Family Health Assessment Case Study

Family Health Assessment Case Study Rubina Malik Family health assessment is important to learn about the individual’s family and life style. Being a nurse it is important for me to know various dynamics of individual’s behavior and values and his family heritage to form a better care plan for the family to maintain better health. Family health assessment gives caregivers a clear picture of an individual’s measures for his family wellbeing. The tool used for the family health assessment is Gordon’s Health Pattern Assessment. The health patterns assessment was designed by Marjory Gordon in 1987 and is used to provide a comprehensive nursing database. In this paper 11 aspects of human functions and health are discussed. The family selected for the interview is Riyami family, an African American family. The family consists of 5 members, Mr. Mrs. Riyami and their 3 sons. Mr. Riyami is 63 years old and is suffering with hypertension; Mrs. Riyami is 55 years old and is diabetic. Their sons do not have any hea lth issues and are of age 25, 20 and 19 years respectively. Questions were asked from the family to know the impact of each health pattern on their way of living a healthier life. Health perception and health management is based on individual’s personal health beliefs for health maintenance and protection (Koshar). Health is not only the absence of any sickness but it is more of a mental, physical and social wellbeing. The health perception of Riyami family is based on eating healthy as they believe that only physical fit body can stay safe from minor and major health issues. As Mr. Mrs. Riyami take their medication regularly and are very conscious about their health. They follow their health heritage norms to cure any minor illness i.e. use of herbal treatment and home remedies. Every person in their family takes herbal treatment for any common illness for example flu, headache, stomach gastric issues etc. they prefer visiting the physician for routine checkups and in case of any serious emergency. Their elder son drinks alcohol and smoke cigarette in social gatherings. They perform their religious obligations with full devotion. Nutrition and metabolism assessment mainly focus on the nutrition consumption according to the metabolic requirements of the body (Koshar). Nutrition consumption is very well balanced among the family members and intake of fluids to keep body hydrated is considered important for the family members. They consumption of fruits and vegetables is higher and prefer taking small quantity of sugar, sodium and carbohydrates in their diet. Herbal tea is taken in routine by the family. The family makes sure to take an appropriate amount of calories and also try to eat their traditional cuisine and less fast food items. Sleep and rest patterns are assessed to know the relaxation and rest practice of the individuals (Koshar). Mr. Riyami works in the morning shift and tries to be in bed around 10pm. As Mrs. Riyami is a registered nurse and works night shift, she takes adequate sleep in the day time and prefers to take more rest on her days off from work. Their sons prefer taking nap after they get back home from school and prefer not staying up late during their school. Whereas the elder one prefers sleeping early as he is a full time worker and has to work morning shift. Every member in their family takes approximate sleep according to their routine. Elimination is stated as the excretory pattern (Koshar). From the assessment no one in family seems to have issue with their excretory pattern. The family does not have any complain regarding their bowl movement or urination. Activity and Exercise is referred to the daily activities that involve energy, activities related to self-care, leisure activities and exercise/workouts (Koshar). Mr. Riyami was a soccer player and a soccer couch but he stopped practicing sports from 20 years, now he enjoys watching soccer game in his leisure time. Mrs. Riyami due to her busy schedule is not involved in any activity or exercise but she know the importance of having these activities to remain healthy. Mr. Mrs. Riyami go for a walk of 30-45 minutes daily. Their sons play soccer and believe that it gives them a good workout and fun altogether. Cognitive and sensory assessment is to assess the individual’s ability to understand and response towards any information and to sense that information appropriately. This assessment is done to know about the cognitive ability and capacity of the individuals (Koshar). Mr. and Mrs. Riyami are well educated; Mrs. Riyami just completed her RN-BSN degree with good grades and hence finds no problem in assessing or responding to any information. No cognitive disability was found in their family. Self-perception assessment focuses on person’s behavior and attitude toward self, which includes confidence, their identity and their physique (Koshar). The Riyami family does not have or face any issues