A Persuasive Paper Taking the Side of John Couey Essay

A Persuasive Paper Taking the Side of John Couey - Essay Example The girl’s body was found, after a massive three-week search that continued for several weeks, buried in a dirt hole, wrapped in garbage bags along with her purple dolphin toy. The cause of death explained was asphyxiation and it was suggested that Jessica was buried alive. Dirt under her finger nails and two holes poked into the garbage bags showed her efforts to escape from the bags. On medical examination tears in her vaginal area suggested that she was raped before being buried alive. Her hands were tied with speaker wire and according to the medical examiners she was alive up to five minutes until she suffocated to death (Schoetz 2007, Porteus 2007a). Hence, the evidence obtained from the law enforcing agencies and the medical examination of the girl’s retrieved body proved that Jessica Lunsford was kidnapped, sexually assaulted and then buried alive. The police investigation pointed towards John Evander Couey as the major suspect of Jessica Lunsford case. The jury and the Florida Judge sentenced John Couey to death for the rape and murder of Jessica. In spite of the prosecution’s accusations and evidences against John Couey, there were many loopholes in the case that suggest towards the innocence of John Couey. Jessica Lunsford’s body was found in a dirt hole near the trailer home of John Couey by the law enforcing agencies. ... Furthermore, Couey’s fingerprints were also found on the garbage bags. The wire that had been used to tie Jessica’s hands was also found in Couey’s home. According to the Judge, Richard Howard, Couey hid Jessica in his closet for several weeks and when was fearful of the police he buried her in a dirt hole. Couey was arrested and was put in the Citrus County jail (Porteus 2007a, Schoetz 2007). A Miami jury decided that John Couey should be executed with a 10-2 vote. Circuit Judge Richard Howard sentenced Couey to death, showing harmony with the jury’s decision (Porteus 2007b). The factors and appeals put forward by the defense attorney were rejected by the Judge and the jury showed through their decision that the appeals did not convince them enough. Nevertheless, if the case of John Couey is observed and studied thoroughly many points, evidences and circumstances show harmony with John Couey. The defense attorneys proved that the 48-year-old John Couey wa s suffering from a long-standing mental illness and was mentally impaired. Furthermore he was heavily dependent on drugs and alcohol. He also had a childhood history of sexual abuse by the boyfriend of his mother. John Couey was born when his mother was only 16 years old, living in four different homes before reaching the age of 10 and hence suffering a life of neglect and abuse at a very tender age. Defense attorney Alan Fanter quoted that Couey was a â€Å"life worth-saving† (Porteus 2007b). The defense attorneys wanted to prove in front of the judge and the jury members that the act performed by the defendant was a result of his mental illness and his childhood years spent in sexual abuse, violence and neglect. According to Fanter, the act performed by Couey was

Open Source Software Article Example | Topics and Well Written Essays - 1500 words

Open Source Software - Article Example For example, Linux is a good example of open source software that is competing with Microsoft, Apple and other. But depending upon the person some people still think that it is a temporary fashion in software industry another, on the contrary, believes that changes caused by open source will be deep enough and will shape the software industry of the first decade of 21st century. Open source software plays an important role in today’s world. Many people, organization, government sector are benefited by the open source software and are working towards development and support of it. In this paper philosophy of open source, definitions, advantages and disadvantages of open source software, some background history and motivation for open source software, Licences, Copyright Law and Patents, Economics of Open Source Software and at last impact of open source technology will be discussed. What is Open Source Software? : One can not define the Open Source Software in few words, because of many categories and variants that exist for Open Source Software. But it is not complicated and the term ‘Open Source Software’ itself gives an idea about it. Now before giving a definition from various people about the Open Source Software, first look at what general people think about the Open Source Software. General Idea of Open Source Software: The term ‘Open Source’ in Open Source Software refers to user’s freedom of use, redistribution, etc. One can not assume that Open Source Software and Free Software are same things. It can be said clearly that open source software does not have to be gratis.  

