The North American Nursing Diagnosis Association Essay
The North American Nursing Diagnosis Association uses Gordon's Framework as a foundation for
its nursing diagnosis (Edelman &Mandle 2014). Gordon's framework consists of functional health
patterns as defined by Endleman and Mandle (2014) is," viewing the individual as a whole being
using interrelated behavioral areas" (p. 150). There are eleven patterns used as a tool to collect
information during assessments in order to create a plan for validation and communication among
the nursing profession. It focuses on five areas; pattern, individual –environment, age –
development, functional and lastly cultural. With the various detailed questions related to the health
perception, is a method devised by Marjory Gordon to be used by nurses in the nursing process to
provide a more comprehensive nursing assessment of the patient. Marjorie Gordon (1987) proposed
functional health patterns as a guide for establishing a comprehensive nursing data base. These 11
categories make possible a systematic and standardized approach to data collection, and enable the
nurse to determine the following aspects of health and human function: At this time I have not been
able to incorporate Gordon's framework within my practice for I have been home since week 2 has
begun. I am able to incorporate this into my own and identify my own patterns when confronted
with illness and assessing my own. Two patterns that have emerge from completing the framework
are Nutritional and Metabolic pattern and
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Human Subjects : The Current Proposal Involves Testing
Human Subjects Research:
Protection of Human Subjects: The current proposal involves testing of deidentified samples from
dengue patients. All collection of dengue samples from patients was carried out in the CDC. A total
of 60 acute serum samples were collected from febrile patients in Puerto Rico and Costa Rica
(2009–2011) suspected of having dengue 0–5 days after onset of symptoms and whose average age
was 14.3 years, in a study approved by the CDC IRB.
Related Research or R&D: This section summarizes CrossLife and Duke's prior work to develop the
A novel DNA bioassay–on–chip using surface–enhanced Raman scattering (SERS) on a bimetallic
Nanowave chip is presented. In this bioassay, SERS signals were measured after a single reaction on
the chip's surface without any washing step, making it simple–to–use and reducing reagent cost.
Using the technique, specific oligonucleotide sequences of the dengue virus 4 were detected. We
will also summarize the current literature relating to discovery of biomarkers for radiation toxicity
that support the feasibility of the proposed project.
The research of Dr. Tuan Vo–Dinh at Duke University is focused on the development and
applications of biosensing technologies using optical detection techniques (fluorescence, Raman,
SERS) to detect proteins, DNA, mRNA and microRNA biomarkers for disease diagnostics such as
infectious diseases, cancer, etc. Dr. Vo–Dinh's lab laboratory has pioneered the SERS–based gene
probe technology and has

Case Study: Nursing Diagnosis
L.S. was a patient at Baptist Memorial Hospital who was admitted for a femur fracture who
displayed symptoms of a potential nutritional problem a few days into their stay. The patient
presented to the floor with a loss of appetite previous to her diagnosed nutritional deficits. Although
a femur fracture does not usually bring about nutritional problems. But in this situation the patient
received a blood transfusion which in turn caused a hemolytic transfusion reaction. After this
reaction occurred the patient developed a decreased mental capacity and extreme loss of appetite.
This transfusion reaction caused many more complications along with increased body temperature,
restlessness, and irritability. The most appropriate nursing diagnosis for this patient would be
"Imbalanced Nutrition; less than body requirements related to decreased mental status." This
nursing diagnosis covers broad aspects of many medical diagnoses. Some of the medical diagnoses
covered by this nursing diagnosis include; 'Bulimia Nervosa', and 'Anorexia.' Some examples of the
patient's subjective data include statements made by the patient like "I'm in pain." The patient's
family stated, "She normally doesn't act like this." The patient's son stated, "I'm worried her body
can't handle the medicines and surgery." Some examples of ... Show more content on
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Due to the patient's refusal to eat, the patient's nutritional problems did not improve and continue to
deplete. The patient had an incision on her left leg, which was a result from surgery. Protein was an
essential nutrient in order to help heal the incision. Without this adequate amount of protein intake,
the patient experienced delay in wound healing. Along with the delayed wound healing the
inadequate amount of protein intake caused the patient's muscles to weaken. Therefore, the
prognosis for the patient was decreased wound healing due to the lack of protein (Lewis et al.,

Nursing Diagnosis : Health Assessment Essay
Concept –4 Nursing diagnosis This concept is taken from " Health assessment" module no.3 and
entitled as "Health assessment in nursing process" Introduction The practice of nursing involves the
provision of comprehensive nursing care to clients based on knowledge from biological, physical
and social sciences. Integral to the practice of nursing is the nursing process, an activity that
facilitates the nurse 's interaction with clients in an effort to assist the clients to maintain and restore
health. A nursing diagnosis is a statement that describes the client 's actual or potential responses to
a health problem that the nurse is licensed and competent to treat. Eg. Impaired skin integrity related
to decreased mobility and risk for infection related to poor nutritional intake. 1.1 Personal Context: I
believe that nursing diagnosis has an inevitable part in healthcare. While i do nursing care i made a
proper nursing care plan including assessment, goals, nursing diagnosis, interventions and
evaluations. A Nursing diagnosis provide the basis for selection of nursing intervention to achieve
outcome for which the nurse is accountable. Outcomes and interventions are selected in relationship
to particular nursing diagnosis. The reason for formulating a nursing diagnosis after analyzing
assessment data are to identify the health problems involving the client and family and to provide
direction for nursing care. The nursing diagnosis statement is written in terms of a client

Oppositional Defiant Disorder
Oppositional defiant disorder (ODD) is one of a group of behavioral disorders in the disruptive
behavior disorders category. Children who have these disorders tend to be disruptive with a pattern
of disobedient, hostile, and defiant behavior toward authority figures. These children often rebel, are
stubborn, argue with adults, and refuse to obey. They have angry outbursts, have a hard time
controlling their temper, and display a constant pattern of aggressive behaviors. ODD is one of the
more common mental health disorders found in children and adolescents (AACAP, 2009). It is also
associated with an increased risk for other forms of psychopathology, including other disruptive
behavior disorders as well as mood or anxiety problems (Martel, ... Show more content on
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Identifying potential factors for modification early in development is crucial to facilitate innovations
in the development of interventions that may alleviate the significant clinical and public health
burden associated with these behaviors (Tung & Lee, 2014).
Based on the criteria by the American Psychiatric Association (APA), ODD is a diagnosis that is
defined by a pattern of angry/irritable mood, argumentative/defiant behavior or vindictiveness. To
meet the specific diagnostic criteria for ODD, the individual must demonstrate impairment in
functioning and must meet at least four of the suggested disruptive symptoms, lasting at least 6
months as and exhibited during interaction with at least one individual who is not a sibling. The
criteria includes: often loses temper, is touchy or easily annoyed, is often angry or resentful, often
argues with authority figures or adults, actively defies or refuses to comply with requests from
authority figures or with rules, often deliberately annoys others, blames others for misbehavior, has
been spiteful 2x in the past 6 months (APA, 2013).
Although the diagnostic criteria are relatively specific, there is still some relative subjectivity in
determining the normative nature of the behaviors that may be observed in any one individual.
Given this subjectivity, ODD, as a diagnostic category, is not consistently agreed upon by
researchers and

