Painful Ankle Medical Treatment Case Study Example | Topics and Well Written Essays - 500 words

Painful Ankle Medical Treatment - Case Study Example Medications: The patient has been on analgesics broad-spectrum antibiotics regimen that ended three days ago; provided at the clinic. No other medication currently.Allergies: The client has a specific protein food allergies, cannot eat eggs. There is no known drug allergies.Immunisation: Tetanus injection immediately after the cut (one week ago) scheduled for a repeat (booster) in three weeks’ time (Greaves and Johnson 2002, p.38).SH: the patient is married, living with the wife and two children. He is a farmer while his wife owns a grocery shop. Does not smoke but occasionally takes alcohol.His hobbies include reading, listening to music and tending the flowers.O/E: Stable general outlook. Not sick-looking. NAD on examination of the head, Neck, back, chest. Hands.Left foot: The ankle joint is swollen. The patient reports painful joint and cannot walk well.ROM: ROM: Active: Flexion- Cannot flex the ankle due to pain on anterior aspect Extension- full range; with minimal pain o n movementAbduction- painful Adduction- painfulMedial Rotation- painful Passive: Flexion- full range; with pain on anterior aspect the ankleExtension- full range; painful Abduction- full range; painfulMedial Rotation- painfulResistive: Flexion-with intense pain on anterior aspect of ankleExtension- painful Abduction- painfulMedial Rotation- painfulImpression: Ankle sprain

Bridge to Terabithia by Katherine Paterson Essay Example for Free

Bridge to Terabithia by Katherine Paterson Essay Bridge to Terabithia is an ambitious, thrilling, and at times heartbreaking story about childhood, friendship, and individuality. Paterson begins the story by introducing Jess Aarons, an eleven ­year ­old boy living in a rural area of the South who loves to run. He dreams of being the fastest boy in the fifth grade when school starts up in the fall, feeling that this will for once give him a chance to stand in the spotlight among his five sisters, and win him the attention of his constantly preoccupied father. Jess is very insecure in his identity. He loves to paint and draw, but he knows that this labels him a sissy in most eyes, particularly his father. As Katherine Paterson said â€Å"Jess drew the way some people drink whiskey.† I enjoyed reading about Jess’s confliction between his masculinity and effeminacy. With his family stretched so tight by poverty he has little chance to really explore his own identity during this crucial period of adolescence. He is determined to win in doing something masculine that will rid the undesired label of â€Å"sissy† or â€Å"Girl† in the eyes of his father and schoolmates which will allow him to shine in his own right. He practices each morning, always dreaming of his upcoming victory. However, when the races come around at recess, a new girl, Leslie Burke, who just moved next door to Jess, boldly crosses to the boys’ side of the playground and beats everyone.

