life lessons :: essays research papers

  Ã‚  Ã‚  Ã‚  Ã‚  Since I was young until now, I have learned a lot of life’s lessons. And some I go by, and some I use once and then get rid of them. But there are ones that I keep for a short time, and keep for a long time, because you never know when they will come in handy.   Ã‚  Ã‚  Ã‚  Ã‚  The ones that I have still, they are good ones. I keep the good ones, and just forget the bad ones, because why keep lessons that will not help get you some where or get you out of a jam. Having little good life lessons is a lot better than having a lot of great life lessons or a lot of bad life lessons.   Ã‚  Ã‚  Ã‚  Ã‚  There is one main life lesson that I use all the time. And it is, to never be a quitter, because being a quitter is worse than losing. Being a quitter is even worse than being a loser. Cause, who would want to be called a quitter their whole life. I would rather spend extra time trying to get it down and done, then be a quitter. Cause if you quit at one thing, most will quit every time a roadblock is in their way.   Ã‚  Ã‚  Ã‚  Ã‚  Life lessons are good for people. They can help you more than they can hurt you. They really don’t hurt you, because they are like warnings for the bad stuff out in the world today. They are just little helpful hints. They are especially helpful when you are in the time of need. If a life’s lesson hurts you, you are using them in the wrong way.  Ã‚  Ã‚  Ã‚  Ã‚     Ã‚  Ã‚  Ã‚  Ã‚  I think the more life lessons you get and keep is good for your self-character. They show good character about you to other people. Because you don’t want to have badly self image. Because if other people see it as a bad self image, then you will try so hard to make it look like a good self image, and that you have good character, then it will make you look self absorb.

Mending Wall Poetry Analysis Essay

The neighbour keeps resorting back to the same simple argument and point of his father’s saying, â€Å"Good fences make good neighbours. † The speaker continues to remain unconvinced and presses the neighbour’s old-fashioned stubborn claims to be overlooked despite his reluctance to be swayed. The piece remarkably is quite simplistic in the way that the vocabulary of the poem contains no real fancy words, most are short and the majority can be used in conversion in everyday life. There are no stanza breaks, obvious ending rhymes or overall rhyme scheme observed either. The repetition of whole lines is surveyed twice throughout the poem however. â€Å"Something there is that doesn’t love a wall,† is the opening line of the piece and is repeated on line thirty-six. This is a reoccurring idea that this wall should not be up standing in the first place as it is unnecessary. Frost says that there is a natural force that tears down these walls as they are unnatural. The repetition emphasises that it only separates us from being able to build last longing relationships from those who may be on the opposite side to that fence. The other replication noticed is of the motto of the neighbour’s father, â€Å"Good fences make good neighbours. † This phrase holds a very strong importance to the speaker’s neighbour. In no way, shape or form does the man over the wall want to change his sturdy built tradition of his father’s trusty and wise wisdom. Frost would rather the neighbour think for himself and for him to grasp the opportunity to do something different rather than continue to â€Å"move in darkness† and let go of the unneeded barrier between that lies between them. One interpretation is that Frost could be trying to convey is one of unnecessary barriers and dead-ends. Excuses not to alter their lives, not to form new friendships or develop and build even stronger ones. The title Mending Wall could mean anything but fixing the fence between the two blocks of land but refer instead to the broken relationship that exists between two human beings.

