Video game speech Essay Example for Free

Video game speech Essay Murder, assault, theft and even rape. This is the type of degenerate criminal influences shown to YOUR children on a regular daily basis. Series of dangerous, virtual and physical violence our preserved society has tolerated for far too long, but I say NO MORE. NO MORE influenced violence being shown upon our youths. NO MORE increased crime rates in our society and most definitely NO MORE children being denied their protected safety rights because as parents and guardians we OWE them at least this. I am not here today to tell you what you should and should not be showing to your child. I know that I have no right in telling you this. However I am here today to remind you of what YOU have already acknowledged, what YOU have been too afraid to admit to. Something YOU have been hiding from your children for a far more devastating way than you think†¦ a progressing life of freedom that is not bound to immoral games that are far below the approved age limit. I know, personally, that raising a child in a society maintained by constant evolving technology is hard and it can be beyond tempting to engage your child in the latest video games and games consoles. Nevertheless, I want to tell what the impact of you succumbing to your temptations have done to your children and potentially the generations after. Did you know that 70% of young children aged between 6 – 10 years old that regularly play any type of video game are mentally and physically inflicted by video games which can create a chain reaction to an aggressive and violent behavior? It is within these aggravating behaviors that your child is becoming more and more dangerous in this reality as well as in the virtual world. They are given the impressions that their life is relatable to the video games they are playing and that they must react to their life issues with violence the way the characters within the video games would react. An example of what I am initially trying to explain is the Norway massacre of 2012. One man. One man, who had become so mentally inflicted by playing violent video games and brutal games consoles since the young age of 9, had brutally massacred 77 people on the isolated island of Utoya, Norway. He became so mentally inflicted and attached to violent video games that he stated â€Å"I had trained and prepared by playing ‘call of duty’ for an average of 6 hours and 50 minutes every day to get ready for this day†. Imagine is this was your child doing these disgusting, ruthless and vicious actions. Many of you may not see the outstanding effect and impact of video games on your child right at this moment, but you WILL see the impact on your child in the nearby future and I can guarantee you will not like it. I know it is a terrible thought to think of your child acting as that man once did, but it is a potential circumstance. Video games are one of the key links between anger and violence most definitively with young children. Violent images and audio, brutal story backgrounds, realistic assassin characters are the main problems as they are most effective. The only thing stopping our society from becoming a brutal, vicious town run by mentally afflicted and aggressive people are YOU. You can change not only our future, not only our town but the entire world and even the generations to come. Not only is your child becoming mentally inflicted by video games by also physically inflicted. The whole body internally and externally are becoming more and more damaged through the constant use of video game consoles. With the lack of social interaction your child’s mind is being affected as it will slowly deteriorate and will become illiterately desensitized. This will impact them in their daily routines such as brushing their teeth, memory loss and even with their school performance. The amount of sleep will also become majorly affected for your child due to the constant use of video games resulting in the lack of sleep. The internal organs can also become majorly affected as the lack of outside oxygen, lack of essential foods and drinks, lack of daily exercise and even lack of basic body movements can deprive the body of the necessary requirements needed to obtain it. The internal organs can become numb and slowly wither away. This will make your child weaker and less protected internally leaving them open to all kinds of viruses and diseases that can potentially kill them. Alongside the internal organs becoming damaged, the external body can become immensely damaged as well. This can include vital parts of the body such as the eyes – as they are continuously focused upon a bright screen, they will become weaker and damaged. This can cause your child to become visually impaired and potentially blind, which would make life much more difficult for them especially at such as young age. Another body part which would become physically inflicted includes the hands and wrist area. With the hands constantly being used on the console controls, the thumbs and fingers would regularly cramp giving your child the increasing chance of arthritis. This includes the wrists cramping up also. This physically inflicted impairment can also create an unusual shape for your child’s hand and can cause disfigurement that can make it harder for them to write and use them for other regular duties such as picking up and holding items. A final and most important body part that is physically inflicted includes the entire lower body. With the lack of movement, your child’s body will slowly start to stiffen and cramp up again much like the hands and wrists and can lead to lower body arthritis which is known to be much worse. To conclude, I would like to make sure you have all acknowledged the major effects of children constantly playing violent video games and games consoles. I want you all to remember these effects and think of your child’s needs and benefits first before succumbing to your temptations. Think of the life your child would have to endure if they were sucked into the world of brutal and violent video games, but instead they could be living in a much healthier and less violent world of their own. Remember to live in a world with NO MORE influenced violence being shown upon our youths. NO MORE increased crime rates in our society and most definitely NO MORE children being denied their protected safety rights because as parents and guardians we OWE them at least this.

