits and appetite. In the given case the patient experiences loss of appetite, fever, tachycardia and tachypnea which suggest the probability of this condition. However, most of the cases of IBD are presented with diarrhea, whereas this patient is constipated since the last two days (Mayo Clinic Staff, 2016) Sigmoid Diverticulitis: ...

The poem “Home-Baked Brad” is about femininity and it deals with the writer’s feelings towards cooking. There is symbolism as well because the role of women is depicted by bread. This product baked by women represents the warmth that only women have. The author of this poem, Sally Croft is trying to make the readers visualize the feminine desire and the sense of power as well as tenderness. The woman in this poem embraces her role of the caretaker in a household. She is a traditional woman and is good at cooking which is a way for her ...

Poetry is an art where the poet plays around with words to pass a message that is always hidden in a few words. Poets concentrate in using a few words imaginatively, arranging the words in a creative ways such that a very long story is told in very few words. Also, poetry has to sound as good music to the listener. Poets from different parts of the world always take reference in things that are found in their environments. This fact is what always brings out the difference in the way in which poems from various regions of the world can be compared and ...

Presenting complaints: This is a presentation of a 14 year old female known as Mary X. who presented with a right side abdominal pain of 6 hours duration (started since 10am). Reason for admission/ History of presenting complaints: Mary’s abdominal pain begins near the belly button with tenderness around the central abdomen. This pain with a dull consistency at onset later increased in severity as it moves towards the right lower abdominal region. The pathophysiology that is associated with this condition is that which is caused by the fecalith blocking the appendix in about 50-80 percent of cases while in the ...

The Rotator Cuff - Overview

As defined in the article “Rotator Cuff Injury and Inflammation” the rotator cuff is in the shoulder joint, and comprises four muscles called: Supraspinatus, Infraspinatus, Subscapularis, and Teres minor respectively. They are illustrated in Figure 1 below, reproduced from the same article: (Reproduced from “Rotator Cuff Injury and Inflammation”) As described in the referenced article, these muscles function together to help the movement of the shoulder joint and stabilise it.

Causes, Symptoms, and Prevention of Rotator Cuff Injuries

According to Wedro and Stöppler (Ed.) in their article “Rotator Cuff Disorders” (n.d.), the usual cause of a problem ...

Soft tissue injuries of the handCarpal tunnel Syndrome. Carpal tunnel syndrome is an arm disorder that causes tingling, numbness and other indications. Carpal tunnel syndrome is associated with a pinched nerve in the wrist. Factors that can contribute to the carpal tunnel syndrome are; patterns of hand use, anatomy of one's wrist or certain health risk factors. Bound by tendons and bones, carpal tunnel is a thin pathway that is situated on the palm flank of the wrist. That passageway protects the main nerve from the hand and tendons that bend the limbs. The compression of the nerve is what produces ...

THE COMFORT AND PAIN RELIEF NEEDS

OF THE ANTEPARTUM, INTRAPARTUM, & POSTPARTUM PATIENT Pregnancy and Pain One of the miracles of nature is Pregnancy. Two cells that cannot be seen by the naked eye join and create a human being that walks, talks, thinks, loves, and lives. For women this stage of their life is a time of happiness and sometimes of concern. They realize that now they are in charge of their lives and the life of a new individual. While most pregnancies run a normal smooth course, some others can become high risk pregnancies. Mothers become aware of the many changes occurring in their bodies ...

The cruelty with which animals in China are treated to suit clothing designer’s interests is a matter of contention. These animals are slaughtered and killed in ways that evoke feelings of empathy across the world (Spencer, 2006). People who love animals especially the furred animals are hysterically moved by the nature of treatment these animals receive (Reno, 2014). Most traumatizing is the indifference with which these designers treat these animals without being mindful of the suffering and misery they go through. Thus, from a sociological perspective, this issue of animal abuse in the clothing industry in China has a negative impact ...

Movie review of “The Day the Earth Stood Still”

American cinematography in the 50s operated on full power. Especially there were many films about aliens and terrifying nightmarish monsters. I expected something like before watching “The Day the Earth Stood Still”. Fortunately, my expectations were not met. This film is something special it's like a pearl, which emerged in the ocean of paranoia, of primitive fantasies and propaganda. All these characteristics, joined together, gave this film immense tenderness and care. Every decade has one or two iconic films that stand out from the crowd of movies released. “The Day the Earth Stood Still” is just one of them. ...

