Coronary Artery Disease with a Primary Comorbidity of Type II Diabetes

drench Geis is a 65-year-old Hispanic male from Cleveland, Ohio. He and his married woman were visiting friends in Jacksonville as instigate of a multi-stop Florida vacation. Rob was brought to the emergency department of St. Vincent Medical Centers Southside location on the evening of January 27, 2014, by ambulance after he experienced a total loss of consciousness while dining at a restaurant with his wife and a group of friends. Rob has no recollection of the event. His wife motifed he stumbled as he was returning from the restroom, but did non fall and was able to make it into his chair at the table. She noticed he did not look well and he was pale. Once he was seated his head kept dropping and then he lost consciousness for a hardly a(prenominal) seconds. His wife said he appeared very gray and sweaty. The emergency responders reported Rob had a low respiratory rate during assessment at the scene.Rob Geis reported he has never before had an installment of syncope. He denied having any heart palpitations, chest pains, or shortness of breath front to losing consciousness. Prior to the episode he experienced no diaphoresis, fever, chills, dizziness, headache, or neck pain or stiffness. He also had no nausea, vomiting, diarrhea, abdominal pain, rectal bleeding, hematuria, dysuria, focal weakness, or stunning changes. Also, there were no witnessed indications of seizure activity.Prior to the episode Rob Geis had an active day playing golf with friends and had consumed several alcoholic beverages, but these are not unusual activities for him. Rob reported he had experienced upper back pain, which is uncommon for him, while playing golf. His upper back pain had dissipated prior to the episode of syncope. Rob also reported that approximately ... ...& K.L. McCance (Eds.), Understanding pathophysiology (5th ed., pp. 447-476). St. Louis, MO MosbyLittle, T.K. (2013). Assessment of the Cardiovascular System. In D.A. Ignatavicius & M.L. Workman (Eds.), Medical-surgical nursing Patient centered collaborative care (7th ed., pp. 686-710). St. Louis, MO SaundersODonovan, K. (2012). Management of diabetes and acute coronary syndromes. British Journal of Cardiac Nursing, 7(8), 370-375. Roger, V.L., Go, A.S., Lloyd-Jones, D.M., Benjamin, E.J., Berry, J.D., Borden, W.B., Turner, M.B. (2012). Heart disease and stroke statistics2012 update A report from the American Heart Association. Retrieved from http//circ.ahajournals.org/content/125/1/ e2.full.pdf+htmlTierney, P., Hughes, C., & Hamilton, S. (2011). Promoting health behaviour change in the cardiac patient. British Journal of Cardiac Nursing, 6(3), 126-130.

Essay --

Cindy ChristensenCCR09202119, November 2013Analysis 4 ArgumentativeHas Child Behavior Gotten better or Worse In the Years?than it was years ago? My argument is that child behavior has worsened over the years. Through my research Ive wise(p) that there argon many causes such as, parents that do not make time for their children because, they hold down two jobs. Children raised in poverty increases their stake in crime. Kids manners are no longer here to exist. They also getting away with lying, stealing and fighting. Another cause is children forthwith have too many options, such as television and video games, drugs and less parent supervision. Children are not as well behaved as they employ to be. Children are not well behaved because, they are being raised by single parent or both parents carry jobs. look does shows that growing up in poverty, especially sustained poverty and extreme hardship during early childhood, increases the risk of later involvement in crime(U.S. Census Bureau figures). Children that do not have their parents home to give them the attention they need will cause, kids to act out for example, kids will get into trouble at school or at a friends place and in up in a detention center or to jail. I think a lot of parents today do not realize how they affect their children, because if they did, kids would be better behaved. There would be less kids ending up in detention centers and less crime.Kids are not as well-mannered today due to parents lack of time. In the past champion parent would work and the other would stay at home and spend time with his or her children. Ive seen some of my friends homes and even their bedrooms and they are destroyed. Therefore the parent was too busy working or talk... ...nts would get more respect from their children as well. Parents have too much going on and let their work life or friends, problems and drama in their lives effect how they treat or teach their child. Unfortunately that means more uns peakable behavior in the future and can lead to more crimes and drugs. A child will do anything to get attention and regrettably, it will be no-good attention. Work Cited Healthychildren.orgHttp//www.healthychildren.org/english/familylife/workplay/pages/working-parents.as Date 7/9/2013 Web 11/10/2013Harvard Health letter Harvard Health Publisher Database Date Oct 2010. Web 11/10/2013Will Child Poverty raise crime rate? Http//www.politico.com/news/stones/1110/45527.html Date 11/23/2010 Web. 11/10/2013Spiteri, Ylenia Galea, Elizabeth M. Psychology Research Progress Psychology of Neglect, Publisher Nova Science Publishers, Inc. 2012 Print.

conscription Essay example -- essays research papers fc

Non-essential ConscriptionAs the war on terrorism continues more troops in Iraq and Afghanistan are dying every month. The government is assay to organize the number of soldiers maintaining the opposition in both Afghanistan and Iraq which brings up a popular topic-conscription (mandatory military enlistment). Senator Charles Rangel of New York was the one that introduced the call for the military skeleton upon the Senate. The draft was revoked and still hasnt been in affect since the Vietnam War over thirty years ago. Reinstitution of conscription would not help this country right now, it will bonnie make matters worse. It is not necessary to permit a draft in the United States because our advanced voluntary military should be able to control the abnegation of our country.If years from now we are still fighting in operation Iraqi freedom and record numbers of troops are dropping, then(prenominal) coitus should start to propose a draft, not now. They probably are pre-warning u s right now yet wont actually pass this regulation until next year or months from today. Who knows, the government can construct a draft tomorrow if they feel that its necessary. A meeting between democrats and republicans took set out in January this year regarding conscription. They basically discussed how and when this will take action. The middle class and lower middle class should not be forced to bear the level of fighting and dying if, in fact, this is a generational war. (Senator Chuck Hagel-Republican from Nebraska) He and many other senators made it clear to the press that if there was a draft, then the majority of the upper middle class and upper class would be targeted to fight for our country. I agree simply because during the Vietnam War, many children of the higher social layers of parliamentary law found any possible way to avoid the draft.Our military defense has the most advanced weapons and protection system in the world. Ever since Bush took move into in off ice, our taxes were contributing towards the expenses of the military. After watching the Department of Defense spend billions of dollars on military needs these last past four years, I curio why they have to bring up this non-essential topic. This budget that Clinton actually proposed was $277.5 billion for the Sec... ...r paying rent and was in the best shape of my life. It wasnt that bad, also when I was deployed to Iraq I saved a lot of money and came back to the States feeling and living great. The reason why I got out is because I wanted to go to school.Every person in the U.S. between the ages of 18-26 should be aware of this situation that can possibly happen. They should all have the right to be heard and parting their opinions with the rest of the country instead of just the Pentagon, Senate, Legislatures and Politicians. They arent the ones who are going to be forced to fight, we are, and we as the young people of society are the easiest intentions. From my cognition a nd what Ive seen while I was in the Army I can say that our armed forces are fine over in Iraq. We dont need to draft more troops for the war in Iraq. While conscription will ruin our country, another country will be benefited doesnt make sense.Works Citedhttp//grassley.senate.gov/won/2003/won02-01-10.htmhttp//www.defenselink.mil/news/Feb2000/b02072000_bt045-00.htmlhttp//www.wsws.org/articles/2004/apr2004/draf-a22.shtml