Aaron Feuerstein Essay -- Essays Papers

Aaron Feuerstein In this paper I will discuss Aaron Feuerstein, the third-generation president and CEO of Malden Mills Industries, Inc., who leads the Lawrence, Massachusetts business with his father’s and grandfather’s values: kindness, justice and charity. He does this through his charismatic leadership and vision, which binds his employees together into realizing and achieving the same goal. I will show exactly what makes him a leader in the modern business setting and explain why a leader’s vision is important in defining a true innovator, effective manager and charismatic leader. Feuerstein and Malden Mills had a history of taking care of its employees. Workers’ salaries average $12.50 an hour compared with the textile industry’s average of $9.50. And in the 1950s, when other New England textile manufacturers fled to the South for cheaper labor, Malden Mills stayed. Although Feuerstein’s hands-on management style has always been admired by his employees, what set him apart as a true leader was a near disaster in the winter of 1996. While celebrating his 70th birthday, Feuerstein received word that his 130 year old family owned textile company in Lawrence, Massachusetts was burning to the ground. Three of its manufacturing factories that produce the popular high-end outdoor apparel knits, Polartec ® and Polarfleece ®, were reduced to charred metal and brick. While watching the fire, Feuerstein decided that he must come up with a plan to not only save his company from financial ruin, but decide the fate of over 3,100 employees th at would soon be without a job. He chose to rebuild the plant in Lawrence. He also decided that if he was to continue providing a quality product to consumers, he would have to take care of the skilled laborers who made the product. Feuerstein kept more than 1,000 jobless employees at full pay and medical benefits for three months until the factories were up and running again. What kept Feuerstein’s company at the top was his strong managing skills. A top management position requires motivation to achieve, but this motivation may be directed to achieving personal, rather than organization goals. Feuerstein believed the role to top management should be to â€Å"manage† and the most important resource they must manage is the people that work at all levels of an organization. Their role should not be "to rule", but "... .... Reduced to its essence, that means superior technology and superior employees. Reduced still further, as Aaron Feuerstein can tell you, it means superior employees. Feuerstein has laid off people for the reasons stated above, but all of these employees have been given generous severance packages that included three months of paid medical benefits as well as job training Feuerstein admits that, as owner, he has a great advantage over leaders of public firms because he answers only to himself. "But I would like to think," he says, "that the average CEO - even though they're reporting to the public and the so-called shareholder -also feels that there's a moral imperative that they must answer to as well." Bibliography: The Christian Science Monitor, ‘Corporate Decency’ Prevails at Malden Mills, Shelly Donald Coolidge, March 28, 1996 Parade, by Michael Ryan, September 6, 1996, p.4-5 Life Magazine, Josh Simon, May 5, 1997 L. Larwood, C. M. Falke, M.P. Kriger, and P. Miesing. Structure and meaning of organizational vision. Academy of Management Journal, 39, 1995, pp.740-769 Fortune, Not a Fool, Not a Saint, Thomas Teal, November 11, 1996, p.201

