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By W. Marik. Saint Andrews Presbyterian College. 2019.

Anosmia means that food will not seem to have the same taste discount female viagra 100 mg on-line breast cancer 3 day, though the gustatory sense is intact order 100 mg female viagra otc menstruation postpartum, and food will often be described as being bland. The result of this test is a rough generalization of the acuity of a person based on the normal accepted acuity, such that a letter that subtends a visual angle of 5 minutes of an arc at 20 feet can be seen. To have 20/60 vision, for example, means that the smallest letters that a person can see at a 20-foot distance could be seen by a person with normal acuity from 60 feet away. Testing the extent of the visual field means that the examiner can establish the boundaries of peripheral vision as simply as holding their hands out to either side and asking the patient when the fingers are no longer visible without moving the eyes to track them. Physical inspection of the optic disk, or where the optic nerve emerges from the eye, can be accomplished by looking through the pupil with an ophthalmoscope. The line with letters that subtend 5 minutes of an arc from 20 feet represents the smallest letters that a person with normal acuity should be able to read at that distance. The different sizes of letters in the other lines represent rough approximations of what a person of normal acuity can read at different distances. For example, the line that represents 20/200 vision would have larger letters so that they are legible to the person with normal acuity at 200 feet. The optic nerves from both sides enter the cranium through the respective optic canals and meet at the optic chiasm at which fibers sort such that the two halves of the visual field are processed by the opposite sides of the brain. Deficits in visual field perception often suggest damage along the length of the optic pathway between the orbit and the diencephalon. For example, loss of peripheral vision may be the result of a pituitary tumor pressing on the optic chiasm (Figure 16. The pituitary, seated in the sella turcica of the sphenoid bone, is directly inferior to the optic chiasm. The axons that decussate in the chiasm are from the medial retinae of either eye, and therefore carry information from the peripheral visual field. Those fibers are conveying peripheral visual information to the opposite side of the brain, so the patient will experience “tunnel vision”—meaning that only the central visual field will be perceived. Problems with balance, such as vertigo, and deficits in hearing may both point to problems with the inner ear.

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Head Circumference: The head grows 12 cm in circumference in the first 12 months 100 mg female viagra otc women's health clinic jber, but 6 cm of this is in the first three months 100 mg female viagra sale menstrual clots; during the next three months it grows 3 more cm and 78 Pediatric Nursing and child health care the rest of the year another 3cm. If the head circumference at birth is 34 cm it will be 46 cm at the age of 12 months. The head circumference is measured by taking the greatest distance around the forehead and the back of the head above the ears (maximal fronto-occipital circumference) Arm circumference: The circumference of the middle of the upper arm remains nearly constant from 1-5 years. The first six months of life are extremely important as the brain may suffer for the rest of life, if the child is not getting enough food. A malnourished child is often tired and apathetic and not interested in learning new things that will promote normal development. It is very important to realize that a child is a growing and developing human being and he ought to be treated very carefully with love and respect by everyone so he can develop in harmony. Love: a child who does not feel loved will not develop properly, and will not learn as quickly as normal children. Instead he becomes sad, lonely and no longer interested in what goes on around him. He can only feel safe if his parents show that they love him and take good care of him. He must know that his parents will look after him and help him, that they will feed him when he is hungry, play with him and keep him happy and comfortable. The love and security the child gets from his parents and family helps him to feel friendly to people outside his family when he grows up. Acceptance as individual: the young child needs to know that his mother and family love him for what he is. They should not compare him with other children and tell him that he is slow to do this or that, or that he is not as good as some other child. They should show him that they respect him as an individual with his own likes and dislikes, that they realize that he is different, as all children are different. Wise and consistent use of authority: children need to know what they can and what they cannot do.

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Documentation and reporting Pediculosis Treatment Purpose • To prevent transmission of some arthropod born diseases • To make patient comfortable Definition Pediculosis: infestation with lice Lice: • Are small female viagra 100mg amex pregnancy loss, grayish white female viagra 50 mg discount womens health and surgery center, parasitic insects that infest mammals • Are of three common kinds: ¾ Pediculose capitis: is found on the scalp and tends to stay hidden in the hairs ¾ Pediculose pubis: stay in pubic hair ¾ Pediculose corporis: tends to cling to clothing, suck blood from the person and lay their eggs the clothing suspect their presence in the clothing if: a. There are hemorrhagic spots in the skin where the lice have sucked blood Head and body lice lay their eggs on the hairs then eggs look like oval particles, similar to dandruff, clinging to the hair. Kerosene Oil mixed with equal parts of sweet oil • Destroys both adult lice and eggs of nits • From aesthetic point of view, kerosene causes foul smell and create discomfort to patient and the attendant Guidelines for Applying Pediculicides Hair: • Apply pediculicide shampoo to dry hair until hair is thoroughly saturated and work shampoo in to a lather • Allow product to remain on hair for stated period (varies with products) • Pin hair and allow to dry • Use a fine toothed comb to remove death lice and nits (comb should not be shared by other family members) • Repeat it in 8-10 days to remove any hatched nits • Apply pediculious lotion (or cream) to affected areas • Bath after 12 hrs and put on clean clothes 3. Oil of Sassafras • Is a kind of scented bark oil • Only destroy lice not nits • For complete elimination, the oil should be massaged again after 10 days when the nits hatch • Is used daily for a week with equal parts of Luke warm H2O then it should be repeated after a week 4. Gcmmaxine (Gamma Bengenhexa Chloride) Basic Nursing Art 51 • Emphasize the need for treatment of sexual partner • After complete bathing wash linen available as a cream, lotion, and a shampoo • 1. However, many peoples, because of weakness, immobility and/or one or both upper extremities are unable to feed themselves all or parts of the meal. Therefore, the nurse must be knowledgeable, sensitive and skillful in carrying out feeding procedures. Purpose • To be sure the pt receives adequate nutrition • To promote the pt well-beings Procedure 1. Prepare pt units • Remove all unsightly equipments; remove solid linens and arranging bedside tables. Basic Nursing Art 52 • Control unpleasant odors in the room by refreshing the room. Lab, radiologic examination or surgery) • Assess any cultural or religious limitations, specific likes or dislikes. Feed the patient • Place the food tray in such a way that the patient can see the food. Comfort patient • Assist hand washing and oral care Basic Nursing Art 53 • Offer bedpan and commodes, of indicated • Comfort patient, provide quite environment so that the pt may relax after meal, which also promote good digestion.