Conflict Essay Example for Free

Conflict Essay The bringing of people together in social interaction necessarily involves a set of interpersonal dynamics which sooner or later will lead to conflict. Conflict between people or groups often arises from competition for resources, power, and status. Family members compete for attention. Individuals compete for jobs and wealth. Nations compete for territory and prestige. Different interest groups compete for influence and the power to make rules. Often the competition is not for resources but for ideas, one person or group wants to have the ideas or behaviour of another group suppressed, punished, or declared illegal. When you consider what a diverse society we live in, with so many different backgrounds, perspectives and approaches to life, it is not surprising that conflict is established as part and parcel of our everyday life. This is because people will have competing interests and competing perspectives in relation to the same issues, and so we should not be surprised when tensions exist between individuals and groups. Conflict is concerned with difference. If we were all the same, then there would be little or no conflict. However, thankfully we are not all the same, and so part of the price that we pay for the richness of diversity is that conflicts will arise at certain times. Conflicts are inevitable in ones organizational life and personal life. Conflict tends to have negative consequences for both the individual and the organization. Performance is adversely affected. Decisions made may not be appropriate. Occasionally, they might even be unrealistic or irrational. Thus, conflicts tend to impair one’s efficiency. Sometimes, conflict is also observed to give rise to certain maladjusted behaviours in individuals trying to cope with it. These include alcoholism, drug abuse, excessive smoking, under eating or overeating and extremely aggressive or submissive behaviour. Conflict has also certain physiological consequences in that, certain changes take place within the physiological system which are often ignored or unnoticed. Hence, it may be understood that conflict not only affects an individual’s performance, but also gives rise to psychosomatic disturbances, which undermine the health of the individual. It can also be argued that conflicts are not necessarily bad. The progress we have made so far in our civilization is due to the conflict between nature man. Conflict releases energy at every level of human activity, energy that can produce positive, constructive results. Conflicts tend to have a motivational value; they drive or energize an individual to tackle a situation. To resolve a conflict one might explore different avenues or alternatives of action, which make him/her more knowledgeable. Conflicts also provide opportunities to test one’s own abilities. Conflict can occur at personal level, interpersonal level, group level. It can be latent or covert. Causes of Conflict 1. Conflicts arise when people are competing for the same resources, when they are not fairly distributed or when there are not enough to go round. 2. Conflicts arise when the people are unhappy with how they are governed. 3. Conflicts arise when peoples beliefs clash. Religious and political views are particularly sensitive, because people often depend on these for a sense of identity and belonging. Sometimes the conflict is caused by a religious/political group being attacked; sometimes it is because the group is eager to spread a particular belief and even enforce it on others. Some leaders may aggravate religious and political differences as part of their tactics for keeping or gaining power. 4. In the same way ethnic differences can cause conflict, or be made to cause it. Again, peoples ethnicity gives them a sense of identity and belonging, and it is threats to this sense which can cause violent responses, just as individuals may lash out with angry words or gestures when they feel threatened. Causes of conflict in the work place The cause of workplace conflict is often misunderstood and blamed on personalities and misbehaviour, but in reality much workplace conflict is systemic and endemic to the workplace environment. Ineffective organisational systems, unpredictable policies, incompatible goals, scarce resources, and poor communication can all contribute to conflict in the workplace. Workplace conflict causes loss of productivity, distractions, and employee dissatisfaction. However, management can produce positive results by paying attention to and addressing the true causes of conflict in their organisations. Managing conflict Managing a conflict contains specialized interaction that prevents a dispute from becoming a destructive battle. Managing a conflict attends to the personal issues so as to allow for a constructive relationship, even though the objective issues may not be resolvable. For example, the former Soviet Union and the United States managed their conflict during the Cold War by using a variety of mechanisms. The objective issues in the dispute were not resolved, and neither were the personal issues, which contained significant perceptual differences. However, both sides attended significantly to the relationship to keep the disagreement from turning into a destructive battle. Ways people deal with conflict There is no one best way to deal with conflict. It depends on the current situation. Here are the major ways that people use to deal with conflict. 1. Avoidance. Pretend it is not there or ignore it. Usually this approach tends to worsen the conflict over time. 2. Accommodation. Give in to others, sometimes to the extent that you compromise yourself. Usually this approach tends to worsen the conflict over time, and causes conflicts within yourself. 3.  Competition. Work to get your way, rather than clarifying and addressing the issue. 