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Thursday, September 3, 2020
History of the American Flag free essay sample
Lamentably, students of history have always been unable to check this enchanting rendition of occasions, despite the fact that it is realized that Ross made banners for the naval force of Pennsylvania. The narrative of Washingtons visit to the flagmaker got famous about the hour of the countrys first centennial, after William Canby, a grandson of Ross, told about her job in molding U. S. history in a discourse given at the Philadelphia Historical Society in March 1870. What is known is that the main informal national banner, called the Grand Union Flag or the Continental Colors, was raised at the command of General Washington close to his central station outside Boston, Mass. on Jan. 1, 1776. The banner had 13 exchanging red and white flat stripes and the British Union Flag (an antecedent of the Union Jack) in the canton. Another early banner had a rattler and the saying ââ¬Å"Dont Tread on Me. â⬠The principal official national banner, otherwise called the Stars and Stripes, w as affirmed by the Continental Congress on June 14, 1777. We will compose a custom paper test on History of the American Flag or on the other hand any comparative point explicitly for you Don't WasteYour Time Recruit WRITER Just 13.90/page The blue canton contained 13 stars, speaking to the first 13 states, however the design differed. In spite of the fact that no one knows without a doubt who planned the banner, it might have been Continental Congress part Francis Hopkinson. After Vermont and Kentucky were admitted to the Union in 1791 and 1792, individually, two additional stars and two additional stripes were included 1795. This 15-star, 15-stripe banner was the ââ¬Å"star-radiant bannerâ⬠that enlivened legal advisor Francis Scott Key to compose the sonnet that later turned into the U. S. national song of praise. In 1818, after five additional states had picked up permission, Congress passed enactment fixing the quantity of stripes at 13 and necessitating that the quantity of stars equivalent the quantity of states. The last new star, carrying the aggregate to 50, was included July 4, 1960, after Hawaii turned into a state. To add to the puzzle encompassing the main American banner, specialists can just theory the explanation Congress picked stripes, stars, and the hues red, white and blue for our banner. Students of history and specialists dishonor the normal hypothesis that the stripes and five-pointed stars got from the Washington family ensign. While this hypothesis adds to Washingtons unbelievable contribution in the advancement of the primary banner, no proof ways out to show any association between the two. As further disproof Washington loathed those sorts of trappings. The genuine significance of the images in our banner might be attached to old history. Stars were a gadget speaking to keeps an eye on want to accomplish enormity. The regular representation trying to achieve the impossible created from this thought. Another chance may originate from Freemasonry. Benjamin Franklin, John Hancock, Robert Livingston, Paul Revere and other notable individuals of that period had a place with the mystery intimate request. They may have impacted the consideration of stars in the American banner in light of the fact that, alongside pyramids, curves, compasses and the infinitely knowledgeable eye, stars were known to be a significant symbol in Masonry. The use of stripes in our banner might be connected to two previous banners. A 1765 Sons of Liberty banner flown in Boston had nine red and white stripes, and a banner utilized by Capt. Abraham Markoes Philadelphia Light Horse Troop in 1775 had 13 blue and silver stripes. Either of these banners likely impacted the plan of the American banner. The most legitimate clarification for the shades of the American banner is that it was designed according to the primary informal American banner, the Continental Colors. Thus the Continental Colors was most likely structured utilizing the shades of Englands Union Jack. The shades of the Great Seal are equivalent to the hues in the American banner. To ascribe significance to these hues, Charles Thomson, who helped structure the Great Seal, answered to Congress that White means virtue and honesty. Red strength and valor and Blue ignifies carefulness, constancy and equity. In 1986 Pres. Ronald Reagan changed Thomsons clarification by saying The shades of our banner imply the characteristics of the human soul we Americans love: red for fearlessness and availability to forfeit; white for unadulterated expectations and high standards; and blue for cautiousness and equity. In spite of the fact that we may not have the foggiest idea about the entirety of the individuals who impacted the cre ation and structure of the primary American banner, the banner itself has affected incredible enthusiasm and keeps on doing as such right up 'til today. Socially, strategically and inwardly, the American banner has taken on an importance unparalleled by some other countrys national symbol. What do the hues rely on: The shades of the pales (the vertical stripes) are those utilized in the banner of the United States of America; White implies immaculateness and guiltlessness, Red, strength amp; valor, and Blue, the shade of the Chief (the expansive band over the stripes) connotes carefulness, steadiness amp; equity.