Google; the most popular and most exciting company

Google; the most popular and most exciting company Google Google is indubitably the most popular and most exciting company in the world today. According to its corporate website, its mission is to â€Å"organize the worlds information and make it universally accessible and useful† (Google, 2010). Google ranked first place in Fortune Magazines annual â€Å"Best Companies to Work For,† besting other top companies for two consecutive years, in 2007 and 2008. The most cited reason its performance as a top employer is because of its internal company culture. Google is the ultimate global company and is described as â€Å"high-energy, fast paced work environment† (Google, 2010). On its website, its policy of â€Å"favoring ability over experience† rings true as the employees of Google are all college degree holders at the very least. Because Google is oriented toward its â€Å"youthful† internet-savvy market, the average age of its employees is noticeably lower than most companies. The median age at Google is 3 0 years old and the gender distribution is 65% male and 35% female (Linkedin, 2010). The dress code is â€Å"casual† and laid-back because the company values ability and hard work, not appearance. Google has a very engaging company culture. Its headquarters at Google Mountain View, CA called Googleplex is designed to be have a â€Å"campus-like† feel attuned to its predominantly young college-level fresh recruits (Google, 2010). There are several facilities in Googleplex such as a cafà ©, snack rooms that are well-stocked, and a cafà ©. There is also a great degree of independence for Google engineers because of the so-called 20% program. Engineers can devote 20% of the total number of work hours on projects that truly interest them . This policy reduces the level of stress as well as promotes creative thinking. Despite being a global business, Google executives say they try to maintain a â€Å"small company feel† and treat everyone equally (Google, 2010). Dur ing lunches, everyone eats at the office cafà ©, we still maintain a small company feel. At lunchtime, almost everyone eats in the office cafà © and the environment is kept casual in order to allow Googlers to interact and share ideas with other teams. There are plenty of perks available for employees. Google have shared cubicles, laptops for everybody, bicycles/scooters for inter-office travels during meetings, massage chairs, dogs, inflatable balls and dogs. There are also assorted recreational activities and facilities such as pool tables, foosball, ping pong tables, video games, pianos, and even yoga classes. Employee groups devoted to all sorts of interests are also encouraged. Nutrition is emphasized with healthy lunches offered at the cafà ©. Company Profile Google has expanded from a two-man team in 1998. Although based in Mountain View, California, Google has over 20,000 employees offices in 57 countries all over the world (Linkedin, 2010). In the US alone, Google offices are located in almost all major cities. Google specializes in Internet-based products and services and derives most of its revenue from advertising profits via the Adwords application. It is most famous for its search engine Google, ranked by Alexa as â€Å"the Internets most visited website† (Alexa, 2009). Its products include email software Gmail, social networking tools like ORKUT and Buzz, desktop applications, web browser Google Chrome, photo editing software, Googletalk instant messaging, and the Android mobile phone (Google, 2010). Googles main competitors are the topnotch tech companies that are competing for the most innovative products to introduce to the world market: Apple, Microsoft, Amazon.com, Facebook, Twitter, Mozilla, Yahoo, Cisco, IBM, and No kia (Global Thoughtz, 2010). Recruitment at Google is famous for being a tough process. Acceptance of applications are based on interviews and college grades. There are also allegations that the company recruits only those below 30 (Logan, 2009). Candidates undergo multiple face interviews and are judged mainly on college academic performance. Google has an â€Å"unlimited sick leave policy† and requires employees to work hard only â€Å"70 percent of the time† (Google, 2010). References Alexa (2009). â€Å"Google.coms worldwide traffic rank.† Retrieved from http://www.alexa.com/siteinfo/google.com Linkedin. (2010). â€Å"Google.† Retrieved from http://www.linkedin.com/companies/google Global Thoughtz Technology (2010). â€Å"10 Toughest Competitors for Google.† Retrieved from http://technology.globalthoughtz.com/index.php/10-toughest-competitors-of-google-in-2010/ Google (2010). â€Å"The Google Culture.† Retrieved from http://www.google.com/corporate/culture.html Logan, G. (2008). â€Å"Google hiring policy is key to its success as best place to work in UK.† Retrieved from http://www.personneltoday.com/articles/2008/06/02/46091/google-hiring-policy-is-key-to-its-success-as-best-place-to-work-in-uk.html

