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Paper Topics On Abortion And Law
Thursday, August 27, 2020
Los Vendidos: Farm Workers Views :: History Historical Spanish Essays
Los Vendidos: Farm Workers' Views Los Vendidos, the film that we saw was performed by El Teatro Campesino, the ranch laborers theater. The film was made to show the perspectives and thoughts of the homestead laborers, who were simply ordinary individuals who needed to be heard. They were not phenomenal, uncommon, exceptionally talented and paid entertainers. They were simply ordinary people who needed what every other person needed: uniformity. The idea of Los Vendidos was, as I would like to think, straightforward. The film was an ironical view at how that Anglo-Americans decided to see the Mexican-Americans, Spanish-Americans, Latinos, Hispanos, and so forth. It was utilized to actuate discussion. Los Vendidos was additionally used to show how some Mexican-Americans decided to overlook their ethnicity and childhood trying to isolate themselves from their kin. The primary topic was that the Mexican-American individuals should have been a piece of society, in general. They no more, and never truly, needed to be isolated for m the remainder of the nation. The Mexican-American individuals were similarly as clever and arranged for anything, as was every other person in the U.S. It was utilized to make the Mexican-American individuals need to get up and state, I not, at this point needed to be dealt with like this. The parts of the film that were brought out, for me, were the individual qualities of every one of the individual characters. They qualities are drawn out and over sensationalized, some originated from consensuses made by the Anglo-Americans yet some were genuine parts of the individuals. The majority of the qualities that came out were horrible yet they did what they should. They recounted the all inclusive statements that the gatherings place upon each other. The story opens with Ano Sancho discussing how he recently was a work contractual worker and is currently a representative. He presently has opened Ano Sanchoââ¬â¢s Used Mexican Lot This is a strike at those individuals who have been utilizing the workers and the Mexican-Americans for their very own benefit. This brings the idea that regardless of the spot and time, there will consistently be somebody there to abuse the more fragile individuals. This individual is once in a while somebody that the individuals trust ands identify with, one of their own. The following individual that we go over is Ms. Jimenez (articulated Jimmy-nes, not he-me-nez). How this woman was depicted was, as expressed prior in the Introduction, an assault on the white washed Mexican-Americans.
Saturday, August 22, 2020
Summary Essay Example | Topics and Well Written Essays - 250 words - 82
Synopsis - Essay Example The issue of recognizing the influenced winged animals was convoluted by the absence of sign in ducks which present potential hazard to people in a territory. The infection that cause this season's cold virus changed from the first sort that influenced feathered creatures just to a confounded one that is unaffected by the resistance arrangement of people. The infection is spread when an avian strain meets a strain that is adjusted to spreading the infection in warm blooded creatures and the trade can happen in the body of an individual or some other creature have. Previously, influenza has killed countless creatures with a record 40million individuals noted to have kicked the bucket from it somewhere in the range of 1918 and 1919 and demonstrating that it can wipe a lot of individuals inside a brief timeframe with scarcely any odds of endurance after contamination. A few associations have collaborated to build reconnaissance of the flu in light of the fact that the previous investigations concentrated on people, pig, chicken and ponies. This is paying little mind to the high fiscal interest that is presented in endeavor to deliver an antibody to control the infection, which is exceptionally hurtful to the
Friday, August 21, 2020
Free Essay Samples - Read Them Online
Free Essay Samples - Read Them OnlineFree essay samples are widely distributed in the internet, and most people seem to have already enjoyed these educational resources. These free essay samples have been used by thousands of students to achieve better scores on their essays.You can be assured that these essay samples contain the right information you need in order to improve your essays. This is because all you need to do is to submit them online and then you will be able to study them and improve your writing skills. The best part about this is that they are free.The content in these essay samples is presented in a straightforward manner. You will easily recognize the structure and process of writing an essay. If you were to read the same essay after just reading through the material, it would be really difficult for you to understand the whole concept.These free essay samples have been divided into different topics and subtopics. By studying these essays you will be able to recogn ize what your topics and subtopics are. You will also be able to identify which parts of the essay contain that information.With the use of these samples you will be able to create an easy article or essay. What makes these essays so effective is that you don't have to pay any money in order to gain access to them. If you like you can simply purchase the book or the book that contains the same essay sample.You can search for free essay samples on your own, or you can simply get the link to the resource from the author of the essay sample. This is so you can be assured that you will be getting the full value for your money. You can therefore save money in purchasing a book of essays by reading them online.You can also use the free essay samples to practice your writing. When you are practicing, you can use them to identify which sentences are giving you problems. By using the essay samples you will find it easier to improve your essay and become a more effective writer.It is not nece ssary to pay in order to acquire these essay samples. You can just create your own paper. Then you can share it with your friends and classmates in order to improve your essays.
