Sunday, December 8, 2019

Renal Failure free essay sample

The purpose of this paper is to utilize the importance of evidence based practice in the clinical setting by incorporating the validity in planning care for the patients whom endure renal disease. Evidenced based practice is such a crucial part in obtaining as much knowledge needed to prioritize and efficiently plan care. This is why it is important for nurses to individualize a patient’s care because nursing care is not universal for all. This paper will review a retired tobacco/dairy farmer. He is an obese, 76 year old white male who was admitted to the hospital with complications from renal failure. The kidneys play a vital role in the body by removing waste products and excess fluid in the body, which is performed through excretion of urine. This process is necessary to maintain a stable balance of chemicals in your body through excretion and re-absorption. The functions of the kidneys are to; balance the body’s fluids, remove drugs from the body, control the production of red blood cells, remove waste products from the body, and release hormones that regulate sodium and fluid in your body. We will write a custom essay sample on Renal Failure or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page If the kidneys are unable to filter the blood by failing to excrete excess wastes and fluids there may be a build up in your body causing other complications. The warning signs for kidney disease are; blood/protein in the urine, high blood pressure (HTN), generalized edema, frequent and/or painful urination, glomerular filtration rate (GFR) of less than 60, and a blood urea nitrogen (BUN) and creatinine test outside the normal range (Moustakas, Bennett, Nicholson, Tranter, 2012). Assessment Data On admittance to the hospital, Mr.  B was experiencing fatigue and excess weight gain of over 10 pounds in the last few weeks. Upon assessment at a measurement of 5 ft. 8 in. his weight was 219. 1 lbs. with a body mass index (BMI) of 33. 3. He complained of excess fluid accumulating in his upper and lower extremities. Mr. B had +1 pitting edema in his bilateral lower and upper extremities. During the last few weeks, Mr. B has said to be experiencing shortness of breath during exertion and often times at rest. He has had a decrease in urine output of less than 30 ml. an hour during his stay. His appetite has decreased during his hospital stay due to his increase fatigue and lethargy. He is on a renal/non-concentrated sweets diet and only eats approximately 10%-15% of his meals. His lung sounds were clear in the upper lobes with diminished sounds in the bases of his lungs. His respirations were 22, oxygen saturation (O2 Sat. ) 96% on 2 liters nasal cannula. His blood pressure was 108/43, with a heart rate of 78. Mr. B developed a hematoma on his right arm from a previous fistula that didn’t infuse correctly during his previous dialysis treatment. A central line was placed in his left chest during his stay due to the failed fistula. He developed a yeast infection in the left central line, which went septic and another central deep line was placed in his right IJ for future dialysis treatments. On admission Mr. B had an ECHO and an EKG done which displayed atrial fibrillation (AFIB) and an ejection fraction (EF) of 55%-65%. Mr. B has a history of atrial fibrillation and is currently on Coumadin therapy for thrombolytic prophylaxis. A chest X-ray was done that showed bilateral interstitial opacities and small pleural effusions. These findings on the chest X-ray are relevant to renal disease due to excess fluid accumulation within the pleural cavity, which may conclude the diminished lung sounds found during auscultation. A CT Scan of the chest displayed patchy consolidation throughout, which may also support the excess fluid accumulation that can occur during renal failure. Mr. B’s glomerular filtration rate (GFR) was 20 ml/min which is low due to his kidneys not being able to function properly at filtering the blood. Due to his GFR being low, his D-dimer was elevated at 1315 ng/ml. His blood urea nitrogen (BUN) was 70 mg/dL, and creatinine was 3. 22mg/dL which are both high levels as a result of his kidneys not being able to excrete excess nitrogen and urea, as well as creatinine from the blood. Mr. B’s urine chemistry indicated high protein levels in his urine (100-200) because of the inability of his kidneys to filter protein from the blood therefore excreting proteins as waste. As seen on Mr. B’s complete blood count (CBC), his red blood cells (RBC) are low at 3. 25, with a low hemoglobin (Hgb) at 9. 5 g/dL and his hematocrit (Hct) was also low at 30.2 %. These findings may play a role in why Mr. B could be lethargic and fatigued. Brain type natriuretic peptide (BNP) was elevated at 33,700. This is likely due to the lack of clearance of BNP from the body due to his renal failure. His BNP may also be elevated due to his congestive heart failure, due to the increase workload on the left ventricle. BNP released by the heart may indicate decreased cardiac output, which may indirectly relate to excess fluid volume within the vascular system. Mr. B’s calcium level was also low at 7. 