Economic Law Essay Example | Topics and Well Written Essays - 1000 words

Economic Law - Essay Example The establishment of binding dispute settlement system by WTO in 1995 was one of its most plausible achievements. It was developed from GAAT model of settling disputes, the rules and procedures governing (DSU) understanding is that it contains developments that has led to change from a system based on economic power and politics to one based on rule of law (World Bank Group 1994). The outcome was more legality of the WTO that has been praised as benefiting specifically smaller countries, of which many are developing countries and least-developed countries. The shift 'is specifically beneficial for smaller countries, as without the rules and procedures of the DSU... they would not have the necessary bargaining power vis-a-vis the larger powers. 'Similarly, Weiler notes the advantages of the legalised WTO model, 'especially for the meek economically and politically unequal.' International agreements are not any useful if the rules stipulated cannot be complied with especially if the pa rties that are signatories to these agreements can not comply with the obligations as stipulated. An efficient and effective way of settling disputes often increase the members that are signatory to certain agreements commitments to complying and committing to those rules. Members of WTO established current dispute settlement system thus during the Uruguay round of multilateral trade negotiations shows their commitment to compliance by all Members with their obligations under the WTO Agreement. All members should and have to comply with these regulations as stipulated in writing. It is very important to settle disputes in time and through a structured manner (World Bank Group 1994). It helps to prevent the detrimental effects of unresolved international trade conflicts and to mitigate the imbalances between stronger and weaker players by having their disputes settled on the basis of rules rather than having power determine the outcome. Most people consider the WTO dispute settlement system to be one of the major results of the Uruguay Round (World Bank Group 1994). After the entry into force of the WTO Agreement in 1995, the dispute settlement system soon gained practical importance as Members frequently resorted to using this system. The details of the WTO Agreement have all the certain multilateral agreements. This is to say that, the WTO Agreement contains all agreements that have been considered in the Uruguay Round. References in this guide to the â€Å"WTO Agreement† in general, therefore, include the totality of these rules. However, the WTO Agreement itself, if taken in isolation from its annexes, is a short Agreement containing 16  Articles that set out the institutional framework of the (WTO) as an international organization (Shaffer and Melendez-Ortiz 2010). Specific references to the WTO Agreement (e.g. â€Å"Article XVI of the WTO Agreement†) relate to these rules. World Bank reduces poverty in most countries in world by providing technical and financial help, ensures that people are able to generate their own incomes. They react quickly to the situation which affects any countries negatively. In addition World Bank help in improving health facilities and education especially in developing countries, this increases the leaving standard of the people. It assists in providing food to countries which are facing shortage of foods or high increase in food prices. World bank sustain growth in the future by investing in

The Cold War and U.S. Diplomacy Essay Example for Free

The Cold War and U.S. Diplomacy Essay The Cold War was the dominant conflict of the Twentieth Century. More than any other event, it defined the roles that virtually all nations played for almost 50 years. It was a truly World- Wide War, a content between two rival superpowers between the U.S. and the Soviet Union which for many years held the entire planet hostage to the threat of nuclear annihilation. By the time it was over, its players had spent the staggering sum of $15 Trillion (Windle, 2011). Regan Doctrine was not a label coined by President Reagan or his administration. It was a term used later by his critics to define his foreign policy strategy for countries around the world. The Reagan Doctrine was a strategy to aid anti-communist, or more specifically, anti-Soviet insurgencies in the Third World during Reagan’s two terms as president form 1981-1989. The primary goal was to overthrow Maxist regimes and prevent Marxist regimes from becoming established. Handelman referred Maixism as â€Å"Another of communism’s appeals was its centralized, state control of the economy. A command economy, first established in the Soviet Union, has two central features. First, the state largely owns and manages the means of production. That includes factories, banks, major trade and commercial institutions, retail establishments, and, frequently, farms. While all communist nations have allowed some private economic activity, the private sector has been quite limited, aside from nations such as China and Vietnam, which largely abandoned Marxist economics in recent years.   