Problem Statement, Purpose Statement, Research Question In the study “Effectiveness of end-of-life education among community-dwelling older adults” Matsui (2010) addresses the problem that fewer than “50% of severely or terminally ill patients completed an advance directive” (p. 363) which makes it difficult for health care professionals to identify patients’ wishes in situations where end of life is near. This is a significant problem to nursing, as nurses have a responsibility to inform and…
Central pontine myelinolysis (CPM) is often a feared complication of overly aggressive correction of hyponatremia (defined as < 135 mEq/L).1 Current guidelines1,2,3 dictate a slow correction of sodium, generally not exceeding 8-10 mEq/24 hrs to prevent CPM.1 CPM is a non-inflammatory demyelinating disease characterized by the loss of myelin in the base of the pons and carries a poor prognosis, often times resulting in death. We present a case in which an elderly gentleman was admitted for…
I. Introduction a. Background on Resilient Neighborhoods • Description of overall Resilient Neighborhoods initiative • Relation to the City’s overall response to Sandy and resiliency planning • Relation to other DCP work, such as Citywide Text Amendment • Relation to other state and federal initiatives • Why this study area was chosen Following Superstorm Sandy in October 2012, New York City developed a detailed action plan for recovery from the storm and the long-term resiliency of the…
QUESTIONS 1. Discuss the pathophysiology of coronary artery atherosclerosis. Include discussion of risk factors associated with the development of this disease. (10 points) Coronary artery atherosclerosis is most commonly comprised of atherosclerotic fibrous fatty obstructions of the large epicardial vessels, which provide for blood flow and transport nutrients, oxygen, and elimination of metabolic waste products such as CO2, lactic acid, and hydrogen ions. Coronary artery atherosclerosis…
Decompressive Craniectomy and the Return of Functionality in Traumatic Brain Injury Patients with Increased Intracranial Pressure The brain and its surrounding protective bony layer provide for a unique situation with regards to traumatic brain injuries (TBI). Unlike other tissue in the body, which are free to expand outwards when inflammation or trauma occurs, the brain cannot. In the average adult, the cranial vault has the ability to accommodate for up to 1500mL of volume. When cerebral…
Teaching Clinical Ethics Using a Case Study: Family Presence During Cardiopulmonary Resuscitation Ainslie T. Nibert Crit Care Nurse 2005;25:38-44 © 2005 American Association of Critical-Care Nurses Published online http://www.cconline.org Personal use only. For copyright permission information: http://ccn.aacnjournals.org/cgi/external_ref?link_type=PERMISSIONDIRECT Subscription Information http://ccn.aacnjournals.org/subscriptions/ Information for authors…
to be taken in handling and storage: Avoid contact with skin and eyes. Avoid generating or breathing dust. Keep container closed when not in use. Avoid strong oxidizers. Keep away from heat, sparks, and flames. Use only with adequate ventilation. Table 5.2: NFPA and HMIS Measurements |NFPA |HMIS…
Every 2001 Lumina under warranty is backed with the following services: 1-800-CHEV-USA ® ( For vehicles purchased in Canada, call 1-800-268-6800) that provides in an emergency: Courtesy Transportation Free lockout assistance Free dead-battery assistance Free out-of-fuel assistance Free flat-tire change Emergency towing 2001 Chevrolet Lumina Owner's Manual Litho in U.S.A. Part Number 10300810 A First Edition © Copyright General Motors Corporation 2000 All Rights Reserved i…