Political Speech -- Media

Discursive consciousness encourages politicians to partake in sharing one’s history. It is the speech that is a conversation or discourse between the potential and the intended audience. It is a personal campaign, relating platform to the laity in an effort to gain a true backing. That creates a profile. Through existential coherence, the insinuations of relatedness succor the public and the politician to find common ground, supplying elements of familiarity evoking a relatable and approachable persona. This public image is a configuration of the individual’s history, ideas, beliefs, and purpose, an oratorical resume of sorts. A Narrative of belonging would be displayed in the existential coherence of the campaign. Implications of specific regional qualifications render the potential apropos to the masses. In example [1] candidate Steve Evans, relegates his background, relishing his youth. Action of Narrative belonging entices the voters to identify the candidate as â€Å"one of us†. It is reinforcing the notion that he is not an outsider. Example [2] invites the audience to look into ...

Customer Service Essay -- Business Management Studies

Customer Service Many business organisations have different definitions of customer service. For example, according to the Chartered Institute of Marketing, â€Å"Customer Service is what your business delivers to achieve customer satisfaction†. Another example is, according to the ACA Group, â€Å"Customer service is the ability of an organisation to constantly and consistently give the customer what they want and need†. All business organisations need to make certain that their customers are satisfied with the service they receive because; customers are the most important part of any successful organisations. Businesses such as, Barclays aim to exceed customer expectation in order to ensure that customers enjoy themselves, leave having enjoyed themselves and return in the coming future. Good customer service makes customers satisfied by fulfilling their needs first. Good customer service requires all staff to place themselves in the position of their customers. All staff should be aware of how they would like to be treated if, they were a customer, and deal their customers, for that reason. All business organisations should complete the A.R.T. of great service, to carry out a good customer service: Approachable- An organisation must create an open and friendly environment that will influence customers to come in with self-assurance so that, their matter can be dealt with. R esponsive- All staff should take responsibility of their action. Customer service should be flexible and provide precise and honest information, at all times. Timely- All customer services provide their services accurately and efficiently to new and existing customers, at all times. The following are the main activities of customer service: Ø Providing information Ø Giving advice Ø Providing assistance Ø Providing credit facilities Ø After-sales service Providing Information The type of information will depend on the product or service. Here are some examples, is the wool jumper flammable; how much is that laptop; when can you deliver the double-sized bed, what after-sales facilities do you provide? Getting the correct answers to these questions depends on the product and service knowledge of the sales staff, i.e. how well they have been trained. Giving Advice Advice is more accurate than information because, it involves more detail, greater specialist knowledge and modified to t... ... For example, to be faithful to the customers 3. Lost customers-For example, to encourage dissatisfied customers to complain 4. Employees- For example, to give staff training, to deal with complaints and problems quickly When receiving a complaint from an unhappy customer, the business must carry out the following: Ø Listen to the customer’s story Ø Ask for invoice/receipt to show date of purchase Ø If customers is angry, report to a manager Ø Examine the product When dealing a complaint from an unhappy customer, the business must carry out the following: Ø Advise customers of their views such as, legal requirements Ø Make an offers to customer such as, refunds or replacements Ø Give a receipt for products Ø Write on credit note any expiry date Many businesses record customer complaints so that, they can review the matter, and to improve its customer service. Details of each complaint can be recorded in several ways. For example, IKEA records all telephone complaints and directs them to the call centre at Stockport. Details of each complaint can be recorded onto the computer. Also, details of each complaint can also be recorded onto the ‘Customer Complaint Form’.