Second, in a command economy, state planners, rather than market forces, shape basic decisions governing production (including the quantity and price of goods produced) (Handelman, 2011, p.278). Under the Reagan Doctrine, the U.S. provided overt and covert aid to anti-communist guerrillas and resistance movements in an effort to â€Å"roll back† Soviet backed communist government in Africa, Asia, and Latin America. The doctrine was designed to diminish Soviet influence in these regions as part of the administration’s overall Cold War strategy. Reagan wasted no time getting started in the implementation of his foreign policy. The Administration’s first comprehensive â€Å"U.S. National Security Strategy.† Which was a document approved by the President in May of 1982, stated the objective to â€Å"contain and reverse the expansion of Soviet control and military presence throughout the world, and to increase the costs of Soviet support and use of proxy,  terrorist and subversive forces.† (Presidential Studies, 2006) Reagan made staunch calls for public support in his efforts. In the State of the Union Address in 1985, for example, he stated that the U.S. must â€Å"not break faith with those who are risking their lives—on every continent, from Afghanistan to Nicaragua—to defy Soviet-supported aggression.† One year later he boldly remarked that â€Å"America will support with moral and material assistance your right not just to fight and die for freedom, but to fight and win freedom†¦in Afghanistan, in Angola, in Cambodia, and in Nicaragua.† (Political Science Quarterly, 2007) In most of these nations, the aggressive policies and actions of Reagan caused severe damage. In Nicaragua for example, the economy was decimated by U.S. sanctions and manipulation of its banking institutions. The Administration, supported by Congress, funded a war against the Sandinista National Liberation Front (Frente Sandinista de Liberacià ³nNacional, or FSLN). It was a war fought by various Nicaraguan rebel groups, labeled the Contras, which sought to overthrow the Sandinistas, who came to power after the revolution in 1979. â€Å"The development of Contra forces began in 1981 when Reagan authorized $19.5 million in funding for the Central Intelligence Agency (CIA) to construct a paramilitary force of 500 Nicaraguan exiles from deposed President Anastasio Somoza’s National Guard.† (International Security, 1990) Along with congressionally funded aid, members of the Reagan Administration attained additional funds through the illicit sales of arms to Iran. Funds from these sales were funneled to the Contras. When this illegal activity was revealed in the â€Å"Iran-Contra Affair† in November of 1986, it led to the indictment and conviction of many of Reagan’s staff. Reagan policy in Nicaragua was failure in many respects. The Contra war was ill-conceived and did not enjoy support of the people of Nicaragua. The rebel forces never legitimately threatened the Sandinista government and military. The U.S. failed to gain international support for the war or its political and economic actions. In fact, Reagan was largely condemned by the international community. Domestic support and popular opinion was low as well. Reagan’s policies pushed communist nations into aiding Nicaragua. The FSLN enjoyed majority support of the people, and were not looking for a change until the end of the decade when they could no longer survive with the Sandinistas under U.S. pressure. Did Reagan really need to be concerned with Nicaragua? Probably not. In  damaging Nicaragua’s economy, Reagan Doctrine policy caused ripple effects on the USSR and Cuba who were aiding Nicaragua during this time. When the Administration began to halt trade and relations with Nicaragua, the USSR and Cuba began their efforts to provide the country increased economic aid, military aid, and trade revenue. By the time Reag an left office, economic aid from the USSR never came close to covering Nicaragua’s losses from U.S. sanctions on the economy. Reagan’s behavior toward Nicaragua, particularly in the glaring disregard for international law and world opinion, threatened to backfire and endanger broader U.S. interests, especially with foreign