A specific health care topic of interest to you --Nursing Essay

A specific health care topic of interest to you --Nursing - Essay Example According to Bracken, â€Å"every patient who faces this type of surgery struggles with fears and anxieties that are universal...† (n.d. cited in International Ostomy Association, 2006). Pre-operative and post-operative health teachings are routine interventions that help the patient prepare for, and manage surgical outcomes; however, studies supporting the common areas of stomal patient concern are scarce. This meta-analysis was done to identify the subject matter that needed further emphasis during patient teaching; as well as to identify the different factors that contributed to the low self-esteem experienced by these patients. Although pre-operative and post-operative education in managing the stoma are being employed by health care institutions, the subject matter and the patient concerns addressed during patient teaching should be assessed in order to provide individualized health teaching that can address patient uncertainty in managing the stoma; allay anxiety in rela tion to social issues; and prepare the patient for the changes associated with the surgery. Background and Introduction A stoma is an artificial opening made on the side of the abdomen that is used as a permanent, or temporary outlet for feces or urine (Clinimed, n.d.). There are three different types: colostomy--for solid fecal outlet; ileostomy--for soft fecal outlet; and urostomy--as outlet for urine (Clinimed, n.d.). Indications for stoma surgery include: congenital conditions such as malformations in the anus and urethra, and diseases like inflammatory bowel disease, colorectal cancer, diverticulear disease, and ulcers. Ostomy surgery is performed by taking a portion of the large, or small intestine through the abdominal wall to provide an outlet for feces and urine (Encyclopedia of Surgery, n.d.). A collection bag is worn over the stoma and requires routine irrigation to prevent infection and other complications. This procedure is performed to aid healing by diverting fecal ma tter from an injured or diseased part of the large intestine, for temporary stomas, and to construct an alternative excretory pathway for fecal matter and urine, for permanent stomas. The estimated of the number of patients with a stoma vary across the globe. In the US, approximately 800,000 patients with a stoma were reported in 2000; with growth rate of 3% each year (Turnbull, 2008). Ontario, Quebec and British Columbia were reported to have the highest number of ostomy surgeries annually in 2009; with colostomy accounting for 55%; ileostomy 31%; and urostomy 14% (Registered Nurse’s Association of Ontario, 2009). According to Renzulli and Candinas (2007), stoma formation and delayed closure is associated with high morbidity; and complications including: stomal necrosis, stomal retraction, stomal stenosis, mucocutaneous separation and stomal prolapse. In a study conducted by Makela and Niskasaari (2006), which explored stoma care related problems experienced by stoma surgery patients in Northern Finland, it was found out that 35 patients of the 163 respondents developed stoma complications, particularly parastomal herninas (18 cases). Apart from the problem of having to live with the life-long risks associated with a stoma, self-esteem issues may also surface. According to Honkala and Bertero (2009), the most common concerns of patients before and after an ostomy surgery were

Russian Imperial Culture Essay Example | Topics and Well Written Essays - 1750 words

Russian Imperial Culture - Essay Example Imperialism is an exploitative system of administration in which certain group comes to a territory and exploits the people of their wealth. Fundamentally, however, monopoly and finance capitalism are logical developments from free, competitive capitalism; political imperialism is a logical development of monopoly capitalism; war is a logical development of imperialism. Wars were therefore very important aspects of imperial Russian culture. The Russian state persistently battled against Nogai-Horde and Crimean khanat which were successors of the Golden Horde. Russians captured by nomads were sold on Crimean slave markets. In 1571 the Crimean khan Devlet-Girei, with a horde of 120 thousand horsemen, devastated Moscow. Annually thousands of Russians became victims of attacks by nomads. Tens of thousands of soldiers protected the southern borderland - a heavy burden for the state which slowed its social and economic development. In the beginning of the 16th century the Russian state set the national goal to return all Russian territories lost as a result of the Mongolian invasion and to protect the borderland against attacks of hordes. The noblemen, receiving a manor from the sovereign, were obliged to serve in the army. The manor system became a basis for the nobiliary horse army. Russians emraced nobility as a... In 1648 the Cossack Semyon Dezhnev discovered the strait between America and Asia. The greater and more expansive Russian Empire was born. Muscovite control of the nascent nation continued after the Polish intervention. Peter the Great, brought ideas and culture from Western Europe to a severely underdeveloped Russia. Catherine the Great, enhanced this effort, establishing Russia not just as an Asian power, but on an equal footing with Britain, France, and Germany in Europe. She enlarged the Russian empire by the Partitions of Poland. Russia had now taken territories with the ethnic Belarus and Ukrainian population, earlier parts of the medieval Kievan Rus'. As a result of the victorious Russian-Turkish wars, Russia's borders expanded to the Black Sea and Russia set her goal on the protection of Balkan Christians against a Turkish yoke. Russia and the Georgian Kingdom (which was almost totally devastated by Persian and Turkish invasions) signed the treaty of Georgievsk according to which Georgia received the protection of Russia. After Peter the Great, Russia emerged as a major European power. Examples of its post-Peter European involvement includes the War of Polish Succession and the Seven Years War. These wars were necessary to preserve the Russian empire and preserve the sovereignity of the Russian people. Each well-developed national mythology has produced what can be called the culture of the ordinary. It has to do with everyday life of men and women over a period of time. It could be said that the culture of imperial Russia was based on wars and economic exploitation. Museums could capture the dress (uniform), the weaponry and