Degenerative Joint Disease Or Osteo Arthritis Nursing Essay

Degenerative Joint Disease Or Osteo Arthritis Nursing Essay Osteoarthritis is the most common cause of disability in the United States. Osteoarthritis affects an estimated 27 million Americans. This painful condition develops when there is a breakdown of cartilage in the joints (Shaw, 2012, p.1). Osteoarthritis can occur with age, or it can be caused by a joint injury or stress on the joints from a specific job, sport or being overweight. Over time, some people experience extreme inflammation and permanent damage to the joint. The joint may even need to be surgically replaced. The chance of developing the disease increases with age. Most people over age 60 have osteoarthritis to some degree, but its severity varies. Even people in their 20s and 30s can get osteoarthritis. In people over 50, more women than men get osteoarthritis (Gazella, 2009). Bone ends are covered with a layer of cartilage and lubricated by a synovial fluid to provide less friction and a smooth surface for the bones to move over each other. The whole joint is enclosed by the synovial sac (Gazella, 2009). In osteoarthritis, the cartilage becomes thinner and rougher while the bone underneath thickens. The ends of the bones start to rub against each other which causes pain and even more damage. The bones try to repair themselves, but this is not very successful, so it results in a more uneven surface of spurs and cracks. The synovium also produces extra fluid, which results in swelling, and there are changes to the ligaments, which cause movement restriction. Muscles may also become weaker Progression is slow and many patients diagnosed with OA will not suffer a great degree of deterioration (Gazella, 2009). The most common other form of arthritis is rheumatoid arthritis (RA), which has a different pattern of signs and symptoms, although some of the symptoms may overlap. Symptoms of OA can also vary, with flares and remission, which can make diagnosis more difficult. Other factors such as the cold and damp weather often can increase pain. One complication which can occur is calcification, which is when deposits of calcium crystals form in the cartilage to cause further swelling and the joint can become hot and red. Pain and stiffness in the joints are the most common symptom. The pain is often worse after exercise and when you put weight or pressure on the joint. Your joints may ache, or the pain may feel burning or sharp. For some people, the pain may come and go. Constant pain or pain while you sleep may be a sign that your arthritis is getting worse. When you have arthritis, getting up in the morning can be hard. Your joints may feel stiff and creaky for a short period of time, until you get moving. You may also get stiff from sitting. The muscles around the joint may get weaker. This happens a lot with arthritis in the knee. Arthritis can cause swelling in joints, making them feel tender and sore. Joints can start to look like they are the wrong shape, especially as arthritis gets worse. As it gets worse, you may not be able to fully bend, flex, or extend your joints. Or you may not be able to use them at all. Your joints may make crunching, creaking sounds. This creaking may also occur in a normal joint. But in most cases, it doesnt hurt and doesnt mean that there is anything wrong with the joint. The phrase morning stiffness refers to the pain and stiffness you may feel when you first wake up in the morning. Stiffness usually lasts for 30 minutes or less. It can be improved by mild activity that warms up the joint (Shaw, 2012). There are several factors that can increase the risk for developing osteoarthritis, including heredity, obesity, injury, or overuse of certain joints. People born with abnormalities are more likely to develop osteoarthritis. Some people have an inherited defect in one of the genes responsible for making collagen a major component of cartilage; this causes defective cartilage, which leads to more rapid deterioration of joints (Gazella, 2009). Obesity increases the risk of osteoarthritis. Maintaing ideal weight or losing excess weight may help prevent osteoarthritis, or decrease the