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 Dry Cough Case Study
Subjective Data:
Client Complaints: The patient complained of a dry cough that has been going on for the past two
weeks and a low grade fever of 101 orally for two days.
HPI (History of Present Illness): The patient is a 65 year old Caucasian female with symptoms of
dry cough for the past two weeks, low grade fever for two days, and decreased appetite that have
been deteriorating with time. She also experiences shortness of breath (SOB) with activity. She was
treated for similar symptoms three months ago with antibiotics and an inhaler and some
improvement was noted in her condition. At the moment she is seeking medical attention as she is
concerned about her fever and prolonged illness.
PMH (Past Medical History): The patient past medical ... Show more content on Helpwriting.net ...
The APN in collaboration with the MD will do a complete clinical evaluation of the patient. They
will obtain patient medical history, perform physical exams, assess, and order blood test and CXR to
rule out pneumonia, then provide appropriate treatment. The National Heart, Lung, and Blood
Institute, NHLBI (2011) indicates that, since most cases of acute bronchitis are of viral etiology,
no antibiotics are necessary. However, the antibiotics are used if the bacteria are suspected. The
recommended treatment includes plenty of fluids to prevent dehydration that may be caused by
fever, encourage enough rest and a good diet to facilitate recovery, cough suppressant such as
dextromethorphan, and pain and fever reliever such as acetaminophen. The patient will be advised
to use a humidifier or steam to help loosen mucus and relieve the symptoms and inhaled medication
to keep airway open if wheezing. The patient will also be encouraged to quit smoking and avoid
any source of airway irritants such as smoke and dust (NHLBI,
 The Last Days Of Summer
The last few days of summer are always unforgettable. As the school year draws near I find myself
cherishing every moment of summer fun. Everyone is staying up late and sleeping all day,
except for me. On this particular August morning, I was struggling to get up for my team s daily
soccer practice. Once dressed I was actually feeling pretty excited about the day. The twenty
minute car ride flew by and Mom dropped Anna and I off at the soccer field. I stepped out of the
car and the smoldering heat hit me like a freight train and I had to remind myself that practicing is
for the best. I began putting on my socks and shin guards when several of my friends started
showing up, one by one. I m so relieved when my favorite people... Show more content on
Helpwriting.net ...
Not only was sweat dripping from my brow, it was dripping all over my weak body. I sat down
and took my first sip water. That sip tasted like the most glorious pure ice water I had ever drank.
Five minutes went by and resting was over. Luckily though a shooting drill came next. On my
first shot I used great force and my laces to send the ball in. It flew up towards the very top right
corner of the goal frame but my effort my not enough. The team goal keeper leaped with all her
might, knocking the ball out of play and diving onto the ground making an unpleasant thud.
Although it was a good shot, I felt defeated and as I got back in line, the frustration set in. I
stepped up for my next shot brimming with determination and made the goal, my confidence
restored. After a few more rounds of shooting we were given another water break. Time was
passing and the humidity was rising. This time the water just tasted like any other water, but I
was still satisfied. As practice was drawing towards the end, it was time for our last activity:
scrimmaging. It s what I looked forward to almost every day. While coach began picking teams, I
prayed my team wouldn t have to wear bibs. Of course we did, which is just my luck. The stench of
the bibs was so bad it could have knocked me down. But as I pulled one over my head, I pretended it
was a brand new blouse. I was so proud to be on the varsity team, I would ve worn anything. Then I
ran out to my
 Sherlock Holmes Accomplishments
Sherlock Holmes, utilizing his meticulous observation, keen intuition and rigid reasoning, earned
his household name by solving countless cases in detective novels and on the big screen. Yet few
people realize that doctors, alike Sherlock in real life, are constantly solving health related cases
to defend our health. In order to reach the final and correct diagnose, doctors have to take history,
perform P/E lab works, order imaging studies, and combine all available clues to seize those
sneaking killerss such as bacteria, virus, cancer cells, etc. Everyday, we are participating in exciting
crime solving dramas on the big stage named hospital, and this is the most fascinating part of
medical career that attracts, and motivates me to come... Show more content on Helpwriting.net ...
