Friday, May 15, 2020

The Rise Of Drug Prohibition - 975 Words

Drug prohibition is rarely viewed negatively by many Americans. The failure of drug prohibition has sparked some debate in the last fifty years, however, the ignorance about illegal substances has led to little discussion on alternatives to prohibition. Legalizing all drugs would be a better alternative than perpetuating the failed war on drugs. The drug war has negatively impacted many lives by demonizing users and corrupting public officials. Criminalizing alcohol did not work in the 1920s and the same thing is true today about illicit drugs. Prohibition has stripped away a fundamental right we should have in a free society, and that is the right to consume whatever you want as an adult. The choice to consume alcohol was stripped from us at one point, however, Congress eventually passed the 21st Amendment making alcohol legal again. Alcohol prohibition has given us the opportunity to see the transformation of a once illegal drug become a legal and regulated substance. The 18th Ame ndment of the Constitution made alcohol consumption, distribution and production illegal. Prohibition subsequently gave birth to a criminal industry. Prohibition fostered the growth of powerful criminal organizations. It is clear that criminalizing a substance previously legal and letting the criminal market regulate it was a failure. The illegality of alcohol led to a black market where users were persecuted by society, which is exactly what the war on drugs is doing now. In our society,Show MoreRelated decriminalize drugs Essay1198 Words   |  5 Pagesin our country today, regards the prohibition of illegal narcotics. Deemed unhealthy, hazardous, and even fatal by the authorities that be; the U.S. government has declared to wage a â€Å"war on drugs.† It has been roughly fifteen years since this initiative has begun, and each year the government shuffles more money into the unjust cause of drug prohibition. Even after all of this, the problem of drugs that the government sees still exists. The prohibition of drugs is a constitutional anomaly. ThereRead MoreDecriminalize Drugs Essay1192 Words   |  5 Pagesin our country today, regards the prohibition of illegal narcotics. Deemed unhealthy, hazardous, and even fatal by the authorities that be; the U.S. government has declared to wage a war on drugs. It has been roughly fifteen years since this initiative has begun, and each year the government shuffles more money into the unjust cause of drug prohibition. Even after all of this, the problem of drugs that the government sees still exists. The prohibition of drugs is a constitutional anomaly. ThereRead MoreA comparison between the 1920s and the 1980s.1408 Words   |  6 Pagesmany ways. Their similarities are social, economical, and political. Some of the similarities between the decades are Prohibition and the War on Drugs, the Stock Market Crash of 1929 and 1987, and the influence of music on society. Prohibition was passed as the 18th amendment, that importing, exporting, transporting, and manufacturing of alcohol was to be put to an end. Prohibition did not achieve its goals. Instead, it added to the problems that it intended to solve. It was expected that the decreaseRead MoreEssay on Marijuana528 Words   |  3 PagesMarijuana Marijuana is a drug that has been used for thousands of years. Marijuana was used in ancient China, as far back as 5000 B.C. The Incans and Mayans used marijuana in religious ceremonies. Marijuana also has roots in this country. The Indians of the plains used marijuana in their peace pipes as a sign of friendship and peace. After prohibition there was a sharp rise in the use of this drug in America, but after prohibition was repealed the use went down. In the 1920s and 30sRead MoreIs the Prohibition of Drugs Useful or Not? Essay1729 Words   |  7 Pagesbecome aware of drug prohibition. In fact, every country in the world has a form of drugs prohibition. However, national drug prohibition started in 1920s in the United States as a subgroup of national alcohol prohibition. In 1930 the congress of United States separated drugs from the alcohol prohibition law and created a new federal drug prohibition agency (Levine, 2002). Prohibition may be defined as the set of policies which ban all production, distribution and sale of drugs for non-medical useRead MoreThe Ineffectiveness of Prohibition1312 Words   |  5 Pages Prohibition was a law that was passed to stop the production, sale, transportation, and exportation of alcoholic beverages. This began when the Eighteenth Amendment to the Constitution went into effect on January 16, 1920. People tried to control how much alcohol was consumed in the United States in the late 1700’s. Organizations and groups tried to get people to drink in moderation rather than stop drinking all together. The Protestants were the main group that tried this. They wereRead MoreProhibition Of The United States777 Words   |  4 PagesResponse Prohibition in the United States occurred as a result of the Eighteenth Amendment, which