Saturday, August 22, 2020
Major Declaration Essay
Major Declaration EssayThe need for a Major Declaration Essay (MDE) is a need that many students have every year in their college careers. The papers are a must-have, so why not make them one of the most important papers in your life?Being able to fulfill this need can lead to success in college life. This means that it's important that you are prepared when writing this type of paper, or that the assignment is too challenging for you. You should never feel pressure about the paper because it's your first time writing it, and the professor should be made aware of this fact as well.The purpose of the Major Declaration Essay is to give you a final document that not only helps you to understand how to explain your accomplishments in the class to your instructor, but also shows them that you understand the college life experience. This is a good time to let your professor know what kinds of things are interesting to you and your classmates. It will help them pick the best candidates for future projects.It also has the chance to be your best projects as it's responsibility papers, and they usually have a much higher grade. It gives the professor an opportunity to see what kind of student you are and will be able to help you throughout your college career. The essay itself should be easy to read. Also, it should be concise.One of the Major Declaration Essay samples for Culp Georgetown students is an essay titled 'You Are What You Eat.' In this example, the student will write a paragraph describing their nutritional habits, then they will list a list of foods they are trying to lose weight, list a list of foods they are trying to gain weight, and list a list of foods they are trying to eat.The other example for a Major Declaration Essay by Culp Georgetown students is a lesson on natural hues. In this example, the student will list some of the colors they have at home and how each color could be better at blending with others. Lastly, they will list the colors that the y try to use with others, as well as any problems they might encounter while working around these colors.These examples are just a few of the many essay samples for students at Culp Georgetown. There are hundreds more. This is a college with a friendly faculty and an open-minded community that provide many opportunities for students to meet and build relationships with peers.Papers like these allow students to get the chance to show the professor how well they understand the needs of their professors. They do not come along often, so they should be chosen with care. If you've ever wondered about your life and what it would be like if you were in college instead of out working, now is the time to find out.
Friday, August 21, 2020
Washington essays
Washington expositions George Washington is most popular as the principal leader of the United States, and a man of good courage with his well known cherry tree legend. Notwithstanding, there is substantially more to Washingtons broad character and commitment that give him the inheritance of being, maybe the most powerful pioneer in the formation of the American country. Through his accomplishments as president during the Revolution, on the side of the drafting and approval of the Constitution, and as first president, Washington was instrumental in changing the goals of the Revolution into the real world. His profession as officer, progressive, constitution-producer, and CEO of another country requested a scope of aptitudes and gifts with not many points of reference ever. Washington demonstrated himself to be a firm, noble, faithful, yet careful president. He didn't need the focal government to turn out to be excessively solid and carefully abstained from getting excessively associated with Congress, since he was a firm adherent of partition of forces. What's more he was not one-sided or bias against any group of the gatherings. He additionally constantly attempted to submit each activity with legitimate explanation, and to start a trend with each activity for the presidents that would hold office after him. He didn't put stock in pushing or proposing any enactment or anything that undemocratic, or unlawful. Washington, alongside others help at that point had the option to balance out the administration after the reception of the Constitution. One of the points of reference that Washington built up was The Presidential Cabinet, which was later utilized by future presidents too. At whatever point, he had any questions about a choice he would counsel his bureau, a get together that he himself picked. While selecting the individuals from the Cabinet, Washington didn't support any group of a gathering, and doled out a few situations to various political individuals. He gave Alexander Hamilton the situation of Secretary of Treasury, who was present... <!