Who Feels Grief - 1779 Words

Little by little, hour by hour, day by day, people die. The people that die could be loved ones, strangers, friends, foes, just about anybody! Death is a terrible ordeal that one has to go through. Although people die every day the loss that someone feels changes them; as well as those they love, those they were close too, even those they don’t know. How can something that is so frequent effect people in tremendous days? Shouldn’t death be expected? Though people are always cautioned to expect the unexpected, when something catches you by surprise however, it can throw you for a whirl. After the death of a loved one, one of the main emotions felt is grief. This leads one to ask quite an important question: what exactly is grief? Grief is defined as a deep sorrow that is often brought out by the death of a loved one. This intense sadness can cause a chain reaction of events that can eventually lead to suicide. Who is susceptible to grief? Just about anyone honestly. No one is able to escape from death. Nearly everyone has experienced this sort of misery at one time or another. One important group that is extremely vulnerable to intense grief are teenagers. At this time of age and time, teenagers have an array of emotions. Teenage hormones are frightening thing. Happy one minute, depressed the next, teen emotions are all over the place. Therefore, it is important to understand just exactly how teenagers deal with grief in this time of age. With all sorts of raging emotionsShow MoreRelatedThe Stages Of Grief Have Been A Topic Of Debate In Grief1553 Words   |  7 PagesThe stages of grief have been a topic of debate in grief counseling since their introduction in 1969 by Elisabeth Kubler-Ross, in her book â₠¬Å"On Death and Dying†. These stages of grief can be loosely described as a cycle of emotions that humans can expect to feel, resulting from some type of unexpected loss. Grief and loss is very normal process, and something most people will be forced to cope with at some point in their lives. However, to categorize each person’s feelings into an arbitrary setRead MoreThe Sadness Of Losing Someone You Love Never Goes Away Completely1125 Words   |  5 Pagesthat it keeps you from resuming your life, you may be suffering from a condition known as complicated grief. Complicated grief is like being stuck in an intense state of mourning. You may have trouble accepting the death long after it has occurred or be so preoccupied with the person who died that it disrupts your daily routine and undermines your other relationships. Symptoms of complicated grief include: Intense longing and yearning for the deceased Intrusive thoughts or images of your loved oneRead MoreWhat is Grief?1639 Words   |  7 Pages Grief can occur from any trigger in a person’s life. It is an universal emotion that once it takes hold of someone it can take days to years to be able to get out of a grieving slump. Without support from others, the grief can manifest deeper inside the emotional sanity of that person. Sometimes all it takes for someone to get over their grief is help and kind understanding from those around them. When someone is grieving, many people around them feel uncomfortable not knowing how to help, but whenRead MoreExploitation of Grief and Loss of 9/11 Essay862 Words   |  4 PagesExploitation of Grief Jess Walter creates a post 9/11 world that balances precariously between real and surreal. It is real enough that the reader is able to comprehend how awful the attack truly was; but surreal enough that the reader feels the same way most Americans did at Ground Zero—confused, frightened, and grief stricken. Remy, the unwilling hero in all of this is exposed to many different forms of grief both public and personal. Using irony and satire, Walter critiques the way publicRead MoreThe Loss Of A Loved One1719 Words   |  7 Pages(Jacobs 1993). What is Grief and it’s Stages Grief refers to the psychological reaction to the bereavement, the death of a loved one. When a person dies who has been a close companion and with whom we have had a close bond with, many changes in our life have to be taken in. Death of a long-term partner can force on us a need to redefine ourselves and it is not an easy task. Grief becomes a problem when someone gets stuck in grief, this is know as â€Å"complicated grief† or â€Å"chronic grief†. Factors that contributeRead MoreEssay about Reaching Acceptance: the Five Stages of Grief1141 Words   |  5 Pagesfaced with grief, an individual must go through all of the five stages, whether it is for a brief or extended period of time in order to reach the final stage of acceptance. Denial is the first logical stage that one feels when trying to cope with trauma because it feels safe to trick oneself into thinking that the event did not actually occur. Anger follows when the individual realizes that the trauma did oc cur and there is nothing to make it better. Depression is the third stage in the grief processRead MoreCompassion Fatigue Resulting From Disenfranchised Grief1683 Words   |  7 PagesCompassion Fatigue Resulting from Disenfranchised Grief in Health Care Professionals Kathryn Brown Denver School of Nursing SOC 220, Cohort A Compassion Fatigue Resulting from Disenfranchised Grief in Health Care Professionals This paper explores the emotional differences that people in the health care profession experience when it comes to the death of a patient. It defines the bereavement role, the four tasks of mourning, disenfranchised grief, compassion fatigue and how ambiguity and a lackRead MoreUnderstanding Grief During The Hands Of Caring Nurses1184 Words   |  5 PagesUnderstanding Grief in the Hands of Caring Nurses Introduction Grief is a process of dealing with the permanence of a loss or separation and how that occurrence affects one’s well-being (Nader Salloum, 2011). This paper will discuss several types of grief, their characteristics, and the nurses’ role in recognizing and delivering appropriate interventions to help alleviate the disruptive nature of grieving. Grief in children, their perception of death and loss, and nursing interventions in dealingRead MoreAging Process Essay1089 Words   |  5 Pagesarticle I chose to read was about grief, and how to cope with it. The loss of a loved one cause’s great stress can temporarily interfere with concentration, decision making, and work performance. With enough support and help, grief can promote personal growth of all of those involved in the process. According to this article, grief can be triggered by extreme isolation, depression, or other additive behaviors. Other indicators that show one who is dealing with grief may include quick replacement ofRead MoreHistory And Theories Of Grief1622 Words   |  7 PagesHistory and Theories of Grief Toronto Art Therapy Institute April 20, 2017 Instructor: Claudia McKnight 2 â€Å"The hardest thing that I have ever had to hear was that my child died. The hardest thing that I have ever done is to live everyday since that moment.† This is a famous quote that emphasizes the feelings of parents who have lost a child. It is frequently said that the grief of bereaved parents is the most intense grief known; therefore

