A Research On The Nursing Field - 1716 Words

Hey you LPN, Can you get the nurse I have a question to ask them? A common phrase heard in the nursing world and often makes the LPN feel inadequate and frustrated. The nursing field is one that is rich in history and diversity. The registered nurse has been the backbone of the nursing world for many years; however, many people recognize the license practical nurse or license vocational nurse particularly in the geriatric community. LPN/LVN in this setting perform many of the same tasks as the RN, yet is paid less and given much less respect. The LPN makes up the majority of the workforce when working in the geriatric rehabilitation setting and deserves to be treated as equals with the RN. The Scope of Practice, education given to both†¦show more content†¦To a large degree, this was because the RN had more training and is accepted to be educated than the LPN, however many LPNs with experience and additional education are often significantly better nurses. It is often highl y recognized that nursing is a profession based on experience and knowledge. Often the knowledge is gained from experience thus the skilled nurse is one with a significant amount of experience. Today much of nursing is based on evidenced based practices, which is performing procedures and tasks based on what is known will produce the greatest positive outcome (Jyothi, 2012). The next part of understanding why the LPN should be treated equally with their counterpart the RN, understanding the differences in scopes of practice. This paper will specifically be referring to the Florida scope of practice, largely in part due to personal experience and the huge LPN population in Florida. According to LPN.com (2014), there are approximately 43,350 working LPN in the state of Florida. LPN s as previously reported are the backbone of the geriatric population, and Florida has nearly 20 million people over 60, or 23 percent(ADRC, 2017). The LPN scope of practice in Florida differs in many ways to the RN. The RN is responsible for the initial assessment of the patient (FBON, 2005), however often when caring for this population, the patient is often being seen in the past for similar orShow MoreRelatedA Research On The Field Of Nursing880 Words   |  4 PagesSometimes all a sick child wants is his or her parent, and all a parent wants is a good nurse. I have chos en to pursue a career in the field of nursing, with a focus in pediatrics. Pediatrics is branch of medical care dealing with matters related to children. It is the responsibility of a registered nurse in any field to ensure that quality assurance procedures are precisely applied and followed during all phases of patient care. Quality assurance procedures are deliberate procedures that haveRead MoreFocused Clincal Research Questions in the Field of Nursing Essay904 Words   |  4 PagesFocused Clinical Research Questions Discovering new information applicable to the field of nursing begins by asking a focused clinical research question. According to Stone (2002), asking the appropriate question is essential for the research process that follows. Although there are countless nursing problems that are worth investigating, it is imperative to narrow the focus of the problems so they can be empirically tested (Adams, 2012). Personal clinical experience, professional literature, previousRead MoreThe Importance Of Nurses Reading And Critiquing Research About The Nursing Field1854 Words   |  8 Pagespurpose of nurses reading and critiquing research about the nursing field is to gain a better understanding of the research topic and to evaluate if this research will be effective in every day practice. Nursing is always evolving and changing, so it is important to keep up to date research on certain methods and practices used in the healthcare field. Article Summary Infection control and precautions is a major aspect when working in the health care field. Nurses and all other healthcare professionalsRead MoreChronic Obstructive Pulmonary Disease ( Copd )1396 Words   |  6 Pagesmanages it. Medical researchers have conducted novel research to observe the effectiveness of smoking cessation on COPD patients, while some have summarized and analyzed previous research to recommend involvement of nurses in intervention programs. The main aim of research in this field is to measure the severity of the disease and analyze the possible effective ways of reducing the harsh effects of smoking in COPD patients. Research in this field also draws scholarships from broad topics like useRead MoreGrand Theory Critique1369 Words   |  6 Pagesrealm of nursing. Orlando was born in 1926 and had a diverse nursing career which involved many titles and roles within the profession. Originally she received her diploma of nursing in 1947 at the New York Medical Col lege. Over the years Orlando