4. Compromising. Mutual give-and-take. 5. Collaboration. Focus on working together. This approach sometimes raises new mutual needs. Effects of conflict Conflicts have positive and negative effects. They can lead to change if they are well managed, they can be used as a learning experience and they can be used to open up opportunities. However, prolonged conflicts can erupt into violence and disrupt the activities of the organisation, they may also damage relationships permanently and they can also lead to the death of an organisation. Change Most of us live and think as if the world were static, or as if it should be. As individuals, as professionals, and as members or leaders of organizations, too often the way we act, plan, and react betrays the assumption that tomorrow will be much like today, that well slide by all right if we just get a little better, a little smarter, at doing what we are already doing. Some people, and some organizations, fall apart in the face of change. They seem well organized until something changes in their environment. According to Robbins (1999), change is concerned with making things different. Things must be different because they change constantly. When an organizational system is disturbed by some internal or external force, change frequently occurs. Change as a process, is simply modification of the structure or process of a system. It may be good or bad, the concept is descriptive only. It may be constructive, destructive, comfortable or uncomfortable. People and organizations seem to have a pattern over their lifetimes. People and organizations that thrive on change share some fundamental attributes. Change is fractal: its basic nature looks the same at different scales. So the attributes that make an organization powerfully adaptive also make a relationship flexible and fruitful, a community liveable, and an individual creative, adaptive, and secure in the midst of turbulence. It is not possible to change an organization without changing oneself. Changing oneself will change an organization. The two are inextricably linked. If people seriously intend to help their organization go through the massive changes, they must set out on a path of changing their own lives, of learning the skills of change and applying them first to themselves. Any change is, in part, physical. It can be understood in one’s head, but until it lives in their body, it wont change their behaviour. If a person wishes to be different, that person must learn to move differently, to make different physical decisions. Stick to your knitting, turns out to be a useful thought for dealing with change. However, at the core of every truth is a fallacy, a route to a deeper truth. The fallacy at the core of stick to your knitting is the invitation not to change, to stay satisfied with the way we are. Many of us have a grudging acceptance of the need to change. The reality is that every change is a new skill, one that takes time and attention to learn. If I wait to change until I am forced to it, I will be too late. To wait until change is forced on me is to stay perpetually behind on the learning curve. Whenever a person is trying to change something in his life, they should always remember that change without getting rid of the beliefs that cause the current behaviour or feelings is almost impossible. Furthermore, change probably is difficult when one is onvinced that they either saw or felt the belief causing their current behaviour or feeling on numerous occasions earlier in life. When they realize they never saw their belief and they caused the feeling, not reality, their belief will just dissolve. Today change is the essential of survival and a way of carrying out business. Every business firm whether big or small has to change with time or it will perish. This change along with it brings insecurities and pain that forces human beings or individuals to come out of their comfort zones to zone of uncomfortable debate and this leads to resistance to change.

Just World Belief and Attitude Toward Jirga

Just World Belief and Attitude Toward Jirga Discussion This study was aimed to investigate the Just world belief and attitude toward jirga among university students. Study shows that the positive attitude toward jirga is positively correlated with just world belief. This shows that people with positive attitude toward jirga system also have high level on JWB. This finding is supported by the theory of â€Å"the belief in a Just life: A fundamental delusion† (Lerner, 1980) .theory purposed that a just world is one in which actions and conditions have predictable and appropriate consequences. When people believe that the consequence of every action is appropriate the also trust the decision making by their elders of jirga cause it support there belief that one will only get what her deserve there is no chance of unjust decisions. Another important finding of the study is, that the level of JWB is high among male students in comparison to female students. JWB is defined as the consequences one faces is because of her own work and what that deserve there. Or in other words â€Å"you reap what you sow†. In our society women are consider weaker them men, Men have more resources and opportunities to fight for their right and get what they want according to Lerner (1980) people are motivated to believe that the world is a just place where people get what they deserve. In most cases women are the once who suffers even if the crime is done by the male member of the family i.e Vani . the sample for this study was conducted from the students of Peshawar many of them belong to the ruler areas where the justice system is week or where judicial system is replaced by the Jirga system, in this kind of situation a men in our society have more power to stand for his right and mostly the judgments given by jirga’ s are in favor of men or if someone committed a murder his sis or daughter is offered to the male member of the victims family to settle the score and bring peace between two families. In this scenario the women how become Vani lost her faith on just world or any other women who saw this kind of treatment lost her faith on just world. The injustices’ for women in our society is not just in the areas where jirga’s are the main sources of decision, in areas where Judicial system is available even there it’s very hard for the women to get justices, for exam if a women became a rape victim the family prohibited her to go to the polices because according to them taking this kind of matter out from the house will jeopardize there respect and the status and if even then a women go out and approach the police she face the humility