Monday, May 25, 2020
commercialization of organ transplants Essay - 948 Words
COMMERCIALIZATION OF ORGAN TRANSPLANTS Student: Patrick Frost Instructor: Professor Edwin Martinez del Rio Business Ethics 309 October 21, 2013 Strayer University COMMERCIALIZATION OF ORGAN TRANSPLANTS Arguments in favor of organ commercialization Commercialization of human organs from consenting adults will lead to an increase in the supply of organs needed for transplants (Kanniyakonil, 2005). The major challenge in hospitals is the lack of organs needed for transplantation to the increasing number of patients. Currently, organs are only accepted from victims of altruism suicide and this does not cover the medical needs throughout the world. Thus, by commercializing organs for transplants, the number of organ willâ⬠¦show more contentâ⬠¦Commercialization of organs will also lead to degradation in the medical ethics. Patients who are incapable financially may not be given the same medical care quality as people with money. Medical incompatibility is another reason why commercialization of human organs is not advisable. Family members are advised to donate due to enhanced chance of molecular compatibility. However, if organs are sold over the counter unknowing public may buy the organs without the knowledge of the requi red medical compatibility. Thus, their loved ones may develop serious medical complications or even die as a result of the transplant. My position on the debate My position on the debate of commercialization of organ transplants is that it should not be allowed. This, however, does not mean that people are not participating in the practice. Commercialization of organ transplant is a lucrative business. However, this is morally wrong and is against human ethics. This is due to the fact that commercialization of human organs even if it results in saving lives has a bigger negative impact on the society and on the individual. The major moral problem is that people donating will be under the obligation of benefiting. Like is said earlier, in places where organ commercialization is being practice, the business is very lucrative. The need to benefit from the organ donations violates the ethics that are aligned with humanShow MoreRelatedCommercialization of organ transplants1774 Words à |à 8 Pages Commercialization of Organ Transplants I. Introduction: The following report contains a summary of the arguments for and against the commercialization of transplants found in the research. Formulation on the position of which the debate of whether or not the sale of organs should be permitted is presented. There is the defense of moral judgment with a moral argument along with the identification of the moral principle that is appealing to the moral argument. Followed byRead MoreThe Commercialization Of Organ Transplantation1660 Words à |à 7 Pageshour to save the world, [he] would spend fifty-five minutes defining the problem, and only five minutes finding the solutionâ⬠(Einstein). In the case of the commercialization of organ transplantation, would the ramifications laid by Einstein change if a doctor had only one hour to save the life of a patient in dire need of an organ transplant? An individual that had spent the last three years on a waiting-list? Waiting, years, months, and days without end for a second chance at life. Similar to EinsteinRead MoreBlood Sale1531 Words à |à 7 Pagesto treat certain things- such as human organs- as commodities? Commercialization is a process that transforms an innovative idea to a profitable commercial product. For assistive technology, the commercialization process depends upon technology transfer, knowledge and resource sharing among universities, companies, and federal entities. (Nationaltechcenter.org, 2014) In 21st century, commercialisation is something to be applauded due to commercialization is to add more value to the new products/servicesRead MoreIs Organ Donation Or Not?1486 Words à |à 6 Pageswill happen if they ever donate their organ/s or tissueââ¬â¢s. Most look upon people who donate organ/s as generous. Others even applaud them for being a lifesaver. The question that lingers on many: Is it proper to charge for the organ donations or not? According to the Mayo Clinic, in United States alone, over 100,000 individuals are in the offing for an organ donation. Regrettably, several individuals may at no time procure the bid that a fit benefactor of an organ matches his or herââ¬â one more wagerRead MoreThe National Organ Transplant Act ( Nota ) Essay1732 Words à |à 7 PagesThe first organ donation was successfully performed in 1954 (Major). Since then, institutions have set up many regulations and processes that have saved many lives by allowing people to donate their organs, but government policies in the United States have set up laws that prevent individuals to make choices about their own bodies. The National Organ Transplant Act (NOTA) is a regulation that prevents those who prefer to profit from their donation. The purpose of the act was to, ââ¬Å"prohibit the assignmentRead MoreThe Debate on Selling Organs780 Words à |à 4 PagesThe debate on selling Organs Patients on a waiting list for organ transplant live under tremendous emotional stress, physical limitations, continuous medical care, and in some cases, under daily medical attention. Family members and close friend are also affected by watching their love one day-after-day