rate of progression once osteoarthritis is established. Injuries contribute to the development of osteoarthritis. For example, athletes who have knee-related injuries may be at higher risk of developing osteoarthritis of the knee. In addition, people who have had a severe back injury may be predisposed to develop osteoarthritis of the spine. People who have had a broken bone extending into the joint margin are prone to develop osteoarthritis in that joint (Osteoarthritis, 2009). Overuse of certain joints increases the risk of developing osteoarthritis. Osteoarthritis is not associated with fever, weight loss, or anemia. As of now there is no known cure for osteoarthritis, but treatments can help to reduce pain and maintain joint movement. Acetaminophen (Tylenol) can relieve pain, but doesnt reduce inflammation. It has been shown to be effective for people with osteoarthritis who have mild pain to moderate pain. Taking more than the recommended dose can cause liver damage (Mayo Clinic, 2012). Non-steroidal anti-inflammatory drugs (NSAIDs reduce inflammation and reduce pain. Over-the-counter NSAIDs can cause stomach upset, ringing in your ears, cardiovascular problems, bleeding problems, and liver and kidney damage. Narcotics typically contain ingredients similar to codeine and may provide relief from more severe osteoarthritis pain. These stronger medications carry a risk of dependence, though that risk is thought to be small in people who have severe pain. Side effects include nausea, constipation, and sleepiness (Researchers from National Research Center Describe Findings in Osteoarthritis, 2012). Working with a physical therapist can help. The physical therapist can work with you to create an individualized exercise regimen that will strengthen the muscles around your joint, increase the range of motion in your joint and reduce your pain. Find ways to go about your day without stressing your joints. Consider trying splints, braces, shoe inserts or other medical devices that can help reduce your pain. These devices can immobilize or support your joint to help you keep pressure off it (Gazelle, 2009). The Arthritis Foundation and some medical centers have classes for people with osteoarthritis or chronic pain. These classes teach skills that help manage osteoarthritis pain. Injections of corticosteroid medications may relieve pain in the joint. During this procedure the doctor numbs the area around the joint, and then inserts a needle in the space within the joint and injects medication. The number of cortisone shots you can receive each year is limited, because the medication can cause joint damage (Mayo Clinic, 2012). Injections of hyaluronic acid derivatives may offer pain relief by providing some cushioning in your knee. These treatments are made of rooster combs and are similar to a component normally found in your joint fluid (Mayo Clinic, 2012). In joint replacement surgery (arthoplasty), the surgeon removes the damaged joint surfaces and replaces them with plastic and metal devices called prostheses. The hip and knee joints are the most commonly replaced joints. Surgical risks include infections and blood clots. Artificial joints can wear out or come loose and may need to eventually be replaced (Shaw,2012). Medications and other treatments are key to managing pain and disability, but another major component to treatment is your own attitude. Your ability to cope despite pain and disability caused by osteoarthritis often determines how much of an impact osteoarthritis will have on your everyday life. Make a plan with your doctor for managing your arthritis. This will help make you feel that youre in charge of your disease rather than vice versa. Studies show that people who take control of their treatment and actively manage their arthritis experience less pain and function better (Mayo Clinic, 2012). It is also important that you know your limits. Rest when you think it might be needed. Arthritis can make a person feel fatigued and makes that person prone to muscle weakness, a deep exhaustion that makes everything you do a great effort. Resting or taking a short nap that doesnt interfere with nighttime sleep may help a great deal.

