The Colostomy Procedure

The Colostomy Procedure
The colostomy procedure has changed the medical world in a major way because it allowed people
with intestinal issues to live a longer life. Having a colostomy means a "portion of your colon
(digestive tract) was removed, which left an opening in your abdominal area; the opening is
something many refer to as an ostomy with the stoma being the correct terminology for the actual
opening of the abdominal wall." This makes the condition more efficient to handle whereas the
surgery makes it possible for patients to defecate again without passage through the rectum or anus.
Having this surgery does not mean you possess any type of sickness, but that you had to alter the
way your body works due to an incident that did not allow you to carry out regular human functions.
The colostomy has made it feasible for many people to lead normal lives even though being gone
through something. We are unsure today who invented this glorious idea, but we do know the 1st
known and successful procedure was done by "Dr. M. Pilore, a French surgeon in 1776." Getting a
colostomy can be the aftereffect of having an illness, colon cancer, a disease of the stomach area,
damage to the colon or rectum, or incomplete/complete blockage of the large intestine. This
technique was to made to permit the passage of bodily waste out,yet it carries many risks and a
number of things that could go wrong if not properly ... Show more content on Helpwriting.net ...
Having a colostomy can be looked upon as something horrible, but it has made thousands of lives
better. Some people after the surgery may have sociological issues though, and the best way to get
over them is by having a sense of humor and/or a positive outlook on life. Nothing but the way the
digestive tract works have changed with the surgery so patients can lead their normal lives, therefore
making the procedure a world changing
... Get more on HelpWriting.net ...

How to Potty Train Your Child
Running head: POTTY TRAIN
How to Potty Train Your Child
Brittany Brazee
December 4, 2011
Ms. McQuinney
English110
How to potty train a child can be very difficult and frustrating at times. All
children are different. For some children it can take them only a few days to
master, but others can take several months. It is said the earlier a child starts
potty training, the longer it will take. The parent and child have a better chance
of success if they understand the steps of training and use the process in a
positive manner. Every child is different. Some children are ready to start potty training at
eighteen months, but others could not be ready until they are closer to three
years of ... Show more content on Helpwriting.net ...
When a parent is
demonstrating to a child, it is good to explain what is going on and afterwards let
them see. Then they should show the child what the toilet paper is for and
afterwards pull up their pants, flush the toilet, and wash their hands. For a child,

seeing their parent do this should show them that it is a normal, everyday thing,
and that there is nothing to be afraid of. The parent needs to encourage the child to sit on

Anorectoplasty Essay
Definitive management of male rectourethral fistula
Historically, there have been many surgical techniques to repair anorectal malformations. These
include endorectal dissection, anterior perineal approaches, and many different types of anoplasties
However, most pediatric surgeons now use the posterior sagittal approach to repair these
malformations with or without laparotomy or laparoscopy ( Levitt and Pena, 2006). Posterior
sagittal anorectoplasty (PSARP) as described by pena and levitt ( Levitt and Pena, 2014):
A Foley catheter is inserted and the patient is placed in prone position with the pelvis elevated. The
incision is a posterior sagittal one, in between both buttocks, running from the middle portion of the
sacrum down to the anal dimple, which is electrically determined. The incision goes through skin,
subcutaneous tissue, parasagittal fibres, muscle complex and levator muscle. When the surgeon is
dealing with a rectourethral bulbar fistula, he expects to see a bulging rectum ... Show more content
on Helpwriting.net ...
These multiple sutures serve the purpose of exerting uniform traction on the rectal mucosa to
facilitate the separation of the rectum from the urinary tract. The fascia that covers the rectum is
removed, creating the lateral planes of the rectum. The mucosa of the anterior rectal wall distal to
the multiple 6/0 silk sutures is divided about 1 mm deep. The dissection continues between the
rectum and urinary tract in a submucosal plane for approximately 5–10 mm and then gradually
becomes a full–thickness dissection, looking at the lateral planes until the rectum is completely
separated from the urinary tract. The separation of the urethra from the rectum is the most delicate
part of the operation. Most of the serious complications occur during this part of the procedure. The
fistula site is closed with three or four 6/0 long–term absorbable

The Use Of Diuretics And Its Effects On Quality Of Life
While laxatives may be necessary for short–term, acute cases of constipation, they are
contraindicated for long–term use. Overuse of laxatives can cause a reduction in colon motility,
diarrhea, and incontinence (Day et al., 2014). This leads a cycle of chronically alternating
constipation and diarrhea that significantly affects quality of life. Over–use of laxatives is also
associated with dehydration, tachycardia, and electrolyte imbalances. These side effects not only
affect quality of life but can exacerbate other comorbid medical conditions (Day et al., 2014).
Non–pharmacological interventions are much safer. Most have few to no side effects. In the dietary
fiber studies mentioned above, gastrointestinal symptoms were the only side effects reported, and
even those were not significantly different than the symptoms reported by the placebo group
(Gallegos–Orozco et al, 2011; Lever, Cole, J., Scott, Emery, & Whelan, 2014; Yang et al., 2012).
Even patients without constipation, and those with diarrhea symptoms have healthier bowel
movements with an increase in dietary fiber (Rodrigues–Fisher et al., 1993). Exercise, probiotics,
biofeedback, and education likewise have no negative side effects, and can even positively affect
other chronic health conditions.
Concurrent Use
Non–pharmacological treatment of constipation is not only effective and safe; it also coexists well
with pharmacological treatment of constipation. Non–pharmacological interventions do not interfere
with

Where Would One Try To Hide 143 Million Pounds Of Excrement?
Where would one try to hide 143 million pounds of excrement? In India 48 percent of the
population does not have access to a toilet, which leads to the practice of open defecation for six
hundred and twenty million citizens (Poo2Loo). What exactly does this mean for the global
sanitation problem in India? With 143 million pounds of excrement being dumped daily, threatening
infections and diseases are looming as significant problems. Even those who have and use a toilet
are still affected because they share the same water sources as those who practice open defecation.
In order to fix the sanitation problems in India, as well as in the world, we must make the idea of the
word poop not taboo. The Take the Poo to the Loo campaign, an Indian ... Show more content on
Helpwriting.net ...
Although access to sanitation in rural India is increasing, the increase still is not enough. Open
defecation is still almost universal among the poorest twenty percent of the population (Poo 2 Loo).
Most often Indians choose to open defecate because they do not have a toilet available to them or
the one they do have is not of adequate standards. One may describe an 'inadequate' toilet as one that
is filthy, at some distance from their home, or does not provide proper privacy. Women and girls
face shame and loss of dignity if they do not have a toilet at their home. Most of the time women
and girls must wait until it is dark outside to open defecate because they do not have enough privacy
during the day. Public defecation at night is a serious problem for women and girls because crimes,
such as rape, are much more easier and more likely to occur. Another reason is they may to choose
to openly defecate is because they have had a toilet installed for them by the government, and they
refuse to use the toilet due to the fact they feel that it was given to them as an act of pity. That's half
the population dumping over sixty million kilos of excrement out in the open every