8. This is likely due to his loss of appetite since most of the calcium we provide our body is through our diet. Due to his renal failure he is unable to absorb calcium as well, which also leads to low circulating calcium in the blood. Medications Mr. B is on Diflucan, this medication is an antifungal that is used to treat and prevent fungal infections in the body. Some common side effects associated with Diflucan are unusual weakness, fatigue, and loss of appetite. Mr. B experienced all of these symptoms during his stay which could have been a side effect of this medication. He was on this antifungal for treatment of his yeast infection that he contracted from complications of his central line. Mr. B is also taking hydralazine. Hydralazine is used by relaxing the blood vessels so that the blood can flow through the body more easily which helps lower blood pressure in the body. Mr. B has high blood pressure and is on this medication to help control it. Due to his renal failure, his blood pressure is increased due to the excess fluid volume in his body. Some common side effects that Mr. B experienced during his stay while on this medication were constipation and loss of appetite. He was prescribed Megace in the hospital to help stimulate his appetite as well as stool softeners to help with his constipation to make it easier for him to have a bowel movement. Mr. B was also given Drisdol during his stay. Drisdol is another name for Vitamin D, which is a fat-soluble vitamin that helps your body absorb phosphorus and calcium. This medication is used primarily to help promote bone density. When calcium levels are low in the body, the parathyroid glands produce increase amounts of the parathyroid hormone which causes the body to pull calcium from the bones to increase the amount of calcium in the blood. This can happen when the kidneys are not functioning properly. During normal kidney function, the body turns Vitamin D into an active hormone which increases calcium absorption in the intestines which helps increase the amount of calcium that is circulating in the blood. This is why people who have renal failure are at risk for osteoporosis, fractures and other bone disorders because they are lacking in Vitamin D. This is why Mr. B is prescribed Drisdol to help his body absorb calcium. Drisdol is better absorbed in the body when taken after a meal. However, it can be taken without food if necessary. Since Mr. B had a loss of appetite during his stay at the hospital, he was not getting the proper amounts of calcium in his diet. It is important for him to be on a medication that helps increase his calcium levels since calcium plays an important role in bone growth development. Calcium also plays a role in stabilizing blood pressure due to it being essential for muscular contraction for the heart to pump efficiently and is essential for blood clotting. Calcium works in the body with vitamin k to help the blood clot and without adequate levels of these nutrients, the body is at an increased risk of bleeding. If someone is on a blood thinner it is important to monitor them more closely for signs of bleeding because they already bleed more than someone who is not on a blood thinner. Since Mr. B has a history of high blood pressure and is on Coumadin for the treatment of chronic atrial fibrillation, he is at risk for bleeding by reducing clot formation so calcium levels are important to monitor as well as his blood panel (Potts, 2012). Presented with allergies such as; Cephalexin Monohydrate, Hydrochlorothiazide (HTCT), Lisinopril, Pseudoephedrine, Pseudoephedrine HCL, he should not experience any interactions with any of the medications he is taking. Once Mr. B’s renal system stabilizes and regains adequate function he will most likely be placed back on his Lasix which is a loop diuretic. Recent research has shown that loop diuretics are the hallmark pharmacological treatment for excess fluid volume. To help facilitate optimal fluid status the dose of the loop diuretic may be titrated intravenously to fit specific needs related to fluid excess (Albert, 2012). Health Maintenance and Past Medical History While in the hospital, Mr. B displayed good general hygiene, and is up to date with his influenza, pneumonia, and shingles vaccines. He has been tobacco free for 14 years and denies any use of alcohol. Prior to his health declining in the past few years, he enjoyed being outdoors and remained active by walking at least a mile a day. At home, his wife stated that Mr.B is pretty good at controlling his blood sugar on a daily basis by eating healthy, exercising, and taking his insulin as prescribed. Mr. B has a past medical history of; congestive heart failure (CHF), coronary artery disease (CAD), chronic obstructive pulmonary disease (COPD), asthma, hypertension (HTN), anemia, diabetes mellitus, myocardial infarction (MI), hyperlipidemia, gastrointestinal reflux disease (GERD), benign prostatic hypertrophy (BPH), diverticulosis, vitamin D deficiency, skin cancer, renal disease, chronic back pain, right ankle fracture, cataracts, and depression. He has had a past surgical history of; an angioplasty/stent placement in 2012, and removal of his right cataract, a colostomy, and a colon resection with colostomy reversal. Attributable to the fact that his mother past away of a myocardial infarction at the age of 64, Mr. B is more susceptible to vascular problems himself. On admittance of renal failure to the hospital, Mr. B’s primary diagnosis was excess fluid volume related to his kidney’s insufficient ability to filter out excess fluid from the blood. His wife mentioned that he has gained about 10 pounds or more weight in fluid over the past few weeks. His chest x-ray showed bilateral interstitial opacities and pleural effusions, which means he has an accumulation of fluid in his interstitial space. He has had a productive cough with clear sputum and his lung sounds were clear in the bilateral upper lobes and then gradually diminished in the bilateral lower lobes. His diminished lung sounds may have been due to the pleural effusions found on the x-ray. His CT scan displayed patchy consolidation which also could support his excess fluid accumulation. As previously stated, Mr. B’s abnormal lab findings of; a low GFR, increase BUN and creatinine, proteinuria, increase BNP, decreased Hgb, Hct, and decreased RBC are all indicative of renal dysfunction. His intake of fluids for the shift was 425ml and his urine output for the same shift was only 225 ml. which shows he was