Rationale development exercise Essay Example | Topics and Well Written Essays - 1000 words

Rationale development exercise - Essay Example According to Lehne et al. (2011, p. 580), if there is little or not enough insulin to ease the glucose through the cell membranes of the cell, patients with T2DM will still be at risk for DKA. The finding of the DKA laboratory is that a higher BGL in excess of 14 mmol/L is an indication of insulin deficit. Her BGL ranged from 18-23 mmol/L. Continuous mobilization of fatty acids and hyperglycemia occur as a result of deficiency of insulin. Utilization of the fatty acids allows the development and buildup of ketones that can cause acidosis. It is therefore, incorrect to assume that Mrs. Langerhan’s diagnoses on discharge will include T1DM because she will now be classified as insulin dependent. Although she is categorized as insulin dependent, she will not be diagnosed as T1DM because the features and cataloguing of both T2DM and T1DM are different. When classifying T2DM, we use relative insulin deficiency and for the case of T1DM we use absolute insulin deficiency (LeMone et al. 2011, p. 578). In Mrs. Langerhans case, the insulin produced in her body is not enough; therefore there is likelihood for hyperglycemia to develop. The development will be due to lack of control of her T2DM, earlier non-compliance with diabetic history, hypoglycemic medication procedure, and also the usage of IV solution comprising dextrose on admittance. However, since her body can still produce insulin, though in small portions she cannot be diagnosed with T1DM. The RN administers Mr. Nexium IV metoclopramide that is the first anti-emetic given according to most post-operative nausea and vomiting procedures. IV metoclopramide is given to most post-operative patients in to reduce abdominal swelling postoperatively, to reduce strain on the wound and assist respiration. It also helps to expand the stomach, during surgery particularly the upper abdominal surgery when a bloated stomach obstructs the operation. The justification she

GOALS ESSAY Example | Topics and Well Written Essays - 500 words

GOALS - Essay Example My academic pursuits were put on hold when I enlisted in the U.S. Army. My years in active service in Germany proved to be a turning point in my life. Not only did it inculcate in me a new-found self-respect, discipline and spirit of altruism, army life also heightened my awareness of the myriad individual differences in man and, above all, the basic goodness inherent in all humanity. I saw men battle not only their adversaries, but also their own fatigue, fears and attitudes, to rise to the occasion and triumph against all odds. I was now resolved to make a career choice devoted to working closely with people on a personal level. I believe that my past experiences, including my B.S. in Family Studies in Gerontology, have equipped me to contribute in my own way to the field of Counseling Psychology. I have seen, at first hand, the power of positive thinking which can make a man reach unthought-of levels of endurance and achievement. My interpersonal skills are particularly suited to the role of a psychological counselor. My career in the Army and the Postal Service has exposed me to a vast number of people of varying ethnic, economic and social backgrounds and heightened my powers of observation and communication. I consider the primary role of a psychological counselor to be that of a facilitator in the therapeutic process. In dealing with everyday stresses and the problems pertaining to careers, academics, marriage and family, the counselor can be the sounding board for the client’s thoughts and emotions, guiding him to a coherent understanding of his emotions and problems. My conception of an effective counselor is one who helps the client to help himself. In this context, I am confident that my interpersonal skills, powers of observation and my trait of being a good listener are resources I can draw upon in developing the client’s treatment plan. I believe that communication is the basic