Causes and Effects of Heart Failure

Causes and Effects of Heart Failure Elizabeth Makouta K. Assessment 2 Definition of Heart Failure: This is usually a progressive condition that reflects weakening of the heart by coronary atherosclerosis meaning the coronary vessels is build up with fatty clogging (Marieb 2012 p369) The body systems affected are: Kidney, Heart, Lungs, and Digestive System. Kidney’s function: is to eliminate nitrogen –containing e wastes, toxins, and drug from the body. Kidney also produce an enzyme ‘’renin’’ which help regulate blood pressure, and their hormone erythropoietin which stimulate red blood cell production in bone marrow (Marieb 2012 p. 512) Heart’s function: Is a muscular organ that pumps blood to all the tissues in the body through blood vessels, ‘weight less than a pound with the size of a person’s fist and a shape like cone-shaped’ (p 357).’’The right side pumps blood through the lungs where oxygen is picks up and carbon dioxide is unloaded. The left side of the heart receives blood containing oxygen and pump it to the rest of the body’’ (Marieb 2012 p 360). Lungs Function: Human body contain two lungs. ‘Lungs are large organs that occupy thoracic cavity except the heart in the central area. The left lung has two robes and the right lung has three robes’ (Marieb 2012 p.441). The lungs bring in oxygen to the body which is the air that we breathed for energy and remove carbon dioxide from the body which is the gas that comes out as waste products (American Thoracic Society 2014). . Digestive System: Digestive system starts from the mouth and ends up in the anus. The function of digestive system is to break down foods in to a simplest form for the absorption of the body as nourishment for cells and energy for the body usage (Marieb 2012 p.464). Signs and Symptoms Shortness of breath (dyspnoea) Fatigue and weakness Swelling (oedema) in your legs, ankles and feet Rapid or irregular heartbeat Reduced ability to exercise Persistent cough or wheezing (Nocturia) increased need to urinate at night Heart Pumps Faster Swelling of your abdomen (ascites) Sudden weight gain Lack of appetite and nausea Difficulty concentrating or decreased alertness Heart Grows Larger Elevated blood pressure Chest pain, if your heart failure is caused by a heart attack (Mayo Clinic 2014) Shortness of Breath: meaning there is not enough air getting into the body system why because of lack of oxygen as the heart is not able to pump enough blood (Mayo Clinic 2014 Fatigue and weakness: As the heart failed or become weak other parts of the body are affected including legs and arms making difficult do walk or climb the stairs because there is not sufficient blood getting to the legs and arms (University of California San Francisco 2014) Swelling: For kidney to function very well it needs its normal blood supply. Renin restores normal blood pressure and increase filtration of water and salt for filtration process to be normal (Marieb 2012 p. 512). But when blood flow to the kidney is limited then renin will also retain salt and water which will leads to fluid build-up in the body (feet, ankles and legs), (University of California San Francisco 2014) Rapid or irregular heartbeat: meaning fast or abnormal heartbeat. This happen because blood supply is insufficient, therefore, the heart will work harder to meet the body requirement (University of California San Francisco 2014) Reduced ability to exercise: Because the body feels tired especially the legs and arms as a result of less blood supply to these areas which mean oxygen level in the body is low, you will be less likely to complete the daily activates normally (University of California San Francisco 2014) Persistent cough or wheezing: Is a noisy sound particularly when you breathe in air and out of the lungs (inhalation and exhalation) as a result of fluid build-up in the lugs (Dr. James Krider 2005). Nocturia: Is increased need to urinate at night, as a result of infection of the bladder, kidney or diabetes. In the case of Mr Alby Wright, he is type two diabetes meaning bladder’s ability to hold urine has decrease which leads to more urination at night (Better Medicine 20140) Heart Pumps Faster: Our body needs blood to function very. Due to this, the heart will work harder than normal to circulate blood throughout the body in other to meet the body requirement (University of California San Francisco 2014) Swelling of your abdomen: Swelling of the abdomen occurs as a result of the fluid build-up in the lungs and organs. Due to the weakness of the heart which means the heart is unable to pump blood very well (Sterns 20140). Sudden weight gain: Swelling or puffiness of the skin will make it look stretched and shiny as a result of unwanted fluid in the tissues and organs (Sterns 20140). Lack of appetite and nausea: When you don’t have the desire to eat food as a result of the liver and digestive system become blocked because there is less blood supply to these organs you will full (University of California San Francisco 2014) Difficulty concentrating or decreased alertness: meaning you may start to forget things or confuse because of less circulation to the brain. Without enough