FAMILY CHILDREN NURSING Essay Example | Topics and Well Written Essays - 2000 words

FAMILY CHILDREN NURSING - Essay Example Introduction Case Study Serena, a young girl of 20 months old is brought by her parents to the emergency department of their local hospital at around 0200 hours. An assessment conducted on her reveals the following: 2/7 history of sore throat Fevers Profuse nasal discharge The girls developed barking cough in the evening and Experienced difficulty in breathing. The Clinical Problem Initially in the 20th century, croup like illness were often confused with diphtheria but today croup is a term used to refer to several respiratory illnesses that vary in inspiratory stridor, barking cough, and hoarseness that result from obstruction in the larynx regions. Classification and Epidemiological Features Historically, croup illnesses have changed over time, but with imprecise classifications. Laryngotracheobronchitis is a term used to describe a spasmodic croup or laryngotrachetitis. The common classes of croup are; spasmodic croup, acute laryngotracheitis, LTB and LTBP and Laryngeal Diphtheri a. Croup is an illness that attacks infants and children less than 6 years in age but rampant incidences occur between 7 to 36 months. Boys are more prone to its attacks than girls at a rate of 1.5 times. It has a biennial midautmn peak and annual summer trough (Cherry 2008. P.384). Croup Host factors Parainfluenza virus infections, especially type 3 is common in infants as well as young children. Despite this, croup develops only in a small percentage of children exposed. Reoccurrence of croup in children is linked to allergy. Spasmodic croup is triggered by parainfluenza virus type 1 and 2. Levels of Assessment for Severity Croup The levels of assessment of severity croup are mild, moderate, severe and impending respiratory failure. The mild level is characterized by occasional barking cough. At a rest position, the infant has no audible stridor. Retractions of the skin of the chest wall could be mild. At a moderate level, barking cough becomes frequent with easily audible stridor when the child is resting. Suprasternal and sternal retractions with no agitations are noticed. In the severe stage, barking cough remains frequent; inspiratory becomes prominent with occasional expiratory stridor. The expiratory stridor is marked with sterna retractions, agitations and distress. At impending respiratory failure level, the barking cough fails to be prominent with hard to hear audible stridor when the child is at rest. The sterna retractions cannot be recognised as the child experiences lethargy. In the absence of supplemental oxygen, the infant appears dusky (Scally & Donaldson 1998 p. 67 D). Strategies and Evidence Evaluation Croup illnesses differ in severity and treatment and therefore require differential diagnosis (Cherry 2008.p388). Other acute obstructive illnesses in the larynx region must be diagnosed. These include epiglottitis, foreign body, and angioneurotic edema of the epiglottis. Epiglottitis is signified by lack of a croupy cough, sitting position o f the child, a pushed forward chin and reluctance in lying down. Apprehension and anxiety in the child is spotted rather than inspiratory difficulties. Foreign body and angioneurotic edema cause obstruction in the upper airway. These occur suddenly without fever and infection signs. Lower airway signs like crackles, air trapping, wheezing

Philosophy final exam Essay Example | Topics and Well Written Essays - 1250 words

Philosophy final exam - Essay Example In addition to this argument, Socrates also argues that a better person cannot be harmed by a worse one. This argument is presented in response to claims against him that he has corrupted the Athenian youth. Similar to the earlier argument this can be extended to a broader context, so that if one person is truly considered better in terms of moral or intellectual qualities, then it is possible for another individual to corrupt them. A third argument Socrates advances is that a man should do what is right and not consider living and dying. In these regards, Socrates is referring to the nature of morality and correct action. For Socrates, the individual should follow a path that considers the nature of life for not selfish reasons, but for what is best in terms of their own existence. Through Plato, Socrates made a number of great contributions to philosophy. Among the important contributions include the argument of the theory of forms, which contended that objects within the world have an eternal metaphysical form. For instance, three different types of clouds are all part of the eternal form of cloud. In the Apology, perhaps his greatest contribution to philosophy is his contention that the unexamined life is not worth living. My personal feeling on Socrates is a general approval of his approach to life. Still, I recognize that many of his philosophical ideals, including the theory of forms, are out-dated and do not stand up to contemporary examination. William Paleys approach to religion is greatly influenced by movements in natural theology. In these regards, Paley believed that Gods design for the universe and the physical world can be identified in the happiness in the order of things. His approach to natural theology can be identified in texts such as aptly named Natural Theology where he outlines this philosophical stance (â€Å"Victorian