regarding self esteem. They are happy and content with their lifestyle and believe that they are blessed by God and are loved by everyone around. Mr. Mrs. Riyami give the same teaching to their children and pray for them to be confident enough and not face any issue of self-worth. Role and Relationship pattern assess the individual’s relationship with others and the role they play in this world. Riyami family has a strong faith and family bond (Koshar). Mr. Mrs. Riyami share all the love and care and teach the same to their children. Mr. and Mrs. Riyami like to meet people and enjoy the company of their family and friends. They have a respectable status among their loved ones. Sexuality pattern assessment focuses on individual’s level of satisfaction of dissatisfaction of their sexuality and reproduction patterns (Koshar). Mr. Mrs. Riyami are satisfied with their sexual life. They share intimate moments and believe that love is what had made their relationship bond strong. They make sure they spend enough time together out of their busy routine. Coping and stress tolerance assessment is done to know individual’s strength to cope up with the stress and strategies used by him/her to overcome that stress (Koshar). Mr. Mrs. Riyami believe that all happiness and sorrow , worry and stress comes in life and to overcome that situation they only support and strength is given to an individual by the God. They share and communicate with one another in case any problem occurs and try to overcome the situation by mutual understanding and corporation. They pray to God at times of crisis and happiness. Their family, friends and prayers are part of their support system. The two nursing wellness diagnosis assessed from interviewing Riyami family are; nutritional-metabolic pattern and coping-stress tolerance pattern. Mr. Mrs. Riyami take their medications in time but sometimes due to work load and stress they skip their meal or do not take enough food as the body requirement. In case of Mrs. Riyami specially as she is diabetic and has to keep check on food and nutrition while she is at work, it becomes a difficult part for her. Mr. Riyami being hypertensive have to make sure that he avoid take any stress but often work load or any uncertain happening give him stress that makes him feel low. Their kids being young and enthusiastic do not have any health issue but they often become ignorant about their nutrition which is a point of worry for their parents as they don’t want their kids to face health issues like hypertension diabetes or any related medical problem. The Gordon’s health pattern assessment had been a great help for me while assessing the family. It truly is a great tool for nurses to analyze and assess their clients and families. I was able to learn about the family from different health perspectives which gave me a good experience of assessing different health patterns and their impact on a family’s health and functions. Reference Koshar, J. (n.d.). Gordons Functional Health Patterns. Retrieved from http://www.sonoma.edu/users/k/koshar/n340/N345_Gordon_FHP.html

Career Paper : Accountant

Accountant Career Project: Report Business 101 ? Career Overview Accountants carry the primary responsibility for bookkeeping services such as payroll, bank reconciliations, general ledger posting, along with managing financial statement compilations and oversee efficient use of funds and related tasks. Correspondingly, they provide some Human Resource functions such as Employee Handbook compilation, and benefits management. Another responsibility of accountant’s is taxes: personal, corporate, estate, payroll, sales tax, and business property taxes.Educational Requirements For entry-level positions in Accounting, employers usually require a minimum of an Associate Degree in Accounting. Many larger businesses or corporations require applicants to have graduated from a Bachelor's or Master's Degree program in Accounting or Taxation (Board of Regents of the University of Wisconsin System, 2012). There is NO requirement for Accountants to get certified as a Certified Public Accoun tant CPA or a Certified Management Accountant CMA, but if they do they usually get an increase in pay and more responsibilities.There are certain skills Accountants need to make their day run smooth; all of these skills aren’t necessarily taught. For example, Accountants need analytical skills to analyze certain discrepancies on a balance sheet or income statements. Most Accountants are detail oriented, and also have the ability to compile a lot of information and then interpret the meaning. Most of the work will be performed on a computer so Accountants need computer and software skills. Obviously, good math skills are another skill that an Accountant will have to utilize daily.Furthermore, Accountants will need excellent communication skills both verbal and written, and one can never forget lots of patience (Richardson, 2009). Career Path The typical career path