blood, the brain cannot function well (British Columbia 2012) Heart Grows Larger: The muscles of the heart become more and more lager due to the force in order to pump blood. The four chambers of the heart also enlarge to be able to hold large volume of blood (University of California San Francisco 2014). Elevated blood pressure: Is the meaning or word use to describe hypertension: thus the heart has to work harder to pump blood around the body. This happened as the result of cardiac enlargement or heart failure (Tabbner’s 5e p 273) Chest Pain: Meaning the heart is deprives from getting enough blood. This occurs due to â€Å"blockage or constricted coronary blood vessel† (Tabbner’s 5e p 669) Information taking on his admission: Pulse 124 SaO2: 87% on room air Respiration 32 Blood Pressure 90/40 (Q5) Yes: There is too much glucose (sugar) in his blood which is not getting into the cells of the body. Diabetes lead to nerve damage and poor circulation, looking at his admission form his blood pressure is low, oxygen saturation is also low as a result of asthma and hypotensive and congestive cardiac failure which means blood is not circulating well through the body system. This indication of slow wound healing to extend where his toe was amputated. (Q6): What is the action of laxis: This drug is (Diuretic) use to treat acute pulmonary oedema (Kluwer, Williams Wilkins 2008, p. 647) Which body system is affected? Kidney: because the medicine draws water from the blood as urine. Also affect the heart as the fluid is draw out of the blood the pressure also decreases (Netdoctor 2013) Why he is taking this medication: To clear excessive accumulation of fluid in his body and help he urinates. Three conditions: Glaucoma Arthritis Type 2 Diabetes Question 8: Factors that will impact on Mr Wright’s safety: Hospital: allergy, glaucoma risk for fall, leg ulcer for risk infection, Home: Diabetes careful for blood glucose level, low blood pressure, Leg ulcer risk for infection, confusion forget to take his medication, frail skin easy to get skin tear and mobility is not good because he is walking with stick, mental stage he could wounder around and forget where he is. Question 9: Other health professional: Podiatrist will be able to look at his amputated toes to provide him with best treatment including his arthritis. Dieticians: will provide information to Mr Wright’s regarding nutrition on what is good and what is bad for his health. Mental health professional: will help provide support for Mr Wright to reduce his level of anxiety. Diabetes Educator: To educate him on diabetes and how well he should eat. Physiologist: Will help him with exercise program to treat any pain that he might have including arthritis, and difficulty walking (Better Health Channel 2014) Question 10: Neurovascular Assessment Medication Chart Diabetes Assessment Fluid Balance Chart Bowel Chart Care Plan Skin Assessment Wound Care Plane Patient Positioning Chart Dressing Regime (Wound) (TAFE SA Flow Charts Book) References: Funnel, Koutoukidis and Lawrence, Tabbner Nursing care 5th edn, Function of the Kidney, Melbourne Funnel, Koutoukidis and Lawrence, Tabbner Nursing care 5th edn, Definition of Heart Failure, Melbourne American Thoracic Society 2014, Anatomy and Function of the Normal Lungs, viewed 15 March 2014 http://www.thoracic.org/clinical/copd-guidelines/for-patients/anatomy-and-function-of-the-normal-lung.php Mayo Clinic 2014, Diseases and Condition of Heart Failure, viewed 15 March 2014, http://www.mayoclinic.org/diseases-conditions/heart-failure/basics/definition/con-20029801 Mayo clinic 2014, Shortness of Breath, viewed 16 March 2014, http://www.mayoclinic.org/symptoms/shortness-of-breath/basics/definition/SYM-20050890 UCSF Medical Centre 2014, Heart Failure Signs and Symptoms, viewed 16 March 2024, http://www.ucsfhealth.org/conditions/heart_failure/signs_and_symptoms.html Dr. James Krider, Wheezing, viewed 16 Mach 2014, http://www.formulamedical.com/Topics/Symptoms/Wheezing.htm Health Grades 2014, Nocturia Causes, viewed 16 March 2014, http://www.localhealth.com/article/nocturia/causes Richard H Sterns 2014, Patient information: Edema (swelling) beyond the basics, viewed 16 March 2014, http://www.uptodate.com/contents/edema-swelling-beyond-the-basics British Columbia 2012, Heart Failure: Less Common Symptoms, viewed 17 March 2014, http://www.healthlinkbc.ca/kb/content/special/tx4083abc.html Funnel, Koutoukidis and Lawrence, Tabbner Nursing care 5th edn, Chest pain, Melbourne Kluwer, LW Wilkins 2008, Nursing and Midwifery Drug handbook, Diuretic 4th edn Netdoctor 2013, Laxis, viewed 17 March 2014, http://www.netdoctor.co.uk/heart-and-blood/medicines/lasix.html Better Health Channel 2014, Physiotherapist, viewed 17 March 2014, http://www.betterhealth.vic.gov.au/bhcv2/bhcarticles.nsf/pages/Physiotherapy

Economic Freedom Vs. Interdependence :: essays research papers

