Scenario 1: Jennifer is a 2-year-old female who presents with her mother. Mom is concerned because Jennifer has been “running a temperature” for the last 3 days. Mom says that Jennifer is usually healthy and has no significant medical history. She was in her usual state of good health until 3 days ago when she started to get fussy, would not eat her breakfast, and would not sit still for her favorite television cartoon. Since then she has had a fever off and on, anywhere between 101oF and today’s high of 103.2oF. Mom has been giving her ibuprofen, but when the fever went up to 103.2oF today, she felt that she should come in for evaluation. A physical examination reveals a height and weight appropriate 2-year-old female who appears acutely unwell. Her skin is hot and dry. The tympanic membranes are slightly reddened on the periphery, but otherwise normal in appearance. The throat is erythematous with 4+ tonsils and diffuse exudates. Anterior cervical nodes are readily palpable and clearly tender to touch on the left side. The child indicates that her throat hurts “a lot’ and it is painful to swallow. Vital signs reveal a temperature of 102.8oF, a pulse of 128 beats per minute, and a respiratory rate of 24 beats per minute. Scenario 2: Jack is a 27-year-old male who presents with redness and irritation of his hands. He reports that he has never had a problem like this before, but about 2 weeks ago he noticed that both his hands seemed to be really red and flaky. He denies any discomfort, stating that sometimes they feel “a little bit hot,” but otherwise they feel fine. He does not understand why they are so red. His wife told him that he might have an allergy and he should get some steroid cream. Jack has no known allergies and no significant medical history except for recurrent ear infections as a child. He denies any traumatic injury or known exposure to irritants. He is a maintenance engineer in a newspaper building and admits that he often works with abrasive solvents and chemicals. Normally he wears protective
gloves, but lately they seem to be in short supply so sometimes he does not use them. He has exposed his hands to some of these cleaning fluids, but says that it never hurt and he always washed his hands when he was finished Scenario 3:
Martha is a 65-year-old woman who recently retired from her job as an administrative assistant at a local hospital. Her medical history is significant for hypertension, which has been controlled for years with hydrochlorothiazide. She reports that lately she is having a lot of trouble sleeping, she occasionally feels like she has a “racing heartbeat,” and she is losing her appetite. She emphasizes that she is not hungry like she used to be. The only significant change that has occurred lately in her life is that her 87-year-old mother moved into her home a few years ago. Mom had always been healthy, but she fell down a flight of stairs and broke her hip. Her recovery was a difficult one, as she has lost a lot of mobility and independence and needs to rely on her daughter for assistance with activities of daily living. Martha says it is not the retirement she dreamed about, but she is an only child and is happy to care for her mother. Mom wakes up early in the morning, likes to bathe every day, and has always eaten 5 small meals daily. Martha has to put a lot of time into caring for her mother, so it is almost a “blessing” that Martha is sleeping and eating less. She is worried about her own health though and wants to know why, at her age, she suddenly needs less sleep.
Identify the pathophysiology of the disorders presented in each of the three scenarios, including their associated alterations. Consider the adaptive responses to the alterations. Review the examples of “Mind Maps—Dementia, Endocarditis, and Gastro-oesophageal Reflux Disease (GERD)” media in this week’s Learning Resources. Then select one of the disorders you identified from the scenarios. Use the examples in the media as a guide to construct a mind map for the disorder you selected. Consider the epidemiology, pathophysiology, risk factors, clinical presentation, and diagnosis of the disorder, as well as any adaptive responses to alterations.
For each of the three scenarios explain the pathophysiology, associated alterations and the patients’ adaptive responses to the alterations caused by the disease processes. You are required to discuss all three scenarios within the paper component of this assignment. Construct one mind map on a selected disorder presented in one of the scenarios. Your Mind Map must include the epidemiology, pathophysiology, risk factors, clinical presentation, and diagnosis of the disorder, as well as any adaptive responses to alterations.
