Outline and evaluate definitions of abnormality. free essay sample

Outline and evaluate definitions of abnormality. Abnormality has three definitions. The first definition Is deviation from social norms. Social norms are the approved and expected ways of behaving In a particular society. In terms of social norms, abnormal behavior can be seen as behavior that deviates from or violates social norms. The key weakness of the deviation of social norms is cultural relativity. Social norms by their very definition are specific to a particular culture or society so a behavior seen as a deviation in one society may appear acceptable but may not be accepted in other society.Social norms vary as time changes and vary from culture to culture. Secondly, abnormality can be defined as the failure to function adequately. It means that person is unable to love a normal life, they have experiences outside the normal range of emotions or do not engage in the normal range of behavior. We will write a custom essay sample on Outline and evaluate definitions of abnormality. or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page This can be seen as the person not being able to cope with life on a day-to-day basis. Functioning can be measured on the Global Assessment of Functioning scale (GAFF). The first strength of failure to function Is It Is practical and focuses on treating the abnormal behavior.Failure to unction means those outside the individual do not have to label a person as mentally abnormal which still carries stigma in many societies. Unlike the deviation of social norms focusing on public view, it recognizes a persons subjective experience as a means of helping to define who is abnormal. We can focusing on treating the behavior that is hindering the person from leading an adequately normal life and offer treatment to encourage more adaptive behavior. However, it is not without its problems. The first limitation is that apparently abnormal behavior may actually be helpful, functional and adaptive for the individual.For example, those with obsessive-compulsive disorders find that their obsessions (some maybe socially acceptable behavior such as hand-washing) make them feel happy. The second Limitation Is some of Its criteria depend on subjective Judgments of other people. It may be that someone Is deemed abnormal simply because the observer experiences discomfort In watching their behavior and in their own mind believes them unable to function adequately. Thirdly, abnormality can be defined as the deviation from ideal mental health. There are a number of desirable or ideal characteristics that we need in order to enjoy ideal mental health.These include the ability to cope with stress, feeling in control of our environment and awareness of reality. The lack of any of these may be a sign of mental abnormality. One strength of the ideal mental health definition is it emphasizes positive achievements rather than failure and distress. It gives individuals targets to alma for, which will increase their mental health. However, It Is practically Impossible for any Individual to achieve all of what Moscow deems Ideal characteristics (e. G. Self-actualization) at one time. As a result, most people are considered abnormal when referring to his concept.

