el, Blowhard Hills, NY.
I saw an MTV commercial for that "Think MTV" thing they're trying to do in which they misspelled a word, I think 'especially' as 'especialy.' Can't remember if that was the word, but it was definitely a one 'l' vs. two situation.
It bothered me all that day, enough to see if I could find a 'contact us' link on mtv.com.
I'm glad I'm not the only one this bothered, Inky.
Maybe they let Peyton do the graphics.
Can anyone explain why the Mannings were cooking breakfast in Tony Soprano's house?
Because Tony paid Peyton and Eli to cover (or not cover) the point spreads?
Does Eli live in Hells Kitchen, NY?
Grammatical and spelling errors on TV give me violent urges.
Another one that bugs me is TSN's SportsCentre. In their logo on some show graphics, not all, there's this tiny apostrophe in Sport's that they're almost trying to hide as if to say they're not really sure if it should be there or not.
Not to mention they spell it Centre, instead of Center.Just pulled the metaphorical trigger on the Small Spring Base and Small Practical Plinger from Salute Products Inc.
The range I tend to frequent is generally in rough shape, being free and open to the public with no supervision (yeah, some scary moments over the years, but it beats the snot out of the county run alternative with downright retarded arbitrary rules...) The target stands generally don't make it more than a month on the shorter ranges, and even when they're still there, paper just gets boring after a while.
I'm pretty excited though, hopefully it's just the thing to kick my butt back into getting to the range regularly.Write an essay on nursing diagnostic (adult healthcare).
The nursing care plans does aid in the decision making skills enhancement basis the developed skills. The essay identifies the intervention about the case of Mike who has met with an accident. The observation basis the situation along with the recommendation and assessment done for the patient form the significant part. The nursing diagnosis that was ascertained in case of the patient along with the goals and the manner of implementation is also carried out. The evaluation documentation is significant. The criterion referenced scale which has an appropriate rating methodology is incorporated.
Definition of Nursing Process: It is a patient cantered framework which ascertains the various steps that are used in critical thinking and resolution of concerns. The objective and subjective assessment aids in gathering the details of the patient.
Identify - My abilities are associated as provisioning nursing intervention in the arena of emergency department. The patient - Mr Mike Miller is 24 years old. He fell off the motorbike while riding in the bush.
Situation - The situation pertains to pain Mike is having due to the accident. There is deformity in the left leg along with the pain Mike is feeling. There is significant swelling and a lacerated wound is observed in Mike's case. Mike is admitted to ED.
Observations - The observation of symptoms as that are associated to the patient encompass pain in lower leg.
Background - The background is an associated with pain felt by Mike after he fell while motor biking.
Recommendation - In order that the relief is brought from the symptoms associated with the condition of Mike it can be recommended that the diagnosis of open fracture of fibula and tibia and he has to undergo surgical procedure for open reduction and internal fixation of the fracture. Post observation too is very crucial in Mike’s case.
Allergies: Mike is allergic to latex. It causes pruritus and welts. The colour identification band has to be ensured for Mike and the documentation should mention the same.
Medications: Prophylactic Cefoxtin 2g IV, Paracetamol 1g IV/PO, Ibuprofen 200-400 mg PO TDS, Tramadol SR 100 mg PO BD, Cefroxotin 2g IV/IM, IV Compound Sodium Lactate.
Mike was asked about the OTC medication. Mike also asked about any illicit drug use or he does not have any other use of medicine.
Past Health History: Past Medical History was validated for Mike with any serious conditions if it pertained. Mental health along with perception of Mike was known. Home support and the coping mechanism for him is relevant too. Working situation and occupation of Mike was enquired.
Last Meal: Mike's last meal was enquired. It was necessary to understand as to how long fasted before surgery and whether Mike is having any vomiting or nausea conditions.
Central Nervous System - Level of Consciousness: Mike was drowsy and responsive to voice. With regards to sensory/visual/hearing/speech impairment/ effects, they were assessed post-operatively to ensure there is no change to pre-operative assessments. The potential depression of CNS is due to the impact of anaesthesia.
