Presenting condition and symptoms
Richard Cheng is a 65-year-old man who has worked as a high-school teacher for the past 30 years and has decided to enter semi-retirement by working two days per week. He has moved into a smaller house with his wife and is considering going on a world trip within the next few years. Although he enjoys relatively good health, his doctor has been concerned about his smoking habit, stressing that Mr Cheng should quit given his age and the associated health risks. Mr Cheng has been a chronic smoker for many years and, although he has tried to quit several times without much success, he has managed to reduce the number of cigarettes he smokes per day from 20 to about 12. Recently, after a serious bout of flu, he developed a moist cough, but Mrs Cheng became concerned when he began wheezing, gurgling and struggling for breath during the night. In a panic, she drove him immediately to the hospital emergency department, where he underwent a physical assessment.
This assessment item requires you to undertake a
comprehensive health assessment of a patient in your
specialty area. You should choose a case that will allow you to
critically reflect on the care of that patient. If you are not
currently working clinically, it is your responsibility to contact
the unit coordinator to agree on a suitable case study.
You need to: (1) provide a comprehensive case description
including the salient patient history, physical assessment data
and any relevant investigations using an appropriate
assessment framework; (2) justify the clinical priorities in the
management of this patient. The clinical priorities are the most
important or pressing patient problems or issues based on the
assessment data collected.
Part 1 and 2 should be approximately equal in word count.
• Apply an assessment framework that suits the needs of
your patient and/or speciality area of clinical practice
• Briefly justify your choice of framework with literature.
• Select a patient (either upon admission or an in-patient for
whom you care over a single shift). Identify at what stage
of the patient’s admission your health assessment was
undertaken in the introduction of your assessment item.
• Gain consent and then perform a thorough health
• Present the patient’s subjective and objective data
logically and clearly. You may present this section under
key areas/headings of your framework and then in bullet
• Your assessment data should identify normal ranges and
highlight pertinent findings (use italics to highlight).
• Based on part 1, identify all the clinical priorities in the management of this patient. The clinical priorities are the most important or pressing patient problems or issues based on the assessment data collected.
• Justify and explain why these are priorities for the patient, using the data you have collected and evidence-based literature.
• Critically reflect on the implications of this learning experience for your future nursing practice.
Woman’s rights Ladies were socially separated inside the sex requests of slave based social orders. The decent variety of ladies’ encounters in West Indian slave social orders, undermines the formal claims to arrange in the familiarities brought about by the politically tested term ‘lady’, and in addition women’s liberation as a propelled, radical theoretical gadget (Mohammed, p.35). In any case, accounts of bondage encounter are seen with extensive inner conflict and wariness (Mohammed, ). It has not improved the situation that overwhelming textural builds of the servitude administration, the more drawn out piece of the frontier time frame, speaks to it as the social experience on which lays on contemporary philosophies of race, class and sexual orientation relations. Servitude is considered additionally as the ace form from which are thrown the persevering clashes among ladies over definitions and ideological responsibility for and feminity. The challenged legislative issues of womanhood moreover, has been represented as far as ladies formally separated presentation to slave owning provincial masculinities and systematized hegemonic man centric society. These legislative issues have additionally been disclosed in connection to the changing sexual orientation orders advanced by servitude and communicated socially through urban foundations and gainful courses of action, An imperative result of this interior political element in ladylike personality was solidified ethnic and class positions between ladies that made hazardous all ventures of post-servitude rapprochement. Subjection is imagined likewise as the ace shape from which are thrown the determined clashes among ladies over definitions and ideological responsibility for and feminity The assault upon non-white female character advanced a sexual orientation culture of avoidance that was defended and kept up as new sex portrayals surfaced in particular ideological and material circumstances. Writings composed by white ladies with a social commonality of bondage yield prepared confirmation of these improvements. Carmichael, for instance, portrayed dark ladies in her distributed travelog as ‘manly’, ‘brutish’, and lacking female sensitivities (p.36). Carmichael’s reference was reliable with white men’s view about the working limit of female slaves. For her, dark ladies were outside the pale of female character – henceforth her determination that ‘to exhaust a negro slave is outlandish.’ Such messages served by merge and propangate the general sentiments figured by white male supervisors and directors about dark ladies. Manor records arranged by white men, for instance, talk about dark ladies’ evident straightforwardness at ‘dropping youngsters’, limit with respect to strenuous physical work, and general ‘amazonian feline of character.’ All things considered, these records, composed by white ladies and white men, demonstrate the changing ways and force with which the ideological undertaking of defeminising the dark lady was done (refered to in). White female slave holders did not receive freely an abolitionist subjugation position. Or maybe, in spite of their own underestimated social position inside predominant man controlled society, with its harsh socio-sexual culture, they were known for their private and open help for the master subjection endeavor. White ladies, at that point, offered the swoon heart-beat of a women’s activist restriction to strong ‘writings’ amid the long subjugation time frame, however it might be recommended by method for relief that their private miscegenation with dark men, and their incidental private protests about the ‘frightful idea of bondage, ought to be considered as a feature of a watchful, subjective oppositional legislative issues. Nugent’s choice to hit the dance floor with a dark man amid a ball at Governor’s living arrangement sent a gigantic stun through the sensitivities of privileged female Jamaican culture. It was comprehended, and expressed, that lone a representative’s significant other could have survived the hate and mocking that took after. The animosity appeared by a similar female tip top society towards Elizbeth Manning who, as a conspicuous part, was denounced by her better half ofextensive sexual relations with oppressed dark men on the domain, ruins the claim that there was maybe a quiet, submerged abolitionist subjection inner voice among areas of white female privileged society 9cited in). p.42 Subjugated dark ladies gave slave society its foremost women’s activist restriction. Persecuted by the sexual orientation requests of highly contrasting groups, and with little space to manoeuver to gain the respectability important to secure a stage for open support, slave ladies were without a doubt the most abused gathering. The unpreventable oppression of white and dark manliness made levels on which sexual orientation persecution was experienced and stood up to. P.45 It wasn’t only the men that sexually mishandled the oppressed ladies. http://www3.gettysburg.edu/~tshannon/hist106web/Slave%20Communities/atlantic_world/gender.htm As indicated by Shepherd, some white regular workers ladies who claimed oppressed Africans females leased them out as whores. Understanding the part, the ladies played in the slave exchange and group is vital to offer another dynamic to the investigation of slave culture all in all. Not exclusively were slave ladies subordinate due to race however they additionally shared the trials of the persecution of the female sexual orientation. Ladies slaves assumed a key part in the improvement of slave groups through the advancement of African Sexuality, Family Structure and Economic Productivity. It is subsequently vastly imperative that we should comprehend the slave exchange from a female point of view to comprehend the improvement of these slave groups.>