Ms. Josephine is an 82-year-old female with a history of chronic congestive heart failure (CHF), atrial fibrillation, and hypertension. During the last 6 months, she has been hospitalized four times for exacerbation of her CHF. She was discharged home last Saturday from the hospital after a 3-day stay to treat increased dyspnea, an 8-pound weight gain, and chest pain.
Ms. Josephine is recently widowed and lives alone. She has a daughter, Silvia Cooper, who lives in town but works full time and has family issues of her own. Therefore, family support is limited.
Hospital Discharge Instructions
1) Mountain Top Home Health to evaluate cardio-pulmonary status, medication management, and home safety.
2) Medical Equipment Company to deliver oxygen concentrator and instruct patient in use. O2 at 2 liters per nasal prongs PRN.
3) Prescriptions given at discharge:
o Digoxin 0.25 mg once a day
o Lasix 80 mg twice a day
o Calan 240 mg once a day
4) Order written to continue other home meds.
1. Identify, prioritize, and describe at least four problems.
2. Provide substantiating evidence (assessment data) for each problem identified.
3. Identify and describe at least four medical and/or nursing interventions.
4. Discuss your rationale for the interventions identified.
Gathering System in the US Analysis Distributed: sixteenth October, 2017 Last Edited: sixteenth October, 2017 Disclaimer: This article has been put together by an understudy. This isn’t a case of the work composed by our expert article essayists. You can see tests of our expert work here. Any feelings, discoveries, conclusions or proposals communicated in this material are those of the writers and don’t really mirror the perspectives of UK Essays. NATURE OF THE PARTY SYSTEM This paper inspects the idea of the gathering framework in United States. This paper additionally recognizes the explanations behind the shortcomings of the American gatherings. The idea of the American party framework is the two-party framework. This is a gathering framework whereby there are two predominant political gatherings that rule the governmental issues of a given state. Under the two party frameworks, one of the gatherings would hold a larger part situate in the lawmaking body. This gathering is alluded to as the greater part party (Wilkins and Stark, 2011). Then again, the gathering that has less individuals in the council is typically alluded to as the minority party. This idea of the two party frameworks has distinctive importance, contingent upon the sort of the political framework that a state has. For example, under the presidential arrangement of administration, it depicts a circumstance whereby every single chose official have a place with both of the two prevailing gatherings inside the state. Third or more gatherings exist, yet they once in a while win a decision (Hug, 2001). In view of these kinds of courses of action, a two gathering framework ordinarily prompts race guidelines, for example, a champ take all ideas. In a two gathering framework, the odds of a possibility to win an elective post, for a noteworthy position are constantly troublesome. In any case, these littler gatherings have the capacity of impacting the prevailing gatherings that exists inside the state. Rather than a parliamentary framework, for example, that of the United Kingdom, the two party framework is a course of action whereby two gatherings command a decision, however there are the presence of different gatherings that win a race in their lawmaking bodies (Herrnson and Green, 2002). The American governmental issues is ruled by the Republicans, and the Democrats. Regardless of the predominance of these two gatherings, there is an outsider alluded to as the Tea Party. Explain that the casual get-together does not rule the American political framework, and this is on account of its hopefuls have never won any American major political seat, for example, the Presidency, or even a Governors position (Janiskee and Masugi, 2007). The strength of the Republicans and the Democrats in the American political framework has existed for over 100 years, where the Presidents are either chosen from the Republican party, or from the Democrat Party. Right now, the American President is Barrack Obama, and he exudes from the Democrat Party. His antecedent was George Bush, who was chosen from the Republican Party (Strangio and Dyrenfurth, 2009). In as much as the Tea Party isn’t overwhelming, this gathering has the ability of impacting government arrangements, and the exercises of the other two driving gatherings. On a particular note, the Tea Party affects the Republican Party. For example, in 2013, the individuals from the Tea Party could work together with the Republicans for motivations behind closing down the administration of President Obama. This is in their offered to restrict the human services approaches that were being upheld by President Obama. In view of these realities in this manner, we can mean that the idea of the American party framework is the two party frameworks. The mastery of the Republican Party and the Democrat Party, and the impact of a littler gathering, the Tea Party, fulfills the meaning of a two gathering framework in a presidential framework. A two gathering framework has various points of interest and weaknesses. One of the benefits of the American two gathering frameworks is the way that they give data that is effortlessly reasonable to the American voters. Through these activities, the two gatherings can make arrange in the political framework, and this is through a portrayal of a wide political philosophies or logic of the gathering. For example, in the 2012 decisions, crusades between Republican chosen one, Mitt Romney, and the Democrat candidate, President Obama, the two applicants could exhibit the belief systems