Wednesday, June 17, 2020
Article Critique Essay - 825 Words
Article Critique (Essay Sample) Content: Article critiqueThe article is a detailed explanation of serious misconceptions about bipolar condition. The condition has been associated with artists and by extension erroneously associated with creativity. Creativity is a human capability which according to the article will not eventually be boosted by a psychological condition. However, the article has sampled tests previously done to draw the flawed conclusion that erupt suspicion about the connection. The article samples many research work done, some of them critically misleading in the manner which they draw a link between bipolar condition and the whole issue of creativity.The article exposes flaws in the first misleading research h involving a researcher r who sampled 30 artists and carried out psychiatric interviews along 30 controls. The research came up with very confusing 43% bipolar cases in writers against only 10% in the controls. However, the article points out to variables pertinent to creativity not taken to account like intelligence, social class and academic success. The article gives a couple of some more researchers who had it wrong in some aspects which led them to flawed conclusion. However, there was to be a relationship between creative works and the conditions. The article then breaks down to show where the relationship between the condition is confused with creativity. The explanation of Jaunasian and homospatial processes forms a reasonable point of confusion (National institute of Health, 2013).The article is well crafted and organized to evict all misconception through a process of explanation of the process of creativity and the actual nature of the bipolar condition. It exposes serious flaws through well researched work and compilation of inner details of the flawed procedures. It has however delivered a logical explanation for the relationship and closed the uncertainty of the then why the relationship is continuously being drawn.The article relates to the top ic in the text book in directly addressing the bone of contention. It lists the condition as the text book but offers a more carefully approached explanation to avoid making a fast connection with creativity. The article intelligently addresses the whole point of confusion as opposed to the text book which only talks lightly about the condition. Some of the facts given out in the article have not been well explained in the book though.The article raised many questions. It first gave out a difference between what is bipolar condition and creativity at its best. However it failed to show how one will differentiate when they are suffering and when they are doing well in their creativity. It also did not open to show whether most therapists know whether this difference exists and that there is confusion between the two. There are uncertainties when the article reveals that artists who suffer from the condition refuse to get help but reject the claims that it helps in creativity. What th en motivates other artists to keep the condition if it is destructive to their talents? Why is the misconception so strong? Is there also a confusion in that some people think they have acquired the condition whereas they are just okay? (Jamison, 2014).The article leaves serious implication about psychology. There are many psychological conditions and many misleading researches that have been done. The article simply reveals the complexity of psychological cases and misconception that are living in common people. Psychology in the society is not well understood as a result put the society under jeopardy of adopting precarious treatments, assumptions or medications. The society in simple terms cannot be able to come up with accurate conclusions in face of a psychological case; they will end up sampling or collecting information and give a ve...
Monday, May 18, 2020
The Scarlet Letter By Nathaniel Hawthorne - 1588 Words
The spark flickers, then dies out, borne on lofty winds to extinction. The rocks strike again, and a flame leaps into the craggy logs, illuminating the faces of humanityââ¬â¢s ancestors. Humans have always changed, through the evolution of species, thoughts, and ideas. A significant change was wrought by the new immigrants to America, and as they settled in the budding New World. In many pieces of literature from this period, the change in American culture was reflected through the words of authors, often leaving clandestine clues to the nature of American society. Throughout the Scarlet Letter by Nathaniel Hawthorne, the emergence of a new American belief system was represented by three of the main characters. Pearl, who was capricious and tempestuous, was synonymous with the flighty nature of immigrants to the new land. Dimmesdale, who demonstrated the trials of salvaging purity, showed the changing nature of religion, and Hester, the ever prideful, represented the struggles of governance within America. Hesterââ¬â¢s little Pearl, born of sin and temptation, is representative of the hopeful immigrants into America. Though none of them knew it, their spirit and opportunities would lead them to defy authority and mark their own destinies, just as the young, impish child would grow to walk her own path towards choice. Hester, the mother of Pearl, is the ever watchful sentry. Her assimilation to the government and authority