allies On the other hand, Reagan was widely eulogized for having won the cold war. Reagan helped end the Cold War by exercising prudent diplomacy and skillful statesmanship rather than by crusading against communism and exploiting Soviet vulnerabilities. The signing of the I.N.F. (Intermediate-range Nuclear Forces) treaty in 1987 marked the beginning of the end of the Cold War. I.N.F. was the first treaty to eliminate a complete class of weapons. It was also the first treaty to include an in-depth verification program. The INF treaty was the first to actually reduce the level of nuclear arsenals, or collections of weapons, rather than simply freeze them at certain levels. Reagans willingness to negotiate arms control agreements and support Gorbachevs reform efforts within the Soviet Union was key to the eventual fall of communist governments, first across Eastern Europe in 1989, and soon after in the Soviet Union in 1991. The foundation for ending the Cold War had been laid (Historycentral.com, ). Nicaragua was one piece to Reagan’s global foreign policy strategy. Nicaragua was not the only victim to Reagan’s aggressive policies. Countries such as Afghanistan, Cambodia, and Angola were infiltrated by U.S.-sponsored military insurgencies and suffered from U.S. economic policies. Though it can be argued that Reagan’s intervention in the Third World was essential in bringing down the USSR two years later, many people suffered the consequences of Reagan Doctrine. Nicaragua is an important case study of how effective and ineffective Reagan’s policies were in the Third World. Reagan Doctrine was a policy that gave military and material aid to countries that showed resistance against the USSR and the tyrannies they sponsored. Countries like Afghanistan, Cambodia, Angola, and Nicaragua were helped b  the United States; the Vatican and AFL-CIO’s international wing were also enlisted in the Doctrine to keep the Polish trade union intact. In his 1985 State of the Union Address, Reagan said, â€Å"We must stand by all our democratic allies. And we must not break faith with those who are risking their lives†¦ to defy Soviet-supported aggression and secure rights which have been ours from birth.† Then, in 1983, Reagan led troops into Grenada and overthrew the Marxist government and held free elections. : In regards to communism, the Reagan Doctrine’s â€Å"rollback mentality† broke the rule of containment set up by the Truman Doctrine, and this dissent played a huge hand in bringing down the Soviet Union and ending the Cold War. Reagan knew that the Russian economy would eventually fracture if there was an ongoing â€Å"arms race† between the Soviets and the United States; this is why Reagan began to build up the American military. Reagan threatened the Soviet Union by saying â€Å"We won’t stand by and let you maintain weapon superiority over us. We can agree to reduce arms, or we can continue the arms race, which I think you know you can’t win. One of Reagan’s first enhancements was the implementation of the Strategic Defense Initiative, or SDI. The SDI was a new program that would research and eventually develop a missile defense system that offered the promise of, in President Reagan’s words, â€Å"making nuclear weapons obsolete† The Soviets were afraid of such technology because it would render their weapons useless and leave them vulnerable. In October of 1986, in response to the SDI program, Mikhail Gorbachev agreed to a mutual disarmament of weapons in Euro pe but only if the United States agreed not to deploy the missile defense system. Reagan literally stuck to his guns and refused to tell the American people that their government â€Å"would not protect them against nuclear destruction.† The Soviets were beginning to realize that they didn’t stand a chance in an arms race with America, so in December of 1987, Gorbachev came to Washington, D.C., to sign the Intermediate Range Nuclear Forces Treaty, which would eliminate an entire class of nuclear weapons. If Reagan had not continued the arms race, the Soviet Union may still be around today. Gorbachev’s trip to Washington was the first sign of Soviet surrender, and without Reagan’s military build-up, it would have never been possible. Ronald Reagan helped end the Cold War, such as the Reagan Doctrine, American military build-up, and his use of humor to shed a negative light on communism. The Reagan Doctrine was a strategy orchestrated and implemented by the United States to oppose the global influence of the Soviet Union during the final years of the Cold War. While the doctrine lasted less than a decade, it was a centerpiece of American foreign policy from the mid-1980s until the end of the Cold