continued her education and in 1954 earned her Master’s degree in mental health consultation from Columbia University. Orlando worked as a staff nurse in many different areas of nursing and as a graduate of a Master’s program participated in research at YaleRead MoreUnderstanding The Need For Nursing Informatics1393 Words   |  6 Pages Understanding the Need for Nursing Informatics Brandon R. Pascual El Camino Collegeâ€Æ' Abstract Nursing is a very diverse discipline. At present, the science of nursing continues to have major advancements through the use of technology. It plays an important role in education and nursing work (Darvish, A., et al., 2014). The need to study the role of nurses and highlight appropriate information technology (IT) education programs to integrate with the ever increasing pace of scientific andRead MoreGender Differences Between Associate And Baccalaureate Degree Levels1639 Words   |  7 Pages While the nursing field continues to flourish in today’s job market,it is also experiencing a massive shortage. Despite this alarming fact, according to Buerhaus (2008): â€Å" Of the estimated 2.24 million RNs in the nursing workforce in 2006, 200,000 were men (8%)† (p. 2424). In order to alleviate the nursing shortage, nursing schools must allure men into the field by eliminating the feminization of the profession and appealing to a diverse demographic who choose to pursue a career in a femaleRead MoreHistory of Nursing595 Words   |  3 PagesUniversity of Phoenix Material History of Nursing Research Worksheet There have been many influential publications, agencies, and people in the field of nursing research. Write 1–3 sentences in each cell of the table below to describe the importance, goal, or influence of each item. |Publications |First publication date and importance: | |Nursing Research |Firstpublished:1952Read MoreGender Differences Between Associate And Baccalaureate Degree Levels1637 Words   |  7 Pages While the nursing field continues to flourish in today’s job market,it is also experiencing a massive shortage. Despite this alarming fact, according to Buerhaus (2008): â€Å" Of the estimated 2.24 million RNs in the nursing workforce in 2006, 200,000 were men (8%)† (p. 2424). In order to alleviate the nursing shortage, nursing schools must allure men into the field by eliminating the feminization of the profession and appealing to a diverse demographic who choose to pursue a career in a female dominatedRead MoreRecent Changes in the Nursing Profession Essay813 Words   |  4 PagesThere have been many changes (major and minor) in the nursing profession and the medical field, as a whole, over the years. Some of these changes include changing demographics and increasing diversity, tec hnological explosion, the cost of health care, and significant advances in nursing science and research. Major socioeconomic changes created this drive to make transformations in nursing and institutions. These institutions are the ones that are responsible for educating the next generation of nurses

The Battle Of Adolf Hitler And Joseph Stalin - 1917 Words

Introduction Operation Uranus took place November 1942 around the city of Stalingrad. The German sixth Army, fourth Panzer Division, and its supporting allies had been attacking Soviet forces in and around Stalingrad since August 1942. Many historians think Adolf Hitler viewed a win in Stalingrad as a political and symbolic defeat of the Soviets. During a meeting with Joseph Stalin in September 1942, Generals Vasilevsky, and Zhukov noted that the German sixth Army and the fourth Panzer Division flanks were thin and poorly equipped. The Generals came up with a pincer offensive attack designed to surround the German sixth Army and its subordinate commands in the city of Stalingrad. It took the Soviet Army 4 days to surround the Germans. Once the Soviets surrounded the Germans, they began to compress the German forces into the city, cutting off their supply channels and ultimately resulting in the German 6th Armies surrender. History On August 23rd 1939 Germany and the Soviet Union agreed, and signed a ten-year nonaggression pact. During the signing of the nonaggression pact, Adolph Hitler and Joseph Stalin held secret meetings and agreed to split Poland after its capture. Less than two weeks later, on September 1st 1939, Adolph Hitler Orders the German army to invade Poland from the north, in what many believe was the actual start of World War II. After the invasion of Poland, France and Great Britain declared war on Germany. On September 17th 1939, Stalin ordersShow MoreRelatedAdolf Hitler and Joseph Stalin1033 Words   |  5 PagesAdolf Hitler and Joseph Stalin are two of the most sadistic dictators of the past century. They both reigned terror in Europe during World War II. Fueled by rage and anger, Hitler and Stalin rose to power and exploited their beliefs throughout