Dogs Playing Poker

Dogs Playing Poker Introduction Visual rhetoric can be defined as how or why an art work in terms of a painting, sculpture, architecture or symbol communicates a certain meaning. Visual images bring out hidden meaning in images and paintings which requires of as an in depth analysis to identify this hidden meaning.Advertising We will write a custom essay sample on Dogs Playing Poker specifically for you for only $16.05 $11/page Learn More A given art work is one of the series of many paintings done by Cassius Marcellus Coolidge. The artist was born on 18th Sept 1844 in Antwerp, New York. He did not receive a formal education as an artist like his fellow friends, but he had a natural ability, gift and talent for visual art. He used to draw a lot and he would earn a lot of money from his ability to draw using his natural talent (Coolidge, 2006). The following essay is an analysis of a painting called â€Å"Dogs Playing Poker† by Coolidge. Analysis The art work depicts sev en dogs playing poker in a light blue room. The writer used seven dogs as a symbol of men in the society, especially the middle class and working men. It is a painting that shows a lot of leisure as the dogs play poker. The writer is satirical in that he has used dogs to represent men in his paintings. The use of dogs in the painting is humorous in that the writer showed them doing human things and it was used to attract the attention of the viewer to the picture. Humor has also been used by the writer to criticize and ridicule men who play games in the society. The painting also shows two of the seven dogs smoking pipes. A third dog is seen with a stick of cigar in its mouth. Coolidge painted the dogs smoking in order to improve the appeal of viewers to the pictures. The writer may have painted the dogs smoking for commercial purposes. It can be used to advertise a brand of cigarettes or a brand of pipe from a well known company given that the picture is in the modern world. The id ea of using the dogs smoking can also be used to have the product remain at the back of the men’s mind for long, thus increasing sales. In addition to smoking, the dogs are seen drinking from clear glasses with three bottles of a drink in between the two dogs at the back. These can be used to show that the dogs represent people of the middle class who have money to spend on a drink or two after a working day (Andrew, 2007). A closer look at the picture shows that the dogs are having conversation as they play poker. The dog to the right is seen leaning on the wall and it is smiling which brings a lively mood in the entire room. Also of interest is the fact that the dogs are of different breeds. The dogs seating in the front are smaller in size unlike the dogs seating at the back.Advertising Looking for essay on rhetoric? Let's see if we can help you! Get your first paper with 15% OFF Learn More The brown and grey dog seating in the front seem to be havi ng a conversation as the grey dog is looking at the brown dog. The writer may have used different breeds of dogs to show the inequality that exists in the society as all of us cannot be equal. The picture was painted at time when America was faced with a lot of segregation. Therefore, by using different breeds of dogs, the painter successfully showed the end of segregation and that all people have the same basic rights. Also it can be seen that the grey dog is showing the brown dog its cards. This reveals that there is a conspiracy to cheating and steal from the rest since it is not allowed to show one’s playing cards during the game. As the grey dog is busy showing his cards to the brown dog at the back, it is looking whether the other dogs see his actions. A closer look at the dogs shows that five out of the seven dogs have chains around their necks. This is symbolic in that it shows restraint. The small dogs at the front have wider chains than the other dogs. This shows th at one should be restrained from whatever he is doing, especially where money is involved. From the above analysis of the paining of the dogs playing poker, I put myself in Coolidge view point of the painting. As time and event passes and technology evolves, our perception of the painting changes. The painting by Coolidge affected many other painters. The research I did on my painting showed that it was used as an advertising tool for cigars by a company. It was also used to advertise a beer brand, as it shows the dogs enjoying beer from the three brown bottles (Schummer, 2008). This showed that a painting can elicit a conversation between people as they try to figure out its meaning. Those looking at the painting are forced to figure out what the artist really meant. The painting is a subject to speculation. In as much as the painting is used as an advertising tool, my analysis shows that it depicted a class of wealthy men who joined together by the high profile game of poker. The painting is used to advertise one of the most controversial goods in the society, that is, the cigar and the beer. Therefore, it shows the level of moral decay in the society, and by the look at the clock, it seems it is some time past two in the morning. This shows that, in addition to advertising beer and cigarets, it should not be seen by under age people who are deemed to be asleep at two. Elements of the Painting The artist has successfully used various elements of painting such as color, texture line, technique and size.Advertising We will write a custom essay sample on Dogs Playing Poker specifically for you