Patient Medical Record free essay sample

VITAL SIGNS: Pulse 100, respiratory rate 42 per minute, temperature 99. 1, blood pressure 156/96. GENERAL: The patient appears very tired at the present time. HEENT: negative. CHEST: There is an increased anteroposterior diaemeter to the chest. No intercostal retractions during inspiration. HEART: Normal heart sounds without murmor or racing. ABDOMEN: soft and nontender. EXTREMETIES: normal with full range of motion. LABORATORY DATA: Urine test was positive for ketones. A complete blood panel was done and showed a blood sugar level of 150 mg. White blood cell count was elevated at 13. 5 IMPRESSION: Myelodysplastic Syndrome Diabetes Mellitus Two questions for potential hires: What else does this medical report need: A. more in depth description B. less detail C. a prognosis plan D. nothing E. all the above What else could this report have that will be beneficial to all medical personnel? A. more specific information B. more information on vital C. a more in depth past history D. We will write a custom essay sample on Patient Medical Record or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page all the above E. nothing more REFERENCES: Retrieved from http://1. American Diabetes Association. Standards of medical care in diabetes — 2013. Diabetes Care. 2013;36(suppl):1 / Retrieved from http://www. cancer. org/cancer/myelodysplasticsyndrome/index ADMISSION HISTORY AND PHYSICAL EXAM PATIENT NAME: Cody Jones HOSPITAL NUMBER: 602-888-6939 DATE OF ADMISSION: June 1, 2012 HISTORY OF PRESENT ILLNESS This patient is an 18 month old african american male evaluated by me in the emergency department on the above date, patient was very irritable and left ear appears to be red and swollen. PAST HISTORY This is the patients third time coming into the emergency department with like symptoms. At age 12 months patient was diagnosed with asthma after a chronic sinus infection and wheezing. Patient has no surgical history. PHYSICAL EXAMINATION VITAL SIGNS: pulse 100, respiratory rate 25 per minute, temperature 99. 3, blood pressure 95/60. GENERAL: Patient appears to be irritable. HEENT: Negative,except for redness and swelling of left ear. CHEST: Normal HEART: Normal heart sounds without murmor. ABDOMEN: soft and nontender. EXTREMETIES: normal with full range of motion. LABORATORY DATA Complete blood count came back normal. IMPRESSION Otis media effusion of the left auditory canal Asthma Two questions for potential hires: Is this a complete medical report: A. yes B. o, it lacks information C. It needs more information for vitals D. more information needed for patient past history E. needs a diagnosis Does the medical report have follow up care information: A. It has just enough information B. has to little information No follow up care information is needed D. follow up care does not go on a medical record E. Medical record should have detailed specific follow up inform ation References Kids Health. (2013). Retrieved from http://kidshealth. org/parent/medical/asthma/wheezing_asthma. html# emedicine health. (2013). Retrieved from http://www. medicinehealth. com/pediatric_vital_signs/article_em. htm American Academy of Pediatrics. (2013). Retrieved from http://pediatrics. aappublications. org/content/113/5/1412. full ADMISSION HISTORY AND PHYSICAL EXAM PATIENT NAME: Fred Thompson HOSPITAL NUMBER: 557-852-3685 DATE OF ADMISSION: April 6, 2013 HISTORY OF PRESENT ILLNESS This 78-year-old caucasian was evaluated by me in the emergency department on the above date, complaining of progressive shortness of breath, fever, fatigue, heartburn, and upper back pain. PAST HISTORY The patient has a history of myocardial infarction. 2 years ago patient had like symptoms and was diagnosed with myocardial infarction after results were positive from a electrocardiogram (ECG). Patient also has gout. Does not smoke or drink alcohol. No past surgical history. PHYSICAL EXAMINAION VITAL SIGNS: Pulse 90, respiratory rate 52 per minute, temperature 101. 1, blood pressure 154/96. GENERAL: The patient appears to be fatigued and is sweaty from fever at this time. HEENT: Negative. CHEST: There is an increased anteroposterior diameter to the chest. HEART: The heart appears to have a skipped beat. ABDOMEN: Soft and nontender. EXTREMETIES: Patient has full range of motion. Both ankles have swelling . LABORATORY DATA Complete blood count shown an elevated white blood cell count of 16,4000. Blood count also shown cardiac enzymes to be present. Uric acid was also elevated and present in blood count. A urine test shown positive for uric acid. IMPRESSION Congestive heart failure Myocardial Infarction Gout Two questions for potential hires: Is this a complete medical report: A. yes B. no, it lacks information C. It needs more information for vitals D. more information needed for patient past history E. needs a diagnosis What other information is needed on this report: A. more lab results B. specific lab results more patient history D. more information on physical examination E. all the above References WebMD. (2013). Retrieved from http://arthritis. webmd. com/tc/gout-topic-overview MedicineNet. (2013). Retrieved from http://www. medicinenet. com/heart_attack/page6. htm LabTestsOnline. (2013). Retrieved from http://labtestsonline. org/understanding/analytes/uric-acid/tab/test