retaining 200 ml of fluid. As a direct result of his excess fluid retention, Mr. B’s secondary diagnosis was imbalanced nutrition related to inadequate food intake. Inadequate food intake resulted in less than body requirements that his body needs to stay healthy. His kidneys inability to regulate excess fluid caused increased water retention in his extremities and throughout his body. He had +1 pitting edema in his lower and upper extremities. Excess fluid retention led to Mr. B being short of breath on exertion and fatigued. Being fatigued caused Mr. B to sleep large amounts during the day which caused him to not wake up much to eat his meals regularly resulting in a lack of nutrition. When Mr.B would wake up for meals he stated â€Å"this food isn’t like what she (his wife) fixes me. Expected Client Outcomes The first outcome Mr. B would like to achieve is a urine output of at least 30 ml per hour. Mr. B should also show a decrease in fluid volume retention as evidenced by a decrease in body weight. The second projected outcome is for Mr. B to have normal lung sounds that are clear throughout with no diminished sounds. This will be assessed and evaluated by auscultation of Mr. B’s lung sounds by discharge. The third important outcome for Mr.B to achieve upon discharge is decreased dyspnea, decrease edema in his lower and upper extremities, and improved activity level of at least walking short distances without getting short of breath. The fourth outcome we would like to see normal lab values pertaining to his kidney function and nutritional status before discharge. Mr. B is on 2 liters nasal cannula for comfort due to the shortness of breath he has been having. One of the outcomes we would like to achieve is to have Mr. B maintain oxygen saturation above 90% without use of oxygen before he leaves the hospital. Since Mr.B hasn’t been having much of an appetite another projected outcome is for him to eat at least 75% of his meals so that he can get adequate nutrition which will also help improve his strength. Nursing Interventions Due to Mr. B’s kidneys inability to filter out excess fluid from his blood he was placed on dialysis to help filter out the blood and reduce the fluid volume. A foley catheter was placed upon admission to help keep better track of his intake and output. Although, Mr. B’s blood pressure was substantially low at 108/43 on initial assessment, he does have a long history of hypertension. Evidence based researched presented by Lingerfelt Hodnicki (2012) displays HTN as the major risk factor in the occurrence and prevalence of chronic kidney disease. This is why it is crucial for Mr. B to not only know, but as well understand and perform how to monitor his BP. Utilizing automatic BP monitor devices are very helpful when monitoring BP at home. Evaluating Mr. B’s weight on a daily basis will help measure how much excess fluid he is retaining and it’s also important before and after dialysis treatments to make sure adequate fluid is being removed (Schick, 2012). Since Mr. B has had a decrease appetite since he has been in the hospital he was started on Megace, which is a medication that helps stimulate his appetite (Shumaker, 2009). Before discharge Mr. B may need to think more about gradually gaining stability while helping improve quality of life by an argument brought upon by Walsh Fahy (2011) which argues; that many health care providers overlook the significance in stressing a healthy diet, and as a result neglect the patient’s weight management. Ultimately, setting Mr. B up for complications far more substantial in the future. With being 5’8 in height and having a BMI at an elevated 33. 3 and weighing in at 219. 1 lbs. Mr. W. over displayed the qualifications needed for further education and reference to dietary. Since Mr. B has been complaining of shortness of breath at times, as previously stated he was started on oxygen to help him feel more comfortable and maintain adequate oxygen saturations above 90%. In addition to the oxygen, he was also given breathing treatments, which consisted of Albuterol-Ipratropium and Pulmicort. Resulting from Mr.B’s condition he is lethargic and fatigued, it is important that he is given proper rest from daily routines, healthcare workers and as well as visitors. Untreated fatigue may greatly impact quality of life, which may lead to depression, weakness, increased dependency and social withdrawal (O’Sullivan McCarthy, 2009). Due to the fact that Mr. B had an increase amount of swelling in his extremities, ace wraps were placed on his bilateral lower extremities to help increase venous return. While Mr. B is on hemodialysis and has a central line in place it is important to maintain a clean site. Using Chlorhexidine soap would help fight against infections by sterilizing the ports used during dialysis. Based on cost of supplies evidence based practice has shown that using the Chlorhexidine soap is the most cost-effective while fighting catheter related infections (Bakke, 2010). Evaluation During the clinical shift, Mr. B did not meet the projected outcome, while still edematous in his upper and lower extremities and his urine output is still less than 30 ml. an hour. Given time, the projected outcomes for Mr. B will be achieved by meeting previously mentioned criteria for the given interventions. Having an overall goal of decreased fluid volume excess with an increase in Mr. B’s quality of life, as evidence by; decrease in routine assessment of daily body weight, urine output of at least 30 ml. per hour, absent of diminished lung sounds, and maintains adequate oxygenation without episodes of shortness of breath. If the outcomes are not reached in the projected time, it is the nurse’s responsibility to suggest more drastic interventions to help reach the goals stated or develop a more realistic outcome to be reached for Mr. B.