by the male member of police and then if the rapist get caught he get his self out from the jail on a bile like in the case of Mukhtaran BIBI anti terrorism court sentenced 6 men to death for rape but the Lahore high court cited â€Å"insufficient evidence† and Supreme court too acquitted the accused ( the express Tribune, April 22, 2011). This kind of situations make female member of society not to believe on the phenomena like just world belief. These findings are supported by the study conducted by (Hayes, Loren Bell, 2013) on Victim Blaming Others: Rape Myth acceptance and just World Belief, there results indicate that the level of just world belief is higher among men than women. Important finding of the study is female students have negative attitude toward jirga system then male students and over all the attitude of students toward jirga is more negative than positive. Jirga is a form of local council who have all male members in it, most verdicts given by them goes against women even if it was a male member of the family who committed the crime, Like â€Å"VANI† is an example in which if a male member of a family killed or committee a crime to another person or family the female a daughter or a sister or niece of the murderer forcibly married to the male member family of a victim to settle the scores between families the male who committed the crime didn’t get any kind of punishment, there are many expels of this tradition , in district D.I. Khan a three year old girl given to a man of forty five years on the decision of the local Jirga because the uncle of the three years old who kidnapped a girl (Daily Jung , 22 January 2007) , another case a man ran away with the daughter of the neighbor’s and the girls family took the case into local jiga , the jirga decided that the 6 month old daughter of the culprit’s should be married with the 25 years old brother of the runaway girl.( Al-Juzairi, A.R, 1977) and other example of the decisions of the Jirg system is â€Å"honor killing† jirga allow to murder a women if a male member of her family think that she dishonored his family they don’t even need prove to prove that women guilty, and another example is â€Å"honor rape† in which if a male member of a family raped someone jirga ordered that male members of the victims family should rape the female from the family of the person who rapped. The biggest example of the â€Å"honor Rape â€Å" is the case of Mukhatra BIBI, on June, 2002 the 30 years old Mukhtara BIBI was ganged raped on the order of the local jirga , because there was the accusation on his 12 year old brother that he raped an 18 years old girl ( 28th June 2005 , BBC News). According to the HRCP during the time period of one year January 1 2013 to December 31 2013 there are 510 females became victim of the honor killing and 359 victimized by Karo kari. These numbers and incidents clearly show why women have more negative attitude toward Jirga system. the overall attitude slightly inclined toward negative attitude toward jirga system the reason can be because the data was collected from the Universities the education level played important role in changing the view of the people from positive toward negative attitude. The findings of the research show that the view of the people is changing toward jirga system, the level just world belief shows that females of our society are facing injustice. Females are more than 51% of our population to make our nation stronger it is necessary to give security and confidence to a huge part of the population. Limitations and suggestions: The main limitation of the study was the limited resources and the safety conditions of the country which prohibited the researcher to go further in the rural ares and collect data .To measure the attitude toward jirga system conducting the interviews could give more details views and results. The sample was collected from the Gandhara university Peshawer , it can benefited the study if data was also collated from rural areas e KPK and other provinces where jirga system is also very common . The direct interviews from the victimized females can benefited the study by giving the more insight about the psychological condition and the level of JWB among those females. Implications of the Findings: The findings have very important implications, it is shown by the results that females are clear victims of the jirga system and they clearly showed negative attitude toward this system, authorities should take serious steps toward this jirga system which is clearly violating the rights of the women, secondly women shows low level on Just World Belief , which indicates that women who are more 51% of the population are very insecure and victimized by the unjust Law system and biased society if authorities doesn’t take any proper steps to give security and justices to the women then it will make our society more week and vulnerable. References: Daily Jung , Multan , Pakistan . 22-1-2007. Al-Juzairi, A.R . (1977) . Kitabul Fiqah Ala Mazahib elarab, translated by Manzoor Abassi, Publication sector, Aqff dept. Lahore. PAksitan HRCP , KILLINGS (add it in intro) Tirmizi.(Aprial, 22, 2011) ,Mukhtara Mai: story of extraordinary courage. The express Tribune. Anonymous. (21 aprial, 2011), Pakistan : acquittals in Mukhtara Mai gang rape case. BBCNews, south Asia.(add it in intro) Add research : a social custom Vanni intro and critical analysis. (Add it in intro it’s online.) Rape myth acceptance and just world belief , Rebecca m. hayes , Katherine and kirstin A Bell.(find it online add in references and research in literature reviews)

Lattice Boltzmann Method