Taking a Look a the Munchausen Syndrome
Munchausen!!!
If you know someone with munchausen syndrome, you know how bad the disease is. If you don't
know someone with the disease, I will tell you all about it. the disease isn't very big or popular
anymore, because not a lot of women don't have this disease anymore. I have done a lot of research,
and most of the diagnoses were done in the 1900s, but the disease is still around some places. This
disease is mostly diagnosed to women, because most men don't feel the need to these kind of things.
Personally, I don't know anyone with the disease, but I have been doing research for a while and
things do get really serious. The disease is when women, that have children, don't feel enough love
from their kids so they poison their kids food, and when kids are sick, what do they usually want the
most their momma. Then the kids want their mother and the mothers feel loved more that usual.
Women with munchausen are putting the lives of innocent children in danger, some are even going
to the extreme and taking their lives.
Munchausen syndrome is a serious mental disorder in which someone with a deep need for attention
pretends to be sick or gets sick or injured on purpose. People with Munchausen syndrome may
make up symptoms, push for risky operations, or try to rig laboratory test results to try to win
sympathy and concern.Typically, the cause is a need for attention and sympathy from doctors,
nurses, and other professionals. Some experts believe that it isn't just the

Nursing Personal Statement Examples
The discovery of the absence or presence of a disease impacts the lives of patients. As a patient
dealing with my own health struggles I see the crucial role a CLS plays in the discovery of a
disease. CLS do not personally interact with patients, but they perform tests to diagnose the disease
and provide the vital data of the disease, which helps physicians determine the best treatment for the
patient. Without CLS diseases can be misdiagnosed, especially when they are based on symptoms.
Many diseases share the same symptoms. As a result, diseases may be misdiagnosed and the
treatment plan for the patient may be incorrect. This leads to stress for the patient and money
wasted. The crucial role of a CLS in the diagnosis of a disease is one of ... Show more content on
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Every job I had was a monumental experience for me; it not only equipped me with the
organizational, time–management and research skills to oversee an entire project by myself, but also
further fostered the development of my own interests in health and my goal to eventually become a
CLS. I learned about laboratory documentation, how to professionally and effectively communicate
with pathologists, principal investigators, and laboratory personnel, how to maintain records, how to
follow strict written protocols to avoid contamination and maintain safety, and many more useful
laboratory skills. I also gained the ability to manage multiple priorities in a fast paced and rapidly
changing detailed oriented environment.
All of these events, my own health struggles and my ever–growing desire to expand my knowledge
in the field of science eventually brought me to apply for the CLS program. I have one degree, a
Bachelor of Science in Biological Sciences, as well as spent years working in the science field.
Clearly, I have an undeniable passion for science, which is one of the many reasons why I am
confident that I am the best fit for the CLS

When Is It Enough?
When is it Enough? Meet Katie, a thirty–eight year old mother of three children. As any good
mother, she is concerned and worried about her child's well–being. When her 11 year old daughter
began throwing tantrums and having ill–tempered outburst, she became concerned. Katie decided it
was time to take some action. She took her daughter in to see a psychiatrist and the diagnosis was
surprisingly shocking. After a quick visit with the psychiatrist, Katie's daughter was diagnosed with
bipolar disorder and given a prescription for 10 powerful medications. With the diagnosis's, Katie
was left with a few dramatic decisions, give these powerful medications to her young daughter or
watch her child struggle with her bipolar disorder and look for other options on ways to deal with
the 'problem'. With this, many may see that without a proper examine from a highly trained
professional, it's easy to see how too often these professionals tend to reach for a prescription pad
rather than getting to know the client. This is why I intend to argue that although ADHD
medications are necessary in certain situations, these medications are over prescribed due to a
misdiagnoses from a doctor or other health care professional. BACKGROUND GOES HERE
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 One reason ADHD medications are over prescribe and misdiagnosed is because doctors simply
do not take the time needed to properly diagnose these children. Too often children are
misdiagnosed with ADHD because they are not understood as

Nursing Diagnosis: Risk For Self-Harm
NURSING CARE PLAN
Problem (Nursing Diagnosis): Risk for Self–Harm
Etiology (R/T): Substance abuse secondary to overdose
–There is no AMB because this diagnosis was a Risk–
GOAL:
Outcomes/Goals
(Measurable and Realistic for your Patient)
REMEMBER: S.M.A.R.T.
Nursing Interventions/Rationale
(What interventions will you do to resolve the problem and help meet the outcome? Rationale for
how action will help patient reach outcome – cite source)
Evaluation: Patient Responses
(What nursing actions were used? How well did they work to help your patient reach their
outcomes?)
1. Client will be safe and free from injury and drug abuse for the next 24 hours.
1. Nurse will determine the level of appropriate suicide precautions. Providing suicide ... Show
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Patient remains calm and safe in her bed without any further harm being done. One to one
supervision reports no recent mood changes that suspect intentions of harm.
3. Patient refrains from using any environmental hazards detrimental to her health. Environment
remains safe and comfortable.
2. Pt will assist in identifying thoughts, feelings, and behaviors leading to self–harm by the end of
her hospitalization.
1. Nurse will provide coping strategies during times of self–doubt. These coping strategies will help
the client find other ways to deal with her feelings besides feeling the need to hurt herself.
2. Nurse will educate patient on the risks of taking drugs/medications without proper use. Learning
when it is appropriate to take medications along with the side effects that occur with them will help

to prevent the risk of overdose and abuse.
3. Nurse will discuss patient's home environment and relationships with others outside of the
hospital setting. Discussing her feelings about her life and relationships with others could help to
identify the reasoning for her harm to help prevent it from happening again. Collaborating with the
patient to help recognize the problem gives a better understanding of the situation and provides a
sense of trust between the nurse and

Developing An Appropriate Nursing Diagnosis
Standards of care are the baseline for proving quality of care and govern the practice of nursing.
Adherence to these standards helps ensure safety and achieving better client outcomes. The main
purpose of standards of nursing practice to promote, guide and direct nursing practice. Provides
framework for developing competencies; it outlines what the profession expects of its members to
deliver quality of care and patient safety.
Standards of nursing care begin with an assessment which involves an interview, gathering data,
review records and head to toe assessment. Which will help nurses to identify patterns in developing
an appropriate nursing diagnosis. Nursing diagnosis involves recognizing or identifying the
potential and actual health