Expansion and Contraction of Matter

SMJK AVE MARIA CONVENT SCIENCE B6D7E1 – The Principles of expansion and contraction of matter Name: Lim Li Fern (14) Class: 1P11 Identification Card No. : 990412-11-5206 Subject teacher: Puan Norlida Heat does to matter is changes it state. There is something more subtle though that can cause big problems. Look at this devise. When you heat both this ball and the ring the ring expands like a long bar of metal. The  ball expands less so when they are heated  the ball fits through the ring. You may want to look for these and try this demo as many of you probably have these. Another neat  tool to show the expansion of metals is this bimetal bar.It is made with one metal on one side and another metal on the other side. One metal expands more rapidly so the bar twists when heated. This affects things in the real world drastically. If this is not considered when building something we can end up with a  road buckling. Engineers then plan for the expansion and contraction due to heat. In a pipe we may see special parts like  this  or  this  so that the pipe can expand in length without breaking. Behaviour of matter – Expansion and contractioncontraction Substances  expand  or get bigger when they are heated up. They  contractor get smaller when they are cooled down.This property can be useful. * Thermometers work because the liquid inside them expands and rises up the tube when it gets hotter. * Metal parts can be fitted together without welding using shrink fitting. The animation shows how this works. Expansion and contraction in metal The rod is too big to fit through the hole. The rod is cooled, causing it to contract. The rod fits in the hole. When warmed, it expands to fit tightly. All matter is affected by heating and cooling. With a very few exceptions, when any matter is heated, it will expand. When it   is cooled, it will contract. Observing a Gas Expand When HeatedProcedure:  Ã‚   Place the neck of the balloon over the mouth of the bottle. Put about 6 cm (2 in) of water in the bottom of the pot and place the bottle and balloon in the pot. Heat the water slowly over the stove. You do not need to heat the water to boiling. What happens to the balloon? Remove the bottle and allow it to cool. What happens to the balloon now? What Happened:  When the air inside the bottle was heated by the hot water, it expanded. As the air expanded, some  was  pushed into the balloon causing it to expand slightly. When the air inside the bottle cooled, it contracted and the balloon shrank.Observing a Gas Contract When Cooled Just as you saw a gas expand when heated, you can see how it contracts when cooled using the same material as in the last experiment. Procedure:  Place a couple of inches of water in the bottom of the pot and place the bottle in the pot. Heat the water to almost boiling. Then, using the oven mitts, remove the bottle and quickly place the balloon over the neck. Allow the bottle to cool and observe the balloon as the bottle cools. What Happened:  As the air inside the bottle cooled, it contracted. This caused the balloon to be drawn into the bottle.Observing a Liquid Expand When Heated Procedure:  Ã‚   Put a little food coloring or a pinch of coffee or fruit drink mix in the bottle. Fill the bottle completely with cool tap water. Place a couple of inches of water in the bottom of the pot and carefully place the bottle in the pot, being careful not to spill any of the water. Slowly heat the water in the pot almost to boiling and observe what happens to the water in the bottle. What Happened:  As the water inside the bottle was warmed, it began to expand. The bottle could no longer hold all of the water and the water began to â€Å"bulge† from the top.Some may have even spilled out. Observing a Liquid Contract When Cooled Procedure:  Fill the bottle completely to the top with hot tap water. Try to get as few bubbles in the water as possible. Allow the bott le to cool where it will not be disturbed. Be careful not to spill any of the water. After the bottle has cooled to room temperature, observe the level of the water in the bottle. What Happened:  The water level was slightly below full. As the water cooled, it contracted causing the water level to drop. However, there may also be another effect here as well.If you used water with a lot of bubbles, those bubbles also took up a part of the volume inside the bottles. As the bubbles eventually floated to the top, they would have decreased the volume slightly. Can you think of some way to insure that what you are seeing is not a result of the bubbles? A Major Exception to the Rule The general rule that has already been stated is that matter expands when heated and contracts when cooled, but there are a few exceptions. The most important exception is water when it freezes. Procedure:  Ã‚   Fill the bottle to the top with water and replace the cap.Wrap the bottle in several layers of n ewspaper and place the bottle and paper in the bag. Put the bag in the freezer and leave it there until the water freezes. Remove the bag and paper and examine the bottle. What do you see? What Happened:  The bottle was shattered or very swollen. When water is cooled, whether as a gas (water vapor), a liquid, or a solid, it will contract. The one major exception to this is when water reaches the freezing point and changes from liquid water to ice. At that point, the water expands, rather than contracts. This expansion caused the bottle to break.The reason water behaves this way has to do with the shape of it’s molecules. When water freezes into ice, it’s molecules line up in a certain way, and when they do, they take up more space than they did as a liquid. It is almost as if the molecules elbow each other out of the way, and this causes the ice to take up more space than the liquid water. Once the water freezes and gets colder than the freezing point ( 0? C or 32? F ), it begins to contract again. The only time water expands when cooled is at the point where it freezes. However, the fact that water expands when it freezes is very important in nature.For example, one of the ways that rocks are broken down into soil is by water freezing in the cracks of rocks. When the frozen water expands, it has enough force to cause the rock to split or break into smaller and smaller pieces. Observing a Solid Expand and Contract Procedure:  Ã‚  Ã‚  Using the wire cutters, cut a rod from the long bottom section of a wire coat hanger. Keep this wire as straight as possible. Use the sandpaper to sand the paint off the wire. (You are going to heat this wire, and you need to remove the paint to avoid fumes from burning paint! ) Cut a section of the coffee stirrer or broom straw about 3 inches long.Push the straight pin through the middle of this section. The straight pin should fit snugly. If it doesn’t, use a small piece of tape to hold it in place. Set u p the rod, pin, books and heat source as shown. Make sure that the end of the rod away from the pointer is firmly against a book, and that the rest of the rod is touching only the pin, and not the surface of the books. Heat the rod using your heat source, and observe what happens to the pointer. Remove the heat source without disturbing the rod and watch what happens as the rod cools. What Happened:  As the rod was heated, it began to expand.Since one end of the rod was against the book, it could expand in one direction only. As it expanded, the rod moved over the pin, causing the pin to roll slightly. Although the pin may not have rolled more than a quarter turn, the pointer allowed you to see this motion very clearly. As the rod cooled, it contracted and moved the pin and pointer back to where they started. We have seen that solids expand when heated and contract when cooled. Engineers who design roads, buildings, towers, and other large structures must know how much a substance will expand or contract over the range of temperatures it is expected to encounter.The engineers then have to design the structure to prevent damage from expansion or contraction. These next experiments will have you to examine some of these structures on a hot day in summer and a cold day in winter. They could become part of a science project on heating and cooling. Expansion and Contraction of Railroad Tracks Raildroad Track Expansion Joint Walk along a railroad track until you find a place where two rails are joined together. You should see a small gap between the rails where they are fastened together. This gap is called an â€Å"expansion joint†.Some newer tracks have rails that are continuously welded together and do not use expansion joints. If you walk for some distance and do not see a gap between two rails, the tracks you are looking at are probably of this kind. If possible, you should try to locate an older track, or even one that is no longer in use. Such track will be more likely to have expansion joints. If you are able to locate an expansion joint, measure and write down the outside temperature, along with the date and the time. Also, measure and record the size of the gap. The millimeter scale is probably the best scale to use.If you have a camera (particularly if this is part of a science project) take a picture of the joint. It is a good idea to take this picture with the ruler in place. Save your notes. If you did this on a hot day, repeat it on a cold day, or vice versa. Can you measure any difference in the size of the gap? What Happened:  The gap is slightly narrower on a hot day, because the rail sections on either side of the gap expand  with the increased heat. If expansion joints were not put in place and the rails were placed tightly together on a cold day, when they were warmed by the sun, they would buckle and perhaps come loose.If the rails were put down tightly on a hot day, they would pull apart in cooler weather. E ither could cause a very serious accident. Expansion and Contraction of Power Lines On a very hot or cold day, locate power lines near your home hanging between two poles or towers. Notice how much the lines sag. Measure and record the temperature as well as the date and time. Select a good spot to take a picture of the lines. Carefully note exactly where you make this picture in your notebook, including any zoom setting and the center of your photo.Make sure that you will be able to return to the exact spot several months from now. Return to the same spot when the weather is much hotter or colder, depending on when you did this the first time. Again, measure and record the temperature, date and time. Take another picture of the wires using the same zoom settings and center point as before. Compare the two pictures. What do you see? What Happened:  The wires sagged much less in cold weather. Wire, like all other solids, expands when it is warmed and contracts when it is cooled. In hotter weather, it will expand more, causing the wires to sag more.When power or phone lines are strung, they are always sagged to allow for expansion and contraction. If they were to be strung too tight, they could snap when they contract in colder weather. An Exception to Expanding and Contracting in Solids As we have seen, solids usually expand when heated and contract when cooled. However, some solids don’t always behave according to this rule, as this experiment will show. Procedure:  Ã‚  Ã‚  Turn the box on its side as shown. Place the pushpin in the top edge of the box and hang the rubber band over the pushpin. (If you can’t get the pushpin to hold firmly, try taping the rubber band. Tie a small weight to the other end of the rubber band. The weight should be heavy enough to stretch the rubber band, but not enough to break it. Set the dryer on it’s hottest setting and heat the rubber band. Note what happens to the rubber band. What Happened:  Instead of expanding as we would have expected, the rubber band contracted and lifted the weight. Molecules of rubber are long and twisted, something like a loose spring. Rubber molecules compress when they are heated, causing them to draw together like a tighter spring. When all of the molecules do this, the rubber band contracts.