was passed on January 17th, 1920. Prohibitions lasted approximately 13 years and ended with the ratifications of the Twenty-First Amendment which repealed the Eighteenth Amendment on December 5th, 1933. Prohibitions did not yield any benefits for the average American, in fact I believe it hindered both men and women in economic, political and social ways. The main proponents of Prohibition were womenRead MoreDrugs During The Civil War1421 Words   |  6 PagesDrugs first surfaced in the United States in the 1800s. After the Civil War opium become very popular and was used medicinally. Following opium was cocaine which was also used as a health remedy but near the end of the 19th century opium and cocaine abuse peaked and local governments began to prohibit opium dens and importation. In 1914 the first federal drug policy, the Harrison Narcotics act, is passed and drugs are no longer seen as harmless remedies. The act aggressively regulated the manufacturingRead MoreProhibition Of Drugs And Alcohol1492 Words   |  6 PagesPopular belief holds that consumption of drugs and alcohol encourages violence and that the appropriate response is prohibition of these goods. However, a different viewpoint is that prohibition creates illegal underground markets, which require violence and crime to remedy in-house disputes. This paper examines t he relationship between prohibition and violence using the historical data and behavior following previous U.S. drug and alcohol laws, regulations, and enforcement on indicators of violenceRead More Drug Prohibition – The solution that never worked Essay1071 Words   |  5 Pages Countries have been making drugs illegal over the years for varieties of reasons - be it to combat a perceived moral or health epidemic, to single out certain groups of people, or to reflect religious influences. Even when some drugs do not present notable health dangers, governments ban them. While there are many drugs that are unhealthy when abused, the drug policies around the world, particularly the United States, are inconsistent and oppressive. Drug laws were supposedly created for the good

Wednesday, May 13, 2020

Baseball as a Motivator - Free Essay Example

Sample details Pages: 2 Words: 475 Downloads: 9 Date added: 2019/04/02 Category Sports Essay Level High school Tags: Baseball Essay Did you like this example? I believe that baseball has taught me to treat every task with my full effort and dedication, as it is the best way to give myself the greatest chance to succeed while leaving me satisfied with the resulting outcome of my effort. I settled my left foot in the batters box. It was my freshman season, and I was selected for the Varsity Baseball Team. We were playing the best team in the area, and I was our teams last chance to avoid a no-hit game. The pitcher went through his wind-up, then released the ball. Time slowed. I recognized the curveball out of his hand, and I swung. Strike three! The game was over. Don’t waste time! Our writers will create an original "Baseball as a Motivator" essay for you Create order We went on to have a disastrous season with a nauseating record of 3-21. I had two options: I could hang up my cleats or I could try to do something about it. I wanted to quit because, combined with my trouble to adapting to a rigorous IB curriculum, I felt that all of my effort had not paid off. Instead of quitting, I decided that I would use my frustration to better myself as a player. That summer, I worked for hours on end in the excruciating Florida heat, practicing to prepare for the upcoming season. I believe that the following summer taught me that hard work and commitment could be both rewarding and satisfying. 3-21! my teammates yelled as we stormed the field on opening day, not as a signal of defeat but as a source of motivation. We were ready. I was proud to have earned the starting first baseman position. My team began the season 9-0, possibly unmatched by any baseball team in our schools history. Then we struck out again, losing seven of the next eight games. Yet, instead of letting this pull us apart, we grew closer and more determined to succeed. My team rallied to finish the season with a 14-10 record, qualifying for the playoffs. We won the first round with ease, but then had to face the number one seed in the tournament. We lost in extra innings, but we had still exceeded all expectations. Through all of its ups and downs, baseball has taught me the priceless quality of perseverance. Through hard work and dedication, I have developed resilience and the ability to bounce back after failure. I have learned to apply this quality to all areas of my life. Intense preparation and dedication has allowed me to excel both academically and athletically, and when I encounter problems or make mistakes, I choose to learn from them instead of being controlled by them. This is why I believe that baseball is the perfect game. It has caused me to continually strive to exhibit the resilience necessary to overcome the difficult challenges I face, even when life throws me a curveball.