Asperger Diagnostic Scale-Revised (RAADS-R)
The Ritvo Autism Asperger Diagnostic Scale – Revised(RAADS–R)
Psy/320 Research Methods and Statistics
November 8,2016
Dr. Amy Carrison
Abstract
Even as adults, sometimes we tend to question whether or not there is something more to us. In
years past, and often still is, the subject of autism was unknown, and often misunderstood. Many
times autistic tendencies are just dismissed as either bad behaviors or defiance. Many times the
individual also has an underlying condition such as attention deficit disorder. This article sheds
some light on that subject. However, one needs to remember that the article in question, just as the
RAADS –R is not a way to diagnose autism spectrum disorder. The person who is participating in
the study ... Show more content on Helpwriting.net ...
The researchers at these centers have to agree on the diagnosis of each of the participants. However,
since 2013, Asperger's Syndrome is no longer considered a standalone diagnosis.
("Http://www.parents.com/health/autism/what–Happened–To–Aspergers/", 2014). Because
Asperger's Syndrome is now on the autism spectrum, it is now easier to agree on how to treat the
person who has to live with the disorder.
Getting back to the RAADS–R itself, the questions on the test are symptom based, (64) and non –
symptom based (16). They are divided into four subscales as follows, social relatedness (thirty –
nine), circumscribed interests (fourteen questions), language (seven), and sensory motor (twenty).
The main reason for the screening is to identify whether or not the participant was a good candidate
for further diagnosis of ASD. During the initial screening, the participants were given the RAADS–
R by clinicians. For proper diagnosis the questions were clarified so that they were properly entered
on a Likert scale. Sex did not affect whether or not a person could have autism/Asperger's Disorder.
However, it does play a part. Age does not appear to affect the

Diagnosis And Treatment Of Nursing
A CRNA has much responsibility in the hospital setting and also the outpatient setting depending on
the area. Most CRNA 's have Anesthesiologist working above one. A CRNA that works in a hospital
setting has many areas to specialize in, such as cardiology, orthopedics, epidurals, general surgery,
pediatrics/neonatal. This role differs from other nursing roles in many ways. A CRNA meets with
the patients and gives the patient medication to sleep. The CRNA will monitor the patient's
hemodynamic measures during the procedure and titrate medication based on patient's response to
surgery. A Nurse Anesthetist must further one's education to a masters or now a doctorate degree. An
RN that is pursuing this degree needs to have at least one year of Intensive care unit experience, or
Emergency room at a level one trauma center. Acute care is important because patients in this
setting can change dramatically very quick. The nurse has to know how to deal with a patient that is
critical. The reason that one needs this experience is because a nurse working in the icu works under
stressful conditions with critical patients. administering anesthetics is critical because one has to
monitor the patient, and anything could change in a heartbeat. A nurse that has acute care experience
has learned Advanced cardiac life support, ECG monitoring, hemodynamic values, and have worked
with an acute care multi disciplinary team to treat the patient.
This role is different than any other nursing role

Applying Standardized Terminology in Nursing Essay
Applying Standardized Terminologies in Practice
Chamberlain College of Nursing
NR 512: Nursing Informatics
Fall 2014
Introduction
As a result of the introduction of computer technology and the combination of evidence–based
practice in nursing; standardization of terminologies has become imperative in the classification of
nursing diagnosis, interventions and expected outcomes. The most popular and successful systems
are the North American Nursing Diagnosis Association International (NANDA–I), Nursing
Outcomes Classification (NOC), and Nursing Intervention Classification (NIC) (de Lima Lopes, de
Barros, & Marlene Michel, 2009). This paper aims to provide a brief outline of these standardized
terminologies (STs) as they relate to a ... Show more content on Helpwriting.net ...
Nurses should take care to select the proper outcomes to ensure optimum care is provided to patients
with CHF. The plan of care is dependent on the nursing diagnosis and the desired nurse–sensitive
outcomes. The priority NOC outcome for the diagnosis of CHF is Fluid Balance and Fluid Overload
Severity. Other related NOC outcomes are Knowledge: Cardiac Disease Management, Knowledge:
Energy conservation, Knowledge: Medication, Knowledge: Prescribed Activity, Knowledge:
Treatment, and Knowledge: Weight Management (Johnson et al., 2012). These are only a select few
of the multiple outcomes available; care should be modified as the disease progresses through the
problems which evolves over the lifetime of patients diagnoses with CHF. Once all these
determinants are established, the nurse will be prepared to determine which level of NOC is
essential to effectively manage the disease.
Nursing Intervention Classification
Nursing interventions are focused on nursing behaviors to guide the patient in the direction of the
most preferred outcome (Johnson et al., 2012). Fluid management, fluid/electrolyte management,
and hypervolemia management are the major interventions in effective management of CHF. Fluid
management is the most difficult intervention for all patients suffering from CHF. Evaluation of the
patient's ability to make the appropriate lifestyle changes required to

Psychosocial Model Of Nursing Diagnosis
In the psychosocial component, the nursing diagnosis assigned to this client would be ineffective
pattern of giving and receiving. This is due to the fact that the client has recently experienced the
death of her spouse. This mode deals with affectional adequacy and developmental adequacy.
Affectional adequacy is defined as the ability to give and receive affection from others
(Nickerson, 2015). This is important to an individual because it deals with the human need
associated with nurturing. This includes receptive and contributive factors (Nickerson, 2015).
Since the client has lost her spouse, she stated that she felt that she did not receive the kind of
affection her spouse gave her. Of course her family loves her and treats her well, but she stated ...
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The structural component of this mode includes the significant other. Since this person is no longer
alive, she cannot receive the same nurturing that she once had. Another aspect of this mode is the
client's support system. The other aspects of this client's support system include the rest of the
family, her children, grandchildren, and extended family. In addition, the client's giving behaviors
include making gifts for others, providing love/care to her grandchildren, and ensuring that her
family members feel loved and supported. However, the receiving behaviors of the client are not as
evident. Some stimuli for this nursing diagnosis include the focal stimuli, which is the fact that the
client lost her husband last year. A contextual stimulus includes the family dynamic and the
separation of most of the family from the other, during this period of adjustment to the death of her
spouse. This includes both a family dynamic and environment stimuli because the client's
environment is changed. In terms of residual stimuli, the client's own aging process and health
problems could both be