Use of Interpreters in Psychological Therapy with Deaf Patients Essay

The use of psychological therapy or what is sometimes called â€Å"talk-therapy† has proven to be an effective and worthwhile resource in countless lives in America. For most hearing people, once the decision to seek help is made, it’s a simple matter of showing up to a therapy appointment or walking into a clinic and asking for help. However, for the Deaf culture finding accessible and Deaf-friendly services, can be a challenge producing little results. One way this issue is currently addressed is through the use of interpreters who help facilitate communication between a hearing professional and Deaf person. Therefore, the ideas discussed, reviewed the benefits and challenges of using interpretation when a Deaf person seeks counseling. The objective was to examine what role an interpreter may play in the process, in addition to the communication aspect between the hearing and Deaf. The goal in any therapeutic setting is to assist a client with gaining effective tools to have a healthy, meaningful life, provide emotional support and offer advice. Therapy does involve â€Å"†¦transition and change, which can be anxiety producing for any client† (Williams and Abeles, p 645). In addition to expressing feelings, needs and experiences, communication can and is being expressed through non-verbal queues, whether the individual has the ability to speak or not. Examples of non-verbal queues could include: posture, strong emotions, and rate of breath. These language queues are common to people, however the use of sign language is not universal language. â€Å"While it would be ideal to be able to match deaf patients with therapists fluent in their preferred language mode, this is often not feasible in smaller centers† (Porter, 1999, 163). Counselors seek... ...he Deaf and hearing (Williams, Abeles, p 643). A common mistake in mental health is assuming deaf clients are poor candidates for psychotherapy. By understanding the specific issues and working with Deaf interpreters, this service can remain a powerful stepping-stone in the rehabilitation of the Deaf seeking help in mental health services. Works Cited McCay Vernon, APA for Deafness, American Psychologist, November 2006 Porter, A. (1999). Sign-language interpretation in psychotherapy with deaf patients. American Journal of Psychotherapy. 53, 2. Health Module. Pg. 163. Sheridan, M. (2009) Bookreview of Cognitive-Behavioral Therapy for Deaf and Hearing Persons with Language and Learning Challenges. Williams, C. and Abeles, N. (2004) Issues and Implications of Deaf Culture in Therapy. Professional Psychology: Research and Practice. Vol 35, No. 6 643-648.

Hatshepsuts Reign

The Role of Hatshepsut as a female pharaoh throughout the 18th Dynasty in Egyptian society was vital for the ultimate construction of Egypt as a major imperial power and the overall greatness of Egypt. Hatshepsut’s reign from 1503 BCE to 1482 BCE was one of the most prosperous periods for ancient Egyptian society, the role of Hatshepsut saw a time of great prosperity for the economy and architecture furthermore it was a time of advancement in the arts and of great peace. The great reign of Hatshepsut lasted for twenty-two years, and paved the way for Thutmosis III, who was able to engage in the repossession of the throne. The effective transition from the reign of Hatshepsut to Thutmosis enabled Thutmosis to initiate campaigns of conquest in the East of Egypt, which inturn lead to the establishment of a successful Egyptian Empire. Hatshepsut contributed significantly to the construction of great monuments, temples statues and also other architectural masterpieces, these offerings to Egyptian society again contributed to the greatness of not only ancient Egypt itself but also to the greatness of Hatshepsut and her success as a female pharaoh. Historian David Bediz elaborates that although other female rulers both preceded and followed her, Hatshepsut’s long and prosperous rule made her one of the greatest female rulers of all time; â€Å"She ruled the most powerful, advanced civilisation in the world, successfully for twenty years†¦. Her success stands for all eternity. † The architecture of Hatshepsut was quite unique in a sense that she left her own mark on traditional Egyptian architecture. Historian Naville was quoted â€Å"The works of art from her reign, display the imprint of an individual novel taste, which must be none other than that of the divine being who occupied the Horus-throne† (Naville, 