Wednesday, May 6, 2020

Analyzing The Ways That Plato Is An Unusual Epic Hero

An Unusual Hero (An Analysis of the Ways that Plato is an Unusual Epic Hero) From the crooked heights of Troy to the winding streets of Athens, the ancient West was fascinated by epic heroes. Bards sang poems about the fleet footed Achilles and the cunning Odysseus. Every man, woman, and child knew the stories of Jason, Hercules, and Hector. However, there is one man who achieved fame akin to the epic heroes of olden times with neither strength nor skill. His name was Socrates. In ancient Greece, Socrates was the most famous celebrity. Today, Socrates is perhaps more famous than any epic hero. In an article entitled, â€Å"Celebrities of the Ancient World,† Robert Garland says, â€Å"The fact remains that Socrates was one of the best known Athenians of his day.† His disciplines of thought have influenced almost every aspect of modern society. Traces of Socratic method can be uncovered in modern school systems and in the media. Socrates is an unusual epic hero because he was ugly, he chose to use words over violence, and he realized the importanc e of education over glory. At the peak of his fame, Socrates was a very unattractive, old man. Robert Garland describes him: â€Å"He had a striking physical appearance, which his contemporaries compared to that of a snub-nosed, bald and ugly Silenus.† He adds, â€Å"Beauty is useful in the path to stardom. But so, too, is its opposite.† Socrates was most definitely the opposite of beautiful. Compared to epic heroes like Odysseus, who was tall andShow MoreRelatedKautilyas Theory10704 Words   |  43 Pages268-232 B.C.E.) was, and still is, astonishing. With a population of about fifty million people, the Mauryan Empire was larger than the Mughal Empire two thousand years later and even larger than the British Empire in India, extending in fact all the way to the border of Persia and from Afghanistan to Bengal.  7  (The map on the previous page shows the extent of the Mauryan Empire under Ashoka.) Pliny—borrowing from Megasthenes, the ambassador of Seleucus to Chandragupta—wrote that Chandraguptas armyRead MoreHumanities11870 Words   |  48 Pagesideas based on previous developments in art. This is why studying existing canons of great art is very important. *Some definitions of art according to philosophers: †¢ Art is that which brings life in harmony with the beauty of the world.-Plato †¢ Art is the whole spirit of man.-Ruskin †¢ Art is the medium by which the artist communicates himself to his fellows.-Charleston Noyes †¢ Art is anything made or done by man that affects or moves us so that we see or feel beauty in it

The Human Brain And Its Effects On Development And...

human brain is capable of so many things, being able to detect when our bodies are out of balance to making us crave foods for certain nutrients our body needs. The human brain is so powerful, that it is capable of destroy it’s own neurons through a process starting out as dementia and progressing into Alzheimer’s disease, or (AD). Studies are suggesting new theories about the oral cavity having an etiologic factor, as well as influences on development and progression of AD. Various research shows dietary habits may place a person more at risk for developing this neurological disease. Patients with AD are more susceptible to certain oral infections due to medications, possible diet habits, and lack daily oral hygiene. Being educated on new articles as further knowledge with this disease evolves, a trip to the dentist office may be more important than your regular tooth cleaning. There are different variations of AD, a rapid onset and late onset, both having the same end ing result of the destruction of neurons in the brain. AD appears as inflammation in the brain that can affect memory, speech and motor skills. Unfortunately, the only way of diagnosing AD is through post-modem evaluation. Dementia and AD are tracked by certain memory tests scores and then ranked to determine the disease scale; however, this does not act as a diagnosing factor. From an anatomy standpoint, a blood brain barrier surrounds and protects our brain, which in some theories, is very close to theShow MoreRelatedThe Incidence Of Alzheimer s Disease Essay1380 Words   |  6 Pagesconsistent with brain atrophy and neural cell death. 1The inflammatory response of the brain, that is commonly found in AD, is linked to several factors. 