Wednesday, May 29, 2019
Philosophy - Are we Willing to Accept the Changes that Philosophical T
school of thought - Are we Willing to Accept the Changes that Philosophical Thinking can Bring? Philosophy is a general overview of how our community functions, by how we think and the many ways in which we act. It can also be described as the love of wisdom. As individuals we are introduced to ideas that test our companionship of the different concepts of life history, with questions such(prenominal) as who are we and why were we brought here? Philosophical questions have made an impact on us with thoughts that dont usually have an do to the question which was brought forward, and to which neither side knows the answer to. For thousands of years mankind has questioned the origins of human life and the nature of the cosmos. Over the years, great philosophers such as Plato and Aristotle philosophized such questions as What is the meaning of life on Earth? What were the circumstances that caused us to wonder ab proscribed why we are here? And which method for searching for the m eaning of life do we prefer? Such questions have also boggled my mind. The philosophy of ones life, can only be answered by that person whom it consumes. Philosophy and our nonchalant lives are closely linked to each other. At work and or school we are sometimes bombarded with questions that may occasionally affect our way of thinking, and in some cases our moral beliefs. In the community, we are subjected to things that become integrated into our lives, and we are left with the agony of trying to figure out the right or amiss(p) answer, wh... Philosophy - Are we Willing to Accept the Changes that Philosophical TPhilosophy - Are we Willing to Accept the Changes that Philosophical Thinking can Bring? Philosophy is a general overview of how our society functions, by how we think and the many ways in which we act. It can also be described as the love of wisdom. As individuals we are introduced to ideas that test our knowledge of the different concepts of life, with questions such as who are we and why were we brought here? Philosophical questions have made an impact on us with thoughts that dont usually have an answer to the question which was brought forward, and to which neither side knows the answer to. For thousands of years mankind has questioned the origins of human life and the nature of the cosmos. Over the years, great philosophers such as Plato and Aristotle philosophized such questions as What is the meaning of life on Earth? What were the circumstances that caused us to wonder about why we are here? And which method for searching for the meaning of life do we prefer? Such questions have also boggled my mind. The philosophy of ones life, can only be answered by that person whom it consumes. Philosophy and our daily lives are closely linked to each other. At work and or school we are sometimes bombarded with questions that may occasionally affect our way of thinking, and in some cases our moral beliefs. In the community, we are subje cted to things that become integrated into our lives, and we are left with the agony of trying to figure out the right or wrong answer, wh...
Essay example --
Topic I am studying about heritage rows and bilingualism because I want to find out how ones language shapes his or her identity in an increasingly globalized society in order to understand why there is still a fear among umteen immigrants and their descendants of teaching their children their heritage language. Based on the science and research done on bilingualism, learning a heritage or second language while growing up has minimal to no adverse affects on language development and social class. Rather, language presents an opportunity to elevate ones culture, personality, and identity. For America, heritage and second language education is vital to sustaining its worldwide influence as the world becomes more globalized.Coca-Cola. Coca-Cola Its Beautiful Official 60. YouTube. YouTube, 2 February2014. Web. 2 February 2014.The main claim of this Coca-Cola commercial is that every American, regardless of ethnicity, religion, and sexuality, enjoys drinking Coca-Cola and so the audie nce should as well. The sub-claim here is that America is a nation consisting of diverse individuals with backgrounds stemming from about the world. The grounds for this sub-claim are the various scenes in which a variety of Americans are depicted enjoying the freedoms of America with America the Beautiful being sung in double languages in the background. This Coca-Cola commercial appeals to the pathos of the American audience with the incorporation of the iconic, patriotic song and the breadth of minorities represented in the video. The multilingual singing of the song had to be a deliberate choice since Coca-Cola could have very easily shown the same clips of the diverse Americans with the English version. This implies that Coca-Co... ... childs life may simply soupcon to greater psychological difficulties because of the childs overwhelming feeling of abandonment. I intend to juxtapose these two pieces in my paper. De Houwers article coincides the most with Landaus in that bot h agree bilingualism does not create any significant child development issues and that the benefits outweigh the costs. The language used in this article is think for a general audience, which can promote discussions and questions. As for the credibility of de Houwer, she is currently Professor of Language Acquisition and Language Teaching at the University of Erfurt in Germany, and she is to a great extent involved with multiple linguistics organizations. At the time of this articles writing, she taught at the University of Antwerp and Science Foundation of Flanders, Belgium. Therefore, this is clearly a scholarly, credible source.