I regarded clinical guideline as panacea to all diseases and diagnosis, tried to memorize them
without realizing that active thinking and logic reasoning are the ultimate foundation of being a
successful physician. After that day, my own little magic box of thinking was opened and got
wild: I got in love with deducing differential diagnosis, gather detailed and more detailed history,
researching on different treatment plans to individualize best outcome for each patient, or in terms
of being a healthcare detective , each patient is a case to be solved a deja vu of my childhood love
on crime solving stories. Yet this was just a
 The Pros And Cons Of Multilateral Cooperation
The book of Silverburg 2011 features contributions from well established scholars and emerging stars
in law and politics, this cutting edge reader provides students with a succinct overview of the key
issues facing international law and multilateral cooperation today. The authors offered diverse,
multinational perspectives on traditional and emergent issues in the practice and study of
international law. A concluding section on international political interaction covers a wide range of
issues that link international politics to international law and multilateral cooperation. In order to
understand the prospects of a multilateral cooperation, we need to look in more detail at the
willingness of states to build multilateral regimes. International... Show more content on
Helpwriting.net ...
This goes to show that even the most powerful countries are also dependent international institutions
and multilateral cooperation to gain more benefits that it could offer. There are some recent research
on international institutions that questions legalism and law as well as their effectiveness with or
without regards to political realm. Scholars, few of them, had assumptions about realism, thus,
accepting that relevance of state power as well are arguing interests about world politics. Some
theorists draw conclusions on the influence of international institutions while recognizing the
preferences of states for private rights just avoiding full transparency. Since their states that are not
really certain about their partners and had some trust issues in the past, multilateral cooperation has
some functional hindrances. International institutions can counter this uncertainty by means of
encouraging negotiations and transparency. Past issues can be regarded with more open analyzation
while promoting honesty and preserving good relationship with one another. Thinking about the
normative implications of globalization, focus on the maintenance of effective democratic approach
in each society is one way of the establishing formal structures of international regimes. To be
consistent with democratic values for multilateral cooperation, international organizations that are
politically inclined must be accountable to all aspect of it failure or
 Liberty In America Research Paper
Liberty. The word is defined as the state of being free within society from oppressive restrictions
imposed by authority on one s way of life, behavior, or political views. It says right in the Pledge
of Allegiance, one nation... with liberty and justice for all . Liberty is so important to Americans
because of the freedom it means, and the rest of the world covets. It means that Americans have
freedom of religion, of speech, of press, and do not hesitate to exercise it. It means that whatever
someone believes or aspires to do, they can do it without persecution or ridicule. Libertywas one of
the main principles America was founded upon, and continues to be a goal to strive towards.
Justice. Injustice anywhere is a threat to justice everywhere ,
 The Discourse On Method A Foundationalist One
(1) In what sense is Descartes project in the Discourse on Method a foundationalist one? By Serena
Lipscomb The 17th Century was a transmute turning point in the West; the scientific revolution
would occur, freedom of the individual would become established whilst an old world view would
be rejected to favour a new, very different world view which would innovate our existence.
Foundationalism would be established as an important way of beginning new theories and
experiments in rational as well as logical ways, where firm foundations would be created in order to
examine the teleology1 of life that would evidently change the way humanity transgresses. It would
challenge orthodoxy and authority when reasons became compromised to understand limits morally
and culturally. With this difference, it would be best explained as the broad and general shift in the
traditional beliefs in which would be influenced and asserted by society and instead focus on the
individual as one separate entity with their own original opinion. René Descartes is a seminal figure
to the new world view of the high enlightenment. Within the new world view that expressed logical
ideas grounded upon hypothesis and experiment by reducing scientific phenomena to a mathematical
formulae, Descartes regarded this method highly as he valued mathematics eminently when writing
of his own approach to the method. He quotes; ...I enjoyed mathematics, because of the certainty and
self evidence of its
 Alexander Solzhenitsyn s One Day Of Ivan Denisovich
In the novel of One Day of Ivan Denisovich, written by Alexander Solzhenitsyn published in 1963.