Introductory Sentences to Sentences For Essay Applying to College

Introductory Sentences to Sentences For Essay Applying to CollegeA couple of examples are useful as they serve as samples of introductory sentences to sentences for essay applying to colleg. Each of these samples will contain the following paragraphs. You need to be careful when writing the essays, the goal is to make them as short as possible, but you need to also make them interesting.This initial paragraph will need to have a beginning is where a sentence or phrase is introduced. In this example, the beginning of this paragraph will contain the words 'This introductory paragraph is an introduction to my thesis.' If you are unsure about which language to use, there are sample introductory sentences to sentences for essay applying to colleg that you can look at. It will be helpful if you have a dictionary, especially if you are not sure what to do.In this example the subject line and the closing sentence are the opening and closing sentences of this paragraph. To open this paragraph the sentence 'My personal background was focused on two things: History and my family' will be used. The words 'Personal Background' will be preceded by a colon and then the second word the rest of the sentence will contain a list of adjectives. This sentence will make a general statement about your life.This paragraph will begin with an incident and will end with a closing statement that is something that the professor's hand may be pressed into. This paragraph will be followed by a beginning of the main body and a concluding statement. The opening sentences of this paragraph will contain the words 'This first paragraph is an introduction to my course.' The next four paragraphs will each contain the words 'This paragraph will contain a statement as an introductory statement of my theme.' The third paragraph will contain the words 'This paragraph will contain a statement of the main idea of my essay.'In this paragraph the subject will include something that you want to address. You r main focus of the essay will be on the topic. After discussing your main point at the conclusion of the essay will discuss a link or a concept. In this example the subject will include 'It will be my thesis to explore the link between the Internet and education.' The end of this paragraph will contain the sentence 'The final paragraph will deal with the final section of my main theme.This paragraph will begin with a few sentences. The main idea of the essay will be covered in the beginning. In this paragraph the word 'be' will be followed by 'I' and the rest of the sentence will contain a list of adjectives. The next paragraph will contain the words 'The beginning section will touch on my original idea.'In this example the first sentence of the first paragraph will be preceded by a colon and then the rest of the sentence will contain a list of adjectives. In this paragraph the 'introduction to my thesis' will be the subject and the other paragraph will contain a statement of the t heme. The ending paragraph will contain the closing statement of the essay.

«Starring Night»