Tuesday, May 28, 2019
Patriot Act Violates Civil Liberties Essay -- Political Science Politi
Since the terrorist suicide bombed the world trade center and a wing of the pentagon, there has been a change in the relationship between the United States organization and the people. The executive branch has taken steps that undermine the principles in the United States constitution. In order to ensure a more democratic society, we have to tell the difference between effective governing and individual freedom. There is one main topic Im going to spill about how the 1st amendment, 4th amendment, 5th amendment, and 6th amendment are being eroded by the USA PARTRIOT Act which introduced a overabundance of legislative changes which advantageously increased the surveillance and investigative powers of law enforcement agencies in the United States.The First Amendment protects our rights of free speech and assembly, the independence of the press, and prohibits official establishment or unfair animadversion of any particular religion. Free speech rights can be thought of as having two parts, the right to have free access to ideas, and the right to pronounce ideas freely. The right to calm assembly goes with free speech given that demonstrations and other political activity are protected as expressive behavior. While government actions threaten all these rights stated by the First Amendment, it is our free speech and assembly rights which are most at risk. The USA PATRIOT Act contains aliment that will malefactorize peoples legitimate expressions of their political views. For example, the Act creates a new category of crime domestic terrorism blurs the line between speech and criminal activity. Section 802 of the Act defines domestic terrorism as acts dangerous to human life that are a violation of criminal laws that appear to be inten... ...tee against haughty and malicious persecution of individuals by the state by weakening those protections, the government has opened the doors to new encroachments on the liberties that all residents of the United States r ightfully enjoy. References1. http//action.aclu.org/reformthepatriotact/2. http//64.233.187.104/search?q=cache1jKHd-GzeoMJwww.aclu.org/Files/getFile.cfm%3Fid%3D10897+ cultured+liberties+after+9/11&hl=en3. http//www.counterpunch.org/lazarus0925.html author EDWARD LAZARUS4. http//www.counterpunch.org/cassel10182004.html author ELAINE CASSEL5. http//www.aclunc.org/911/chronology.html 6. http//www.garynull.com/Documents/ACLU/911_report.htm 7. http//www.epic.org/privacy/terrorism/usapatriot/8. http//www.slate.com/id/2087984/9. http//en.wikipedia.org/wiki/USA_PATRIOT_Act10. http//www.epic.org/privacy/terrorism/hr3162.html
Patriot Act Violates Civil Liberties Essay -- Political Science Politi
Since the terrorist suicide bombed the world trade center and a wing of the pentagon, there has been a change in the relationship between the United States giving medication and the people. The executive branch has taken steps that undermine the principles in the United States constitution. In order to ensure a more democratic society, we have to tell the difference between effective governing and individual freedom. There is one main topic Im going to chide about how the 1st amendment, 4th amendment, 5th amendment, and 6th amendment are being eroded by the USA PARTRIOT Act which introduced a overabundance of legislative changes which substantially increased the surveillance and investigative powers of law enforcement agencies in the United States.The First Amendment protects our rights of free speech and assembly, the independence of the press, and prohibits official establishment or unfair critical review of any particular religion. Free speech rights can be thought of as havin g two parts, the right to have free access to ideas, and the right to declare ideas freely. The right to calm assembly goes with free speech given that demonstrations and other political activity are protected as expressive behavior. While government actions threaten all these rights stated by the First Amendment, it is our free speech and assembly rights which are most at risk. The USA PATRIOT Act contains nutrition that will wickedize peoples legitimate expressions of their political views. For example, the Act creates a new category of crime domestic terrorism blurs the line between speech and criminal activity. Section 802 of the Act defines domestic terrorism as acts dangerous to human life that are a violation of criminal laws that appear to be inten... ...tee against haughty and malicious persecution of individuals by the state by weakening those protections, the government has opened the doors to new encroachments on the liberties that all residents of the United States rightfully enjoy. References1. http//action.aclu.org/reformthepatriotact/2. http//64.233.187.104/search?q=cache1jKHd-GzeoMJwww.aclu.org/Files/getFile.cfm%3Fid%3D10897+ civilised+liberties+after+9/11&hl=en3. http//www.counterpunch.org/lazarus0925.html author EDWARD LAZARUS4. http//www.counterpunch.org/cassel10182004.html author ELAINE CASSEL5. http//www.aclunc.org/911/chronology.html 6. http//www.garynull.com/Documents/ACLU/911_report.htm 7. http//www.epic.org/privacy/terrorism/usapatriot/8. http//www.slate.com/id/2087984/9. http//en.wikipedia.org/wiki/USA_PATRIOT_Act10. http//www.epic.org/privacy/terrorism/hr3162.html
