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Fear of Parenting for this Generation - 1240 Words

Fear of Parenting With the raise of internet and easily obtainable information, many soon to be parents are able to research all of their parenting questions. People in modern times fear becoming parents due to their lack in childcare experiences. Since the 1960’s, the United States birthrate has been gradually decreasing. The lower birthrate leads to fewer adults having childcare experiences as they did not growing up caring for little brothers or sisters. Many people fear that their personality or lifestyle choices would negatively affect the upbringing of a child. The fear of parenting is so strong that people would believe anybody who claims to be an expert in raising children. Susan Cain, who is known for her book Quiet, answered questions on the difficulties of parenting with conflicting personalities. Those personalities that Cain addressed were defined as introverts and extroverts by Carl Jung. A parent shouldn’t worry about their personality or lifestyle affec ting a child’s development as a child develops from their environment. The child develops from adapting to their environment and their individual experiences with situations. What exactly are introverts and extroverts? Carl Jung, a renowned Swiss psychiatrist, studied many personalities and was able distinguished two major characteristics. One of the characteristics was extroverts. Extroverts tended to be more social and very outward with their emotions. This characteristic type depends on outsideShow MoreRelatedResidential Schools Were Government Endorsed Schools For Aboriginal Children1749 Words   |  7 Pageswhere the standing parental figures were often abusive towards them. The Legacy of Hope Foundation (2015) says â€Å"First Nations, Inuit, and Mà ©tis children were often away from their parents for long periods of time and this prevented the discovering and learning of valuable parenting skills† (para. 1). These children never had a good parental figure grow ing up, so they never learned the skills needed to be one. Therefore, when they had children of their own, they did not know how to support them. InRead MoreBeing A Child Of The 90 s Full House Essay1440 Words   |  6 Pagesshow for my generation. Least to say when I saw a spin off, Fuller House was being released this past year to Netflix I was extremely excited. Coincidently, the spin off released during the time of this course. Believe it or not, I immediately referenced parenting styles to the episode where DJ Tanner punishes her son a little differently than Kimmy Gibler punishes her daughter, although the â€Å"committed the same crime.† I am hoping to dissect this exact scene, and discuss DJ parenting style towardsRead MoreEssay on Parenting Styles and How They Affect Your Children951 Words   |  4 Pagesthe Parenting Styles and How Do They Affect Your Child? How a parent raises their child can affect the child later on in life. There are four parenting styles: authoritarian, authoritative, permissive, and neglectful (uninvolved). Each of these parenting styles can affect a child in some way. Some parenting styles have more negative outcomes than others. Some have both positive and negative outcomes. The authoritarian parenting style is a style in which the parent has the only say. This parentingRead MoreThe Authoritarian Style Of Parenting Essay1414 Words   |  6 Pageschild-parent behavior, seeking to identify parenting styles. The Baumrid study and other further studies identified four main styles of parenting (Miller, 2010): the authoritative parenting style was characterized by fair rules and consequences; The Authoritarian parenting style was characterized by strict rules and harsh punishment; the permissive parenting style was characterized by minimal rules with little or no consequences; the uninvolved parenting style was characterized by no rules, and parentRead MoreNegative Effects Of Corporal Punishment954 Words   |  4 Pages is instead causing long-term adverse effects. Corporal punishment today is seen less and less with this new generations parents. Corporal punishment was mainly seen in parenting before the 2000s. Cloud (2009) states that sociologist, Murray Straus, found that in a 1968 survey that had taken place, 94% of Americans agreed that corporal punishment was seen as an acceptable form of discipline. This percentage was then drastically dropped when Americans were re-surveyed, and 72% of those people agreedRead MoreThe Problem Of The Resistant Parent766 Words   |  4 Pagesdynamic while managing his or her stress. In most cases, the parents are resistant to needing to make changes in their home. There are many factors to address with dealing with a resistant parent. It is my objective to cover some of those issues in this post. Parents are an important factor in the treatment of a child or adolescent. It is important to empower them through psychoeducation. Most clients are resistant due to lack of knowledge and being marked with negative stigma of being â€Å"crazy†. TheRead MoreAnalysis Of The Article Battle Hymn Of The Tiger Mother By David Brooks1014 Words   |  5 PagesParenting styles differ from generations, as well as, from different countries across the world. When two different cultures collide, that leaves parents in a limbo in trying to decide what parenting technique would be the most beneficial for future offspring. Amy Chua, a Yale Law School graduate of Chinese descent, wrote a story