is blatant, as she tries to rein in a fleeting daughter, andShow MoreRelatedThe Scarlet Letter By Nathaniel Hawthorne1242 Words à |à 5 PagesLYS PAUL Modern Literature Ms. Gordon The Scarlet Letter The scarlet letter is book written by Nathaniel Hawthorne who is known as one the most studied writers because of his use of allegory and symbolism. He was born on July 4, 1804 in the family of Nathaniel, his father, and Elizabeth Clark Hathorne his mother. Nathaniel added ââ¬Å"Wâ⬠to his name to distance himself from the side of the family. His father Nathaniel, was a sea captain, and died in 1808 with a yellow fever while at sea. That was aRead MoreThe Scarlet Letter By Nathaniel Hawthorne960 Words à |à 4 Pages3H 13 August 2014 The novel, The Scarlet Letter, was written by the author Nathaniel Hawthorne and was published in 1850 (1). It is a story about the Puritan settlers of the Massachusetts Bay Colony, set around 1650 (2). The story is written in the third person with the narrator being the author. The common thread that runs through this novel is Hawthorneââ¬â¢s apparent understanding of the beliefs and culture of the Puritans in America at that time. But Hawthorne is writing about events in a societyRead MoreThe Scarlet Letter, By Nathaniel Hawthorne919 Words à |à 4 Pagessymbolism in Nathaniel Hawthorneââ¬â¢s ââ¬Å"The Scarlet Letterâ⬠. Symbolism is when an object is used in place of a different object. Nathaniel Hawthorne is one of the most symbolic writers in all of American history. In ââ¬Å"The Scarlet Letterâ⬠, the letter ââ¬Å"Aâ⬠is used to symbolize a variety of different concepts. The three major symbolistic ideas that the letter ââ¬Å"Aâ⬠represents in Nathaniel Hawthorneââ¬â¢s ââ¬Å"The Scarlet Letterâ⬠are; shame, guilt, and ability. In Nathaniel Hawthorneââ¬â¢s ââ¬Å"The Scarlet Letterâ⬠, the firstRead MoreThe Scarlet Letter By Nathaniel Hawthorne1397 Words à |à 6 PagesFebruary 2016 The Scarlet Letter was written by Nathaniel Hawthorne in 1850 which is based on the time frame of the Puritans, a religious group who arrived in Massachusetts in the 1630ââ¬â¢s. The Puritans were in a religious period that was known for the strict social norms in which lead to the intolerance of different lifestyles. Nathaniel Hawthorne uses the puritanââ¬â¢s strict lifestyles to relate to the universal issues among us. The time frame of the puritans resulted in Hawthorne eventually thinkingRead MoreThe Scarlet Letter By Nathaniel Hawthorne999 Words à |à 4 Pages Nathaniel Hawthorne is the author of the prodigious book entitled The Scarlet Letter. In The Scarlet Letter, Hester Prynne commits adultery with Reverend Arthur Dimmesdale. Her husband, Roger Chillingworth, soon finds out about the incident after it becomes clear that she is pregnant. The whole town finds out and Hester is tried and punished. Meanwhile, Roger Chillingworth goes out then on a mission to get revenge by becoming a doctor and misprescribing Dimmesdale. He does this to torture DimmesdaleRead MoreThe Scarlet Letter, by Nathaniel Hawthorne1037 Words à |à 5 Pagesthat human nature knows right from wrong, but is naturally evil and that no man is entirely ââ¬Å"goodâ⬠. Nathaniel Hawthorne, author of the classic novel The Scarlet Letter, believes that every man is innately good and Hawthorne shows that everyone has a natural good side by Hesterââ¬â¢s complex character, Chillingworthââ¬â¢s actions and Dimmesdaleââ¬â¢s selfless personality. At the beginning of the Scarlet Letter Hester Prynne is labeled as the ââ¬Å"bad guyâ⬠. The townspeople demand the other adultererââ¬â¢s name, butRead MoreThe Scarlet Letter By Nathaniel Hawthorne1517 Words à |à 7 PagesNathaniel Hawthorne composes Pearl as a powerful character even though she is not the main one. Her actions not only represent what she is as a person, but what other characters are and what their actions are. Hawthorne makes Pearl the character that helps readers understand what the other characters are. She fits perfectly into every scene she is mentioned in because of the way her identity and personality is. Pearl grows throughout the book, which in the end, help the readers better understandRead MoreThe Scarlet Letter, By Nathaniel Hawthorne1488 Words à |à 6 Pages In Nathaniel Hawthorneââ¬â¢s novel The Scarlet Letter, the main character, Hester Prynne, is a true contemporary of the modern era, being cast into 17th century Puritan Boston, Massachusetts. The Scarlet Letter is a revolutionary novel by Nathaniel Hawthorne examining the ugliness, complexity, and strength of the human spirit and character that shares new ideas about independence and the struggles women faced in 17th century America. Throughout the novel, Hesterââ¬â¢s refusal to remove the scarlet letterRead MoreThe Scarlet Letter By Nathaniel Hawthorne1319 Words à |à 6 PagesPrynne and Arthur Dimmesdale are subject to this very notion in Nathaniel Hawthorne s The Scarlet Letter. Hester simply accepted that what she had done was wrong, whereas Dimmesdale, being a man of high regard, did not want to accept the reality of what he did. Similar to Hester and Dimmesdale, Roger Chillingworth allows his emotions to influence his life; however, his influence came as the result of hi s anger. Throughout the book, Hawthorne documents how Dimmesdale and Hester s different ways of dealingRead MoreThe Scarlet Letter By Nathaniel Hawthorne1714 Words à |à 7 PagesSome two hundred years following the course of events in the infamous and rigid Puritan Massachusetts Colony in the 1600s, Nathaniel Hawthorne, descendant of a Puritan magistrate, in the 19th century, published The Scarlet Letter. Wherein such work, Hawthorne offered a social critique against 17th Massachusetts through the use of complex and dynamic characters and literary Romanticism to shed light on said societyââ¬â¢s inherent contradiction to natural order and natural law. In his conclusive statements