Potty Training Research Paper
Potty training is a major milestone and also, a big step for kids and parents alike. The secret to
success is Patience – perhaps more patience than you ever imagined. . Get the facts on timing,
technique and handling the inevitable accidents.
Is it time?
Potty–training success hinges on physical and emotional readiness, not a specific age. Many kids
show interest in potty training by age 2, but others might not be ready until age 2 1/2 or even older –
and there's no rush. If you start potty training too early, it might take longer to train your child.
Is your child ready? Ask yourself these questions:
Does your child seem interested in the potty chair or toilet, or in wearing underwear?
Can your child understand and follow basic directions? ... Show more content on Helpwriting.net ...
You might want to try a model with a removable top that can be placed directly on the toilet when
your child is ready. Encourage your child to sit on the potty chair – with or without a diaper. Make
sure your child's feet rest firmly on the floor or a stool. Help your child understand how to talk about
the bathroom using simple, correct terms. You might dump the contents of a dirty diaper into the
potty chair to show its purpose, or let your child see family members using the toilet.
Schedule potty breaks
If your child is interested, have him or her sit on the potty chair or toilet without a diaper for a few
minutes several times a day. For boys, it's often best to master urination sitting down, and then move
to standing up after bowel training is complete. Read a potty–training book or give your child a
special toy to use while sitting on the potty chair or toilet. Stay with your child when he or she is in
the bathroom. Even if your child simply sits there, offer praise for trying – and remind your child
that he or she can try again later.
Get there –

Pathophysiology Of Fecal Continence : The Significant...
Pathophysiology of fecal continence Fecal incontinence problems dominate the significant
morbidity following surgical correction of anorectal malformations. As the three main factors
involved in achieving continence; sphincter function, sensory function and motility, are all affected
to a varying degree in those patients. (Arnoldi et al., 2014). Defective internal anal sphincters have
re¬cently been demonstrated in a histological study of specimens taken during PSARP procedures in
girls with vestibular fistula. (Lombardi et al., 2013) In addition, when the anorectum has not been in
the right position during fetal development, defective sensation in the anal canal can be predicted as
sensory connections to the CNS cannot be expected to be intact. Fecal continence will also be
influenced by the fact that the voluntary striated muscles, represented by the levator muscle, muscle
complex and external sphincter, are commonly underdeveloped and cannot function normally. All
these congenital problems in ARM patients contribute to their incontinence, especially early in life.
A concomitant neurospinal dysraphism will exacerbate dysfunction of the pelvic floor. (Borg, 2013)
Internal Anal Sphincter
The internal anal sphincter (IAS) represents a thickening of the circular smooth muscle layer of the
terminal rectum at the level of the anal canal; it extends about 2 cm below the dentate line and is
located between the anal mucosa and rectal longitudinal, separated by the

Fun Essay: Fun Facts About Coconut Water
Fun Facts about Coconut Water
A cup of coconut water contains about 46 calories compared to coconut milk that has 550 calories.
The water is very hydrating, contains natural sugar, minerals with zero fat. During the World War,
coconut water was given to soldiers to rehydrate themselves.
Coconut water contains zero cholesterol. Furthermore, it is a very good source of calcium, vitamin C
and riboflavin. It is also a rich source of magnesium, dietary fiber, manganese and potassium.
However, it is high in sodium and a significant portion of its calories comes from natural sugars.
The most nutritious type of the coconut water is the one coming from tender coconut. It has a caloric
value of 17.4 for every 100 grams.
Known tennis player John Isner claims coconut water is the 'natural fuel' ... Show more content on
Helpwriting.net ...
The study concluded that coconut water can be an ideal beverage for whole body rehydration after
workout.
2. High Fiber Content
The good thing about fiber is that it contains no calories. Fiber helps you feel fuller, which keeps
you feel satisfied longer. Fiber is also awesome for colon health and proper digestion.
A lot of juices are very poor in fiber. That is because the process behind juicing is the removal of
solid part of the fruit (which is mostly the fiber) and retains only the liquid part or the juice.
Coconut water appears to be a clear liquid, but the wonderful thing about it is its rich fiber content.
In fact, coconut water is one of the natural beverages that contains the highest amount of fiber,
providing 2.6grams for every glass of coconut water or 11% DV.
3. Helps Control Blood Cholesterol Level
Coconut water is more than your usual nutritional beverage or sports drink; it is a health tonic.
According to research, coconut water has been shown to have health benefiting effect on the body's

Mad Dogs, Englishmen, and the Errant Anthropologist Essay
Mad Dogs, Englishmen, and the Errant Anthropologist Reflection
In his book Mad Dogs, English, and the Errant Anthropologist, Raybeck discusses his observations
as he immerses himself in Wakaf Bharu, a city in the state of Kelantan, Malaysia. Throughout the
ethnography, he discusses the various differences that he observes with the Kelantanese culture and
the American culture, while using his prior knowledge to explain the observations he takes note of.
By using these observations, Raybeck proceeds to answer different Naturalistic Questions which
explain how Raybeck gathers the information and in what ways his studies impact the culture. Then,
he elaborates on the economical aspect of the culture he studies, explaining how relationships ...
Show more content on Helpwriting.net ...
Friends such as Yusof, Cik Din, and Encik Hussein aided him in giving a tour of the village,
explaining certain customs that he was not aware of, giving him their life stories, allowing him to
interview them as key informants, individuals who have a great rapport towards the fieldworker
(Omohundro 64), and letting Raybeck accompany them to social events so that he could study the
social behavior of the natives. As time passes by, his increased participation in the Kelantanese
culture results in a greater rapport within the village. Once incident that really shows this acquired
rapport was when he was studying the lives of the prostitutes in the nearby capital, Kota Bharu. A
villager who asks him for a ride to the barbershop but detours to the nearest whorehouse, only to be
seen by Raybeck. When the villager realizes that Raybeck caught him in the act, he proceeds in
lying, trying to establish a reason for this sudden detour. Raybeck notes how this scene starts to
show how his status changing from being an outsider through the act of lying, because He notices
the change immediately as described from this section and it shows how a simple act of lying was
able to show Raybeck's increasing rapport vividly. The challenges the Raybeck faces are the ethical
issues involving the reporting of certain information. Personal information that came from the
villagers

Observation Of Preschooler Development
For my pediatric clinical rotation, I went to Kidango on 9/18 and 9/19. I enjoyed myself and
experienced preschooler's behavior. I get to observe 3–5 years old preschoolers. According to Piaget,
these preschoolers fall under preoperational period which takes place between two to seven years,
when symbolic thoughts develop. Reasoning is nonetheless shallow. Measurement abilities are
equally low even when features of objects change. According to Erikson theory, "these kids come
under initiative vs guilt. Takes place between three and six years of age, children become aware of
the social environment. Social settings affect the children to exert authority when opportunity is
provided". (Hockenberrry & Wilson, 2015) Piaget's theory emphases on numerous stages of a child
in which change from one stage to the other follows a sequence. He established stages with the main
concepts as his building blocks. Erikson established his theory much later than Piaget did; he
developed eight stages which deal across the life of a person. Each stage characterizes a new hurdle;
the way the person deals with hurdle at each stage defines the aftermath. Toilet training is a major
step for children. There are times when a child can resist toilet training. They may hold their urine or
bowel movements or cry nonstop for instance. Usually during toilet training, children have bowel
movements in their pants. "They don't realize what is happening and may not recognize that they
have bowel movement in