and methods of insight of their gatherings. The second favorable position of the American party framework, is that it gives a steady adjust through the convenience of different interests and feelings. The Republicans and the Democrats have distinctive organs and interests bunches inside them, and accordingly, these gatherings typically suit at that point interests of these gatherings. This is for reasons for getting a wide help from them. At long last, the two party frameworks empower residents of America to take an interest in the political procedure of the country (Disch, 2002). This empowers its nationals to participate during the time spent administration, through the political framework. This is not at all like in China, where it is just the socialist party that can participate in the administration procedure, and individuals can’t express their own particular feeling, instead of that of the gathering (Paulson, 2006). In a study of the American two gathering frameworks, Baumgartner and Jones (2009) clarifies that it assumes a part in making light of the development of elective perspectives, and it make the political rivalry to be less focused. Moreover, the American two gathering framework figures out how to make a feeling of voter lack of care, and this is for the most part in light of the fact that exclusive two perspectives are exhibited at the polling booth (Lye and Hofmeister, 2011). This makes a recognition that decisions are restricted, and thus it doesn’t add to a broad political level headed discussion inside the nation. Moreover, the ideas of the victor takes everything, typically disheartens other free hopefuls from participating in the political procedure. This is on account of in the event that they lose decisions, it is extremely unlikely they would profit. Bibby and Maisel (2003) clarifies that on account of the burdens of the two party framework, there has been a debilitating of the American political gatherings in the ongoing circumstances. This is on the grounds that influence and cash shifts from political associations, to casual premium gatherings, and specially appointed advisory groups. Besides, the rise of grass root developments, and the decentralization of the structures of the gathering assumes a persuasive part in the debilitating of the gatherings (Lasser, 2012). Besides, the a lot of cash that are gathered by competitors ordinarily don’t go through the official structures of the gathering. This implies applicants are free of the impacts of the gathering, and this is on account of they can control their own crusade stores, rather than relying upon the gathering for funds (Mckay, 2013). Moreover, the American political framework is populist, and this is on the grounds that competitors are more worried about their notoriety with voters, rather than their notoriety with the administration of the gathering. In view of these certainties, representatives and congressmen ordinarily vote against the enthusiasm of their gatherings, on generally events. This is on account of most government officials ordinarily look to react to the compelling passionate emotions, of general society, with respect to specific or certain issues. Besides, American voters don’t vote in squares, and this implies they are probably going to have a place with the two predominant gatherings in the United States (Sartori and Mair, 2005). Along these lines, these voters are not effectively affected by ground-breaking and compelling political figures. In any case, competitors who have a solid grassroots help, and who have the capacity of purchasing ad time, can assume a huge part in affecting voters. Moreover, cash additionally assumes a part in the debilitating of the American political framework. This is on account of applicants who have a great deal of cash can increase moment notoriety, and make a name for them. Moreover, a development that has the ability of invigorating people in general, would figure out how to support its own particular for a political office. An illustration is the 2008 primaries between Barrack Obama and Hillary Clinton, where Obama triumphed over the gathering foundation that were supporting Hillary Clinton (Valelly, 2013). Another illustration is the casual get-together triumphs in the senatorial primaries held by the Republican. This means that the debilitating of the Republican Party. Moreover, the absence of a solid gathering structure is a factor that firmly adds to the debilitating of the American political gatherings (Welch, 2010). This is on account of gatherings need to search for benefactors to back their crusades, and this incorporates campaign gatherings, who can have a part in impacting the contender to build up an approach that is beneficial to them. All in all, the nature of the American party framework is the two party framework. The political framework is commanded by the Republicans and the Democrats. In any case, the present century has seen the debilitating of the American gatherings. This is chiefly a result of the populist idea of the American political framework, and a powerless gathering structure that expects possibility to collect their own crusade cash. This makes these contender to be helpless against their benefactors, and for the most part since they would advocate for their interests. Besides, due to the populist idea of the American political framework, competitors are not faithful to the gathering, but rather to the voters. This implies on most events, competitors would vote against the interests of their gatherings. This is on account of they need to pick up a positive picture that is appealing to their voters. The strength of the Republicans and the Democrats parties has existed for over 100 years, and this implies Presidents regularly originate from any of the two gatherings recognized.>