Pediatrics Essays (3593 words) - Pediatrics, Pediatric Nursing

Pediatrics Pediatric Experience 1 Kimberly Testi 205-68-4533 Foundations of Nursing Judy Tate November 30,1999 Pediatric Experience 2 The Primary Care Clinic located in Children's Hospital is dedicated to the care of children. It is a place where children can be examined for routine physicals and sick visits. It is convenient because it is open until 9:00pm so children can be seen in the evening. This experience demonstrates that there are many differences in treatment of children and adults. T.T., a three year old male, was seen first. He was visiting the clinic due to a high temperature, 39.6oF(Jarvis,1996). Despite his fever, T.T. was very energetic. He was talking and playing. On observation enlarged tonsils, a strawberry tongue, and a rash on his torso were evident. He was diagnosed as having strep throat and scarlet fever. Expected findings include small tonsils, a pink tongue with no bumps or lesions, and a smooth torso with no rashes evident(Jarvis,1996). The nurse had useful techniques when assessing T.T. For example, when assessing his lungs, she was having a difficult time getting him to take deep breaths. She tried holding up her finger and telling him to pretend it was a birthday candle and to blow it out. When this did not work, she ripped up little pieces of paper and asked him to Pediatric Experience 3 blow them away. This technique not only worked for the assessment, but also in keeping T.T. happy. The next child, M.M., was a 10 year old male. He was visiting the clinic for a routine physical. The nurse began the assessment by asking questions. She started with history, asking if he'd been in the hospital before, if he was on any medications, and if he had any current complaints. The only concern he and his mother had was the fact that his right heel would get sore after physical activity. The nurse then moved to nutrition. M.M. claimed to have healthy eating habits, eating all food groups and not too much fat and sugar. After that, the nurse asked about physical activity. M.M. plays basketball but he doesn't get outside to play as much as he'd like. The nurse then began the physical assessment. She looked at all body systems. Musculoskeletal was fun for M.M. He had to do things such as touch his toes, hop on one foot and squat down to walk across the room. She assessed the genital area last. All she had to do was look to make sure he was developing correctly for his age. He said he was uncomfortable with this so she asked if he would like his mother to leave the room. He said no, so she proceeded to look very quickly. He was developing fine. There were no unusual findings on physical assessment. Pediatric Experience 4 An x-ray was taken of M.M.'s heel. It showed that a piece of bone had broken off at the end of his heel. He went to orthopedics and they took care of him from there. The third child observed was T.W., a 7 month old female. She was brought to the clinic due to eye drainage. The nurse began by taking a rectal temperature. Upon doing this, she noticed a flaming red rash on T.W.'s genital area. She asked the parents about this and they said it had been like that for about a week. She then went on to look at T.W.'s eyes. Her conjuctiva was very red and she did have a greenish drainage in and around her eye. The first nurse placed her on the exam table which was not very effective. T.W. was crying and would not stay still. The second nurse performed her examination with T.W. while her mother held her and this proved to be much more effective. T.W. was diagnosed with conjunctivitis and a candidal infection. All examinations were performed with the parent in the room. This was very effective. Infants, toddlers, and preschool children should be examined with a parent in the room. For children this age, the parent is the source of subjective data. For example, T.W. could not speak for herself. T.T. could speak to an extent, saying such things Pediatric Experience 5 as My throat hurts. His mother, however went into more detail about his symptoms. School-age children and adolescents should be

What Makes You Unique? 5 Tips For Writing a Unique Teacher Essay

What Makes You Unique? 5 Tips For Writing a Unique Teacher EssayAs a teacher, what makes you unique? How can you add your special touches to your own teacher essay?You may be thinking that writing a unique essay is difficult. Writing a unique essay doesn't need to be hard, but you can make it easier by being aware of a few things that will make it unique. Keep in mind that there are a lot of factors that go into what makes a good essay. In this article I will cover a few examples to help you write a unique essay for your students.Different points of view. Your unique essay should have a different point of view from other student essays. This isn't as hard as it sounds because the majority of teachers do not write to teach. If you want your unique essay to stand out from the rest, you should spend some time to learn how to write for an audience.Incorporating creativity. The first thing that teachers do when they want to include a unique essay is to use their imagination and creativity . By using your imagination, you can take the essay you wrote with the creative element and expand on it.Make the essay interesting and engaging with different ways to make it more exciting. Whether it's drawing attention to something that's already happened or finding something humorous about a situation, you can incorporate these ideas into your unique essay.'Re-framing' the essay. When you're re-framing the essay, you're taking a simple situation and using it to make a difference in the essay. The idea is to draw a reader's attention to something that might not normally be as important, but in this case it is.Another way to make your unique essay stand out is to write in a different voice. Use different vocabulary or phrases, and change the tone of your writing to reflect your personality. By making yourself unique, you can easily express yourself through your writing.When you use these tips, you can create a unique essay that will be read as being different from other teachers' essays. Your essay will be more effective and more informative if you take the time to consider how to make it unique.