Bowel Movement Essay
BLADDER FUNCTION
I do not have problems with incontinence so I am able to recognize when I do need to go to the
bathroom.
GOAL:
To maintaining my bladder system functioning properly, and to prevent any future infections and
skin breakdowns.
NURSING INTERVENTION:
To help me to maintain my toileting routine so I can remember that I need to go to the bathroom
after I wake up or after eating. Be sure I have a clear and lighted path to the bathroom to prevent me
from falling especially if I need to go to the bathroom in the middle of the night.
BOWEL FUNCTION
I can recognize my need to go to the bathroom due to a bowel movement; which normally occurs
after lunch, but I may need to be assisted and checked to be sure that I clean myself properly.
GOAL:
To be able to recognized the necessity to go to the bathroom and seat on the toiled as soon as I feel
the necessity to have a bowel movement.
Assist me with my routine of going to the bathroom after lunch to have a bowel movement. Also, if
I have problems with constipation please assess me because I may need a stool softener. Encourage
me to keep walking and moving during the daily unit activities in order to maintain my bowel
functioning properly.
SAFETY NOTES
Please schedule me a routine eye exams to be sure I am safe walking around the unit. Keep hallways
and bathroom paths out of clutter to prevent the risk of falls.
GOAL:
I will be free of falls and injuries.

To

Essay On Home Remedies For Piles
Home Remedies for Piles
Hemorrhoids or piles are swollen and irritated veins. They subside in a couple of weeks at their own
as the body has its own healing power. You do not need to visit a doctor every time you experience
swollen piles. In case swelling and irritation persists or increases, you can use home remedies for
piles to ease the symptoms.
Symptoms of Hemorrhoids
The typical hemorrhoid symptoms are
You will feel pain and irritation around the anus.
Burning sensation in and around the anus
The area around the anus is swollen and irritated.
Pain during bowel movements
Difficulty in sitting
Witch Hazel
In order to get relief you cannot apply anything on or near piles because it may increase the
inflammation and irritation. ... Show more content on Helpwriting.net ...
It is also helpful in healing the wounds.
Applying aloe to the anus will reduce swelling, burning and itching. You need to be sure about the
purity of aloe vera because the presence of preservatives or additives can worsen the symptoms.
Ice packs
Applying ice packs will reduce pain and inflammation significantly. You can apply an ice pack
while seated, cold pack will numb the area and you will feel less pain.
Over the counter medications
In case, there is no relief by home remedies and the problem is worsening. You can opt for over the
counter medicines. Anti–inflammatory drugs like ibuprofen and acetaminophen; Hydrocortisone
creams or similar types of creams will also give some relief.
Making certain changes in your lifestyle and incorporating healthy habits will minimize the risk of
developing hemorrhoids.
The Importance of Liquids
A study report in The Permanente Journal revealed that most anal problems are because of the lack
of liquid intake. Drinking a good amount of liquid will contribute in keeping the stool soft. It will
easily pass through the intestines. You will stay away from constipation, which is responsible for
hemorrhoids. Soft stools pass easily without causing irritation to the hemorrhoids.
Fiber Rich Diet
A good amount of fiber in your diet will regulate the bowel movements and will keep your digestion
proper. Fiber in your diet will absorb water, this will make your stool soft and it will pass easily.

Ascites Case Studies
Ascites
Ascites is a gathering of excess fluid in the abdomen. Ascites can range from mild to severe. It can
get worse without treatment.
CAUSES
Causes include:
Advanced liver disease that damages the liver (cirrhosis). This is the most common cause of ascites.
Infection or inflammation in the abdomen.
Cancer in the abdomen.
Heart failure.
Kidney disease.
Inflammation of the pancreas.
Clots in the veins of the liver.
SIGNS AND SYMPTOMS
Signs and symptoms include:
A feeling of fullness in your abdomen (common).
Increase in abdominal or waist size.
Swelling in the legs.
Swelling of the scrotum in men.
Difficulty breathing.
Abdominal pain.
Sudden weight gain.
If the condition is mild, you may not have symptoms. ... Show more content on Helpwriting.net ...
It may include:
Taking a pill, called a water pill or diuretic pill, to make you urinate.
Strict reduction of salt intake. Salt can cause extra fluid to be retained in the body, making the
ascites worse.
Having a procedure to remove fluid from the abdomen (paracentesis).
Having a procedure (TIPS Procedure) that connects two of the major veins within the liver and

relieves pressure on the liver.
Ascites may go away or improve with treatment of the condition that caused it.
HOME CARE INSTRUCTIONS
Keep track of your weight. To do this, weigh yourself at the same time every day. Then, record your
weight.
Keep track of how much you drink and any changes in the amount you urinate.
If given, follow your health care provider's instructions on how much to drink.
Try not to eat salty foods.
Take medicines only as directed by your health care provider.
Keep all follow–up visits as directed by your health care provider. This is important.
Report any changes in your health to your health care provider, especially if you develop new
symptoms or your symptoms get worse.
SEEK MEDICAL CARE IF:
Your weight increases more than 3 pounds in 3 days.
Your abdominal or waist size

Essay on What are the Consequences of Chronic Constipation?
1. INTRODUCTION
Constipation is a common gastro–intestinal (GI) disorder, which sufferers from the malady usually
define as straining, having difficulty in passing stool, hard stool, infrequent bowel movements,
discomfort with defecation and feeling of incomplete evacuation. Chronic complications can be very
uncomfortable, causing cramps, bloating and stomach pain. In contrast, constipation may be
clinically defined by medical professionals based only on the frequency of bowel movements,
specifically, having fewer than three bowel movements per week.
Statistics
The results of a survey done in 2008 in seven countries are shown in the table below.
Key: US, UK, Germany (GE), France (FR), Italy (IT), Brazil (BR) and South Korea (SK), T = ...
This leads to an enormous number of visits to health care practitioners, with millions being spent on
prescription and over the counter (OTC) medicines.
What are the consequences of chronic constipation?
If left untreated, chronic constipation will have an effect on your quality of life, cause stress, and
diminish your overall sense of well–being. Some people that are chronically constipated:
experience depression, mood swings and abnormal fatigue;
have body odor and bad breath; or
experience a loss of appetite.
More serious consequences (from least serious to most serious) include:
Internal hemorrhoids, external hemorrhoids or some combination of the two. The common name for
hemorrhoids is "piles". o Internal hemorrhoids normally don't cause pain but may bleed profusely. o
External hemorrhoids cause pain, itching and extreme sensitivity.
Anal fissures are cracks in the skin around the anus. They are the result of the stretching and
abradement of the