It was a cold morning like every other day. It was time for all the prisoners to go to work. Some
prisoners to get out of the job they pass as sick patients. That is what Shukhov had in mind
walking into the hospital that morning. Nikolay Vdovushkin demonstrates a different
perspective other than of Ivan Denisovich, how gulags are portrayed in the novel and how his
opinions affect the reader s observations. I am a medic at the hospital in the gulags, but studied
literature at the university. I have this job as a medic because Mr. Stephan Grigoryevich told me
I was a medic and so be it gave me the job. Now I give injections to poor prisoners that are
suffering in the baring cold outside. Every morning is the same routine, wake up dress in my white
coat and write down prisoner names on the (unable to work) list. This morning this man came in I
was... Show more content on Helpwriting.net ...
Shukhov went off and sat on a bench under a bright lamp. While the thermometer was taking his
temperature I went back to writing. As I was writing I noted that Shukhov showed
uncomfortableness body language. It was very quiet in the hospital, no clocks were heard and
mice were caught by the cats. Five minutes or so have passed, I went over to Shukhov and
checked the thermometer his temperature was barely less than one hundred degrees. Shukhov
said nothing about his temperature not being high enough to be on the sick list. but as things are
I can t let you off. Take a chance if you want (17 18), those were words I exactly said to him. He
did not worry about being caught, if the doctor came in and checked him, and came to be that he is
not sick. He would be sent to the cooler, and in this unbearable weather in gulags, going to work
sounds better to be at. Shukhov haven t said a word still, he just got up and went
 Analysis Of Tupac Shakur s Song, Dear Mama
The struggles of a single mother is not something everyone will fully understand. In the late 90 s
there was huge poverty and gang violence in Los Angeles, California where Tupac grew up. Many
of his songs reflect on how his experience was in this environment. In Tupac Shakur s song, Dear
Mama found in album, Me Against the World, for a single motherto show love for her child takes a
huge struggle, especially when it was a time where gang violence was really high and fathers would
leave their children. Throughout the song Tupac uses imagery to capture the feeling of pain and
struggle and fluently illustrate the moments where he was young, until he grew up and realized the
love his mother gave him. Dear Mama is also portrayed as a... Show more content on Helpwriting.net
...
The song implements on the hardships a mother will face for the growth of their son because
love is what keeps them going. The love a mother will have for her son means that even though
they don t have a father figure around to show them how to grow up, they will always have their
mothers to teach them the way of life through a woman s perspective. In the song, Dear Mama ,
Tupac mentions, For a woman it ain t easy trying to raise a man, you always was committed and
he is able to foreshadow the hardships his mother had to face while Tupac was growing up
without a father. At the age of seventeen Tupac, was always caught up in drama with his mom.
Since Tupac was young he got involved into the hustle and was left in the streets where he
basically had to risk he life every day. He never realized that being pushed into the streets would
make him think about his mother or even worry about her. Tupac reflects upon the behavior he had
during the time and how much stress he would add on his mother s shoulders, but little did he know
that his mother would be there for him regardless. Tupac Shakur s mom was committed to his son
and no matter the troubles he caused and faced she would be there for him to either help him out or
at least hear him when he was not feeling good. She was a single mother on welfare, but she always
tried
 Information Technology World Cloud Computing
NAME : NAVEEN KUMAR GADDE SID:11557932 SUBJECT:INFORMATION
SECURITY(ITC 595) LECTURE:Mohsin Murtaza Executive Summary In the information
technology world Cloud computing is the latest development. By offering the services on
demand it was revolutionized the digital world. On the client side there is no need to maintain
the infrastructure and also there are many advantages of this cloud computing technology and
this research paper will discuss all the things like the developments and trends and latest
technologies used in this field. Introduction: Mainly Cloud computing word is related to the
concepts of the storage and the accessing of the data that was over the internet. With the usage of
this cloud computing the growth in the business has been increased over the decade very high.