Monday, May 27, 2019
Immigrants in Singapore
Name Clara Soo Wen Lin (4) Class 2E History Holiday SEQ Assignment suspense 1(a) Immigrants came to early capital of Singapore due to push factors such(prenominal) as famines and droughts as comfortably as natural disasters and starvation, and the desire to seek protection and safety. India was overpopulated and the immigrants faced some droughts and natural disasters in their homeland. After droughts wiped out their crops and resulted in famine, more would be forced to find jobs in the city in order to earn a living to feed their families. However, jobs were scarce which caused many of them to seek employment outside of India.With the prospect of finding jobs outside, this would at least give them a chance to survive. in addition in China, with famines and droughts being a common occurrence, accompanied by the shortage of fertile land for crop cultivation, a huge portion of the population who break downed as labourers or farmers resulted in starving. Furthermore, t here(predic ate) was much disorder and unrest in China as the people were trying to overthrow the corrupted Qing government, resulting in many Chinese seeking protection and safety outside China.On the coastal areas in the Malay Archipelago, pirate attacks were frequents in war-torn areas in Sumatra, Java and Malaya, smell was extremely unsafe, which was why many Malays were pushed to leave their homeland. Therefore, the first reason why immigrants came to early Singapore was because of push factors such as famines and droughts as well as natural disasters and starvation, and the desire to seek protection and safety.Pull factors which brought many immigrants to Singapore was because Singapore can provide more job and business opportunities as well as better living conditions, the free immigration policies and not to for build that Singapore was a free trading port. As saucilys of the nameing of Singapore spread to neighbouring countries and even the countries as far away as India and China, many make outrs and shippers were attracted to Singapore where they could enjoy freedom of trade, which meant that they did not have to pay any springer duties or taxes on goods they brought into, or out of, Singapore.Singapore as well as served as a efficient trading centre where the British traders could sell their goods to people passim Southeast Asia. Large numbers of people from the Malay Archipelago, Southeast Asia, India, China and other parts of the world flocked to Singapore to trade or to look for work because of the free immigration policies which meant that the immigrants were allowed to come and go as they pleased. As there was no warfare in Singapore then, it provided the Malays with a peaceful and safe dwelling to settle down into.In this manner, Singapore in the 19th century was like a magnet which attracted many immigrants due to the many pull factors such as free immigration policies, freedom of trade, more job and business opportunities as well as better livi ng conditions. Question 1(b) I coincide to a large extent that the success of Singapore as a prosperous trading centre depended solely on the contributions of the migrant workers who came to Singapore in the 19th century. To shape Singapore into what it is today a successful and prosperous trading centre was mainly due to the presence of trade activities and revenue earned.However, it did not depend on the immigrants solely as Farquhar and Raffles were key figures in solving the problems brought about by the migrant workers along with their contributions to Singapore. The Malays contributed to trade by legal transfer in straits arouse like coffee, birds nests, spices and rice from the East Indies to Singapore. Straits produce are the products that are grown in the East Indies. These Straits produce helped to widen the variety of goods being traded between Singapore and other countries. Therefore, trade was enhanced.In the aspect of education, some Malays who were educated worke d as journalists or teachers. One storied example is Munshi Abdullah who could speak many languages and also wrote books about the early Singapore. Malays were also expert boat-builders. Besides making boats for traders, they also served as sailors and officers on the ships. former(a)s worked as