Hernan Cortes and His Tlaxcalan Allies

Hernan Cortes and His Tlaxcalan Allies Conquistador Hernan Cortes and his Spanish troops did not conquer the Aztec Empire on their own. They had allies, with the Tlaxcalans being among the most important. How this alliance developed and how their support was crucial to Cortes success. In 1519, as conquistador Hernan Cortes was making his way inland from the coast on his audacious conquest of the Mexica (Aztec) Empire, he had to pass through the lands of the fiercely independent Tlaxcalans, who were the mortal enemies of the Mexica. At first, the Tlaxcalans fought the conquistadors viciously, but after repeated defeats, they decided to make peace with the Spanish and ally with them against their traditional enemies. The aid provided by the Tlaxcalans would eventually prove crucial for Cortes in his campaign. Tlaxcala and the Aztec Empire in 1519 From 1420 or so to 1519, the mighty Mexica culture had come to dominate most of central Mexico. One by one, the Mexica had conquered and subjugated dozens of neighboring cultures and city-states, turning them into strategic allies or resentful vassals. By 1519, only a few isolated holdouts remained. Chief among them were the fiercely independent Tlaxcalans, whose territory was located to the east of Tenochtitlan. The area controlled by the Tlaxcalans comprised some 200 semi-autonomous villages united by their hatred of the Mexica. The people were from three main ethnic groups: the Pinomes, Otomà ­, and Tlaxcalans, who were descended from warlike Chichimecs who had relocated to the region centuries before. The Aztecs tried repeatedly to conquer and subjugate them  but always failed. Emperor Montezuma II himself had most recently tried to defeat them in 1515. The Tlaxcalans hatred of the Mexica ran very deep. Diplomacy and Skirmish In August of 1519, the Spanish were making their way to Tenochtitlan. They occupied the small town of Zautla and pondered their next move. They had brought with them thousands of Cempoalan allies and porters, led by a nobleman named Mamexi. Mamexi counseled going through Tlaxcala and possibly making allies of them. From Zautla, Cortes sent four Cempoalan envoys to Tlaxcala, offering to talk about a possible alliance, and moved to the town of Ixtaquimaxtitlan. When the envoys did not return, Cortes and his men moved out and entered Tlaxcalan territory anyway. They had not gone far when they came across Tlaxcalan scouts, who retreated and came back with a larger army. The Tlaxcalans attacked but the Spanish drove them off with a concerted cavalry charge, losing two horses in the process. Diplomacy and War Meanwhile, the Tlaxcalans were trying to decide what to do about the Spanish. A Tlaxcalan prince, Xicotencatl the Younger, came up with a clever plan. The Tlaxcalans would supposedly welcome the Spanish  but would send their Otomà ­ allies to attack them. Two of the Cempoalan emissaries were allowed to escape and report to Cortes. For two weeks, the Spanish made little headway. They remained camped out on a hilltop. During the day, the Tlaxcalans and their Otomi allies would attack, only to be driven off by the Spanish. During lulls in the fighting, Cortes and his men would launch punitive attacks and food raids against local towns and villages. Although the Spanish were weakening, the Tlaxcalans were dismayed to see that they were not gaining the upper hand, even with their superior numbers and fierce fighting. Meanwhile, envoys from Mexica Emperor Montezuma showed up, encouraging the Spanish to keep fighting the Tlaxcalans and to not trust anything they said. Peace and Alliance After two weeks of bloody fighting, Tlaxcalan leaders convinced the military and civil leadership of Tlaxcala to sue for peace. Hotheaded Prince Xicotencatl the Younger was sent personally to Cortes to ask for peace and an alliance. After sending messages back and forth for a few days with not only the elders of Tlaxcala but also Emperor Montezuma, Cortes decided to go to Tlaxcala. Cortes and his men entered the city of Tlaxcala on September 18, 1519. Rest and Allies Cortes and his men would remain in Tlaxcala for 20 days. It was a very productive time for Cortes and his men. One important aspect of their extended stay was that they could rest, heal their wounds, tend to their horses and equipment and basically get ready for the next step of their journey. Although the Tlaxcalans