1. Did you notice any changes in the vital signs assessed with different body positions? Explain your results.
Yes. We noticed that our respiratory rate, pulse, and blood pressure changed when sitting, standing, and being in supine position. When looking at the three different positions, there was not a big difference when measuring my respiratory rate. My respiratory from lowest to highest is in the order of supine (11 BPM), standing (12 BPM), and lastly sitting (14 BPM). When looking at my pulse, there was quite a difference in the measurement. I had a lower pulse rate in the supine position, which is 80 bpm. My sitting pulse rate was 88 bpm and standing was 100 bpm. When looking at my blood pressure, my sitting and standing position measurement was the same, which is 120/70 mm Hg. However, my blood pressure in the supine position was 112/75 mm Hg. Therefore, I can conclude that my blood pressure is lower in the supine position than standing or sitting. This makes sense since your heart requires less energy to pump out blood to the rest of the body, than compared to standing or...
There are several different heart problems that show up as an abnormal EKG reading. For example, a heart block can occur when there is a delay in the signals coming from the SA node, AV node, or the Purkinje fibers. However, clinically the term heart block is used to refer to an AV block. This delays or completely stops communication between the atria and the ventricles. AV block is shown on the EKG as a delayed or prolonged PR interval. The P wave represents the activity in the atria, and the QRS complex represents ventricular activity. This is why the PR interval shows the signal delay from the AV node. There are three degrees of severity, and if the delay is greater than .2 seconds it is classified as first degree. Second degree is classified by several regularly spaced P waves before each QRS complex. Third degree can be shown by P waves that have no spacing relationship to the QRS complex. Another type of blockage is bundle branch block. This is caused by a blockage in the bundle of His, creating a delay in the electrical signals traveling down the bundle branches to reach the ventricles. This results in a slowed heart beat, or brachycardia. On an EKG reading this is shown as a prolonged QRS complex. A normal QRS is about .8-.12 seconds, and anything longer is considered bundle branch block. Another type of abnormal EKG reading is atrial fibrillation, when the atria contracts very quickly. On the EKG this is shown by no clear P waves, only many small fibrillating waves, and no PR interval to measure. This results in a rapid and irregular heartbeat. On the other hand, ventricular fibrillation is much more serious and can cause sudden death if not treated by electrical defibrillation.
Recognition, response and treatment of deteriorating patients are essential elements of improving patient outcomes and reducing unanticipated inpatient hospital deaths (Fuhrmann et al 2009; Mitchell et al 2010) appropriate management of the deteriorating patient is often insufficient when not managed in a timely fashion (Fuhrmann et al 2009; Naeem et al 2005; Goldhill 2001). Detection of these clinical changes, coupled with early accurate intervention may avoid adverse outcomes, including cardiac arrest and deaths (Subbe et al. 2003).
Valerie Bettis created the solo dance, The Desperate Heart, in 1943. The dance was created with a dramatic touch, depicting the feeling of lost love. Bettis set this piece with the objective of analyzing lost love in a back and forth matter. This goal was achieved throughout Bettis’ work with the help of music, lighting, attire, vocals, imagery, and choreography. The vocals at the beginning and end of the dance are a poem written by John Malcom Brinnin also named The Desperate Heart. My analysis is based off of Bettis’ solo performed by Brook Notary at a concert on June 11, 1993.
There are several tests and measure that can be done in a physical therapy examination in order to rule out certain diagnoses, as well as come closer to a physical therapy diagnosis. First, an observation of the patient standing, walking, and sitting should be done in order to associate any visible deficits in the patient that could be associated to the ...
Edgar Allen Poe is regarded as an influential author within the genre of horror and gothic tales, that suggest – ‘what is out there.’ Poe is best known for his dark, gruesome images centered on death in order to provide his readers with a sense of terror within. These qualities are evident in Poe’s short story, “The Tell-tell Heart” as the device of the narrator symbolises various characteristics that individuals can hold. This is achieved through Poe utilising various literary devices to express the narrator’s mindset, fears and obsessions, which lead him to committing murder.
The main components of the human cardiovascular system include the heart and blood vessels. The heart beats in order to pump blood to the vessels which are responsible for circulating it to cell tissue throughout the body. During the homeostasis process, the circulatory system provides oxygen and nutrients to the cell while removing waste products from the tissue fluid such as carbon dioxide within the lungs. This process is required for cell function.
After the subjects submerged their faces into 15 and 5 degree water, their heart rates decreased. When the resting heart rate was recorded, it showed a regular heart rate. As shown on the graph, once the subject held their breath, the heart rate increased. It is expected for the heart rate to decrease during apnea because less oxygen is being used meaning your heart is doing less work. Once you breathe again, the heart rate will increase due to homeostasis.
