Multiple Sclerosis Essay examples - 1988 Words

Most illnesses are unexpected and can lead to life changes. A chronic illness can lead to a life altering illness. While some chronic illnesses can be cured in a few weeks or months many last a lifetime. Chronic illnesses typically have a significant impact on clients, like treatments, coping, and dealing with possible side effects. When the chronic illness progresses to death then the illness would be life altering. According to webmd.com Multiple Sclerosis or MS is a disease that affects the brain and spinal cord resulting in loss of muscle control, vision, balance, and sensation. I chose Multiple Sclerosis because it can affect daily activities and can have a negative impact on the person’s well-being (Tamper Lindh 197-199) Learning†¦show more content†¦What causes MS is unknown; Scientists believe there are several factors that cause MS including immunologic, environmental, infectious, and genetic. MS is 2 to 3 times more common in women than men. MS is not inhe rited but genetics plays an important role in who gets the disease. While most people are diagnosed between the ages of 20 and 50, young children and teenagers may develop this life altering illness. MS is more common in northern latitudes that are further from the equator and less common in areas closer to the equator however, known in all parts of the world. MS occurs in most ethnic groups, including African Americans, Asians, and Hispanics/Latinos, but are more common in Caucasians of the northern European ancestry (â€Å"What is Multiple Sclerosis†). According to Margret Vickers the Sociologists have been concerned about the inequality of patients that have a chronic to life altering disease especially at work. A person with a disability is categorized as being other, different, and outside the norm, faces obstacles of trying to fit in to the working environment. Furthermore, employees who don’t possess the physical, emotional or cognitive attributes that others pr esent maybe stigmatized or discredited. The workplace remains difficult for people with a life altering illness to negotiate and be secure furthermore employment has actually decreased worldwide.Show MoreRelatedMultiple Sclerosis835 Words   |  4 PagesMarkel Franklin Professor Idziak Speech 1311 March 27, 2012 Multiple Sclerosis Specific Purpose: To inform my audience about multiple sclerosis by exploring various facts of the disease including what causes it, types of the disease and how it is treated. General Purpose: To make people aware of the autoimmune disease. Introduction I. Greeting- Good afternoon Ladies and Gentlemen. It is always a pleasure to stand before such an enthusiastic crowd and to talkRead MoreMultiple Sclerosis Essay824 Words   |  4 PagesMultiple Sclerosis is an autoimmune disorder where the myelin sheath within the Central Nervous System is attacked (National Multiple Sclerosis Society, 2017). The myelin sheath protects the axon of the nerve cell. When the myelin sheath is intact, the axon is able to carry impulses away from the neuron’s cell body, and the message carried is clear. With Multiple Sclerosis, the myelin sheath becomes scarred, hence the word â€Å"sclerosis†, and distorts the nerve impulses traveling over the CNS (NationalRead MoreThe Mechanics Of Multiple Sclerosis Essay1689 Words   |  7 Pagesthe real expressions of Multiple Sclerosis. These neurological symptoms were first identified in the early 14th and 15th centuries. The immune system attacks the myelin of the brain spinal cord causing a cessation or misinterpretation of communication with the rest of the body. Due to this destruction or damage to the myelin, scar tissue forms and there central nervous system cannot communicate with the body effectively. This is the mechanics of Multiple Sclerosis, a disease that affectsRead MoreEssay Multiple Sclerosis583 Words   |  3 PagesMultiple sclerosis is a complex, autoimmune disease caused by damage of the fatty myelin sheaths around axons of the brain and spinal cord which leads to demyelination, lesions (scaring) and inflammation1, 2, 3. This damage leads to disruption of nerve impulse along axons resulting in the many symptoms seen in multiple sclerosis patients. Although its exact etiology is unknown, current research indicates that multiple sclerosis is a complex combination of genetic and environmental factors. It hasRead MoreWhat Is Multiple Sclerosis?1341 Words   |  6 PagesWhat is Multiple Sclerosis (MS) Jessica Zelenak American Military Public University Abstract Multiple Sclerosis affects 2.3 million people worldwide. Multiple Sclerosis patients diagnosed are in the age range of twenty to fifty. Multiple Sclerosis effects the myelin in the central nervous system that disrupts the flow of information that is sent to the brain. This disruption effects your vision, mobility and bodily functions. Multiple Sclerosis has a wide variety of people it canRead More Multiple Sclerosis Essay1724 Words   |  7 PagesMultiple sclerosis, also known as MS, is one of humankind’s most mysterious diseases. No one knows the exact cause and there is no exact treatment. Still multiple sclerosis has the ability to affect nearly 3 million people worldwide and at least 500,000 people in the United States (Boroch). This disease tends to be more common in individuals of northern European descent and women are more than twice as likely to develop multiple sclerosis as men. Of those 3 million people, most of them are betweenRead MoreAn Overview Of Multiple Scle rosis2234 Words   |  9 PagesAN OVERVIEW OF MULTIPLE SCLEROSIS 1 An Overview of Multiple Sclerosis: the Disease, the Challenges, the Symptoms, and the Treatments Meiying Li AN OVERVIEW OF MULTIPLE SCLEROSIS 2 Abstract Multiple Sclerosis (MS) is a chronic inflammatory disease of the central nervous system. The characteristics of MS are demyelination and axonal loss. The etiologyRead MoreEssay Multiple Sclerosis1206 Words   |  5 PagesMultiple Sclerosis The primary objective of this paper is to raise fundamental questions in regards to multiple sclerosis, and to explore possibilities that attempt to answer these inquiries. Second, the prospective outcome is to provide a solid knowledge base for which my peers may begin to understand the relationship between multiple sclerosis and neurobiology and behavior. The first question to address in the general schema of this essay is: What is Multiple Sclerosis? Multiple SclerosisRead MoreMultiple Sclerosis Essay1328 Words   |  6 Pages Multiple Sclerosis is a disease that can impact many different parts of the body. It starts out by the immune system attacking the myelin that surrounds the nerve fibers in the Central Nervous System. Once the myelin tissue is damaged, it forms a type of scar tissue that essentially causes the sclerosis. It then sends nerve impulses back and forth between the brain and spinal cord that can cause many different ranges of symptoms. Scientists are still researching the cause for this disease; howeverRead More Multiple Sclerosis Essay2039 Words   |  9 PagesMultiple Sclerosis Multiple sclerosis is a disease of the central nervous system. It most commonly occurs in individuals between the ages of twenty and forty (1) and in higher numbers of women than men (2). In Multiple Sclerosis (or MS) a loss of the nerves axon coating myelin prohibits the nerve axons from efficiently conducting action and synaptic potentials. Scar tissue (called plaques or lesions) forms at the points where demyelination occurs in the brain and spinal cord, hence the name