Explaining Glasnost and Perestroika

When Mikhail Gorbachev came to power in the Soviet Union in March 1985, the country had already been steeped in oppression, secrecy, and suspicion for over six decades. Gorbachev wanted to change that. Within his first few years as general secretary of the Soviet Union, Gorbachev instituted the policies of glasnost (openness) and perestroika (restructuring), which opened the door to criticism and change. These were revolutionary ideas in the stagnant Soviet Union and would ultimately destroy it. What Was Glasnost? Glasnost, which translates to openness in English, was General Secretary Mikhail Gorbachevs policy for a new, open policy in the Soviet Union where people could freely express their opinions. With glasnost, Soviet citizens no longer had to worry about neighbors, friends, and acquaintances turning them into the KGB for whispering something that could be construed as criticism of the government or its leaders. They no longer had to worry about arrest and exile for a negative thought against the State. Glasnost allowed the Soviet people to reexamine their history, voice their opinions on governmental policies, and receive news not pre-approved by the government. What Was Perestroika? Perestroika, which in English translates to restructuring, was Gorbachevs  program to restructure the Soviet economy in an attempt to revitalize it. To restructure, Gorbachev decentralized the controls over the economy, effectively lessening the governments role in the decision-making processes of individual enterprises. Perestroika also hoped to improve production levels by bettering the lives of workers, including giving them more recreation time and safer working conditions. The overall perception of work in the Soviet Union was to be changed from corruption to honesty, from slacking to hard work. Individual workers, it was hoped, would take a personal interest in their work and would be rewarded for helping to better production levels. Did These Policies Work? Gorbachevs policies of glasnost and perestroika changed the fabric of the Soviet Union. It allowed citizens to clamor for better living conditions, more freedoms, and an end to Communism.   While Gorbachev had hoped his policies would revitalize the Soviet Union, they instead destroyed it. By 1989, the Berlin Wall fell and by 1991, the Soviet Union disintegrated. What had once been a single country, became 15 separate republics.