live with limitations and medical needs that a simple pill canââ¬â¢t fix. Furthermore, the financial medical hardship creates even more unwanted stress. So itââ¬â¢s easy to see why family members would beRead MoreOrgan Trafficking Essay1551 Words à |à 7 Pagestotal, Im worth about $300,000 on the organ market. The organ trade is one of the fastest growing and least enforced trafficking crimes throughout the globe today (Glazer 341). Sarah Glazer claims in Organ Trafficking that 5,000 to 10,000 of the 100,000 transplanted organs are obtained illegally each year (341). Although the laws passed and organizations founded have delayed the escalation of organ trafficking, the selling and distribution of com pensated organs should remain illegal and suppressedRead MoreThe Truth Behind Organ Sales. The Expression Organ Trade1400 Words à |à 6 Pages The Truth Behind Organ Sales The expression organ trade or sale covers an extensive variety of various practices. Individuals most promptly connect it with the case in which one person (who may want or needs cash) pitches his or her kidney to another (who needs a kidney). However, there are different potential outcomes as well. One (in nations where the earlier consent of the deceased is required for cadaveric organ gift) is to pay individuals living now for rights over their body afterRead MoreVoltaireââ¬Å¡Ãâà ´s Candide1924 Words à |à 8 Pagesaspects regarding organ transplants. This Act was last amended in 1989. Since then medical science has developed so big in size and to such an extent that organ transplants today are almost routine operations in many hospitals. Unfortunately the current methods of procuring human organs are not supplying the demand. A new approach, the commercialization of human organs for transplantation is a possibility with the potential to supply one hundred per cent of the demand for organs. There are howeverRead MorePersuasive Speech : Donating Organ For A Person1935 Words à |à 8 PagesArgument Donating organ to a person in need adds significant years to his life. The donor will be back to his normal life within a week after donation and will have no side effects if treated carefully. Here is an example of Tom Walker, a coach who decided to donate his kidney to one of his team player. Kevin Jordan, a left handed outfielder, was offered admission to Wake Forest University and their baseball team in his senior year at high school. He amazing talent on field was recognized by
Friday, May 15, 2020
Chinese Culture - 1223 Words
Socialization ------ American Born Chinese Children under Chinese Culture According to the American Heritage Dictionary, socialization is the process of learning interpersonal and interactional skills that are in conformity with the values of one s society (American Heritage). It is a process of learning culture. During socialization, children will acquire attitudes, norms, values, behaviors, personalities, etc. within agencies of socialization, which were described as Agencies of socialization are structured groups or contexts within which significant processes of socialization occur. according to the sociology terminology (Gidden 1). Socialization always begins very early in life. It starts from childhood and continuesâ⬠¦show more contentâ⬠¦The majority of Chinese immigrant families engage in professional careers, such as engineering, medicine, accounting and research. Being socialized through their parents, many ABC s expect to achieve those careers through the higher education. They will be told how decent and wonderful it would be if the ir jobs as a doctor or scientist. Also, their parents will reinforce the idea that those jobs will be useful to a society as well. On the Goldsea website, it is reported that: young Asian American infiltrated professional ranks, primarily in medicine, engineering and accounting. The next few decades saw Asians multiply in those fields, while a small minority ventured into law, journalism and marketing. But even at the start of the new millennium, most promising Asian Americans continue crowding into medical and engineering fields, with corporate finance and management emerging as a serious alternative. (Goldsea 1). While many European Americans choose business as their careers, the young ABC still engage in the traditional careers due to the pressures of family and cultural biases. Chen point out that the traditional Chinese family will train children through conformity (Chen 2). Under the Chinese immigrant families, what happens to the ABC s Character regarding conformity? As to their personality development,Show MoreRelatedThe Culture Of A Chinese Culture1410 Words à |à 6 PagesChinese companies belongs to the family corporate culture type, it has a person oriented culture. The ethnics of the person are more important than the task he or she takes. The leader makes decision and dominates. Malagasy culture is more based on laws and regulations. A Chinese values survey is developed by Hofstede and Bond(1980) to explore cultural values in 22 Asian and western countries from the Chinese social values. In this survey, Confucian dynamism which refer to the acceptance of legitimacyRead MoreChinese Culture and Communication: Chinese Culture and Communication1594 Words à |à 7 Pagescontinuous movement all over the world of people from varying countries and cultures has lead to an increase of cross-cultural communication. Australia