War in 1991. Under the Reagan Doctrine, the U.S. provided overt and covert aid to anti-communist resistance movements in an effort to roll back Soviet-backed communist governments in Africa, Asia and Latin America. The doctrine was designed to serve the dual purposes of diminishing Soviet influence in these regions of the world, while also potentially opening the door for democracy in nations that were largely being governed by Soviet-supported dictators. The most conspicuous examples of the new activism came in Latin America. In October 1962, the administration sent American soldiers and marines into the tiny Caribbean island of Grenada to oust an anti-American Marxist regime that showed signs of forging a relationship with Moscow. In El Salvador, whose government was fighting left-wing revolutionaries, the administration provided increased military and economic assistance. In neighboring Nicaragua, a pro-American dictatorship had fallen to the revolutionary â€Å"Sandinistas† in 1979; the new government had grown increasingly anti-American (and increasingly Marxist) throughout the early 1980s. the Reagan administration supported the so-called contras, an antigovernment guerilla movement fighting (without great success) to topple the Sandinista regime. References Chester Pach, â€Å"The Reagan Doctrine: Principle, Pragmatism, and Policy,† Presidential Studies Quarterly 36.1 (2006): 80. Handelman, H. (2011). the challenge of third world development. upper saddle rive nj: prentice hall. Historycentral.com. (n.d.). Retrieved from http://www.historycentral.com/Europe/ReaganandGorbMeet.html James M. Scott, â€Å"Interbranch Rivalry and the Reagan Doctrine in Nicaragua,† Political Science Quarterly 112, no. 2 (Summer 1997): 237. Kenneth Roberts, â€Å"Bullying and Bargaining: The United States, Nicaragua, and Conflict Resolution in Central America,† International Security 15, no. 2 (Autumn 1990): 78. Windle, J. (2011, December 20). Aol government. Retrieved from http://gov.aol.com/defense-spending-wizardry/

Casinos :: essays research papers

Casinos   Ã‚  Ã‚  Ã‚  Ã‚  Are casinos good for Ontario? To every situation there are positive and negative points. In the situation of casinos, the positive side has a very strong case that outweighs the negative side. One of the main reasons that they are good is that numerous jobs are created by and for the government. Another positive aspect is that the government and local charities will get some of the revenue created at these gambling locations. Along with these reasons, a lot of the people that will come to visit the casinos, from Canada or the United States and encourage the tourism industry. Casinos are a good solution for many problems including tourism and government funding.   Ã‚  Ã‚  Ã‚  Ã‚  One of the most important reasons why casinos are a good thing is the fact that a number of jobs are created. In the past three years casinos have created nearly 43,0001 jobs directly and indirectly. With today's job market, these jobs are greatly needed to help keep the unemployment rate down. There is really no negative side to creating jobs for the people of Ontario.   Ã‚  Ã‚  Ã‚  Ã‚  From past years it can be noted that Ontario casinos are taking in great amounts of money annually. Casino Rama in Orillia took in 366.1 million2 last year and Casino Niagara had revenues of approximately 650.0 million3. Of those amounts the government will take two to four percent4 for funding programs. This funding goes towards such areas as agriculture, environment, fisheries, and aquaculture. If the funding was not from these casinos where would it come from, and would these mean the each of these areas would also get funding cuts like other sectors? Since the money is coming from casinos, it is saving the average tax-payer money also. In the event that the funding from casinos was stopped then taxes would have to be raised to keep money in the listed areas or the areas would receive subsidy cuts. Some people of course will say that the money is just being moved from one area to another within the government, but where would it be moving from?   Ã‚  Ã‚  Ã‚  Ã‚  Further money will also go to charities within the community, such as the Lion's.5 In Ontario alone it's expected that 160 million dollars6 is given to charities. With this additional funding the charities will be able to help so many more people that they would otherwise without this funding.   Ã‚  Ã‚  Ã‚  Ã‚  One more of the bonuses of having casinos in Ontario is the fact that they bring tourists in from other areas of the province or other countries. Both the casinos in Niagra and Windsor attract large quantities of people from

Whose Sentence is it Anyway?