about the details of her and her husbands’ choice in how to parent their children. The book is entitled â€Å"Battle Hymn of the Tiger Mother,† which she proclaims that â€Å"ChineseRead MoreParenting Is A Huge Public Health Issue Facing Society Today901 Words   |  4 PagesParenting is a huge public health issue facing society today (Hoghughi, 1998). The environment a parent sets for their child is important because childhood is the time when human beings are particularly susceptible and responsive to external experiences (Bornstein, 1998). Children will grow up to believe behaviors and ideals of their parents are appropriate and acceptable by society. The influence parents have on kids has a major effect on issues such as teen pregnancy, substance abuse, child abuseRead MoreShould Students Take A Parenting Class? High School?1615 Words   |  7 PagesPicture this, she is sixteen, overjoyed and excited. That time has come, kicking, screaming, shouting, and crying. Nurses in and out of the room, monitors going off, family standing there as their support system. This describes a typical labor process for most women. What most people do not know is that they are not typically prepared for the worst, or prepared at all. Having a baby is an enormous responsibility that people should be prepared for and educated about. The debate about having theseRead MoreChild Rearing Controversy973 Words   |  4 Pagesthere are those that read books about parenting. Parents come in various and diverse forms, each approaching parenting in ways as distinct as their personalities. Philosophies on child rearing can be grouped into two styles; authoritarian, authoritative parenting. These two styles are similar sounding, but have nuanced differences. Authoritarian parents hold their children to an exceedingly high level of status and success. In this style of parenting, children are expected to follow the strict

The Case Study of Bruno Smallgoods Free-Samples for Students

Questions: 1.Briefly outline the legal Responsibilities that Employers have to ensure a Safe Workplace 2.Define the term Safety Culture (drawing on appropriate academic literature) 3.Explain how a Safety Culture can Improve Safety behaviours of Employees (drawing on appropriate academic literature) 4.Identify five recommendations that Bruno Smallgoods should implement to Improve the Safety culture within the Organisation. Answers: Introduction Human resource management Human resource management is a concept that aims at improving the workplace conditions and establishing better relations between employees and employers in order to optimise the performance levels of the employees. Human resource management uses various functions, such as training and development, career development, performance management, recruitment and selection, etc. to achieve its objectives. One of the key aspects of human resource management is to ensure a safe working environment for the employees so that they can work in a healthy and safe workplace environment and perform their duties and responsibilities to the best of their abilities. Ensuring safety at workplace is not just an approach that helps business organisations in improving employer employee relations but is also a legal obligation towards the employees. An employee getting injured or losing life at workplace due to lack of safety measures or negligence ca invite a lot legal trouble and market defamation for a c ompany (Jane Mullena, 2017). Thus, ensuring a safe workplace environment and making the employees follow safety guidelines is an important part of human resource management. Company/Case background Bruno Smallgoods is an Australian based company that was founded in 1920. The company was founded by a family of butchers and farmers who had a vision of providing the Australian public with the finest quality meat that was cured using traditional Italian recipes. As of 2017, Brunos have become a major supplier of Smallgoods in the Australian market and offer a wide range of products, such as Italian salami, ham, bacon and Smallgoods. The Bruno family has been successful in achieving their vision and have a number of family owned facilities in Bundoora, and Victoria and has a workforce of over 250 employees. The company has a very basic organisational structure where the CEO reports to the Board of Directors, which is made up of members from the Bruno Family. All departments in the company have a manager and all production departments have supervisors who are responsible for the management of production line workers. In one of the health and safety investigations, the auditor discovered that the workplace was lacking safety precautions and the employees too had a poor attitude towards safety. During the survey, the auditor came across a number of instances where the employees reached the meat mincers to clear blockages while the mincers were operating. The employees had not been using their safety equipment while most of the safety barriers on the machines were removed to speed up the production proses. After the investigation, the auditor advices the management of the company to lay a greater focus on the development of a safety culture within the organisation. The CEO of the company has become concerned about the safety conditions of the workplace because they have already invested a lot of money in fostering a safe working environment but are still facing a risk where someone might get seriously injured or would die on the factory floor. As a result, the CEO of the company has hired a professi onal in workplace safety so that they can foster a safer work environment. 