Effective Cold Sore Home Remedies - 1271 Words

Effective Cold Sore Home Remedies It may be your time to try cold sore home remedies after other formal treatments have not fully solved the problem. These sores are such a nuisance they go for a season and come back a gain. This time, I thing we need more determined or robust home remedies for cold sores to deal with this. Cold sores, sometimes called fever blisters, are small blisters that come up around the mouth and nostrils. They usually appear toward the end of a cold. The virus that causes cold sores is known as herpes simplex virus. Most of us have natural immunity that enables us to keep it under control. Cold sores can easily spread out to other people and usually younger people are the ones who suffer from it. After first†¦show more content†¦Essential oils are very strong in breaking the back of many ailments when they are applied properly. Please seek approval from your dermatologist to make sure your skin type supports different essential oils. Punctual St John’s wort Add the following components together in dark colored bottle for treating your cold sore. Home remedies like this type is useful for external sores. 4 droplets of tea tree oil 4 droplets of eucalyptus oil (species radiate) 2 droplets of spike lavender 3 droplets of geranium essential oil 3 teaspoons of St John’s wort infused oil Add the first four oils drop by drop into a dark closable bottle and then add the St John’s wort infused oil last. Shake the bottle for the oils to mix evenly. Put the tightly closed bottle in a dark bottle in a cupboard for a day where the temperature is not more that 75 degrees Fahrenheit. Clean up you cold sore and make sure it is dry and apply a drop to it about twice a day until the sore is gome. Vitamins are always necessary L-lysine is a major booster There is an amino acid called arginine which helps the herpes virus to multiply. This arginine can be conquered by another amino acid called L-lysine which prevents the cold sores to spread. This L-lysine, is an essential amino acid which is necessary for human health but the body can t manufacture it; it has to be gotten from food. Use the L-lysine vitamins and supplements as suggested by the label. The dosages vary for a new outbreak or preventive