On the client side there is no need to maintain the infrastructure and also there are many
advantages of this cloud computing technology. By the usage of this model the cost will be saved
and also the time will be. Service providers of the cloud computing will provide the different types
of the delivery models and the deployment models and each model has its own services and
features. Out of all the deployment models infrastructure as a service model is the best as it was
offering its services based up on the pay per usage by the user and out of all the delivery models
hybrid model is the best as it was having all the benefits of both the public and the private. (Eric,
 The Role Of Fear In Macbeth
In Shakespeare s Macbeth, the main character Macbeth is told a prophecy by three witches. They
tell him that he will one day be king and another character Banquo will be the father of kings.
However, in order for Macbeth to become king he must kill the current King Duncan. In the first
few scenes, Macbeth learns that he is now Thane of Glamis and Thane of Cawdor since the old
Thane of Cawdor has been executed. King Duncan then invites Macbethand his wife Lady Macbeth
to his kingdom to congratulate Macbeth on his promotion. While Macbeth at first seems to be very
into the idea of killing the king by stating Present fears/ Are less than horrible imaginings meaning,
the outcome of murder would be a greater reward than the small moment of fear
 External Pressure Of Domestic Politics And Foreign Policy
Domestic Politics and Foreign Policy

Although the aspirations and goals of states are often motivated by external political pressures,
analysis of recent foreign policy decisions demonstrates how internal political forces can play
equally crucial roles in the pursuit and execution of these objectives. Thus, it would be invalid to
claim that domestic politics and the nature of regimes play minor roles in either the goals a state
pursues or the means it employs to reach them. By understanding how the diffusion of power in
governments affect policy decisions, one can develop increased awareness of the linkages that exist
between the internal pressures of domestic politics and the external forces of foreign politics.
Before discussing ... Show more content on Helpwriting.net ...
As the commander in chief, the president plays a significant role in shaping foreign policy. The
president possesses the power to appoint senior cabinet members, commit troops and conduct high
level talks with foreign governments. Congress, on the other hand, has the power to ratify treaties,
confirm the president s appointees and approve budgetary measures. And while the president has the
ability to commit troops, only Congress has the authority to declare war. Despite criticisms of the
American policy making process describing it as inefficient and slow moving, the main purpose and
thus benefit of the constitutional separation of power is the framework of checks and balances that
safeguard against monopolization of foreign policy decision making.

But despite the provisions outlined in the Constitution outlining the separation of power between the
executive and legislative branch in the formulation of foreign policy, congressional influence over
foreign policy decisions waned after World War II. During the Vietnam War, the Johnson and Nixon
administrations became increasingly secretive and monopolized foreign policy decision authority.
Ultimately, however, the growing imbalance of influence of the executive branch in foreign policy
decisions led to the creation of the War Powers Act. The Act stipulated that the president was
required to report to Congress within 48 hours after the
 Maintaining Records And Reports Essay
Understanding How To Maintain Records And Reports Records and reports are a legal requirement.
In the setting you will have to maintain a range of records and reports to promote and support health
and safety. Accuracy and Coherence All the information in the setting about children, their families
and staff is confidential. Parents, carers and staff have a right to know what information is being
held about them and how it will be used. All staff working in the setting have a duty of care to obtain
information with regard to the rights of individuals and to not share information without consent.
Any personal information you gather about the children must be accurate and up to date if it is to be
of use in protecting their health and safety... Show more content on Helpwriting.net ...