CHRONIC VENOUS INSUFFICIENCY AND DEEP VEIN THROMBOSIS

The causes for chronic venous insufficiency are attributed to three types of abnormalities. First one being the varicosity of veins second is the incompetence of the valves which are responsible for a unidirectional flow in the veins and third is the deep vein abnormalities. Formerly it was also known as post phlebitic syndrome post thrombotic syndrome depending on its remote cause (Weiss, n. a). However in some patients the cause could be attributed to congenital absence of the valves. Varicose veins are dilatation, tortuosity and elongation of the veins. It can occur as a result of occupational hazard, prolonged standing may ...

The God of Carnage is a play that showcases the different aspects of relationships in the family and society. It is premised on two families that meet to discuss their sons’ violent behaviors at a playground, only for the discussion to go haywire. The pretense of civilization that is highlighted in the play bubbles out of control when the real issues start being addressed. The play highlights the relationship of what happens in the family as being in synch with what happens in the outside world. More often than not, the society hides under the pretense of civilization as depicted by ...

Establishment

Tango is one of the most mysterious dances in the world, because it reflects the characters, the straightness of lines and unbridled naked passion at the same time. Argentine tango is a mixture of styles, directions and types of national folk dance rhythms with a touch of European and even African destinations. It is believed that the prototype of all styles of tango was the Argentine dance for couples, which, initially, people had danced in South America. However, some sources, in particular the French scientists, argue that the first Tango appeared in Spain. They consider that the founders of the ...

I have been asked to submit a research based, essay on a Critical Incident Analysis, which occurred on the ward on which I was working during my return to nursing course this year. After looking at the various models of reflection that are available (Gibbs’ Reflective Cycle, John’s Model of structured Reflection, Rolfe’s Framework for Reflective Practice), I have decided to use Gibbs’ Reflective Cycle. The choice of this model was based on the fact that I identified more with this style of reflection, and I felt that it would suit me better compared to the other two ...

Verbal images related to the themes of love and jealousy in the later tragedies, "Othello" and "Antony and Cleopatra" help to understand the psychology of the characters, to penetrate into the patterns of these powerful passions. These images are very different from the metaphorical style in the early tragedy "Romeo and Juliet" – where they transmit power to suddenly erupted spontaneous feeling, which seems something sacred to the heroes. Romeo’s first words addressed to Juliet, express awe in this metaphor:

If I profane with my unworthiest hand

This holy shrine, the gentle fine is this: My lips, two blushing pilgrims, ready stand Juliet responds, ...

Subjective and Objective data: The subjective data in this case includes extreme fatigue and anorexia. The objective data, on the other hand, incorporates vomiting, diarrhea, H & H, BUN, and K+. The patient’s BUN 17 is within the normal range (7-20 mg/dl), K is increased (normal levels are 3.7-5.2 mEq/L), and her H & H are reduced at 9(11.7-13.8 mg/dl) and 28 (38-46%). Patients with CKD present with symptoms affecting many body systems. These symptoms occur due to accumulation of toxic products in the body such as urea although the aetiology of some of the symptoms such as fatigue, ...

Personal Journal Entry

Yes, I know it has been a long time since I felt like writing. Now that I think of it, I can’t even believe it myself how long- it was June, 2012 when I last wrote any piece of writing. Anyway, it all happened for a reason and now, thank God, I am back, as good as new. I must admitthe last 5 years have been a great pain in the neck, but now there are about to end, I feel more than relieved. Just want to get up one morning and just it all behind like a bad dream that ...

Question 1.

- Location of pain, intensity and duration of pain can be misleading. Various causes of acute abdomen include appendicitis cholecystitis, hernia and other gynecological causes may be difficult to distinguish and diagnose. - Uncertainty of diagnosis and difficulty to identify abdominal pathology owing to the many organs within the abdominal viscera. An examiner will occasionally miss a diagnosis by mistaking the affected organ with an adjacent organ. - Pregnancy – pregnant women are usually difficult to examine per abdomen owing to the physical and physiological changes e.g. enlarged uterus. - Small children might be difficult to examine – they ...