for only $16.05 $11/page Learn More Use of Color The artist used primary and secondary colors to convey his painting. The artist successfully used dark strokes to color the shadows especially at the roof of the building. The lamp is shaded in dark red color while the table has dark green color. The red color brings a warm and lively atmosphere in the room. The light blue color as used on the walls, produces cool shadows. At the background, there is a framed picture that has a yellow frame that shows the artist has successfully saturated his colors between the yellow and blue (Wagner, 2004). The scheme of colors compliments each other as there is a wide usage of red in the lamp and green in the table, and blown versus light blue which adds contrast to the painting. For lightness, the artist drew the dogs with white chests, and there is lighting from the lamp. Therefore, there is a lot of light in the picture. The tones of the painting are medium in nature as far as light is concerned. The background wall is blue with a yellow frame pinned on the wall. Therefore, this presents a clear contrast of hue as opposed to light. Use of line â€Å"In painting, the term line can refer to the contour lines surrounding and defining figures and shapes, to the visible lines of the artists brushstrokes, or to the linear orientation of shap es and figures within a composition (Coolidge, 2006). There is a vertical line that the artist used to show the corner of the building. He used line to show where the door of the room is. It was used to bring the strength of the wall, and it moves us from one wall to the other. Line has also been used to come up with the edges of the lamp stern. The artist also painted the chairs using straight lines and curved lines. The curved lines show transition from one element to the other. The straight lines on the seat show gentleness and smoothness as the dogs seem very comfortable when seated on them. The curved lines also are used to improve the viewer’s attention on the whole painting. The table has a circle line. This is used to show endlessness. Use of texture The artist has used a rough texture to come up with his painting especially the walls. These show roughness and it is also seen in the floor of the room. There seems to be rough structure and there is little shinny textur e in the drawing on the wall. The green table looks to have a soft structure which makes it look good to play at. The artist has also shown the dog’s texture in terms of the fur (Wagner, 2004). The small breed of dogs seems to have a very smooth texture while the other breeds of dogs have rough structure. The door also has a rough texture while the lamp has a smooth structure. Use of Size The painting is of small size. The room is small as shown by the fact that the dogs seem squeezed in the room as opposed to the fact they should be in a large room having fun. The small size is evident by the dog leaning on the wall to create enough space to hide his playing cards from other players.Advertising Looking for essay on rhetoric? Let's see if we can help you! Get your first paper with 15% OFF Learn More There seems to be very little space in the building which makes it look crowded. The room space is too small for seven dogs to be in the same place (Schummer, 2008). The artists use of small space in the painting is symbolic of the state of affairs in the different states. The painting is a mirror image of the society we live in and it shows the harsh conditions some of us go through in terms of housing. The picture is three dimensional in appearance as we are able to view it from all angles. This shows a lot of skill that was used by the artist. The playing cards take their rightful position at the center of the table where they are easily accessible by all the players. Use of symbolism The painting is a symbol of the modern day society. The artist has shown that there exists a class in the modern society that is deep rooted in drug and substance abuse as depicted by the dogs smoking pipes and cigars and drinking beer. It is a symbol of how major companies use their influence to ma nipulate and entice people into the habit of smoking and drinking. They make it lively by depicting the dogs as being happy as they enjoy their time. The painting is also a symbol of affluence in the society and how the rich use their money at the expense of helping the poor in the society (Rampley, 2005). Use of Portrait The artist painted the artwork in form of a portrait. He has successfully shown the dogs faces, especially the dogs at the background while he has shown the entire body of the dogs seated in the front. The artist has used the central space of the room to locate his painting which gives it a strong balance. The space occupied by the dogs at the background may show their superiority in the group which can be used to explain that they are wealthier (Andrew, 2007). The painting also portrays a social life among equals. The portrait of the dog leaning on the wall is inviting and welcoming as the dog is seen smiling. The painting is as shown below; Andrew, Karl. An Art of Emergent Visual Rhetoric. New York: ProQuest, 2007. Print. Coolidge., Cassius . Dogs Playing Poker: 24 Cards. New York: Dover Publications, Incorporated, 2006. Print. Rampley, Matthew. Exploring visual culture: definitions, concepts, contexts. London: Edinburgh University Press, 2005. Print. Schummer, Paul. Humanities. 21 September 2008. Web. Wagner, Richard. The Art Work of the Future. Chicago: Kessinger Publishing, 2004. Print.