Case Study Pelvic Floor Dysfunction
My diagnosis for Eleanor is pelvic floor dysfunction. The symptoms of pelvic floor dysfunction are
constipation, frequent urination, pain during urination, and lower back pain. Pelvic floor dysfunction
is common in women. (Faubion et al., 2012). It may be caused by aging and childbirth. (Wang et al.,
2012). Eleanor is an 88 year old woman. She is also a mother of two, which means that she has
given birth at least once. These factors may have contributed to her condition. Eleanor has
difficulties with constipation. She also has an increased urge to urinate and has minor problems in
controlling her urinary process. She experiences pain when she urinates. Whenever she coughs, or
carries anything, she cannot help but wet herself. She urinates as often as ten times in the day and
five times at night. Lastly, Eleanor has chronic back pain that does not stop with over the counter
pain medication. These symptoms show that Eleanor has pelvic floor dysfunction.
Eleanor complained about a mild backache located in the regions of rib 11, lower on the left side
and rib 12, lower on the right. The cause of this back pain is the weakening ... Show more content on
Helpwriting.net ...
One of the factors that contributes to pelvic floor dysfunction is aging. Pelvic floor dysfunction is
also common in older women. (Wang et al., 2012). Eleanor is 88 years old. The pelvic floor helps
with the bladder and bowel function. As people get older, the risk for pelvic floor dysfunction,
bladder incontinence, and bowel dysfunction increases. (Faubion et al., 2012). As people get older,
their muscles weaken. Since the pelvic floor consists of muscles, the weakening of these muscles
may cause frequent urination, inability to control urination, and lower back pain. (Love, 2015).
These symptoms are the symptoms of pelvic floor dysfunction. Eleanor's age is a very important
factor in her acquiring pelvic floor dysfunction because it contributed to the weakening of her

Going To Potty
The time has come for you to potty train your little one. Just where did the time go between giving
birth and teaching this next phase in their life? So, you read a few books and listen to the advice of
other parents, but nothing seems to be quite working out the way you had anticipated. Here are a
few tips that might help get your little one understanding the concept of going to the potty, and
making it there in time. Be Patient. Make sure your child is mature enough to understand what it
means to go to the potty. Some children begin to understand the concept between the ages of 2 and
3. While for others it might take a bit longer. Regardless of how long it takes, your child will
eventually learn how to use the potty. Most importantly, your child has to be ready mentally and
physically to use the potty. ... Show more content on Helpwriting.net ...
If your child is indeed ready to be potty trained, create a schedule to take them to the potty, and stick
to it. However, allow your child to have a bit of independence on when they want to go to the potty
as well. Even if they do not have to go, allow them to just sit there. Give Praises/Rewards. Every
time your child does go in the potty, give them praises. You can also encourage the behavior by
awarding them with stickers for doing such a great job. Always speak in a positive tone, and do not
criticize your child if unable to go to the potty. Make going to the potty fun for your little one. You
want it to be an enjoyable experience for

Why Does Coffee Make Us Poop? Essay
Title: Why Does Coffee Make Us Poop?
Category: Health & Wellness
Tags: poop, coffee
Summary: Nothing quite gets us going in the morning like a cup of coffee – both mentally and
physically. For a number of people, coffee has an incredibly rapid laxative effect. Here are some of
the reasons why coffee is much more than just a mental stimulant.
Article: For some, this may not come as a big surprise – coffee and pooping go hand–in–hand. So,
why do we have the urge to poop after drinking coffee? Let's dive into the reason's behind your
morning cup of Joe and your morning poop.
Coffee gives you more than just a buzz
It's widely known that coffee can have a laxative effect on some people, Yet, it's never been clear
why. However, through some very invasive studies, scientists have observed that coffee can
stimulate the colon, pushing poop out of the body faster. So, while we understand how it happens,
we're not entirely sure why. But here's what we do know.
The mechanism is pretty simple. Coffee creates contractions in your gut, which activates the urge to
go, as stool pushes to your rectum, suggests Satish Rao, M.D., Ph.D., director of the digestive health
center at Georgia Regents University. About two decades ago, Dr. Rao and his teams recruited 12
participants to wear anal probes with sensors. These probes measured pressure activity throughout
several parts of the colon and rectum. Over the next 10 hours, participants drank the same amounts
of caffeinated coffee, decaf

Medical History And Its Effects On Children
V.F. is a widowed 89–year–old female of Portuguese descent and is currently a retiree. The highest
education that was completed was a High School Diploma, which was obtained from Maui High
School. The religion that she identifies with is Catholicism. Currently living by herself, but daughter
and son comes over every so often to assist her with what she needs to get done. There is no medical
reason or complain for this visit. Denies any present illness. There is no medical history as a child
and denies having any immunizations as a child. Client states that occasionally orange trees cause an
allergic reaction, mucous secretions out of the nose. It was also mentioned that a surgery was
completed to fix varicose veins, a tortuous, dilated vein with incompetent valves (Mosby, 1858). She
stated that she did have one fall, a trip over a cord that was not properly tapped to the ground that
caused a fracture in the left shoulder and a black eye. Medications that were stated in interview were
over the counter vitamins and supplements. Client stated that the two diseases in her family history
are Heart Disease and Cancer; both were present in her mother. The mother had a pacemaker and
colon cancer. Annual health exams include blood pressure monitoring, blood work and flu
immunizations. No present occupational/environmental hazards, family violence/abuse, safety
practices, and denies to smoking and substance intake. There are no traditions/beliefs/practices
relating to their health.

Toilet Training
There are some of the things that make potty training hard for kids with autism spectrum disorder
and one of the biggest, or most obvious, is the fact that many kids with ASD are more broadly
developmentally delayed and it certainly interferes with their learning in all domains, but there are
things that are more specific to ASD, such as communication difficulties. It is difficult to tell
someone that one needs to go potty if one is having trouble communicating (Kiddoo et al. 2006) and
it is also difficult for us to communicate to the child with autism what the importance of going potty
is or what they are supposed to do. Another thing is sensory issues and there is a lot of sensory
stimulation and input around the toileting routine. Some of ... Show more content on
Helpwriting.net ...
The book is a well–researched supported intervention because it is very structured, straightforward,
all the procedures are laid out, and it is easy to take data and track progress. There are different
components in the toilet training procedure. First, we start off with having the child not wear diapers
anymore and transitioning them into underwear (Cocchiola, Martino, Dwyer, & Demezzo, 2012).
We then put the child on a toileting schedule, so setting up a routine where every 20 or 40 minutes
we are taking the child to the toilet. Next, we increase their fluid intake by which the child will go to
the bathroom frequently (Cocchiola et al. 2012) and can practice what they are supposed to do and
the learning will increase as well. Furthermore, by increasing the fluid intake we are increasing the
probability that the child is going to go to the bathroom in the toilet and we are increasing the
probability that we are going to have a coincidence, so when we put the child on the toilet every 20
minutes, one of those times the child is finally going to go. Thus, giving us the desired behavior and
this is difficult because this is a behavior that we cannot prompt and we have to wait for it to happen
at the right time and then reinforce the child for it. So, we are trying to essentially create a lot of
probability that the child is going to go in the toilet when we take them and then reinforce them for
it, so a little bit of learning traction can happen. Additionally, there is a dry pants check where it is a
procedure where we check the child's pants in between their trips to the toilet and if the pants are dry
then we praise them for it, so that they have the idea that staying dry is the right

