“
Step one to preventing PPD is to find time to sleep after giving birth, no matter how euphoric you feel.
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Ina May Gaskin (Ina May's Guide to Childbirth: Updated With New Material)
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After all, family dynamics aren’t independent clusters of choice and consequence, but rather a tapestry of intricately woven threads of action and reaction, passing over and under each other, knotting together time, emotion, and experience as one.
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Cory Richards (The Color of Everything: A Journey to Quiet the Chaos Within)
“
S.P. is a 68-year-old retired painter who is experiencing right leg calf pain. The pain began approximately
2 years ago but has become significantly worse in the past 4 months. The pain is precipitated by exercise
and is relieved with rest. Two years ago, S.P. could walk two city blocks before having to stop because of
leg pain. Today, he can barely walk across the yard. S.P. has smoked two to three packs of cigarettes per
day (PPD) for the past 45 years. He has a history of coronary artery disease (CAD), hypertension (HTN),
peripheral vascular disease (PVD), and osteoarthritis. Surgical history includes quadruple coronary artery
bypass graft (CABG × 4) 3 years ago. He has had no further symptoms of cardiopulmonary disease since
that time, even though he has not been compliant with the exercise regimen his cardiologist prescribed,
he continues to eat anything he wants, and continues to smoke two to three PPD. Other surgical history
includes open reduction internal fixation of the right femoral fracture 20 years ago.
S.P. is in the clinic today for a routine semiannual follow-up appointment with his primary care
provider. As you take his vital signs, he tells you that, besides the calf pain, he is experiencing right hip
pain that gets worse with exercise, the pain doesn't go away promptly with rest, some days are worse
than others, and his condition is not affected by a resting position.
� Chart View
General Assessment
Weight 261 lb
Height 5 ft, 10 in.
Blood pressure 163/91 mm Hg
Pulse 82 beats/min
Respiratory rate 16 breaths/min
Temperature 98.4° F (36.9° C)
Laboratory Testing (Fasting)
Cholesterol 239 mg/dL
Triglycerides 150 mg/dL
HDL 28 mg/dL
LDL 181 mg/dL
Current Medications
Lisinopril (Zestril) 20 mg/day
Metoprolol (Lopressor) 25 mg twice a day
Aspirin 325 mg/day
Simvastatin (Zocor) 20 mg/day
Case Study 4
Name Class/Group Date ____________________
Group Members
INSTRUCTIONS All questions apply to this case study. Your responses should be brief and to the point. When
asked to provide several
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Mariann M. Harding (Winningham's Critical Thinking Cases in Nursing - E-Book: Medical-Surgical, Pediatric, Maternity, and Psychiatric)
“
A greater love was always with me. Guiding me and waiting for me to surrender myself so that the glory of grief could bring me back to joy, where it greeted me once again.” - Just Be
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Lindsa Gibson
“
I’d grabbed some food in the East Wing and was headed back to the West Wing. A PPD friend and I shot the breeze. A Navy steward pushed the Map Room door open with his butt. In retrospect, we might have advised him to knock first. We didn’t. There before us was E! Network host Eleanor Mondale—former vice president Walter Mondale’s daughter—and President Clinton in a compromising position, that is, making out on the Map Room table. The steward hurriedly put his head down and departed. The doors closed.
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Gary J. Byrne (Crisis of Character: A White House Secret Service Officer Discloses His Firsthand Experience with Hillary, Bill, and How They Operate)
“
A PPD agent shared some stories of the road and how agents dealt with “Clinton time,” the president’s habit of being late for everyone—except his mistresses. To him schedules were recommendations.
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Gary J. Byrne (Crisis of Character: A White House Secret Service Officer Discloses His Firsthand Experience with Hillary, Bill, and How They Operate)
“
If You don’t CALM DOWN, I will UPROOT A TREE AND CHUCK IT AT YOUR FACE,” Flare seethed, the hairs on her back rising.
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Yours Truly, PPD. Gemstone Creatures: Legend of the Emerald Bear
“
it fair to neglect a life, and weep for the dead?
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Heena Singhal (Songs of the Reed)
“
I am not certain whether or not I believe in an afterlife, but I do believe in trying to do what is right during one’s own life, and if I don’t know with certainty, yet, that my mention of Paula’s name to the PPD led directly to her death, what I do know is that it was, at least, a betrayal of her trust. I am here, therefore, to make my amends.
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Liz Moore (Long Bright River)
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Most new moms, depressed or not, tend to be sensitive to criticism. So, when you add in PPD, new moms are often even more sensitive, which means you need to be particularly careful that you say only positive things to her. Praise her as often as you can, and keep criticism to yourself, even if you feel it’s justified.
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Shoshana S. Bennett (Postpartum Depression For Dummies)
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Is there some hurry? It’s not like he’s going to run out of filthy stories. I heard you guys made the Human Resources representative cry the last time you ‘Replied All’ to a PPD wide email.
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John P. Logsdon (Penang Pixie (Southeast Asia Paranormal Police Department, #3))
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When you feel your sparkle start to fade, remember, love will always light the way.
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Amanda Cirilli (You’re Doing Great, Mama Unicorn)