"Mrs j is a 63 year old woman who has a history of hypertension chronic heart failure and sleep apnea she has been smoking two packs of cigarettes a day for 40 years and has refused to quit three" Essays and Research Papers

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    How Marriage Has Changed

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    In over half a century‚ marriage has transformed from being a social requirement to simply being an option in today’s society. What has caused this change? Many institutions in our society have changed drastically along with marriage. Although these institutions have not caused marriage to be optional‚ they do strongly correlate with the decreased value. The economy‚ education‚ religion‚ and government have all altered since the 1950s. When any institution encounters a change‚ all other institutions

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    account that it shows his view of the mistreatments and evils of the Victorian Era‚ along with his effort to expose them through literary methods. A befitting display of structure is evident through his giving name to the three books contained in Hard Times. The titles of the three appropriately named books are an allusion to the Bible‚ and are also "given a further twist in Gradgrind’s recommendation to ‘Plant nothing else and root out everything else’ (except facts)" (Lodge 91). In the first

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    First Ah-Ha Moment

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    1) Identify 3 “aha’s” as you have progressed through the program. My first “ah-ha” moment was while taking the first class in the program‚ N3645 Transition to Professional Nursing. We had the opportunity to learn about theorists‚ at the time I had never heard studied or taken the time to understand them‚ then I got to read the writings of Jean Watson‚ and one statement she lives by‚ “Maybe this one moment‚ with this one person‚ is the very reason we’re here on earth at this time...” (Watson‚ 2012

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    language skills that help them develop into an adult. At the age of 8 children love to play games with words and know how to spell many words. Even though they can spell many words‚ they don’t necessarily know what they mean. Children in there school age years enjoy having fun and showing others what they can do. In the 3rd grade‚ boys and girls are able to classify items that can be put in distinct categories. They can number‚ relate and can explain in words what they are doing and why. Children learn new

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    Effects of Smoking Cigarettes In this life many addictions or temptations can jump their way into the paths of many people. For example‚ some people get addicted to drugs‚ alcohol‚ and also money. Staying away from these day to day temptations is tough but is crucial to having a healthy lifestyle. Being a little more specific‚ people can get addicted to smoking cigarettes. Cigarettes contain nicotine‚ which is what people get addicted to and makes them want to have more. Smoking cigarettes can take

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    people who did not change‚ even after what they went through. Examples of these people are: Parris‚ Abigail‚ Deputy Governor Dansforth‚ and Judge Hathorne. Of all these characters‚ the individuals that should definitely be examined in deeper detail as to whether or not they changed are Abigail Williams‚ Reverend Hale‚ and John Proctor.

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    Which Mediterranean civilization has been most influential to current Spain? The constitutional monarchy of Spain is a country of many facets and that has been shaped throughout history by a myriad of influential civilizations. From the pre-Roman Celtic and Iberian culture‚ to Romans‚ Carthaginians‚ Phoenicians‚ Greeks‚ and Islam. All have left their mark on contemporary Spain. Arguably the most influential civilizations that shaped the Spanish Peninsula were the Romans and Islamic rulers. Nevertheless

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    ’The Soul Has Bandaged Moments’ Emily Dickinson   In the opening stanza‚images of restriction and confinement greet the reader. Certainly the poem explores‚ the contrasting highs and lows of the inner life. Image of horror and freight are contrasted with images of fulfilled happiness. Images of inprisoment  are contrasted with images of freedom. Yet the poem begins with the figure of fright and ends with figure of horror‚ suggesting that the soul experiences more anguish then joy. The poem may

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    Heart Failure

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    Situation: Two patients in their 70s present to the office at different times today‚ each with documented heart failure: one diastolic and the other systolic‚ and both are hypertensive. First‚ discuss the difference between systolic and diastolic heart failure‚ providing appropriate pathophysiology. ACEI/ARBs are the only medications prescribed for CHF that have been found to prolong life and improve the quality of that life. EXPLAIN the mechanism of action of ACEI/ARBs and how they affect morbidity

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    important person in my life‚ my mother. I had two fathers‚ one that left when I was only a month old (he was not sure I was his son‚ and so he divorced my mom)‚ and one that arrived when I was 5 (he had a 40-word vocabulary‚ 20 of which were cuss words). I did not realize until much later that he did not know several foreign languages (he actually did know cuss words in at least three languages). It might be sad to admit that I have no idea who my father is‚ but in the greater scheme of things

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