is quickly developing into a multicultural nation attracting tourists from a vast range of countries. As a result, it is has become more important for people in Australia to be culturally sensitive and aware in order to successfully interact with these visitors of different cultures. These interactions are especially important in international airportsRead MoreChinese Culture1798 Words à |à 8 PagesDara Murphy 112519063 Chinese Culture Essay: There are many different aspects to Chinese culture that make it so broad and interesting. I will be focusing mainly on the more modern features to the culture and how it has changed from the traditional culture. Chinese culture is one of the oldest cultures out there today. I personally find the culture as a whole very interesting and intriguing and I extremely enjoyed learning about the ancient culture that is still ever so prominent todayRead MoreChinese Culture2090 Words à |à 9 PagesMainland China is rooted in more than 4,000 years of rich Chinese cultures and history.à Its known for their lives, travel, history, business and food, their people and customs.à Traditional Kung Fu is as much of the culture of china according to statistics. The Chinese people have shared a common culture longer than any other groups on earth.à China is one of the cradles of the human race.à For thousands of years the culture of china has attract and moved many people from all over the world, beingRead More Chinese Culture Essay1208 Words à |à 5 Pages Socialization ------ American Born Chinese Children under Chinese Culture According to the American Heritage Dictionary, socialization is ââ¬Å"the process of learning interpersonal and interactional skills that are in conformity with the values of ones societyâ⬠(American Heritage). It is a process of learning culture. During socialization, children will acquire attitudes, norms, values, behaviors, personalities, etc. within agencies of socialization, which were described as ââ¬Å"Agencies of socializationRead MoreThe Chinese Culture Of China1090 Words à |à 5 PagesChrisshonna Smith Professor David Howell ENG. 201-008 19 October 2017 The Chinese Culture 1.0 Introduction The term culture has many meanings depending on the context in which it is placed. Culture could mean ââ¬Ëthe way that people have been used to a set system of activities until it becomes a part of their inheritable knowledge, which they can pass to the next generations.ââ¬â¢ Customs and beliefs can also form the culture of people who live in a common geographical location or the era in which theyRead MoreUnderstanding The Chinese Culture Of A Chinese Patient1205 Words à |à 5 Pages Five points of area that affect nursing care when taking care of a Chinese patient, are the cultural beliefs with medical treatments, who and when to discuss the prognosis and medical treatment to, dietary beliefs, pregnancies beliefs, and death and dying. Many Chinese people believe in traditional Chinese medical treatments, and if the doctors and nurses disregard their beliefs, then that could lead to mistrust. Chinese people may try traditional approaches first, and then seek medical careRead MoreThe Mexican And Chinese Cultures988 Words à |à 4 Pagesoccupational, health status and preference in life partner orientations) coexisting in a given locationâ⬠(Estes, 2014). The Mexican and Chinese cultures are two cultures from separate geographic continents that I will be analyzing in this paper. The Chinese culture has numerous different cultures. Hans Chinese will be the focus here. Mà ©xico is where the Mexican culture is found. Mà ©xico is a country located in North America, south of the United States. Mà ©xico has a coastline along the Pacific OceanRead MoreChinese Business Culture624 Words à |à 3 PagesThe Chinese culture is very different than the culture in the United States of America and business meetings require preplanning if they are going to be successful. * How should you handle the introduction, greeting, and handshaking? Although in the Chinese culture, a nod and slight bow is a general way of greeting, Chinese business men are comfortable with a handshake. Address the most Senior Chinese person in the room first, and introduce yourself as you shake hands. Remember that in theRead MoreEssay On Chinese Culture1461 Words à |à 6 Pagesââ¬Å"A nationââ¬â¢s culture resides in the hearts and in the soul of its people.â⬠Mahatma Gandhi. A personââ¬â¢s culture is a big part of personââ¬â¢s day to day life, it sets shared attitudes, values and goals. It decided what we wear, eat and do; how we walk, how we talk. Culture is one word that defines how we live our life whether we notice it or not. As an RNââ¬â¢s or any medical professional we are responsible for understanding and respecting our patients and their beliefs. Asian American culture has many traditions
Wednesday, May 6, 2020
The State Of Oregon - 959 Words