Manipulations of Memory Used by Orwell and Williams Free Essays

The steady development of â€Å"Big Brother† as the all-controlling entity in George Orwell’s 1984 is the premise for the role truth plays throughout the novel. Truth is functioned against society for the benefit of the government. Similarly, Tennessee Williams creates a uniquely different environment for his characters in The Glass Menagerie while maintaining the same function of truth as a source of distortion and control. We will write a custom essay sample on Manipulations of Memory Used by Orwell and Williams or any similar topic only for you Order Now Collectively, the themes of dehumanization in 1984 and distortion of memory in The Glass Menagerie relate to one another regarding the function of truth in each work to substantiate a sense of authority and deception. Oppression in 1984 as a direct instrument of dehumanization is made quite evident within the text. The inner-party uses several brainwashing and torture tactics to rid society of past memories and experiences. The effects these tactics have upon truth are substantial in their regard. The intent of â€Å"Big Brother† is to reduce human beings understanding to a more basic, easily manipulated and empty slate where the agendas of the inner-party can be executed with ease. We see the extent to which understanding of the past affects one’s attitude about the present when Winston states, â€Å"And when memory failed and written records were falsified—when that happened, the claim of the Party to have improved the conditions of human life had got to be accepted, because there did not exist, and never again could exist, any standard against which it could be tested† (Orwell 93). This quote is said following Winston’s frustrating conversation with the old man about life prior to the Revolution. Winston is coming to terms that the party has deliberately set out to weaken people’s memories in order to render them unable to challenge what the Party claims about the present. If no one remembers life before the Revolution, then no one can say that the Party has failed humanity by forcing people to live in conditions of scarcity, filth, ignorance, and famine. Rather, the party uses rewritten history books and falsified records to prove its good deeds. This proves the theory that truth is dependent of memory and without memory truth is subject to manipulation and in this case dehumanization. Orwell not only suggests this theory through the events observed in Winston but also through Winston’s own surrender to â€Å"Big Brother† and its definition of truth at the end of the novel. After the inner-party’s relentless attempt to purge Winston of any prohibited thoughts, they achieve their goal of dehumanizing him. The narrator brings closure to the novel as he describes Winston’s â€Å"new† character. â€Å"He gazed up at the enormous face. Forty years it had taken him to learn what kind of smile was hidden beneath the dark moustache. O cruel, needless misunderstanding! O stubborn, self-willed exile from the loving breast! Two gin-scented tears trickled down the sides of his nose. But it was all right, everything was all right, the struggle was finished. He had won the victory over himself. He loved Big Brother†, said the narrator (Orwell 297). Winston’s curiosity towards â€Å"Big Brother† was prevailing during the earlier parts of the novel. This curiosity soon transforms into animosity urging him to join a rebel group to overthrow â€Å"Big Brother†. Despite these negative feelings, the power of dehumanization works against what years of curiosity have said to Winston to be true. His memory of â€Å"Big Brother† as being counterproductive to society is no longer existent because his present situation says that â€Å"Big Brother† should be loved unconditionally. The fact that Winston’s conversion was successful should focus the reader on truth and memory and how they are comparable. The dehumanization of memory stands as a principle theme in 1984 and it is through this theme that Orwell functions truth to reveal the desire of deception. Tennessee Williams takes a corresponding approach to truth and its function in his play, The Glass Menagerie. The characters, Amanda, Tom, and Laura all face the similar dilemma of a falsified perception of reality. The mother, Amanda, is the most blatant character in denial. Her situation as a single mother raising two children has subliminally deceived what she sees as factual. In a conversation with Laura Amanda is quoted â€Å"Why you’re not crippled, you just have a little defect — hardly noticeable, even! When people have some slight disadvantage like that, they cultivate other things to make up for it — develop charm — and vivacity — and — charm† (Orwell 18)! Seemingly everyone is quite aware that Laura is crippled however, Amanda will not come to terms with this occurrence. She deals with this unfortunate fact by lying to herself that her daughter is not crippled thus proving there to be little veracity to any memories she has. Throughout the play Amanda is full of deceptions. Amanda changes her style of speech to a southern accent when Laura’s gentleman caller arrives. Amanda states â€Å"â€Å"light food an’ light clothes are what warm weather calls fo†Ã¢â‚¬  (Orwell 63). The reader is told that Amanda was born in the south. In spite of that, this is the first time she speaks with a southern accent. Amanda explains her newly discovered accent as her â€Å"rejuvenated† personality but the reader can assume this is her attempt to mislead the people around her to believe she is something that she is not further revealing her deceitful memory. Consequently, Tom and Laura are trapped by this illusion Amanda creates. Laura is highly dependent upon her mother therefore she is influenced by Amanda’s views. Tom carries the burden of providing for his family and cannot leave from this world of lies and untruths. Amanda’s present state has distorted her memory and essentially distorted her sense of self and reality. Her ability to do this has given her control of what she can feel and therefore how she can live her life despite not being able to escape from the poverty stricken life. Despite having contrasting influences behind their respected themes, 1984 and The Glass Menagerie share a common purpose to gain control over reality through the manipulation of truth. In 1984 Winston observed and experienced the tactics that â€Å"Big Brother† used to give the public a misleading view of truth. Through dehumanization, â€Å"Big Brother† achieved full authority over its citizens by erasing all memories of life before the revolution. With no memories to go by society was at the mercy of â€Å"Big Brother† and what the inner-party considered acceptable. People could not judge right from wrong because â€Å"Big Brother† was all they ever knew. The Glass Menagerie is comparable is the sense that Amanda needed to gain control over her life which seemed to be spinning into the ground. She was helpless and this feeling led her to shape her own reality in order to regain this sense of control. People are typically fearful of things they cannot conquer. Amanda could not achieve freedom from her environment therefore she created her own path through a deceptive memory. Her children were trapped in this life of lies just as Winston was in 1984. In both works we see a desire of power to control their respected situations. 1984 sought for the control of society whereas The Glass Menagerie sought for the control of the Wingfield future. The power of memory is existential to the human ability of perceiving the present. George Orwell’s 1984 and Tennessee Williams’ The Glass Menagerie manipulate memory in such a similar fashion that their functions of truth are nearly identical concerning their purpose. In 1984 truth is functioned against society for the sake of â€Å"Big Brother† and the inner-parties agenda through dehumanization. Similarly, Orwell uses Amanda’s character in The Glass Menagerie to demonstrate the importance of memory and how one’s own deception of truth can distort their reality dramatically. Both pieces of work complement one another and solidify the case that memory or a deceitful memory for that matter is vulnerable to exploitation and the effects can be substantial in regard to one’s sense of actuality. How to cite Manipulations of Memory Used by Orwell and Williams, Essay examples