The title of this lesson is â€Å"Whose Sentence is it Anyway?†Ã‚   It is based on the TV show â€Å"Whose Line is it Anyway?† and is a lesson designed to improve the language arts skills of the students.   Under this lesson plan, the subjects, in this case the students, must be able to complete the sentence that is given to them by the instructor.   The goal of these learning exercises is to be able to improve the emphasized language arts strand related to the presentation of English words and sentences. An integral part in the learning of language arts has always been the understanding of how certain words, when used in different order and context, have different meanings and are able to convey a totally different message from what was originally intended.   The key component of these exercises in learning the language arts lies in the entertainment value of such and also the group work that is involved, in an attempt to also encourage social interactions among the students. The main concept to be taught in these exercises involves the understanding of Basic English sentence structures and the use of punctuations in sentences.   Incidental to these learning exercises is the necessity for the students to possess a basic understanding of the many uses of certain words of the English language.   This lesson plan also helps students deal with different social situations and shows what the appropriate responses are to these situations by demonstrating the effects when a proper response is not given as opposed to how effective communication can be when the proper response is provided. The structure of the lesson plan will follow the basic outline as reproduced within this report. Language Arts Activity: Complete the Silly Sentence Emphasized Language Arts Strand: Presenting I. The Basic Concepts: Sentence structure and use of English vocabulary II. Behavioral Objectives The students are expected to learn how to form complete and correct sentences. The students are also expected to be able to relate and interpret how different subjects, verbs and adjectives relate to one another in completing sentences. III. Materials: A container marked â€Å"Feelings† or â€Å"Adjectives†, which contains ten laminated cards with different feelings or adjectives written on them A container marked â€Å"Action† with ten laminated cards with different actions written on them A container marked â€Å"Person† with ten laminated cards with different people or occupations written on them Laminated â€Å"Complete Sentence† cards Small dry erase board and dry erase markers. IV. Teaching/ Learning Procedures: A student is to be chosen as the â€Å"Pantomime Presenter† of the group while another student is chosen to be the recorder.   The â€Å"Pantomime Presenter† takes one of the laminated strips from each of the three labeled containers.   The three strips drawn should form a silly sentence that the â€Å"Pantomime Presenter† must attempt to express without the use of words.   The other students must guess what the words written on each card were and attempt to put these words together to form the silly sentence. Card subjects may be guessed one at a time such that when one card is guessed the recorder writes it on the board.   The first student to correctly guess all three card subjects together and thus forming a complete sentence receives a â€Å"Complete Sentence† card and becomes the next â€Å"Pantomime Presenter†.   The previous â€Å"Pantomime Presenter† now becomes the recorder.   The first student to collect five â€Å"Complete Sentence† cards is awarded with an activity pass which entitles student to five minutes extra center time. V. Evaluation: The teacher evaluates the student’s understanding by observing the game playing activity and by helping to clarify questions or problems when needed.