policemen, fishermen and watchmen. The Chinese also made many contributions from middlemen to merchants and planters. Some Chinese businessmen acted as middlemen between the British and the non-English speaking traders.They bought straits produce from the Asians and sold them to the British. Most of the middlemen were Peranakans. Among them were burn Kim Seng and Tan Tock Seng. Some Chinese were shopkeepers who sold daily needs like cloth, medicine and provisions. Hoo Ah Kay was a shopkeeper who supplied ships with bread and vegetables. He also owned a bakery and an accessories shop. He owned a large gambier plantation and he was the first businessman who produced cash crops in large amoun t. Other than the above mentioned, Chinese also served as skilled labourers like carpenters, barbers and goldsmiths.Those who were unskilled worked as hawkers, servants, coolies and rickshaw-pullers. In terms of business, North Indians became milkmen who sold milk to other Indians or Europeans. They reared cows, goat and buffaloes to get their milk. Others were shopkeepers who provided daily needs like food, cloth and laundry services. Besides these, The Indian Muslims served as moneychangers and also moneylenders. Lastly, we also have the Sikhs who were good policemen and watchmen because of their strength and body size.The thieves were panic-stricken of their Beards and turbans. Europeans had the knowledge of trade and commerce. They setup companies, which had connections with Europe with their capital. They sold the goods that were made in Europe and shipped the goods that they bought from Asia back to Europe. Among them were Alexander Guthrie and Edward Boustead. The European m erchants gave their opinions and pointed out the weaknesses of the government here. Some of them volunteered to be unp upkeep judges. They helped to maintain law and order in this way.Even though the immigrants played a significant role in contributing to Singapore to aid her development, they also created many problems for the settlement. Singapore became a lawless society, where secret societies were rampant because many of the Chinese who voluntarily joined were lonely in a new settlement and sought for friendship, protection as well as help and assistance that they believed the secret societies could provide them with. These people committed many crimes, from gang robberies to closure to justice and even to the extent of murder.They were a powerful group of people as the inefficient police force was ill-equipped in the 1800s and they could not experience the language of the Chinese secret societies. This resulted in insecurities of the residents in Singapore and may result in traders doubting the security of Singapore and not coming here to trade. This would implicated our port prosperity and bring down our revenue earned. Other key figures such as Raffles and Farquhar also have to be credit for their share of contribution to the development of Singapore.Raffles drew up a Town Plan during his visit to Singapore in 1822 as he found that the settlement had grown in a most disorderly manner. The town was divided into incompatible areas for government, business and residential. Different races also settled in different areas of town, which could help reduce conflict between the different races who practised different cultures. Farquhar, on the other hand, firstly helped to get the traders from the places nearby to come to Singapore and trade as not many people knew about the settlement in Singapore. He invited the immigrants from Malacca to come and trade and stationed an office at St.Johns Island to inform the trading ships passing by about the settlement in Singapore. Apart from setting a stable foundation for the trading port, he also took care of problems such as the lack of building materials, food, tools and other necessities, the pests that roamed all over the settlement and also tried to solve the problem of common occurrences of crimes and robberies by setting up a small police force. Therefore, in conclusion, I agree to a large extent that the success of Singapore as a prosperous trading centre depended solely on the contributions of the migrant workers .The migrant workers contributed in different areas, mainly building the settlement, promoting trade, working for the government and also overhaul the community. Their contributions went a long way in helping the people and improving their lives in the long run. Without the hark word of these migrant workers, the fact that Singapore became a successful port would not have been made possible. On the other hand, I would have to disagree that success of Singapore was only due t o the immigrants contributions. Other key figures such as Raffles and Farquhar played a significant role in guiding Singapore through, hand-in-hand with the immigrants.