Economic freedom cannot be fully instated as long as interdependence exists. The reasoning for this is that interdependence directly effects economic freedom. The basic idea in these two terms is options. Economic freedom means having unlimited and unrestricted options, while interdependence equals limited options. It is impossible for these two ideas to completely coexist to the entirety of their definitions. The government is forever creating and amending rules, regulations, and laws, which constitutes in limiting economic choices and options. Economic freedom is the aspect of choice. It is a concept that allows each individual to fully choose exactly how they use their money while having unlimited options when making economic decisions, with the advantage of unbounded possibilities. If there were unlimited options, it would mean that anything that is desired should be able to become reality. With the absence of restrictions, having unlimited options allows individuals to act independently with their decisions. Interdependence, relating to the consumer, is practically the opposite of economic freedom. Interdependence means limited options and added restrictions. With interdependence, the choices the consumer makes and the options he has are dependent on the decisions made by others. They could be other consumers, entrepreneurs, or the government. Laws, taxes, and the role of Alan Greenspan are also part of this idea. Interdependence means that all the consumer's economic decisions are out of his control because they depend on the decisions of others. Based on this definition, interdependence and economic freedom are opposing concepts. The concepts are similar in that they are both economic terms that entail a system of making decisions based on the consumer. Both also deal with the concept of options. However, that is also exactly how they are different. It is like two sides of a coin, one is for options, and one is against them. Economic freedom is all about unlimited options; therefore, it could not possibly coexist with a governing that relies on limiting options. Achieving complete economic freedom depends on interdependence and what limits are being set. It is possible that both concepts could coexist in a watered down state, like a compromise. There may be a variety of choices in one area for the consumer, but not in another area. It is also possible that complete economic freedom does not exist. In the American economy, the government is the main source of interdependence, but without the government, America's economy would be shattered.

Descartes †First Meditation Essay

In the First Meditation, Descartes presents his philosophical project, and he claims that, in order to complete this project, he needs to put into questions the truth of all his beliefs. Descartes shows that we can doubt of the truth of all our beliefs by two main arguments, the Dream Argument and the Evil Genius argument. In the Dream Argument, Descartes discusses the senses and how it can deceive. Descartes then mentions that when he is dreaming he can also sense real objects, or at least feels he can, causing him not be able to distinguish between being asleep and being awake. This is shown in the quote from the First Meditation, â€Å"I see so plainly that there are no definitive signs by which to distinguish being awake from being asleep. As a result, I am becoming quite dizzy, and this dizziness nearly convinces me that I am asleep† – (19, Mediation One). Descartes also discusses the possibility of the universal dream, mentioning that his whole life could in fact be a dream with no actual world that you are awake. Descartes mentions that dream images are images that we already experience in our waking life, they are images that we already know of. The images don’t necessarily have to be something we have seen before because it can be parts of real things we already know that create another image we have not yet seen or experienced. The dream argument that Descartes represents interprets the message that the senses are not always reliable, and we can easily be fooled by them, therefore, we should not rely on our senses to base all of our beliefs on. Now moving on to Descartes second argument, the Evil Genius argument, it implies that everything we think we know is in fact not true and we cannot rely on our senses. In The First Meditation, Descartes presents that God is good, therefore he would not fool the beings he creates into believing false things. If someone were to believe in this suggestion then he would know that he can’t be fooled by anything. This is shown in Descartes quote â€Å"But perhaps God has not willed that I be deceived in this way, for he is said to be supremely good. Nonetheless, if it were repugnant to his goodness to have created me such that I be deceived all the time, it would also seem foreign to that same goodness to permit me to be deceived even occasionally† (21 – Meditation One). On the other hand, Descartes mentions that there are some people who believe there is no God, if this is the point of view to be taken then there would be a very big likelihood in us being deceived. The reason for this theory is due to the argument Descartes presents that if there is no good our senses would not be perfect since it would not have been created by a perfect being, such as God. This is shown in Descartes quote, â€Å"But because being deceived and being mistaken appear to be a certain imperfection, the less powerful