had little wealth- they were effectively isolated and blockaded by their Mexica enemies- they shared what little they had. Three hundred Tlaxcalan girls were given to the conquistadors, including some of noble birth for the officers. Pedro de Alvarado was given one of the daughters of Xicotencatl the elder named Tecuelhuatzà ­n, who was later christened Doà ±a Maria Luisa. But the most important thing the Spanish gained in their stay in Tlaxcala was an ally. Even after two weeks of constantly battling the Spanish, the Tlaxcalans still had thousands of warriors, fierce men who were loyal to their elders (and the alliance their elders made) and who despised the Mexica. Cortes secured this alliance by meeting regularly with Xicotencatl the Elder and Maxixcatzin, the two great lords of Tlaxcala, giving them gifts and promising to free them from the hated Mexica. The only sticking point between the two cultures seemed to be Cortes insistence that the Tlaxcalans embrace Christianity, something they were reluctant to do. In the end, Cortes did not make it a condition of their alliance, but he continued to pressure the Tlaxcalans to convert and abandon their previous idolatrous practices. A Crucial Alliance For the next two years, the Tlaxcalans honored their alliance with Cortes. Thousands of fierce Tlaxcalan warriors would fight alongside the conquistadors for the duration of the conquest. The contributions of the Tlaxcalans to the conquest are many, but here are some of the more important ones: In Cholula, the Tlaxcalans warned Cortes of a possible ambush: they participated in the ensuing Cholula Massacre, capturing many Cholulans and bringing them back to Tlaxcala as slaves and sacrifices.When Cortes was forced to return to the Gulf Coast to face conquistador Panfilo de Narvaez and a host of Spanish soldiers sent by governor Diego Velazquez of Cuba to take command of the expedition, Tlaxcalan warriors accompanied him and fought at the Battle of Cempoala.When Pedro de Alvarado ordered the Massacre at the Festival of Toxcatl, Tlaxcalan warriors helped the Spanish and protected them until Cortes could return.During the Night of Sorrows, Tlaxcalan warriors helped the Spanish escape by night from Tenochtitlan.After the Spanish fled Tenochtitlan, they retreated to Tlaxcala to rest and regroup. New Aztec Tlatoani Cuitlhuac sent emissaries to the Tlaxcalans urging them to unite against the Spanish; the Tlaxcalans refused.When the Spanish re-conquered Tenochtitlan in 1521, thousand s of Tlaxcalan soldiers joined them. Legacy of the Spanish-Tlaxcalan Alliance Its not an exaggeration to say that Cortes would not have defeated the Mexica without the Tlaxcalans. Thousands of warriors and a safe base of support only days away from Tenochtitlan proved invaluable to Cortes and his war effort. Eventually, the Tlaxcalans saw that the Spanish were a greater threat than the Mexica (and had been so all along). Xicotencatl the Younger, who had been leery of the Spanish all along, tried to openly break with them in 1521 and was ordered publicly hanged by Cortes; it was a poor repayment to the young Princes father, Xicotencatl the Elder, whose support of Cortes had been so crucial. But by the time the Tlaxcalan leadership began to have second thoughts about their alliance, it was too late: two years of constant warring had left them far too weak to defeat the Spanish, something they had not accomplished even when at their full might in 1519. Ever since the conquest, some Mexicans have considered Tlaxcalans to be traitors who, like Cortes interpreter and mistress Doà ±a Marina (better known as Malinche) aided the Spanish in the destruction of native culture. This stigma persists today, albeit in a weakened form. Were the Tlaxcalans traitors? They fought the Spanish and then, when offered an alliance by these formidable foreign warriors against their traditional enemies, decided that if you cant beat em, join em. Later events proved that perhaps this alliance was a mistake, but the worst thing the Tlaxcalans can be accused of is lack of foresight. References Castillo, Bernal Dà ­az del, Cohen J. M., and Radice B. The Conquest of New Spain. London: Clays Ltd./Penguin; 1963. Levy, Buddy. Conquistador: Hernan Cortes, King Montezuma, and the Last Stand of the Aztecs. New York: Bantam, 2008. Thomas, Hugh. The Real Discovery of America: Mexico November 8, 1519. New York: Touchstone, 1993.

