Thursday, January 30, 2020

Keeping Appointments Essay Example for Free

Keeping Appointments Essay Doctors appointments are missed each and every day by people who either forget to show up or choose not to call and cancel their appointment. This article will look at some of the reasons why it is important to try to and keep doctors appointment and what to do if you must cancel. At my previous doctors surgery (office) in the UK, the surgery would regularly post the latest numbers of people who had not shown up for their doctors appointments. I was amazed at the staggering amount of people who failed to show up for their appointments. It was not just a few individuals who did not show up. A large number of people regularly missed their scheduled doctors appointments. If you are a receptionist it can be very frustrating to work under these conditions. You will have to call patients when it is their turn to see the doctor and be left standing when no one appears. Then you must inform the doctor that the patient did not show up. One of the reasons why it is best to try and keep your doctors appointment is because it is the polite thing to do. Would you arrange a job interview with a company you were serious about working for but then fail to show up? It is highly unlikely. Yet, members of the medical profession routinely have to deal with patients who do not show up for their appointments. It is also important to keep your appointment if you will be receiving the results of blood tests, and other test results that will determine your medical condition. This in turn will help doctors see what the next step should be in your courseof treatment. If you miss the appointment, you are not only wasting your doctors time. You could also place your health at risk if you do not start your treatment as quickly as possible. Sometimes, it is just not possible to keep a doctors appointment. It may clash with a business meeting at work or your childs emergency visit to the dentists. If you can, try to inform your doctors surgery of the cancellation 24 hours in advance. But if that is not possible, let them know as soon as you can. That way, your appointment slot can be given to someone else who may be in need of a last minute appointment. Keep in mind that breaking an appointment without first calling to cancel can prevent someone else from being seen and it wastes the time of doctors and the rest of the team.

Wednesday, January 22, 2020

The Day That Changed My Life Forever :: Personal Narrative Essays

Throughout life we come across many people, some who influence us in negative ways, and those who influence in good ways, often changing our complete outlook on life. For me, it took the struggle of one of my best friends to open my eyes. I only wish it wasn't too late to thank her.   Ã‚  Ã‚  Ã‚  Ã‚  I grew up having more than the average kid. My parents bought me nice clothes, stereos, Nintendo games, mostly everything I needed and wanted. They supported me in everything I did. At that point in my life I was very involved with figure skating. I never cared how much of our money it took, or how much of my parents' time it occupied, all I thought about was the shiny new ice skates and frilly outfits I wanted. Along with my involvement in soccer, the two sports took most of my parents' time, and a good portion of their money. Growing up with such luxuries I began to take things for granted. I expected things, rather than being thankful for what I had and disregarded my parent's wishes, thinking only of myself. Apparently my parents recognized my behavior and began limiting my privileges. When I didn't get what I wanted I got upset and mad at my parents somehow blaming them for all my problems. Now don't get me wrong, I wasn't a bad kid, I just didn't know how el se to act. I had never been exposed to anything less than what I had and didn't realize how good I had it.   Ã‚  Ã‚  Ã‚  Ã‚  Regina Maywack lived just down the road from me. Before 5th grade I never knew who she was. As the year progressed we got closer and closer. Regina was extremely talented. She was, in my mind, a genius; she loved school and always did well. She was also blessed with athletic ability. Something I respected since most other kids we knew weren't involved in sports. No matter what day it was I always went to school knowing that Regina would be there with a smile on her face. It seemed as though she didn't have a care in the world. There were days I would show up mad at something my parents had done, or at something that hadn't gone my way, and she would just look at me with those honest eyes and tell me to be thankful for the good things.