1.Legal responsibilities of employers to ensure workplace safety In the present day business world, the customers as well as the employees expect their companies to be more ethical in the way that they treat their employees and work towards the safety of the environment. Another important part of a companys corporate social responsibility is to ensure a healthy and safe working environment for the employees. The employees have a legal right to work in a safe and healthy environment and is also a legal binding on the employers (Hancock, 2015). It is a legal binding on the employers to ensure a safe working environment for the employees and other people who are stakeholders in their business, which means that it becomes an employers legal obligations to ensure that no harm, injury or health issue is caused to the employees while they are at the workplace. Under the law, the employers are required to provide safety precautions to the employees and educate them to undertake and follow all the safety precautions and measures that are associated with workplace tools, equipment or machinery. Under the Health and Safety at Work Act of 1974, it is is duty of the employers to: Ensure and provide safe system of work Ensure and provide a safe area for working Provide safe equipment, plant and machinery to operate Carrying out risk assessments at regular basis and taking necessary steps to deal with employee health and safety risks Educate workers by providing the workers with instructions, training and supervision about the safety risks associated with the workplace, machines, tools, equipment, raw materials, etc. Employ a person who looks after the health and safety of employees Provide facilities for staff welfare in the workplace, etc. (Anon., n.d.) Thus, ensuring safety in the workplace is a legal obligation for the employers towards their staff and an employers failure to provide a safe working place to the employees can invite legal troubles in the long run. 2.Safety Culture During the commencement of industries, workplace safety was not given much importance by the employers as they had a higher tendency to neglect it in order to increase profitability. Over the past few years, the threat to human resources have increased exponentially because of natural as well as mad made disasters (Andrea H. Okun, 2016)(Sidney W.A. Dekker, 2016)(Deirdre McCaughey, 2014). According to a report prepared by the bureau of labour statistics (BLS) in 2012, almost three million non-fatal injuries were reported by private employers during 2011. Human resources working in business organisations are constantly facing risks to their health and safety and some have already become victims to industrial disasters, such as the Chernobyl disaster, Upper-Branch mine, Davis-Besse, etc. (Cole, et al., 2013) Safety culture, in simple words, can be defined as a set of attitudes, values, beliefs and perception that a workforce possesses in relation to a safe environment at the workplace. Safety culture forms an important part of an organisations culture and is also defined by saying the way in which things are done. The term safety culture was used for the first time in the report prepared after the Chernobyl incident. The report was aimed at discussing the concept so that an explanation for the organisational errors and operator violations that resulted into the incident could be given (K.Muthuyadav, et al., 2015). Zohar (1980) used the term safety climate in his empirical investigation that was aimed at studying the attitudes of Israeli manufacturing employees and employers towards safety. He defined safety climate as a moral perception that the employees share about their work environment. 3.Role of a safety culture in improving safety behaviours The involvement of legislation in ensuring the interests and wellbeing of the employees make it a legal obligation for the employers to avoid those workplace practices that value production over employee safety. The safety culture in an organisation is helpful in representing the share beliefs, attitudes, norms and work practices that the employees and the employers have towards the health and safety of human resources in the workplace. All employees and employers play an important role in ensuring safety and health for each other and so does a safety culture. The role of a safety culture in improving the behaviour of the employees towards a healthy and a safe working environment is discussed below: A safety culture is itself a framework that helps organisation in starting a movement towards safety in the workplace. Using a safety culture, organisations are able to create a goal, write it down, share it with the workforce and then measure the achievements after implementation. An organisation working to propagate a safety culture in the workplace is able to leave a long lasting impression on the employees. The employees start to understand that health and safety is important because their employers are attaching some value to it. When an organisation is able to establish a safety culture in its workplaces, it becomes obvious that during competing priorities, safety and health of the stakeholders will always be the top most priority. Due to the presence of a safety culture, employees as well as employers attach a high value to safety as compared to productivity or profitability (Hofmann, et al., 2017). A safety culture can help business