American Business History for Motor Vehicle Assembler

Contained in this essay is a business history for one of the first motor vehicle assemblers in the United States. Several aspects of the company and the entire industry would be discussed herein.The company’s organizational structure was at that time hierarchically arranged, with lower management and job levels reporting to top ones—all the way to corporate governance.The company had a 5000-labor force; most were located in the assembling facilities as assemblers. Marketing employees were scattered all over the country and therefore gave the company a national outlook. Other than employees, the company had a network of associates that provided vital services and support.Like many other motor vehicle assemblers in the United States, this one, too, was initially located in Detroit, Michigan (Robert, 2005, p. 96). Among the reasons for locating in the Midwest was high concentration of various parts suppliers in the region, which helped reduce the cost of transporting to ot her areas. In addition, the high concentration of vehicle part makers and assemblers resulted to development of highly skilled population, whose employment increased company productivity.The three resources needed to run the vehicle assembler included parts and accessories, skilled labor and energy. All three components were widely available in the region and in abidance. In addition, company founders understood that increased demand for respective products would call for more of the three inputs and therefore chose to locate in Detroit, a city famed for its ability to provide industrial environmental support to motor assemblers (Nelson & Stephen, 2001, p. 147).As mentioned earlier, parts and accessories were sourced from independent suppliers although the company was manufacturing some. Labor was readily available and the company embarked on retraining employees as a way of improving assembling skills. Power was bought from independent producers who had proved reliable on that fron t.The initial capital to start the business was $650 Million that was raised from banks and share offering. The company founders first embarked on seeking bank loan on which they raised about $250 Million. The industry’s potential to create money for investors led to several wealthy individuals seeking to provide capital for the company, on which another $150 Million was realized. These amount was however not enough capital, which led to founders floating shares in New York Stock Exchange. Investors from all walks of life applied for the stock. In fact, company shares were over subscribed by over 100 percent.The final products (motor vehicles) were supplied to customers through company owned dealerships in major cities (Stephen, 2003, p. 54). The company was also encouraging individual entrepreneurs to establish own outlets to market company products.Discounts and other incentives resulted to establishment of privately owned dealership all over the country, and thus gave the company a national outlook. The company was finally able to reach its target market—all Americans hungry of enjoying the newly found mobility (Haruhito & Kazuo, 1995, p. 108).The motor vehicles were competitively priced in order to appeal to the target market. To publicize the products and create differentiation from competitors, the company was undertaking campaign tours throughout the country; privately owned dealerships were provided with assistance in marketing around respective jurisdictions.Despite the many benefits of mobility provided by motor vehicle, the company and the entire industry were concerned with fatal accidents, which resulted to legal considerations on assemblers’ liability (David, 2004, p. 18). Industry participants thus embarked on warning customers on the dangers and the need to be careful when operating motor vehicles.ReferencesDavid, A. (2004). The Genesis of American Mass Vehicle Production. Baltimore: JHU.Haruhito, S. & Kazuo W. (1995). Ford ism Transformed. New York: OUP.Nelson, L. & Stephen, M. (2001). On the Line. Urbana: UoI.Robert, A. (2005). History of   US Auto Industry. Albany: SUNNY.Stephen, M.   (2003). Competition Management in US Auto Industry. Albany:   SUNNY.

Abraham Conclusion Essay

While writing the whole play for my group, and doing research, I learned a lot of things about Abraham. God helped Abraham a lot, first with the blessing, then Lot, and even for the birth of Isaac. Most of the time when something bad happens, Abraham doubted God. God never zapped him, or kill him, He was patient. At the end, Abraham could not help Isaac find a wife himself for he is weak and old, he trusted that God will help him like the way God helped him before. I think faith means to trust God completely, 100%. True faith is shown, when you yourself could not help anymore, only God could. And you trust unto Him a very hard job, being sure that He will be able to do it. See more: Beowulf essay essay This happened when Abraham was too old to go look for a wife for Isaac, he had faith that God will find one for him, and God did. What I learned about God while reading about Abraham is that God is very patient. Every time Abraham questions or doubts him, he doesn’t get angry. I also learned that God is faithful and true to his word. Every single promise God made came true, though not the way some people expected it. Last of all, I learned that God is omniscience. Though Sarah is very old and beyond the age of child bearing, God was able to make her have her son, the son that was the one to take the true blessing, Isaac.

Invasion of Australia essays

Invasion of Australia essays Invasion, Settlement or Colonisation For over 60,000 years Aboriginal people lived on this continent, owning, caring for and being sustained by the land. With their deep knowledge of nature and respect for the environment in which they lived, they developed a successful economy and a rich spiritual and cultural life. 1788 saw the arrival of Europeans and the decimation of the aboriginal people. 1. Enter territory with armed forces to attack, damage or occupy it. 2. Crowd in; tourists invaded the city. 3. Penetrate harmfully; the disease had invaded all parts of the body. Invasion suggests that there was already an inhabitant of the land and that the land of the inhabitants was. It also suggests that there was force used in claiming the land from its original inhabitants through use of military force. The European government that came to colonise Australia referred to the land as Terra Nullius, which means land that belongs to no one. They divided up land that was not theirs and built houses and farms. The aborigines were seen as savages. 1. Not civilized; barbaric: a savage people. 2. Ferocious; fierce: in a savage temper. The Aborigines were forced off their native land and when they opposed they were shot, hung or executed by other means. One such occasion was the Battle of Pinjarra. They might have called it the Battle of Pinjarra but like all of the massacres of the Aborigines it was more a case of wholesale slaughter than of some equally poised, European-style battle. Wrote Bruce Elder in his book Blood on the Wattle: the massacres and maltreatment of Australian Aborigines. Invasion, Settlement or Colonisation When the continent was invaded by Europeans in the nineteenth century, the White historians who wrote about Australia included a section on the nati ...