Saturday, November 30, 2019

Thomas Edison Essay Paper Example For Students

Thomas Edison Essay Paper By: Jeff E-mail: emailprotected Thomas Alva Edison Thomas Alva Edison was one of the greatest inventors. He was a smart man. Thomas invented many things such as the light bulb and phonograph. Without the light bulb we would still be using candles and lanterns like they did many years ago. Although Thomas was deaf he worked hard and never gave up. Thomas Alva Edison was born on February 11, 1847 in Milan, Ohio. He had many family members. He had a father named Samuel Odgen Edison and a mother named Nancy Elliott Edison. Thomas mother pulled him from school because Thomas teacher called him a retard. Nancy Edison taught her son at home. Thomas has six siblings and he was the youngest child in the Edison family. We will write a custom essay on Thomas Edison Paper specifically for you for only $16.38 $13.9/page Order now Thomas was interested in many things as a child. At age twelve Thomas got a job at the Grand Trunk Railroad. While working at Grand Trunk Railroad Thomas was a typesetter, press operator, editor, and publisher of his very own newspaper called the Herald. Thomas got his news for his newspaper from telegraphers at other train stations. Thomas liked many things, but mathematics was not one of them. He enjoyed reading books about science and philosophy. His favorite book ever was Isaac Newtowns Principia Mathematica. Thomas was interested in inventing the light bulb. Thomas was a scientist as a kid. He like to test many things. When he was young he built a laboratory in the familys basement. Thomas did experiments he found in science books and got jars and chemicals for experiments from local shopkeepers. Thomas also used a spare train car for another laboratory. Thomas studied books on mechanics, manufacturing, and chemistry at the public library. He spent a long time studying Newtowns Principles. He also read lots of books such as Gibbons Decline and Fall of the Roman Empire, Humes History of England, Sears History of the World, Burtons Anatomy of Melancholy, and The Dictoinaries of Sciences. Thomas Edison invented the light bulb. In October of 1879 Edison patented his incandescent lamp. Edison and his team made a new vacuum pump to make better vacuums in glass light bulbs. It was better known as the glow bulb. Thomas second attempt at the glow bulb successfully lit for forty hours. On New Years Eve Edison lit up Menlo Park with thirty glow bulbs. Electricity would replace gas for lighting purposes. The light bulb gives off light so that we can see with out lanterns and candles. The Edison Lamp Company produced 1,000 light bulbs a day. It has improved since its original version. In 1880, Edison invented the incandescent lamp. In the year 1910, Tungsten filament was discovered giving off white light instead of yellow light. In 1925, lamps were given an inside frosting that had a fine spray of hydrofluoric acid. In the late 19th century, florescent lamps were invented. They are tubes filled with low-pressure neon gas. Thomas Edison invented many things we still used today. I think the light bulb was the greatest invention because it is hard to see with out light bulbs. Without the light bulb we would not be able to have night ball games or light shows. It is a good thing Thomas Edison invented the light bulb. Bibliography 1. Edison, Thomas. Comptons Encylopedia. 1990 ed. vol. 7, p.72-76 2. Ellis, Keith. Thomas Edison, Genius of Electricity. Great Britain: Priory Press Limited, 1974 3. Parker, Steve. Thomas Edison and Electricity. Great Britain: Belitha Press Limited, 1992 Word Count: 541

