Caleb Had Gotten Knocked Out Because Of The Pain - 1904 Words

Caleb had gotten knocked out because of the pain. Come on fucking lift this shit! Toby yelled. They had finally lifted it after about 15 minutes of struggling. Noel drug Caleb out. He checked his pulse. Shit he s dead, Noel said. Hanna collapsed on his side. Oh god Caleb, I m so sorry I didn t protect you, Hanna yelled, sobbing into his shirt. She looked up into the sky and yelled at the top of her lungs. â€Å"Please baby...come back.† I was just kidding! Noel started laughing everyone stared at him with daggers. Toby stood up and punched him square in the jaw. What the fuck Toby?! He clenched his jaw for a second. Don t fuck around like that Noel! Toby screamed at the slightly shorter boy. Noel wiped the blood off of his bottom lip with the back of his hand. â€Å"You’re gonna regret that.† Noel challenged. Toby smirked at him. â€Å"I’m right here, come at me.† â€Å"Both of you shut the fuck up! You can deal with your shit later. Caleb is hurt, and Ezra is missing!† Aria interjected. â€Å"And Ezra...he might not even be alive.† Spencer rubbed her shoulder in support. â€Å"Ezra will be fine, he’s a smart guy,† Spencer stressed. Not believing the words that she was telling herself. Aria simply nodded. We re gonna need to keep his ribs compressed, Emily lifted his shirt up and felt his side. There s no broken ribs. They re cracked, and I guess it knocked him out. Emily concluded. Everyone let breaths out of relief. Emily took her sweater off and wrapped

Henrik Ibsen s A Doll s House - 1762 Words

Henry Ibsen s play, A Doll’s house, revolves around characters whose love in marriages differs from the average relationship. The two main characters, Nora and Torvald, have issues of love which Ibsen portrays as deceptive in the eyes of readers. The story involves a selfish action Nora takes to help save ill Torvalds life, which later under a serious agreement she falls into trouble with risking the marriage. Readers learn that she loved Torvald and would exceed limits to save him. From Further examination, readers learn love from the eyes of Torvald. He uses Nora for a desirable purpose which helps readers understand their behaviors and miscommunication. Both characters did not marry for love, but rather lacked uncertainty and true†¦show more content†¦Torvald being sick gave her a chance to explore a place she could not explore while young since her parent provider passed. This led her to risk a loan and forge a dead person’s signature, a serious offense. H er actions were seen quite different from what other women during her time would do. In the article, Women of the Middle Class, the author claims, â€Å"The wife not contributing economically to the family finances, there was a definite lessening of her status in society,† (page 1). She wants to show strength of her worthiness as a woman, however, love involves not being selfish in a relationship. Torvald is no less selfish once readers learn about his language he directs towards Nora. He calls her with animal names which are disrespectful to another person regardless of relationship. In another instance, he mocks Nora who likes money, to show his masculine dominance. â€Å"What are little people called that are always wasting money,† (page 929). His attitude reflects what he thinks of Nora, and his position with respect and income to show dominance. Marriage and love should connect with each other; however their marriage does not share agreement or sharing, like Torv alds money. Calling one little, or hiding a truth behind someone’s back disrespects what Nora did as love for Torvald, and how Torvald treats her back. The husband and wife role in a relationship challenges each other rather than sacrifice for each other because of gender roles. Further in the play,Show MoreRelatedHenrik Ibsen s A Doll House1563 Words   |  7 Pages In the play, A Doll House by Henrik Ibsen, the title itself symbolizes the dependent and degraded role of the wife within traditional marriages. Ibsen portrayed the generous nature root into women by society, as well as the significant action of this nature, and lastly the need for them to find their own voice in a world ruled by men. Ibsen wrote this play in 1879, this is the era where women were obedient to men, tend the children until their husband came home, and stood by the Cult of DomesticityRead MoreA Doll s House By Henrik Ibsen1717 Words   |  7 Pagesâ€Å"A Doll, a Partner, and a Change† Social movement of women liberation toward equal rights and independence has been a big subject in human history. It happens not only in Europe but also all over the world. Though making progress, this movement has been advancing slowly and encountered backslashes from time to time. Maybe there is something deeply hidden which the society has not figured out yet, even women themselves. What do women want, freedom or good life? Most of the time, they are notRead MoreA Doll s House By Henrik Ibsen1291 Words   |  6 Pages A Doll s House by Henrik Ibsen, is a play that has been written to withstand all time. In this play Ibsen highlights the importance of women’s rights. During the time period of the play these rights were neglected. Ibsen depicts the role of the woman was to stay at home, raise the children and attend to her husband during the 19th century. Nora is the woman in A Doll House who plays is portrayed as a victim. Michael Meyers said of Henrik Ibsen s plays: The common denominator in many of IbsenRead MoreA Doll s House By Henrik Ibsen1288 Words   |  6 Pages Henrik Ibsen’s A Doll’s