Diagnostic Criteria For ASD
Autism Spectrum Disorder (ASD) is a neurodevelopmental condition that is characterised by
impairments in social communication, repetitive or stereotypical behaviours, and limited range of
interests (Anagnoustou et al. 2014). These symptoms are often evident from early childhood and
vary between individuals in their severity and influence on everyday functioning. This continuum of
symptoms of ASD is reflected in the latest edition of the Diagnostic and Statistical Manual of
Mental Disorders (DSM–5), a revision from previous diagnostic criteria in the DSM–IV, which
identified four separate disorders in association with autism–related symptoms (DSM5, 2013).
Another important aspect of the new DSM–5 diagnostic criteria for ASD is the condition ... Show
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Evidently, there is a scarcity in the availability of ASD–specialised intervention programs
specifically for infants and toddlers younger than two years. One such proposed intervention
currently in progress is the Early Start Denver Model (Dawson Rogers, 2008) that aims to address
the distinctive requirements of children with ASD from as early as 12 months. The program utilises
a combination of an ABA approach along with a developmental and relationship based approach
that is then delivered in the child's natural environment. A recent randomised controlled trial of the
Early Start Denver Model in a sample of 48 children aged 18–30 months in age revealed that
children showed improvements in IQ and adaptive skills (Brookman–Frazee, 2010). However, as
the program is relatively new further research is required to fully infer efficacy of the program in
infants and

Use Of Dsm 5 And Class Material Criteria On Diagnostic...
Use of DSM–5 and Class Material Criteria on Diagnostic Categories Exhibited in the Case Study
Based on both the DSM–5 and the class material criteria, Kimmy 's diagnosis of Asperger syndrome
meant that it involved an exact number of items that were placed under the qualitative impairment
headings, specifically in a social interaction, stereotyped, restrictive, and repetitive patterns of
interests, behavior, and activities. The disturbance may have been caused by clinically essential
impairments in occupational or social areas of the functioning. Sperry (2001) noted that there is no
significant clinical delay in social language or developmental cognition. The criteria mentioned
above in the case study are based on the age–appropriate self–skilled help, adaptive behavior, apart
from social interaction and childhood curiosity.
The criteria used for eligibility were met for the diagnosis of Kimmy's Asperger syndrome, the
following criteria:
Evidence of the following:
1. The unequal developmental profile evidenced by the inconsistencies within or across social
interaction includes language domain, cognitive skills, and adaptive behavior.
2. Kimmy 's impairment in either verbal or nonverbal language came as a result of social
communication skills,
3. And stereotyped patterns and/or restrictive, repetitive behaviors, activities, or interests, and,
4. Kimmy 's need for special education defined by Sainsbury (2000).
From the above diagnostic criteria used, especially the DSM–5,

Neonatal Abstinence Syndrome: A Case Study
In order to properly treat Neonatal Abstinence Syndrome, if first must be established the severity to
determine what type of treatment would be most effective. The most common scoring system for
NAS is known as the Finnegan Neonatal Abstinence Severity Score; positive symptoms are given a
weighted score and summed every four hours; decisions regarding treatment onset and rate are made
based on a cumulative threshold score (Logan et al., 2014, p.3). Depending on the neonate's
Finnegan score, the baby may qualify for both or either types of treatment: nonpharmacological or
pharmacological. Nonpharmacological treatment is always the first option, including gentle
handling, swaddling, frequent feeding, music therapy, active maternal participation with the infant,
and more. Alternatively, pharmacological treatment involves medical intervention, such as the use
of morphine to wean neonates from the in–utero exposure to drugs ... Show more content on
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One organization, FMRS Health Systems stationed in Beckley, West Virginia, specifically provides
options for addicted women who are pregnant. FMRS allows women to take Subutex to decrease the
impact on the baby or slowly cease opiate intake. In addition, the West Virginia Department of
Health and Human Resources administers Home Visiting Programs to increase mother–child
bondage, and advocate healthy and positive living (Holdren, 2017, p.2). Programs and organizations
such as these are essential in improving the quality of life for both the mother and child. Hospitals
throughout the state also provide unique treatment for patients suffering from withdrawal. In
Harrison County, United Hospital Center accepts volunteers through the Cuddler's Program to
comfort babies struggling with withdrawal (Kendall, 2015, p.1). Dozens of additional programs
exist around West Virginia in attempt to provide care and peacefulness during troublesome

Physical Examination Of Nursing Diagnosis And The Nursing...
Case Study A 22 year old female has been brought to the emergency room after fainting at home
with complaints of flu–like symptoms for the last eight days (GCU, 2010). She has reported
vomiting several times a day and having difficulty keeping food or liquids down. She states she has
been taking more than recommended dose of antacids to help with nausea symptoms. She has
become dehydrated, so an IV has been placed and fluids have been started. She also has had an
arterial blood gas (ABG) drawn that has shown acid–base deficits. This paper will discuss how a
focused history, physical exam, nursing diagnosis and the nursing process of care is important in
helping this patient get better. It will also discuss the differences between a complete assessment and
a focused assessment. Focus History Focus assessments are the most important part of care planning
and delivery for patients which specific complaints. This patient was admitted for flu–like
symptoms, nausea, and vomiting related to an unknown source. The etiologies of nausea and
vomiting can include iatrogenic, toxic, or infectious causes; gastrointestinal disorders; and central
nervous system and/or psychiatric conditions (Jarvis, 2011). A clear definition of the patient 's
symptoms must be determined because of the broad possibilities of etiologies. An ordered focus
approach to this evaluation is essential. The etiology of most acute nausea and vomiting can be
determined from a focused history, physical examination,

Essay on The Diagnostic and Statistical Manual of Mental...
The Diagnostic and Statistical Manual of Mental Disorders (DSM) has a number of features. First of
all, every disorder is identified using a name and a numerical code. In addition, the manual provides
the criteria for diagnosing each disorder as well as establishes subtypes of a disorder and examples
that would illustrate the disorder. The manual goes further by addressing the typical age of onset,
culturally related information, gender–related information, prevalence of a disorder, typical clinical
course of a disorder, typical predisposing factors of a disorder and genetic family patterns of a
disease (Summers, 2009). The DSM–IV is a tool that is used by mental health practitioners and
social service workers. As has been demonstrated ... Show more content on Helpwriting.net ...
Personality disorders have a sex prevalence rate and there has been some suggestion that those rates
reflect gender bias. The bias concerns derived from the conceptualization of personality disorders,
the wording of diagnostic criteria, the application of diagnostic criteria, thresholds for diagnosis,
clinical presentation, researching sampling, the self–awareness and openness of patients and the
items included within self–report inventories (Butcher, 2009, p. 356). Studies have failed to prove
that there is significant gender bias in the DSM. However, research has showed there is gender bias
within clinical judgments. For example, gender related items would be included within self–report
inventories (Butcher, 2009). Clinicians tend to judge female patients as being mentally ill more
readily than male patients, even when the symptoms are the same. Moreover, women are more
likely to be cast as overly emotional, have a need for mood–altering medication and require ongoing
monitoring/treatment (Zur and Nordmarken, 2010).
Sexual orientation has also caused considerable bias. Homosexuality was listed in the DSM as a
mental disorder up until 1974. Even law had identified homosexual behavior as criminal; for
instance, sodomy laws. Although homosexuality is no longer listed in the DSM, therapists still have
the option of considering homosexual behavior as a sexual disorder not otherwise specified. The
ability to still classify homosexuality as a

