Management of the End-Stage Kidney Disease Essay - 21

Management of the End-Stage Kidney Disease - Essay Example This article shall address the proper management of a patient suffering from ESKD, focusing from the time of admission to discharge (Dalrymple et al. 2011). Nursing need assessment tool is one of the tools that shall be employed to develop the patient profile and assist in the plan for her management. This tool is very essential in addressing the needs of an older patient who require long-term care due to a chronic condition. The tool addresses the patient holistically and embraces professional decision-making. In addition, the tool makes the assessment in a staged approach by deviating from the conventional narrative approach to a focused assessment approach. Another tool that shall be employed is the nursing care plan, which shall help in addressing the patient problem and plan the management accordingly. The key health problems for CherylWarra Allen are the renal failure, hypertension and diabetes mellitus. These health problems are prioritised in that order because of their impact on the health status of the patient. Kidney failure has got a fatal result if not urgently managed this is because it leads to accumulation of several toxic wastes as well as fluid in the body. Accumulation of nitrogenous waste and urea in the blood leads to uraemia, which is a fatal cause of confusion and coma in patients with kidney failure. In addition, the state of the patient confusion makes it difficult to treat the patient since the patient shall not cooperate during the treatment process. The patient may remove the gas mask or other intravenous medication that she is being given. Renal failure leads to accumulation of fluid in the body, which is as a result of inadequate excretion of fluid by the kidney. Accumulation of fluid in the body leads to adverse effect such as difficulty in breathing. When fluid accumulates on around the lungs and adnexa tissues, the lungs and the diaphragm may get compressed leading to shallow breathing and ultimately lead to exertion. Excess accumulation within the pleural cavity leads to excess difficulty in breathing and the patient shall require a gas mask or other assisted breathers otherwise the patient can die within a short time due to shortness of breath.  Ã‚  

Objective view of world Essay Example | Topics and Well Written Essays - 1000 words

Objective view of world - Essay Example Objectivity allows a person to see the world in its true and real sense and make opinions about things or events based on facts and reality. Scientists advise that teenagers must be taught to think objectively in order to make them able to have more realistic view of the world and perceive things truly. Scientists are also trying to know that how boosting of neurons leads to subjective experience. Mathematical principles are used here in this paper in order to better understand the phenomenon of objectivity and subjectivity. Just while mapping routes of the world some generalizations have to be made no matter how accurate the description is provided simultaneously the views of reality differ for every person (McKenna 58). Many researches have been conducted to determine how human senses produce a subjective experience but yet the mystery it is not properly identified. As subjective experience is based on personal belief and perception of person, it is difficult to determine how a per son will react to a new situation. But this is possible in objectivity as this experience stands on strong footings of reality and truth. According to clinical psychologist, Dorothy Rowe the events occurring in a person’s life are not actual but the glimpses or guesswork that our brain perceives regarding the world by interpreting previous occurrences. Every individual is unique depending on the reason that no two persons experience a situation in the same light. Thoughts, images and adaptability are the factors that strengthens our sense of â€Å"self† (Rowe 18). In an article by Samuel, â€Å"How to Get an Objective Point of View†, he discussed that to have success in life it is always necessary to see the world with objectivity and hold an opinion which is based on reality. It is also important that people learn to accept what is truth and do not try to fit the truth with imagination. There is a problem with people who have their own imaginations and they thi nk everything is as good as they believe it to be. But in contrary things are not always as perfect as one considers. People who have an objective view believe that mostly perceptions are different from reality. It was also revealed in Samuel’s research that opinions of people about things and happenings in their own way sometimes lead to frustration and loss of direction. It happens when things do not happen in the way as they should occur according to their own vision. That is why it is important to see things in true context and accept the realities behind every situation. Research also discussed that looking at things with objective view is sometimes taken negative by some people as it allows seeing reality which is bitter at times. But in fact objectivism helps maintaining a balance between what is imagined and what is reality. Research concluded that if people view all the things and events happening in this world objectively, nothing will look terrible or pessimistic. Thinking that everything is normal makes a person feel good and changes experience of life by making it pleasant. In a research â€Å"The View from Nowhere†, Nagel found that each person has its own reasoning for quantifying an event and seeks different view of world. Moreover rise of science in recent years is trying to entirely alter the manner in which people perceive and recognize their position in this world. The comprehension of modern science comprise of mathematical concepts as elaborated by the discipline of physics. Nagal stated that