Cardio Vascular System - Mike's heart rate is 66 beats per minute. It is within the expected acceptable range. The same was being documented too on the vital signs assessment chart. Risk of bleeding can be there. Mike's Blood Pressure is 109/71 mm Hg. It is ideal and within normal acceptable range. This was documented on the vital assessment chart. Risk of hypertension as a result of surgical procedure. Circulation and hydration to the upper and lower extremities: not assessed. The risk pertaining to hypovolemic shock can be present. Diaphoresis, a common side effect of drugs or anaesthesia is not assessed. Shock complication post-surgery is not present.
Respiratory System - Overall appearance: not assessed. It was observed that % on RA. He is drowsy. Mike's respiratory rate is 18 beats per minute. The rhythm and depth is not assessed. Respiratory effort and work of breathing: not assessed. Risk pertaining to respiratory depression. Tracheal position, symmetry and shape of chest is not assessed. Chest sounds are not assessed. Risk pertaining to ineffective breathing pertains.
Gastrointestinal System (GI) - Food allergies: not known, should be assessed on admission. Elimination issues are not known. Bowel sounds are not assessed. Risk of surgery complication.
Psychosocial - There was no nausea and vomiting. The mood, emotional state, and mental status: unknown. Coping strategies and response to illness/ surgery is unknown. Risk of impacted mood. Sleeping Habits is not known. Risk in condition post operation.
The evaluation of intervention needs to be well documented. The evaluation of the clinical setting is significant. The criterion referenced scale which has an appropriate rating methodology has to be well incorporated. The feedback basis the evaluation done also needs to be documented. The documentation as part of the medical records has to be saved as a soft copy in the database of the patient. The statistical approach with the success of adherence of fundamental skills and the conceptual framework well exhibited through the intervention is essential (Schneider, M. A., & Ruth-Sahd, L. A., 2015).
The physio orthopaedic diagnostic as that would be needed post-operative sessions due to the lack of immediate regulated mobility.
• Promoting advanced evaluation techniques (Schneider, M. A., & Ruth-Sahd, L. A., 2015).
The implementation of the nursing intervention with the diagnosis identified pertains to the regulated care needs of the patient met with the well managed patient care plan adhered. There is a need well recognized to ensure that the goals of the program are well met ad the education is provisioned to the patient along with the members of family of patient.
The evaluation will be based on the ability to identify the nursing intervention well and documenting the facts. The evaluation of the clinical performance would be judged with the expected change in behaviour and essential considerations well kept under control. The evaluation has to be computerized with the available software in order to maintain greater adaptability.
The nurse should be aware of the infection post operation. The root cause analysis done basis the diagnostics in adults is necessary. The flexibility in the approach aids in the development of the program with the inclusion of various strategies to match the goals and objectives (Swift, M. C., & Stosberg, T., 2015; Ciemins, E. L. et al., 2015; Lewis, A. L., & Tavares, G., 2016). The implementation of the diagnostics basis the goals pertaining to diagnostics do need to bring about the crucial prioritization of the various processes and sub processes. Post-operative education that would be provided to Mike would entail taking care of the position while he sleeps. Also the patient has to be educated on the procedure he has been operated for.
The interdisciplinary team that would be involved would include the nursing staff, the dietician to understand the needs of the patient with regards to the food he can consume post-surgery. The psychologists would have to visit Mike to understand that his mental capabilities are not impacted and as to if Mike is not deeply affected with the trauma (Ahmed-Sarwar, N. et al., 2015; Pannick, S. et al., 2015; Ritchie, C. et al., 2016).The physicians would be required to access the response of Mike in recovering and if due care is being provisioned post operation. The physicians would also monitor the abrupt readings if any linked to the Adult patient summary for Mike. The attention of nurses in the ward has to check that the dosage of medicines is in accordance.
The nursing diagnosis plays a crucial role. Basis the case of Mike identified, who met with an accident, the subjective assessment with the allergies identified and the medication considered in the case is significant. The body system assessment done for the patient and assessment of patient’s Activities of Daily Living provision the various activities and the