Fusion Constipation Research Paper
Introduction This is a review of Fusion Health Constipation tablets, which are presented by the
manufacturer as a vegetarian/vegan combination of Chinese herbs which have been used for
thousands of years to relieve the unpleasant symptoms of constipation and stimulate healthy bowel
function. Read on to discover more about this laxative to decide if this is a product that will work for
you. Ingredients Rheum officinale (Rhubarb root) 7.5mg Trichosanthes kirilowii seed (Chinese
cucumber) 500mg Rehmannia glutinosa (Foxglove root, otherwise known as Digitalis) 500mg
Citrus aurantium (Bitter Orange root) 400mg Angelica polymorpha (Dong Quai fruit) 400mg
Glycyrrhiza uralensis (Licorice root) 250mg Dosage Recommended, adult dosage is one to two
tablets, one to two times daily, following meals and water. An additional dose may be ingested to
accelerate a bowel movement and as directed by your physician. It is not recommended for children
younger than 12 years of age. ... Show more content on Helpwriting.net ...
If you are experiencing gastrointestinal upset or abdominal pain, vomiting or diarrhea do not use this
medication and contact your physician as these symptoms may be indicative of a serious problem.
Also, continued use may cause serious complications and bowel

The Basics of Toilet Training Essay
The process of toilet training may be considered the most challenging process that parents encounter
with their child during the early stages of his or life. Toilet training can be described as an
individualized developmental process that all children will progress at their own developmental pace
and temperament, not the child's chronological age. Toilet training should be a natural result of the
child's developmental readiness. Therefore the primary goal can only be achieved when the child is
ready and willing. Just like any learning process for a child, including toilet training, it effects the
development of the whole child and it is important that the child has the necessary physical, social,
emotional, and cognitive skills to begin. ... Show more content on Helpwriting.net ...
During the toilet training process, a child must obtain body awareness and be able to associate
bodily sensation to the result that follows, poop or pee. Then after he masters that skill he must
acquire the certain skills that will allow him to picture what he wants to do (use the toilet), create a
plan to get here, begin using it, and remain in place long enough to finish, which requires both
memory and concentration (Wolraich 26). The next and probably most difficult readiness sign a
parent must recognize before starting the toilet training process is emotional growth.
There are many emotional issues that can greatly affect toilet training that include a eagerness for
independence, a child's need for control, testing of rules and limits, desire to win parents' approval,
and fears of toilet use. If a child resists the idea of using the toilet when mentioned he may be
experiencing an emotional issue and the parent should wait for a better time to follow through with
the process. If the child is continually repeating signs of resistance a parent may want to rethink if it
is too soon to begin the process and understand that the child may be going through a major change
in the his life that is creating stress. Parents should know that it is not the best time to toilet train
when a new baby is expected soon or has recently arrived, the family has newly moved, the child
has just

Mere Christian Experience
1) Becoming a person for others is a core Jesuit value. Please describe your own development in
becoming a person for others. How have you demonstrated this value? When the Red Wing C.A.R.E
Clinic was opened in 2010 by concerned medical professionals willing to provide free medical care
for the hundreds of working uninsured Goodhue County residents, I immediately began
volunteering. My duties included greeting volunteers and patients as well as making charts.
However, at age 15, I was too immature to understand the ramifications of being an uninsured
resident. The following summer while lifeguarding, I began to understand the gravity of this
situation. A swimmer attempting to jump off the diving board, jumped, then fell back onto the
diving ... Show more content on Helpwriting.net ...
It changed my outlook on life by showing me the importance of dignity after death, and the sanctity
of life. I also relied heavily on my faith. When I assisted with autopsies performed on infants,
children or teenagers, I reminded myself critical medical information was being gathered and the
deceased was now in a better place. Together, these reminders brought me comfort, which enabled
me to perform necessary tasks such as examining the bowel of an infant or assisting on a brain
removal. I also learned the importance of communicating with compassion and empathy whenever
speaking with the next of kin. Truly listening to someone and responding thoughtfully to their
questions best enabled me to convey compassion and empathy for their loss. This internship gave
me practical experience, which will enable me to become a more compassionate physician,
especially when dealing with difficult medical situations. Finally, I also learned that prolonging a
life can become an economic decision. The affordability of treatment and health insurance coverage
can determine the longevity of life. Therefore, I will be earning my bachelor's degree in economics
in addition to chemistry this spring. This knowledge will allow me to comprehend how economics
influence patient decisions. It will also help me write grants for nonprofit clinic funding and clinical
research in the future. I will contribute to the diversity at Stritch because of the uniqueness of my
experiences and the subsequent perspectives and characteristics gained through

Colon Health Research Paper
Enemas for Colon Health There was a time I use to consider the colon as a passage for waste
products. However, after reading a couple of health related articles, I found that the colon plays
many roles in the body, and not just as a passage for waste products. Unfortunately, it is one of the
less recognized organs in the body. If you are conscious about your health and want to live a healthy
life, then you need to take proper care of your colon as it plays important role in eliminating waste
and toxic chemicals that can cause serious problems in the body. Furthermore, if you understand the
roles of harmful microorganisms in the body and how they can affect your health, then you should
know why you need to keep the colon healthy all the time. Enemas is one of the major ways to keep
the colon healthy without causing any serious side effects. This technique is widely used across the
world, and helps prevent the growth of harmful microorganisms in the gut. ... Show more content on
Helpwriting.net ...
Reabsorption of harmful substances back to the body is not the only thing that happens in the colon.
In fact, it is just one out of many things that occur if the colon is overloaded with toxic substances.
The colon is the major areas in the body that enhance the growth of microorganisms. Of course,
microorganisms can grow in every parts of the body, however, the colon is the most abandoned
region, which makes it more convenient for organisms to

My Child Ready For Toilet Training
Toilet Training
IS MY CHILD READY FOR TOILET TRAINING?
Your child may be ready for toilet training if:
Your child stays dry for at least 2 hours during the day.
Your child is uncomfortable in dirty diapers.
Your child starts asking for diaper changes.
Your child becomes interested in the potty chair or wearing underwear.
Your child can walk to the bathroom.
Your child can pull his or her pants up and down.
Your child can follow directions.
Most children are ready for toilet training sometime between the age of 18 months and 3 years. Do
not start toilet training if there are big changes going on in your life. It may be best to wait until
things settle down before you start.
WHAT SUPPLIES WILL I NEED?
You will need the following supplies:
A potty chair.
An over–the–toilet seat.
A small step ladder for the toilet.
Toys or books your child can use while on the potty chair or toilet.
Training pants.

