Tracheostomy

Mrs. Helen Bessler, mother of George Bessler, was hospitalized 16March2015 and underwent surgery of the right lung on 17March2015. She had cancer of the right lung that required removal of two lobes and a section of the superior vena cava.

For example, the Analects of government, sage, virtue, and manners give a sense of teachings and positive philosophies to follow in order to become a good ruler and obtaining and giving respect. While the Classics and ideals of popper conduct, political peace, moral power, love and ideal humanity help to reinforce the Analects by giving an ideology of a humanism. As Confucian gives words of wisdom of establish a community who should act only when necessary, use knowledge for the benefit of all, and to live in peace in order to developed a stronger culture. Confucius gives the Chinese people a focus on the cultivation of virtue and maintenance of ethics, creating a community of righteousness and moral disposition to do good and how one should act in a community. Overall, Confucianism is a source of values, the social code of the Chinese, and a substance of

INDICATIONS FOR SURGERY: The patient is a 62-year-old Caucasian male who has pneumonia. The patient has been on a ventilator for over 2 weeks and appears to require long-term ventilator. The patient is undergoing tracheostomy for this purpose.

Another ethical implication is whether or not the patient will be able to be removed from the ventilator after being placed on it. Studies have shown that patients who are on ventilators for long periods of time become dependent on the ventilator and are unable to be removed from it. For some very ill patients, there is still a risk for ventilator dependence even if the intubation is for a short time. The patient may be at risk for having to be attached for a substantial period of time to the device that he explicitly refused, if he is ever able to come off of it (Purro er al., 2010).

The aim of this paper is to critique the research article, “Accidental Decannulation Following Placement of a Tracheostomy Tube” published in Respir Care (White, Purcell, Urquhart, Joseph, and O’Connor, 2012). The article wants to find out the causes of increased rate of mortality and morbidity due to accidental decannulation following tracheostomy place in long-term acute care hospitals (LTACH). This paper seeks to evaluate the strengths and weaknesses of this research process to establish its efficiency and practicality.

Confucianism puts emphasis on relationships and social harmony, keeping the core humanistic, more focused on problems of ethics and society. It revolves around the pursuit of unity of the self and the Principle of “Heaven,” the cosmos, which overrule human efforts. Confucianism is often called rujiao, meaning “the teaching of the ru,” which is one who is conversant with the Heaven, Earth, and humans, the three domains of human knowledge. Then there is ren which is the collection of all essential human qualities. Confucianism regards the activities of human life as a manifestation of the sacred, because they are the expression of our mortal

Patient outcome consisted of performing 10 deep breaths per hour. We have reviewed details that were difficult for the patient to remember, such as breathing out before placing the lips on the mouthpiece, and holding breath for 3 to 5 seconds at the top of each inhalation. With empathy, I provided understanding that being hospitalized is never easy due to sensory overload, pain and lack of privacy. Additionally, we have discussed the basic pathophysiology of lung inflammation and what it can do to a person. So overall, the outcome included enhanced disease knowledge with effective use of incentive spirometer.

Respiratory therapists have one of the most exciting and gratifying careers within the medical field. Unfortunately as with any other job or career, it doesn’t come without having challenging times. Respiratory therapists work along-side physicians and are highly trained to treat patients with any sort of lung concern or breathing complications. This job requires hands on care, and deals with life and death daily. One specific scope of this field involves caring for patients (of all ages) attached to mechanical ventilation. It is the respiratory therapists’ responsibility to remove assistive ventilation to patients with written order from the doctor; which ultimately results in death of the patient (Keene, Samples, Masini, Byington).

The term “Confucianism” is often regarded as a complex mechanism of social, political, moral as well as religious beliefs that have considerable influence especially upon the civilizations belonging to the East Asian countries such as China, Hong Kong, Taiwan, North Korea, South Korea along with Singapore and Vietnam. With reference to the observation made by Reid (1999), it can be viewed that a clear depiction about different principles and beliefs exists within the sphere of “Confucianism”. Therefore, the major purpose of this report is to briefly review of T. R. Reid’s book “Confucius Lives Next Door: What Leaving In The East Teaches Us About Living In the West” through concisely unfolding the experience of

Effect of a Protective-Ventilation Strategy on Mortality in the Acute Respiratory Distress Syndrome (Amato et al.,). The topic of the article is the use of protective lung strategies and the effects they have on mortality rates for patients with Acute

Confucianism is one of the main influential ideologies on the Chinese culture. The founder of this religion is Confucius; he was a Chinese teacher. He taught traditional disciplines at that time, and believed that he could change the order of the Chinese society. He has different principals in life. First, Li: “It is the medium within which to talk about the entire body of the mores, or more precisely, have the authentic tradition and reasonable conversations of society” . In other words, li is the social rituals between people and they are divided into different categorized relationships like father and son, filial piety, between brothers, husband and wife; Ruler and subjects, and between friends. The Second principal was Jen, which is humaneness; it describes the inner personality of a person and that people should practice respect to one another. Li and Jen are values that complete each other to create the superior man, according to the Confucius. Also, Confucius believed in the spirits but keeping them at a distance. There are Five Classics and the Four Books are regarded as a reference for Confucianism.

One lung ventilation (OLV) or lung isolation is a common term used in the practice of thoracic anesthesia. OLV refers to ventilation of one lung, while the other one is intentionally collapsed; thus, allows adequate surgical access for the surgeons (1- 6). Some indications for OLV are bronchopleural fistula, lung resection, single-lung transplantation, esophageal surgery, and open-chest aneurysm repair (3, 6). OLV can be accomplished by diverse techniques, two of which are either by using Double Lumen Tube (DLT) or Univent tube (3, 6- 10). the complications of using these tubes are vocal cord injuries, postoperative hoarseness, and sore throat (11). This dissertation will compare between the two tubes in terms of effectiveness in adult thoracic surgery.

When Western people think of Confucianism, they often think of it in a past sense- as something only relevant to ancient China that cannot be applied to modern day society. However, what these people fail to realize is that Confucianism’s roots have been so integrated into China’s society that the values have become a part of every day life. Without having to explicitly state that they are following specifics aspects of Confucianism, most Chinese people submit to them, often times unknowingly. However, Confucian values not only exist in the Chinese society, but also permeate into other areas of Chinese culture such as architecture and aspects of Feng-Shui.

Confucianism is a time enduring philosophy that has stood up to invading clans, war, resentment, enforcement and infringement of new philosophies, and eventually, revival. For almost 80 years, up until the late 1970’s, Confucianism and its ideas and values have been all but wiped away from China. Though effort was made to remove Confucianism for good from China by the Communist leader Mao Zedong in 1949, the ideas and values were so deeply embedded into peoples mind and the culture that even suppression could not keep it out of the culture and practices. The main factor that has brought Confucianism back into the limelight in China and other East Asian countries is the recent

Tracheostomys may be required for long term control of excessive bronchial secretions, particularly in those with reduced consciousness or to maintain an