Consumer Compliance- FTC review Essay Example | Topics and Well Written Essays - 250 words

Consumer Compliance- FTC review - Essay Example For instance, a direct mail ad piece by a local Honda dealer in Maryland described below in some way violates the FTC Act. The direct mail advert by dealer announced something it referred to as â€Å"Extravaganza Savings Event†. According to this ad, a person could supposedly purchase a car â€Å"without any negotiations† and â€Å"as though one was a supplier† for the auto manufacturer. The mailer further stated that the advertised sale was â€Å"as a result of excess inventory†. Further, it is evident from the mailer that the ad â€Å"applied to both new and used cars† because the ad announced that a buyer would be â€Å"entitled to buy a new or used car at a price lower than the current retail selling price†. The offer was to be on for â€Å"only one day† and in bold, large, capitalized fonts, screamed that â€Å"the dealer intended to reduce from its inventory $1,000,000 of previously used cars†. Further, it also mentioned that FINANCE representatives would be available on the material day to ensure that a buyer gets â€Å"the best terms†. Finally, the mailer ad also indicated that after the date of sale, â€Å"all the cars that would not have been sold would then continue being sold at normal market prices† (Hudson, 2007). Hudson, T. B. (2007). Unfair And Deceptive Practices: Entertainment For Everyone But The Dealer. Auto Dealer Monthly, 5(9). Retrieved from