for accountants goes as follows bookkeeper, Accountant, CPA and CMA (if one chooses to go that far). Like I have stated before, if one wants to go into Accounting, they do not need their CPA or CMA, Accounting Firms are more than happy to hire Accountants with just a four year degree in Accounting. If one chooses, Accounting has two opportunities for advancement which received CPA or CMA certificate.The difference between a CPA and a CMA is that a CPA is licensed by the state of his/her residence to provide accounting services to the public, ranging from auditing, tax, litigation support, and other financial advisory services. A CMA mostly provides his/her services directly to his/her employers rather than the public. There is no extra or special training to become a CPA or CMA but there are vigorous tests for each CPA and CMA. With either of these certifications becomes more responsibilities.With the title of CPA, accountants are qualified to do a higher level of accounting services. For CMA, accountants can be mangers of companies or possibly run their own company if they choose. Industry an d Target Companies Accountants can work for almost every company! From Taco Bell to Waste Companies. If working for somebody else isn’t your style, some accountants are self-employed and have their own accounting business. Cecilia Capuzzi Simon with The New York Times writes an article â€Å"Top 10 List: Where the Jobs Are†, describing the job curve and its projections for the year to 2018.According to Simons the Top 10 list look like this : Biomedical Engineer, Network Systems and Data Communications Analyst, Home Health Aide, Personal and Home Care aide, Financial Examiner, Medical Scientist, Physician Assistant, Skin Care Specialist, Biochemist and Biophysicist, and last but not least Athletic Trainer. If you didn’t notice, eight of the fields in the top 10 categories are health care or wellness related. Those eight health care or wellness related careers need accountants to keep track of their financial matters. And that’s where I come in handy (Simon , 2011).Salary/Earnings Data provided by the Bureau of Labor Statistics, the salary range for Accounting & Finance begins around $36,780 and usually tops out around $102,380, with a mean in the neighborhood of $69,580. The national salary average for Accounting & Finance is $43,460, data provided by the Bureau of Labor Statistics. Along with excellent benefits such as paid vacation and sick leave, health insurance, profit sharing, and retirement plans (Careerexplore. net). Employment Outlook As of 2008, accountants and auditors occupied some 1. 3 million jobs. Out of these 1. million, 24% of these accountants and auditors were employed at â€Å"accounting, tax preparation, bookkeeping, and payroll services firms. † Additionally, eight percent were self-employed, and 68% worked for other entities such as government, corporations, and small businesses. – Data provided by the Bureau of Labor Statistics, It is estimated that during the 2008-2018 period, about 279,000 new a ccounting jobs will be created – an increase of 22% (Bhavsar, 2011). Learning’s & Reflection Accounting has been a career field I have been debating on going into for at least two years.After having a math class every semester of my schooling I have noticed I truly enjoy doing math homework and I am decently good at it. As there is to all career fields, Accounting has its ups and downs. I like the challenge of a difficult problem, but the idea of sitting behind a desk from 8 to 4, and doing almost the same thing everyday day doesn’t appeal to me. To help me get a better understanding of the Accounting Career I participated in two events. First, I enrolled in BUS 297, which is the VITA program, where I actually prepare peoples taxes every Saturday.Truthfully I don’t mind doing their taxes, its making the small that makes me kind of uncomfortable. I’ve probably done at least 25-30 tax returns; learning a little about taxes and such but there is also so much more I don’t know. Secondly, I went to the UWMC’s Business Club meeting where Thomas Krieg from WipFli Audit Accounting Firm was the guest speaker. Krieg got an Associate’s Degree in Accounting from UWMC, then moved onto UW Madison where he got a Bachelor’s in Accounting, and is now one of the youngest Partners at WipFli’s (Krieg, 2013).Both of these events were very beneficial because I now know so much more of the everyday Accountant life. I am very happy that I dug deeper into Accounting, but unfortunately I do not think I am interested in it as a career any more. Although I may be good at math and taxes, I don’t think Accounting is the correct career for me. ? Work Cited Bhavsar, D. (2011, January 11). Accounting degree job outlook. Retrieved from http://degreecentral. com/accounting-degree-job-outlook/ Board of Regents of the University of Wisconsin System (2012). Cake decorator: Education path. Retrieved from http://wiscareers. isc. edu/C_CVstuff/occinfo. asp? Area=edu Krieg Thomas, Partner, CPA †¢ Wipfli LLP. (2013, February 26). Interview by UW Marathon County Business Club [Personal Interview]. Business Club/ Accounting Speaker, Located in CCE Building. (n. d. ). Retrieved from http://www. careerexplorer. net/accounting-finance Richardson, M. ( 2009, April 10). voices. yahoo. com. Retrieved from http://voices. yahoo. com/skills-qualifications-needed-accountant-2987159. html Simon, C. (2011). Top 10 list-where jobs are. Retrieved from http://www. nytimes. com/2011/04/17/education/edlife/edl