Introduction The painting captures similar themes when analyzed at surface level as well as in relation to the artist’s life. Van Gogh was schizophrenic, yet he managed to make beautiful art. Starring Night is a painting that epitomizes restlessness or turbulence; this was a reflection of the artist’s state of mind.Advertising We will write a custom essay sample on  «Starring Night » specifically for you for only $16.05 $11/page Learn More Description of the painting An initial observation of the painting reveals an expansive sky; it accounts for most of the space in the painting. Van Gogh probably called the piece ‘Starring Night’ because bright stars are a prominent feature. White and yellow light surround them while a glaring moon also stands alongside them. In between the moon and the stars are swirls which are a combination of dark and light colors; some are black, others green, yellow, dark and light blue, and to some extent white. However, the predominant color is blue, which is the color of the sky. Underneath the sky, one can see a village where some houses, hills as well as other physical features are located. The hills are so tall that they appear to merge with the sky. The painting also has a tree that also stretches to the sky; it is the tallest feature in the village. Gogh’s brushstrokes in the hills as well as the trees face upwards, as though to suggest that the sky is what matters. The pine tree is black, dark green and brown. Since this feature is at the foreground of the painting, it affects one’s overall perception of it. A few houses can be seen clustering next to each other. No human beings are in the Starring Night; this may probably be because most of them were asleep. The most outstanding building is a church, whose spire also points to the sky (Museum Of Modern Art 1). Overall, the interaction of the colors, lines and paintings in the picture gives an impression of restlessness. Analysis Background of the painting It is likely that the theme of turbulence and restlessness reflected Van Gogh’s state of mind. The artist was mentally ill and even did this work of art in an asylum. He struggled with so many aspects of his life. For instance, a special lady rejected him and told him that she would never marry him. He was thrown out of art galleries in Paris. The artist had an abysmal financial situation since he depended on his brother, Theo, for sustenance. His many career changes were fruitless, and he was not making any money as an artist. People misunderstood Gogh; members of his township Arles wanted to ban him from the village after he developed an ear infection.Advertising Looking for essay on art and design? Let's see if we can help you! Get your first paper with 15% OFF Learn More He did not even have friends because he always embarrassed or argued with them. Clearly, Van Gogh was an isolated man who could not find comfort in many things. His experiences in the past led him to a turbulent state of mind. This situation was so serious that it manifested in schizophrenia. One can thus assert that the painting was a reflection of what the artist was going through in his mind. Alternatively, the theme of restlessness may also have been indicative of the dissatisfaction with his situation at the asylum and the longing for normalcy. Perhaps Gogh wanted to go out into the Starring Night and enjoy all the wonderful visuals first hand. However, all he could do was admire the view from his window or use supervised visits around the garden in the asylum (Brooks 29). The effect of lines and color Lines in any work of art show motion. Therefore, when one looks at the way lines in the sky swirl around the moon and the stars, one thinks of movement. Since most of the lines in the painting are not heading in one direction, then one can deduce a mood of restlessness. The choice of color in the painting is also an indication of the painter’s mood. Warm colors, like yellow, are only present in minimal quantities. The most predominant color is blue, which is a cool color. This color is primarily responsible for the darkness and mystery of the piece. Nonetheless, the blue color has a dark hue, in that it is not the typical sky blue. This one mirrors the color of the sky at night as it is blue-black. If the artist had left the sky uninterrupted by dark lines, then it would have given off a serene or even dreamy feel. The mixture of the dark and cool colors in the form of lines and shades is what contributes to a feeling of turbulence (MacDonald 15). As mentioned earlier, the colors in the picture are bold and captivating. The moon and starts each have bright hues that are hard to ignore. In one of his letters to his sister, he asserted that the stars had a peculiar brilliance, which â€Å"warranted for more than white dots on a blue-black surface† (Van Gogh Museum 76). One may d educe that this artist saw things in a different way through the use of color. Most artists in his era were realists, and his countrymen were quite conservative in their use of color. Most realists relied on pale color and soft, thin lines to create texture. However, Gogh created a new approach to texture by using bold brush strokes. The artists did not paint to please others but he stuck to what he felt was right. Vincent’s preference for bold color was something new and refreshing. Even the way he drew stars was quite unique. The palate in ‘Starring Night’ was substantially different from the palate combinations of other French artists like Millet. In fact, Gogh started out with contemporary influences but quickly changed after he discovered Japanese art. Japanese art had a profound influence on the painter. The artist was defiant and brave in his work since he was willing to pursue trajectories that others shunned. These color choices and the artists’ p ast life prove that he was indeed a restless individual. He was not satisfied with the status quo and sought ways to explore new avenues.Advertising We will write a custom essay sample on  «Starring Night » specifically for you for only $16.05 $11/page Learn More Choice of features Van Gogh was a spiritual man; in fact, he was so committed to his vocation that it turned into an obsession. This was part of the reason why the artist was sent out of the mission school. Additionally, Gogh’s father was a spiritual minister. When the artist tried to follow in his footsteps, he failed dismally. In the painting, the spire of the church building is the tallest man-made feature. However, its height comes nowhere near that of the cypress