Technology 's Impact On Healthcare
It's the twelfth of April 2017. A nursing student sits inside an average home. The lights are brightly
lit. A computer sits atop the student's lap. A television is across the room. A cellular phone is nearby.
In the kitchen there are many appliances. These are everyday pieces of technology present these
days. Technology is defined as the branch of knowledge that deals with the creation and use of
technical means and their interrelation with life, society, and the environment, drawing upon such
subjects as industrial arts, engineering, applied science, and pure science. (Dictionary)
As a nursing student, one may ponder how technology will impact healthcare. Technology
drastically impacts healthcare. There are numerous angles to ... Show more content on
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Recent advances in imaging technology –– like CT scans, MRIs, PET scans, and other techniques
–– have had a huge impact on the diagnosis and treatment of disease. More detailed imaging is
allowing doctors to see things in new ways. Imaging can provide early and more accurate diagnoses.
In some cases, it might even lead to better and more successful treatment. (WebMD) Wireless
communication is another imperative piece of technology that has a huge impact on healthcare.
How is wireless communication used? The term wireless communication was introduced in the
19th century and wireless communication technology has developed over the subsequent years. It is
one of the most important mediums of transmission of information from one device to other
devices. (elprocus) It's rarely thought of these days to be without some sort of form of wireless
communication. Wireless communication is possible through radio waves. Some forms of wireless
communication include broadcast radio, satellite, Wi–Fi, GPS, etc which can be used with a cell
phone, lap top, television, printer, among various other items. The importance of wireless
communication is big.
Cell phones can easily be used to verbalize imperative information between medical staff, medical
facilities, patients, consumers, etc. They make it possible to quickly get in touch with someone else
without having to

Nursing Diagnosis Paper
The first nursing diagnosis is–Ineffective coping related to impatient treatment, as evidenced by
patient statements I have been feeling depressed and can't make it stop and objective data such as
visualizing the patient crying and avoiding eye contact, isolating herself from her peers, and
appearing withdrawn. For this I would encourage the patient to attend programming, group therapy,
and individual therapy. We will use therapeutic communication skills when engaging, encourage
verbalization of thoughts, concerns, and accept expressions of sadness, anger, and rejection. I will
assess the patient on the coping skills she has learned and encourage her to continue using them.
The second nursing diagnosis is–readiness for enhanced nutrition

Nursing Approaches For Dual Diagnosis Patients
In spite of developments made regarding vocational approaches for dual diagnosis patients such as
supported employment, most individuals are incapable of putting in hours with significant
endeavours. Study by Lysaker et al (2009) showed that CBT permitted patients to engage in
employment. It was evident from the study that patient receiving CBT treatments were able to hold
onto jobs thus promoting their social inclusion. To this end, Sue et al (2009) supports CBT as a
treatment intervention that could be extensively employed and acknowledged by patients,
psychotherapists and healthcare professionals. Adding to the argument, Frew and Spiegler (2012)
maintain that CBT is an intervention that can be used on clients irrespective of their ethnicity,
gender, background and education. Cooper (2011) reported the prevalence rate for substance use in
psychosis as 36% compared to 19.5% accounting for drug use and 11.7% on alcohol consumption in
their first episodes of psychosis in the first year. Study by Barrowclough et al (2001) indicated that
there is a higher rate of alcohol and illicit drugs problem compared with the general population for
individuals with psychosis. Weaver et al (2001) and Graham et al (2003) maintain that an estimated
25% caters for the prevalence of co–occurring substance misuse amongst individuals with
psychosis. It has been suggested by McHugh et al (2010) that during sessions of assessment and
early treatment, clinician should adopt case conceptualization,

Nursing Diagnosis Essay
Nursing Diagnosis: 1pt Risk for Infection r/t passage of fecal matter through colorectal fistula AEB
fecaluria present. Outcome/Goal: 0.25pt The client will be able to: –remain free from symptoms of
infection their entire stay. –state symptoms of infection by the end of the shift. –demonstrate
appropriate care of infection–prone sites by the end of the shift. –maintain white blood cell count
and differential within normal limits throughout their stay. Nursing Interventions: 4pts 1.
Understand signs of infection, such as redness, warmth and increased body temperature. 2.
Regularly check WBC count to ensure that patient is maintaining a level close to their baseline. 3.
Follow any standard precautions and wear gloves and goggles during any contact ... Show more
content on Helpwriting.net ...
–state symptoms of infection, such as redness and fever, by the end of the shift. –demonstrate
appropriate care of infection–prone sites by the end of the shift. –maintain a normal WBC count
(4000–12,000, inclusive) and differential within normal limits throughout their stay. Patient Primary
Problem Subjective data: Patient reports suprapubic pain 7/10 Objective Data: Fecaluria Nursing
Diagnosis: 1pt Acute Pain r/t recent injury to bladder AEB patient reporting 7/10 suprapubic pain.
Outcome/Goal: 0.25pt The client will be able to: –use a self–report pain tool to identify current pain
intensity level and establish a comfort–functioning goal by the end of the shift. –describe non–
pharmacological methods that can be used to help achieve comfort–functioning goal by the end of
the shift. –describe how unrelieved pain will be managed by the end of the shift. –perform activities
of recovery of ADLs easily in one week. Nursing Interventions: 4pts 1. Determine if client is
experiencing pain at the time of the initial interview; if they are, conduct and document a
comprehensive pain assessment and request

Symptoms And Treatment Of Five Nursing Diagnosis
Five Nursing Diagnosis
Acute pain related to lobectomy procedure and rib removal as evidenced by patient whimpering
when moving at rating her pain eight to ten out of ten throughout the day. I chose this as a high
priority, number one nursing diagnosis because of how high the patient rated her pain. Whether she
was just lying in bed, or moving around, she was in pain. The only thing that could somewhat
decrease her pain was pain medications, and even then, her pain only went down from a ten to and
eight (Ackley Ladwig, 2014).
Risk for infection related to surgical wound on her left upper back and drainage tube in left lung. I
chose this as the second nursing diagnosis and would also rate this high priority. The patient did not
have a ... Show more content on Helpwriting.net ...
This is the fifth nursing diagnosis and is a low priority. This is only low priority because the patient
is still able to get up and move, she just takes more time than usual and requires minimal assistance
(Ackley Ladwig, 2014).
Nursing Care Plan and Evaluation Acute pain related to lobectomy and rib removal as evidenced by
patient whimpering when she moved and rating her pain eight to ten out of ten throughout the day.
The predicted behavioral outcome is the patients pain will decrease from eight out of ten down to
five out of ten by noon on the day of care. Interventions to meet this goal include:
1. Administering the patient's pain medications as often as allowed. This is important to help
maintain the patient's pain at an acceptable level (Unbound Medicine, 2014).
2. Assist the patient in movement. This helps to decrease the patient's pain by taking some of the
weight off her (Unbound Medicine, 2014).
3. Position the patient in the most comfortable position. Positioning has a large effect one pain. The
patient preferred to be sitting upright in her chair.
4. Provide or promote nonpharmacological pain management for the patient. Things such as a cool,
calm, therapeutic environment (Unbound Medicine, 2014).
5. Continuously ask the patient to rate her pain. Providing the rating, location and type of pain. This
is useful in determining if pain reduction measures are effective Unbound Medicine, 2014).
The