1906) Hatshepsut brought stability to the nation. But by far her defining achievement was her temple at Der-el Bahri known rightfully as the â€Å"sublime of sublimes† (Monet, 1968: p. 23). The construction of the temple took place between 1498 BC to 1483 BC. The following inscription from Der-el Bahri exemplifies her achievement â€Å"When you rest in your building where your beauties are worshipped, Amun Ra, the Lord of the Thrones of the Two Lands, give Hatshepsut life, duration and happiness. For she has made this building fine, great, pure† (Der el Bahri inscription in www. touregypt. net 18/5/04). Her temple would become her defining achievement that in term characterised Hatshepsut’s reign. Hatshepsut’s architectural achievements were the defining characteristic of her reign and therefore were her most important contribution to the greatness of Egypt. Additionally, by Hatshepsut investing money into the beautification of her country, it allowed for a politically stable environment which in term would eventually help Thutmosis III. Although Architecture was Hatshepsut’s defining achievement without a flourishing economy it would not have been possible. Hatshepsut’s reign was phenomenal in the sense that her contribution to the economy by endeavours in trade and foreign relations. This contributed to Egypt becoming a wealthy nation with unrivalled economic power. Her consolidation and injections into the economy would inevitably become the foundation that allowed Thutmosis III to undertake military campaigns of large scale. Naville reiterates the proposed ideas â€Å"her government must have been at once strong and enlightened, for when her nephew Thutmosis III succeeded her, the country was sufficiently powerful and rich to allow him to venture on a succession of war of conquests† (Naville, 1906,). Under Queen Hatshepsut’s reign, trade with foreign countries was expanded, not only with the African lands to the south, but also with the Levant and the islands of the sea. The Queen decided to strengthen the relationships with friendly nations and let hostile Asiatic nations be punished for their ignorance and arrogance. Relations with Byblos flourished again and the turquoise mines of Sinai were reopened. Furthermore Timber from the land of Negau was imported and envoys to the southern land negotiated the trade of metals and precious commodities such as panther and elephants skins with the inhabitants of the Libyan coast. As quoted by Redforde upon Hatshepsut’s trade bolstering â€Å"Hatshepsut was not blind to the need of bolstering Egypt’s economy. Running a close second to the building program were the economic measures, taken by the Queen. Trade with foreign countries was furthered†(Redforde,1967:p. 87). Under Hatshepsut, the state owned the majority of land. The following extract quoted by Spalinger epitomises her reorganisation of Egypt â€Å"From persons who controlled and worked parcels of property the state collected taxes in the form of cattle, grain, wine and other goods the land yielded. Adding to Egypt vast internal revenues was tribute paid from outside. †(Spalinger, 1978) The expedition to Punt characterised Hatshepsut’s reign and personified her internal glory policy. Queen Hatshepsut sent five Phoenician styled ships on a trade expedition that would distill luxuries unparalleled upon Egypt. An inscription from Der el Bahri gives insight on the expedition â€Å"The loading of the ships heavily with marvels of the country of Punt, all godly fragrant wood’s of God’s Land, myrrh resin, with fresh myrrh trees, with ebony and pure ivory†¦ with green gold of Euni, with cinnamon wood, incense, eye cosmetics, with apes, monkeys, dogs and with skins of the southern panther, with natives and their children†(Der el Bahri inscription in Williams, 1994). Hatshepsut’s contribution to the Egyptian economy was so important that it allowed the rest of the Pharaohs of the eighteenth dynasty unrivalled and unlimited economic power. Hatshepsut’s internal development and building programs bought political stability to Egypt and thus allowed way for Thutmosis III’s conquests this and unrivalled economic prowess. Although Hatshepsut prioritized internal development and economic endeavours she was proud of the state of readiness of her army Hatshepsut’s military exploits, although miniscule compared to that of former and future pharaohs who pursued an expansionistic militaristic imperialism policy, contributed to the greatness of Egypt. A naive perspective of Hatshepsut’s reign would express that she