Poetry and Worldly Wealth Essay

Andrew Lang describes the truth about money and what it meant to people in the 1800s and 1900s. He uses repetition to clearly explain his ideas. Lang believes that money could either be good or it could be evil, I guess it all depends in how you use it and appreciate it. The people in this poem are priests, soldiers, captains etc. The main idea is about how some and most people only do things for money. The â€Å"Ballad of Worldly Wealth,† is a depiction of how money can bring pride and corruption into our society. The form of this poem is a ballad. A ballad’s contents include 3 stanzas, at least 8 lines in each stanza, and a refrain (a repeated phrase at the end point of a poem) a refrain in example of the Ballad of Worldly Wealth is â€Å"Youth, and health, and Paradise† The author used artificial imagery to characterize money as both a staple in society, and as the icon of the world’s power and corruption. There is several rhetoric patterns found in the poem. The rhyme pattern is an End rhyme. Poems with end rhyme are those whose last word of every line ends with a word that rhymes, for example: â€Å"While the tides shall ebb and (flow); Money maketh Evil (show)† Flow and show are two separate words, however both have rhyming sounds. Also displayed is parallel construction, a sentence, idea or clause that is presented with an opposing idea. In this statement, â€Å"Money moves the merchants all, While the tides shall ebb and flow; Money maketh Evil show, Like the Good, and Truth like lies† it can be seen that the opposition is of that money is what makes the world go round. However money also creates greed, and makes the people see the money as a good thing, when really it’s all a lie.