Dr. Murray, the chief resident who arrived around 8:00pm, charted Lewis’ heart rate as normal and noteds a probable ileus; however, nursing documentation at the same time recorded a heart rate of 126 beats per minute (Monk, 2002). Subsequent heart rates at midnight and 4:00am arewere charted as 142 and 140 beats per minute respectively without documented intervention (Monk, 2002 ). On Monday morning Lewis noted that his pain suddenly stopped after being very constant and staff charted that they were unable to get a blood pressure recording in either arm or leg from 8:30-10:15am despite trying multiple machines (Monk, 2002; Solidline Media, 2010).
In Edgar Allan Poe’s, “The Tell-Tale Heart,” I have confidence in that the narrator is a reliable resource. He described the way he murder an old man because he felt the man had a “vulture eye.” And that the eye was an “evil eye.’ The narrator couldn’t stand seeing the eye anymore. However, the narrator articulates how he is not a psychotic man. As if he was doing someone a favor by killing the old man. The narrator wasn’t concerned what the readers thought about his actions but about his state of mind. Some of his actions lead one to believe he isn’t a reliable source but he was the only one there; well, that is still alive. Although his actions coexisted unethical behavior, the source is reliable due to the fact he didn’t hide anything, he admits to the readers how and why he murder the old man.
However, after my instructor left from the room, I reintroduced myself, and started a conversation, stating my objectives for the day. As I began to speak my actions while I administer vital sign, I was promptly damped by an expectedly attitude from my patient. Whenever I attempt speaking, I...
The narrator in “The Tell-Tale Heart” is not guilty because of reason of insanity. Although the narrator claimed that he was not mad, he acted like it. He even thought that the old man had an “Evil Eye” that was vexing him. He actually seemed proud, and sounded like he was very confident, acting as if he was better than “mad” people. He is insane.
D. standing near her room, breathing sharply. While asked what has just happened, she answered, ‘I feel dizzy and can faint!’ Mrs. D. then explained that she rose up from her chair in the television room and felt lightheaded. I decided to bring her to the room hoping she would feel less dizziness if she could sit. After consultation with my mentor and third year unit nursing student, I decided to perform measurement of her vital signs. Since only electronic sphygmomanometer was available for me that time, I had to use it for my procedure. Gladly, I discovered that I have already used such equipment in my previous nursing practice. Using the standard sized calf, I found that her blood pressure was 135/85, respirations were 16, and her pulse was 96 beats per minute (bpm). However, I decided to recheck the pulse manually, founding that it was irregular (78 bpm). The patient stated that she felt better after rest. Immediately after the incident I made a decision to explore carefully the medical chart of Mrs. D., along with her nursing care plan. That helped me to discover multiple medical diagnoses influencing her
The human mind can be strong, yet fragile at the same time. We have invented things that can take us to the moon, yet our mental integrity can be demolished by something as simple as guilt. “The Tell-Tale Heart” is a story of a young man, obsessed with the thought of murdering an old man because of his paranoia from the way the old man’s blind eye stares at him, with a “supercilious self-empowerment” (Ki p. 27). The young man eventually gives into his temptation and kills the old man, stuffing his butchered body into the floorboards, leading him into a tailspin of more paranoia, insanity, and guilt. Through the use of irony, symbolism, and imagery in “The Tell-Tale Heart,” Poe illustrates a theme of destruction that guilt and madness can do to the human mind.
There are 2 types of breathing, costal and diaphragmatic breathing (Berman, 2015). Costal refers to the intercostal and accessory muscles while diaphragmatic refers to breathing using your diaphragm (Berman, 2015).It is important to understand the two different types of breathing because it is vital in the assessment of the patient. For example, if a patient is suing their accessory muscles to aid in breathing then we can safely assume that they are having breathing problems and use a focused assessment of their respiration. Assessing respiration is fairly straightforward. The patient’s respiration rate can be affected by anxiety so a useful to avoid this is to check pulse first and after you have finished that, while still holding their pulse point, check their respiration rate. Inconspicuous assessment avoids the patient changing their breathing because they know they are being assessed which patients can sometimes do subconsciously. Through textbooks and practical classes I have learned what to be aware of while assessing a patient’s respiratory rate. For example; their normal breathing pattern, if and how their health problems are affecting their breathing, any medications that could affect their respiratory rate and also the rate, depth, rhythm and quality of their breathing (Berman, 2015). The only problem I found while assessing respiration rate was I thought it seemed a bit invasive looking at the
Our arteries and veins are like hoses, they normally have a nice clean flow, but sometimes our blood pressure can be raised when bad things happen to them. Arteries can get clogged, and that happening is much like sticking your finger at the head of the hose to make the water squirt farther, the same amount of liquid has to get through but now with a smaller hole, so it has to go faster (Tamarkin Ph.D., 2011). Blood pressure is always faster right at the end of a ventricular systole, because the blood receives a large push from the contraction and that speeds up all of the blood in the body for a little bit. The blood pressure is also determined by how fast the heart has to beat to get the blood to the body, so higher blood pressure normally occurs when one is doing a lot of physical activity, is angry, or is under stress. The pulse we feel when we feel our wrist or neck is a surge of blood coming from our heart, so when our pulse is faster than that means our blood pressure has risen (Cordova, et al.,