The Emergency Department Of The Miraculous Regional Health...

Problem (pg. 55) â€Å"Bonnie Bowser, eighty-two years old, fell and severely injured her elbow. She was examined at the Emergency Department of the Miraculous Regional Health System and diagnosed with a fractured olecranon process, and referred to an orthopedic surgeon. The surgeon who examined Mrs. Bowser scheduled her for corrective surgery the next day. He noted in his examination that she had a past medical history of hypertension, diabetes mellitus, two myocardial infarctions with quadruple bypass surgery, and a cerebrovascular accident affecting her left side. She was taking several medications including Lasix (a diuretic), Vasotec (for treatment of hypertension and symptomatic congestive heart failure), Kylotrix (potassium supplement),†¦show more content†¦Standardization is key in hospitals and clinics alike. If a high risk patient such as Bonnie is admitted into an emergency room for a fractured elbow, all of her options should be explained to her. Corrective surgery would be a gr eat option but she needs to be aware of all the risks associated with this procedure and any outcome that could occur. I’m sure if she was told that it is not recommended for someone at her old age or poor health status to undergo surgery, she would have taken more time to think about it. Something this serious should be discussed with family before going through with the procedure. This adverse event should be escalated properly so that the administration and other doctors are aware of the outcome. This death could have been prevented, and others should be able to learn from this. We don’t know the full story from this short problem described in the book, but many questions arise from the situation. Was she completely aware of the risks? Did she know she was not a good candidate for the surgery? Question 2: What system-wide rules will you propose to avoid a repetition of such cases, as the head of your state’s Department of Health? Spearheading from the last question, the regulatory categories pertain to this as well. The provider is responsible for putting the patient’s welfare above anything else, and system-wide rules should

Analysis of Janette Okes Love Comes Softly Essays

Analysis of Janette Okes Love Comes Softly The book that I read is called Love Comes Softly by Janette Oke. It is about a woman named Marty who goes out west with her new husband Clem to find their own land so they can start their own life. But while they live there Clem dies and Marty is now a widow. Marty ends up marrying Clark Davis because Clark is also widower. Marty in the end finds true love with Clark. The main Characters in this book are Marty (Davis), Clark Davis and Missie Davis. Marty is a widow who marries Clark because Clark wants a wife and mother for his child Missie. Clark is the man who marries Marty because he feels that his little girl Missie needs a mother because Clark says that there are just some things†¦show more content†¦Marty soon figures out that love isn’t a blast of fireworks sometimes love just comes softly. Marty doesn’t fit in with the Davis family at first, but then begins to realize that it is Marty’s job to teach Missie the things she needs to know. The plot is that Marty needs a place to stay for the winter before she goes back east (home) because her husband Clem had just died and he was the reason Marty was out there. Marty marries Clark that way she can have a place to stay and she can help raise Missie and teach Missie how to do things that her father can’t teach her. I.e. sewing. The only reason Marty married Clark was because she needed a place to stay until the spring. Marty and Missie develop a love and hate relationship, but as they spend more time together they realize that they actually have a few things in common. When Clark soon finds out that Marty is pregnant, he is glad that Marty is having a little one of her own. Marty ends up naming the child Claridge. In the end Marty asks Clark in a note to ask her to stay and be the permanent mother of Missie (and Claridge.) Clark says yes. He said yes because at that point Marty had been living with him for about 9 months and had grown to love Marty. I think that the

Violence And Its Effect On The Road Of Violence - 2596 Words

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Looking into WILD by Troye Sivan free essay sample

Idolized by the great Taylor Swift, Troye Sivan’s EP, WILD, is definitely something to be revered. Australian YouTube star Troye Sivan debuted his third EP on the 4th of September, with all his 3,000,000 fans there to support him. His EP mixed electro and dream pop melodies to convey the deep messages. WILD is a bold, spectacular second major release that doesn’t incorporate the cliche pop and indie music that most singers would nowadays. Troye Sivans breathtaking album consists of six songs, featuring music artists such as Broods and Tkay M. â€Å"Fools† starts off with a soft piano ballad which quickly builds up to an electronic beat as well as a deep background chorus repeating the lyrics â€Å"only fools.† Sivan ties everything together in this song by combining many different rhythms and vocals to produce a unique blend of music. Another one of Sivan’s tracks, â€Å"Ease,† includes an appearance of Broods. We will write a custom essay sample on Looking into WILD by Troye Sivan or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page He wondrously brings a bundle of upbeat tempos and even possesses the sound of a xylophone which flawlessly matches the song. â€Å"Bite† and â€Å"DKLA† include soothing echoing vocals as well as a feature of Tkay Mazida in â€Å"DKLA.†The heavy bass is apparent in Troye’s songs, adding on the the overall vibe. On the first listen, I didn’t think WILD was exceptionally remarkable. However, as I listened closely to the lyrics and the melodies, I was drawn in. When I had Troyes EP on repeat on Spotify for the 100th time, I was attached to it even more. His music made me feel laid-back and got me thinking deeply about life and all of its imperfections. He doesn’t just simply state the message of his songs, but rather uses lyrics which most people cannot understand if not fully analyzed. In his song â€Å"Bite,† he states, â€Å"The rapture in the dark puts me at ease. The blind eye of the storm.† Sivan toys with the lyrics on purpose, making it a puzzle for those who listen of his music to really look into the what he is saying and interpret the message of his songwriting. The tone of his voice is raw; it is authentic. Emotion can be heard ever so clearly just from the first few words spoken from any of the songs on his EP. Troye Sivan’s WILD contains very mature content with very deep ideas conveyed to his audience about love. However, it is much more than just the basic love songs played on the radio over and over again nowadays. His inspiration to compose WILD came from his fans and his â€Å"past life†. He hoped his new EP and music videos would help those who are struggling with being LGBT+(lesbian, gay, bisexual, transgender, etc.). As a homosexual person himself, Troye has faced some obstacles. â€Å"Every time I see a young LGBT person commit suicide, all I can think about is the lost potential, and what could have happened if only a family member had been a little bit more supportive, or someone at school had been a little bit more supportive,† Sivan states in an interview. His song lyrics are messages about being treated unfairly for being different. This mini-album has caught people’s attention from all over the world, reaching #1 in over 40 countries. WILD has received media praise from famous music celebrities like Sam Smith. Fans of Troye Sivan from all over the world could see his growth in music from last year’s album TRXYE to this year’s WILD. Give this EP a listen and get yourself hyped up for his full album, Blue Neighborhood, coming out December 4, 2015.