Lattice Boltzmann Method Computational Fluid Dynamics permits the analysis of the behaviour of fluid flows in virtual environments and compared to traditional experimental tests involves lower time and costs as well as a better understanding of the studied phenomenon. Indeed, once the solution is obtai- ned all the magnitudes of the fluids can be accurately computed and visualised. Moreover, with CFD there is no interference between the flow field and the measuring equipment. The main approach used to study the behaviour of a fluid is the continuum one, which uses the Navier-Stokes equations and describes the fluid through macroscopic properties as pressure temperature and density. Since it is difficult and time-consuming to solve directly the non-linear partial differential NS equations these are converted into a system of algebraic equations th- rough finite difference, finite volume or finite element methods. The fluid domain is discretized and each node or volume contains a huge number of particles, the average value of pressure, velocity density etc is computed through an iterative process until convergence is reached. An alternative approach to study the fluid characteristics is the analysis of the microscale beha- viour of the fluid particles. The forces between particles (molecules) describe and determine the flow dynamic and at each time step the position and velocity of each particle is computed using the Newtons second law of momentum conservation. From the kinetic theory macro-scale pro- perties of the fluid can be obtained. This method is clearly impractical because of the extreme number of particles that constitute even a small volume of fluid. The LBM method is in the middle of these two methodologies and focuses the attention on di- screte collections of particles whose properties are described through a probability distribution function (PDF). The PDF describes the behaviour of a large number of particles using a sta- tistical distribution. This approach hence doesnt request the knowledge of the single particles positions and velocities. The Maxwell-Boltzmann distribution function can be defined as the probability of finding particles within a certain range of velocities at a certain range of locations at a certain time f(r,c,t), where r,c,tare the position, velocity and time respectively. The spatial discretization used is named lattice and it is based on a Cartesian distribution of discrete points with discrete sets of velocity directions. The lattice is determined by the number of dimensions n and discrete velocity directions m (DnQm), a large number of velocities leads to a more precise description but also a higher computational cost. For each discrete velocity direction a PDF is defined. The Boltzmanns Transport Equation is used to describe the evolution of the PDFs and their  interactions: à ¢Ã‹â€ Ã¢â‚¬Å¡f à ¢Ã‹â€ Ã¢â‚¬Å¡t+ c ·Ãƒ ¢Ã‹â€ Ã¢â‚¬ ¡f= à ¢Ã¢â‚¬Å¾Ã‚ ¦(f) The equation states that the total derivative of the PDF equals to the collision operator à ¢Ã¢â‚¬Å¾Ã‚ ¦. This is a Lagrangian approach to the fluid dynamics while the traditional CFD methods use a Eulerian one. The collision operator depends on the distribution functions and it is very complicated to compute, a solution was founded by Bhatnagar, Gross and Krook (BGK) who replaced it with a single relaxation time (SRT) simplified model: à ¢Ã¢â‚¬Å¾Ã‚ ¦ = 1 (feqf) à Ã¢â‚¬Å¾ where feqis the local equilibrium distribution function (the distribution which represents the system equilibrium) and à Ã¢â‚¬Å¾is the relaxation time (particle collision frequency). The above equation can be written along each velocity direction and can be discretized as à ¢Ã‹â€ Ã¢â‚¬  teq fi(r+ cià ¢Ã‹â€ Ã¢â‚¬  t,t+ à ¢Ã‹â€ Ã¢â‚¬  t) = fi(r,t) + [f (r,t)f(r,t)] à Ã¢â‚¬Å¾i This equation can be used to describe many phenomena specifying the proper equilibrium di- stribution function. The two steps represented are the propagation step which models the movement of the distribution functions along discrete directions and the collision step which describes the physical phenomena. The main drawbacks using an SRT scheme are the low Mach number which can be used, the limitations imposed by the value of à Ã¢â‚¬Å¾and the Prandtl number must be near one. For these reasons a multiple relaxation time (MRT) collision operator is used, this approach involves the calculation of the collision step in the momentum space instead of the velocity space. The CFD software Xflow uses an MRT scheme which improves the stability and enhance the Mach number limitations up to Mach 0.6 for the overall fluid domain and up to Mach 1 in local regions, this means for example that a shock wave in the point of the minimum Cp value in a transonic airfoil can be captured. The lattice structure used in the software is a D3Q27 arran- ged in an octree structure. This method divides the 3D space in a tree data structure where each portion is recursively subdivided in eight equals smaller parts. In this manner, different spatial scales with different refinements can be obtained in the fluid domain. Each level has spatial and temporal scales twice as smaller than the previous one so the ratio dx/dt and the CFL condition remain constant allowing a proper time step for each node. This is an advantage towards traditional CFD method where the time step is constant and hence the calculation is inefficient for the coarse part of the mesh. Moreover, adaptive ref inement criteria based on the local vorticity level can be used to refine wake regions, free surface and interfaces. The model used to simulate subgrid turbulence is the Wall-Adapting Local Eddy (WALE) vi- scosity model. This approach is the same used for Large Eddy Simulation and introduce an artificial eddy viscosity ÃŽÂ ½t. This model appears to be more efficiently applied in the LBM me- thod because the strain rate tensor is available in the local node while it needs information from the neighbours nodes to be evaluated in traditional CFD models. Besides, the proportional aspect ratio of the lattice required for LES turbulence model is another advantage in behalf of LBM technique. The impossibility to represent the boundary layer near walls because of the isotropy of the latti- ce structure and the consequent high number of nodes requested to capture the phenomenon is overcome through the use of the Wall-Modeled LES approach (WMLES). Furthermore, as the turbolence length scale is proportional to the distance from the free surface and the boundary layer thickness is proportional to the Reynolds number, the resolution scale becomes unaccep- tably small near walls. This is why the WMLES approach uses RANS in the proximity of the walls. The discrete velocities projections are also used to calculate the distance between the lattice and the geometry in order to obtain a detailed description of the body curvature which is used in WMLES to evaluate the boundary layer behaviour.