organisations not only in fostering a workplace environment that is concerned about the health and safety of all but also helps in identifying risk areas and opportunities for improvement in the near future. Such an approach can help business organisations in dealing with risks before they occur and cause a serious injury or problem to someone. A safety culture can also help a business organisation in improving its facility wide communication on health and safety topics. Communication related to health and safety topics can further help in increasing the awareness about safety and health topics amongst the employees and helps them in dealing with such risks (Middlesworth, n.d.). A safety culture can help business organisation in fostering a unified vision towards health and safety in the workplace, which helps in improving the attitude of the employees towards health and safety. It also helps in achieving a condition where all employees working in a company are involved in the drive towards safety and play an important role in ensuring workplace safety for themselves and for the others. Further, a greater participation from the employees is always helpful in achieving better results and improvements. A safety culture can also help in establishing better relations between employees and employers. When employees get a feeling that their employers are concerned about their safety and well-being, they become more committed towards their employers and start to demonstrate a greater involvement in the safety practices of the workplace. A safety culture also ensures that the employees are able to report safety or health related issues openly to their seniors because they feel that safety and health of the employees is equally important to the employers as is performance, productivity and profitability. With the help of a safety culture in the workplace, the employers can ensure a greater commitment and a positive attitude from the employees towards safety and health related practices by attaching rewards and recognition in the safety culture. A safety culture can help in improving the attitude of the employees towards safety because the value that the employers attach to employee health and safety makes it obvious that any person or employee who tries to avoid safety precautions or practices will have to face serious consequences, which can also result into dismissals if the behaviour of an employee can mean serious injury to himself or herself or to someone else (Middlesworth, n.d.). 5.Steps to improve safety culture in Bruno Smallgoods Its important for business organisations to foster a positive safety culture in the workplace because negligence of employees in taking appropriate safety and health precautions can cause legal troubles for the employers. The safety conditions prevailing in Bruno Smallgoods calls upon some serious changes to be introduced in the workplace before someone gets seriously hurt or dies because of inability to adhere to safety precautions. Some steps that can help the management at Bruno Smallgoods to improve the safety culture in the workplace are given below: First of all, the company needs to introduce some serious changes in the workplace safety culture. The company needs to carefully analyse its present position and discover the gap that exists between its present position and where it wants to see itself in the near future. The company needs to assess the areas where the workplace fails to adhere to safety precautions and establish a sense of urgency within the workplace. By establishing a sense of urgency in the workplace, it would be possible to bring it into the awareness of the employees that there is something wrong and there are certain changes required to be introduced that can help in improving the workplace conditions. The management will have to identify change agents from within the organisation that would be helpful in facilitating the change and will also have to analyse different operations and work practices where there is a lack of safety. Once the management is able to identify all those areas where a change is requir ed, it can then select an appropriate change management tool, such as Kurt Lewins 3 step model, Kotters change management model, etc. and can start implementing the designed changes in the workplace. Secondly, it is important for business organisations to include safety and health related tests in their recruitment and selection procedure. Business organisations, like Bruno Smallgoods, which are operating in a high risk environment that can cause injuries or fatalities to the workers because of usage of heavy tools, machinery or equipment should make it a point that they include safety and health related terms right from the starting of their recruitment and selection procedure. Business organisations should make it a point that they include questions about workplace health and safety in their recruitment test so that they can test the knowledge of the employees related to safety measure and precautions and can also bring it in the notice of the candidates that workplace safety is of utmost importance to the employer. The management can involve case studies and questions that can help in testing the response of the candidates related to workplace safety and risk and should chose only those candidates who have sufficient knowledge about the different safety measures that should be taken while working in a workplace and while using tools, machinery and other risk oriented equipment. This would