they take the author of my origin to be, the more probable it will be that I am so imperfect that I am always deceived† (21 – Mediation One). In the end of the First Meditation, Descartes sees it as impossible to stop from thinking about these theories, he then tries to believe that his opinions are not true. Descartes does this for the reason to be able to keep thinking as normal without disruptions. Descartes mentions this in his quote, â€Å"Hence, it seems to me I would do well to deceive myself by turning my will in completely the opposite directions and pretend for a time that these opinions are wholly false and imaginary† (22 – Meditation One). Descartes then concludes that an evil genius has set out to deceive him so everything he thinks he knows is not true, â€Å"I will not suppose a supremely good God, the source of truth, but rather an evil genius, supremely powerful and clever, who has directed his entire effort at deceiving me† (22 – Mediation One). With Descartes doubting all his beliefs he makes sure that he is not led to believe in what is not real by the so called â€Å"evil genius† he mentions in the First Meditation. In regards to the question, does Descartes appear to be a sceptic? I would have to say no, the reason I say this is although Descartes does appear to be a sceptic in all his arguments, he demonstrates theories to all his doubts. When Descartes represents a reason for his doubt this cannot be viewed a scepticism anymore as scepticism as defined is the philosophical position according to which knowledge is impossible. Descartes represents knowledge on each topic he doubts, as to why it should be doubted and for what reasons. Descartes does not constantly doubt everything for no reason, a sceptic doubts everything around them for no reason whatsoever. To prove this argument I suggested we can look at the First Meditation when Descartes denies the thought that he might be insane, which is shown in his quote, â€Å"Unless perhaps I were to liken myself to the insane, but such people are mad, and I would appear no less mad, were I to take their behavior as an example for myself† (19 – Meditation One). In this quote it proves that all the doubts Descartes is making in the First Meditation are logical, and provide reason. Descartes is not just doubting for the sake of doubting, but for logic that causes this doubt he is experiencing. This concludes that Descartes is not a sceptic, and his arguments in fact to continue to grow, while maintaining logical reason behind them.

Fahrenheit 451 By Ray Bradbury - 1476 Words

Human beings are naturally curious. We are always in search of better ideas, and new solutions to problems. One of a basic idea of America has been freedom of thinking and a free flow of ideas. But in some societies, governments try to keep their people ignorant. Usually, this is so governments can keep people under control and hold on to their power. In recent history, one of the most notorious examples of government oppression is the Soviet Union whose leaders created systems that were supposed to keep information and ideas censored. In the novel Fahrenheit 451, Ray Bradbury creates a similar world. As Bradburry shows, and as seen in the Soviet Union, it is almost impossible to keep everyone in ignorance indefinitely. In trying to†¦show more content†¦Ã¢â‚¬Å"You think too many thoughts,† Montag says. But being with Clarisse has disturbed Montag. When she leaves him, she shouts, â€Å"Are you happy?† â€Å"Am I what?† he cries. (Bradbury 10) This scene shows how Montag has never stopped to think about his life or the world. But this meeting with Clarisse has opened up something in his mind, the thought of whether he actually was happy, and if what he was doing is right. From the earliest pages of the book, the world he creates in his novel seems extremely similar to the Soviet Union. When Joseph Stalin over Russia in April of 1922, he soon after created systems to control the flow of ideas. Books that went against the ideas of communism and Stalin’s regime were kept from the general public. Newspapers, as well as television was run by the government. Stalin was a dictator, and he wanted total control and power over all of the Soviet Union. In Fahrenheit 451, fireman like Montag are very much feared the public. The reader sees this right away when Montag encounters Clarisse for the very first time. â€Å"So many people are. Afraid of firemen, I mean. But you’re just a man, after all...