A children 's book about toilet training.
HOW TO TOILET TRAIN YOUR CHILD
Start toilet training by helping your child get comfortable with the toilet and with the potty chair.
You can do this by:
Letting your child see urine and stool in the toilet.
Removing stool from your child 's diaper and letting your child flush it down the toilet.
Having your child sit on the potty chair in his or her clothes.
Letting your child read a book or play with a toy while sitting on the potty chair.
Telling

Life Experience Essay
Life is full of exciting experiences for us to enjoy. However, these experiences are meant to teach
life lessons that should remain with us. In my 17 years of living, I have had many lessons to be
learned from events I have gone through. One of those lessons sticks out above the rest and it has a
humorous story to go along with it.
The story starts out with the group planning a get together while eating breakfast at Mcdonald's.
Ideas were flowing out of our heads like a river. We could not agree on a plan of action for the
longest time. Finally, it was decided that we should go to Kenzie's house after she said her dad
would cook for us. I was immediately down for that idea because I knew her dad makes the best
chicken wings ever. The rest of the day for me was spent thinking about what to wear that night.
Eventually, the time came for heading over to Kenzie's house. Bailey, another girl in the group,
asked me to give her a ride since she did not have her driver's license. Because of this, we were one
of the last ones to make it to Kenzie's. In the time that we missed the group decided that they wanted
to go and toilet paper some of our friend's houses that lived close to Kenzie. I had never done
something like this before. However, the excitement of doing this and avoid being caught appealed
to me. We all piled into the cars and headed to Wal–Mart to buy the toilet paper. We had an
interesting event that happened to us while we were in Wal–Mart. The event was when

Low Faty Diet : The Benefits Of A High Fat Diet
Eat more fiber. Eat less fat. Your parents or doctors have told you this many times before, but do you
know why you should eat more fiber instead of more fat? A high fiber diet has many benefits that
high fat diets do not offer. Unlike a high fiber diet, a high fat diet causes weight gain, slower bowel
movements, cholesterol and risk for different heart diseases. Wait, what is fiber? Fiber comes in
foods like fruits, vegetables, and whole grains that are a necessity for our bodies to digest food in
our digestive system. Fiber is the parts of foods that are indigestible. So when they pass through our
digestive system, they push all the food down through the system.
Having some fat in your body is healthy but when you have a high fat diet, you take in too much fat.
When you have a high fat diet, all or most of the food you intake has twice the calories of a normal
diet. For the way our body works, we intake fat and protein and we burn it off through the activities
we do. But if you have a high fat diet, you never have enough energy to burn off the fat. Because
your body cannot burn off the fat, it is stored in your belly which causes you to gain weight. Unlike
a high fat diet, a high fiber diet helps you lose weight. A high fiber diet is low in calories compared
to a high fat diet. Because of the low calories, your body is easily able to burn off the fat and a high
fiber gives you more energy to burn off that fat. A high fiber diet does not offer more energy.
Basically, a

The Benefits Of Drinking Clean Water For Underdeveloped...
"There are 50 countries listed in the United Nations comparative analysis of poverty, 34 African
countries, 10 Asian countries, 5 Pacific Island Nations and one Caribbean nation"
(nationsonline.org,). A majority of those 50 countries do not have access to clean water. Imagine
what they could gain if clean water were to be available. Although many countries lack clean water
3 major benefits of clean water for underdeveloped countries are health improvements, clean
bathing, and reduced constipation, which will all result in the quality of life to increase. One of the
most influential changes that countries would experience is major health improvements. Drinking
clean water helps to clear out toxins in the body,"Gets rid of waste through sweat and urination
which reduces the risk of kidney stones and UTI's (urinary tract infections)"(Phon). When you drink
more clean water you sweat and urinate more. If someone were to drink dirty water that would
defeat the point, they would just be putting bacteria back into their bodies. While more urination and
sweating helps to reduce kidney stones and uti's, drinking more water also helps aid digestion. "Aids
in digestion as water is essential to digest your food and prevents constipation"(Phon). When a
country obtains clean water the population will be able to digest food better, that will make the
population much more productive as they will be able to get more nutrients out of the food that they
eat. When digestion is improved and the

Why Is Pooping And Colon Health So Important?
Dr. Mehmet Oz has spent many years informing the public through his television show, appearances
on other daytime television shows like Oprah Winfrey, his website, blog, and magazine articles on
health issues, natural remedies, and weight loss alternatives. He has frequently promoted the
importance of healthy digestion, colon health, and increasing your metabolism to aid in weight loss
and general well being. He promotes this through supplements, exercise, and dietary changes. His
experience and knowledge on natural remedies and supplements has proven him a reputable source
for health related information and recommendations.
Why is Pooping and Colon Health So Important?
The colon and digestive tract are key players in the overall health and well being of your body. As
you age digestion and colon health play a much more important role. Age tends to cause the bowels
to slow and digestion to become more problematic. The effects on the colon and digestive system
start much sooner than you begin to notice the symptoms. This is why it is important to maintain a
healthy digestive system before, during, and after you begin noticing symptoms.
What Are The Symptoms?
Dr. Oz has mentioned symptoms including constipation, bloating, foul smelling gas, excessive
belching, weight gain, a constant feeling of fullness or heaviness, dark stools, uncomfortable stools,
very thin stools, black and tarry stools, light colored

Examples Of Resistance And Refusal
IX. Resistance and refusal
Just because your child does not go to the toilet and void when you ask does not necessarily mean
they are refusing, they may not be physically or emotionally ready to tackle this developmental task.
Taking a break from the pressures of potty training can have a positive effect for your child and
yourself. However, resistance and refusal do occur and are fairly common. This can usually be dealt
with by taking a step back and seeing what your child is really resisting against.
If your child is 3 or 4 years old, healthy, and you have attempted toilet training for many months and
they are still not trained it may be refusal. You can rule out physiological underdevelopment if your
child is able to delay a bowel movement while they are on the toilet and hold it long enough to go
hide somewhere to eliminate. Refusal stems from many sources, the most common are excessive
reminders, too many practice runs, being forced to sit on the toilet for extended periods, or from
spanking and punishment. Parents who make these mistakes with their strong willed children must
see in retrospect that these tactics do not work and another ... Show more content on Helpwriting.net
...
Give your child the power and control they have been fighting for. Apologize to your child about the
nagging reminders and forcing them to use to toilet. Tell them that everyday their body makes pee
and poo that wants to go into the toilet and it's their job to help. Let them know that from now on
they do not need any help putting their poo and pee in the toilet and they can do it themselves when
they want. From now on, show them that you are not worried nor concerned if they don't use the
toilet (you will still celebrate correct toilet use). Stop initiating conversation about the potty with
your child. The idea is for your child to stop receiving attention for incorrect potty use, and they will
eventually turn to correct potty use in search of