undertook no military campaigns and exercised no military prowess but as quoted by Reforde â€Å"clearly that the belief that Hatshepsut undertook no foreign wars is simply untrue† (Redforde, 1967). Although Hatshepsut didn’t pursue an expansionistic militaristic imperialism policy and expand Egypt’s boarders there were two probable reasons for this; she was a women and thus found it rather inconvenient to lead an army of men in the field and secondly the world situation did not call for the use of exceptional military force during her lifetime. Furthermore it could be said that military prowess was not a reflection of political ability and so being that Hatshepsut’s reign brought olitical stability rather the extension of boarders The military had an important role in Hatshepsut’s designs for rebuilding Egypt, she rigidly maintained that â€Å"my troops which were unequipped are well paid since I appeared as King† (Hatshepsut in Redforde,1967). Hatshepsut in her reign undertook at least four campaigns and of one she led in person, although two were lead by her nominal ruler Thutmosis III under her name. Hatshepsut’s four campaigns consi sted of a campaign against Nubia, a mopping up operation in Palestine and Syria and the capture of Gaza and an additional campaign against Nubia both lead by Thutmosis III. Spalinger addresses this matter â€Å"Thutmosis III in the latter of Hatshepsut’s reign lead two campaigns under her name†(Spalinger, 1978). The Nubian campaign that Hatshepsut undertook was a success proving her military prowess and capable leadership, the following graffito depicts her campaign â€Å"I followed the good god, the king of Upper and Lower Egypt Makare, may she live! I saw when she overthrew the Nubian bowmen and when their chiefs were brought to him as living captives, I saw when he razed Nubia, I being in her majesty’s following† (graffito in Arkell,1961). At the time of Hatshepsut the Egyptian army was a well organised and highly professional force, this then allowed Thutmosis III able soldiers for his campaigns. Therefore Hatshepsut’s reign is perceived as peaceful, conservative and isolationist and is often criticized but her reign embodies all the elements of a successful military ruler whose main focus was upon internal development. The construction of Egypt as a major imperial power was due to Hatshepsut’s contributions to the greatness of Egypt. Under her reign architecture and the economy flourished. Which allowed for a politically stable environment and unparalleled economic strength from which Thutmosis III used as his launching pad for his conquests. Her military prowess although never forcefully exerted was present. Her reign allowed the best imperialist expansion policy Egypt had under Thutmosis. Therefore Hatshepsut’s reign had the most important contributions to Egyptian greatness than any other of the 18th Dynasty rulers, this mostly is own to her remarkable internal development policies of trade and commerce.

Health History and Examination Essay

Health Assessment of the Head, Neck, Eyes, Ears, Nose, Mouth, Throat, Neurological System, and the 12 Cranial Nerves Skin, Hair, Nails, Breasts, Peripheral Vascular System, Lymphatics, Thorax, Heart, Lungs, Musculoskeletal, Gastrointestinal, and Genitourinary Systems Save this form on your computer as a Microsoft Word document. You can expand or shrink each area as you need to include relevant data for your client. Student Name: Date: Client/Patient Initials: C.B.Sex: FAge: Occupation of Client/Patient: Retired Health History/Review of Systems (Complete and systematic review of systems) Neurological System (headaches, head injuries, dizziness, convulsions, tremors, weakness, numbness, tingling, difficulty speaking, difficulty swallowing, etc., medications): None Head and Neck (pain, headaches, head/neck injury, neck pain, lumps/swelling, surgeries on head/neck, medications): Occasional migraines. Meds: Phenergan PRN. Compliant with treatment Eyes (eye pain, blurred vision, history of crossed eyes, redness/swelling in eyes, watering, tearing, injury/surgery to eye, glaucoma testing, vision test, glasses or contacts, medications): None Ears (earache or other ear pain, history of ear infections, discharge from ears, history of surgery, difficulty hearing, environmental noise exposure, vertigo, medications): Hard of hearing in left ear. Wears a hearing aid daily. Nose, Mouth, and Throat (discharge, sores or lesions, pain, nosebleeds, bleeding gums, sore throat, allergies, surgeries, usual dental care, medications): None