tree. The tip of this tree makes contact with sky. One can interpret these two features in light of Gogh’s life. He may have sought solace in the church, but did not find it there. His experiences at the mission may have shown him that one cannot find spiritual fulfillment in other men. In the painting, the church is a man-made creation. Even though its builders tried to make it as tall as possible, they could not reach the sky. One may construe the sky to symbolize the heavens. Therefore, Gogh was saying that man’s efforts were not sufficient to establish contact with the heavens. On the other hand, if one sought God in nature, one was likely to find him. The cypress tree was tall enough to reach the skies. One may deduce that the author could not find support in a spiritual establishment. He may have been criticizing the existing religious order. Once again, the theme of restlessness comes into play because he is not happy with where he is spiritually, so he must look for answers elsewhere. In line with these sentiments is the fact that the hills appear to face the opposite direction of the church spire. They mirrored a real physical feature in Gogh’s country; they were call ed Les Alpilles Mountains. Their opposition to the prevailing order may be regarded as proof of the artists’ opinion about the church. The manner in which the images in the diagram have been represented is indicative of the theme of restlessness as well. The stars seem to be bursting out of the sky. Furthermore, the cypress tree looks like it is touching the sky. Even the moon looks like it is covered by a yellow ball. Clearly, these are not conventional representations of the night sky. An artist who was faithful to nature would have revised his choice of color, lines and technique to reflect the actual appearance of the sky; however, Gogh was not such an artist (Boime 55). He was rebellious, and when he had a point to make, he did not hesitate to make it. His use of proportions and the way he drew was a reflection of the artist’s style. Gogh was not satisfied with a mere imitation of nature. This means he was agitated by this approach, so he chose another one that wo uld not reflect contemporary work. Therefore, his approach to art was one that caused turbulence. One of the artists’ centerpieces in the painting is the cypress tree. A lot can be deduced from this choice in features that reflects the state of turbulence in his mind. During Gogh’s time, Cypress trees were common in cemeteries. Additionally, the tree seems to connect the earth and the heavens.Advertising Looking for essay on art and design? Let's see if we can help you! Get your first paper with 15% OFF Learn More One may assert that his selection of the tree was indicative of his ideas about death. The painter was at a place where he could not decide whether he wanted to live or die. By choosing a centerpiece that is found in cemeteries, Gogh was thinking about death. The tree touched the heavens because when one dies, one leaves earth and goes to the heavens. The artist was thinking about death but was ambivalent about it. It is likely that the intense movement in the painting reflected this indecision concerning whether he should live or die. There was turbulence in his conscious about the matter. Later, the artist made up his mind about death and committed suicide. He chose death over a life of misery. At the time of painting ‘Starring Night’, the cypress tree reflected the confusion in his conscious about death. Overall, the piece has so many features to analyze that it is possible to become overwhelmed with the process. Trees, hills, houses, stars, the moon, the sky and oth er features are present in the painting. One must determine why the artist selected so many features. It is likely that he would only convey his message if he amalgamated all these aspects together. However, the circular motions and the spiral effect in the sky are what carry the theme. Therefore, the point of emphasis in the painting gives an indication of what one should focus on; in this case it is turbulence. Painting technique From the image, one can deduce that the artist used decisive bush strokes to color his piece. This practice was not common in his society. Impressionist artists relied on a method of drawing that involved joining several dots together to form the impression of color. However, Gogh got bored of this style when living in Paris. He devised his own method of painting that was quite different from the rest. These decisive brush strokes contribute towards the turbulence of the piece. It would have been quite difficult to convey that sentiment if the author util ized the impressionist method in ‘Starring Night’. The decisiveness of the brush strokes was crucial in creating a feeling of chaos or turbulence. The circular lines needed to be in unison with another in order to have this effect. Using joined dotes, like the impressionists, would have been insufficient to create this effect (Hulsker 93). Conclusion Starring night as a work of art carries forward the theme of restlessness. This is evident in the artist’s use of color. He mixes cool colors with dark ones in a manner that creates this mood. Additionally, his painting technique which involves decisive brush strokes also testifies to the turbulence of the piece. His choice of objects and emphasis reflects the turbulence in the artist’s mind. The cypress tree was an indication of his confusion about death. The unconventional stars were an indication of the turbulence in his life. He was also unconventional like the stars, and this led to his isolation. This pa inting’s theme is an expression of the artists’ life. Works Cited Boime, Albert. Van Gogh: Starry Night: Art history in detail. NY: Voyager, 1996. Print. Brooks, David. Starry Night. Amsterdam: Brooks, 2012. Print. Hulsker, Jan. The complete Van Gogh: paintings, drawings, sketches. NY: Random House, 1986. Print. MacDonald, Mary. â€Å"Who was Vincent?† Artist’s Monthly 1.6(1990): 15. Print. Museum Of Modern Art. 2013. Vincent Van Gogh: The Starring Night, June 1889. 2013. Web. https://www.moma.org/collection/works/79802 Van Gogh Museum. 2013. Vincent Van Gogh letters. 2013. Web. http://vangoghletters.org/vg/letters/let782/letter.html This essay on  «Starring Night » was written and submitted by user Virginia Eaton to help you with your own studies. You are free to use it for research and reference purposes in order to write your own paper; however, you must cite it accordingly. You can donate your paper here.