† (Bradbu ry 7) The same was true in the Soviet Union. Stalin created an army of spies, police, and even regular citizens who helped him enforce. Another similarity between the world Bradbury creates and the real world of the Soviet Union is what happened to people who refused to obey the laws censorship. InShow MoreRelatedFahrenheit 451 by Ray Bradbury719 Words   |  3 PagesThe flash point of paper, or the temperature at which paper will burst in flames, is 451 degrees Fahrenheit. In Fahrenheit 451, written by Ray Bradbury, the main character, Guy Montag, is a â€Å"fireman† in a futuristic society where he and his coworkers start fires, rather than put them out. Books are banned and burned, along with the owner of the book’s house and sometimes even the owner of the book, upon discovery. Technology has taken over in a sense that social interaction between the average personRead MoreFahrenheit 451 By Ray Bradbury1952 Words   |  8 Pagesis clearly displayed in the plight of Ra y Bradbury’s novel about a dystopian American society, Fahrenheit 451, which contains many ideas and bits of content that some people believed should be censored. In fact, one of the reasons that this novel was censored for displaying the dangers of censorship, which is both extremely ironic, and telling as to where this society is going. Thanks to several distributors and oversensitive parents and teachers, Fahrenheit 451 has been banned in many schools overRead MoreFahrenheit 451 By Ray Bradbury954 Words   |  4 Pages In Fahrenheit 451 by Ray Bradbury, the author uses allegory (often misinterpreted by readers) to show the dangers of mass media consumption and the decline of reading traditional media. Many readers draw incorrect conclusions (lessons learned) from the book due to how generally the book applies its theme. Government censorship, though an important topic, is not the intended focus of the novel Fahrenheit 451. Finally, Bradbury’s original message of th e book shows the beauty of traditional media andRead MoreFahrenheit 451 By Ray Bradbury1592 Words   |  7 PagesWhen writing the introduction to Fahrenheit 451, author Neil Gaiman stated that â€Å"ideas--written ideas--are special. They are the way we transmit our stories and our thoughts from one generation to the next. If we lose them, we lose our shared history†. Gaiman is absolutely correct; especially because what he is saying heavily applies to books. Books are a critical aspect in shaping humanity as a whole, they create and share a network of creative ideas, history, and overall entertainment; to loseRead MoreFahrenheit 451 By Ray Bradbury918 Words   |  4 Pagesâ€Å"Fahrenheit 451,† written by Ray Bradbury, is a futuristic, dystopian novel based upon a society secluded by technology and ignorance. In this future society, books are outlawed and firemen are presented with the task of burning books that are found in people’s homes. Montag, a fireman, finds himself intrigued with the books, and begins to take them home and read them. As the story progresses, Montag learns the truth behind why books are outlawed and flees his city to join the last remnants of age-oldRead MoreFahrenheit 451 By Ray Bradbury847 Words   |  4 PagesSet Knowledge On Fire The book Fahrenheit 451 is a postmodern work by Ray Bradbury first published in 1951. In Bradbury’s story, all books are illegal and are subject to be burned by firemen. Furthermore, the two predominant themes of Fahrenheit 451 are censorship and ignorance. The censorship implemented over the years removes all information from society that is necessary to learn, which accomplishes to prevent people from questioning anything. The ignorance of society has been fostered and theRead MoreFahrenheit 451 By Ray Bradbury1661 Words   |  7 Pages1.) In the novel, Fahrenheit 451 by Ray Bradbury, Montag’s view on life reverses. Two characters the influence the main character Guy Montag are the old lady whose house and books were burnt down and Mildred. The old lady was caught preserving books in her home. Firemen including Montag were ordered to burn the books. The old lady refused to leave her books, so she too was burned. She bravely gave an allusion as her last words, â€Å"Play the man,’ she said, ‘Master Ridley.’ Something, somethingRead MoreFahrenheit 451 by Ray Bradbury818 Words   |  4 PagesFAHRENHEIT 451 BY RAY BRADBURY Important People in Montag’s Life In Partical Fulfillment Of English 2 Ms Irina Abramov By Helen Hernandez November 9, 2012 â€Å"There are worse crimes than burning books. One of them is not reading them† -Ray Bradbury. In the past there were events that affected book writers. People will get together to burn books because they thought it was inappropriate or they were against their literature. Montag is a fireman in a futuristic society who would startRead MoreFahrenheit 451 By Ray Bradbury863 Words   |  4 PagesThe novel, Fahrenheit 451 was written by Ray Bradbury and it took place in the dystopian future. Throughout each novel, we are able to see a major theme, which is censorship. In this essay, I will explain how this theme are explored in the story by using the literary devices. To begin with, in this novel, censorship is not given a straight description, but we can see how the author shows it through many literary elements, such as using the setting, tone and symbolisms even foreshadowing. This novelRead MoreFahrenheit 451 By Ray Bradbury1544 Words   |  7 PagesRay Bradbury, the author of Fahrenheit 451, expresses his perspective on life in an interview. His interview contains a common theme: Do what you love, and love what you do (Bradbury). Bradbury sends a message in his interview that people should love life, and live to the fullest because he believes life is a beautiful thing. Although Bradbury no longer can demonstrate his love for life his message still lives in the pages of Fahrenheit 451. The Government of the society in the novel has told their