allow the company in fostering a better safety culture within the organisation because the employees at each level of the organisation will already be aware about the importance of workplace health and safety (Barbera, 2014). Thirdly, the management at Bruno Smallgoods can also arrange for training and development programs that can help the existing employees in learning new skills and techniques that would help them in becoming more aware about the importance of workplace safety and how to ensure safety while working in a risk oriented environment. Health and safety risks increase exponentially when employees have to work with heavy machinery (cutting machines, cranes, rollers), chemicals (acids, cyanides, etc.), construction material, etc. and the risks become even greater when the employees using these machines are not fully trained to use them. An organisation that is experiencing high safety risks in its workplace should analyse the root causes of the risks and should try to bring down these safety issues by training and developing their employees so that they have a better understanding about the machines and can use them by taking all the necessary safety precautions. Using training and development programs, the management at Bruno Smallgoods will also be able to ensure that its employees receive training that can make them more competitive in preforming their tasks while also adhering to all the safety precautions that they should be following in the workplace. By implementing training and development programs that will be aimed at increasing the knowledge of the employees in terms of workplace safety, the management will be able to foster a positive safety culture because the employees will themselves start feeling the importance of following safety guidelines for their own sake and for the sake of the employer as well Fourthly, performance management programs can also help companies like Bruno Smallgoods in fostering a positive safety culture in the workplace and improving the attitude of their employees towards workplace health and safety. The management at Bruno Smallgoods can implement a performance management system where it can include key performance indicators, such as number of safety inspections, safety issues reported, safety issues resolved, safety risks prevented, total hours spent in safety and health training programs, etc. (Parmenter, 2015). Using such key performance indicators, the management will be able to rate employees or individual departments on the basis of their ability to adhere to safety guidelines. This will not only help the company in identifying employees or departments that are dedicate towards ensuring safety of employees but also identify those employees or departments where there are higher safety risks and are not demonstrating a positive attitude towards workpl ace safety. A performance management program based upon safety key performance indictors will also help companies like Bruno Smallgoods in fostering a positive safety culture and also fostering a workplace environment where the employees as well as the employers are dedicated towards workplace health and safety. The management can also attach certain rewards or benefits in order to reinforce positive behaviour amongst those employees or departments that show exception performance and have worked exceptionally well in order to ensure workplace safety for themselves as well as for those people who are working around them. Such rewards and benefits will act as a motivator for the employees working in the company and will also help in improving the safety conditions in the workplace. Last, but not the least, for the management of business organisations that operate in a risk oriented environment, it is important to post appropriate signs and warning in the workplace that can help in reminding everyone about high risk areas, equipment or machinery because even the most careful employees can sometimes forget about safety precautions while being involved in their work. Business organisations can post warning signs, such as entry prohibited areas, inflammable objects or areas, hazardous signs, safe conditions signs, information signs, mandatory or must do signs, prohibition signs or do not do signs, etc. that can not only help in making the workplace more appealing but will also ensure a positive attitude of employees towards safety. Thus, by posting sign posts at important places in the workplace, business organisations will be able to foster a positive safety culture in the organisation and increase the focus of the employees as well as of the employers towards wor kplace health and safety. Conclusion Bruno Smallgoods is an organisation that is operating in a high risk environment where its employees are always at a risk of getting severe injuries or even dying in extreme conditions because of heavy machinery, cutting tools, equipment, etc. The condition identified by the health and safety investigator is an alarm for the senior executives of the organisation to bring about some important chances in the workplace before an employee gets seriously injured or loses his life because of failure to adhere to safety guidelines and negligence. According to the employers, they have already invested a lot of resources in dealing with the safety issues and in trying to improve the attitude of the employees towards workplace safety but have still not been able to address the issue. The senior executive should soon identify the importance of fostering a