Wednesday, May 6, 2020
The Overpopulation Of The World s Population - 1656 Words
Many people believe that today the world s population is already too large for everyone to live comfortably. Let us brainstorm for a while. According to the UN, we are living in the era of the most intense growth of urbanization. Right now, when the level of urbanization is quite high, the remains of the rural population of the planet dramatically swept into the city. Everyone knows that the urban life style helps to reduce the birth rate to a subthreshold level. This means that neither sharp jump nor sharp plummet is expected. If one opens the demographic map, one will see that Asia accounts for half the world s population! The largest in terms of population countries are India and China, which together have 3 billion people. Despite many people believe the overpopulation to be an issue, this problem is considered to be fake just as well as global worming which is claimed to be a natural process. Konstantin Marsov claims The current Voloshyn 3 population of the Earth is only a 5% o f the territory. And if we do not take into account not suitable for human habitation natural areas - deserts, jungles and taiga, is still a lot of space. According to some projections, the growth of the world s population will stop somewhere in the second half of the XXI century. But by that moment it can reach 10 billion. In one of the most crowded countries in the world, in China, the population density is 139.5 persons per square kilometer which one may consider high, butShow MoreRelatedOverpopulation : Preserve The World1291 Words à |à 6 Pages Overpopulation: Preserve The World If there was a way to have a better life for you and your loved ones would you take it? Or would you rather not take the opportunity and struggle throughout the rest of your life, this will happen by world overpopulation. In the past, Overpopulation started out from the baby boom which increased the birthrate, and according to Ewan Mcleish the author of ââ¬Å"Overcrowded World, (16)â⬠he stated that it made 40% of the national population. Today, overpopulation is aRead MoreChina And Indi Driving Forces Of Overpopulation712 Words à |à 3 PagesEmre Can Aydà ±n Writing Assignment 104A 03/15/2015 China and India: Driving Forces of Overpopulation According to BBC, India s population reached nearly 1.21bn (India census: population goes up to 1.21bn). China is also has the population of 1.36bn according to Chinese Government (China Statistical Yearbook-2014). That s almost the half of the Earth s population. There are negative outcomes of this situation like poverty, depletion of resources and disturbed cultural structures. ActuallyRead MoreThe Biggest Crisis We Face Today : Human Overpopulation1218 Words à |à 5 PagesHuman Overpopulation There are many causes for overpopulation than just increasing numbers of people. Modern technology, improved medicine, more opportunities to get out of poverty, low fatality rates, immigration, and the lack of family planning (Rinkesh); all lead to overpopulation. Earth is home to 7.2 billion people. A research of 2015 (infoplease) shows that most of the world s population lies with the two largest countries in Asia: China and India. As of the last study of the world s populationRead MoreThe Effects Of Human Overpopulation On The Environment1242 Words à |à 5 PagesThe Effects of Human Overpopulation on the Environment ââ¬Å"Can one apple slice feed the world?â⬠If the world were an apple, farmland would only be one very thin slice. The growing population on this Earth has some serious questions that it needs to consider as a whole. How are we all going to eat with eight billion mouths to eat? Farmers have an interesting proposition, they need to feed a growing population with very little land. Overpopulation also has negative effects on the earth through pollutionRead MoreThe Problem Of Overpopulation And Overpopulation872 Words à |à 4 PagesHuman overpopulation. Human population can be defined as the condition whereby, the total count of the human inhabiting a certain area exceeds the carrying capacity of the area Bongaarts, (2011). This brings out an issue of the carrying capacity of the region which alludes to the number of individuals who can inhabit a certain area for a given period. It may also be looked at as the situation whereby the available renewable resources in a certain area can satisfactorily support the current populationRead MoreOverpopulation1587 Words à |à 7 Pages The population of Earth is estimated to be seven and a half billion, and the current growth rate per year is around eighty million. Since the worldââ¬â¢s population is constantly growing at such a high rate, some people believe that it will lead to the downfall of the human race, while others think it is beneficial to continue on this path. The ongoing debate on world overpopulation allows many different people to offer their unique opinions, such as Erle C . Ellis, Joel