Who Is An Organ Donor Right - 853 Words

Hero or Heartless Donating an organ, whether it is before or after dead, is seen by society as the right thing to do, but at what cost. Being asked to become an organ donor right before getting our license is almost always a yes. Death is one of the farthest things from our mind and when we are asked this question we would rather live life knowing our organs could be used to save someone’s life. But this simple checkmark or heart can sometimes be used against us; because there are so many people waiting for an organ, doctors have been given the ability to stretch the fine line between life and death. Not signing the donor card can gives us a few more bargaining space. Although both Crystal Lombardo and Dick Teresi speak about the effects of organ donation, Lombardo, author of â€Å"11 Major Pros And Cons Of Organ Donation†, points out the importance of becoming an organ donor, while Teresi, author of â€Å"What You Lose When You Sign That Donor Card†, describes t he complications between doctor and patient. Organ donation is a conscious decision that is not only seen by society as heroic, but often times leave the donor with no pain at all , given they aren’t already dead. The gift of life is a blessing that the donnee will not soon forget; they will be forever grateful. Lombardo reveals, â€Å"According to advancingyourhealth.org, a website that tells of both the benefits and risks associated with organ donations, there are as many as 115,000 people in the United States that are waitingShow MoreRelatedAn Emergency Room On A Calm Day1424 Words   |  6 Pagesâ€Å"GSW (gunshot wound) to the left-upper quadrant† resonate through the air. In a split second, the relaxed ambiance of the quiet emergency room has been interrupted by loud, raucous voices, machines, and clattering gurneys. A young woman, Karly Lance, who is noticeably injured from an involvement in some sort of accident is rushed into the nearest room and the curtain s are drawn shut to allow the trauma team the best environment to work on saving this young woman’s life. Despite their best efforts, theRead MoreThe Issue Of Human Rights1444 Words   |  6 Pagessuccessful organ transplant was performed, the life-changing procedure that has saved thousands of lives has become a much desired route for those in need of a new organ. The unfortunate scenario in most cases is that someone needs to die in order for another to live. With voluntary organ donors now growing in numbers upon their own death, there is still a high demand for organs that is not being met to the satisfaction of many patients who are on a waiting list. When the subject of human rights is discussedRead MorePersuasive Speech Essay1278 Words   |  6 PagesJoseph Froehle Public Speaking Class Persuasive Speech Outline Topic:  Organ Donation Specific Purpose:  To persuade my audience to donate their organs and tissues when they die and to act upon their decision to donate. Thesis Statement:  The need is constantly growing for organ donors and it is very simple to be an organ donor when you die. I.   INTRODUCTION A.   Attention material/Credibility Material: How do you feel when you have to wait for something you really, really want? What if it wasRead MoreOrgan Transplantation : An Accepted Treatment Option For Managing Patients With Irreversible856 Words   |  4 PagesOrgan transplantation is now an accepted treatment option for managing patients with irreversible failure of any of its organs. The history of the development of transplantation has been from the beginning full of ethical debates they dealt with the mutilation of the body, not less share of experimentation on human beings, even having to redefine the concept of death, giving rise to the concept of brain death . It is undeniable that many patients have benefited thanks to these procedures, increasingRead MoreOrgan Donation. â€Å"Organ Donation Is Not A Tragedy, But It1112 Words   |  5 PagesOrgan Donation â€Å"Organ donation is not a tragedy, but it can be a beautiful light, in the midst of one† (Unknown). There has been many disbeliefs about donating your organs over the years. The organ demand drastically exceeds the available supply, which is why more people need to be organ donors. People should become organ donors because of the limited availability of organs and the chance to save many lives. Although many people think that if you are an organ donor doctors won’t