Tuesday, November 26, 2019

Oliver Twist1 essays

Oliver Twist1 essays Oliver Twist provides insight into the experience of the poor in 1830s England. Beneath the novels humor and dramatic plot runs an undertone of bitter criticism of the Victorian middle class's attitudes toward the poor. Dickens's Oliver Twist very vividly critisizes the legal system, workhouses, and middle class moral values and marriage practices of 1830s England. Oliver Twist is born a sickly infant in a workhouse. His birth is attended by the parish surgeon and a drunken nurse. His mother kisses his forehead and dies, and the nurse announces that Oliver's mother was found lying in the streets the night before. The surgeon notices that she is not wearing a wedding ring. Oliver is then placed into a very undesirable situation as a poor, homeless, helpless, motherless orphan. The first few years of his life offer nothing more than a life of many trails and little to no triumph. The entire story of Oliver Twist revolves around his mysterious identity. Who is Oliver Twist? The complication Of Olivers life was that he didnt know who he was and he had no place in society. From birth he was thrown from one bad situation into another. He worked in a workhouse where he was treated badly and barely feed. After working there for a while, still a child, he started work with and undertaker who also treated him badly and beat him spiractically. When Oliver ran away from the undertaker, he fell into the hands of some low life thieves, who tired to persuade him into a life of crime. Fagin assures him that he has won Oliver over in spirit, but he wants Oliver to take part in a serious crime in order to firmly seal the boy in his power. (Dickens, Chp. 18) Although temptation is all around him, Oliver does not want to participate in a life of crime. On his first day as a thief Oliver is arrested but not charged The person who accused him of stealing, Mr. ...

Friday, November 22, 2019

Exercises in Identifying Subjects and Verbs

Exercises in Identifying Subjects and Verbs There are two basic parts of a sentence: the  subject  and the  predicate. The subject is usually a noun: a person, place or thing. The predicate is usually a phrase that includes a  verb: a word that identifies an action or state of being. For example, both run and is are  verbs.   One easy way to distinguish subjects from verbs is to put the word he or she before the word. If the phrase makes sense, the word is a verb. If it doesnt, its probably a noun. For example, is the word bird a subject (noun) or a verb? How about the word dances? To find out, put the word he in front of each word. He bird makes no sense, so the word bird is a noun and could be the subject of a sentence.  He dances does make  sense, so the word dances is a verb, which could be part of the predicate. Try these exercises to help you distinguish between subjects and verbs. Two exercises are provided to give you (or your students) two opportunities to practice. Exercise A: Identifying Subjects and Verbs For each of the following sentences, decide whether the word in bold print is the subject or the verb. When you are done, compare your responses with the answers below. The dog shivered.An owl shrieked.The moon disappeared behind the clouds.We waited.Nobody said a word.  For a moment, nobody even breathed.A light rain fell on our heads.The leaves trembled.Our hearts beat faster.Then the black sky opened up.Furious flames lit up the night. Answers 1. verb; 2. subject; 3. verb; 4. subject; 5. verb; 6. subject; 7. verb; 8. verb; 9. verb; 10. subject; 11. subject Exercise B: Identifying Subjects and Verbs For each of the following sentences, decide whether the word in bold print is the subject or the verb. When you are done, compare your responses with the answers below. Mr. William Herring is the jolliest man I know.His outward features reflect the delightful character within.His hair is red and frizzy, like Orphan Annies.His head is fat and round.He has small, dark, hamster-like eyes.His eyes peer inquisitively from behind metal-rimmed glasses.His small mouth is always formed into a friendly grin.His thick neck connects this funny head to an egg-shaped torso.He has two fat arms with plump hands and fingers shaped like hot dogs.On one of these fingers is a diamond-studded gold ring.The gleam of the ring matches the brilliance of Mr. Bills smile.His Santa Claus belly, girded by a cowboy belt, hangs over the sort of baggy trousers that went out of style with leisure suits and platform shoes.Mr. Bills shoes, however, are invisible beneath his trousers.Still, his walk is distinctive.In fact, he seems to roll rather than walk.He rolls to the rhythm of his own laughter.His students roll right along with him. Answers 1. subject; 2. verb; 3. subject; 4. verb; 5. verb; 6. subject; 7. subject; 8. verb; 9. subject; 10. subject; 11. verb; 12. subject; 13. verb; 14. subject; 15. verb; 16. verb; 17. subject

