EVALUATION

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Gesundheit & Medizin Lifestyle

By: Nabiha Aftab Saliha Masood Saleha Jilani

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Reflection Individual Paper – Due according to syllabus The student will be given a maternity or pediatric disorder that they might have encountered or will encounter in nursing practice. Write a (6)-page paper with references in APA format. Required elements Description of the disorder Priority Nursing Diagnosis and why Nursing Assessment / Clinical Manifestations Nursing Plan/ Goals/ Outcomes Nursing Interventions Nursing Evaluations Patient and Family teaching Conclusion/ Summary Cites four (4) APA format references (at least 5 years old) TOTAL Scene 1 A is on his phone, looking at Twitter and Instagram B is A’s friend and recently doing social media addiction research. B comes inside this room B: Hey A, how’s your day! A: Great, Look I just found another interesting app called Instagram! B: Not again! You’re always on your phone! A: I just downloaded it 3 days ago, it’s fun, you should try it. B: Did you know (switch to data information) that 60% of adolescent’s sleeping patterns are affected by the use of their phones an hour before bed. This can lead to sleep deprivation. The use of social media keeps our brain highly active and therefore it takes longer to get into a deep sleep, which means we don’t get enough sleep for our brains to properly function. Sleep deprivation is one of the key factors to developing depression and can lead to an overall in the quality of an someone’s life. A: So, if I stop playing on my phone before I sleep then I will be fine? Are there any other negative effects of using social media? (switch to data information) B: There are so many more negative effects that social media has on us. Adults spend around 32% of their total work time on social media, and this causes a major reduction in the overall productivity, studies show that it reduces by 13%. A decline in productivity rates can directly affect the profitability of an organisation. Heavy use of social media can also have a negative impact on an individual’s mental health. Heavy users of social media have a 13%-66% higher chance of developing depression. This is a due to low self-esteem and isolation from heavy use of social media, as you are constantly looking and comparing your life to everyone else’s. It also leads to less physical activity and less opportunity to develop real authentic relationships. Do you find that you prefer to communicate with people over social media instead of face to face? A: Yes I do! B: The other one of the major risks of using social media is exposure to online abuse from “bullies” or “trolls”. Around one in 13 people in Australian have experienced some kind of online abuse, such as threats of death, rape, sexual assault, and stalking. Race-based abusive language is also common. A portion of these people who were exposed to online abuse had to seek help from a doctor or psychologist which negatively impacts work productivity. As a result, the loss of productivity has estimated to cost the Aust.

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Thoracotomy is the surgical procedure with an incision made to access the pleural space and the contents of the thoracic cavity. Given the structures to be accessed with in the cavity, different incisions have been established to easy the procedure and these incisions qualify the types of thoracotomies to be studied hereunder. PRE OP OPTIMIZATION FOR SPECIFIC FACTORS The outcome of surgical procedures is not measured only by clinical end points but also shorter stays and lower costs. Patients’ discharge is delayed commonly due to inadequate pain relief, infection, arrhythmias, prolonged air leak and debility. Many complications that occur from thoracic operations can be anticipated. An aggressive preoperative work up mitigates morbidity and shortens convalescence. APPROACH CONSIDERATIONS There are about three principles that can guides the choice of the thoracotomy incision to be used I. Adequate exposure must be achieved. The choice of incision is aided by a thorough understanding of the surface anatomy and a comprehensive review of the radiographic images that are obtained preoperatively. II. Chest-wall function and appearance should be preserved to the extent possible. This principle include non-spreading video-assisted thoracoscopic surgery (VATS) procedures, muscle-sparing techniques, avoidance of excessive rib retraction, and rib preservation when possible. III. The third principle is that closure must be meticulous and appropriate. Strict layered closure is the rule for thoracic surgical incisions. Every effort should be made to approximate the individual divided chest-wall muscles in appropriate layers; otherwise, a significant delay in the recovery of range of motion (ROM) may result. Care must be taken to avoid over approximating the ribs and to prevent an override; this will help minimize postoperative pain. POST-OPERATIVE CARE AND MONITORING

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Diuretics also known as water pills increases the excretion of water and electrolytes (Na+) in urine. Natriuresis – large amount of sodium excreted in urine due to the action of kidneys. Promoted by – ventricular and atrial natriuretic as well as calcitonin. Inhibited by chemicals such as aldosterone. The drugs which increases sodium excretion are known as natriuretic. Diuresis – increased or excessive production of urine. The drugs which enhances the excretion of water without loss of electrolyte is called as aquaretic.

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Learning Objectives: Contrast the neural and local control of circulations through special regions. Compare the physiological significance of variation in circulations through special regions. Content Overview: This lecture provides a comprehensive exploration of circulation in specialized regions of the body, including coronary, cerebral, splanchnic, cutaneous, fetal, skeletal muscle, and pulmonary circulations. The physiological and anatomical considerations, regulation mechanisms, and unique features of each type of circulation are discussed. Key concepts such as autoregulation, local metabolic factors, and neural influences are covered in detail. Key Topics: Coronary Circulation: Anatomy and physiology of coronary blood supply. Phasic changes in blood flow during systole and diastole. Regulation by autonomic nervous system and local metabolic factors (hypoxia, adenosine). Cerebral Circulation: Control by local metabolic factors (CO2, H+). Autoregulation and hyperemia. Anatomy of cerebral blood supply and special features of cerebral blood vessels. Splanchnic Circulation: Anatomy and regulation of blood flow to the gastrointestinal organs. Role of sympathetic and parasympathetic nervous systems. Chemical factors and the concept of autoregulatory escape. Cutaneous Circulation: Thermoregulatory function and dense nervous innervation. Mechanisms of vasodilation and vasoconstriction. Blood reservoir function and responses to mechanical stimuli. Fetal Circulation: Unique aspects of fetal blood flow including umbilical vessels, ductus venosus, foramen ovale, and ductus arteriosus. Changes in circulation at birth and the stimuli for these changes. Skeletal Muscle Circulation: Regulation during rest and exercise. Role of nervous and local metabolic control. Circulatory adjustments during physical activity. Pulmonary Circulation: Characteristics and regulation of pulmonary blood flow. Zones of blood flow in the lungs and the effect of gravity. Response to hypoxia and other factors influencing pulmonary vascular resistance

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EVALUATION

1. By: Nabiha Aftab Saliha Masood Saleha Jilani

EVALUATION

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EVALUATION