Paeds Nurse Quotes

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The world is changing, I said. It is no longer a world just for boys and men. Our women are respected here, said the father. We would never let them tramp the world as American women do. There is always someone to look after the Olinka woman. A father. An uncle. A brother or nephew. Do not be offended, Sister Nettie, but our people pity women such as you who are cast out, we know not from where, into a world unknown to you, where you must struggle all alone, for yourself. So I am an object of pity and contempt, I thought, to men and women alike. Furthermore, said Tashi’s father, we are not simpletons. We understand that there are places in the world where women live differently from the way our women do, but we do not approve of this different way for our children. But life is changing, even in Olinka, I said. We are here. He spat on the ground. What are you? Three grownups and two children. In the rainy season some of you will probably die. You people do not last long in our climate. If you do not die, you will be weakened by illness. Oh, yes. We have seen it all before. You Christians come here, try hard to change us, get sick and go back to England, or wherever you come from. Only the trader on the coast remains, and even he is not the same white man, year in and year out. We know because we send him women. Tashi is very intelligent, I said. She could be a teacher. A nurse. She could help the people in the village. There is no place here for a woman to do those things, he said. Then we should leave, I said. Sister Corrine and I. No, no, he said. Teach only the boys? I asked. Yes, he said, as if my question was agreement. There is a way that the men speak to women that reminds me too much of Pa. They listen just long enough to issue instructions. They don’t even look at women when women are speaking. They look at the ground and bend their heads toward the ground. The women also do not “look in a man’s face” as they say. To “look in a man’s face” is a brazen thing to do. They look instead at his feet or his knees.
Alice Walker (The Color Purple)
The Christmas I was sixteen, my ma and I were poorer than church mice. My pa died when I was two, taking her heart with him." A smile curved his lips. "She could have remarried for a more comfortable life. But she couldn't bring herself to do it. We were happy, though, her and I. Just when I was getting old enough to do odd jobs, bring in some money to make her life easier, she got sick. I stayed home to nurse her. She had no strength left. But somehow she'd scraped together the last of her red yarn and made me a pair of stockings. My Christmas gift that year." Sensing his thoughts lingered in the past, Louisa brushed a finger over the scrap in her palm. "She died several weeks later." Louise caught her breath, aching for the pain of that young man. "I took a lot of ribbing for wearing red stockings. But I didn't give them up, even when I could afford to. I felt like they kept my ma close. Like she was with me." Tears welled up in Louisa's eyes. One dripped over. He caught the drop on the tip of his finger. "They brought me luck." "That's why you're called Red. I wondered.
Debra Holland (Montana Sky Christmas (Montana Sky, #3.1))
Respiratory Nursing   Chronic Obstructive Pulmonary Disease Diagnosis: Ineffective Breathing Pattern related to airflow restriction Desired Outcome: Following intervention, the patient's breathing pattern improves, as evidenced by absence of dyspnea and oxygen saturation >94%, pH >7.35, and PaCO2 <60 mm Hg. Assessments and Interventions Rationales Assess respiratory rate and depth q6h. Restlessness, dyspnea, tachypnea, use of accessory muscles of respiration are signs of respiratory distress, which should be reported. Auscultate breath sounds q6h. A decrease in breath sounds or an increase in wheezes is a sign of respiratory failure. Administer bronchodilator therapy with albuterol metered dose inhalers 2-4 puffs every 4 to 6 hours as needed. Albuterol increase expiratory volume by decreasing airway smooth muscle constriction. Administer ipratropium (Atrovent) 80 mcg, three times per day. Formoterol (Foradil) 12 mcg every 12 hours. Or administer tiotropium (Spiriva) 1 capsule (18 mcg) inhaled once daily by HandiHaler device Inhaled anticholinergics
Paul D. Chan (Nursing Care Plans: 650 NDA Approved Care Plans)