Walking through the Woods :: Personal Narrative

So I went home this weekend, and in my neighborhood there is a small pond and all behind it is just woods. I’ve traveled in these woods as a little kid numerous times, with my friend and her father and he would teach us about the different bugs, trees and rocks we encountered along the way. Going back in the woods this past weekend, I was overcome with a feeling of nostalgia. I remember the times we would try to climb the trees, or chase after the grasshoppers or even just walk around and all the fun we used to have. Walking through the woods alone made me miss all the fun times I had as a child. As I child I was carefree, I knew who my friends were and I had no worries about trust and my relationships with others. Growing up, especially in college I’ve began to question my friends, I have a whole lot more stress and things are definitely not as simple as they once used to be.   Ã‚  Ã‚  Ã‚  Ã‚  The woods were the same woods they used to be, not much has changed, but the person walking through them has. I can not even remember the last time I entered the woods behind the pond, but I know one thing for sure that I have grown up so much since then. Walking through the forest I began to think of all the ways I have changed and I realized a few things. Physically, obviously, my appearance has changed, but emotionally I have changed a whole lot more. I have began to lead a more stressful life, with school work, friends and family always a constant thought in my mind. I have learned that I have begun to trust people too easily and then in the end I am always hurt. I have learned that people are not always who they say or portray themselves as. I do not regret all the things that I have learned, I am actually quite grateful for them. Without all these changes I would not have been able to grow into the person I am today.

Kierkegaard: Love Thy Neighbor as Thyself as a Basis for Ethics :: Morals Philosophy Philosophical Essays

Kierkegaard: "Love Thy Neighbor as Thyself" as a Basis for Ethics "Thou shalt love the Lord thy God with all thy heart, and with all thy soul, and with all thy might. This is the first and great commandment. And the second is like unto it, Thou shalt love thy neighbour as thyself. On these two commandments hang all the law and the prophets." [Matthew 22:37-40, AV] "When you open the door which you shut in order to pray to God, the first person you meet as you go out is your neighbour whom you shall love. Wonderful!" [Kierkegaard, p.64] 1 Introduction This paper is a philosophical exploration of some aspects and implications of the "second great commandment", to "love thy neighbor as thyself", which Kierkegaard called the "royal command". This is often thought to be the heart of Christian ethics [Wattles, p.8]. This agape-obligation has seemed to some to pose difficulties. Macquarrie and Kierkegaard both recognize that there has been objection. Macquarrie several times notes his opposition to the belief, "that moral laws are the heteronomous commands of a transcendent deity who demands obedience." [p.219f] and even worse, "imposed on creatures from whom he is 'wholly other', a command, moreover, which they have no capacity to obey except by grace alone, while this grace, in turn, seems to be also external and has to be 'infused' from outside." [p.221] Kierkegaard wrote that, [to the pagan,] "this command 'You shall love' will not only surprise him but will disturb him and be an offence to him. [p.41] It may perhaps offend you — well, you know it anyway, that Christianity is always accompanied by signs of offense. Nevertheless believe it .... Do not stop believing because the command almost offends you." [p.74] The thesis of this paper is that, setting aside the question of moral offense that has disturbed commentators from Thomas Paine (The Age of Reason) to William Empson (Milton's God), agape to neighbor makes sense only under monotheistic or specifically Christian assumptions, and therefore, the old saw, "Christianity may not be factually true, but it has a sublime ethical teaching", is problematical. A number of issues inevitably arise in any serious discussion of agape. Some of these issues are discussed in the sections below: 2.1 How is love for God like love for neighbor? 2.2 Is God's love for me like my love for neighbor? 2.3 How is love for neighbor like love of self?