The debate of online courses Essay Example | Topics and Well Written Essays - 1000 words

The debate of online courses - Essay Example One can also engage in web-based education whereby educational resources, communications, and accomplish all schoolwork activities via the internet. The following essay covers the main similarities and differences between online and traditional-based forms of education in order to enable learners decide which method best meets their needs. Similarities Everyone knows that obtaining a degree is not that easy and one has to struggle a lot. With the argument of joining a college, many learners wonder, which form of education, is better to pursue, whether online or on-campus. Although, both form of education are different from each other, there are a number of similarities seen in both (Bourne, 2004: 63). In both methods, there are assignments, teacher student interaction, and availability of reference materials. To begin with, the principal similarity of asynchronous online education vs. traditional education is availability of assignments. In any learning environment, assignments are v ery important. Schools would not be good learning opportunity if the learners do not incorporate what they learn in assignments. In both forms of education, there are individual and group discussion assignments. Such assignments include doing researches, answering group discussion questions, writing essays, and participating in class work, which are present in both online and traditional form of educations. For instance, presentations are not favorite top everybody, but they are given in class and online in a similar format of preparing to deliver certain information to the students. Even though assignments may be dissimilar in both education setting, both has similar intentions to help the learners acquire learning materials. Secondly, reference materials are highly valuable in any learning environment to help the learners acquire extra information especially when doing researches. The best form of reference materials are books, which are accessible in both online and tradition edu cational settings. In online learning, E-books make learning and referencing much easier and better. Students do not have to experience the burden of carrying heavy textbooks around (Bourne, 2004: 60). No matter whether one engages in online or traditional form of education, library will remain to be the main source of reference materials. This is because, in library, students have access to many textbooks and internet. Although every student requires his own reference materials relating to the course he is pursuing, internet is widely used and has become the main source of reference materials since one can access plenty of online books easily. Teacher student interaction is also another similarity found in both asynchronous and traditional form of education. With many learners, social interaction is a principal aspect of the campus experience. If one is planning to meet new friends and expand his social and professional networks, it is then essential to attend classes on campus. Ho wever, web-based education is not totally devoid of social interaction. Online learning involves video conferencing, and message boards, which ensures link between the students, classmate, and the tutors. In addition, online learning involves people form all the United States, giving student’s opportunity to interact with new people whom one would never meet on campus. Differences Flexibility E learning

Public Health--Discuss the health problems and health service issues Essay - 1

Public Health--Discuss the health problems and health service issues that are associated with homelessness - Essay Example These differences make it difficult to harmonize the statistics (Engelkirk & Duben-Engelkirk, 2008). A common definition of the term homelessness is ‘people who sleep rough (Glover-Thomas, 2002). This definition, however, has to meet certain criteria to qualify one as a rough sleeper. People who qualify for this classification have to be between the ages of 16-20 and above. Besides, they must have been previously under certain care or some custody, or were prior to being rendered a hard sleeper was a member of the HM forces, or was forced out of their former abodes due to family feuds, violence, threats of violence, etc. (Henderson, 2014). This paper will rely on estimates made by the different states to illustrate the magnitude of the problems within. Some factors determine the health factors that are faced by rough sleepers in different nations. These factors as Oliver (2013) notes are different and severe in the developing worlds compared to the developed regions. Rough sleepers in the UK experience a wide array of health problems owing to the increasing number of new entrants who stream into the streets and hostels every year due to homelessness and associated factors. This paper centers in focusing on the health issues facing the homeless persons in the UK. The 21st century has seen the increasing demands for healthcare attention for the homeless persons in the UK. As Baggott (2011) denotes, disease manifestation and occurrence have increased in the wake of global environmental change and disease proliferation through time. The homeless people are more exposed to various health dangers than the other populace. Be sides, the increasing number of homeless persons in the UK, a lot of whom are victims of circumstances such as asylum seekers, jobless immigrants, and other related persons makes policy formulations to curb homelessness in the region a terrible nightmare. The paper discusses some of these health related issues in relevance to public health