House is based in the Victorian society of the 19th century. It assesses the many struggles and hardships that women faced because of marriage â€Å"laws† that were crucial during that time period. The society was male- dominated with no equality. Nora is the protagonist in A Doll’s House and the wife of a man named Torvald. This play is about Nora’s voyage to recognizing her self- determination and independence. She transforms from a traditional, reserved woman to a new, independentRead MoreA Doll s House By Henrik Ibsen1298 Words   |  6 Pagesâ€Å"There is beauty in truth, even if it s painful. Those who lie, twist life so that it looks tasty to the lazy, brilliant to the ignorant, and powerful to the weak. But lies only strengthen our defects. They don t teach anything, help anything, fix anything or cure anything. Nor do they develop one s character, one s mind, one s heart or one s soul.† (Josà © N. Harris). Nora Helmer’s choice to lie and deceive is inappropriate and wrong for women to do to her husband during this time period; itRead MoreA Doll s House By Henrik Ibsen1037 Words   |  5 PagesHenrik Ibsen s A Doll s House is a work of literature genius. This three-act play involves many literary technics that are undermined by the average reader such as the fact that the plot shows the main characters Torvald and his wife Nora live the perfect life. An ironic paradox based around the fact that Nora and Torvald’s relationship is the complete opposite of perfect. Also, bringing upon a conflict as well, appearance versus reality. These little hidden meanings within stories are what areRead MoreA Doll s House : Henrik Ibsen962 Words   |  4 PagesDrama Analysis A Doll’s House (Henrik Ibsen) And Trifles (Susan Glaspell) In comparing both dramas, the overwhelming aspect of convergence between both is the open discussion of gender identity. Both dramas make similar points about what it means to be a woman. Modern society in both dramas is constructed with men holding power over women. This is seen in Trifles in how men like George Henderson and Mr. Hale are myopic. The premise of the drama is how women worry over trifles, and the dismissiveRead MoreA Doll s House By Henrik Ibsen1421 Words   |  6 PagesIn A Doll’s House, Henrik Ibsen examines conventional roles of men and women in the nineteenth century. In the play, Nora exemplifies the conventional feminine standard during that period. She seems to be powerless and confines herself through high standard expectations, demonstrating what the role of a women would be as a wife and mother. The protagonist of A Doll’s House is a woman named Nora Helmer. Ibsen shows how Nora’s design of perfect life gradually transforms when her sec ret unravels. InRead MoreA Doll s House By Henrik Ibsen876 Words   |  4 PagesA Doll’s House by Henrik Ibsen A Doll’s House takes place in the home of Torvald and Nora Helmer. Through conversation with Nora’s good friend Kristine Linde it is revealed that Mr. Helmer was ill around the same time Nora’s father died. Luckily Nora’s father left her enough money that Torvald and Nora could go on a life saving trip to Italy. But the truth comes out when we find out Nora’s father did not leave her a penny. We find out that Nora got a hold of the money through a loan but she signedRead MoreHenrik Ibsen s A Doll House Essay1501 Words   |  7 PagesHenrik Ibsen’s play â€Å"A Doll House† was set in the Victorian era, a time where women were highly respected. Women in this time period did not work, they had nannies to take care of their children and maids to take care of their homes. Many women had no real responsibilities, they spent their time having tea parties and socializing with their friends. Henrik Ibsen dared to show the realism of the Vict orian era while everyone else would only focus on the romantic aspect. In the play, â€Å"A Doll House†

Public Health Nursing Acts in Emergency Disasteres Free Essays

he assignment for this paper asks about a disaster that could happen in my community. A disaster is any natural or human-made incident that causes disruption, and or devastation requiring external assistance (Stanhope Lancaster, 2012, p.508). We will write a custom essay sample on Public Health Nursing Acts in Emergency Disasteres or any similar topic only for you Order Now The purpose of the paper is to provide information how the professional nurse react in the community when a disaster take place. The disaster selected for the paper is a chemical plant fire explosions. I reside in an area that is reported to have quite a few chemical plants. In terms of human-made disaster prevention, the nurse should be aware of high-risk targets and current vulnerabilities and what can be done to eliminate or mitigate the vulnerability (Stanhope Lancaster, 2012, p.512). Preventing, preparing for, responding to, and recovering from disasters and emergencies are the nurse roles for emergency disasters. Clinical judgment and decision-making skills Public health nurses’ skills are necessary to provide temporary housing, with basic health needs such as water and food resources, for people who must evacuate their homes and provides a safe place to eat, sleep. Age specifics are taken into consideration because of vulnerability and care need for the older adult population and children. Developing and testing systems for childcare and elder-care during public health emergencies could reduce the burden of competing responsibilities for nurses (O’Boyle, Robertson, Secor-Turner, 2006). Children require special protection, especially nursing babies, infants and