Dickinson’s “Crumbling is not an instant's act”and Shakespeare’s “That time of year thou mayst in me behold”

Emily Dickinson’s poem, “Crumbling is not an instant's act,” is a fascinating description of how a person’s life or self disintegrates. Reading this text by Dickenson gives the feeling of seeing a deeper truth about a common concept, which in this case is personal “crumbling,” “dilapidation,” or “slipping” (1, 3, 12). Emotions that are depicted in the poem include wonder, detachment, and resignation. The wonder felt about “crumbling” comes from the visual descriptions that Dickinson gives to the process, calling it “a Cobweb on the soul” and “Devil’s work” among other things (5, 9). Dickinson describes the process of “crumbling” as ...

Introduction

“Women who seek to be equal with men lack ambition”, said Marilyn Monroe as she was defining the power of women thru their charms and presence, and not thru equal work with men. This concept, according to which femininity is the aspect that most empowers women in relationship with men was developed in various writings of the nineteenth century and comes as a contradiction to the binary relationship man – woman, which suggests that woman is placed on the negative side, as she is disempowered. Three novels, “The Awakening” (Kate Chopin), “Mrs. Spring Fragrance” (Sui Sin Far) and “Maggie: A Girl ...

Injuries in Sports

Background In basket ball, the ankle and the knee stand out as some of the most commonly injured body parts perhaps due to the fact that the sport involves a lot of running and jumping which renders the sport one of the most dangerous. While running or jumping, the knee and the ankle are served with the responsibility of supporting a characteristic enormous amount of load. In this light, it is valid to say that the success of any athlete involved in basketball as a sport is overly dependent on his ability to avoid overloading the knee and the ankle, Common ...

1) "Halley's Comet" by Stanley Bunitz

This passage is meant to demonstrate the excitement and joy that young boys feel at the exciting and the new - the boy does not quite understand that his life and the lives of everyone else would end. All he knows is that "there'd be no school tomorrow." The way Halley's Comet is described in the beginning evokes exciting things that boys love, including train tracks and high speeds. This visceral language makes the whole affair sound thrilling, and this appeals to the boy.

In the passage itself, he is telling God where ...

According to Emerson (7), “The higher the style we demand of friendship, of course the less easy to establish it with flesh and blood. We walk alone in the world. Friends, such as we desire, are dreams and fables. But a sublime hope cheers ever the faithful heart, that elsewhere, in other regions of the universal power, souls are now acting, enduring, and daring, which

The writer of this paper finds Emerson’s claims to be logical and reasonable and is in agreement that indeed friendships are harder to find and establish as our standards for them become higher, ...

The world of Joyce Carol Oates’ “Where Are You Going, Where Have You Been” is an amalgamation of black and white, where the readers are not privileged to an easy “handle” on the affair that befalls the young and impressionable Connie. The story is a powerful fixture of numerous interpretations and almost mythic strata of a susceptible youth’s conscious and unconscious desires and fears. Throughout the story, the author conveys copious indications that Connie’s encounter with Arnold Friend is not reality, but a nightmare the intention of which is to frighten her into delving deeper into her conscience and making ...

‘Dulce et Decorum Est’ by Wilfred Owen

A Comparative Analysis Although both these poems are by the same British poet and both might be thought of as ‘anti-war’ in different ways, they differ in their structure, use of language and overall emotional impact. ‘Anthem for Doomed Youth’ is a sonnet and the structure of the sonnet seems to act as a restraint on Owen’s feelings. The poem also contains an extended metaphor. In talking about the huge loss of life in the First World War, and mentioning the soldiers who “die as cattle” (line 1) (inevitably as if in a slaughterhouse), Owen develops an extended metaphor ...

For many centuries, this sonnet divided scholars in their responses to it. Many felt that Shakespeare was being deliberately critical of his lover and, therefore, were inclined to dismiss it as a rather cynical poem disparaging his mistress – unconventional for its time, but still straightforward. (Matz, 47). However, there is now a wider critical consensus that this poem is a comic parody of the type of exaggerated love poems written by some of Shakespeare’s contemporaries. (Matz, 48). Crutwell writes:

Vendler says, “ this sonnet is a reply poem to a poet who has just written a sonnet to his mistress....Shakespeare’s speaker retorts, I don’ ...