try as hard toRead MoreEssay On Organ Donation814 Words   |  4 Pages yet the process of organ donation and transplantation prolongs life. Problems with the supply and demand of viable organs lead to controversial topics and debates regarding solutions to suppress the gap between donors and recipients. One prevalent debate concerning these problems follows the question of whether to allow non-donors to receive organ transplants if needed even though they aren’t registered to donate their own organs. Although denying non-registered organ donors the possibility to receiveRead MorePersuasive Speech : Organ Donation1335 Words   |  6 Pagesthis very thought right before October 2010, before a close friend of mine died. Right then and there, in the most tragic time of their lives, her family had a big decision to make. C. My name is Morgan Silva and I am here to talk to you about organ donation, how you can become one, and the ways your family and donor recipients benefit from the donation you made. II. Body A. People often ask themselves what organ donation is and what it involves. 1. According to Medline Plus, organ donation takesRead MoreThe Need for Organ Donors Essay995 Words   |  4 Pagesthis time tomorrow, 18 people who are alive right now, will be dead. Not because they were in a car wreck, not because they were gunned down, no because their time at come, not even because they weren’t in the hospital, but simply because they couldn’t be given a life-saving transplant in time, eighteen people will die because the organ transplant they need will not be possible. Today I will explain the need for organ donors, how you can become an organ donor, and finally, how ones decisionsRead MoreOrgan Donation1305 Words   |  6 PagesBy the end of my presentation, the audience will donate their organs and tissues when they die and act upon their decision to donate. Introduction 1 Attention Getter/Credibility Statement: How do you feel when you have to wait for something you really, really want? What if it was something you couldn’t live without? Well, my cousin was five years old when he found out he needed a new kidney. He went on the organ waiting list right away. He was called twice during a six moth span that they hadRead MoreOrgan Donation : An Organ Donor1068 Words   |  5 Pagesshould become organ donors. Choosing to become an organ donor provides the opportunity to save up to eight lives and improve the quality of life for many others with tissue donation. An organ donor can also provide comfort to the grieving family: the loss of the loved one will be helping others to live. Becoming an organ donor is much easier than many think. The decision can literally be done in just minutes. Web MD states, an organ transplant is the surgical removal of a healthy organ from one person

Anita Desai s Desai - 1035 Words

She finds totally alone and helpless in her husband s house. Anita Desai s language is marked by three characteristics of sensuous richness, high sensitiveness and love for the sound words. She is chiefly interested in the emotional world of woman, and her fiction reflects a rare imaginative awareness of the various forces in operation and a genuine understanding of feminine sensibility as well as psychology. Her central characters are sensitive and respond faithfully to the needs of the self. Anita Desai uses words for their own sake. She displays her skill in using words for music and magic. The title of the novel also symbolizes the agony of an unfulfilled desire. Though living as man and wife they are strangers to each other. In the two novels of Anita Desai Where Shall We Go This Summer and Cry, The peacock both the heroines are not a maladjusted couples. They are constantly faced with the spectacles of endless frustration in the unending series of hope and disappointment. Maya and Sita s understanding of the present situation is disturbed and distorted by memories of the past expectations of the future. Instead of trying to live in the present, they move backward into the past and search for happiness in the memories of the bye gone days. They refuse to fully in the present. Desai s characters reflect an acute sense of time and Space as the major dimensions of human life. Their awareness of these, sometimes, leads them to examine the nature of time and space inShow MoreRelatedAnita Desai : An Indian Novelist2023 Words   |  9 Pages Chapter-1 Introduction Anita Desai is one of India s foremost writers. She is an Indian novelist, short-story writer and children s author. Winner of the Sahitya Akademi Award and Guardian Children s Fiction Prize, Desai has authored as many as sixteen works of fiction, some of the best ones being Fasting, Feasting , The Village By The Sea , In Custody , and Clear Light ofRead MoreAnita Desai s Fire On The Mountain1627 Words   |  7 PagesThis paper examines the way in which Anita Desai’s novel Fire On The Mountain deals with highly topical issues of the current century. The ecofeminist