Religion and/ Spirituality Essay

The findings of the study highlights the salience of religious beliefs and spirituality as an aspect that positively influenced or contributed towards the subjective sense of well-being of the institutionalized aged, from the point of view of their administrators. For many of the participants, religiosity and spirituality seemed to be identical and they did not differentiate one from the other. And they engaged assiduously in religious practices, which in turn contributed toward their subjective experience of well-being. This practice of religion or their spirituality has been found to be the most powerful coping strategy adopted by these institutionalized elderly under investigation. This finding showed consistency across all sources of data in this study. The elderly at Gladys Center found prayer or dependence on God by the willing surrender to His will as a powerful means of dealing with his or her difficulties in all levels, as expressed by their administrators. This finding is backed by Mackenzie et al.(2000): Religion and spirituality significantly influence both mental and physical health in later life and relationship with God forms the foundation of their psychological well-being. While intrinsic religious orientation is inversely related to depression, anxiety, fear of death in older adults and they better cope with illness, loss, and grief formal religious involvement is related to general measures of personal adjustment and subjective health and life satisfaction (Koenig, 1999 & Mackenzie et al. 2000). According to Magai et al.(2003) Religious beliefs and participation or engaging in religious activities are closely related to positive aging outcomes, particularly life satisfaction and the absence of mental disorders. Most of the elderly as it was observed across different sources of data, engaged in religious and devotional activities every day of the week. Studies examining the relationship between religious involvement and a wide variety of health conditions, that as individuals aged, both formal and informal religious participation were associated with better health, happiness, and life satisfaction. Even when health was controlled, the strong link between religiosity and subjective well-being remained, which is true in the case of the participants who showed a great sense of well-being despite their declining physical health. Study done by Magai et al. (2003) proved that absence of religiosity or spirituality is consistently a predictor of low hardiness and those who are religiously oriented are likely to be intrinsically hardy and less likely to be debilitated, despite variations in social network. This observation could be an indicator how the elderly cope with the absence of their dear ones and various other things. The findings of the study showed that as perceived by their administrators, the elderly experienced prayer as source of strength, hope, meaning and peace in their lives and different studies hold up this finding. Religious experience provides a sense of meaning and purpose in daily life (Polner, 1989), a primary source for inner peace, values and social harmony (Witmer & Sweeny, 1992), a greater sense of wholeness, connectedness, and positive outlook.

Fever And Headache Case Study Health And Social Care Essay

Prior to parturiency, the client chows balanced repasts daily. He takes Multivitamins. He drinks 8-12 spectacless of H2O daily. He does n't hold any nutrient allergic reactions. His lesions heal fast. Complete set of dentitions, does n't utilize dental plates. The client is DAT ( diet as tolerated ) diet with no dark colored nutrients. Elimination Pattern The client does n't hold trouble extinguishing. He does n't utilize laxatives. His stool is formed. He defecates one time or twice daily. No jobs experienced when urinating. His piss is normal in colour and sum. Upon parturiency, the client defecates one time day-to-day. Still no trouble urinating. Activity and Exercise The client has sufficient energy to make the day-to-day activities he desired. He jogs around their small town sometimes. He likes to read books during his trim clip. He can to the full take attention of himself. While in the infirmary, the client walks around his room. He feels weak most of the clip, because he is merely lying down. He watches telecasting while in the infirmary. Cognitive-Perceptual The client does n't hold hearing troubles and does n't utilize hearing AIDSs. He does n't have on reading spectacless. He normally decides for himself but seeks advice from his older sister. Sleep/Rest Before parturiency, the client does n't hold trouble kiping. He makes certain to acquire adequate remainder for the following twenty-four hours ‘s activities. He does