Kotkin, Robert Walker, and AlonRead MoreEssay On Overpopulation1030 Words à |à 5 PagesHuman overpopulation occurs when the ecological footprint of a human population in a specific location exceeds the carrying capacity of the place occupied by that group. Overpopulation can further be viewed, in a long term perspective, as existing when a population cannot be maintained given the rapid depletion of nonrenewable resources or given the degradation of the of the environment to give support to the population. Overpopulation is a problem that needs to be solved. Concern about overpopulationRead MoreA Great Matter Of Concern Today Or Just A Bust?1667 Words à |à 7 PagesToday or Just a Bust? While India is on the verge of being the most populated country. While the third world countries are deprived of their resources rapidly. People in the United States have to say that the problem of over population has been curbed and infant production rate controlled. Recently, one of the commentators in prominent U.S. publication declared that the population boom is a bust. Whether it is actually a bust now or is it still standing as a matter of great concern? Read MoreOverpopulation : We Must Figure It Out For Save The World Essay1645 Words à |à 7 Pages Overpopulation: We Must Figure It Out to Save the World It may not be something you think about often, but human population growth is a big issue in our world today and this problem needs to be solved in the future to save our planet. Overpopulation is a condition that will be in effect if the population exceeds the carrying capacity on Earth. The carrying capacity is the peak population that can sustain human life on Earth. It is uncertain what Earthââ¬â¢s carrying capacity is for the human raceRead MoreGlobal Overpopulation And Its Effects On The Population1260 Words à |à 6 PagesGlobal Overpopulation Controllable Or Inevitable Global overpopulation is an extremely broad topic that represents exactly what one would think, the overpopulation of the entire globe. Though global overpopulation is broad topic, there are many key factors that aid in the increasing total population. Some factors are more effective than others, but the most altering factor is the percentage of fertility. The direct connection between reducing the population is through pregnancy rates. There are
Standards for Perioperative Nursing
Question: Discuss about the Standards for Perioperative Nursing. Answer: Appendicitis is an inflammatory condition that affects the appendix. It is stipulated that the appendix is functionless in the human body. However, it performs insignificant immunological functions, and for this reason, one can survive without one. It usually fills with food substances and often empties to the cecum. In some cases, it empties ineffectively, and thus its lumen may be occluded causing obstruction, inflammation and vulnerable to infection. This condition is referred to as appendicitis (White Duncan, 2013). Appendicitis causes acute abdomen, and it is among the leading causes of emergency abdominal surgeries in Australia. It causes a progressively severe generalized pain that becomes localized in the right lower quadrant at the location of the appendix. The inflamed appendix may become infected and fill with pus (Bowen, 2015). At this point, an emergency surgery is needed to prevent its perforation and rupture that usually occurs 24 hours after onset may result in perit onitis pelvic abscess, subphrenic abscess, and paralytic ileus. The clinical manifestations that ensue from the pathology include low-grade fever, nausea, and vomiting. Rebound tenderness is also experienced upon application of pressure at the McBurneys point (Buja, Netter Krueger, 2014). Various risk factors are attributed to the development of the condition. Children and young adults aged below the age of 30 years are at a higher risk for the other populations. A positive family history may also increase the risk of one developing the condition. A review of the patient is significant in determining the course that is taken after surgery. Assessment and various diagnostic approaches are used. Physical examination is one of the most common initial approaches to prognosis. As well, the radiological findings such as x-ray, ultrasounds and computed tomography (CT) scan may be used as confirmatory assertions (Hamlin et al. 2011). As stipulated by Hogan (2014), the medical management of the side effects involves administration of drugs. Administration of pain relieving medication is contraindicated before a definitive prognosis is made. As pointed out by Brady (2014), administration of such medications may mask the symptoms of the condition leading to the misrepresentation and progression of the condition such that timely interventions are not provided leading to complications that ensue from its rupture. Intravenous fluids and antibiotics are administered after the surgery to prevent dehydration, electrolyte imbalance and infectio n. Prophylactic empirical therapy is offered in case of any rupture and peritonitis. Nursing care must be adhered strictly to avoid episodes of deterioration. The priority nursing intervention should be to alleviate the severe abdominal pain experienced following the surgical procedure (Rebeiro Hunter, 2013). Other related goals include ensuring no fluid volume deficit as well as electrolyte imbalance occurs. On the other hand, anxiety is a common