Thursday, November 21, 2019

Management Skills Development Plan Term Paper Example | Topics and Well Written Essays - 1750 words

Management Skills Development Plan - Term Paper Example As a group leader, I ensure that I know the person’s abilities and talents before delegating a job. I never overburden my team members or be impatient. For example, I make accommodation for personal preferences, existing work duties or family commitments. If a group member asks that he wants to do a particular job, I make sure that he gets that, considering it suits their abilities. My peers often appreciate my group management skills, complimenting how everyone is satisfied with the work that they have to do. I also practice good negotiation skills. Instead of openly negating opinions if I do not agree to it, I use a subtler approach. Where there is a conflict of opinions, rather than picking an argument, I try to negotiate with my team members, colleagues or senior authority. I start my statement by saying, â€Å"You may be correct Sir/Ma’am/Mr.†¦, but I think it should be†¦Ã¢â‚¬ . My peers are appreciative of my negotiating skills. I am also good at motivating others. If I know someone is good enough to perform a particular task, I would encourage him/her to pursue it. I would have a talk with that person, asking him/her to share his/her hesitations. For instance, I once motivated a coworker to pursue a project in kitchen designing on the basis that she was good at designing but never had the motivation to take it to the next level. Another one of my strengths is presentation-making. I enjoy researching, making presentations and adding animation and special effects to make the presentation interesting. As a result, my colleagues choose me after a general consensus to make presentations on behalf of the group. However, I also have certain weaknesses which prevent me from reaching optimum level of performance. Primarily, I have problems managing time. I have on occasion not managed to complete designated tasks on time. Meeting deadlines is a

Tuesday, November 19, 2019

Evaluating-Fictive-Narative Essay Example | Topics and Well Written Essays - 1000 words

Evaluating-Fictive-Narative - Essay Example Surprisingly, the boys visiting the coffee shop screamed in equal measure, and there was no huge difference between them and the girls. Kyler too felt threatened, and her efforts to get over the situation seemed to be overshadowed by the noise and confusion created by the environment. The state of confusion was too immense, and it was not clear whether it was the people at the coffee shop or the black locusts that were panicking. There was much screaming and running from one point of the coffee shop to the other, and the situation appeared quite messy. The more noise the people made, the wilder the locusts became. They extended their active mood onto the coffee tables and jumped right into some cups that customers had left behind in fear of the illusionary stings expected from the locusts. They were also extending their happy mood into the kitchen section of the coffee shop, and the workers were running away in fear just like the customers were doing. What is more threatening is that some customers and workers had the black locusts dangling all around their clothes. Unlike Kyler’s understanding, the black locusts were more of what is popularly regarded as the Rocky Mountain locust that spans the prairie areas. They seemed like a new species altogether that was here to cause an unending disaster to the population in Denver. What was more surprising is that they had never been heard of before around the world, leave alone in Denver. â€Å"Can we just ever have a peaceful life in Denver? Now it’s the black locusts, and I do not know what to expect when I wake up tomorrow,† wondered Kyler. As the thoughts kept spanning Kyler’s mind, everyone else seemed to wonder too whether there was a quick solution forthcoming to resolve the messy situation in the Denver coffee shop. Even though this was her popular place to enjoy coffee every evening, it was evident she was