In 2014, the state of Oregon was the first state to pass a law that allows children at the age of 15 to undergo surgery for transgender, and they do not need the consent of their parents. Why, you may? Well, letââ¬â¢s take a look. As stated before Oregon was the first state to offer gender reassignment to minors. However, ironically it is illegal in that same state for a 15 year old to drive, smoke, donate blood, get a tattoo, or even go to a tanning booth. The state is doing this treatment with Medicaid, using tax-payers money. A doctor by the name of Dr. Jack Drescher from New York commented, ââ¬Å" I believe the age of 15 is too young to be offering this treatment. Children may not fully understand all the consequences of the procedures they are undergoing.â⬠However, a transgender lady named Jenn Burleton agrees with the state of Oregon and believes parents should not have the right to get involved. She under- went gender reassignment surgery, but the age was unspecifi ed. She had this to say,â⬠requiring parental consent would lead to more suffering and teen suicide attempts.â⬠Perhaps, you are asking yourself this question, what is gender dysphoria? I have the answer. Gender dysphoria is ââ¬Å" the diagnosis typically given to a person whose assigned birth gender is not the same as the one with which they identify.â⬠However, letââ¬â¢s not confuse this with sexual orientation, this does not mean they are homosexual, this means they do not identify who they are as their given birthShow MoreRelatedMy Favorite Place At The World Is The State Of Oregon912 Words à |à 4 PagesOregon My favorite place in the world is the state of Oregon. The reason for this being my favorite place is because of how green and simply beautiful this place is. I have had the fortune of getting to visit this state twice. I even took a train ride home from Washington through Oregon down to California. I must add the scenery is seriously beautiful. I have never seen so many trees in my life. The name Oregon means windstorm or hurricane. The reason they gave it this name is because ofRead MoreComparison: State Income Tax, Oregon vs. Florida2613 Words à |à 11 PagesIncome Tax, Oregon vs Florida, Comparison and Analysis Income tax, as defined by thefreedictionary.com, is ââ¬Å"A charge imposed by government on the annual gains of a person, corporation, or other taxable unit derived through work, business pursuits, investments, property dealings, and other sources determined in accordance with the Internal Revenue Code or state law.â⬠In layman s terms, Income tax is money taken out of someone s pay and given to the government, state, federal, or in some casesRead MoreEconomic Health Of Oregon By Looking At Gross State Product, Unemployment, And Inflation Essay1082 Words à |à 5 Pagesmore people are employed then more output can be produced contributing to Gross State Product. Inflation is an indication because it determines how much real value is being lost(Graham). In this paper I will analytically discuss the economic health of Oregon by looking at its Gross State Product, unemployment and cost of living. Gross State Product(GSP) is the total dollar value of all final output produced wi thin a state in a certain time period, usually one year (Schiller). The aspects that contributeRead More Oregon Geography Essay examples1705 Words à |à 7 Pages The Oregon Coast runs from north to south along the Pacific Ocean. Oregon is three-hundred and sixty miles long and two-hundred and sixty miles wide, making it the ninth largest state. Oregon is bordered by California and Nevada on the south, Washington on the north, Idaho on the west and of course, the Pacific Ocean. Oregons nickname is the Beaver State because in the nineteenth century beaver skins were very valuable to trappers in the area. The longitude in Oregon is 116 45W to 124 30WRead MoreThe United States Of America1536 Words à |à 7 PagesThe United States of America is well known throughout the world for tis democracy ant the freedoms of its citizens. Since declaring its Independence from Great Britain rule in 1776, the United States of America has undergone a continuous effort to maintain law and ord er. In order to create a strong federal government with a system of check and balances the Constitution was proposed and ratified. The Constitution of the United States became the Supreme law of the land. (The Constitution) We theRead MoreThe Tax Policy Of Oregon And Washington1288 Words à |à 6 Pagespolicy is one of strategies that states have to increase their competitiveness. From 51 states nation-wide, only five states that do not impose sales tax or 0% sales tax rate. They are Alaska, Delaware, Montana, New Hampshire and Oregon. Without sales tax, in this five states, people can buy everything without spending extra dollar for tax, which mean they will have extra ââ¬Ëmoneyââ¬â¢ for saving or spending to other goods compared to other states because some of states impose both income and sales taxRead MoreThe Louisiana Purchase, The Oregon Treaty, And The California Gold Rush948 Words à |à 4 PagesThere were many important events that helped to achieve the goal of Man ifest Destiny. For example, the Louisiana Purchase, the Oregon Treaty, and the California Gold Rush all helped achieve this goal. All of these events had either increased the amount of land in the United States, or increased the population of people living in Western United States. One event that occurred during the time of Manifest Destiny was the Louisiana Purchase. In the early 1800s, President Thomas Jefferson wanted toRead MoreThe Death With Dignity And Physician Assisted Suicide1742 Words à |à 7 PagesThere are currently three states that have adopted legislation supporting ââ¬Å"Death with Dignityâ⬠, also known as physician-assisted suicide. Oregon, Washington, and Vermont have each enacted laws that enable a terminally ill, mentally competent, adult to decide and dictate end of life decisions up