sexual orientation essays

sexual orientation essays Sexual orientation has been and to some degree is still seen as a taboo topic. For many years it has been argued that sexual orientation is based on one's gender and one's sexual preference, should be based on one's sex (i.e. females should be attracted to males and males to females). For generations, these narrow views were considered to be the norm. However, hidden within society was a lifestyle that once aired was seen as deviant. Homosexuality and many sexual orientations were seen as sexual deviancy that needed some type of treatment to cure. Many people use the term sexual preference to describe someone's sexual orientation, such as heterosexual, homosexual, bisexual, etc. Heterosexuals are individuals attracted to the opposite sex, homosexuals are individuals who are attracted to the same sex, while bisexuals are people who are attracted to both sexes. However this term is outdated because "sexual orientation is no longer considered to be one's conscious individual preference or choice, but is instead thought to be formed by a complicated network of social, cultural biological, economic and political factors (http:// www.siews.org/pubs/fact/fact0006.html)." Sexual orientation is based on one' erotic, romantic and affectional attractions. These attractions could occur with the same gender (sex), to the opposite gender (sex) or both. Society is obsessed with finding what determines one' sexual orientation, if an individual is homosexual or bisexual. Surprising, society is not really fascinated why heterosexuals are 'straight'. "Straight people do not 'come out' because our society assumes that people are straight unless they say that they are not (Planned Parenthood. 2000, p. 3)." This assumption is known as heterosexism, which is quite offensive and disrespectful towards the homosexual community. A large sector of the population fails to realize how difficult 'coming out' might be for homosexuals to their f...