Saturday, November 16, 2019

Social environment Essay Example for Free

Social environment Essay I am a person who frequents the local gym. In fact it is part of my daily routine and it is a social environment I have come to know very well. After hunting for a good parking space I make my way through the set of automatic sliding glass doors. The temperature is always a consistent 70 degrees Fahrenheit – cozy and comfortable in the winter, and a refreshing break from the blistering heat of summer. When I approach the front desk to swipe my membership card, one of three people will greet me. Usually it’s a middle aged African American man called â€Å"Mr. Fred,† and you can bet that he’ll be wearing a smile. No doubt, he knows almost every member’s name despite the fact that there are hundreds. On the rare occasion that Mr. Fred isn’t at the front desk, either a beautiful young girl with brown hair and brown eyes, or an older polite woman will greet me. As I make my way up the tall, carpeted staircase I scroll through my Ipod to find something fresh. Upon arriving at the top of the staircase I scan the area to see who is present. Is it busy? Is the cute girl I noticed last week here? My buddy from school? Anyone else I know? It’s truly amazing how much it depends on the time of day. We live by the clock and sometimes I don’t think we realize how much it structures our lives. Three PM means it’s slow – there will be a few older retired folks lethargically moving around and trying to keep themselves busy. At Four PM the space slowly starts to fill in with people that got off work early or left early to avoid the rush. At Five PM the facility comes alive. The cardio machines will soon all be occupied, the spinning classes begin, the lanes of the pool are now filled, and the clang of weights being shuffled around echoes throughout the gym. This is a colossal gym. The ceilings must be 40 feet high in some places. Most of the activity takes place on the second floor where there are over 100 cardio machines of various types. There is also an indoor track that surrounds the machines and the weights. I walk over to the stationary bikes to begin my warm-up and wonder how many people have sat on this seat since I last did. Sometimes the seat is still on position â€Å"16† like I left it the day before, other times I find it fully extended and I know a seven foot tall guy must have been there. After about ten minutes on the bike, I make my way over to the weights where I discover a new face. It’s a girl with blonde hair and she’s probably about 20 years old. She seems a little lost – perhaps a new member without much weight-training experience. It’s funny how many new members there are following every New Years. Indeed they have all just made resolutions to get into better shape. So after a couple minutes of fumbling around with one machine, a guy approaches the girl and offers his expertise on the subject. He asks her which muscle group she wants to focus on, and then demonstrates the correct movements on the machine. She looks at him wearily as she tries to replicate the motions and he nods in approval. It seems an instant relationship has just formulated between the two. Who knows where it will lead, they may end up together for the rest of their lives. Next I move over to where the free weights are located. I watch myself in the mirror as I lift the weights over my head and then bring them back to my shoulders in a slow, controlled motion. In the mirror I notice two girls behind me on the abdominal machines. And to take a line from Akon – I can’t help but to notice them, noticing me. I have seen them a couple times before and there is a feeling of familiarity – almost as though we know each other, yet we have never met. In one of my psychology classes, we learned the term â€Å"familiar strangers. † These can be described as people that we see over and over throughout our routines but people that we technically do not know. These girls are an example of familiar strangers because although I have never conversed with them, there is a sense that I do know them on some level. This is true of many people I see at the gym, some of which I see almost every day. It’s as if I have a certain connection with these people even though we are not acquaintances. It’s a peculiar situation. I see them every day but we don’t really speak to each other, yet if I saw one of them in another setting (a bar, restaurant, or store) I would almost feel compelled to speak. If I didn’t acknowledge them, it would be as though I was choosing to ignore the fact that I recognized them as a familiar person from the gym. Tuesdays at the gym are particularly interesting from a sociological perspective. It’s a very busy day because there are a lot of group classes. One class called â€Å"Zumba† combines dancing with an aerobic routine that has been choreographed to hip-hop music. This is the most popular class at the gym; in fact, it’s so popular that they had to move the class to the basketball court. The basketball court can be overlooked from the second floor; so needless to say, when the hip-hop music starts blaring it draws a lot of attention. But I’m not sure the music draws as much attention as the 75 women bouncing around on the basketball court. The guys upstairs literally flock to the railing to check out the action. And the funny thing is – they don’t tend to make any effort to be sly about watching the women below. Instead, they just stare at them, grinning from ear to ear and joke around with buddies. I’ll admit, it is very difficult to keep your eyes off of that many girls, but I do my best to avoid gawking. The gym is a place I have come to know well and it is an excellent facility. It sometimes even feels like a second home because everyone there is so welcoming and friendly. And if my Ipod isn’t enough to keep me entertained during my workout, there’s always the option of â€Å"people watching. †