occurrence in any disease. The presence of a wound might evoke thoughts that can alter the perception of the patient about the condition. This can be as a result of unknown prognosis and intervention outcome for the patient and family. Therefore it is the role of a nurse also to alleviate anxiety. At this state, the patient is at a high risk of developing gastrointestinal infections, and it can be prevented through the implementation of various interventional strategies including the administration of administered prophylactic antibiotics. Other measures can also be taken depending on the need of the patient to prevent any actual or potential gastrointestinal disruption. Skin integrity should also be maintained by ensuring adequate hydration of the patient and repositioning after every 2 hours of hospitalization. The patient needs bed rest to enable the normal physiological functioning to take root making the skin to be under pressure especially when not changing positions due to fear of inflicting pain on the surgical site. Recuperation after the surgery depends on the care that is provided before the procedure. Preparation of the patient for surgery is paramount in ensuring that affirmative prognoses are realized postoperatively. It is done by a nurse in collaboration with other multidisciplinary team members (Australian College of Operating Room Nurses, 2014). It is recommended that nothing should be consumed per oral by the patient as it is expected that general or spinal anesthesia is to be used during an appendectomy. As well, it is meant to reduce further irritation of the intestinal area. Hyperthermia is one of the nursing diagnoses that are often made preoperatively, and pharmacological and non-pharmacological interventions can be used in the regulation of the patients temperature. The nurse is also expected to monitor vital signs to identify any changes in temperature, respiratory rate, pulse rate and blood pressure to figure out how to normalize them. The pain level is assessed from time to ti me. Pain is a significant indicator of the progression of the condition and for this reason, use of pain relieving medication before surgical intervention is highly contraindicated (DiGiulio Keogh, 2014). Postoperative care must incorporate management of actual and potential risks. Alleviation of signs and symptoms can be established depending on the presenting signs of the patient. A multi-professional approach is vital in ensuring a vibrant care is accorded. The nurse determines the psychological needs of the patient and reinforces the use of coping strategies after the surgical experience. This is done by establishing baseline data that can also be used for comparison during and after the surgery. The nurse also identifies the prescription, overt the counter and other medications used that may have an impact on the surgical intervention to the patient condition. Cultural factors that may influence the post-surgical therapy of the patient are crucial in establishing an affirmative course of therapy. Notes such as the outcome of the operation will reflect the desire of the patient and relatives. Before the surgical procedure on the patient, the complete blood count test is done as we ll as the blood type and cross matching to ensure the availability of blood for replacement during and after the surgery if there is a need. During the recovery period after the operation, the chief role of the nurse should be to assess the extent of pain felt by the patient and ways to alleviate it (Hinkle, 2014). Discomfort due to the surgical procedure ought to be curbed to enable the patient maneuver the therapeutic environment with ease. In the case of Lucy, the pain scale indicates it is 8 out of ten which can be termed as severe. This can be because there was an incision made and no pain relieving medication has been provided. Thus the nurse should administer not only the pain relieving medications but also the other prescribed drugs. The vital signs, as well as the surgical site, should be monitored for appearance, dehiscence, and drainage and any unexpected state should promptly be reported to the other team members for collaborative interventions. Before the patient resumes oral intake of medication and food, the gastrointestinal functioning should be confirmed through noting the presence of bowel sounds (Hinkle, 2014). However, at this state after surgery, the patients fluid intake and output should always be monitored since it has a direct impact on the fluid and electrolyte balance . For instance, Lucy has a blood pressure of 90/50 mmHg which is abnormally low. The respiratory rate is 26, slightly above the normal range. Related to it is the pulse rate of 126 beats per minute which is far much higher than the upper normal limit of pulse rate which should be 100 beats per minute. Tachypnea and tachycardia are physiological adjustments that occur in the body as compensatory mechanisms of the body to the reduced blood pressure to facilitate the supply of blood and oxygen to the vital organs especially the brain (Brady, 2014). This need may have been as a result of the anesthetic agent used or due to loss of fluid through bleeding during the surgery. This can be rectified through the administration of intravenous fluids. Her temperature is also 38.9 which is beyond the normal range. It is expected that post-surgery under general anesthesia, the patient should