under-fives (ODPEM, 1989). Several nurses skilled to practice safely and competent are necessary for patient care in the event of a disaster in the community. The nurses must have knowledge of the environmental factors and the risk they put to themselves and other during the disaster. The public health nurse’s knowledge of the geographical locations of medical facilities and clinic to transport patients seriously injured needing care are important to all persons involve in the disaster. Nurses need awareness of the surrounding medical facilities and services provided in their area, including alternate care sites and medical shelters (Stanhope Lancaster, 2012). The public nurses are educated, trained and  skilled to respond quickly to aid in the disaster. Nurses have unique skills for all aspects of disaster to include assessment, priority setting, collaboration, and addressing of both preventive and acute care needs (Stanhope Lancaster, 2012, p.511). The nurses provide education and emotional support to the community. It is the role of the public health nurse to communicate with all healthcare professionals such as physician, other nurses, emergency medical team, the emergency coordinator, and fire department personnel actively participating in the emergency disaster. Communication with health care participants will assist them in rapidly establishing priorities and necessary actions during the emergency disaster. Communication and collaboration among other health care professionals is critical for delivering safe effective patient care all areas of care. The nurses prepared at the Baccalaureate level must have knowledge of laws and ethics when making clinical judgments, and decision making. Nurses incorporate critical thinking, research and evidence base practice, informatics, cultural sensitivity and awareness in their practice when communicating information to other health care professional. Nurses prepared at the Baccalaureate level are educated to use respectful communication and collaboration to aid in care coordination, delegation, and conflict resolution in any situation when caring for patients and individual in the community. Developing partnerships between public and private health-care, emergency management, and law enforcement entities, while using current technology to promote timely disease identification and reporting, can improve the daily capacity of a community to respond to illness and disease regardless of magnitude (CDC, 2013). Nursing Strategies There are strategies nurses can use in emergency disaster before it takes place. Work with the community providing education and teaching to identify hazards that could affect their local area. Use communication techniques holding public meetings and events for the community geared towards improving the public’s understanding of a disaster and how to address disasters that may arise. The health and safety of the community following a disaster of any kind, therefore, depends on the ability of its residents to be â€Å"disaster ready.† (Adams, L., Canclini., S., 2008). Provide clear in-depth information about the chemicals hazards and the importance of  an organized response to the emergency of a chemical plant explosion. Encourage colleagues, by increasing awareness that disaster do happen in our communities. provide knowledgeable information about disasters. Set up programs with communities and facilities practicing drills and communication techniques. Drills enhance confidence in systems, individuals, procedures, and equipment (O’Boyle, Robertson, Secor-Turner, 2006). Nursing leadership for prevention, preparedness and recovery is critical to ensure a multi-disciplinary, coordinated and evidence-based response for chemical plant disaster. Although public health nurses can function in many capacities, they are most likely to be deployed to the â€Å"operations section† because they bring leadership capacity, broad understanding of community systems, nursing knowledge, skills, and abilities (ASTDN 2007). During a public health emergency, occupational health nurses can be instrumentals in facilitating schedules and assignments that limit worker exposure to physically and psychologically over-whelming events (O’Boyle, Robertson, Secor-Turner, 2006). Minimize errors owing to the absence of communication amongst health professionals. Accurate communication can reduce accidents and fatalities, stress and emotional conflict between health care professionals and the community population. To summarize this paper in short. Public health nurses’ roles are broad. The focus for nurses in the communities is to prevent diseases, provide teaching and education. The public health nurse’s experience and skills in the event of an emergency disaster promotes a positive outcome. How to cite Public Health Nursing Acts in Emergency Disasteres, Papers

Improving Pain Treatment in Children †Free Samples to Students