Sunday, May 26, 2019
The Act of Valor
The Act of Valor Todays society consists of a diverse human race that shargons a common goal, to live life to its fullest authorisation. In the get, The Lord of the Rings The Fellowship of the Rings, the main character, Frodo, is set verboten on a quest to crush the predict that has long acquired the presence of offensive. On his quest to record the abut, he encounters m either challenges. His challenges consists of keeping the ring safe from the detestation ones who want it back, making sure the ring gets to the destination, and keeping his life safe from harm.Along his journey, he is joined by a couple of his friends, all of which he must learn to trust, in order to destroy the rings that possesses evil. They ar faced with the challenges to keep safe from Saruman and his orcs, the black riders, and Saurons soul. Throughout his journey, his qualities of a hero show. He owns the qualities of resilience, determination, courage, trust, and heroism. Without the qualities he po ssesses, it would get been an impossible working class to complete. Frodo faces numerous challenges as he tries to destroy the ring.Those who seek to retrieve the ring are out to murder him. Without the help of his friends and those who care for him, he would non commit stayed alive. Through his courage and determination, he shows that he can be trusted to be the one that destroys the ring. He is equipped with many qualities that help him complete the task. His optimism brought the potence he needed to succeed. As individuals in todays society, we face many challenges in our lives. Yes, challenges can bring us down, but it also actualizes us stronger.Some of us are faced with challenges such as being able to survive, fighting cancer, being the first to go to college, being able to pay for bills, etc. Nevertheless, each of us encounters challenges that help shape and develop our lives. Challenges are not meant to kill anyone, but instead they are meant for people to reach the ir full potential in being able to find the answers and strength to be able to overcome the challenges we face. Each of us is born for a reason. It is impossible to tell what out fate is, but as time goes by, we start to find out just what our mission on Earth is.Frodo possesses the qualities of a Hero Archetype. Being a determined, resilient, trustworthy, and courageous individual, he is one that pleases everybody. Frodo never quit with being able to destroy the ring. Although he faced many challenges along the way, he managed to stay strong. He witnessed Gandalfs death, he was nearly dead, and he had to leave his home to complete the task, but despite all that he encountered along the way, he managed to be determined. at that place were many cast out effects on Frodo, but he maintained his composure and stayed optimistic until the end.Each of us has been knocked down multiple times by school, work, or simply the stress that we all face. Being knocked down is for us to realize wh at we need to do to get back up. Determination is the key to withstanding any negative effects on life. If we have a positive outlook on life and how our future will be, we can start to be heroes of our own lives. Frodos goal was to destroy the ring. Facing the challenges that follows as he is on his journey may impact him. By being determined, his goal to protecting the ring from the evil is reached.In our lives, we have many goals in life that we want to reach. We make mistakes here and there, but we learn from them and grow stronger. By being determined and positive, we can make sure our goals are reached. During Frodos journey, his friends and individuals who help protect him from those that want to retrieve the ring from him accompany him. They guide him in his journey to find his way safely. They are there to protect him from the evil that surrounds him. During our lives, we befriend many individuals who help us with our future.These friends of ours, are people we trust, turn to when they are in need, or simply to have a sense of security. Just like Fordo being accompanied by his friends, we have friends we turn to when we need them. Frodos task is to protect the ring from the evil black riders that want it back. As he is on his journey, he makes many decisions that help him and his friends stay alive. The critical decision making that he makes throughout the film are vital in order to keep the ring in his possession, as well as stay alive.We are faced with making decisions that are crucial to our future. Without making the best decision, we cannot be successful in our lives. Frodos decision making made it possible for him to succeed. The Lord of the Rings The Fellowship of the Rings, is not just a film, but it also shows its comparison to todays society. Frodo faces many challenges while he is set out on his quest to destroy the ring. Each of us, face challenges in our life that make it difficult for us to succeed, but by working extra hard, we can mana ge to overcome any challenge.Also, Frodo makes vital decisions that help with the safety and survival of Frodo and the group of followers. We face many points in our lives that consist of valuable decision-making. Those who want to protect him, as well as his friends accompany Frodo. During our lifetime, we befriend many people who become treasures to our hearts. Being able to have people we can turn to and trust is truly amazing. The film shows many relations between reality and how the movie is portrayed. As Frodo is on his journey to destroying the ring, he shows great heroism that is noticed by many.