Evaluating The Congestive Heart Failure Nursing Plan Nursing Essay

Evaluating The Congestive Heart Failure Nursing Plan Nursing Essay As defined by Phipps (Monahan, F, Sands, J, Neighbours, M, Marek, J.F, 2007) congestive heart failure occurs when, the myocardium of the heart is unable to uphold a sufficient cardiac output to meet the bodys metabolic needs. Heart failure can result from either systolic or diastolic dysfunction (Monahan, F, Sands, J, Neighbours, M, Marek, J.F, 2007). Assessment tools that will be used in the assessment of Mr. Toscana include, head to toe, physical, and systems assessments. A risk assessment will also be done on Mr. Toscana to insure that he is safe in hospital (Berman, A, Kozier, B, Erb, G.L, 2008,). As Mr. Toscana suffers from congestive heart failure a wide range of education and psychosocial support is available to help with his condition (Heart Foundation, 2010). A nursing care plan has been made to show four nursing diagnoses and interventions to reduce the impact of the diagnosis. These nursing diagnosess can be solved through a variety of diagnostic tests to make sure that ev ery possible outcome is looked at (Berman, A, Kozier, B, Erb, G.L, 2008). Mr. Toscana is taking a few medications at the present time to manage his cardiac issues along with other medical conditions he suffers from, these medications are, Lasix, digoxin, aspirin, warfarin and perindopril. (Tiziani, A, 2010), (Better Health Channel, 2010) PATHOPHYSIOLOGY OF CONGESTIVE CARDIAC FAILURE Both systolic and diastolic heart failure are second to myocardial injury. Progression of heart failure is highly dependent on the level of ventricular remodelling, this occurs after myocardial injury (Monahan, F, Sands, J, Neighbours, M, Marek, J.F, 2007). The changes in ventricle shape and dimension will cause a decrease in its effectiveness as a pump. An increase on diastolic pressure possibly will further change the shape of the left ventricle, thus resulting in papillary muscle rearrangement and mitral insufficiency. It is more common for congestive heart failure to begin in the left ventricular systolic dysfunction. Some of the common causes for decreased left ventricular stenosis include that of, CAD, systemic hypertension, and aortic stenosis. CAD by diminishing the oxygen supply to the myofibrils decreases contractility. Hypertension causes the left ventricle to contract more with more force to eject blood into the aorta. (Monaha n, F, Sands, J, Neighbours, M, Marek, J.F, 2007) Over a period of time hypertrophy of the muscle fibres happens and an increase in myocardial oxygen consumption occurs. Aortic stenosis, the left ventricle must increase its pumping force to deliver blood through the tight valve. Heart failure will be the result when the hearts need of oxygen cannot be met and blood remains at the end of systole. (Mccance, K, Huether, S.E, Brashers, V.L, Rote, N.S, 2010,) CLINICAL MANIFESTATIONS OF CONGESTIVE HEART FAILURE As stated in Monahan, F, Sands, J, Neighbours, M, Marek, J.F, 2007, Page 814, the clinical manifestations of heart failure occur secondary to elevated filing pressure and tissue hyperfusion Clinical manifestations of congestive heart failure can be broken down into the systems in which they affect the respiratory, cardiovascular, gastrointestinal systems and show effects in both cerebral and psychosocial. Clinical manifestations in respiratory are, dyspnoea, orthopnea, a persistent cough, crackles in the lungs. The cardiovascular system is affected by, the onset of angina, tachycardia, increase of systolic blood pressure and an increase in systolic blood pressure. Gastrointestinal clinical manifestations include that of, enlargement of the right upper quadrant of the abdomen, nausea and vomiting, pain in the epigastric region, anorexia and bloating. Confusion and restlessness can be seen as manifestations of cerebral, and anxiety is associated with manifestations to psychosocial. Generalised manifestations include oedema; either pitting or peripheral, weight gain and fatigue. (Monahan, F, Sands, J, Neighbours, M, Marek, J.F, 2007), (Mccance, K, Huether, S.E, Brashers, V.L, Rote, N.S, 2010,), (Better Health Channel, 2010) NURSING ASSESSMENT OF MR. TOSCANA For Mr. Toscana a variety of nursing assessments will be done upon admission. As well as the usual monitoring of vital signs, assessments such as, head to toe, physical and systems assessments, need to be completed. A head to toe assessment will be performed to give a detail initial assessment studying the whole body to see if there is any other factors that may cause harm or pain, in a head to toe assessment circulatory problems, pressure areas, existing wounds, can all be seen as well as gaining an in depth assessment of the skin. A physical assessment will be done on Mr. Toscana will also be performed, a physical assessment includes, inspection; which is the visual inspection of a person, palpation; the examination done by touch, auscultation; a form of examination by listening to the sounds made by the body (heart, lung and bowel), percussion; the examination done by tapping, percussion is done to listen for abnormal sounds and detect issue (Berm an, A, Kozier, B, Erb, G.L, 2008,). A systems assessment of Mr. Toscana will be beneficial because, along with the other forms of assessment a systems will be able to give a base mark of where he is, a systems assessment covers, central nervous (CNS), cardiovascular (CVS) assesses, respiratory (RESP), gastrointestinal (GIT), renal (RENAL), skin integrity (SKIN), and psychosocial (PSYCH). Together these forms assessment will provide a detailed amount of information to create a nursing care plan for Mr. Toscana, including interventions that need to be made, and things to implement to further his recovery and aid in his discharge. (Berman, A, Kozier, B, Erb, G.L, 2008,). NURSING CARE PLAN Please refer to appendices one for full nursing care plan. (Berman, A, Kozier, B, Erb, G.L, 2008,). (Monahan, F, Sands, J, Neighbours, M, Marek, J.F, 2007), (Heart Foundation, 2010), (Holmesglen, 2009), (Better Health Channel, 2010) DIAGNOSTIC TESTS For Mr. Toscana there are a number of diagnostic tests that will help with the assessment, management and detection of underlying issues. Tests that can be performed on Mr. Toscana are as follows, a chest X-ray to see if there are any problems with his lungs, or vascular congestion, or congestion of the liver (this can suggest right sided failure) (Monahan, F, Sands, J, Neighbours, M, Marek, J.F, 2007), a full blood test including electrolytes, an ECG to check the rhythm of the heart, and determine the causes for Mr. Toscanas symptoms. The use of urine analysis to see if infection is present, function of kidneys, traces of