have a reduced body temperature (DiGiulio Keogh, 2014). This phenomenon can be associated with a bacteria l infection, and further laboratory tests should be done to ascertain the cause, but meanwhile, it should be stabilized by the use of both the pharmacological and non-pharmacological interventions. The therapeutic environment provided after the surgery must be vibrant so that management is escalated. For instance, effective communication is an essential requirement for a multidisciplinary approach to the management of the patient. The multidisciplinary team includes the anesthetist, the surgeons, physicians, nurses and general practitioners. According to Australian College of Operating Room Nurses (2014), the postoperative assessment is an extended role of nurses. They are an integral part of the perioperative process by providing a special link between the patient and the entire multidisciplinary team. Besides the roles above, they also work to identify the high-risk patients and institute laboratory investigations as well as refer them to other team members such as the physicians and anesthetists for further management. Numerous side effects culminate due to the various drug regimens that are used during the surgery. The anesthetists assume the central role in the coordination of the rest of the team members by determining the physiological status of the patient. They should review the patient after the surgery and provide a recommendation on the kind of interventions necessary for the patient. The surgeon and the physician identify and document the surgical site besides facilitating the signing of the consent form before the surgery (Timby Smith, 2014). The signing is done in the presence of the other team members after a patient demonstrates an understanding of nature of the operation to be done and the implications of the process. Adequate information must be received from the surgeon before the exercise. It paves the way for the execution of procedure during the post-recovery period. The nurse has a role of teaching the patient on the expectations during and after the surgery and the care modal ities that can be applied. The family members are supposed to be involved fully if available in the recovery of the patient and thus are also expected to be made aware of what to expect by the nurse. The surgeon and the physician should also perform daily reviews to note the progress of the patient and recommend on other interventions (Grace Grace, 2014). The vibrancy of the care that is accorded during post-operative period depends on the definitive interventions that are outlined by nurses and physicians. The discharge plan must involve a health education. Care of the surgical site is crucial in curbing reinfection. Cleaning and administration of antibiotics are the core procedures that affirm the goal. The patient ought to be made aware of the signs that necessitate a visit to the hospital. For instance, wound dehiscence and production of exudates must be addressed promptly. As pointed out by Hogan Gingrich (2014), counseling on health behavior is significant in ensuring that the status of the patient is maintained. Ingesting food materials that do not pose harm to the body makes systems to be vibrant. Strict adherence to medication regimens is essential in eradicating the pathology. The dosages and intervals must be known by the patient to prevent adverse ramifications during recuperation. References Australian College of Operating Room Nurses. (2014).2014-2015 ACORN standards for perioperative nursing: Including nurses roles, guidelines, position statements, competency standards. Adelaide, SA: ACORN. Bowen, W. H. (2015).Appendicitis. Place of publication not identified: Cambridge Univ Press. Brady, A.-M. (2014).Fundamentals of Medical-Surgical Nursing: A Systems Approach. Chichester, West Sussex, UK: Wiley-Blackwell. Buja, L. M., Netter, F. H., Krueger, G. R. F. (2014).Netter's Illustrated human pathology. Philadelphia, PA: Saunders/Elsevier. DiGiulio, M., Keogh, J. E. (2014).Medical-surgical nursing demystified. New York: McGraw-Hill Education Medical. Grace, P. J., Grace, P. J. (2014).Nursing ethics and professional responsibility in advanced practice. Burlington, MA: Jones Bartlett Learning. Hamlin, L., Richardson-Tench, M., Davies, M. (2011).Perioperative Nursing: An Introductory Text. London: Elsevier Health Sciences APAC. Hinkle, J. L. (2014).Clinical Handbook for Brunner Suddarth's textbook of medical-surgical nursing. Philadelphia: Wolters Kluwer Health/Lippincott Williams Wilkins. Hogan, M. A. (2014).Nursing fundamentals. Boston: Pearson. Hogan, M. A., Gingrich, M. M. (2014).Pathophysiology. Boston: Pearson. Hogan, M. A., Dentlinger, N. C., Ramdin, V. (2014).Medical-surgical nursing. New York: Pearson. LeMone, P., Burke, K. M., Levett-Jones, T. (2013).Medical-Surgical Nursing VS. Sydney: Pearson Education Australia. Mogotlane, S. M., Mokoena, J., Chauke, M. E. (2006).Medical-surgical nursing. Cape Town: Juta. Rebeiro, G., In Hunter, C. (2013).Fundamentals of Nursing: Clinical skills workbook. Chatswood, New South Wales: Elsevier. Timby, B. K., Smith, N. E. (2014).Introductory medical-surgical nursing. Philadelphia: Wolters Kluwer Health/Lippincott Williams Wilkins. White, L., Baumle, W., Duncan, G. (2013).Medical-surgical nursing: An integrated approach. Australia: Delmar Cengage Learning.
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