Although the act is clear on how data can or cannot be used, consent does not have to be given
before passing on information if there are concerns that a child may be been abused. However,
confidentiality must still be observed and information must only be passed to those who need to
know, such as the professional with child protection responsibility in the setting and in social
services. A lot of the personal and sensitive information kept about children needs to be easily
accessible as it is in constant use. For example, care plans need to be referred to frequently. Even
so, this information must be kept secure and never left around the setting for others to read. If
information is left around this will break down the trust between parent and setting, making
parents less willing to share information, this could put children at risk. The principles in the 1998
act do not state how data is to be kept, just it must be safe and secure. The setting s policies and
procedures set out how this will be done. Written records must be kept in locked, hard to access
cabinets. Today a lot of confidential information is kept electronically, so safe, password protected
systems are vital for accessing or passing on information. *Information taken from pages 182 183
Children s Learning and Development Early Years Educator 2014 Here are some examples of our
confidential forms that we fill in: See attached sheets
 Julie Language Analysis
Review 1: Text
A. Overall comprehension

It is viable to assess that 3;3 year old Julie s language comprehension is on target from analyzing
these video clips, as development is fairly predictable for typically developing children. J.
understands both yes/no and more advanced wh word questions, which emerge between Late
Stage II to Early Stage III (p. 184). Cathy says to J., Do you know when your birthday is? J.
responds, June 22nd. She also doesn t hesitate in answering Chris when he asks, Besides
strawberries, what other kind of berries do you like? J. does have trouble with why questions,
which are later developing (Late Stage III to Early Stage IV). When asked, Why is the baby bird
sad? J. ignores the question. Linguistic comprehension ... Show more content on Helpwriting.net ...
During this time, fast mapping is used to quickly incorporate words into the child s lexicon
(perhaps bistro will become one of them), sometimes at a rate of nine new words per day (p.185
186). J s content includes parts of speech such as: articles (the, a), main verbs (fly, eat), nouns (chair,
nest), proper nouns (Chris, Max), pronouns (he, they), adjectives (sad), and prepositions (in, on).
Some examples of J s more complex vocabulary include: museum, restaurant, macaroni, strawberries,
raspberries, and lollipop. When recapping Where the Wild Things Are, J. begins to make an error of
not using an antecedent for the pronoun (he), but backtracks to clarify. She says, So he... Max, then
puts his wild things suit on and sailed away to where the wild things are. After she s introduced Max
and the wild things, she goes on to use the correct subjective pronouns (he and they). J. correctly
sorts out that the singular pronoun he works for Max, but when referring to the wild things, the
group pronoun they is
 Water and Womanhood in Ancient Greece Essay
In the times of ancient Greece, there were ample tales, myths, and legends surrounding the realm
of the sea; many of which included fearsome beasts, epic struggles, and angered gods. There are
tales of vengeance, spite, cruelty, and rage, but there are also those of understanding, compassion,
helpfulness, and benevolence. When one subjects many of the more malevolent (and sometimes
disturbing) tales to closer inspection, it becomes fairly evident that a great number of these stories
use a feminine force in order to display the wraith of the sea and the sea gods or goddesses. In fact,
many sea monsters are said to be female including Charybdis and Scylla (the horrors between which
Odysseus and his crew must sail through the Strait of... Show more content on Helpwriting.net ...
In certain ways it represents the encircling and productive forces that are often related to women as
well; the safety of the womb, the feminine forces of creativity and intuition. Water was also
commonly used in rituals of rebirth or transformation something which was greatly connected to the
female menstrual cycle in terms of symbolic meaning. Many cultures other than the ancient Greeks
had creation myths which involved water to a great extent as well, especially portraying it as a
source of life and the essence of which all life is formed. It is even said that it was from the divine
waters of the Mother s womb that life came into existence (Laoupi, Pararas Carayannis) which
encompasses both water and womanhood in one fell swoop. Additionally, the cultural role of
women was one which was steeped in productivity and aid. This shows yet another parallel aspect
which womanhood and water share; the creation, nurturing, and sustaining of life. Both water and
women have the capability to bear children as well as protect and provide for them. Though it can
be incredibly productive, water also symbolizes a great destructive power, for in large quantities it
can completely destroy and eradicate entire cities, or even states should they be so small. Through
symbolism, water and womanhood are connected, and it is not necessarily always in a positive
manor. Not only are there symbols that connect womanhood to water, but the