safety culture in the workplace and should start undertaking certain measures that would help in improving the safety culture in the workplac e and improving the attitude of the employees towards workplace safety and health. Recommendations Bruno Smallgoods needs to analyse its safety culture once again and should take appropriate measures to foster a new safety culture in the workplace that will help it in improving the attitude of employees towards safety practices while at work. If the situation is not carefully dealt with, the day isnt far enough when the management will have to face lawsuits because of its inability to ensure a safe working environment for its employees. Therefore, it is important for the management to ensure safety for employees and to achieve an improvement in the safety culture, the management at Bruno Smallgoods can look into the recommendations discussed in this report and can look forward to implement them in the workplace. References Hancock, P., 2015. Health and safety - an essential element of ethical practice. April. Anon., n.d. WHAT ARE MY EMPLOYER'S DUTIES UNDER THE HEALTH AND SAFETY AT WORK ACT?. [Online] Available at: https://worksmart.org.uk/health-advice/health-and-safety/employer-duties/what-are-my-employers-duties-under-health-and-safety[Accessed 29 April 2017]. Cole, K. S., Stevens-Adams, S. M. Wenner, C. A., 2013. A Literature Review of Safety Culture. K.Muthuyadav, M.Maran G.Manikandan, 2015. Safety Culture Literature Review. - International Journal of Innovative Science, Engineering Technology, December.2(12). Middlesworth, M., n.d. 25 Signs You Have An Awesome Safety Culture. Ergonomics Plus. Paul, J., 2016. Organizational Safety Strategies: Which Management Practices are Most Effective in Reducing Employee Injury Rates. Business Journal for Entrepreneurs, 9 September.2016(3). Barbera, K. M., 2014. The Oxford Handbook of Organizational Climate and Culture. s.l.:s.n. Parmenter, D., 2015. Key Performance Indicators: Developing, Implementing, and Using Winning KPIs. s.l.:s.n. Hofmann, D. A., Burke, M. J. Zohar, D., 2017. 100 years of occupational safety research: From basic protections and work analysis to a multilevel view of workplace safety and risk. Journal of Applied Psychology, 102(3). Andrea H. Okun, R. J. G. ,. P. A. S., 2016. Foundational workplace safety and health competencies for the emerging workforce. Journal of Safety Research, December.Volume 59. Sidney W.A. Dekker, H. B., 2016. Just culture: Improving safety by achieving substantive, procedural and restorative justice. Safety Science, June.Volume 85. Deirdre McCaughey, J. R. B. H. ,. G. T. S. ,. T. S. ,. G. E. M. ,., 2014. Safety leadership: Extending workplace safety climate best practices across health care workforces. Volume 14. Jane Mullena, E. K. K. ,. M. T., 2017. Employer safety obligations, transformational leadership and their interactive effects on employee safety performance. Safety Science , January.Volume 91. Armstrong, M. Taylor, S., 2014. Armstrong's Handbook of Human Resource Management Practice. s.l.:Kogan Page Publishers. Hayes, B. E., Perander, J., Smecko, T. Trask, J., n.d. Measuring Perceptions of Workplace Safety: Development and Validation of the Work Safety Scale. Journal of Safety Research, 29(3).

Vague Complaints of Pain free essay sample

Vague complaints of pain in the Emergency Department Susan M. Hewitt RN, CEN The Robert B. Miller College BSRN-340-Pharmacology for Nursing Care Instructor: Mr. James Middleton February 26th, 2009 Case Study #2 – Vague complaints of pain in the Emergency Department Many people that come to the emergency department who complain of pain are usually vague about their symptoms. Other people over-react and could win an Oscar nomination for their pain presentation. People who come in with vague complaints of pain are often puzzled and sometimes very non-specific to the area that hurts them. I came across an article in the Journal of Emergency Nursing about a man who complained of vague back pain. In this article, a 49-year-old man presented to the emergency department complaining of non-specific, aching, low back pain that he rated a 7 on a 0-10 scale. His discomfort began that morning after he bent over to pick something off the floor. We will write a custom essay sample on Vague Complaints of Pain or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page The pain did not radiate and intensified with prolonged periods of standing still. The patient denied any weakness or paresthesia of the lower extremities and had no urinary complaints. â€Å"His respirations were slightly labored, but the man denied chest pain or shortness of breath. However, he was hypertensive (blood pressure 158/100), and febrile (temperature, 38. 5C / 101. 