Saturday, May 25, 2019
Individual Health Assessment Essay
Client/ forbearing Initials DN Sex M Age 66 business sector of Client/Patient RetiredHealth History/Review of arrangings(Complete and systematic review of systems) Neurological agreement ( directaches, head injuries, dizziness, convulsions, tremors, weakness, numbness, tingling, difficulty speaking, difficulty swallowing, etc., medications)No complaints of headaches, no capitulumly(prenominal) head injuries, no complaints of dizziness, no history of convulsion, tremors or weakness. The diligent of of states he has had no numbness, tingling, or unsteady gait. The unhurried denies dysphagia or dysphasia. Head and Neck (pain, headaches, head/neck injury, neck pain, lumps/ s hygienicing, surgeries on head/neck, medications)The unhurried denies head pain, head or neck injury or trauma, no nodules or surgeries. The longanimous denies winning medication for head or neck. Eyes (eye pain, blurred vision, history of crossed eyes, excitation/swelling in eyes, watering, tearing, i njury/surgery to eye, glaucoma testing, vision test, glasses or contacts, medications)The unhurried does wear corrective glasses.The affected role denies redness or swelling in eyes nor watering. The diligent role denies history of eye injury or surgery. Ears (earache or other ear pain, history of ear infections, discharge from ears, history of surgery, difficulty hearing, environmental noise exposure, vertigo, medications)The patient denies ear pain or new ear infections. The patient does have a bandage to right ear stating he just had scratch cancer removed. Incision intact. No surrounding redness or swelling. The patient denies drain. The patient denies vertigo. Nose, Mouth, and pharynx (discharge, sores or lesions, pain, nosebleeds, bleeding gums, sore throat, allergies, surgeries, usual dental c atomic number 18, medications)The patient denies sore throat, runny nose, or sores to mouth. The patient has saddentition and states he sees a dentist regularly.The patient st ates he brushes his teeth twice daily. The patient denies seasonal allergies. Skin, Hair and Nails (skin disease, changes in affectation, changes in a mole, luxuriant dryness or moisture, itching, bruising, rash or lesions, recent hair loss, changing nails, environmental hazards/exposures, medications)The patient denies excessive dryness or excessive moisture to skin. The patient states history of skin cancer. The patient states he has had several spots removed for skin cancer including his nose, right ear, and cheek. The patient denies bruising easily. Breasts and Axilla (pain or marrow, lumps, boob discharge, rash, swelling, trauma or injury to breast, mammography, breast self-exam, medications)The patient denies pain or tenderness to breasts. The patient denies rash or swelling to breasts. computer peripheral Vascular and lymphatic System (leg pain, cramps, skin changes in arms or legs, swelling in legs or ankles, swollen glands, medications)The patient denies leg pain or cramping. The patient denies swelling in lower extremities and denies taking medications to increase circulation. Cardiovascular System (chest pain or tightness, SOB, cough, swelling of feet or hands, family history of cardiac disease, tire easily, self-history of heart disease, medications)The patient states he has a history of heart attack and high blood pressure. The patient denies shortness of breath or recent chest pain. The patient states he currently takes Coreg and Aspirin daily. Thorax and Lungs (cough, SOB, pain on inspiration or expiration, chest pain with breathing, history of lung disease, smoking history, living/working conditions that affect breathing, hold TB skin test, flu shot, pneumococcal vaccine, chest x-ray, medications)The patient denies cough or shortness of breath. The patient denies chest pain upon inspiration or expiration.The patient denies lung disease. The patient states he stopped smoking 32 years ago. The patient states he is up to date on his flu vaccination as well as his pneumonia vaccination. Musculoskeletal System (joint pain stiffness swelling, heat, redness in joints limitation of movement muscleman pain or cramping deformity of bone or joint accidents or trauma to bones back pain difficulty with activity of daily living, medications)The patient denies joint pain or stiffness. The patient denies muscle pain or cramping. The patient denies deformity of bones or joint. The patient denies history of trauma or accident to bones or muscle. The patientdenies debilitation to activities of daily living. Gastrointestinal System (change in appetite increase or loss difficulty swallowing foods not tolerated abdominal pain nausea or emetic frequency of BM history of GI disease, ulcers, medications)The patient denies changes in appetite. The patient denies difficulty swallowing. The patient denies foods that are not tolerated. The patient denies frequent nausea or vomiting. The patient states he has a regular bowel movement daily. The patient denies history of GI ulcers or taking medications for GERD or acid reflux. Genitourinary System (recent change, frequency, urgency, nocturia, dysuria, polyuria, oliguria, hesitancy or straining, urine color, narrowed stream, incontinence, history of urinary disease, pain in flank, groin, suprapubic region or low back)The patient denies urgency, frequency, or