1Amyloid-B, inflammatory cytokines, and sphingolipids are some of the known factors associated with AD. 1Uncontrolled inflammation, from ongoing or chronic complement activation is theorized to impact Alzheimer’s disease, among other disea ses. 2 Recent GWAS shows strong evidence that complement receptor CR1 is linked to the development of AD, althoughRead MoreAlzheimer s Disease And Its Effects1701 Words   |  7 PagesAlzheimer’s disease is predicted to affect 115 million people worldwide by the year 2050 (Aggarwal, Neelum). This debilitating disease was mostly in the dark to scientists until 2011 when they were finally able to develop a way to observe and study the development of the stages of Alzheimer’s. A lot is still largely unknown about the disease and current studies aim to categorize, provide infrastructure, provide early detection as well as research possible treatments for the disease (Aggarwal, Neelum). AsRead MoreEssay on Alzheimers Disease1266 Words   |  6 Pageschances of becoming an Alzheimer’s Disease, or AD, patient increases. It is estimated that approximately 3 percent of Americans between the ages of 65 and 74 have the illness, and more than half of all people over age 85 have the ailment. nbsp;nbsp;nbsp;nbsp;nbsp;AD is a form of dementia, a disease, that according to the Alzheimers Disease Education amp; Referral Center is defined as: â€Å"†¦a group of symptoms that are caused by changes in brain function. Dementia symptoms may include askingRead MoreAlzheimer s Disease ( Ad )1172 Words   |  5 PagesAlzheimer’s disease (AD) is a disorder that is characterized by degeneration of the hippocampal and cortical neurons of the brain – causing memory impairment and a decline in cognitive abilities. The current study by Ghoneim et al.1 focuses on the role of three proteins in the pathogenesis of Alzheimer’s. Brain derived neurotrophic factor (BDNF) signaling is important for development and maintenance of normal neuronal circuits in the brain. Glial fibrillary acidic protein (GFAP) is expressed by astrocytesRead MoreOf Prpc In Influence The Cleavage Of APP1276 Words   |  6 Pagesstudy examined the effect of the removal of in PrPC transgenic mice expressing human wild type APP. They found that the deletion of PrPC had no effect on ÃŽ ±- and ÃŽ ²-secretase proteolysis of APP (Whitehouse, 20 16). However, in the brains of PrPC null mice there was an increase in the amount of AÃŽ ². This supported idea that PrPC has a role in regulation the production of AÃŽ ² from APP in vivo (Whitehouse, 2016). With the observation that PrPC was decreased in the brains of sporadic AD individuals and theRead MoreThe Effects Of Resveratrol And Its Effect On The Risk Of Neurodegeneration, And Alzheimer s Disease1138 Words   |  5 PagesAlzheimer s disease (AD) in particular. AD is the primary cause of progressive dementia. Resveratrol has demonstrated neuroprotective effects in several in vitro and in vivo models of AD. Apart from its potent antioxidant and anti-inflammatory roles, evidence suggests that resveratrol also facilitates non-amyloidogenic breakdown of the amyloid precursor protein (APP), and promotes removal of neurotoxic amyloid beta (AÃŽ ²) peptides, a critical step in preventing and slowing down AD pathology. ResveratrolRead MoreAlzheimers Disease Case Study1277 Words   |  6 PagesA fundamental aspect of understanding the Alzheimer’s disease (AD) is to establish the crosstalk between amyloid beta (Aï  ¢) interactions with neuronal cell membrane. Here, we report a novel structural and mechanistic strategy to unravel the Aï  ¢1-40 interaction with model cell-membranes using polymethacrylate-copolymer (PMA) encased nanodiscs and macrodiscs. The PMA nanodiscs remodel both Aï  ¢1-40 monomers and fibers to toxic and non-toxic protomers. The target nanodiscs isolated the Aï  ¢1-40 intermediatesRead MoreA Research Into Decision Making For Alzheimer s Disease Essay1454 Words   |  6 Pagesrefers to the ability to obtain information and apply skills and consists of different functions, memory, reasoning, logic; these are all controlled by different areas of the brain. Alzheimer’s Disease inhibits short term memory first, before it continually moves throughout the brain, eventually affecting part of the brain that controls involuntar y functions. With this in mind someone with MCI would not be able to make clear judgments and recall memory stored in long term memory. The deteriorationRead MoreEssay about Alzheimers Disease1082 Words   |  5 Pageshappens when a person starts to behave ab-normally? How is his/her brain filling the blanks in a different manner? To discuss this subject we would discuss the most common form of dementia among old people, the Alzheimers disease. Dementia is a brain disorder, a loss of intellectual function (thinking, remembering, reasoning), which substantially affects a persons ability to carry out daily activities. Alzheimers disease (AD), a form of progressive, irreversible dementia with no known causeRead MoreEssay On Premorbid Music Training1644 Words   |  7 Pagesstill to be discovered. Psychologists have turned to experimenting with numerous forms of therapy. The effects that music therapy has demonstrated on dementia sufferers thus far seem promising; however can beginning musical training earlier in your life have beneficial effects in later life as a dementia sufferer? By examining current research I aim to compile evidence that shows the beneficial effects of prior musical training on individuals with dementia, both before and during symptom incipience,