Question: Discuss about the Improving Pain Treatment in Children. Answer: Introduction Pain is spiteful emotional and sensory situation which is linked to significant tissue damage. Pain can either be moderate, acute or chronic depending on the severity and time (Schreiber, et al., 2014). Pain is associated with different reactions such as change in body temperature, heartbeat rate and even unconsciousness.The case presented involve Paul Jones and Molly who has pain due to fall. The pain management and assessment approach for the two patients will differ depending on their ages and also the associated clinical conditions and this will form the basis of the contrast in the essay. Some of the issues which will be contrasted are the pharmacological and non-pharmacological approaches to pain management and how the evaluation can be done to meet the needs of the patients There exist different data which can be used to assess the pain in any incidence. However, in regards to the cases of Paul and Molly, there is enough data that the two patients are undergoing pain. First and for most, one of the elements to assess the two cases is the location of the pain. Both are feeling pain in their forehead. There is swelling of 3cm from the two patients and both are having different qualities of pain. Also, both are having pain scale of 6/10 to mean that their pain is moderate. However, the two patients have vomited twice and this is one of the associated reactions to pain (Kozlowski, et al., 2014). Nevertheless, we can know that someone is suffering from pain if there are cries and complains and this is evident in Molly where she cries when woken. Furthermore, the HR of Paul is one of the data which is giving evidence that there are reactions to pain in his body. He has HR of 108 which is an irregular condition. Additionally one of the data indicated by patien ts is drowsiness. This is a behavioral reaction to pain and it is evident from Paul and Molly that the two are suffering from the agony of pain. The change in BP in our bodies is an indication of an abnormal physiological function taking place in the body. The BP of Paul is high; not to the standard to mean that he reacted to pain. Molly is a child who needs assistance in term of interpretation and the assessment plan should involve some questions and physical assessment and presence of her mother are crucial to providing more information about her feeling (Frank, 2015). For the case of Paul, he is able to offer the necessary information, therefore assessment will be done according to information provided by him. Evidence-Based Pain Management and evaluation There exist different ways which pain can be managed. One of the methods of pain management is the pharmacological approach. The use of drugs is appropriate but the drugs for the child will not be the same as those of elderly. Most drugs which will be given to Molly will be syrup because she might not be in a position to swallow tablets. Also, the injection will be appropriate (Lalloo Stinson, 2014). This should be the frequently used methods in the treatment of acute and chronic pains in children. In regards to the moderate pain of the Molly and Paul, non-opioid analgesics are significant to manage their pain. These are drugs such as paracetamol, aspirin, and anti-inflammatory. But for Molly, ibuprofen, and paracetamol are the best for her age. Aspirin should not be given to her, however, Paul suits any of the above. The selection of drugs does vary depending on some factors such as the time of action, adverse effects or route preferences. The selection of these drugs administratio n on the two patients will be made in accordance with the step principle (Schug, Goddard, 2014). Opioid and addition of NSAID such as Aleve,Naprosyn, andAnaprox should be given to Paul concerning his age and hypertension condition. It will assist in managing the healing and treatment process. In addition to these, the adjuvant drugs should be added. These adjuvants will assist in improving the symptoms which are associated with pain. Furthermore, unless these or any other drug are useful for the child, the invasive attempts can be tried. There are several side effects of the analgesic drugs for instance drowsiness, constipation, fatigue, and anxiety. Constipation is common side effects for opioid drugs and a there should be a treatment plan for each and every pharmacological method in order to save Molly and Paul from any side effects which can affect the treatment plan. As a way to evaluate and meet the treatment need of each patient, the reaction to the drugs should be monitored for behavior and inquiries about the same (Hadjistavropoulos, et al., 2014). A comfortable and happy Molly will be a sign of positive response and vice versa. If there is no better response to the drugs, a more efficient drug should be administered to counter the ongoing pain agony. Another management approach is the use of the non-pharmacologic method. Even though this approach is best for Paul and Molly, they will differ on how they will be applied. The approach forms part of integral pain management at the beginning throughout the treatment period. These methods have been found to be effective for children and adults. They are much easy to learn and should be applied as possible in order to give the child control in pain management, however, the non-drug approaches should be used but not to replace the recommended method by the physician (Krauss et al., 2016). For instance, the supportive methods are intended to improve and promote the psychological care of the kids. Another method which can be used to manage pain is the cognitive approach. It is intended to influence the thoughts of the patient. For Molly, parents are very skilled on utilizing these methods because they know the preferences of their children (Karstensen et al., 2016). The use of distraction is meant to focus away from the attention of the patients from the pain they are going through. The pain score of Paul and Molly is sufficient for this method. Members of their families will engage with the patients and try to make them busy with some tasks such a watching a movie for Paul and playing with toys for Molly. Studies have