dysuria. The patient denies polyuria.The patient states history of kidney stones. The patient denies incontinence or flank pain. The patient denies groin pain or low back pain. Physical Examination(Comprehensive examination of each system. take findings.) Neurological System (exam of all 12 cranial nerves, motor and sensory assessments)Cranial organization I Sense of smell intact evidenced by smelling an onion as well as cinnamon with eyes closed. Cranial Nerve II Snellen eye chart eye exam exhibitor 20/40 in bilateral eyes without corrective lenses. Patient is 20/20 in bilateral eyes with corrective le nses. Cranial Nerve II, IV, and VI Pupils mate, round, and reactive to light and accommodation. Extraocular movements are within recipe limits. Cranial Nerve V Mastication muscles are equal bilaterally. Cranial Nerve vii Facial symmetry renowned. Facial nerves function appears within normal limits. Cranial Nerve VIII Normal hearing functioned noted with hearing loopy spoken words as well as normal conversation. Cranial Nerve IX and X The patient has a positive gag innate reflex as well as normal appearing uvula and soft palate. Cranial Nerve XI The sternocleidomastoid and trapezius muscles are symmetric. Neck and head with oerflowing range of gesture. Shoulder shrug showing trapezius muscle equal bilaterally. Cranial Nerve XII The patients speech is within normal limits with a midline tongue. No sores, lesions, or abnormalities of tongue noted. Head and Neck ( sense the skull, take stock the neck, inspect the face, palpate the lymph nodes, palpate the trachea, palpa te and auscultate the thyroid gland) reflexion is symmetric.Trachea is midline. Lymph nodes within normal limits with nogoiter noted. The patient has dependable range of motion to head and neck. The patients head is without nodules noted. The patient has ironlike carotid twinklings present bilaterally. Eyes (test visual acuity, visual fields, extraocular muscle function, inspect external eye structures, inspect anterior eyeball structures, inspect ocular fundus) Patient is 20/20 in bilateral eyes with corrective lenses. Extraocular movements are intact. No nystagimus or strabismus noted. Pupils are equal, round, and reactive to light and accommodation. No drainage or redness noted to bilateral eyes. Conjunctiva are pink, sclera white without redness noted. Ears (inspect external structure, otoscopic examination, inspect tympanic membrane, test hearing acuity)The patients ears are symmetric. The patient has a dressing to right ear from recent skin cancer removal. Incision clear without redness or drainage. The patients hearing within normal limits. Bilateral tympanic membranes intact and pearly gray with normal light reflex. No perforations noted. Ear canal redundant of drainage. Nose, Mouth, and Throat (Inspect and palpate the nose, palpate the sinus area, inspect the mouth, inspect the throat)The patients nose is symmetric with no nasal drainage noted. Nasal septum midline. The patient denies tenderness of the external nares. Nasal mucosa is pink and within normal limits. Nares patent. No nasal flaring noted. Mouth within normal limits with no sores or blisters noted to tongue. Tongue is midline. Tonsils are pink with no swelling noted. The patient has no dental caries noted, but several fillings noted. Skin, Hair and Nails (inspect and palpate skin, temperature, moisture, lesions, inspect and palpate hair, distribution, texture, inspect and palpate nails, contour, color, teach self-examination techniques)The patients skin with no dryness, rashes, or acne noted.The patient has a scar noted to his nose, right ear, and odd cheek. The patient states this is areas of skin cancer that have been removed. Skin turgor within normal limits with no tenting. The patients hair is thin with no signs of dandruff. The patients nails are not brittle. No clubbing noted. Capillary refill is less than three seconds. Breasts and Axilla (deferred for purpose of class assignment) Peripheral Vascular and Lymphatic System (inspect arms, symmetry, pulses inspect legs, venous pattern, varicosities, pulses, color, swelling, lumps)The patient has no swelling noted to upper or lower extremities. Skin color within normal limits with no discoloration. Peripheral pulses arestrong and equal bilaterally. The patients legs are without varicosities. Cardiovascular System (inspect and palpate carotid arteries, jugular venous system, precordium heave or lift, top(prenominal) impulse auscultate rate and rhythm identify S1 and S2, any extra heart sounds, murmur)Th e patients blood pressure is 128/78, pulse 68. Upon auscultation, the apical pulse is also 68 with regular rate and rhythm. No murmur or arrhythmia noted. S1 and S2 noted without murmur. No bruit noted.No jugular vein distention noted. Thorax and Lungs (inspect thoracic cage, symmetry, tactile fremitus, trachea palpate symmetrical expansion, percussion of anterior, lateral and posterior, abnormal breathing sounds)The patients chest has equal and bilateral rise and fall with good muscle tone. The patient denies chest tenderness upon palpation. Respiratory rate 17 breaths per minute and regular. Tactile fremitus symmetrical over posterior lung area of the back. Lungs sounds clear in all four lobes. Musculoskeletal System (inspect cervical spine for size, contour, swelling, mass, deformity, pain, range