Evaluation of Different Pricing Strategies Free Essays

The models are based on the average cost approach to price setting but differ slightly In detail. The paper Initially examines the models from an analytical point of view. The paper then describes a simulation model used to evaluate the effect of both decision approaches over time. We will write a custom essay sample on Evaluation of Different Pricing Strategies or any similar topic only for you Order Now While the models are analytically similar the simulation results show that the long run behavior of the firm is significantly different under each approach. This work is part of the author’s PhD research and represents ongoing rather than completed work. Please do not quote without prior permission. Introduction This paper continues the author’s examination of firm growth using analytical and simulation modeling methods and which has already been discussed in Brady (1999; AAA, b and c; 2001). This paper specifically examines firm growth under two different managerial policies both of which use the average cost including demand pricing assumption discussed in Brady (2001). Methodology Two models identical in all respects but one were used in this research. Both models used the average cost including demand approach IEEE. Firms produce product at a certain cost and then set out to sell that product at a marked up price. The models defer in the policy adopted by the firm when production exceeds demand for their product. The firm in model A sells whatever quantity it can at Its marked up price as documented In Brady (2001). The firm In model B sells the quantity It produces at the price the market will bear [e. It sells at the price determined by the firm’s demand curve. Model A Is more realistic In that firms Immediately realism that they have exceeded their demand curve In that they are unable to sell product at the marked up price and either they Increase Inventory or goods perish. Model B Is less realistic In that firm’s cannot determine price with certainty from the demand curve (they do not know their demand curve with certainty): in practice firms must determine this price by some kind of atonement mechanism. Note Tanat tons osculation does not model ten atonement process itself; instead it determines the new price directly from the demand curve. In summary, when production exceeds demand, under model A the firm sells less product than it anticipates but holds its price whereas under model B the firm sells all it produces but at a lower price. Specifically model B differs from model A as follows: the demand function (P = a – BC) used is the inverse function to that used in model A (Q = a – BP); these two expressions are functionally equivalent. The models also differ in that in model A units sold were equal to the units produced or units demanded, whichever is the lower; in model B the price at which goods are sold is equal to the marked up price or the demand price (e. The price given by the demand function), whichever is the lower. In all other respects, including the values of all parameters, the models are identical. In the case of both models demand is held constant throughout the simulation ‘e. The demand curve does not shift upwards or downwards during the simulation. Also, depreciation has been set to zero during the simulation and fixed costs remain constant throughout the simulation (IEEE. There is no step increase in fixed costs as described in Brady, 2001). Results The results of the simulation for model A are shown in figures 1, 2, 3 and 4. Examining firstly firm size, as measured by capital, we see in figure 1 that the firm increases in size until approximately period 50 and then firm size remains more or sees constant. To see why this is so we examine firm retained earnings as shown in figure 2. Here we see retained earnings increase monotonically until period 42 and then decrease asymptotically to zero. Figure 3 shows both revenue and total cost and clearly demonstrates this decline in margin. Here we see the firm maintaining its margin percentage until period 42; margin then declines dramatically until approximately period 60; margin continues declining asymptotically to zero. 01 2 0 1 Capital Accumulated_loss 125021002 Time Figure 1. Model A: Capital Retained_earnings 0050100 Figure 2. Model A: retained earnings This decline in earnings is due to the fact that production exceeded demand in period 42 as shown in figure 4. From that period onwards the firm incurred an increasing cost of overproduction and gradually its margin eroded completely. Although the change in period 42 is abrupt the firm comes smoothly to an equilibrium state (although unfortunately for the firm this equilibrium state is one of zero profitability). On the positive side, the firm never makes a loss as it stops increasing production at a point before its price drops below cost. How to cite Evaluation of Different Pricing Strategies, Papers