Concept Map and Guided Question Response-Samples for Students

Questions: 1.Explain the Pathogenesis causing the clinical Manifestations with which Mrs Brown presented. 2.Discuss two high priority nursing strategies to manage Mrs Brown and provide evidence-based rationales for these strategies. 3.Discuss the mechanism of action of these two drugs, and relate to the underlying Pathogenesis of an acute exacerbation of chronic left-sided heart failure. Answers: 1.The case study provided informs that the clinical manifestation in Mrs. Brown was tachycardia, tachypnoea, dyspnoea, hypertension, and decreased level of oxygen saturation. The other things that caused concern in the patient were the lung auscultation reports that showed bilateral basal crackles. By performing the electrocardiogram test, the patients condition was diagnosed as chronic left-sided heart failure. Arterial fibrillation was evident from the electrocardiogram tests performed. Systolic and Diastolic dysfunction The pathogenesis of this clinical condition can be explained on the basis of this manifestation. According to Dupuis, and Guazzi (2015) systolic dysfunction is the main cause of left-sided heart failure. It is known to be the main etiological factor. Systolic dysfunction is the condition characterized by poor capacity to pump out blood. It relates to the poor ventricular contraction. The causative factor underlying this phenomenon may be the impaired functioning of myocytes or fibrosis. When the blood flow is resisted to a level above the threshold, creating afterload and consequently systolic dysfunction. The cumulative effect of this processes is the overstretching of the left ventricle and impaired myocardial contractility. In short, systolic dysfunction is significantly responsible for the heart failure. The onset of heart failure is also initiated by the Diastolic dysfunction to some extent. The hindrance to the ventricular relaxation and filling causes diastolic dysfunction. It is evident from the stiffness of the wall, during this condition. In the patients with the left-sided heart failure, ventricular contractility is impaired. It give rises to the condition like myocardial infarction or ischemic heart (Kraigher-Krainer et al., 2014). During systolic dysfunction and impaired ventricular contractility, the patients also exhibit dilated cardiomyopathy. It is the another feature of left-sided heart failure. The overload can also be contributed by the aortic regurgitation. Overload in this patients causes uncontrolled Systemic hypertension. This may occur together with the aortic stenosis (Craft et al., 2015). Homeostasis In addition to the systemic factors, the deleterious consequences of the left-sided heart failure is also linked to the mechanism that maintains homeostasis in our body. Based on the various clinical examinations it was found that the left-sided heart failure is the outcome of the cascade of events (Adeniran et al., 2015). The factors that are involved in this process are- Continuous sympathetic activation accentuated heart rate increased circulating volume preload in conjunction with increased total peripheral resistance chronic elevation of angiotensin II enzyme aldosterone hormone In the given vase study, the two main symptoms of the diagnosed left-sided heart failure manifested will be focused for understanding the pathophysiology. Shortness of breath The shortness of breath experienced by Mrs. Brown may have occurred because of the pulmonary oncotic pressure. left-sided regurgitation contributes to decreased pulmonary compliance. It occurs because of the extravasation of fluid into the pulmonary interstitium. The increased airway resistance also reflects it. The process leading to the bilateral basal crackles ca ne explained by the worsening pulmonary edema. The lung bases have greater hydrostatic forces and before inspiration, closure of small airways occurs due to interstitial edema. If this condition is serious, crackles are represented by higher lung regions (Rosenkranz et al., 2015). 