of motion inspect shoulders for size, color, contour, swelling, mass, deformity, pain, range of motion inspect elbows for size, color, contour, swelling, mass, deformity, pain, range of motion inspect wrist and hands for size, color, contour, swelling, mass, deformity, pain, range of motion inspect hips for size, color, contour, swelling, mass, deformity, pain, range of motion inspect knees for size, color, contour, swelling, mass, deformity, pain, range of motion inspect ankles and feet for size, color, contour, swelling, mass, deformity, pain and range of motion)The patient has no curvature noted to spine. The spine is without swelling or deformity. The patient denies cervical tenderness or pain. The patients shoulders are symmetric with near range of motion. The patients elbows are free of deformity with full range of motion. The patient denies pain to elbows. The patients wrist are free of deformity with full range of motion. The patient denies pain to wrists. The patients hands are free of deformity with full range of motion. The patient denies pain to hands. The patient has healed scars from bilateral carpal tunnel surgery. The patients hips are symmetric with full range of motion.The patient denies pain to hips. The patients knees are symmetric with full range of motion. No masses or deformities noted. The patient denies pain to knees. The patients knees are symmetric without obvious masses. The patient has full range of motion to bilateralknees. The patient denies pain to bilateral knees. The patients feet are without swelling. The patient has full range of motion to ankle and foot. No obvious deformities or masses noted. Skin is intact to bilateral feet. (Jarvis, 2012). Gastrointestinal System (contour of abdomen, general symmetry, skin color and condition, pulsation and movement, umbilicus, hair distribution auscultate bowel sound, percuss all four quadrants percuss border of liver light palpation in all four quadrants muscle wall, tenderness, enlarged organs, masses, rebound tenderness, CVA tenderness)The patients abdomen is symmetric, soft, and round. The patient has normal hair distribution with skin pink. The patient denies tenderness to all four quadrants. Bowel sounds normoactive x4 quadrants. No masses palpated. Liver palpates within normal limits. Genitourinary System (deferred for purpose of this class) FHP AssessmentCognitive-Perceptual sampleThe patient has no cognitive defects noted. Nutritional-Metabolic PatternThe patient states he eats breakfast, lunch, and dinner. The patient states he tries to watch what he eats. He does however state he has a weakness for ice cream. Sexuality-Reproductive PatternThe patient states he has been married to his wife for 28 years. He denies problems or issues with his sex life and states he is satisfied. Pattern of EliminationThe patient states he has a regular bowel movement daily. The patient denies problems with diarrhea or constipation. The patient denies any problems with urination. The patient denies waking at night to urinate. Pattern of Activity and ExerciseThe patient states since retirement, he has slacked on his daily exercise. The patient sta tes the only exercise he gets is daily yard work and gardening. The patient states he used to take a mile long walk, but has slacked off of that. Pattern of Sleep and RestThe patient states he gets 7 hours of sleep nightly.The patient denies waking throughout the night. Pattern of Self-Perception and Self-ConceptThe patient presents as a confident male who has continuous eye contact. Summarize Your Findings(Use format that provides logical progression of assessment.) stead (reason for seeking care, patient statements)The patient presents today for a recheck of his healing incision to right ear status post removal of skin cancer. Background (health and family history, recent observations)The patientstates he has a history of several skin cancer spots that have been previously removed. The patient states his mother passed away from lung cancer and his scram with brain cancer. The patient denies drainage or surrounding redness to area. The patient states he applied antibiotic oin tment as well as a dressing twice daily. Assessment (assessment of health state or problems, nursing diagnosis)The patient has a healing incision noted to right ear. This incision is free of drainage or redness. Nursing Diagnosis Risk for infection related to incision to right ear (Gulanick & Myers, 2007). Recommendation (diagnostic evaluation, follow-up care, patient education article of faith including health promotion education)The patient needs to continue to apply the antibiotic ointment as well as dressing to the ear twice daily. The patient needs to continue to observe the area for drainage, redness, or signs of infection. The patient needs to continue to inspect his skin for areas that may be suspicious for additional skin cancer lesions. The patient is educated on proper hand-washing skills as well as signs of fever or illness. The patient is also educated on the greatness of follow up with his dermatologist. ******ReferencesGulanick, M., & Myers, J. (2007). Nursing ca re plans Diagnosis, interventions, and outcomes. (6th ed.). St. Louis, Missouri Elsevier Mosby.Jarvis, C. (2012). Physical Examination & Health Assessment (6th ed.). St. Louis, Missouri Elsevier Saunders.
Subscribe to:
Posts (Atom)