Rozel's Mother: A Brief Summary

I noticed that Mrs. Lewis who was quiet when we entered her room upon seeing me approach her bed started to groan loudly and turn her head from side to side (this made me feel worried as it was obvious to me that she didn’t like me). The patient was also licking her lips and coughing up mucus and she appeared to me as if she were choking. My mentor informed me that this was normal for Mrs. Lewis but it added to my anxiety as I had not seen a patient in Mrs. Lewis’ condition before and it alarmed me.

Oskar’s mother remains unnamed throughout the story and is referred to as “Mom”. Her husband, Thomas Schell Jr., recently passed away in the 9/11 terrorist attack. She hasn’t dealt his death easily, nor has Oskar. Although Mom is attempting to help Oskar cope with his father’s death, Oskar believes that “if she could have chosen, it would have been my [Oskar’s] funeral we were driving to” (Foer 141). She only wants what is best for Oskar, however their already tense relationship became worse after her husband’s death. For most of the story, Mom seems like a bad parent due to the fact that she never asks where Oskar is going when he leaves the apartment. However, at the end of the book we learn a lot about Mom that we never would have expected.

RDS is characterised by tachypnoea, nasal flaring, intercostal and sub costal in drawing with sternal retraction and a predominantly a diaphragmatic breathing pattern and a characteristic expiratory grunt or moan and cyanosis without oxygen, all persisting within 4-6 hours of delivery. Diagnosis can be confirmed by history, blood gases showing impaired respiratory function and an X-ray film showing ground glass appearance and air bronchograms (Fraser, et al 2004)

Mrs. Newman has been experiencing hoarseness and a change in her voice, but she did not seek medical help until she began to have difficulty swallowing. After being seen by her healthcare provider, she is scheduled for outpatient surgery for a direct laryngoscope to obtain a culture and take a biopsy.

He was non-verbal and non-ambulatory, spastic quadriplegic and hydrocephalic. He had a history of asthma, and respiratory distress. Due to congenital malformation of his head, neck and trachea he suffered from obstructive apnea. He was mentally retarded with an IQ of 4 and mental age of 2 months. He could respond to his name, and was able to recognize familiar people. He was on G Tube feeding since he was two years old. He had a trach tube in place for breathing, and a sleep apnea monitor was connected to check his breathing and heart rate, while sleeping or

Lungs: Diminished breath sounds in all lung fields. Resonant to percussion. No wheezes, rales, or rhonchi. Symmetric chest expansion. Breathing nonlabored.

I was the nursing student assigned to Ms. K.R, an 18 year old African American female who was admitted to Detroit Hutzel labor and delivery unit on October 31st 2015. Upon admission Ms. K.R was 39 weeks and six days pregnant, in the first phase of latent labor, dilated to 3 cm, 70% effaced, -3 station and her contractions were four minutes apart. She had a history of asthma, bipolar depression, anxiety, elevated blood pressure and adult BMI of >30. She is allergic to penicillin, nuts, kiwi and blueberries.

For the purpose of this essay, I will discuss the case of a five years old patient presenting to my place of work with the symptom of shortness of breath (SOB). To maintain confidentiality the pseudonym “Ryan” will be used to refer to the child and Ryan’s mother will be frequently referred to as “mum”.

On today’s evaluation, she is 19 weeks and the fetal measurements overall are concordant. The long bone measurements are within one week of her dates. The amniotic fluid volume is normal, and the cervix is long and closed. A complete fetal anatomical survey was performed and a significant amount of ventriculomegaly/hydrocephalous was identified but no other major malformations were noted at this time, though due to the

In the last chapter of the novel, Ruth May is responding to her mother in the first chapter. Orleanna is ridden with guilt in the first chapter and Ruth May in the last chapter is telling her mother that she forgives her, and that she should forgive herself too. Ruth May tells her to “Move on. Walk forward into the light.” She also says that being dead is not worse than being alive; in fact, her view is larger. Another thing Ruth May mentions is that “Every life is different because you passed this way and touched history. Even the child Ruth May touched history. Everyone is complicit. The okapi complied by living, and the spider by dying. It would have lived if it could.” Ruth May does not see it as a “ruin” but as something that is a part

She was a healthy baby girl who seemed to look alright, no birth defects and no missing limbs. Louise and Tom continued to worry about Lynn even though she appeared healthy. Lynn laughed, smiled and cooed just like a normal baby. However, as Lynn grew they noticed she wasn’t responding to loud noises. An example was when Lynn was at the 4th of July fireworks. As the fire engines drove past and the fireworks went off Lynn acted like it did not phase her. She started to hit her head off the crib and rolling her eyes. Her parents took her to the doctor and after a lot of testing Louise and Tom found out the Lynn had a serve hearing impairment. It was not a definite diagnosis but they had to run more test when she gets older because it is more accurate. Many struggles came about with having a deaf child such as, her not being able to explain her emotions, what she wanted, and could not hear to learn rules and what is right from wrong. Lynn could mouth many words but there was never any

G.M. was then immediately transferred to Rady Children’s hospital Emergency Room by her parents. Upon nursing assessment she presented with vital signs within the same range from her clinic visit. These were repeated every fifteen minutes until stable. Her skin was flushed and diaphoretic. Mucous membranes appeared dry with significant skin cracking around the mouth. Patient was alert and oriented times three and pupils were equal, round, and reactive to light and accommodation. Her breath sounds were clear and equal bilaterally, with no adventitious sounds noted. However, patient G.M. appeared to have

The most serious of these being hyaline membrane disease (HMD), most commonly known as RDS or respiratory distress syndrome. Babies that suffer from this condition will tend to find it very difficult to breathe due to the increased surface tension and the ultimate lack of oxygen transported through the body can seriously impair and damage the functions of the brain and other organs of the baby. Surfactant deficiency’s can also sometimes be caused by mutations in a particular gene. An example of this is surfactant protein or SP-B deficiency. This particular dysfunction is hereditary and is caused by a gene mutation on chromes number two. Babies that suffer from tis condition rarely survive past a few months. However there are some procedures that can help babies who may have been born prematurely and have not manufactured enough surfactants to support regular functions. Surfactant replacement therapy and surfactant supplements are amongst the most popular treatments of these types of surfactant deficiencies in newly born

Respiratory distress syndrome (RDS) is a common lung disorder that mostly affects preterm infants. RDS is caused by insufficient surfactant production and structural immaturity of the lungs leading to alveolar collapse. Clinically, RDS presents soon after birth with tachypnea, nasal flaring, grunting, retractions, hypercapnia, and/or an oxygen need. The usual course is clinical worsening followed by recovery in 3 to 5 days as adequate surfactant production occurs. Research in the prevention and treatment of this disease has led to major improvements in the care of preterm infants with RDS and increased survival. However, RDS remains an important cause of morbidity and mortality especially in the most preterm infants. This chapter reviews the most current evidence-based management of RDS, including prevention, delivery room stabilization, respiratory management, and supportive care.

Respiratory: Lung sounds are clear on auscultation without rales, rhonchi, or wheezes. Respiration unlabored with