Tuesday, January 14, 2020

Renal system

The renal system includes the kidneys, ureters, bladder and urethra. (virtual medical center 2006) It consists of all the organs responsible for the formation and release of urine. The kidneys perform vital functions like getting rid of waste through the excretion of urine. It regulates the amount of water in the body and allows filtration of sodium and chlorides. (virtual medical center 2006) It maintains the volume and composition of body fluid. (renal system 2006) The kidneys are â€Å"bean-shaped organ located in the lower part o the belly, situated in the posterior wall of the abdomen. (renal system 2006)The left kidney is slightly higher than the right in the abdomen to allow for the liver. (renal system 2006) There are two distinct regions of the kidney; medulla and cortex. The blood supply is taken directly from the aorta thru renal arteries and returned to the inferior vena cava thru renal veins. (renal system 2006) The nephron is the unit of the kidney that acts and respon sible for ultrafiltration and excretion of the waste products. (renal system 2006) Urine, the filtered waste material, will be passed down the ureters and collects in the bladder. (renal system)The ureters are tubes lined with smooth muscle. The 25-30cm long tubes help carry the urine through the bladder. The urine will be forced forward with the help of the muscular tissue. (virtual medical center 2006) Then the urethral sphincter at the base of the bladder relaxes, the detrusor contracts, and urine is negated thru the urethra. (renal system 2006)The bladder is located in our pelvis and pyramidal in shaped. It stores the urine and releases it into a tube which extracted the urine out of the body. (virtual medical center 2006) It can normally hold up to 500mls of urine. It has three openings which includes two for the ureters and one for the urethra. (virtual medical center 2006) The main muscle of the bladder is called detrusor that contracts to allow the urine to flow. The nervous control of the bladder that sends signal and tell us that the bladder is full is located in the brain and spinal cord. (virtual medical center 2006) The blood supply of the bladder is from many blood vessels named vesical arteries, obturator, uterine, gluteal and vaginal arteries. (virtual renal system site)The tube that is located from the bladder neck to the top of the vaginal opening is the female urethra whereas, the male urethra is running from the bladder to the tip of the penis. Female urethra is more prone to infections from bacteria than male urethra due to it is shorter in size. (virtual medical center 2006) The blood vessels of the female urethra are the internal pudendal and vaginal arteries. The male urethra is supplied through inferior vesical and middle rectal arteries. (virtual renal system site)An acute renal failure is a disease of the kidneys and a common medical condition that complicates hospital and intensive care unit admissions. (virtual medical center 2006)    It occurs suddenly and initiated by primal causes like dehydration, infection, kidney injuries and chronic use of over the counter pain medications. (virtual medical center 2006) It is often reversible and with no lasting damage. In renal failure, kidneys are not functioning properly or not work at all. Kidneys are unable to filter waste, produce urine and imbalances fluids. The dysfunction of the kidneys results building up of toxins which produces complications. (Gunsch 2006)Renal failure symptoms include edema or the accumulation of fluid distinctive in swelling, decrease in urination, general ill feeling, exhaustion and headaches. (Gunsch 2006)Often, these symptoms were not experience by a person with renal failure. (Gunsch 2006) A person with renal failure can actually lead a normal life. The recovery of the patient with renal failure will be depending on the severity, treatment options and patient’s coping to the rigors of renal failure.But to some cases, dialysis and kidney transplant is needed. (Gunsch 2006) Management of the treatment includes general measures or monitors to prevent complications, treat precipitating cause, and can be treated with medications or may require dialysis.   (wirual medical center 2003)Mary is admitted to the ward with acute renal failure. She is very confused and anxious. She is accompanied by her husband and daughter. She has high blood pressure and a respiratory rate of 30. She also has low urine out put. Mary might have felt self pity and a burden to her family. In Roper et.al’s activities of living model (1918-2004), it stresses patient’s continual assessment, facilitation of normal activities of living and individualized care. It considers and respects the characteristics of a person prior to development. (Roper et.al 1918-2004)The â€Å"model of living† incorporates twelve activities that engaged a person whether sick or well. (Roper et.al 1918-2004) It includes maintaining a safe e nvironment, breathing, communication, mobilizing, eating and drinking, eliminating, personal cleansing and dressing, maintaining body temperature, working and playing, sleeping, expressing sexuality and dying   Ã‚  (Roper et.al 1918-2004)To be able to provide care for Mary without making her feel as a burden or imbecile, she should be given the chance to have her individualism. Although she should be given special care and attention, she should be given a part to the treatment she is undergoing. Like if in case she needs to take her medicine, she should be the one to take it but her family or the attendants should also notify her the appointed time that it should be taken. Communication is highly regarded in this situation as well. Through having conversation with the patient not only shows that you care for her but also makes her feel that she is not disgusting.Mary should also be given assistance in personal cleansing, dressing and maintaining to have a good environment but not to a point that her personality will be injured. Her family should be involved in every activities or treatment that she is undergoing. Mary could have a certain activity every week that will detach her in always thinking about her sickness that makes her confused and anxious.Certain social activities or programs should be conducted or if in case having a new learning experience like training for dressmaking, cosmetology, or the likes that will be useful as well when she’ s already well. Death issues should also be planned so that she will have a pain free and dignified death wherever possible. Spiritual emphasis is also helpful for Mary to cope up with the situation. Lastly, she should also be treated and informed that her sickness could be cured and not malignant.REFERENCES:Answers.com retrieved 13 October 2006, Kidney, Available at: http://www.answers.com/renal%20systemGunsch, J. 2006, What is Renal Failure?, Available at: http://www.wisegeek.com/what-is-renal-failure.htmN orthern Care Homes Directory 28 August 2000, Hulton Care Nursing Home, Available at: http://www.nchd.co.uk/Middleton/hulton_care.htmRenal System retrieved 13 October 2006, Available at: http://www.le.ac.uk/pathology/teach/va/anatomy/case4/4_1.htmlRoper, Nancy, et.al 1918-2004, Activities of Living Model, Available at: http://www.nursingtheory.net/gt_alm.htmlVirtual Medical Center 28 March 2006, Anatomy & Physiology of the Renal System, Available at: http://www.virtualrenalcentre.com/anatomy.asp?sid=14Virtual Medical Center   9 October 2003,   Renal Failure – Acute, Available at: http://www.virtualrenalcentre.com/diseases.asp?did=205Wikipedia retrieved 13 October 2006, Kidney, Available at: http://en.wikipedia.org/wiki/Renal