International Consensus on Pediatric Asthma †MyAssignmenthelp.com

Question: Discuss about the International Consensus on Pediatric Asthma. Answer: Introduction: Acute asthma can be defined as of the gravest health care concerns, and it has served to be one adamant disease which requires critical care initiatives and management of the symptoms for the patient to be free from any danger of exacerbations. However, the medical industry provides systematic and efficient care program for diseases like asthma efficiently, which can be considered the contribution of a vast array of technological innovation and pharmacological advancements in the treatment of respiratory disorders (Orihara, Dil, Anaparti Moqbel, 2010). Along with the innovations in the medicine and pharmacology in order to combat the diseases like asthma, the innovative changes in the care planning and implementation for the patients suffering from asthma has contributed significantly as well to the improvement of the care scenario (Klok, Kaptein Brand, 2015). A clinical discussion comprises of exploration and analysis of the assessment of the patient and key findings, underlying p athophysiology of signs and symptoms, and care initiatives to be taken to address the clinical manifestations of the patient. This assignment will attempt to explore and evaluate the assessment and care planning procedure for asthma, taking the assistance of a case study as a clinical discussion report. Primary survey: This case study represents the case of a 12-year-old patient named Hannah sparks who had been admitted to the emergency department of a rural hospital with the primary clinical issues of shortness of breath. She had been diagnosed with asthma three years ago, and the only medical management that the patient had been privy to had been salbutamol inhalers, used when needed. It has to be mentioned in this context that the care of any patent presenting a series of discomfort must begin with the initial assessment phase. Many frameworks and protocols have been developed for streamlining the process of patient situation investigation and assessment of the signs and symptoms of the patient. The primary survey assessment framework can be considered the most suitable and effective first stage of the entire assessment process (Buckley Gordon, 2011). According to the Levinson et al. (2017), the primary survey assessment framework is the key process of the paramedic practice as well, as it serves the first pedestal of care planning for the patient. This framework mainly deals with the rapid process of determining the level of urgency that is needed by a particular patient. And along with that, the benefits of this specific assessment framework is extended towards understanding the quickly and systematically the critical condition of the patent and the absolute care priorities. The primary survey usually is conducted using the DRABC approach which has five step by step assessment functions, danger, response, airway, breathing and circulation assessment. The first component is danger, where the patient will need to be assessed for any immediate danger that can lead to fatal consequences for the patient. Concerning this case study, there was no immediate pertinent danger to the patient. The next element of the assessment framework is response, and it is associated with understanding the levels consciousness of the patient (Akinbami et al., 2012). In this phase the AVPU scale is utilized to check if the patient is alert, is responding to verbal stimuli, responding to any painful stimuli or is unresponsive throughout or in any of the mentioned stimuli. Concerning this case study, the patient is alert and is efficiently responding to the all the stimuli, her verbal response is limited to 2-3 word sentences. The next element of the assessment is the airway assessment, where the competence of the airways of the patient is checked for any risk of future stridors. In this case, Hannah, the patient under consideration in the case study had been dealing with audible expiratory wheezing which indicates at obstructed airways and possibilities of future stridor. The fourth element is the breathing assessment, which is done to check if the patient is breathing with an average respiratory rate and whether the patient has ade quate ventilation. Hannah had shortness of breath with audible wheezing and respiratory rate of 28 bpm, which indicates at respiratory disorders and aggravated asthma. The last element of the assessment framework is the circulation assessment which helps in determination whether the patient has an adequate pulse or circulation. In this case, the patient had a pulse rate of 125 bpm and the blood pressure of 130/70 mmHg; which indicates at the higher cardiac output and slight hypertension (Moore et al., 2010). Underlying pathophysiology with 2 abnormal assessment