to and including the time of their death. Oregon was the first United States (U.S.) to enact legislation and other states in the union have followed suit. Literature Review There are numerous articles regardingRead MoreCorrections Programs of North Carolina and Oregon Essay817 Words à |à 4 Pagesprograms in the United States are founded upon the same principles of promoting public safety and security by housing any individual that has broken the laws established by society. However, while there are several similarities there are also several differences in each individual states correctional programs and philosophies. Consequently, those similarities and differences for the states of North Carolina and Oregon will be individually analyzed and explored. The state of North Carolina advocatesRead MoreACT and College Research Paper633 Words à |à 3 Pageswell on national exams such as the ACT can solve this problem with possible scholarships offered at colleges. Understanding the purpose and description of the ACT as well as the information about the tuition fee and the Pre-Pharmacy program at Oregon State University is important for me to get a head start on my future education. According to The ACT, the purpose of the test is to give colleges additional information about the studentââ¬â¢s academic ability other than the studentââ¬â¢s grades. The ACT score
Tuesday, May 5, 2020
European Society of Emergency Medicine â⬠Free Samples to Students
Question: Discuss about the European Society of Emergency Medicine. Answer: Introduction: Congestive heart failure can be described as the progressive heart condition that is seen to mainly affect the pumping power of the different heart muscle in the affected individual. In this condition, the heart is seen to fail miserably to pump efficiently like the way it should pump in normal individuals. Researchers are of the opinion that certain strenuous conditions like narrowing of the arteries of the heart causes coronary artery disease that results in these symptoms. High blood pressure may result in leaving the heart in weak condition or make it stiff in such a way by which it fails to fill and pump effectively. Researchers are of the opinion that the main pumping chambers of the heart may become stiff and may not fill properly in between the beats (Feltner et al., 2014). This may result in occurrence of situations of congestive heart failures. In many other cases, the muscles of the heart are seen to be weakened as well as damaged resulting in a condition when the ventricl es become stretched to a large point. In such condition, the heart cannot pump efficiently throughout the body resulting in occurrence of negative symptoms of the disorders. As time passes, heart no longer can keep up with the demand of pumping adequate amount of blood to the rest of the body and this causes the disorder. Coronary heart disease and heart attack are also causes of the disorder where fatty deposits called plaques are built and deposited in the arteries resulting in the narrowing if the arteries. Often in many situations, damaged valves are observed which mainly occurs from heart disorders or heart defects. Such faulty valves are seen to make the heart work harder resulting in its weakening over time. Genetic factors, excessive alcohol uptake, or tobacco smoking may result in damaging of the heart muscles called myopathy for which congestive heart failures may also occur (Carthon et al., 2015). Hypertension may cause the heart to work harder and therefore the extra exe rtion in turn make the heart muscles stiff for which they can no longer pump blood effectively. These causes result in the occurrence of congestive heart failure. The different risk factors that are associated with congestive disorders are high blood pressure and heart attack. Coronary heart disorders resulting in narrowing of the blood vessels also result in occurrence of the disorder. Diabetes as well as certain diabetic medications all results in occurrence of the disorders (Vedel Khanassov, 2015). Congenital heart defects, sleep dyspnoea, alcohol use, valvular heart diseases, viruses and tobacco use are also certain risk factors. Obesity and irregular heart diseases also result in this disorder. The patient suffering from coronary heart disorders may develop complications like kidney damage and heart valve problems, liver problems and heart problems. All these situations will make her life restricted as she has to undergo a strict routine of healthcare and self-management that might be strenuous and frustrating for her. She may become depressed and anxious about his ill health that may make her suffer emotionally and mentally (Mebaza et al., 2015). Her family members will be affected emotional from the suffering of the patient and ma become depressed. Moreover, the family members also gave to go through financial and physical turmoil for which quality of life am be affected. One of the most important symptom of the congestive heart failure is the retention of fluid and water in the body which cases swollen of different parts of the body. Less amount of blood is seen to reach the kidney. This in turn results in a situation of edema where ankles, legs as well as abdomen get swollen. Another important symptom that occurs in patients suffering with the disorder is the shortness of breath. Congested lungs are also seen to occur and this mainly takes place de to accumulation