Social Construction of Female Gangs Distributed: 23rd March, 2015 Last Edited: fifteenth August, 2018 Disclaimer: This paper has been put together by an understudy. This isn’t a case of the work composed by our expert paper journalists. You can see tests of our expert work here. Any suppositions, discoveries, ends or proposals communicated in this material are those of the writers and don’t really mirror the perspectives of UK Essays. Presentation In the UK, there has been almost no exploration on female posse issue which has prompted the tremendous measure of research from the USA being connected to the UK circumstance. Female packs have been in presence all through history albeit almost no has been said in regards to its individuals past their part as sexual items. Hallsworth and Young (2008):176) after a home office report in 2008 express that ‘the posse was out of the blue unequivocally connected to the issue of urban savagery and rising weapon use in the UK’ (2008:176) and as indicated by Campbell (1990) “young ladies have been a piece of groups since the most punctual records from New York in the mid 1800s” (1990:166). Female pack action has been on the expansion in the last 50% of the twentieth century and in that capacity, these exercises have progressively turned out to be fierce. In this exposition, I will expand on the importance of posses and female groups utilizing different definitions given by key creators. My principle enthusiasm for this paper will be to talk about the recorded foundation of female groups and the key discussions encompassing these posses in connection to the writing composed by writers of various gauges and furthermore the legends as depicted by the general public. I will likewise be keen on talking about the media development of female packs giving illustrations which will lead me to investigate the separation between what the media says in regards to female posses and what actually. The term ‘posse’ as indicated by Schneider and Tilley (2004) does not have a solitary definition despite the fact that it “is utilized all around by scientists, police, social laborers, media and the overall population” (2004: xviii). The US National Criminal Justice Reference Service have characterized the term ‘posse’ as a gathering of at least three individuals who have a typical name or sign and have a point of taking part in criminal action. In the UK setting, ‘specialists’ have thought that it was hard to achieve an agreement on regardless of whether groups exist and how they can be characterized (Aldridge and Medina, 2008; Alexander, 2008; Broadhurst et al., 2009; Hallsworth and Silverstone, 2009; Her Majesty’s Inspectorate of Prisons, 2010; Pickles, 2009; Pitts, 2008). Webster’s Dictionary (1961) gives us another definition expressing that a pack is “a band or gathering of people” who include themselves in criminal or socially inadmissible conduct (1961:74). Female posse is just a young lady gathering or people who are engaged with criminal exercises and offer similar names, images and signs as their personality. Female packs don’t have a noticeable pioneer and as indicated by explore that they have a tendency to be genuinely casual and they don’t regularly have an obvious pioneer. Campbell for instance in the Huff’s book on Gangs in America (1990) sees that in Los Angeles a few groups have ‘veterinas’ or ‘back up parents’ yet she proceeds to state that “commonly the individuals demand there is no pioneer and that choices are made equitably. Campbell’s perception proposes that a few young ladies plainly have more clout than others, however this generally isn’t formalized as a position of authority.” (1990: 178). In this audit, I will examine about female groups drawing upon American research however with more accentuation on the rising marvel of female posses in Britain. To achieve my go for this writing audit, I will utilize essential sources, some optional sources and other approach records or government productions to empower me make ends and proposals, distinguishing holes in information which may move different specialists into thoughts for additionally examine and furthermore empower me to give my general conclusion of how I feel about the social development of female packs by the media quite a bit of which I have a tendency to differ with. Writing Review Recorded Background Numerous scientists and columnists have for quite a while expected that young ladies and ladies did not participate in criminal practices and hence the issue of female posse has regularly been overlooked. Campbell’s (1990) survey on young lady posses expresses that, “young ladies were characterized exclusively regarding their relations to male pack individuals” (1990:166). Men have dependably been the purpose of focus in exploring group violations and up to this point, female pack individuals were viewed as ‘sex objects or spitfires’. Writing has demonstrated that specialists portray female groups as weapon bearers for the male partners moreover, Moore and Hagedorn (2001) contend that “notwithstanding while depicting female posse individuals as boyish girls, analysts stressed that the females’ inspirations were centered around guys” (2001: 2). Taking a gander at the UK setting of female posses, writing on young ladies and packs has not been all around created in light of the fact that analysts in Britain