findings: From the primary survey assessment framework, it can be stated that the patient had been facing the onset of worsening asthma indicated by the shortness of breath, wheezing, and high respiratory rate. Now it has to be mentioned that asthma is a very common respiratory disease and it targets a vast majority of the population across differential age groups as well. This particular disease targets According to the authors, the pathophysiology of this disease is complex, and it involves a variety of different respiratory complications like airway inflammation, intermittent airway obstruction, and bronchial hyperresponsiveness. On a more elaborative note, it affects 235 million people worldwide, and despite being common in adults as well, this particular disease begins its onset in the children more commonly. It has to be mentioned that asthma is facilitated by the construction of the airways which in turn leads to inflammation and hypersecretion of mucus. Both of these factors together p romote wheezing and airway obstruction which can facilitate coughing, wheezing and shortness of breath as well (Murphy O'byrne, 2010). One of the most common phenomena in case of the asthma episodes is the onset of broncho-constriction. This process is facilitated when the inflamed airways produce a hypersensitivity reaction to the environmental triggers such as smoke, pollen, dust. This constriction then, in turn, produces excessive mucous which further blocs the already narrowed down airways and contributes to the obstruction. Elaborating more, the presence of the stimuli or allergen acts like a potent trigger in this scenario and leads to smooth muscle spasms in the bronchial airways which is soon followed by renewed inflammation and hypersecretion of the mucous in the airways leading to the infamous asthma attacks (Kaufman, 2011). Exploring the pathophysiology of the mechanism of the spasms, a bronchus functions by means of the autonomic nervous system which then functions by means of a parasympathetic reflex loop. This parasympathetic reflex loop is composed of afferent nerve endings present in the inner lining of the bronchus. The stimulation of the allergens is facilitated in the afferent nerve endings, which results into the travel of a significant impulse to the brain stem vagal centre and moves down the vagal efferent pathway and reaches back to the small bronchial airways facilitating the constriction and resultant intermittent spasms. The inflammation, on the other hand, is also facilitated by the immune response o the respiratory apparatus to the stimuli by the activation of the antigen-presenting cells (Orihara, Dil, Anaparti Moqbel, 2010). It has to be mentioned that, the two selected abnormal assessment findings from the primary survey assessment framework are the shortness of breath due to wheezing and high respiratory rate. The patient had audible expiratory wheezing and the ability to answer questions with 2-3 word sentences which indicates the severity of her airway obstruction and validates the choice of this finding. Along with that, the average respiratory rate is 18-20 breaths per minute, whereas the patient had a respiratory rate of 28 breaths per minute. Hence it had been chosen as the second abnormal assessment finding of the assignment. Considering the signs and symptoms of the patient it has to be mentioned that the stimulation by any external stimuli has resulted in the chain reaction of bronchial constriction in the patient; which has then led to airway inflammation, hypersecretion of mucous (Ozier et al., 2011). It can be the possible pathway leading to the presence of shortness of breath and wheezing in the patient due to airway obstruction, along with that the inflammation in the airways coupled with smooth muscle spasm would have resulted to increased oxygen demands in the body leading to the high respiratory rate at 28 breaths per minute. Nursing management in the first hour: Nursing priorities Nursing outcome Management interventions Rationale Shortness of breath with excessive wheezing. The patient will be relieved from the shortness of breath and the wheezing will subside. Along with that the normal relaxed breathing pattern will be facilitated in the patient. Assessment of the vital signs of the patient with assessment of respiratory rate, depth and rhythm. Assessment of the adventitious breathing sounds and oxygen saturation. Administration of airway clearance with sectioning intervention (Basole et al., 2015). Administration of necessary medication like beta 2 adrenergic drugs (albuterol, levalbuterol, terbutaline) It will help in determining the extend of the respiratory distress due to the asthma attack and the exact severity of her condition (Basole et al., 2015). Will help in understanding the severity of airway obstruction and bronchospasm. Cleared airways will facilitate better airway passage. These will serve the purpose of bronchodilation which will