Diagnosing and Living with Dementia
Today the first symptoms of dementia such as memory loss or problems with language lead to a
diagnosis of the illness over varied amounts of time. It is not possible to get medication before the
diagnosis. Therefore, diagnosing dementia early enables to have access to treatment, information
and care. Yet according to the Department of Health, only 46% of the population living with the
illness is diagnosed in the UK. The borough of Islington has an especially high rate of dementia
diagnosis, with about 64% of the people living with the condition diagnosed.
INSERT GRAPH ( with other borough of London or England? )
Last February, Health Secretary Jeremy Hunt pledged faster diagnosis times for people suspected to
live with dementia. He wants the people seeing their doctors with concerns of living with dementia
to be diagnosed within six weeks, instead of the current average of six months.
NHS England will invest £90 million to diagnose two–thirds of people living with dementia next
year. (check styleguide)64% of the people with the symptoms are diagnosed in Islington, which
represents 0.39% of adults in Islington according to the Public Health Observatory.
To get a diagnosis, people who might have noticed signs of dementia have to visit their GP who will
look at their medical history and talk with them to see if the symptoms are not caused by another
condition. Then the person can be referred to a Memory Service, which includes clinical
psychologists and specialised

Informative Speech Outline On Autism
A: In an article written by Autism Speaks the CDC states that 1 in every 68 children in the United
States have Autism. (Autism speaks p.1)
B: There is a very good chance you may know someone who is on the spectrum in one way or
another.
C: It is important to not only know what Autism is, but how it is diagnosed. Once you have an
official diagnosis it is also important to know about certain education plans.
D:
I myself have grown up with someone who has Autism. There are definitely some difficulties
especially in the beginning, but once you get to know them the are just like anybody else.
I have read and done other forms of research on Autism on several different occasions.
E:
First, I will talk about what Autism is itself.
Then, I will talk ... Show more content on Helpwriting.net ...
With 1 in 68 children in the US being on the spectrum people truly still don't understand the
disorder and choose to base their opinion of of misinformation.
What Autism is. a: Autism is a genetic or environmental disorder.
1: Autism has a range of various conditions such as repetitive behavior, troubles with social skills,
speech, nonverbal communication, etc.
2: chances are if you have autism it was inherited. You don't just randomly catch Autism you are
simply born with it.
b: Autism is a spectrum, meaning there are varying types/degrees of the disorder.
1: With that being said, no child who has Autism is the same as another child on the spectrum.
2: This is what makes Autism so interesting because it is so unique.
Transition: After gaining some knowledge on Autism, you may be wondering how does someone
get diagnosed as Autistic.
B. The general diagnosis process a: There are some indicators that may lead one to thinking
someone may have Autism.
1. Some children with autism may also have other disorders such as ADHD, depression, anxiety etc.
2. Some big flags are lots of hand flapping, gets very upset with minor changes to routines, has a
really hard time with eye contact, by about a year old they still haven't started babbling, again by a
year old still not showing any social interaction,

Nursing Diagnosis
Nursing Diagnosis I Nursing Diagnosis I for Patient R.M. is ineffective airway clearance related to
retained secretions. This is evidenced by a weak unproductive cough and by both objective and
subjective data. Objective data includes diagnosis of pneumonia, functional decline, and dyspnea.
Subjective data include the patient's complaints of feeling short of breath, even with assistance with
basic ADLs. This is a crucial nursing diagnosis as pneumonia is a serious condition that is the eighth
leading cause of death in the United States and the number one cause of death from infectious
diseases (Lemon, Burke, 2011). It is vital to keep the airway clear of the mucus that may be
produced from the inflammatory response of pneumonia. ... Show more content on Helpwriting.net
...
This enhances the clearance of secretions from airways (Spark and Taylor, 2011). Also, to help the
patient have normal breath sounds the nurse should turn the patient every two hours for maximal
aeration of lung fields and mobilization of secretions. This repositioning of the patient prevents
pooling and stasis of respiratory secretions (Sparks and Taylor, 2011). R.M. was able to meet this
goal; he had clear lung sounds to auscultation by the end of the shift on 2/12/14. The final goal of
this care plan is for the patient to express feeling of comfort in maintaining air exchange and
increased knowledge by discharge. This nurse can implement this goal by teaching the patient
relaxation techniques, which reduce oxygen demand, as well as assessing the patients learning needs
and providing appropriate information to the patient about reducing their oxygen demands to help
prevent the reoccurrence of obstruction (Sparks and Taylor, 2011). Nursing Diagnosis II R.M.'s
second nursing diagnosis imbalanced nutrition less than body requirements related to lack of
nutrition as evidenced by untouched food trays. This care plan is also evidenced by subjective and
objective evidence. In R.M.'s patient chart, the previous nurses had noted subjectively that the
patient does not touch food trays and objectively that less than 50% of all meals since
hospitalization had been consumed. Patient R.M. needs to improve his nutritional intake so that he
can provide his body with

Essay On Community Nursing
Community Health Nursing Reflection
NUR/405
August 7, 2012
Community Health Nursing Reflection
According to Phyllis Meadows (2009), Community health nurses are valued for their adaptability
and willingness to provide care in many settings, including community health clinics, churches,
homeless shelters, and schools, (p. 19). Community health nurses aim to improve health outcomes
and improve the infrastructure used to monitor and manage disease within the community. Healthy
People 2020 has established benchmarks and monitored progress over time to improve health
outcomes. Each community has unique needs and the role of the community health nurse is to work
with and provide comprehensive care to patients within the community. This ... Show more content
on Helpwriting.net ...
These factors can create barriers for a community nurse in providing care for individuals and
addressing the needs of the community. Because of diverse populations it is important that
community nurses develop cultural competence and are educated and prepared to address these
differences within the community.
Nursing diagnosis and interventions appropriate to use within this community include: Nutritional
deficiency related to lack of access to grocery stores. Interventions may include nutritional
assessment, identification and referrals to help resources (e.g., WIC or assistance office), and
education regarding appropriate foods needed to meet nutritional needs. A diagnosis of risk for fluid
volume deficit related to farming during high temperatures includes interventions such as educating
and emphasizing the need for adequate fluid intake during times of increased activities and high
temperatures and how to recognize signs of dehydration. Nursing interventions for a diagnosis of
risk for injury related to work environment/occupation or environmental wastes may include
educating on proper body mechanics and ensuring equipment in use is working properly and
individuals are trained how to use such equipment. Another diagnosis of risk of poisoning related to
chemicals associated with place of employment, high possibility of drinking water contamination,
and presence of lead paint. Nursing interventions for this diagnosis can include labeling chemicals