Engineering Manegment Essay Example | Topics and Well Written Essays - 1500 words

Engineering Manegment - Essay Example hese business plans are intended to be seen as an example of either a good or a bad business plan; instead, they are to be viewed as vehicles towards understanding positive and negative components of each. The first business plan that this analysis will weigh relates to Momentex LLC and their proposed line of Gulp N Go products. Momentex would like to target the untapped market of vending services that are located within toll booths throughout the United States. The plan exhibits multiple strengths. Firstly, regardless of what one thinks of the business plan, it is undeniable that the proximity of the product to the customer is perfectly positioned. The second strength ties in alongside this proximity and evokes the strength of suggestion while the customer is already in the process of making a financial transaction – all of which further encourage him/her to make an impulse buy while at the toll booth. Lastly, for this proximity and these powers of suggestion during a financial transaction, the firm has very few costs associated with marketing as the product is positioned 24/7 and practically free marking takes place at the point of sale on a daily basis. With respect to the weaknesses exhibited in this plan, the first of these regards the legal impacts of commercialization of the toll booths and what this may portend with respect to state, local, cross jurisdictional, and tax laws. In effect, a public good (roads) will now be turned into a way of further generating funding by private businesses. This fact in and of itself has a host of both legal and ethical dilemmas associated with it. Secondly, and perhaps most importantly, there is the issue of traffic flow. Toll booth areas are already high traffic areas that usually only exist in major metropolitan cities. As such, having tens of thousands of people each and every day pausing as to what particular snack or drink they would like to choose while others wait in queue behind them is a recipe for

Discussion Question Research Paper Example | Topics and Well Written Essays - 250 words - 1

Discussion Question - Research Paper Example e community holds a right to assess the relative value of the health care institution in the light of its effect on the general health status within the community along with the contribution of the institute to the compassionate response to trauma, care for chronically ill people as well as disease. Any health care policy that fails to completely satisfy the needs and requirements of a group of people within the community will lead to demands of abolition of the policy by the community itself. Not only this, but the impact of the institute, passing the policy, on the individuals would also depreciate over time. The community prefers institutional arrangements that tend to protect the privacy of the values of the individuals. The Medicare program in Canada is a program that embodies the distinctive Canadian national values. Public opinion regarding this program has played a major role in shaping this health care institution. In this instance it was noticed that the general opinions gr ounded in values are â€Å"stickier† as compared to community opinions about the particular states of

The Flow of Energy Essay Example for Free

The Flow of Energy Essay Energy can neither be created nor destroyed. This is what the law of conservation of energy states. In our environment, energy flows in one form to another through the different natural processes. In ecosystems, some energy is converted into nutrients, which is then passed from one organism to another. The model used to show the transfer of energy and nutrient from one organism to another is called food chain. Sunlight is the main source of energy here on earth. Energy from sunlight, called solar energy, is converted into chemical energy by plants through a process called photosynthesis. Plants also make use of nutrients found in the soil to produce their food. That plants are able to produce their own food is why they are called the producers in the food chain. Animals cannot make their own food and get the energy and nutrients they require from eating plants or other animals. Hence, they are called consumers. Animals that eat only plants are called herbivores; animals that eat only other animals are called carnivores; and animals that eat both plants and other animals are called omnivores. In the food chain, animals that feed on plants are the first level consumers and animals that feed on them are the second level of consumers. There can be up to three to four levels of consumers in the food chain, after which decomposers, such as worms, bacteria and fungi, break down the wastes and dead organisms as their food source and return nutrients back into the soil. Energy transferred through the food chain does not have a fixed amount. Producers, for example, only converts about three percent of the energy absorbed from the sun into chemical energy. The actual energy and nutrient transferred from one organism to another gets lower with each transfer. In general, only â€Å"about ten percent of the energy from one level of a food chain makes it to the next† (KEEP, n. p. ). The energy and nutrients, however, are not lost with each transfer. It is just that organisms are unable to â€Å"digest† all nutrients from what they eat. The undigested nutrients are excreted as wastes. Organisms may also have used some of the energy they received, by converting chemical energy into mechanical energy in cases of animals, and are unable to transfer all of the energy to the next level in the food chain. The energies used by animals are eventually converted into heat energy. Works Cited â€Å"Energy flow in ecosystems. † 2002. Energy through our lives. K-12 Energy Education Program (KEEP), University of Wisconsin Stevens Point. 7 July, 2008. http://www. uwsp. edu/cnr/WCEE/keep/Mod1/Flow/foodchains. htm