help in relaxing the bronchial smooth muscles, facilitating better airway passage (Papadopoulos et al., 2012). High respiratory rate and 91% oxygen saturation The patient will regain normal respiratory rate and the oxygen saturation of the patient reaches 98% Auscultation of the adventitious breathing sounds to check for wheezes or rhonchi and with effectiveness and duration of the cough (Papadopoulos et al., 2012). Entertain breathing exercises and suggest the patient to obtain recovery position to calm the patient and revive the breathing rate. Repeat airway clearance if needed and provide external oxygen masks. Encourage increased fluid uptake in the patient. Administer inhaled corticosteroids like budesonides, fluticasone, beclomethasone, and mometasone The breathing sound identification will guide the care plan to follow. The breathing exercises will serve as excellent nonpharmacological means to improve the expiration-aspiration ratio. Airway clearance will reduce obstruction and will facilitate better breathing (Bratton et al., 2012). Fluid uptake will improve renal input and output facilitating better comfort of the patient. It will help in the reducing the inflammation and reviving the respiratory rate back to normal (Halterman et al., 2011). Slightly high cardiac output due to anxiety The patient will be relieved from the anxiety and will be calm and relaxed throughout the stay. Assessment of the cardiac output of the patient along with the blood pressure. Assessment of different signs of anxiety in the patient by assessing the indicators like panic, fear, and uneasiness in the patient (Klok, Kaptein Brand, 2015). Assessment of theophylline levels in the body. Providing the means for relaxation to the patient such as calm quiet atmosphere and soft music. Encourage progressive muscle relaxation technique in the patient, diaphragmatic and pursed lip breathing and repetitive use of relaxation phrases. The assessment will provide a clear idea regarding the cardiovascular risk. Anxiety can be a cause for shallow breathing and the underlying cause identification will guide the best suited intervention plan. As excessive theophylline concentration in the body determines the levels of anxiety this assessment will determine the severity of the anxiety in the patient and its impact on the cardiac output (Morse et al., 2011). The calm environment and soft muscle will to some extent reduce the tachycardia. The relaxation exercises will help the patient overcome the anxiety and feel calm so that the cardiac output decreases further. Management of her slightly high blood pressure. The blood pressure of the patient will reduce and will revert back to the normal levels. Assessment, monitoring and recording to the blood pressure of the patient and assessing the laboratory data that is available Assessing the presence of the quality of the central and peripheral pulse of the patient as well (Moore et al., 2010). Auscultation of heart tones and the breathing sounds. Administering mild diuretics to lower the blood pressure of the patient like the chlorothiazide, hydrochlorothiazide, indapamide, metolazone, or Quinethazone. In case the patient does not retain normal blood pressure, administrating loop diuretics like the furosemide, bumetanide, torsemide. It will provide the nursing profession with the insight regarding the underlying reasons behind the hypertension. It will provide insight regarding the incidence and probability of the vasoconstriction Will determine any possibility of atrial hypertrophy in the patient. It will help in reducing the hypertension of the patient by providing slight vasodilation and reducing BP (Liu et al., 2010). It will help in providing diuresis in the patient by inhibiting resorption of sodium and chloride in the body. Conclusion: It has to be understood in this context that any disease can turn life-threatening with the lack of immediate and effective intervention applied to the scenario. The delay in the administration of the care interventions can have a significant detrimental impact on the disease progression pathway and can even lead to fatal consequences for the patient. Therefore, the only method to ensure that the patient is going to attain immediate care intervention, prompt and effective assessment is an absolute requirement. The primary assessment framework provides the excellent tool for the registered nurses to effectively and successfully complete the task of assessing the different physical manifestation of the disease the patient is suffering from. The registered nurses are benefitted exponentially by the use if the DRABC primary survey assessment framework which provides the students with the opportunity to rapidly identify and articulate immediate responses for each care priority of the patient, in turn avoiding the chances of the patient deteriorating towards life-threatening abnormalities. 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