Nursing: Nursing Diagnosis Application To Care Planning
4 NURSING DIAGNOSIS The practice of nursing involves the provision of comprehensive nursing
care to clients based on knowledge from biological, physical and social sciences. Integral to the
practice of nursing is the nursing process, an activity that facilitates the nurse's interaction with
clients in an effort to assist the clients to maintain and restore health. A nursing diagnosis is a
statement that describes the client's actual or potential responses to a health problem that the nurse is
licensed and competent to treat. Eg. Impaired skin integrity related to decreased mobility and risk
for infection related to poor nutritional intake. 4:1 Personal Context: I believe that nursing diagnosis
has an inevitable part in healthcare. ... Show more content on Helpwriting.net ...
The use of nursing diagnosis is a mechanism for identifying the domain of nursing. The formulated
nursing diagnosis provides direction for the planning process and the selection of nursing
interventions to achieve the desired outcome. The care plan is a mechanism for demonstrating
accountability, In addition, the nursing diagnosis and subsequent care plan assist in communicating
to other professionals the client centered problems through the nursing care plan, consultations, and
discharge planning and client care conferences. Making accurate nursing diagnosis helps to ensure
that clients receive quality nursing care. Nursing diagnosis help to increase the specificity of nursing
interventions for each client. Coding of nursing diagnosis in computerized systems allows direct
reimbursement for nurses. Studies of specific nursing diagnosis improve understanding of nursing
diagnostic process and contribute to examination of nurse's role in health care, The development of
taxonomy of nursing diagnosis should significantly affect practice, education, research, legislation,
and nursing as a profession, A nursing diagnosis will help to bridge a gap between knowledge and
practice and will articulate the scope of nursing practice, essential to developing nursing
professional role in

Analysis Of Cornelia De Lange 's Syndrome
Abstract
Cornelia de Lange is a syndrome defined as a genetic birth defect and effects 1 in every 10,000
births. A genetic mutation of gene has been identified as the cause although research and testing
continue. There is no cure and treatment is based on each individual's severity of the syndrome. The
classic signs are long eyelashes, eyebrows that meet in the middle, low ear placement, and missing
fingers or arms. A large amount of those diagnosed with Cornelia de Lange Syndrome also have
slowed physical and cognitive development, with approximately 60% exhibiting self–injurious
behavior. CORNELIA DE LANGE
Cornelia de Lange So far the pregnancy has been a wonderful experience. Mild morning sickness,
very little weight ... Show more content on Helpwriting.net ...
The exam completes and the obstetrician enters the room with a small smile along with concern
showing in her eyes. Long eyelashes that are visible in an ultrasound have been linked to a genetic
condition known as, Cornelia de Lange. While there are many more classic characteristics, that will
be discussed later in this paper, this one feature along with the baby's small size has the doctor
concerned and is cause enough to recommend genetic testing for an exact diagnosis.
CORNELIA DE LANGE Diagnosis for Cornelia de Lange syndrome (CdLs) consists of genetic
testing, as well as findings made from physical and developmental observations. As with most
syndromes, CdLs has a range from mild to severe. There are classic signs like small size, long
eyelashes, eyebrows that meet in the middle, and missing fingers or arms. Other children are so
mildly affected, the condition goes unnoticed and undiagnosed. Many individuals diagnosed with
CdLs have a majority of physical, medical, and developmental disabilities. Once the diagnosis is
confirmed, a battery of tests will follow. With the results, a better picture of needed treatments,
education, and useful resources can be provided. Educating families and caregivers has been shown
to increase the quality of life for the individuals diagnosed with CdLs. Providing information as to

Diagnosis And Treatment Of Nursing Essay
A consecutive series of patients who had undergone anatomically successful MH closure and were
followed for at least 6 months postoperatively were enrolled in this study. All patients were
diagnosed with a stage 2, 3, or 4 idiopathic MH according to the Gass classification system(17) and
underwent a comprehensive ophthalmologic examination before and 1, 3, and 6 months
postoperatively, including measurement of the best–corrected VA (BCVA), binocular indirect
ophthalmoscopy, and non–contact lens slit–lamp biomicroscopy. The SD–OCT examination also
was performed in all patients on the same day as the clinical examination. Standard 3–port pars
plana vitrectomy for MH repair consisted of a core vitrectomy with intravitreal injection of
triamcinolone acetonide to visualize the vitreous gel, surgical creation of a posterior vitreous
detachment if it had not yet occurred, ILM peeling using Briliant blue G (BBG), and fluid–gas
exchange followed by flushing with a mixed non–expansile concentration of 20% sulfur
hexafluoride. Patients were instructed to remain facedown for 2 to 7 days postoperatively. Anatomic
success was defined as the presence of a flat or closed MH 1 month postoperatively confirmed by
biomicroscopy.(18) All patients provided written informed consent after they received a detailed
explanation of the surgical procedure and SD–OCT follow–up examinations. Our retina specialist
(SB) performed the surgeries. One of two experienced examiners performed the VA

Nursing Diagnosis Assessment Data Planning
Gina Fabbro – Care Plan 1 : Ineffective Coping
NURSING DIAGNOSIS ASSESSMENT DATA PLANNING
Ineffective coping r/t past situational crises, unresolved emotional conflict between patient and wife,
destructive behavior towards self, increased depressive state and unpredictable episodes of anger
and aggression s/t sleep apnea AEB disturbed images of past crises, demands on family imposed by
the patients current condition, increased state of depression, disturbed sleeping patterns since
returning from deployment, a torn ligament in wrist from episode of anger and aggression, presence
of tension headaches, increase use of alcohol during the week and unable to identify triggers leading
to angry and aggressive episodes.
A. Patient risk factors include the patients current state of his family, the unknown knowledge of
angering triggers or stimuli, the image of the truck full of dead bodies that keeps surfacing, the
increase in the patients use of alcohol, and patients current state of trying to quit smoking.
B. Patient exemplifies strengths such as having an open mind pertaining to the program. Also
patient has motivation for seeking help in order to maintain his family.
C. Patient limitations include the inability to control angry outbursts, immobility of right wrist, and
facility protocols restricting patient freedom. For example, taking away shoes with laces for the gym
due to risk of suicide.
D. Subjective Data:
When asked about the circumstances

