High Blood Pressure free essay sample

#3 #3 Reason for admission: High blood pressure STUDENT: Jeannette Sutton PATIENT INITIALS: HPT ROOM #_____ Nursing Diagnosis: Risk for imbalanced fluid volume r/t decreased sodium level AEB patient taking hydrochlorothiazide. Supporting data: Thiazide drugs promote excretion of Na, CL, K and water. First time pt will be taking this drug. STG: Pt will maintain sodium levels of 135-145 by 1700hrs after taking initial dose this morning. Interventions: 1. Administer medication as prescribed in the morning. RATIONAL: medication is going to increase output which may cause the depletion of electrolytes. We will be able to see the change in Na by 1700hrs. 2. Monitor strict in out put of fluids. RATIONAL: to prevent dehydration and depletion of electrolytes. 3. Assess neuromuscular and LOC every 4-6 hrs. RATIONAL: low sodium will causes the pt to have muscle cramping, weakness, and fatigue. Teach pt adequate nutritional intake. RATIONAL: Eating the right foods will help the medication regime and disease process. We will write a custom essay sample on High Blood Pressure or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page #2 Nursing Diagnosis: Knowledge deficit r/ disease process AEB pt newly diagnosed with high blood pressure and states not knowing ow to modify lifestyle. Supporting data: Pt diagnosed with high blood pressure. Pt stating doesn’t know how to modify lifestyle. STG: Pt will verbalize 3things that will help him manage disease process by 1700hrs today. Interventions: 1. Teach pt nutritional goals ie low in fat and cholesterol, low in salt; importance of exercise, and smoking cessation. RATIONAL: decrease risk of CHD 2. Instruct patient to take medication at the same time each day and not to stop taking it. RATIONAL: To prevent rebound hypertension. 3. Monitor and teach daily weigh ins. RATIONAL: A wt gain of 2lbs or more in one day can be an indicator of fluid retention and must be addressed to physician. 4. Assess blood pressure and teach patient how to adequately take weekly blood pressure. RATIONAL: Ensure medication is doing its job and another drug is not needed and to monitor BP levels. Good indicator if pt must contact physician. Evaluation: Nursing Diagnosis: Ineffective tissue perfusion r/t cardiopulmonary AEB consistent elevated blood pressures of 160/90, increased cholesterol 278 and LDL 134, and abnormal ECG. Supporting data: 3 BP readings of 160/90 Cholesterol levels 200 LDL 100 STG: Pt will have adequate circulation status AEB strong peripheral pulses with no signs of edema by 1700 hrs today. Interventions: 1. Monitor for edema on extremities. RATIONAL: Complication of high BP can be Right sided CHF which in turn can cause peripheral edema. 2. Assess BP and pulses every 4-6 hrs. RATIONAL: Good indicator of complication with this patient. 3. Teach pt active ROM exercises. RATIONAL: promote peripheral circulation. 4. Administer hydrochlorothiazide as directed. RATIONAL: to decrease fluid overload and prevent edema. Evaluation: Clinical Assignments:

Death Lore Texas Rituals, Superstitions, and Legends of the Hereafter

Death Lore Texas Rituals, Superstitions, and Legends of the Hereafter Untiedt looks at some of the key aspects that encompass death, dying and other aspects. He affirms that death is familiar and universal to all societies in the world. Thus, this has ensured that there are tales, activities and even beliefs that involve death. These aspects cannot be separated from each other because they encompass uncertainty and anxiety.Advertising We will write a custom article sample on Death Lore: Texas Rituals, Superstitions, and Legends of the Hereafter specifically for you for only $16.05 $11/page Learn More Most people do not talk about death because it is perceived as a taboo. In fact, conversations avoid death aspects. Besides, it is a topic that fascinates all people in all societies. Although, writers have written on aspects of death, there are many aspects unknown to people. What does Death Lore entail? Therefore, fear, mystery and familiarity make death the focus of most folklore. This has seen the writing of many articles that try to address the issue of death. For instance, in Texas, publications on the same topic have facilitated folkloristic appreciation and understanding of the same. Besides, this is aimed at educating the people of their culture without interfering with values that are upheld in society. Hence, Death Lore encompasses a number of articles, recollections and other topics on death from other parts of the world (Untiedt, 1). Further, it links the same to the beliefs and values of the people of the state of Texas. Untiedt also explores the resting places of the dead people. For instance, he enlightens the people of Texas on the graveyards and all that go around them. Further, he looks at the challenges involved in cemetery space allocation. Besides, Untiedt brings out some of the bizarre wishes that are made by families of the dead people. What does death encompass? Moreover, the Untiedt highlights some of the death process and the ceremonies that follow thereafter. Besides, he addresses some rituals that are done for the dead. This is achieved through the use of narratives. He also incorporates the work of other authors such as Massingills and Oden to highlight the worth of death lore for the people in various societies. In fact, death Lore highlights different perspectives about death in various societies. Therefore, there is the likelihood of raising many questions rather than giving answers. It has not been able to address some of the aspects that encompass the Texas Death lore. For example, death has not been explored in the computer age (Untiedt, 288). However, this does not deter a person from appreciating all that has been done by authors like Ward and Rushing.Advertising Looking for article on ethics? Let's see if we can help you! Get your first paper with 15% OFF Learn More Is the research done in the field of Death Lore enough? What is more, there are gaps regarding the Texas Death lore. This has been intentionally left to facilit ate other researches on the same topic. This would also act, as a motivator, to ensure that people are involved in carrying out research. Furthermore, this will ensure that there is extra exploration in the field of death. Thus, there will be more sources with appropriate and valid data to be used than before. In summary, Untiedt’s literature highlights the relationship between the fascination and taboos regarding death. This forms the foundation for further research on issues of death. Therefore, it gives other authors a challenge that needs to be solved. In fact, his work encourages others to find anecdotal and analytic issues that underpin deaths in societies. Untiedt, Kenneth. â€Å"Death Lore: Texas Rituals, Superstitions, and Legends of the Hereafter.† Journal of American Folklore (2008): 288- 290. Print.