of fluid in the lungs. When fluid becomes collected in the lungs, it may result in development of shortness of breath that in turn cases extreme difficulty in breathing. Wheezing as well as development of dry cough is also a common phenomenon that takes place due to lung congestion (Carpenter et al., 2015). Another important symptom that is quite common in the disorder is the feeling of dizziness and fatigue and occurrence of weakness. Restricted flow of blood to the brain than it is requi red results in development of confusion in the patients. This causes dizziness in the person. Moreover, limited flow of blood to the muscles and other major organs of the body make the patient feel weak and tired, as successful respiration cannot take place de to limited flow of blood (Mebaza et al., 2015). Another important symptom would be the occurrence of the nausea and feeling of loss of appetite by the patient. It mainly occurs when fluid is seen to accumulate in the places that surround the digestive tract as well as the liver. The fifth symptom that can be also suggested here is the presence of rapid heartbeats where the heartbeats also get quite irregular. As the heart fails to keep up with the pace that is required to send blood to the different parts of the body, they try their best to beat fast and send blood but fail miserably. Therefore, the heartbeats become rapid but irregular. In case of the patient, all the above mentioned symptoms are present like loss of appetite , nausea, irregular heartbeat, shortness of breath, dizziness, weakness, fatigue and others (Rai et al., 2017). All these symptoms will ensure the nursing professionals that the patient is suffering from congestive heart failure. One of the most important classes of drugs is called the Angiotensinogen-converting enzyme called the ACE inhibitors. They are fond to be highly successful in management of congestive heart failure cases. This class of drug is seen to be helping in the blocking of the activity of angiotensin in blood. Angiotensin is mainly responsible for making the blood vessels narrow which makes the person more exposed to the occurrence of the heart disorders. This class of the drugs is also seen to relax the pressure of the blood and thereby improve the flow of the blood through the blood vessels. The blood pressure is lowered and therefore, it becomes important easier for the heart to pump blood (Luttik et al., 2016). This class of the enzyme is also seen to be releasing a considerable amount of water and salt. This also contributes in lowering of the blood pressure. Many randomized control trial had been conducted which had shown that drugs like ramipril, quinapril, captopril, enalapril and lis inipril. Another one of the most important class of drugs that are important to manage congestive heart disorder is beta-blocker. Researchers have seen through their experiments that people who are suffering from congestive heart disorders are seen to produce specific types of hormones called the catecholamine. This hormone is therefore responsible for worsening the condition of the heart of the patients. This class of drug is also seen to help in the widening if the blood vessels helping the blood to flow smoothly through the arteries thereby reducing blood pressure. Researchers have stated that this drug mainly helps the left ventricle of the heart to fill in more blood completely which it was unable to do in the diseased condition. Researchers have also stated that this drug is extremely useful for the patients who have heart failure along with high blood sugar levels. Randomized control trial of this class of medication as put forward a number of drugs like bisoprolol, carvediol as well a s metoprolol (Ong et al., 2016). They have already proven to be one of the most successful drug categories that are helpful in overcoming the symptoms of congestive heart failure. This class of drug is seen to be reducing the different destructive effects of the stimulation of catecholamine and thereby helps in treating both systolic dysfunction and diastolic heart failure. Patients who develop congestive heart disorders are usually seen to go through a number of similar sequential symptoms as their conditions worsen. Shortness of breath and irregular and rapid beating results in poor condition of the patient that makes them anxious. Their symptoms also remain associated with the occurrence of edema, weight loss, nauseas, and loss of weight as well as fatigue. Therefore, when such patients are admitted to the emergency ward, the professionals should follow a sequential pattern of attending the emergency so that the patient remains to danger. The first step of the professionals is to set focus on the in-patient admission which sold be followed by faster diagnosis of the acute and decompensate condition of the heart failure (Hasanpour et al., 2016). This would be followed by proper management in-patient care and then planned discharge of the individual patient after reassessment or transferring her to the general ward. The priority of the professionals wo uld not be on the long-term management of the disorders but solely on the making, the patient come out of risk and danger situations. On arrival of the patient in the emergency department, the healthcare professionals should first take into consideration prompt recognition of the condition of the patient after properly assessing the signs