2.The prevailing condition of Mrs. Brown can be treated by evidence based nursing strategies. The patients health condition is deteriorating with increased respiratory rate and low level of oxygen saturation. In this situation, oxygen therapy is the effective way to prevent the pulmonary congestion and hypoxia (Miguel-Montanes et al., 2015). It will improve the oxygen saturation. Nurses must monitor the patent under this action plan to ascertain the intervention. The nurse must ensure adequate ventilation by using the nasal cannula. The oxygen mask may create temporary suffocation must be mitigated by the nurses. Nurse actions under this strategy involves taking preventive steps fr probable occurrence of emphysema and hyperinflation of the lungs (McMurray et al., 2012). Mrs. Browns heart rate was elevated above the normal limit. It is necessary in this stage to maintain the satisfactory cardiovascular functioning. Under the supervision of the physician, nurse can administer Digoxine as prescribed. Thus medication improves the contraction and rhythmicity of the heart. It improves the cardiac output by enhancing the myocardial contractility. It will lead to stabilization of the heart rhythms (Ambrosy et al., 2014). The role of the nurse is to monitor and report to the physician in case of contraindications or adverse outcomes. In addition to the pharmacological intervention, the non-pharmacological interventions for the nurses can be emphasizing on self-care programs for the patient. The urinary output can be measured as part of the diuretic therapy (Lilley et al., 2014). Mechanism of action of IV furosemide and sublingual glyceryl trinitrate This section deals with the mechanism of the drugs and relation to the acute exacerbation of the chronic condition. IV furosemide: This drug is diuretic and functions to block the reabsorption of sodium, chloride, and water from kidney. It is effective to treat oedema as it eliminated fluid from the body by increasing urine output. Oedema is decreased by diuresis and pleural effusions, thereby lowering the blood pressure. It is usually administered for the management of left-sided heart failure (davisplus.fadavis.com., 2017). Sublingual glyceryl trinitrate: Thus drug is used for prophylactic management of angina pectoris. It is also used in acute conditions. It is known as adjunct therapy to treat heart failure. This drug acts to dilate the coronary arteries. It improves the collateral flow to ischemic regions. Upon administration of this drug the coronary blood flow increases. This drug decreases the myocardial oxygen consumption. Thus, it is administered to relive the symptoms of heart failure by reducing the blood pressure and increasing cardiac output (davisplus.fadavis.com., 2017). Nursing implication of the drugs administered Nurse must report the physician in case of adverse outcomes. Timely assessment of fluid status is necessary in addition to regular check of vital signs and location of edema, lung sounds, skin turgor, and mucous membrane. Fall risk assessment should be conducted as Mrs Brown is an elderly patient. The patient must be educated about the fall prevention strategies, and the side effects of IV furosemide. It includes dzziness, nausea, muscle cramps, and abdominal pain. Increased heartbeat, allergic reactions and tongue ulcers are the side effects of sublingual glyceryl trinitrate. Nurses must carry out evaluation of the contributing factors of angina pain in Mrs Brown. The patient must be checked for three level of consciousness (Aitken et al., 2016). References Adeniran, I., MacIver, D. H., Hancox, J. C., Zhang, H. (2015). Abnormal calcium homeostasis in heart failure with preserved ejection fraction is related to both reduced contractile function and incomplete relaxation: an electromechanically detailed biophysical modeling study.Frontiers in physiology,6. Aitken, L., Marshall, A., Chaboyer, W. (2016).Acccn's Critical Care Nursing. Elsevier Health Sciences. Craft, J., Gordon, C., Huether, S. E., McCance, K. L., Brashers, V. L. (2015).Understanding pathophysiology-ANZ adaptation. Elsevier Health Sciences. Dupuis, J., Guazzi, M. (2015). Pathophysiology and clinical relevance of pulmonary remodelling in pulmonary hypertension due to left heart diseases.Canadian Journal of Cardiology,31(4), 416-429. Furosemide. (2017).davisplus.fadavis.com. Retrieved 12 August 2017, from https://davisplus.fadavis.com/3976/meddeck/pdf/furosemide.pdf. Kraigher-Krainer, E., Shah, A. M., Gupta, D. K., Santos, A., Claggett, B., Pieske, B., ... McMurray, J. J. (2014). Impaired systolic function by strain imaging in heart failure with preserved ejection fraction.Journal of the American College of Cardiology,63(5), 447-456. Lilley, L. L., Collins, S. R., Snyder, J. S. (2014).Pharmacology and the Nursing Process-E-Book. Elsevier Health Sciences. McMurray, J. J., Adamopoulos, S., Anker, S. D., Auricchio, A., Bhm, M., Dickstein, K., ... Jaarsma, T. (2012). ESC Guidelines for the diagnosis and treatment of acute and chronic heart failure 2012.European journal of heart failure,14(8), 803-869. Rosenkranz, S., Gibbs, J. S. R., Wachter, R., De Marco, T., Vonk-Noordegraaf, A., Vachiry, J. L. (2015). Left ventricular heart failure and pulmonary hypertension.European heart journal,37(12), 942-954.