Skin, Hair and Nails (skin disease, changes in color, changes in a mole, excessive dryness or moisture, itching, bruising, rash or lesions, recent hair loss, changing nails, environmental hazards/exposures, medications): Chicken pox during childhood. Several skin tags removed on face and neck. Daily sunscreen 30 SPF Breasts and Axilla (pain or tenderness, lumps, nipple discharge, rash, swelling, trauma or injury to breast, mammography, breast self-exam, medications): None Peripheral Vascular and Lymphatic System (leg pain, cramps, skin changes in arms or legs, swelling in legs or ankles, swollen glands, medications): Pt. states she has Restless Leg Syndrome. No formal diagnosis made. Frequent muscle aches all over that require routine cortisone injections. Cardiovascular System (chest pain or tightness, SOB, cough, swelling of feet or hands, family history of cardiac disease, tire easily, self-history of heart disease, medications): Family history of CHF. Pt has had a pacemaker since 2013. Thorax and Lungs (cough, SOB, pain on inspiration or expiration, chest pain with breathing, history of lung disease, smoking history, living/working conditions that affect breathing, last TB skin test, flu shot, pneumococcal vaccine, chest x-ray, medications): Pneumonia in the past. Current on Flu and Pneumonia vaccine. Musculoskeletal System (joint pain; stiffness; swelling, heat, redness in joints; limitation of movement; muscle pain or cramping; deformity of bone or joint; accidents or trauma to bones; back pain; difficulty with activity of daily living, medications): Joint pain and stiffness. Diagnosed with Rheumatoid Arthritis. Gastrointestinal System (change in appetite – increase or loss; difficulty swallowing; foods not tolerated; abdominal pain; nausea or vomiting; frequency of BM; history of GI disease, ulcers, medications): Daily BMs Genitourinary System (recent change, frequency, urgency, nocturia, dysuria, polyuria, oliguria, hesitancy or straining, urine color, narrowed stream, incontinence, history of urinary disease, pain in flank, groin, suprapubic region or low back): None Physical Examination (Comprehensive examination of each system. Record findings.) Neurological System (exam of all 12 cranial nerves, motor and sensory assessments): A.OLFACTORY: I let the patient identify the smell of toothpaste, and facial grimace noted B.OPTIC: Patient able to read label of toothpaste tube C.OCULOMOTOR: Using a penlight and approaching from side, I shine a light on a pupil and observed the response of the pupil. I did the same on the other side and the pupil constricted when looking at a near object, and dilated when looking at a distant object. Pupils are equally round and reactive to light. D. TROCHLEAR AND ABDUCENS: (cardinal gaze ) I held a penlight 1ft. in front of the client’s eyes, and let the patient follow the movement of the light with the eyes only. Client’s eyes followed as I move the penlight but in late response. E.TRIGEMINAL Touched the lateral sclera of the eye to elicit blink reflex. To test light sensation I wiped a wisp of cotton over client’s forehead. Client has a positive corneal reflex, able to respond to light sensation, and sensitive to pain. F.ABDUCENS Client able to move eyeballs laterally G. FACIAL Client able to do different facial expressions such as smiling, frowning and raising of eyebrows; able to identify different tastes such as sweet, salty and bitter taste H. ACOUSTIC Client able to hear loud and soft spoken words; able to hear ticking of watch in both ears. I.GLOSSOPHARYNGEAL Client able to identify different tastes such as sweet and salty, able to move tongue from side to side and up and down, able to swallow without difficulty with positive gag reflex J. VAGUS Client able to swallow without difficulty K. SPINAL ACCESSORY Client able to shrug shoulders and turn head from side to side against resistance L. HYPOGLOSSAL Client able to protrude tongue at midline and move from side to side Head and Neck (palpate the skull, inspect the neck, inspect the face, palpate the lymph nodes, palpate the trachea, palpate and auscultate the thyroid gland): Negative for lesions, scaling, tenderness, and masses Eyes (test visual acuity, visual fields, extraocular muscle function, inspect external eye structures, inspect anterior eyeball structures, inspect ocular fundus): Conjunctiva – normal color – pink over lower lids, white over sclera Sclera – white Ears (inspect external structure, otoscopic examination, inspect tympanic membrane, test hearing acuity): Negative for