Monday, November 4, 2019
Federal Policy Toward Indians Essay Example | Topics and Well Written Essays - 750 words
Federal Policy Toward Indians - Essay Example Some of the ethnic groups who have suffered the discrimination policies are the American Indian. The natives have been affected by many policy reforms that deprive them of their rights making them be treated as second-class US citizens (Nancy and Steven Chap. 15). The federal policy towards Indians was meant to deprive them of some of their rights such as possession of land among other things (Forner 59). The US is dominated by the whites, and they believe the land is there and does anything they feel is best for them. Because of this, they initiate policies that benefit them at the expense of the ordinary Indians whom they do not recognize their position in the land. Because of these policies, many Indians suffer in the hands of the whites as their voices not heard and they have to accept the outcome of the policies formed. As a US president in the mid-nineteenth century, I would initiate many measures to correct the anomalies towards the Indians and any other community in the nation. There is a need to treat every citizen with the dignity they deserve and pointless of initiating policies that undermine others. Although it may be tricky to oppose those whom the president works with, more so the executives for the laws they pass, sometimes it requires courage to save the situation and break the status quo. Therefore, I would stop the implementation of the policies since a President has the executive powers of acting on issues felt to be undermining the integrity of the nation as well as that of the people. It is essential to protect the minority whose rights is threatened by the policies that whites implement. Stopping the implementation will be the key action in this case because it will prevent the misfortunes that befall the minority groups in the nation. Similarly, I will do all within my reach to restore and preserve the cultural practices of Indians because the
Saturday, November 2, 2019
Nursing Care of Myelofibrosis Following Splenectomy Essay
Nursing Care of Myelofibrosis Following Splenectomy - Essay Example Mr. Spring had marked splenomegaly and profound constitutional symptoms including fatigue and night sweats. Due to anemia, there would be hemodilution, leading to an increased burden on the heart, thus resulting in congestive cardiac failure, and this was evident from his breathlessness and peripheral edema (Tefferi, 2005, p. 8520-8530). It is quite possible that his hematologic profile was further aggravated by splenomegaly-mediated exacerbation of the cytopenias through sequestrations and destruction of hematopoietic elements. Splenectomy offered to him as a treatment modality would only reduce the splenomegaly-induced symptoms and functional abnormalities of his blood picture secondary to his marrow pathology. Postoperative Phase: After the surgery, Mr. Spring was brought back to the ward with oxygen via nasal prongs on 2 L of oxygen with him saturating at 95%. His temperature was 36.8 and he was hypotensive. He was kept under observation. A stat dose of Lasix was given to reduce the fluid overload, and his urine output was 150 mL in the first hour following the injection and in the second hour, he passed another 100 mL. The dressing on the wound was clean, and there was no obvious ooze. The patient was provided with a patient-controlled analgesia (PCA) morphine pump, and it was instructed to be on an as-needed basis, since post-surgical pain is important to prevent, and nursing has an important role to play even though it is PCA. Intravenous opioids provide immediate relief and are short-acting, thus minimizing the potential for drug interactions or prolonged respiratory depression while anesthetics are still active in the patientââ¬â¢s system (Marley & Swanson, 2001, 399-419). To prev ent deep venous thrombosis, a stocking was in place with the institution of intermittent calf compression.
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