n't see incubuss. Now, the client said that he was non able to kip good because he is really concerned about his wellness. He sleeps a small late and wakes up early the following twenty-four hours. Self-perception The client describes himself as simple and determined. He feels good about himself. He does n't let petty jobs to acquire the best of him. Role-Relationship The client lives with his sister and her household. They portion with the family disbursals. Whenever they encounter jobs, they sit down and discourse them. Sexuality-Reproductive The client is sexually active but refuses to speak about his sexual life. Coping/Stress Tolerance When stressed, the client tries to loosen up himself foremost before confronting the job because he might do determinations he will repent. He talks to his sister or close friends whenever he has jobs. He does n't take any medicines or drugs. He handles jobs maturely. Values/Beliefs The client is spiritual. He prays frequently, though seldom attends mass. He has programs for himself in the hereafter and he says he will make his best to accomplish them.Family AssessmentName Relation Age Sexual activity Occupation Educational Attainment C.G Wife 31 F Gross saless Manager College GraduateHeredoMaternal: None Paternal: NoneDevelopmental HistoryTheorist Age Task/Stage Patient Description Erikson 36 y/o Generativity vs. Stagnation The patient is concerned about others. He makes the most out of his clip. Freud 36 y/o Genital Phase The patient is sexually active. Piaget 36 y/o Formal Operationss The patient thinks about how to cover and work out jobs encountered. Kohlberg 36 y/o Post Conventional The patient is concerned about his single rights. Fowler 36 y/o Conjunctive Faith The patient is cognizant of the truth and takes the enterprise to detect it.Physical ExaminationHeight: 5'5 Weight: 70 kilogram Volt BP: 130/90 mmHg RR: 26 cpm PR: 72 beats per minute Skin Light brown in colour Birthmark on upper part of arm Uniform temperature in custodies and pess Skin turgor & lt ; 2 secs No lentigos Nails Pink nail beds Integral tegument environing the nails Blanch trial or capillary refill & lt ; 4secs Head and Face Head is round in form Symmetric facial characteristics Symmetric facial motions No facial hair No tangible multitudes, lesions, cicatrixs Eyess Eyebrows symmetrical and equally distributed, equal motions Eyelashs equally distributed Eyelids are integral, no stains ; symmetrical motion Students are every bit circular and reactive to illume Ears Color same as facial tegument, symmetrical Pinna recoils after it is folded No discharge Nose External olfactory organ is symmetric, unvarying in colour, non tender, no lesions, no discharges Nasal septum integral Maxillary and frontal fistulas non tender Mouth and Pharynx Outer lips symmetric, unvarying in colour, can purse lips Inner lips are pink No losing dentition, pinkish gums Tongue is in the centre, pink in colour, moves freely Neck Muscles are equal, caput centered Can travel cervix with no uncomfortableness No tangible multitudes Spinal column Spine is straight, shoulders and hips are at same tallness Thorax/Lungs Skin intact, no tenderness, no tangible multitudes ( + ) wheezes Cardiovascular/Heart Jugular venas non seeable Symmetrical pulsing on peripheral pulsations Capillary refill trial: & lt ; 4secs Breast Symmetrical Abdomens Skin uniform in colour Symmetrical motions caused by respiration Audible intestine sounds No tenderness Extremities Uniform in colour, symmetric Symmetrical pulsing of peripheral pulsations Capillary refill: & lt ; 4 secs Genitalias REFUSED Rectum and Anus REFUSEDPersonal/Social HistoryHabits: He likes to read and travel to the promenade Frailties: Drinks on occasion Life style: Active Client ‘s usual twenty-four hours like: After acquiring off from work, he finds clip to rest and read a book. Rank in the household: 2nd kid Travel: Went to Bacolod for 10 yearss Educational Attainment: College Graduate III. Environmental History The client lives in a private subdivision in Malabon, Manila with his sister and her household. He describes their small town as quiet and peaceable. Few autos pass by their street. They segregate their refuse and maintain their milieus clean.IV. PathophysiologyA. Theoretical Based Dengue Hemorrhagic Fever Predisposing Factor: – Age – Sexual activity -Immunodeficiency Precipitating Factor – Aedes aegypti mosquito Bite of a virus transporting mosquito Mosquito injects fluid into victim ‘s tegument Virus enters in the host ‘s blood watercourse Infects cells and replicate in sufficient sum Platelet will supply a shield for the virus from exposure and binding to neutralize preexistent antibody. Novices immune system response Stimulates release of cytokines Activation of