Primary Causes Of Constipation
Review of Literature
Constipation is a common, yet complex symptom that may be idiopathic or manifest secondary to an
underlying disorder. While it is generally not life threatening on its own, constipation has a
significant adverse impact on the comfort and quality of life clinically affecting about 10–19% of
the American population at any one time (Smeltzer, Bare, Hinkle & Cheever, 2013, p.1286). A
symptom rather than a disease, causation is defined as either primary or secondary. Primary causes
relate to the dysfunction of colonic motility, defecation, or both. Secondary causes of constipation
are related to medications, lifestyle, neuropathological problems, endocrine disturbances, metabolic
or may be related to neuropathological issues (Andrews & Storr, 2011, p.16B; Marples, 2011, p.41).
There are two criteria that are used in the canon of literature related to chronic constipation. The
American College of Gastroenterology defines constipation as "a symptom–based disorder
characterized by unsatisfactory defecation due to infrequent stools, difficult stool passage, or both"
(Gallegos–Orozco, Foxx–Orenstein, Sterler & Stoa, 2012, p.18). Used for symptoms that are ...
Active transport channels in the intestines absorb sodium from the stagnant fecal slurry, which
causes water and electrolytes the follow perpetually dehydrating the fecal bolus. Meaning that the
longer the stool remains in the colon, the more dehydrated the lumal content becomes – particularly
in dehydration states. This is often the cause for pebble like stools called scybalation that common
present in constipation, and may contribute to impaction if the stool continues to collect and grow in
size (Andrews & Storr, 2011,

Stop Sitting On The Toilet
Title: Why You Need to Stop Sitting On the Toilet: Reasons for Squatting On the Potty
Category: Health & Wellness
Tags: squatty potty, potty stool, squatting, pooping positions, constipation, preventing hemorrhoids,
straining
*Photo # 2* (Photo courtesy 'PositiveMed')
Teaser: About four million Americans suffer from constipation – are you one of them?
Article: The modern day toilet, while certainly convenient has one major flaw, it's built for sitting.
And while sitting to eliminate is considered "civilized", there's another position that may improve
how you poop. And better elimination means less bloating, straining, hemorrhoids and constipation.
A little history behind sitting
What if I told you there was a more efficient way to poop? The bowel is the body's main elimination
organ, yet amongst many Americans today, this central elimination system is compromised by
something as simple as the position you choose to poop in. If you have less than three bowel
movements a week, then you may be one of the millions suffering from constipation. So, before
constipation gets the best of you, maybe it's time to go back to basics.
The first seated toilets ever built were used primarily for royalty and the disabled. However, after
the advent of indoor plumbing in the 1800s, the water closet was adapted with a "porcelain throne"
to fit the average home. That meant, common folk could now poop in a "civilized" manner – just
like the queen. But prior to that, our ancestors were squatting

The Importance Of Clean Drinking Water In India
One of the biggest challenges facing the world today is the emphasis on providing clean water to
everyone throughout the world. This is a fairly easy task in wealthier countries with strong central
governments which establish regulations on how waterways are maintained and treated, however in
developing countries like India the task is insurmountable. With India's population soon to surpass
China "by 2022", there is a huge concern in the lack of clean drinking water for many of their
citizens (Riley, 2015). If India's population is going to continue to rise at the rates it is experiencing
today, the government must create more initiatives to alter the poor hygiene practices by its citizens,
to ensure everyone has access to clean drinking water. One of the biggest problems facing India's
access to clean water is the practice of improper hygiene, which is seen from the astronomical
amount of people that presently practice open defecation or someone defecating outside in the open.
The practice stems from early human civilization, but without much emphasis on the problem over
the past century, it has continued to rise with India's rising population. In India, "a staggering 522
million" of their citizens "practice open defecation" (India, n.d.). This is an extreme cause for
concern in a country that has such a dense population due to its population size compared to the
countries overall size. What this entails is that even if the amount of people who practice open
defecation

Speech On Constipation
The proverbial 'constipated face' is not funny anymore when you actually get to the business and
aren't able to pass stools no matter how hard you try. Although constipation is not a life–threatening
problem as such, it still puts you through a lot of inconvenience.
However, thanks to our natural remedies for constipation, there are various methods with which you
can rid yourself of severe constipation right in the comfort of your home. And if taken care in the
right way on a long–term basis, you can put a full stop to even chronic constipation. For that relief
from constipation that you are yearning for, I suggest you begin with investigating what is
constipation in the first place and then moving over to what is causing this ordeal in your body.
How Do You Define Constipation?
Like all other bodily problems in human beings, the inconvenience that comes with constipation is
purely subjective and each one has their own ... Show more content on Helpwriting.net ...
This calls for immediate medical surveillance.
Causes of Constipation
Now that you have a fair idea of the symptoms of constipation, try finding out what causes
constipation in general. Here are the most common factors that could be contributing to your
colorectal discomfort.
1. Longer Transit Time
The food you consume quite literally travels a long way from your mouth and exits from the other
end of the gastrointestinal tract –the anus. The time it spends during the due course of its journey
along the tract is called the Transit Time. For various reasons, under unusual circumstances, the food
sometimes spends a longer transit time.
While it is in the gastrointestinal tract, there is constant absorption of water from food that converts
liquid food into more solid stools. So, the longerthe transit time, the harder it gets. Ultimately, your
rectal muscles that help in pushing the poop out from the anus find it difficult if it is too hard in
consistency.
2. Irritable Bowel

Persuasive Essay On Potty Training Boys
Wait for the time when your kid says goodbye diapers? Are looking forward to him ditch diapers
and a friendly hand to the potty? Now, if you this far fetched idea emerging in your head and strive,
sprout out like a volcano, then help is here come your way. With speeds of age galoppierenden and
pushed with utmost speed, could be left far behind potty training! Now, to your sheer surprise your
far–fetched thoughts no longer remain not far fetched! Yes, potty training a toddler will be easily
and quickly... and how! You can spoil flat below with the following tips, boys in potty training in 3
days! Now we offer challenges and money a day guaranteed on this potty young quick fixes.
However, are these tips have the potential to make a difference capabilities to your potty training
boys! ... Show more content on Helpwriting.net ...
Potty training boys is no longer a hassle for the parents. If parents want to train your child on the
potty without large expenditure of time, the techniques in potty can serve boys mentioned in 3 days
be good help. Majority of parents have to ask a common question and that is, if start potty training
boys. A process will be launched when they are 2 to 3 years old, could be could potty training boys.
That would be a start potty when you could see session, your child with the toilet seat in a matter of
3 days and you are sure, change diapers to say goodbye and to say dealing with unpleasant odours.
It makes no difference whether you're itching potty train your toddler, the essence is the signs for
your little ones gives you that he is willing and interested in potty to specify. Watch out, if your boy
has his diapers dry for two or more hours, to observe when he checks his diaper wetness and if he
finds it wet and damp, he demands an immediate change and termination, if he pulls down his pants
for a bowel movement. These are some of the first signs that indicate when potty training, young
meeting could be held on