Monday, January 6, 2020

Y180 Tma01 - 1331 Words

Y180 – TMA 01. Task 1 Question 1 a) Describe what effects the poem has on you b) Say what you think the subject matter is. Use no more than 100 words in your answer to Question 1. a) I really liked this poem; I thought it was very vivid and memorable. It made me feel angry and sad for the soldiers that died and for the suffering of the other soldiers, their injuries, their trauma and the conditions they had to endure. My daughter also read this poem and it affected her in a similar way; it made her feel sad, angry and ashamed for the things that happened. (71) b) I think this poem is protesting about the war and all its horrors, giving an account of the war, and warning against the glorification of†¦show more content†¦There were a few similes, such as in stanza 1, line 1 – ‘like old beggars under sacks’ that emphasised the description made. There were several instances of alliteration; one of them in the last stanza, line 3, with the words ‘watch the white eyes writhing’. They all help to stress the meaning and importance of these lines, bringing a vivid picture to mind. We noticed the use of internal rhyme in stanza 2 lines 3 and 4, ‘stumbling/flound’ring’, drawing attention to the description. The rhyme scheme of alternating rhyming end-lines, with 10 syllables per line, gives the poem rhyme, metre, structure and order, making the words flow; making it easier to read, more memorable, and drawing attention to the sounds of the words. There are some disruptions to this, su ch as the short, sharp, last line, which makes the reader more aware, and places emphasis on, the meaning and importance of those words. We both noticed that stanza 2 appeared to be shorter than verse 1 with a shorter, 2 line stanza following it. I interpreted this as another disruption to the scheme of the poem to place importance on the words of the 2 line stanza. The final verse is longer than the others, again a disruption for effect. It also contains a Latin quote that, at that time, would have been taught in grammar schools, so Owen would have expected his readers to understand the Latin quotation at theShow MoreRelatedWilfred Owen1266 Words   |  6 PagesWhat is Wilfred Owen’s attitude towards WW1 and how is this shown through his poetry? Wilfred Owen was a soldier during world war one. Many of his poems were published posthumously, and now well renowned. His poems were also heavily influenced by his good friend and fellow soldier Siegfried Sassoon. Wilfred Owen was tragically killed one week before the end of the war. During the war Wilfred Owen had strong feelings towards the use of propaganda and war in general, this was due to the horrors heRead MorePoetry Explication : Dulce Et Decorum Est1039 Words   |  5 PagesPoetry Explication: Dulce Et Decorum Est To die for one’s country is horrible and wrong. 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The poems also document other experiences, such as human cruelty and suffering which are carefully structured to convey meaning, and through the use of figurative language conveying the sights and sounds of the battlefield and of trauma. With reference to ‘Dulce et Decorum Est’, ‘The Next War’ and ‘Anthem Of Doomed Youth’, Owen’s intention were to arouse an awareness of the fluctuations ofRead MoreDulce et decorum est and the soldier3089 Words   |  13 PagesOwen’s ‘Dulce et Decorum Est’ and Rupert Brooke’s ‘The Soldier’ ‘Dulce et Decorum Est’ by Wilfred Owen and ‘The Soldier’ by Rupert Brooke are poems about war which treat their subjects differently. Both poems are examples of the authors’ perceptions of war; Owen’s being about its bitter reality and Brooke’s about the glory of dying for one’s country. The poets express their sentiments on the subject matter in terms of language, tone, rhyme, rhythm and structure. ‘Dulce et Decorum Est’ has veryRead More War in Owens Dulce et Decorum est and Sassoons Base Details1949 Words   |  8 PagesWar in Owens Dulce et Decorum est and Sassoons Base Details  Ã‚     Ã‚  Ã‚   World War I brought about a revolution in the ideas of the masses. No longer would people of warring nations apathetically back their governments and armies. A concerted and public effort on the part of a literary circle turned soldiers attacked government propaganda. Questioning the glories of war and the need for nationalism, an anti-war literary genre developed in the trenches of Europe during World War I. Gruesome imageryRead MoreDulce Et Decorum Est2365 Words   |  10 Pageswe call propaganda. â€Å"Dulce et Decorum est pro patria mori† is a controversial phrase used to describe the benefits of going to war. 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