blood in relation to fluid build up. The combination of these tests will provide a baseline for assessment, guide the nursing care, and rule out all other possible causes of the symptoms that Mr. Toscana has presented with. (Monahan, F, Sands, J, Neighbours, M, Marek, J.F, 2007) RISK ASSESMENT From the history of Mr. Toscana a risk assessment can be done. Assessments such as falls, and pressure care. A falls risk assessment will be done on Mr. Toscana to determine the risk he is of falling, and if further measures need to be implemented to insure that he is safe while in hospital, a suitable framework for a falls risk is the FRAT tool, (Falls Risk Assessment Tool), (Department Of Human Services Victoria, 2005) a FRAT tool will show the level of risk that Mr. Toscana is, and risk factors. A pressure area risk check can be done by using the Braden risk assessment tool (Berman, A, Kozier, B, Erb, G.L, 2008,), (South Australia Health, Date Unknown). this will help minimise the risk of Mr. Toscana developing pressure areas where possible. Things at home can also be deemed a risk, things such as; not being compliant with his medications can lead to poor health, and stress can all affect his general wellbeing and lead to further the progression of medical condition s. EDUCATION AND PSYCHOSOCIAL SUPPORT For Mr. Toscana education is a must, education about the maintenance of his congestive heart failure, about the importance of taking medication on a regular basis. How to manage the affects of his congestive cardiac failure, and avoid the effects, support for Mr. Toscana is also imperative to aid in his recovery things such as providing strategies to minimise the health problems, referral to a social worker to help with issues that are affecting him at home. Support groups set up by the heart foundation of Victoria will help with the emotional issues related to having this condition. (Heart Foundation, 2010) The importance of education and psychosocial support will be seen through less medical admissions or problems, increased quality of life and will give Mr. Toscana the ability to be able to deal with small problems before they grow into something much bigger. (Monahan, F, Sands, J, Neighbours, M, Marek, J.F, 2007) , (Berman, A, Kozier, B, Erb, G. L, 2008,) (Better Health Channel, 2010) MEDICATIONS Mr. Toscana is taking a number of medications including, warfarin and digoxin. The action of Digoxin is, it increase the myocardial contraction force in the failing heart, decreases conductivity of the heart in particular the A-V node, increase on vagal activity this results in the slowing of the sinoatrial nodal rate, increases myocardial excitability this can result in ectopic beats this happens mostly through high doses of digoxin, oral digoxin effective in an approximate time frame of 1 hour, maximal effect is reached between four and six hours. The use of digoxin for Mr. Toscana is, to treat his congestive heart failure. Digoxin may produce a false ST-T wave change on an ECG if tested during exercise. Digoxin can cause the following adverse effects, gastrointestinal issues including, anorexia, nausea, vomiting, diarrhoea, and pain in the abdomen. Cardiovascular effects, ectopic beats, bradycardia, heart block. Tachycardia (ventricular). The adverse effect of toxicity is a decrease on appetite, nausea, vomiting, diarrhoea, severe stomach pains, weakness and tiredness, a slow and irregular heartbeat, blurred vision, drowsiness, mental depression or confusion, fainting and headaches. Nursing points/precautions which should be followed are that the tablet should never be halved; neither IM nor SC routes are recommended due to unpredictable absorption, because prolonged or intense pain and necrosis of the muscle to the client (Intramuscular), severe irritation may occur when given via a subcutaneous injection. A rapid IV administration should be avoided as it may cause hypertension and vasoconstriction. The action of warfarin is a suppressant of vitamin-K dependant synthesis of prothrombin in the liver, this prevents the extension of a clot that is already established of the formation of a new one, warfarin has an anticoagulant effect that is produced after 36-72 hours and can persist for between 4 and 5 days after the discontinuation of therapy. Th e use of warfarin is, as a prevention and management of the following, deep vein thrombosis (DVT) or pulmonary embolism, thromboembolism in atrial fibrillation, and can be used as an adjunct to therapy for coronary occlusion. For Mr. Toscana there is no relevant interaction with this drug. The adverse effects of warfarin are fatal or non fatal bleeding, nausea, vomiting, diarrhoea, alopecia, fever, hypersensitivity reaction, an overdose is seen by bleeding from the gums and haematuria, in rare cases skin necrosis is also seen. Some of the nursing points and precautions with warfarin are, that all intramuscular injections be avoided, and subcutaneous injection sites should be closely monitored for haematoma, make sure that the does is given the same time daily to Mr. Toscana, observation for the early signs of overdose things such bleeding especially important from the gums.( Tiziani, A, 2010) CONCLUSION Through a range of assessments, diagnostic testing, education and the development of a nursing care plan Mr. Toscanas condition should improve as well as his general wellbeing. Goals set out in the care plan will be achieved by interventions put in place insuring a quicker recovery for Mr. Toscana. Education is particularly important for Mr. Toscanas medication regime, support strategies will help with the improvement of overall health and wellbeing.

Essay --

No matter how many situps you do, if you have excess belly fat, you'll never see results, because the fat will be covering up your muscle definition. This doesn't mean you should eliminate situps from your workout, because as part of your core, they can promote back health, and improve your posture, athletic performance, and balance and stability. (See References 1) You should, however, incorporate fat-burning exercises into your workout to get visible results. The Spot Reduction Fallacy To lose body fat, you must burn more calories than your body uses every day. It takes a deficit of 500 calories a day to lose 1 pound of fat in a week from all over your body including your belly. Situps alone don't burn enough calories to have a big enough impact and they won't magically spot reduce fat from your belly. To make matters worse, if you only do situps, hoping to combat belly fat, you're building the muscles under the fat. As they get stronger and bigger, they can push your belly out even further. (See References 2) Doing Situps to Shape Up Situps work your rectus abdominis at the fr...