have not seen the need to focus on female groups (Campbell and Muncer, 1989; Sanders, 2002). As indicated by Downes (1966); Parker (1974) and Scott (1956), the UK endeavored to apply American group hypotheses to address the issue of road packs however these endeavors bombed after some time prompting absence of information on posses. This clarifies why there is no solid proof as on account of USA, “for the multiplication of vicious road groups” (Hallsworth and Young, 2008: 177). Female Involvement is anything but another event all around. Truth be told, there has been a great deal of worry on the ascent of female association in posse business throughout the years. Early examinations found that there was a “50 percent expansion in genuine violations by high school gins somewhere in the range of 1968 and 1974, contrasted with a 10 percent expansion for young men and captures of young ladies under 18 for fierce wrongdoings rose 393 percent somewhere in the range of 1960 and 1978, contrasted with 82 percent for young men” (CASA Website) . Mill operator (2001) thought about youth pack association in 1950, and discovered that “young groups of the 1980’s and 1990’s are progressively various, more pervasive, and more savage than in the 1950’s, presumably more than whenever in the nation’s history” (2001: 263). In the mid 1980s, Anne Campbell (1981) ended up intrigued and had worries about female guilty parties which drove her to direct an examination about the events of brutality among young ladies in Britain. Campbell, (1984) likewise completed an examination on female posses in America and this prompted her decisions that the issue of female packs was socially developed. She scrutinized Britain for just focusing on male posses and disregarding female packs and represented that in New York, ladies were probably not going to sort out in to posses in huge numbers in light of the fact that the female gatherings were just known to take after male gatherings (Campbell, 1995). Late investigations on young ladies and viciousness additionally demonstrates that there has been an expansion in savage and forceful conduct by young ladies and this has been catalyzed by media consideration. Prior on, individuals knew next to no about young ladies’ viciousness on the grounds that there was a conviction that brutality was exclusively dedicated by men. The investigation discoveries demonstrate almost no proof proposing that young ladies are physically savage. Participation Scholarly research on posse enrollment in the UK is extremely scanty as said before on and there is little proof demonstrating that young ladies have existential involvement in submitting savagery. It has been hard to find out the quantities of female groups despite the fact that there is a critical presence of the individuals. Then again, in the US, women’s activist analysts have endeavored to give a more ‘nuanced depiction of the intricate sexual orientation encounters of young ladies in groups’ (Miller, 2001: 16). They have shown that young ladies inclusion in female packs lives up to their sex desires and experience increased dangers for physical and sexual exploitation and furthermore finds out that posse participation furnishes them with a feeling of having a place, giving them certainty and asylum from their injurious families (Campbell, 1990; Joe and Chesney-Lind, 1995; Joe Laidler and Hunt, 2001; Miller, 2001, 2008; Moore, 1991; Nurge, 2003). Numerous packs have all the earmarks of being more exceptionally organized than reprobate gatherings yet that does not preclude the way that they may even now be viewed as approximately composed. A few factors, for example, age, neighborhoods et cetera are considered as the premise of picking up passage to these packs or turning into a part. The posse sizes go from a part gathering of four or five and can go past a thousand. There have been diverse order of pack gatherings, for example, the pioneers, partners of the regulars at that point there are the fringe individuals lastly the enlisted people. Most examinations have demonstrated that the reasons why females join posses are a result of fellowship impact, it is viewed as a type of solidarity and self insistence. Research has demonstrated that those children who experience childhood in broken families and whose guardians are in jail may think that its proper to join pack gatherings. Numerous young group arrangement is because of the present crumbling financial conditions which are described by poor lodging, absence of school structures and offices and absence of laws that direct infringement of youth packs. Being in a female pack might be a shelter from physical and sexual mishandle at home. Youthful et al’s. (2007) was engaged with an exploration which specifically included young ladies and young ladies who had relationship with female pack and this gave him an alternate photo of their association. UK investigations of female posses have demonstrated that young ladies and young ladies are simply depicted as ‘sweethearts’ to their male pack individuals however Young et al’s contribution in talking a portion of the females showed that their gatherings were primarily made out of associates whose primary explanation behind being as one was plain fellowship and denied that their gatherings were groups. Anyway in the US, Miller (2001) states that young ladies>