Nursing Health Assessment

DE LA SALLE HEALTH SCIENCES INSTITUTE COLLEGE OF NURSING AND SCHOOL OF MIDWIFERY CITY OF DASMARINAS, CAVITE NURSING HEALTH ASSESSMENT Submitted by: Andrea Antonette D. Balboa Submitted to: Rowena Cepeda-Laigo, RN, MAEd NURSING HEALTH ASSESSMENT I. Status Post Caesarean Section II. HEALTH HISTORY AND PHYSICAL EXAMINATION A. Demographic (Biographical Data) Client’s initials: R. R. P. Gender: Female Age, Birthdate and Birthplace: 34, 10/21/1978, Muntinlupa Marital (Civil) Status: Married Nationality: Filipino Religion: Roman CatholicAddress and Telephone Number: Blk 5 Lot 54 Greengate Imus Cavite Educational Background: Bachelor’s Degree in Computer Science Occupation (usual and present): Encoder Usual Source of Medical Care: PhilHealth Date of Admission: 01/08/2013 B. Source and Reliability of Information The patient was competent to provide information. She was able to speak clearly; conscious and coherent; oriented to time, place and person. The patient’s chart w as also included as a secondary source of information C. Reasons for Seeking Care 1. â€Å"Inadequate size of pelvis† 2. â€Å"Scheduled for caesarean section† D.History of Present Health The expected date of the delivery was January 8, 2013, 8:00AM at St. Paul Hospital. It was a scheduled caesarean section of the patient; not in labor. The patient was calm since it was her second time to deliver a fetus through caesarean section. There were no signs and symptoms of labor happened. The patient foresees to stop adding a family member because they already have a son and a daughter. E. Past Medical History or Past Health a. Pediatric / Childhood / Adult Illnesses The patient did not have any pediatric, childhood or adult illnesses. b. Injuries or AccidentsThe patient did not have any injuries or accidents. c. Hospitalization and Operations The patient had a caesarean section last 2006, 2007 and 2013. d. Reproductive History The patient had her menarche at the age of 12. H er last menstrual period was April 27, 2012. Her menstrual cycle was 28 days and her menstrual duration was 3 to 4 days. Her obstetric score was G3P2 T2P0A1L2M0. e. Immunization BCG: /? / At Birth /? / School Entrance DPT: /? / 1st Dose /? / 2nd dose /? /3rd dose OPV: /? / 1st Dose /? / 2nd dose /? /3rd dose AMV: /? / TT: /? / 1st Dose /? / 2nd dose /? /3rd dose /? 4th dose /? / 5th dose HBV: /? / 1st Dose /? / 2nd dose /? /3rd dose Others: None f. Allergies /? / Food, (please specify): Shrimp / / Drugs or medications, (please specify): None / / Chemicals, (please specify): None / / Other environmental allergens, (please specify): None The patient has an allergy in shrimps. The patient experiences hives as an allergic reaction and applies an anti-allergy prescribed by her dermatologist to alleviate the manifestation. g. Medications None G. Socio-Economic History FAMILY MEMBER /RELATIONSHIP TOPATIENT| OCCUPATION /SOURCE OF INCOME| MONTHLY INCOME| R.R. P. | Encoder| P22,000. 00| The p atient works as an encoder. The monthly income of P22,000. 00 can only support the basic needs of the family but not particularly of members’ health. It will be not enough and budgeted exclusively for the necessities of the family. H. Psychosocial Assessment Patient’s Age: 34 years old Developmental Stage: Young Adulthood Developmental Task: Intimacy vs Isolation Occurring in young adulthood, we begin to share ourselves more intimately with others. We explore relationships leading toward longer term commitments with someone other than a family member.Successful completion can lead to comfortable relationships and a sense of commitment, safety, and care within a relationship. Avoiding intimacy, fearing commitment and relationships can lead to isolation, loneliness, and sometimes depression. Patient met the developmental task of being in an intimate relationship with her partner. They are married and have 2 kids. I. Functional Assessment 1. Health-Perception-Health Manag ement Pattern The patient’s description of her current health was weak and difficult to get pregnant. The activities that the patient does to improve or maintain his health was to not get over time in work.Patient’s knowledge about links between lifestyle choices and health was not answered. The extent of patient’s problem on financing health care was hopefully the budget will fit. Patient has the knowledge of the names of current medications she was taking and their purpose. Activities that the patient does to prevent problems related to allergies was to apply an anti-allergy prescribed from her dermatologist. Patient has the knowledge about medical problems in the family. There were no important illnesses or injuries in the patient’s life. 2. Nutritional-Metabolic Pattern The patient’s nourishment was to eat fruits and vegetable.Patient’s food choices in comparison with recommended food intake were not answered. The patient has no any dise ase that affects nutritional-metabolic function. 