Alternative-Fuel Vehicles Essay Example for Free

Alternative-Fuel Vehicles Essay Atmospheric pollution is a major problem nowadays. So it is important that we should immediately find alternative fuel sources for petroleum and reduce the emission of harmful gases in the atmosphere. This has been the dream of many scientists because this will significantly reduce the emission of carbon dioxide, a green house gas, to the atmosphere. Most of these fuels can be manufactured domestically so I cut the costs of importing from other countries. Some are even derived from renewable sources. Electric cars are now being manufactured globally. Unknown to many, electricity-powered cars came into the automotive scene before its diesel and petroleum counterpart. But due to the limitations of the technology in the past, its development was stopped and diesel cars became the standard car. Most of the problems electric cars faced points to the battery. Batteries were heavy and required recharging. But there are new developments in this technology. A battery now has longer life and comes in much lighter forms. The main drawback of this car is the distance it can travel before the batteries run out. If there are enough recharging stops, like gas stations, the electric car will prove itself as a fuel-efficient and environment-friendly car. Natural gas cars are also gaining popularity. The promise of being able to fuel the car at one’s own home is hard to deny. Honda calls it a personalized solution to the fact that gasoline stations don’t sell natural gas. The Honda model Civic GX is coined as the cleanest internal combustion engine-powered vehicle ever tested by Environmental Protection Agency. However, natural gas is not renewable. A potential advantage of Hydrogen cars is that it can be used over and over again by the process of electrolysis. Although the supply hydrogen is not limited as fossil-fuels, production of such cars doesn’t come at a cheap price. Hydrogen has many advantages if used to fuel cars, but currently it is very expensive. Some car companies offer to convert diesel cars into hydrogen cars, but most of the time the price of conversion is much more expensive than the original price of the car. Also, hydrogen in normal temperature is gas and to be used as fuel it should be squeezed in high pressures so it is somewhat difficult to contain. Fuel cell cars are definitely a technology to watch for. It has the potential to minimize the use of energy while reducing harmful emissions at the same time. What sets it above the others is that it can make its own energy through certain chemical processes. Also, fuel cell cars don’t emit pollutants. But the price is almost the same for hydrogen cars, if not higher. The developments in fuel cells is rather young, it is not yet tested as compared to other alternative fuels, so it would be a risk if we utilize this technology right away. Among these alternative sources of energy, I choose natural gas. The other alternatives may score a higher grade in terms of energy advantage and minimal emission, but they are too expensive. The economy will suffer as we save the environment using Hydrogen, Electric, and Fuel Cell cars. Natural gas is widely distributed around the world. New natural gas reserves are discovered as time pass, it is just waiting for us to harness fuel from it. Most countries will be able to tap their own resources and strengthen one’s economy. The production of cars and fuel supply for natural gas cars is also very feasible compared to the other alternatives. Atmospheric pollution is increasing during each day. And since natural gas is the cheapest, we can immediately put it to use. This is the realistic approach concern the threat of global warming. We put into use something that works and will be a benefit for both the economy and environment. And after we became successful in harnessing natural gas, and the economic condition permits it, it is the time to upgrade to hydrogen or fuel cells and completely eliminate harmful emissions from vehicles. Alternative-Fuel Vehicles. (2017, Feb 19).

Week 10 Assignment Example | Topics and Well Written Essays - 750 words - 1

Week 10 - Assignment Example Although evidence has shown us that human body and human mind interacts, intimately, and affect each other, it is however difficult to understand and explain how these two aspects of human person relates and interacts. (b): Interactionism. The interactionism theory holds that, although body and mind are separate, distinct and independent substances, they however exert causal effects on one another. What this in essence means is that although the human body is extended and the human mind unextended, the two however interact closely, whereby an effect in one of them causes the corresponding event in the other, despite the fact that the two aspects of human person do not touch each other. This theory was propounded by Rene Descartes. (c): Parallelism. Parallelism theory rules out any casual interaction between the mind and the body, but holds that there is a one-on-one correspondence between events of the body and events of the brain. According to this theory, it is not the mind or the body that first experiences a given event and then causes the event on the other aspect of the body; the mind and the body will experience the given event in their own way, although there will be a one-on-one correspondence in the event experienced by the body and the mind. (f): Double aspect theory. This theory views body and mental events and processes as two different aspects of one human person. According to this theory, mind and body are not separate and distinct substances. Mind and body are merely two different attributes of a unitary human person. Question 1: According to Descartes, the main difference between the body and the soul or mind lies in the fact that, while body is material and extended, the mind or the soul is immaterial and unextended. Descartes viewed body and soul as distinct and independent substances. Question 2: In his argument on the existent of physical objects, Rene Descartes had first of all to find the basis