Germany and Russia. Stalin turned Russia into a Communist country while Hitler was turning Germany against Jews. The leadership of these d ictators brought death and fear to many who opposed them. Hitler and Stalin both shared deprived childhoods, vicious fathersRead More Postion Paper: Who Was More Carzed Stalin Or Hitler1586 Words   |  7 PagesCrazed: Stalin or Hitler? nbsp;nbsp;nbsp;nbsp;nbsp;The obviously more crazed man was Joseph Stalin. Stalin was more crazed because over his time and rule, he killed millions upon millions more people that Hitler. Joseph Stalin is also more crazed because he did not kill other people he was racist against, but simply because he wanted to kill. The book Hitler and Stalin: Parallel Lives, states quot; Adolf Hitlers actions can not even be compared to the monstrous actions of Joseph Stalinquot;Read MoreA Totalitarian State Of The Soviet Union1552 Words   |  7 Pagespowerful, crucial leaders to date. All of the leaders have something in common, they all wanted power. They all realized that with power comes great responsibility, they gave themselves too much responsibility. Joseph Stalin, the dictator of the Soviet Union created fascism. Adolf Hitler, the leader of Germany created the Nazi Party. Benito Mussolini, the leader of the Italy was a part of the communist party. Francisco Franco, the leader of Spain o verthrew the democratic republic in 1939 and SpainRead MoreThe Tactics Of The German Army1421 Words   |  6 PagesThe Germans constructed trenches, barricades, and other protection measures to ensure their stronghold in Berlin. This became the final preparations for the city and waited for the Soviets advancement. The Soviets knew the key to success in large battles by using major firepower in order to eliminate the enemy. Field Artillery was a key factor in this strategy by providing the massive barrages into the city and taking down supply planes and closing supply routes. The Soviets planned the attack aboutRead MoreHitler Vs. Stalin : A Politically Influenced Era1289 Words   |  6 PagesBre Greene Mrs. Bartel English 9 16 April 2015 Hitler vs. Stalin The mid 1900s was a very politically influenced era. Many affairs were going on at this time, and many leaders were stepping up for their countries. Two leaders in particular were Adolf Hitler and Joseph Stalin. These two dictators made some of the biggest impacts in history. The impacts made were far from positive. They wiped out whole groups of people and civilizations in hopes to gain power for their country. These two combinedRead MoreThe Great Purge Of The Cold War1658 Words   |  7 Pages Joseph Stalin’s determination greatly affected his leadership and led to the beginnings of the Cold War. His determination allowed him to rise to power and destroy all opposition against his reign. The Great Purge, one of the greatest terrors in history, was also done due to his determination to stay in power. This same determination led to, as well as shaped, a large quantity of the events of World War 2. His leadership was similar to the leadership of Adolf Hitler, yet because of his determinationRead MoreWhat Were The Consequences That Erupted After The Pact Between Hitler And Stalin?1947 Words   |  8 PagesIntroduction What were the consequences that erupted after the pact between Hitler and Stalin? The results of the pacts between Adolf Hitler and Joseph Stalin were betrayals and battles, which changed the course of the war. If not for the striking similarities between the two dictators, which led to their downfall, the Axis, Germany, Italy and Japan,would have had the opportunity to win the largest war in recent history; however, due to the occurrence of the betrayal on Hitler’s behalf, the warRead MoreWorld War 2 Paper1057 Words   |  5 PagesReich already. The driving force was unquestionably Hitler, who wanted war and racial domination. But argument rages about the wider background, the political, cultural and economic climate which allowed Hitler into power to begin with. II. Major events and personalities MAJOR EVENTS: The Battle of Britain- Later in the summer of 1940, Germany launched a further attack on Britain, this time exclusively from the air. The Battle of Britain was Germany’s first military failure, as theRead MoreThe Treaty Of Versailles After World War I Ended957 Words   |  4 Pagesworkers went on a strike. In August 1939, Adolf Hitler and Joseph Stalin, Soviet leader, signed the German-Soviet Nonaggression Pact. The pact stated that the two countries agreed to not take military actions against each other for ten years. The aggression pact was signed because â€Å"Hitler had long planned an invasion of Poland, a nation to which Great Britain and France had guaranteed military support if it was attacked by Germany.† (History.com). 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Renal Disease and its Aspects-Free-Samples-Myassignmenthelp.com