3. Elimination Pattern The patient’s excretory pattern was constipated. The patient has no any disease of the digestive system, urinary system or skin. 4. Activity-Exercise Pattern The patient’s description of his weekly pattern of activities, leisure, exercise and recreation was to eat outside and considers it as a family bonding. The patient has no any disease that affects his cardio-respiratory and/or Muscoskeletal systems. 5. Sleep-Rest PatternThe description of the patient’s sleep-wake cycle was completed of 8 hours. Patient’s physical appearance was relaxed. 6. Cognitive-Perceptual Pattern The patient has sensory deficit of astigmatism and was not corrected. Patient’s has the ability to express herself clearly and logically. Patient’s education was bachelor’s degree of computer science. The patient has no any disease that affects mental or sensory function. Patient’s pain d escription was of abdominal because of surgical procedure of caesarean section. 7. Self-Perception-Self Concept Pattern There was no unusual about the person’s appearance.The patient was comfortable with her appearance, simple but comfortable. Description of the patient’s feeling state was happy, comfortable because she already has a baby boy and a girl. She was worried about their financial needs because of the added family member. 8. Role Relationship Pattern Patient’s description of his various roles in life was to be a responsible mother. Positive role model of her roles was her mother, to save for family but she is more of disciplinarian than her mother. Important relationships at present were her family. There were no big changes in role or relationship. . Sexuality-Reproductive Pattern Patient’s satisfaction with her situation related to sexuality was good. If both of them were tired, they don’t do sexual intercourse. The patient’s pl ans and experiences did not matched regarding having children because everything changed and she was more matured than before. 10. Coping-Stress Tolerance Pattern Patient’s means/actions of coping with problems were there must be a goal for her to achieve. Coping actions help even though the goal was partially met as long as it was met. Eat, sleep and hang out were treatments/therapies for emotional distress. 1. Value-Belief Pattern Principles that the patient learned as a child which are still important to her was she does not want shortage, she wants everything to be provided. Patient’s identification with any cultural, ethnic religious or other groups is she is a St. Claire devotee. Support system that the patient finds significant was her family. J. Review of Systems and Physical Examination Date of Examination: January 9, 2013 PHYSICAL SYSTEMS| R. O. S. | P. E. | 1. General Status and Vital Signs| â€Å"Okay naman†| (-) fever(-) tachycardia(-) tachypnea(-) hypertension| 2.Integument (Skin, Hair, and Nails)| â€Å"Okay naman†| (+) pallor(-) skin turgor(-) edema| 3. Head and Neck| â€Å"Okay naman†| | 4. Eyes| â€Å"Okay naman, may astigmatism lang yung left eye ko†| (+) astigmatism| 5. Ears| â€Å"Okay naman†| | 6. Mouth, Throat, Nose and Sinuses| â€Å"Okay naman†| | 7. Thorax and Lungs| â€Å"Okay naman†| | 8. Breast and Lymphatic System| â€Å"Di lang ako makapag-produce ng milk kapag di pa ko kumakain†| (+) inverted nipple (-) breastmilk| 9. Heart and Neck Vessels| â€Å"Nagpapapalpitate ako minsan kapag pagod†| (+) palpitation| 10.Peripheral Vascular System| â€Å"Nagkavaricose veins na ko sa bigat ko, laging nakatayo at nung buntis pa ko ang bigat ng tyan ko†| (+) varicose veins| 11. Abdomen| â€Å"Kumikirot kasi tahi ko†| (+) pain| 12. Genitourinary| â€Å"Nagka-UTI ako nung nagbubuntis pa ko†| (+) rubra lochia(-) urinary tract infection| 13. Anus, Rect um and Prostate| â€Å"Hirap akong tumae†| (+) constipation| 14. Musculoskeletal System| â€Å"Okay naman, ngayon lang ako di makakilos ng maayos dahil masakit tahi pa ko†| (+) limited ROM| 15. Nervous System| â€Å"Okay naman†| (+) conscious| 16. Hematologic| â€Å"Okay naman†| | 17. Endocrine| â€Å"Okay naman†| | 18. Psychiatric| â€Å"Okay naman†| |