Outline and Evaluate Issues Surrounding the Classification...
Outline and Evaluate Issues Surrounding the Classification and Diagnosis of Depression
Scheff's Labelling Theory is a process which involves labelling people with mental disorders when
they produce behaviour that does not fit with socially constructed norms and labelling those who
reflect stereotyped or stigmatized behaviour of the 'mentally ill'. A disadvantage of labelling an
individual with depression is that labelling can accentuate and prolong the issue. In addition by
labelling someone with depression who in fact is not depressed may in fact become depressed as a
result. Another problem is that labelling an individual with depression means that they can have
problems with getting a job and leading a life in the future because ... Show more content on
Helpwriting.net ...
There are also issues relating to reliability which may affect the diagnosis. One type is Test–retest
reliability, which occurs when a practitioner makes the same consistent diagnosis on separate
occasions from the same information. In terms of depression this can be applied if the same Doctor
or Psychiatrist gives a patient a diagnosis of depression on two separate occasions. The other is
Inter–rater reliability occurs when several practitioners make identical, independent diagnoses of the
same patient. This can be applied to depression by confirming that the diagnosis of depression is
accurate in a given situation.
Issues of validity also arise in the diagnosis of depression. For example, Predictive validity occurs if
diagnosis leads to successful treatment, then the diagnosis can be seen as valid. Under the heading
of depression, there are a series of depressive disorders such as Major Depressive Disorder, Pre–
Menstrual Disorder etc. In terms of depression predictive validity will occur if the right diagnosis is
made followed by a subsequent correct course of action.
Research by Sanchez–Villegas et al (2008) supports the 'predictive validity' of depression diagnosis.
They assessed the validity of the Structured Clinical Interview to diagnose depression, finding that
74.2% of those originally diagnosed as depressed had been accurately

Cinderella Nursing Diagnosis
Nursing diagnosis and interventions for these children are as followed: Ineffective breathing pattern
related to the increased work of breathing and decreased energy as evidenced by intercostal
retractions, use of accessory muscles for breathing, and nasal flaring. Check respiratory status
(noting rate, rhythm, and depth) a minimum of every 2–4 hours or more often as needed for a
decreasing respiratory rate and periods of apnea. Monitor cardiorespiratory monitor and pulse
oximeter attached with alarms set, if ordered. Record and report changes promptly to physician.
Rationale: Changes in breathing pattern may occur quickly as the child's energy reserves are
depleted. Establishing and monitoring a baseline reveal rate

Skin Hyper-Extensibility
The manifestations in EDS continues to be difficult in characterizing and quantifying the prevalence
of the many clinical symptoms seen in this syndrome. Study subjects are often diagnosed later in the
disease process which causes disproportionate groups with few subjects in the early symptomatic
stages. The groups that have been studied demonstrate the following clinical issues. Skin hyper–
extensibility is the primary Dermatologic feature seen in EDS. To test the skin doctors find a neutral
area with no scarring. The skin is stretched until resistance is noticed and the degree of extension is
measured. Skin is considered hyper–extensible if measurements are 1.5cm and beyond (see figure 1)
[4,7]. In the musculoskeletal area, doctors tend

3-Part Nursing Diagnosis
Three part nursing diagnosis
Ineffective coping R/T Inability to meet basic needs (as evidenced by dry mucous membranes,
insomnia, lack of appetite.)
Outcome:
Patient will orally consume 1000ml of fluids within the next 24 hours.
This is a priority for this patient because of certain factors. Nursing diagnosis deals with humans
response to bio–psycho–social stressors and or health problems that a nurse is licensed to treat. We
have assessed that this is an actual problem as evidenced by signs and symptoms patient is
presenting. By gathering our assessment we can tell that she lacking fluid intake based on the nurses
objective assessment of dry mucous membranes and the subjective information provided from
patient that she has not had an appetite.

Explain What Would Be The Priority Nursing Diagnosis
The deficient fluid volume diagnosis would be the priority nursing diagnosis for this patient.
Deficient fluid volume happens when there is a significant loss of fluid and electrolytes as with
excessive sweating. Dehydration can occur from an insufficient fluid intake, excessive fluid loss,
and fluid shifts. The first sign of dehydration is thirst. If the patient would have drunk water when
he first became thirsty, him collapsing may not have occurred, and no further treatment may not
have been needed. If fluids continue to be lost, the heart pumps faster but is rapid and weak and
causes orthostatic hypotension, explaining his pulse being 136 and blood pressure being 88/52.
Orthostatic hypotension may have caused him to collapse due to the

Treatment Plan For John's Depression
This paper will discussion John's background, work environment and relationships with family. It
will explain the interview process, behavioral observations, level of depression, and angry. It will
also exploring how John's depression has led to his drinking problem and what form of treatment
would be best suited to reach John's goals of freeing himself of depression and anger, so he can live
a happy life. Treatment Plan for John's Depression John is a married man, who serves in the military
service. It was Jon's wife who encouraged John to seek counseling. John is having difficulty dealing
with his life, he feels it's worthless. He has no motivation to stop jeopardizing his job or marriage,
even though he is aware that his actions are causing complications in both his work performance
and in his marriage. John toured in Iraq, and decided two months ago that he no longer wanted to be
affiliated with the military service, because of stories he heard about the deaths related to wars in
Iraq. When he returned home from his tour six months ago, he was happy to be home, but slowly
started losing motivation to go to work. He started showing up late, and not fulling his duties at
work. His wife is at this point tired of John's behavior and advised him to seek therapy. Unstructured
Interview An unstructured interview would be most appropriate in John's situation because it
allows flexibility in establishing rapport with him (Jones, 2010, p. 1). It also allows the counselor
to

Robin Morg A Truly Inspiring Woman
Robin Morgan is thought of as a truly inspiring woman. When she was just a couple of months old,
she starred in prize baby contests and transitioned into modeling as a toddler. In 1945, at a young
age, she had a nationally syndicated radio show before she delved in acting where she became
immensely successful. Against the will of her mother, at the young age of fourteen, she left acting to
pursue a career in writing, having had the dream of being a writer since she was four years old. At
the age of seventeen, she published several of her poems in various literary magazines. She went on
to write numerous diverse styles of successful works and quickly became highly regarded by several
organizations. Our such organization, The Women 's Media Center, stated, An award–winning
author, feminist activist, political analyst, and journalist, and a recipient of the National Endowment
for the Arts Prize (Poetry) with a host of other honors, Robin Morgan has published more than
twenty books, including poetry, fiction, and the now–classic anthologies Sisterhood Is Powerful,
Sisterhood Is Global, and Sisterhood Is Forever. Her work has been translated into 13 languages. In
the year 2010, Morgan was diagnosed with Parkinson's Disease. Since that diagnosis, she has
dedicated herself to not only continuing her writing, but to ...applying her intellect and organizing
skills to Parkinson's research and gender bias. In her speech, 4 Powerful Poems About Parkinson's
and Growing Older, Robin

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