Question: Please Explain why Hypertension causing Kidney Disease. Compare two Options for treatment. Answer: This essay focuses on the pathophysiology, clinical symptoms and treatment procedures of end stage renal disease with respect to the medical reports of a patient. Relationship between pathophysiology and clinical symptoms- The patient is suffering from end stage kidney disease in which the kidneys barely function. In case of end stage renal failure, the rennin-angiotensisn-aldosterone-system (RAAS) gets abnormally upregulated. The enzyme rennin cleaves angiotensinogen to angiotensin I, which is converted to angiotensin II. Upregualtion of RAAS leads to increase in the production of angiotemsin II. There is an increase in intra-glomerular pressure. Hypertension, glomerulonephritis and diabetes are the most common cause of this condition (Jha et al., 2013). Increase in blood pressure leads to thickening of the vasculature (Coresh et al., 2014). The protein metabolism products begin to accumulate in the blood when the kidney stops functioning. This leads to waste buildup. With decline in kidney function, urea begins to accumulate and leads to a condition uremia. Accumulation of fluids in the body leads to edema (swelling of tissues) (Tomino, 2014 ). The other most common symptoms are increase in blood pressure (more than 120/80 mmHg), elevation of potassium levels in blood (greater than 5.0 mmol/L), hyperphosphatemia (reduction in phosphate excretion), hypocalcemia, higher creatinine volume due to low glomerular filtrate, calcification of vascular tissues. Failure to excrete excess amounts of potassium leads to an increase in its levels. This condition is called hyperkalemia. This increased level manifests itself in the form of numbness, weakness, nausea and slow pulse. Excess potassium levels make a patient more prone to cardiac arrest. Decrease in urine output (720 mL/ day compared to 800-2000 mL/day) is another major symptom. Abnormally elevated levels of serum creatinine (825 compared to 135 micromol/L) is a direct consequence of low glomerular filtration rate. Obesity is a major risk factor in case of chronic kidney disease. It is also associated with a high heart rate (HR- more than 80 bpm), crackels in the lungs (Gans evoort et al., 2013). Chronic kidney disease also causes muscle fatigue and makes a patient feel exhausted. This is due to failure in proper oxygen circulation in the body. Signs of depression are extremely common in such patients. Several studies have established links between depression and uremia. The patient has normal sodium levels in the blood. However, a sodium rich diet will increase complications in the body. This disease is also associated with uremic pruritus. The patients suffer from itching syndrome. The normal hemoglobin count ranges from 130-180 g/L. However, a renal patient suffers from anemia (low red blood cell count). Certain psychiatric issues like agitation, palpitation, malaise and somnolence may also develop in case of extreme renal failure. Therefore, the symptoms and biochemical test reports of the patient in this case study are manifestations of kidney failure. Relationship between medical history and renal condition- The patient has a medical history of hypertension, depression and seasonal rhinitis. Hypertension is a leading cause of end stage renal failure. The blood vessels in the body are damaged due to high blood pressure (Hall et al., 2014). The arteries become narrow and hard. Therefore, there occurs a reduction in blood supply to the kidneys. The nephrons do not get nutrients and oxygen in adequate amounts and the balance of salts, acids and hormones in the blood gets disturbed. Kidney failure often leads to development of allergic symptoms like runny nose, which resemble rhinitis conditions. Seasonal rhinitis is a nasal tract inflammation that occurs during specific periods of the year. It is caused due to hypersensitive reactions to pollens, weeds, spores or grasses. There is a close relationship between chronic kidney failure and symptoms of depression. The possible cause for this association might lie in the fact that depressio n leads to inflammation in the body and such inflammations accelerate the progress of kidney failure (Tomino, 2014). A study suggests that depression is more prevalent in patients who are on the fifth stage of chronic kidney failure (end stage kidney disease). The patient also shows a history of alcoholism and smoking. Prolonged smoking reacts with drugs used to treat hypertension and reduces the flow of blood to the kidneys. It also increases the risks of cardiac attacks in people suffering from hypertension. This worsens their condition. The patient also reports consuming 6 stubbies of heavy beer every week. Excess consumption of alcohol interferes with the kidneys ability to filter blood. It