and symptoms of the disorder. Secondly, it is very important for the professionals to alleviate the different emotional as well as the physical symptoms of the breathlessness and therefore the professionals should transfer her to a proper and safe environment to assure optimization of the outcomes. Researchers are of the opinion that every emergency department should possess the triage nurses for acute heart failure but a nurse practitioner can also perform the activity of such nurses are not present in the ward. The professionals should conduct an assessment of the severity only after properly eliciting the history of the patient. Following this, the nurse should be referring a proper multidisciplinary team and appoint the team to the patient at the same time of helping the membe rs for properly distinguishing the case of breathlessness and thereby initialing prompt symptom for relieving therapy (Buck et al., 2015). The nurses of the emergency department need to possess an important number of skills that help them to provide best care to patients. These are proper critical thinking skills and proper decision-making ability as well as be rapid and self confident in the activities. The expanded skills set of the nurses would be mainly helping in conducting of proper diagnostic assessment of the patient through clinical examination. They should identify proper signs of the congestions by conducting diagnostic tests like sonograms, heart scan, electrocardiogram, chest x ray and others. This would be followed by properly transferring the patient to appropriate level for care like the cardiology ward, general medial ward or coronary care unit (Rai et al., 2017). In order to know, whether the person is responsive to the interventions like medical administrations given to her under emergencies, the nurses should conduct objective monitoring to identify different changes in the signs and symptoms of the patient after administration. Immediately after medicine administration, the nurse should properly monitor from time to time to assess the objective measurement of hemodynamic status, heart rhythm, dyspnoea severity, and cardiac output as well as others. However, before shifting the patient to general ward, the nurse should re-assess the patient for symptoms of congestion, management of the levels of anxiety as well as the analyzing of the laboratory blood tests. References: Buck, H. G., Harkness, K., Wion, R., Carroll, S. L., Cosman, T., Kaasalainen, S., ... Strachan, P. H. (2015). Caregivers contributions to heart failure self-care: a systematic review.European Journal of Cardiovascular Nursing,14(1), 79-89. Carpenter, J. E., Short, N., Williams, T. E., Yandell, B., Bowers, M. T. (2015). Improving congestive heart failure care with a clinical decision unit.Nursing Economics,33(5), 255. Carthon, J. M. B., Lasater, K. B., Sloane, D. M., Kutney-Lee, A. (2015). The quality of hospital work environments and missed nursing care is linked to heart failure readmissions: a cross-sectional study of US hospitals.BMJ Qual Saf, bmjqs-2014. Feltner, C., Jones, C. D., Cen, C. W., Zheng, Z. J., Sueta, C. A., Coker-Schwimmer, E. J., ... Jonas, D. E. (2014). Transitional care interventions to prevent readmissions for persons with heart failure: a systematic review and meta-analysis.Annals of internal medicine,160(11), 774-784. Hasanpour-Dehkordi, A., Khaledi-Far, A., Khaledi-Far, B., Salehi-Tali, S. (2016). The effect of family training and support on the quality of life and cost of hospital readmissions in congestive heart failure patients in Iran.Applied Nursing Research,31, 165-169. Luttik, M. L., Jaarsma, T., Strmberg, A. (2016). Changing needs of heart failure patients and their families during the illness trajectory: a challenge for health care. Mebazaa, A., Yilmaz, M. B., Levy, P., Ponikowski, P., Peacock, W. F., Laribi, S., ... McDonagh, T. (2015). Recommendations on pre?hospital early hospital management of acute heart failure: a consensus paper from the Heart Failure Association of the European Society of Cardiology, the European Society of Emergency Medicine and the Society of Academic Emergency Medicine.European journal of heart failure,17(6), 544-558. Mebazaa, A., Yilmaz, M. B., Levy, P., Ponikowski, P., Peacock, W. F., Laribi, S., ... McDonagh, T. (2015). Recommendations on pre?hospital early hospital management of acute heart failure: a consensus paper from the Heart Failure Association of the European Society of Cardiology, the European Society of Emergency Medicine and the Society of Academic Emergency Medicine.European journal of heart failure,17(6), 544-558. Ong, M. K., Romano, P. S., Edgington, S., Aronow, H. U., Auerbach, A. D., Black, J. T., ... Ganiats, T. G. (2016). Effectiveness of remote patient monitoring after discharge of hospitalized patients with heart failure: the better effectiveness after transitionheart failure (BEAT-HF) randomized clinical trial.JAMA internal medicine,176(3), 310-318. Rai, M., Sharma, K. K., Seth, S., Pathak, P. (2017). A randomized controlled trial to assess effectiveness of a nurse-led home-based heart failure management program.Journal of the Practice of Cardiovascular Sciences,3(1), 28. Vedel, I., Khanassov, V. (2015). Transitional care for patients with congestive heart failure: a systematic review and meta-analysis.The Annals of Family Medicine,13(6), 562-571.
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