3F). The triage nurse assigned him a non-urgent acuity rating and placed him in the waiting room, where he waited for approximately 5 minutes. † (Jeremy Johnson, 2008). The man’s medical history was pretty normal but he had a long history of hypertension and recent history of an upper respiratory infection. According to (Jeremy Johnson, 2008), â€Å"Physical examination was positive for mild tendereness to palpation over the mid thoracic area of his back. Auscultation of heart and lung fields revealed no murmurs, gallops, or rubs and no wheezing or respiratory distress. † The patient’s back pain was diagnosed as a muscle strain, and he was treated with a combination of medication, valium, lortab, toradol and was given some acetaminophen for his fever. A peripheral intravenous access was established, and a liter of normal saline was infused. The patient’s ED stay was uneventful; however, as the anticipated discharge time grew closer, the nurse noted the man remained tachycardic and was now hypotensive â€Å"98/68 – 119 bmp. Although this patient denied any new complaints, his failure to respond to therapy warranted futher evaluation. A 12 lead EKG showed no ST abnormalties, but chest radiograph revealed a grossly wide mediastinum. This finding prompted a contrast computed tomography scan demonstrated the presence of a complex aneurysmal aortic dissection that extended all the way down to his right iliac artery. â€Å"The mediastinum is the middle section of the chest cavity. The chest cavity contains the left and right lungs, which lie on either side of the heart. The heart is contained in the portion of the chest known as the mediastinum. The mediastinum is bordered by the thoracic inlet (where the organs of the neck enter the chest) on top, by the diaphragm on the bottom, the sternum (breastbone) in fro nt, and the vertebral column (backbone) to the rear. The mediastinum is artificially divided into the anterior, middle and posterior sections. The mediastinum contains all of the chest organs except the lungs. Organs located in the mediastinum include the heart, the aorta, the thymus gland, the chest portion of the trachea, the esophagus, lymph nodes and important nerves. † (Medicine). Once the diagnosis of aortic dissection is made, a patient’s potential for rapid deterioration and death must be considered constantly. â€Å"Signs and symptoms of aortic rupture include acute mental status decline, hoarseness due to stretching and compression of the recurrent laryngeal nerve, differences between carotid pulse amplitiudes, and catastrophic hemodynamic collapse. Fortunately, this patient remained awakee and alert throught his ED stay. His tachycardia and hypotension both improved with metoprolol (lopressor) and fluid administration. He was admitted to the hospital and later flown to an out-of-state facility for surgical repair of his dissection. † (Jeremy Johnson, 2008). This article was very impressive, people who come to the emergency department often have vague complaints of pain. This is why the emergency department staff should be very knowledgeable in pain management. If the nurse did not pick up on the patient’s vital sign deterioration, the patient could have went home and died. Aortic disease is more prevalent in men than in woman and primarily occurs between the ages of 60 and 70. â€Å"Most disordeers are a result of hypertension, trauma, pregnancy, or genetic conditions such as Marfan’s syndrome. † (Jeremy Johnson, 2008). â€Å"What is Marfan’s Syndrome? † â€Å"The Marfan syndrome is a connective tissue disorder. Connective tissue provides substance and support to tendons, ligaments, blood vessel walls, cartilage, heart valves and many other structures. In the Marfan syndrome, the chemical makeup of the connective tissue isnt normal. As a result, many of these structures arent as stiff as they should be. † â€Å"The Marfan syndrome is inherited and affects many parts of the body. Theres no single conclusive test for diagnosing it, but people who have it often have many similar traits. Besides perhaps having heart problems, people with the Marfan syndrome are often tall and thin. They also may have slender, tapering fingers, long arms and legs, curvature of the spine and eye problems. Sometimes the Marfan syndrome is so mild that few (if any) symptoms exist. In the most severe cases, which are rare, life-threatening problems may occur at any age. † (Association, 2009). In conclusion, I think that this article was very informative and would make a good case study because many health care giver’s now days are in the bad habit of sterotyping people with pain as â€Å"drug seekers†. I also thought it was a good case study, because the nurse taking care of this patient was on top of her game. The patient did not present with typical aortic dissection signs and symptoms. Usually a patient complains of a â€Å"tearing sensation† to their back, some chest pain and hypertension. This man was vague in his back pain complaint, if not for knowledge of the nurse taking care of this patient he/she saved his life. Also, they gave him analgesics in which we recently read about. The patient’s pain was taken care of by narcotic, benzodiazapines, and anti-inflammatory medication. Also, they kept him for the 30 minute time after drug administration, to make sure there is no adverse reaction. This was a good choice especially for this lucky man who ltimaltely ended up with a dissecting aortic aneurysm. This is what killed John Ritter and many other’s who probably ignored their pain or masked their pain with medication. So if you ever have a tearing sensation in your back with a history of hypertension or Marfan’s Syndrome, take yourself to the emergency department immediately. This case also reinforces the importance of ongoing assessmen t and further invervention when Patients do not respond as expected to treatement. Many serious disorders can present with vague symptoms, making continual reassessment and risk stratification essential. http://www.ideafit.com/fitness-library/search?query=www.americanheart.org http://www.ahainstructornetwork.org/AHAECC/ecc.jsp?pid=ahaecc.signin http://www.ahajournals.org/ http://www.cts.usc.edu/hearttransplantprogram.html http://www.cts.usc.edu/ http://www.cts.usc.edu/adultcardiacsurgery.html