redness, swelling, discharge, or foreign bodies Nose, Mouth, and Throat (Inspect and palpate the nose, palpate the sinus area, inspect the mouth, inspect the throat): Nose: Negative for lesions, swelling. Some nasal discharge noted Mouth: Negative for canker sores or lesion Throat: No lesions are redness noted Skin, Hair and Nails (inspect and palpate skin, temperature, moisture, lesions, inspect and palpate hair, distribution, texture, inspect and palpate nails, contour, color, teach self-examination techniques): Skin: Clean and intact. No breakdown noted Hair: Clean and dry. Mild dandruff noted Nails: Trimmed and neat Breasts and Axilla (deferred for purpose of class assignment) Peripheral Vascular and Lymphatic System (inspect arms, symmetry, pulses; inspect legs, venous pattern, varicosities, pulses, color, swelling, lumps): Arms symmetrical. Pulses palpable. Patient walks with a limp and uses a cane. Varicose veins noted BLE. Mild edema noted RLE. Cardiovascular System (inspect and palpate carotid arteries, jugular venous system, precordium heave or lift, apical impulse; auscultate rate and rhythm; identify S1 and S2, any extra heart sounds, murmur): Patient has a pacemaker. Pulses palpable. No abnormal heart sounds noted. Thorax and Lungs (inspect thoracic cage, symmetry, tactile fremitus, trachea; palpate symmetrical expansion;, percussion of anterior, lateral and posterior, abnormal breathing sounds): Respirations even and unlabored. No accessory muscles used. No retraction noted. Musculoskeletal System (inspect cervical spine for size, contour, swelling, mass, deformity, pain, range of motion; inspect shoulders for size, color, contour, swelling, mass, deformity, pain, range of motion; inspect elbows for size, color, contour, swelling, mass, deformity, pain, range of motion; inspect wrist and hands for size, color, contour, swelling, mass, deformity, pain, range of motion; inspect hips for size, color, contour, swelling, mass, deformity, pain, range of motion; inspect knees for size, color, contour, swelling, mass, deformity, pain, range of motion; inspect ankles and feet for size, color, contour, swelling, mass, deformity, pain and range of motion): Muscles developed without atrophy/hypertrophy. Arms & legs symmetric. No  varicosities, or tenderness. Joints non-tender, without swelling, and with full ROM. Muscle tone & strength 5/5 bilaterally. Spine has full ROM and is without tenderness or deformities. Gastrointestinal System (contour of abdomen, general symmetry, skin color and condition, pulsation and movement, umbilicus, hair distribution; auscultate bowel sound;, percuss all four quadrants; percuss border of liver; light palpation in all four quadrants– muscle wall, tenderness, enlarged organs, masses, rebound tenderness, CVA tenderness): Abdomen firm and round. Bowel sounds x 4. General abdominal tenderness reported. Reported having regular BMs Genitourinary System (deferred for purpose of this class) FHP Assessment Cognitive-Perceptual Pattern: Neurologic functions, Sensory experiences such as pain and altered sensory input all intact. Pt AAOx3 Nutritional-Metabolic Pattern: Patient eats a regular diet and watches what she eats. Sexuality-Reproductive Pattern: Patient has had 8 children and 1 miscarriage. Pattern of Elimination Patient reported having daily BMs Pattern of Activity and Exercise: Patient walks around her neighborhood at least 3 times per week Pattern of Sleep and Rest: Patient sleeps at least 7 hours a day. Patient denied using any sleeping aids. Pattern of Self-Perception and Self-Concept: Patient is proud of her accomplishments as a wife, mother and grandmother. She is also very proud of her cooking and the satisfaction it gives others. Summarize Your Findings (Use format that provides logical progression of assessment.) Situation (reason for seeking care, patient statements): Patient was voluntarily for me in completion of this project. Background (health and family history, recent observations): Patient is a mother of 8, grandmother to 22 and great grandmother to 7 Assessment (assessment of health state or problems, nursing diagnosis): Patient is in overall good health for her age. She does use a cane to an ankle injury but has no other major health issues. Recommendation (diagnostic evaluation, follow-up care, patient education teaching including health promotion education): I advised patient to continue eating well and to continue walking around her neighborhood. I expressed the importance of maintaining a healthy weight and remaining healthy.