reading of the present novel outlines the postcolonial condition of the Indian women and the environment in terms of both activism and fiction. Through feminizing nature and naturalizing female, Desai aims at voicing against the ideology which authorizes the exploitation and subjugation of women and environment on the basis of class, genderRead MoreAnita Desai s Writing Of A Devoted Son972 Words   |  4 Pagesaround the simple aspect that you must respect your elders and do as you told. Anita Desai grew up in a very strict Indian culture, where respecting your elders and doing as you re told is a not only the correct thing to do, but a civil duty. Within her culture children never disrespected their parents and they should always be devoted to them. Sadly, but truthfully that is not the case in our society today. Anita Desai in her writing of A Devoted Son addresses three key concept that are importantRead MoreAnalysis Of Anita Desai s Fasting Feasting1420 Words   |  6 Pageswomen, towards conflicts, female characters searching for identity, no longer characterized simply in terms of their victimized status. One such prominent Indian author, whose writing addresses issues focusing on the condition of women in India, is Anita Desai. Desai’s novels chiefly center around the representations of women and their struggles against patriarchal and colonial oppression. Her novel Fasting Feasting (2000) is above all a work which delineates the psychic entrapment of women in a oppressiveRead MoreAnita Desai s Clear Light Of Day2326 Words   |  10 PagesEscapism in Anita Desai’s Clear Light of Day Clear Light of Day, written by Anita Desai and published in 1980, tells the story of the siblings of the Das family living in Old Delhi. It tells the story of Bim, the eldest sister - a history professor and caretaker of Baba, their youngest, autistic brother. She is a spinster who seems to have been left behind by everyone. Headstrong, intelligent and apparently sure of her choices, it seems that Bim has had no desire to escape her life. The novel alsoRead MoreFamily Feud in Anita Desai ´s Clear Light of Day1339 Words   |  6 Pagesstable and loving environment for their children. As the leaders in a household, caring and loving parents also maintain the bonds that hold the family together. However, absence of loving parental guidance can create tension between family members. Anita Desai’s Clear Light of Day shows how war, specifically the partition of India, affects a particular family. The partition of Indian in 1947 created the separate countries of India and Pakistan, consequently ripping families apart. The partition, initiatedRead MoreAnalysis Of Anita Desai s Novel Of Intricate Family Relations Essay2541 Words   |  11 PagesFASTING, FEASTING Synopsis Anita Desai s novel of intricate family relations plays out in two countries, India and the United States. The core characters comprise a family living in a small town in India, where provincial customs and attitudes dictate the future of all children: girls are to be married off and boys are to become as educated as possible. The story focuses on the life of the unmarried and main character, Uma, a spinster, the family s older daughter, with Arun, the boy and baby ofRead MoreKatherine Desai s The Solace And Serenity1962 Words   |  8 Pages Her husband fails to understand her. His intellectual deliberation does not give her full safety. But Maya s intellectual upbringing finds solutions. The solace and serenity seeks to be found. The shamelessness of woman living in the neighborhood has made her feel. The culture is something expected from the surroundings. Maya s expectations remained unsatisfied Her conception about marital love is still elusive. The novel presents the tale of a young sensitive girl obsessed by a childhood prophecyRead MoreThe Importance Of Characterization In Literature1619 Words   |  7 Pageswriters in English: R.K.Narayan and Anita Desai. In the art of characterization R.K.Narayan easily surpasses Anita Desai on account of his generosity; his willingness to let his character grow. Desai retains her strangle hold on her character and denies growth to it even when situation warrants growth. It’s very difficult to associate this unwillingness of the writer to anything but prejudice. The article primarily focuses its attention on R.K.Narayan’s The Guide and Anita Desai’s The Surface Texture. Desai’sRead MoreMajor Works of Anita Desai, the Indian Novelist2230 Wo rds   |  9 PagesMajor Works of Anita Desai, the Indian Novelist Most of Desais works engage the complexities of modern Indian culture from a feminine perspective while highlighting the female Indian predicament of maintaining self-identity as an individual woman. Cry, the Peacock, Desais first novel, chronicles the morbid dread, descent into madness, and suicide of Maya, a young Delhi housewife who is trapped in a loveless, arranged marriage to the much older Gautama, a misogynistic lawyer. The novel foreshadows