Racial Disparities in Correction Populations Essay

Racial Disparities in Correction Populations - Essay Example The above information, if given with critical analysis could be used to strongly prove that racial disparities in correction populations exist in the US justice system. It is important to dig on this issue because this could entirely create a significant impact on the US justice system, not only on its national and federal context, but on the entire international setting. The US, as a primary advanced and influential nation on earth, should always ensure it has substantially showed the appropriate example in all aspects especially for humanitarian cause. After all, there is a negative meaning associated with racial disparities and this could be enough at some point to remarkably refute the remarkable image of the US towards fairness in dealing with justice. There are varying opinions and even substantial justifications in line with racial disparities. The proof of these can be considered through various researches and other related studies that could potentially create meaningful ins ights about racial disparities in general. ... Justice systems employ important legal concerns. These legal acts encompass the society, and eventually groups of people. Race involves group of people so it is eventually a social group which is subject of a social construct and that it can only be refined to function well if there is prevailing justice system. Racial disparity therefore is about â€Å"unfair, unjust, unequal or unnecessary care or treatment of group of people† which can be evidently observed through the association of their race with whatever case confronting them (Loue & Sajatovic 2011, p.1260). Correctional populations defined There are varying existing definitions or concepts about correctional populations. However, in the context of the discussion in the prevailing justice system in the United States, the following are individuals that should be considered who belong to the correctional populations: they are incarcerated individuals either in prison, jail or supervised by the community that could be eith er probation or parole (Bureau of Justice Statistics 2012). Correctional populations therefore are composed of groups of people who have to face punishment or consequences of their acts as interpreted and justified by the final authority of the justice system. Evidences of racial disparities in correctional populations There are varying evidences of racial disparities in correctional populations and basically this can be illustrated by understanding the percentage of racial groups represented in a certain population, the number of individuals of a racial or minority groups that are integral parts of the criminal justice system, and many more (Walker,

The Use of Images in William Carlos Williams, The Young Housewife Essa

The Use of Images in William Carlos Williams', The Young Housewife As is typical of most Modernist poetry, William Carlos Williams uses very specific images in "The Young Housewife" to reveal not merely a particular circumstance or event, but to also suggest underlying themes and ideas of his subject matter. For example, he gives to the reader various real and imagined images, such her moving about in negligee behind closed doors, or her going about her daily affairs, that are at once very seductive and suggestive of ideas that supercede their appearances. These images especially accentuate the young housewife's naturalness and beauty. However, they are quickly contrasted by a comparison drawn by Williams of the young lady to a fallen leaf-a comparison that initially seems completely bizarre and esoteric. One, in fact, wonders what Williams' purpose is in suddenly changing the mood of the poem to make this comparison. Upon close inspection, however, the comparison actually proves to be less confusing than it appears. In fact, when one considers the nature of a fallen leaf and compares it with various aspects of the young housewife's life, possible explanations begin to arise that clarify Williams' possible intent. Primary to understanding the comparison, is of course, understanding the nature of leaves and more particularly fallen leaves. Universally, leaves are considered to play both a functional and ornamental role for trees. On the functional level, leaves enable photosynthesis and thereby give nourishment to the tree. On the ornamental level, they enrich the appearance of the tree, giving it more color and substance. In fact, leaves are widely considered to be the evidence of a tree's vivacity. La... ... young housewife's sexual nature and beauty is to William and how much emphasis he puts on her captivity in her house, it becomes easier to understand the parallel of her to a fallen leaf. To Williams, the young housewife is like a beautiful leaf that needs to stay connected to its life force in order to maintain its beauty and vitality and even continue to nourish the tree. Otherwise it will inevitably dry up, become colorless and eventually die. Her marriage has separated her from the world and from her life force and will eventually cause her to lose her beauty and pristine nature. It is only a matter of time, in fact, before she becomes one of the leaves that Williams drives over in his car. Works Cited: Williams, William Carlos. â€Å"The Young Housewife.† Anthology of Modern American Poetry. Ed. Cary Nelson. New York: Oxford University Press, 2000.