also disturbs the balance of fluids and electrolytes in the body. It leads to hepatorenal failure and liver cirrhosis. It also increases blood pressure, which is again associated with chronic kidney damage. Therefore, it can be stated that the patients medical and social history have aggravat ed his renal failure. Management of end stage renal failure- Several treatment options are available, which help in reversing the function of damaging kidneys and purifying the blood. Most patients with end stage renal disease are treated with hemodialysis and renal transplantation (Liyanage et al., 2015). In hemodialysis, an artificial kidney machine or dialyzer is used to restore the balance of electrolytes and to purify the blood. The walls of the dialyzer are made up of cellulose (semi-permeable membrane) and contain pores of different sizes. Solute diffusion across the semi-permeable membrane is its basic mechanism. This membrane separates the two compartments inside the machine (one for washing the fluids, the dialysate compartment and other for blood purification). The concentration gradient across this membrane is maintained by counter-current mechanism (Robinson et al., 2016). Alteraton of hydrostatic pressure inside the dialysate compartment leads to ultrafiltration. Blood from the patient is se nt to the machine by a synthetic graft or an arteriovenous fistula in one arm. The purified blood is returned to the person through the same arm. Hemodialysis is of different types depending on the severity of the disease. Patients can opt for in-centre hemodialysis, daily home hemodialysis or nocturnal home hemodialysis. Certain complications and risks are associated with this procedure. The hand with the arteriovenous fistula can experience some numbness, which can lead to a condition called steal syndrome (Coresh et al., 2014). Other complications like formation of aneurysm, narrowing or clotting of the vessel may also occur. Infection and bleeding are prevalent risks. It creates some adverse mental effects like fatigue, anxiety, depression and increased vulnerability to suicide on the patient as well. Renal transplantation is another effective treatment option. Its success depends on the medical conditions of the kidney donor (Liyanage et al., 2015). A functional kidney is inser ted in the lower portion of the abdomen and connected with the urinary bladder and blood vessels (Muzaale et al., 2014). Several immunosuppressants are prescribed to the patient, which will prevent the immune system from rejecting the donated kidney. Transplantation is considered more effective than hemodialysis and shows better survival chances. Its major complications are abscesses in the walls of the abdomen, abdominal hernia, urinary fistulae and rejection by immune system. Cognitive behavioral changes and depression are associated with this method. Therefore, it can be concluded from the essay that there are several factors which increase the risk of end stage renal disease. The electrolyte balance in the body gets disturbed and the person has to opt for rigorous treatment procedures. References Coresh, J., Turin, T. C., Matsushita, K., Sang, Y., Ballew, S. H., Appel, L. J., ... Green, J. A. (2014). Decline in estimated glomerular filtration rate and subsequent risk of end-stage renal disease and mortality.Jama,311(24), 2518-2531. Gansevoort, R. T., Correa-Rotter, R., Hemmelgarn, B. R., Jafar, T. H., Heerspink, H. J. L., Mann, J. F., ... Wen, C. P. (2013). Chronic kidney disease and cardiovascular risk: epidemiology, mechanisms, and prevention.The Lancet,382(9889), 339-352. Hall, M. E., do Carmo, J. M., da Silva, A. A., Juncos, L. A., Wang, Z., Hall, J. E. (2014). Obesity, hypertension, and chronic kidney disease.International journal of nephrology and renovascular disease,7, 75. Jha, V., Garcia-Garcia, G., Iseki, K., Li, Z., Naicker, S., Plattner, B., ... Yang, C. W. (2013). Chronic kidney disease: global dimension and perspectives.The Lancet,382(9888), 260-272. Liyanage, T., Ninomiya, T., Jha, V., Neal, B., Patrice, H. M., Okpechi, I., ... Rodgers, A. (2015). Worldwide access to treatment for end-stage kidney disease: a systematic review.The Lancet,385(9981), 1975-1982. Muzaale, A. D., Massie, A. B., Wang, M. C., Montgomery, R. A., McBride, M. A., Wainright, J. L., Segev, D. L. (2014). Risk of end-stage renal disease following live kidney donation.Jama,311(6), 579-586. Robinson, B. M., Akizawa, T., Jager, K. J., Kerr, P. G., Saran, R., Pisoni, R. L. (2016). Factors affecting outcomes in patients reaching end-stage kidney disease worldwide: differences in access to renal replacement therapy, modality use, and haemodialysis practices.The Lancet,388(10041), 294-306. Tomino, Y. (2014). Pathogenesis and treatment of chronic kidney disease: a review of our recent basic and clinical data.Kidney and Blood Pressure Research,39(5), 450-489.