My patient’s initials were C, J C, and he is a Caucasian male who worked in the construction field for 35 years. He is 76 years old. He told me that his father and mother were born in Germany and Sweden respectively. They met each other in Hawaii, where they gave birth to him. He displayed a level of wisdom that he developed over the years and looked at life with success. When he was 20 years old, he met his future wife who was 16 years old at the time. They dated for a couple of months before she went to boarding school. On her graduation ceremony, she introduced her best friend to him. As time went on he started seeing her best friend, and they got married, and had a child. After 10 years of marriage, they divorced and he was single for a while. He started to get in contact with his ex-wife’s friend through the mail. They connected, and got married. Unfortunately, they did not have any children together, but he looked at his life with the feeling of fulfillment because he had two grandchildren whom he loved. When he saw those children, he had a feeling of accomplishment because he was happy, and amused to be around them. He fostered an environment for his grandchildren, becoming a good loving father-figure and exemplifying wisdom. He was relaxed, helpful, enthusiastic, and compliant as I went through my shift assignment. He mentioned that he lived in a house with his wife who assists him with his physical rehabilitation. His Son, daughter-in-law, and grandchildren would
Another area I would want to deal with is that Robert has expressed a great mistrust in physicians stemming from the various healthcare-related disparities blacks have been subjected to throughout history, such as the Tuskegee study. This information gives an insight as to how Robert feels, which allows me as his physician to conclude that I would want to develop a strong base of trust with him through a comprehensive medical treatment plan that both effectively treats his disease as well as aligns with his beliefs and lifestyle. While discussing his treatment plan I would strive to inform him of all the various options available and the risks and benefits associated with each treatment. I would also ask Mr. Phillips if he has any close family members who would be willing to donate a kidney, as family organ donations are the quickest and normally the most successful transplantations possible. His nephrologist could have missed this simple solution if he or she was truly not informing him of all the treatment options available as Robert previously suggested. Although there is always the potential that Robert is stereotyping his own physician
The patient was born in Lagos, Nigeria. He migrated into the United States six years ago, October, 2009 through family ties. His highest education is high
At age 77 J.B. is a healthy and active woman, who spent her life before retirement as a nurse working at Shriners Hospital for Children. Her mental health and wellness as she has aged has stayed strong. She has full cognitive function and is able to make sound decisions about not only her life, but others that she may care for. Her mental health I feel keeps her strong physically along with the fact that she stays active with her husband and grandchildren. Functionally she has no problem mentally or physically going about her everyday activities or any other activities that are required of her. Culturally she is versed in many different cultures as she spent much of her career caring for people as a nurse and working in hospitals. Her
Starting in the mid-nineteenth century, Europeans developed a superiority complex when comparing themselves to the people of less-developed nations. During the age of imperialism, many European powers ventured into Asian, African, and South American lands in order to colonize and impose the rules of Western society. Rudyard Kipling’s poem, “The White Man’s Burden”, properly depicted the racist ideals that developed with imperialism, as Europeans believed it was their duty to civilize the people they viewed as savages. Europeans held a racially superior point of view for almost an entire century. In the latter half of the twentieth century, however, waves of immigrants began flooding into various European nations. This caused the perception
I spoke with the family and arranged for him to have video call his son so that he can see and talk to his granddaughter. This helped the patient’s willingness to participate in activities of daily living and reenergized him.
My initial thoughts on my patient after reading her Kardex information was that she has had a very tough and challenging life thus far. She has already been through more traumatic events than most people do in a lifetime. I was also nervous as to how she would handle talking to someone that was so close to her in age. Another initial thought
Donald is a fifty-four-year-old male with a wife, children, and several grandchildren. Donald’s symptoms started approximately thirty years ago and have been increasing in severity. Documenting the critical issues, diagnostic impressions, and treatment recommendations are imperative to successfully helping the client deal with the issues and possibly minimize the risk of future relapse in recovery. Addressing the biological, psychological, social, and spiritual aspects will help to guide the therapist through developing the most accurate treatment model for the patient.
When I asked him how is life now? He explained that surviving on a day-to-day basis
The patient (Ishmael) is approximately 16 years of age, the middle child of three boys. Ishmael comes from a broken home, his parents separated before he was 12yrs of age. Ishmael and his older brother had been living with their father and a series of stepmothers. The relationship between the patient and his father had been strained since the parental separation. Ishmael visited his mother and younger brother on a regular basis.
The patient I have chosen to write about is a seventy year old male who has been married for nearly fifty years. He has two grown up sons, both married with
1. Name and briefly describe each of the two basic types of competitively bid construction contracts. Which type would be most likely used for building the piers to support a large suspension bridge. Why?
Construction Management is the overall planning, outlook, coordination, budget and control of a construction project from start to finish. Without them, construction projects would be very unorganized and chaotic. They make sure projects run smoothly and efficiently. They work with electricians, plumbers, carpenters and general contractors to produce the safest and best way to complete the project for the customer. Being a construction manager is a good job because they help many people build what they need.
White Collar is about the relationship between Neal Caffrey, who is an art thief and forger and Peter Burke, a FBI agent. They both work together in the White Collar FBI division to solve crimes in their everyday lives. White Collar centers on the unlikely crime-solving partnership between Neal Caffrey (Matt Bomer), a charming con man turned consultant for the FBI, and Peter Burke (Tim DeKay), the Federal Agent charged with keeping him on the right side of the law (“White Collar”1). When Neal escaped from a maximum-security prison to find his long-lost love, Peter had to bring him to justice - for the second time. Rather than return to jail, Neal suggested an alternate plan: he would provide his criminal expertise to assist the
The construction industry in Australia has over the recent three years provided increased employment thereby improving the economic financial performance. This has been fueled primarily by middle market construction firms. However, forecast shows that the total non-residential construction would fall between 2014 and 2016 due to falling levels of investment on project activities. The economic deficits incurred in the construction industry would be offset by investments in the telecommunication and commercial construction, especially in apartment building.
The construction industry much like other industries is dependant with the distribution of “scarce resources” (Drake,1994). Many of its resources known as the factors or production i.e. labour, capital, land etc. are limited (Gregory-Mankiw, 2008), however, wants and desires within the industry are infinite (Myers, 2013). Kishtainy notes that this creates two problems; at any given time, there will be a fixed number of resource, against numerous wants. Sloman 2003 adds that in an effort to rectify this, he argues that we must make choices, in terms of choices within the construction industry Myers suggested that firms need to considered their investments made, how they construct and for whom they construct for.