shown that virtual reality has been found to be a useful distractor of attention in painful medical interventions. Listening to music is one of the methods which can decrease body temperature, heart rate, breathing rate and blood pressure. Furthermore, studies also show that the process of listening to increase wellbeing and relaxation and the level of tension is increased (Schroeder et al., 2016). It will be very evident from the response they give to judge the reaction to the treatment methods. If there is still signs of discomfort and restless among the patients then it would be high time to change the therapy. Behavioral methods also have a potential role in managing the pain. Paul will be differently handled based on his understanding of the procedure. It is a simple way which focuses on attention and reduces the tensions on muscles (Makris et al., 2014). If Paul is told to hold his breath during the painful procedure, it will transfer his attention and concentration breathing and not on the procedure. He might be under lots of tensions due to his age but muscle relaxation will assist him in reducing physical and mental tension. As for Molly, I believe that this method is not suitable for her due to her age, she might not understand what is going on and end up pained more (Malec Shega, 2015). As a matter to evaluate if the need of patient has been met; pain relief, there should be an examination of the behavior because if the patient will not be comfortable, then he or she will show through physical appearance. The location of the pain undergone by the two patients is forehead and the physical methods of pain management are also encouraged. Both will qualify for the procedure. Touch is crucial for children and even old people. This involves holding, stroking, massaging the forehead. The age bracket from the two patient can be bored by much talking and the best way to relieve pain is through touching (Ambrose Golightly, 2015). The use of warm hands should be encouraged during the process. It is also important to talk with the patients on what is going on and even involved in planning the process. Furthermore, the use of cold ice is encouraged where it is wrapped to allow comfortable sensation of cold without bringing any damage to the skin. The physician should be keen to avoid any injury to the patient and this will be ensured through asking the patient the way he or she feels pertaining the treatment. Conclusion The methods used to manage pain for Molly and Paul are different irrespective if they are pharmacological or non-pharmacological. This is important considering their ages and the ability to respond to the very methods. Cognitive approach is the best approach for both Paul and Molly and will work based on the abilities of their trainers to coach them. The use of drugs to manage pain is a different case. Drugs for children are not same with those of adults. However, Paul has a history of hypertension and will have to avoid steroid drugs. It is important that nurses should involve members of the families on the approaches to pain management as it makes the healing process faster. These people also understand well about their patients and they can bring in more ideas to assist the same. Pain management is a critical process which aimed at relieving the patient of the agony undergone. The pain can be facilitated by other conditions and also body can react to it differently as seen from th e case of Molly and Paul. References Ambrose, K. R., Golightly, Y. M. (2015). Physical exercise as non-pharmacological treatment of chronic pain: why and when.Best Practice Research Clinical Rheumatology,29(1), 120-130. Frank, A. W. (2015). Asking the right question about pain: narrative and phronesis.British Journal of Pain,9(1), 209-225. Hadjistavropoulos, T., Kaasalainen, S., Williams, J., Zacharias, R. (2014). Improving pain assessment practices and outcomes in long-term care facilities: A mixed methods investigation.Pain Management Nursing,15(4), 748-759. Karstensen, H., Finnerup, N. B., Breivik, H. (2016). Improving pain treatment in children.Scandinavian Journal of Pain,13, 154-155. Kozlowski, L. J., Kost-Byerly, S., Colantuoni, E., Thompson, C. B., Vasquenza, K. J., Rothman, S. K., ... Monitto, C. L. (2014). Pain prevalence, intensity, assessment and management in a hospitalized pediatric population.Pain Management Nursing,15(1), 22-35. Krauss, B. S., Calligaris, L., Green, S. M., Barbi, E. (2016). Current concepts in management of pain in children in the emergency department.The Lancet,387(10013), 83-92. Lalloo, C., Stinson, J. N. (2014). Assessment and treatment of pain in children and adolescents.Best Practice Research Clinical Rheumatology,28(2), 315-330. Makris, U. E., Abrams, R. C., Gurland, B., Reid, M. C. (2014). Management of persistent pain in the older patient: a clinical review.Jama,312(8), 825-837. Malec, M., Shega, J. W. (2015). Pain management in the elderly.Medical Clinics,99(2), 337-350. Schreiber, J. A., Cantrell, D., Moe, K. A., Hench, J., McKinney, E., Lewis, C. P., Brockopp, D. (2014). Improving knowledge, assessment, and attitudes related to pain management: evaluation of an intervention.Pain Management Nursing,15(2), 474-481. Schroeder, D. L., Hoffman, L. A., Fioravanti, M., Medley, D. P., Zullo, T. G., Tuite, P. K. (2016). Enhancing nurses' pain assessment to improve patient satisfaction.Orthopaedic Nursing,35(2), 108-117. Schug, S. A., Goddard, C. (2014). Recent advances in the pharmacological management of acute and chronic pain.Annals of palliative medicine,3(4), 263-275.