Ishi Living the Way essays

Ishi Living the Way essays Ishi has always strived to help his family; ingrained in him is a responsibility and desire to help protect and provide for them. Life for the remaining Yahi people becomes more and more complicated as their population decreases, and the saldu presence in the Yahi world increases. Ishi and his family are constantly adapting their lifestyle to survive in an ever-changing world. The one constant in Ishis life, weather he is living in the Yahi world or the saldu world, is his endless quest to live in accordance with the way, or in harmony with nature. Imbedded in Ishi is a respect for all the creatures around him. Ishi feels one with the world around him, the animals around him are not lesser beings, and they are an essential part of the world Kaltsuna and Jupka created thousands of years ago. A small cotton-tail rabbit came out of the brush, hopping closer and closer to him...with a last hop, rabbit landed between Ishis hands....I am hungry. My People are hungry. It is the duty of the hunter to take what he can. But this four-footer I shall not take. It came to me without fear, knowing I was not hunting.(Ishi last of his tribe Pg 46) How many could say truthfully, that near starving they would let an easy catch go? Not many. Ishi follows the way and does not take anything he doesnt need, or kill animals that come to him when he isnt hunting no matter how hungry he is. To Ishi what is one night of hunger for the life of a rabbit that trusted him? Ishi shows this kind of respect again while hunting the spring deer with Timawi. They observe the deer eating, and get the attention of the deer. They kill one of the younger males, and when they are finished they cover up all traces of the kill. The Yahi use the entire deer, the meat, the hide and the bones. The other deer and the birds and rabbits which had been close by disappeared into the brush...But there was no panic...nothing wa...

National Public Health Performance Standards Assignment

National Public Health Performance Standards - Assignment Example While answering these questions, responses given to the National Public Health Performance Standards helps in identifying the strengths and weaknesses as well as the opportunities available for investment by the public health. One of the national performance standards is to Inform, educate, and empower people about health issues. According to the crafters of this standard, its main service include providing health information, offering the public with health education and promotion of health activities which are designed to reduce the risk of health among the people, consequently promoting better health to the public (â€Å"Centre For Disease Control And Prevention†, 2013). Focusing on partnering health education and health promotion programs with schools, faith communities, and work sites, personal care providers, among others so as to implement and reinforce health promotion programs strengthens the standard. Through such programs, the public is aware of the most important health messages they wish to send across to the people. More particularly, the exploitation of a number of channels to communicate these messages such as the social media and media advocacy has successfully communicated these m essages to the people. Thus, the biggest strength of this standard is the effective communication of important health information and education to the public through different channels. School programs and religious organizations used as platforms for the spread of the information successfully make sure that all people receive the information on time. Outbreaks of diseases and immunization as well as education of the public on the various ways of maintaining their health is strength of the standard (â€Å"Centre for Disease Control and Prevention† 2013). Because of the application of these standards, I would expect the public to be more vigilant on the need to maintain their health. According to the feeding activities of the

Why has feminism not been able to remove all sources of gender Essay

Why has feminism not been able to remove all sources of gender discrimination - Essay Example This essay "Why has feminism not been able to remove all sources of gender discrimination?" outlines the possible reasons why the women haven’t achieved the due recognition and the feminism movement. Apart from the pre conceived mindset of men being the superior forces, the cultural barriers and the cultural mindset that believes the man to be in a stronger position from different perspectives should be eliminated and equal opportunity and equal capability based mindset should be harnessed which will allow for the gender discrimination to get eliminated. The report published showing the findings from Great Britain institutions also come along with recommendations. Few of these include the introduction of clauses where the political parties are bound to increase the number of seats that they must dedicate to women. Similarly, other business enterprises, both private and government assisted must reserve quota for women which will allow for more inclusion of women. The lack of skilled women and the lack of women who can meet and fulfill the criteria of becoming the top heads of the business organizations or the government institutions or the political parties, all these would require women to be equipped in an effective manner. The need is to impart true means of education and empowerment amongst the women from grass root level. Policies and actions must be devised which will help the women in a longer run towards becoming an equal and effective members of the society and decision-making corridors.