memory T-cell response during re-exposure Macrophages or monocytes engulfed the virus holding a thrombocyte ( phagocytosis ) Virus-antibody composite Cytokines destroy cell membrane and cell wall Cytolysis Complement activation system Fluid switching ICF to ECF Coagulopathy ( PT, PTT ) Thrombocytopenia Vasculopathy ( plasma escape ) Vascular endothelian cell activation High Fever, organic structure failing, concern, sickness & A ; purging, abdominal hurting, petechial roseola in countries of the organic structure, bloody stool ( sometimes ) B. Client Based Dengue Hemorrhagic Fever Non-modifiable Factors: – Age: 36 y/o – Sexual activity: Male Modifiable Factors: -Immunodeficiency Poor Environmental Sanitation Aedis Aegypti Mosquito bites Creates multiple lesions in the blood watercourse Increase phagocytic activity Virus multiply in blood stream After 2-3 yearss incubation, febrility appears Paracetamol given Excessive ingestion of thrombocytes Scheduled BT For replacing Hematologic studies reveal that patient has low home base count Dengue Titer Test Done( + )Which states that patient has grade 1 DHF with marks and symptoms manifestedV. Laboratory ResultsUrinalysis ( 7/14/10 )ExaminationConsequenceInterpretationColor Yellow Yellow in colour may bespeak concentration in urine Transparency Slightly Cloudy–pH 6.0 pH and specific gravitation is within normal bounds Specific Gravity 1.010 Glucose Negative–Protein++Transeunt lift due to infection Blood Negative–Ketone++More fats are being used for energy alternatively of glucose Nitrite Negative–Bilirubin Negative–Blood ( 7/14/10 )ExaminationNormal ValueConsequenceInterpretationHemoglobin 140-175 g/L 141 Normal Hematrocrit 0.42-0.50 0.44 Normal RBC Count 4.50-5.90 Ten 10^12/L 4.92 Normal WBC Count 4.00-1.050 Ten 10^9/L 4.40 Normal Basophil 0.00-0.01––Eisonophil 0.01-0.04––Pang 0.02-0.05 0.01 Normal Neutrophil 0.36-0.66 0.69 Normal Lymphocyte 0.24-0.44 0.16 The patient is compromised because of immunodeficiency. Monocyte 0.02-0.12 0.14 Normal Platelet Count 150.00-450.00X10^9/L 125 The patient ‘s thrombocyte count is below normal scope which means that there no equal coagulating map.Blood ( 7/19/10 )ExaminationNormal ValueConsequenceInterpretationHemoglobin 140-175 g/L 140 Normal Hematrocrit 0.42-0.50 0.43 Normal RBC Count 4.50-5.90 Ten 10^12/L 4.84 Normal WBC Count 4.00-1.050 Ten 10^9/L 7.37 Normal Basophil 0.00-0.01––Eisonophil 0.01-0.04 0.04 Normal Pang 0.02 0.02-0.05 Normal Neutrophil 0.36-0.66 0.53 Normal Lymphocyte 0.24-0.44 0.30 Normal Monocyte 0.02-0.12 0.11 Normal Platelet Count 150.00-450.00X10^9/L 215 NormalPotassium ( 7/17/10 )ExaminationNormal ValueConsequenceInterpretationPotassium 3.50-5.50mg/dL 3.7 NormalCurdling and Hemostasis ( 7/18/10 )ExaminationNormal ValueConsequenceInterpretationActivated Partial Thromboplastin- Patient 22.60-35.00 secs 32.6 Normal Activated Partial Thromboplastin- Control 22.60-35.00 secs 30.2 NormalUltrasound Result ( 7/17/10 )ExaminationConsequenceDoppler Scrotal/Testes The testicles are normal in size, echopatterns and constellation with no focal lesions noted. The right steps about 4.4 tens 2.6 s2.1 centimeter ( LWH ) . While the left steps about 4.0 tens 2.8 ten 2.1 centimeter ( LWH ) . No extratesticular mass lesion is noted. The epididumes are non unusual. Free fluid aggregation is seen within the left scrotal pouch. Impression: Left Hydrocoele. Normal Testiss and epididymes No grounds of varicocoeleVIII. List of Priority Problem1. Hyperthermia related to desiccation secondary to DHF phase 1 2. Deficient Fluid volume related to active fluid volume secondary bleeding 3. Activity Intolerance related to generalise failing secondary to DHF phase 1IX. Ongoing Appraisal7/14/10 – On DAT ( Diet as Tolerated ) with NDCF ( No Dark Colored Foods ) – Proctor VS q4, rigorous I & A ; O – Dx process: CBC, Platelet count, Potassium, Urinalysis – Dengue Titers – Master of educations: Aeknil 1 A IV q4 Nafarin 1 check TID Azithromycin 500 milligram OD 7/15/10 – Addition unwritten fluid intake – Dx process: Blood Typing ( Result: Bachelor of arts ) 7/16/10 – Facilitate station BT as ordered – Give antamin 1 amp 30 min prior to BT 7/17/10 – Warm compress over scrotal are TID 7/18/10 – WOF marks of shed blooding 7/19/10 – Cold compress 10 min BOD and displacement to warm compress 10 Command – Scrotal Support 7/20/10 – May travel placeTen. Discharge PlanMedicine: Celebrex 200 milligram 1 check 2x a twenty-four hours PRN for hurting Exercise: Avoid strenuous exercisings Treatment: Patient must take medicines for hurting as needed. Bed remainder. Increase unwritten fluid intake Health Education: Promote patient to hold a healthy life style. Practice good hygiene. Diet: Diet as tolerated. Eat balanced repasts daily, nutrients high in fibre.