IDD Research Paper
There are two major issues that impact the health and wellness individuals with intellectual and
developmental disabilities (IDD). These major issues include dehydration and constipation.
Dehydryation and constipation often go unrecognized in the IDD population, and if it goes
unrecognized for too long, death can actually be linked them. These are preventable deaths that need
to be understood in this population. Additionaly, caretakers of individuals with IDD must understand
these major issue.
Dehydration occurs when the body loses more fluid than it produces. Most body systems and organ
functions are affected by dehydration, and it can cause many serious health problems including
decreased cognitive ability, constipation, increased ... Show more content on Helpwriting.net ...
However, the lack of scholarly journal articles on the IDD population is limited, so some websites
that are designated as education for those with IDD and caretakers will be included. Prior
knowledge from presentations taking a course on the IDD population also makes up some of this
research in addition to past experiences.
A risk that many people with IDD or ASD have is dehydration mainly due to their medications that
they have to take. Whether it is for their IDD or ASD or duo to nutrition or gastrointestinal
problems; laxatives, blood pressure medication, and psychotropics can lead to dehydration. Many
health issues that individuals with IDD have are all correlated in some way.
Hydration is a major concern because water regulates body temperature, cushions and protects the
internal organs, and aids in digestion. Suffering from dehydration is extremely unpleasant, it can
lead to muscle fatigue, loss of coordination, easy heat exhaustion or severe cramps.
People with ASD have been shown to have a higher risk of vitamin and mineral deficiencies.
Common deficiencies include: Vitamin C, E, B–6, and the following minerals: magnesium,
chromium, selenium. Not only that, but it's very common for someone with ASD to be very picky
with the food choices they have. With these picky food decisions, there is usually a key piece of
nutrition that is left out and that would be dietary fiber. Good sources of dietary fiber can be found
in broccoli, nuts, beans, avocados, other leafy

Movie begins with a young Malcolm X Johnson walking down...
Movie begins with a young Malcolm X Johnson walking down the side of railroad tracks coming
home from school (wardrobe includes propeller hat). he suddenly becomes overwhelmed with need
to defecate. Fixing for the release he enters an adjacent wooded area aside the railroad tracks.
Optionally, you may already see a big line of Mudd marks down the backside of his pants. Sweating
profusely and contemplating the strenuous excretion to come "Malcolm x" hastily stumbles upon the
perfect shield of foliage that his subsequent pool of a bowl movement will lie Aloof to. He tears his
pants away, the only barrier keeping him from birthing his gift to the world. He crouches down and
clutches his buckling knees, this will surly be like no other ride ... Show more content on
Helpwriting.net ...
It is also worth mention that Malcolm never even acknowledges him being there. Optionally, there
begins to be cutaway shots of a Asian game show audience reacting to the occurrence. Back at the
main event: The pressure of the diarrhea waterfall protruding Malcolm's bowls causes him lift from
ground, like a fly board. All while maintaining a crouched positioning. Simultaneously, another
purpose–less character is brought into the scene, a rodeo–cowboy who enters the shot by jumping
onto Malcolm's back and saddling him like a bull (He also has down syndrome). At the apex of
flight they begin rotating uncontrollably in a 360 degree rotation. Finally, a third and completely
arbitrary character enters the scene, a very mangy looking homeless man coupled with an eye–patch,
nasty beard, and peg leg. Separate from the events occurring the homeless man sits on the log
having a dead cat anus picnic. Through the trees it is brought to his attention what is happening, this
gives him a Boner. He runs to join in on the action, as he approaches he jumps head first, mouth
open beneath the doo– doo fountain. He lands on his head, and due to injury he dies instantly
making his only purpose a mouth–receptacle for the feces(In slow motion). The battle of defecation
soon curtails leaving Malcolm badly beaten and battered, near death, and scarcely clinching to the
stray threads of life that he has. (Through all of the action his propellor hat still

Benefits And Negative Effects Of Fiber
Effects of Fiber
Sara Brann, Monica Martinez, Jihaan Garrett,
Mary Watters, and Amanda Turcotte
UMFK/UMA
NUR 230
Fiber, with its chief contribution being to support healthy bowel movements, is known as a dietary
necessity. Focusing on the benefits and negative effects, fiber is a unique substance that humans
consume in various amounts on a daily basis (Harvard Health Publications, 2015). As with other
substances too much may be harmful and too little could be detrimental. If a healthy diet must
maintain a certain amount of fiber to aid in bodily functions, there must be an unhealthy amount of
fiber at both ends of the quantity scale. As the nutrition movement remains underway we see many
conflicting and controversial information with regard to various nutrients. What is claimed to be
beneficial to our health one day can often be counter claimed later by a different group examining
the health evidence stating an opposite effect, or claims to have no benefit at all. With regard to
fiber, a substandard amount versus an appropriate quantity has numerous effects on the health of an
individual.
Approximately 80% of Americans do not get the proper amount of daily fiber (Dietary Fiber Has
Benefits Beyond Regularity, 2013). The majority of fiber is reasonably preferred to be acquired
from fruits, veggies, and grains. Examples of high fiber foods include: beans, split peas, artichoke
hearts, pears, raspberries, blackberries, sweet potato, prunes, figs, apple,

Speech On Dog House Training
You have to be persistent with dog house training. There has to be at least one person that you have
met in your life that simply never quite gotten the grasp of dog house training. You know the one I
am talking about, the dog lover who faithfully keeps their pet indoors and spends their spare time
cleaning up "accidents". When you step inside the door of their home, the stench of urine almost
knocks you over. Ugh, what happened?
So much fuss is made today about dog house training. A quick online search will show you
thousands of websites offering you the latest, greatest tips on how to house break your dog. Yet,
everyone keeps searching for the magic formula that will make all of the unwanted messes go away.
Have you ever wondered why?
The ... Show more content on Helpwriting.net ...
Take your dog out to the bathroom first thing in the morning, and just before bed. Pick up food and
water bowls approximately one hour before you plan to retire for the night. Most dogs also have to
use the bathroom very soon after eating, so be sure to plan on an outing after meals.
Confining your dog to a crate in another part of dog house training. But you have to be careful not to
leave them in too long. Make sure that you select a dog crate large enough that your dog can turn
around and lay down comfortably. Whenever you are not able to watch your dog, and at night,
confine them inside of it. The idea is to use their natural aversion of going to the bathroom where
they sleep to teach them not to potty in the house. This means that the first thing that you must do
when letting your dog out of the crate is immediately take them outside.
Dog house training is different for older dogs and depends on their health condition. If you have an
older dog that is persistently urinating or defecating in the house, despite attempts to correct it, a
visit to the veterinarian may be in order. As dogs age they can suffer from kidney failure, low
hormones, and mental lapses. If this is the case, correcting some of the underlying problems may
help stop the

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