Poverty And Poor People And The Rich - 1364 Words

The crevice between poor people and the rich has extended to its vastest levels since time remembrance. Financial imbalance likewise alluded to as the hole between poor people and the rich, riches uniqueness or wage disparity comprises of the distinctions in the pay and riches appropriation. Ordinarily, the term the hole between poor people and the rich alludes to disparity among gatherings and people in the general public, however can too allude to imbalance among nations. The crevice between poor people and the rich is identified with the idea of value: opportunity equity and result fairness. This paper investigates diverse angles identified with the developing hole between poor people and the rich. There are a few reasons why there is†¦show more content†¦Nor in savage life is there anything like the destitution that putrefies in our progress (Henry George). Celebrated American political financial expert Henry George is the writer of blockbuster Progress and Poverty (1879), a book about monetary imbalance; According to his perceptions, people are the main species to have a wide monetary hole between people. In today s general public, the uniqueness of riches and wage among the well off and poor people is available as well as expanding at a quick rate. Annie Lowrey, a financial writer for the New York Times, states, the main 10 percent of workers took the greater part of the nation s general pay in 2012, the most astounding extent recorded in a century. Due to this imbalance, the main 10% of the U.S. populace has acquired half of the nation s salary, bringing about a vast monetary crevice between the rich and poor people. This broadening monetary hole amongst well off a nd poor people is brought about basically through an instruction framework that supports the affluent, expanded accessibility of occupations for rich individuals through social associations, and an economy that is one-sided toward the rich. A noteworthy reason for monetary imbalance in the United States is the instruction framework Wealthy understudies can improve in school than their less well-off partners using coaches and extracurricular advancement exercises. This as a generally speaking, givesShow MoreRelatedThe Cause And Causes Of Poverty1325 Words   |  6 Pagesissue of poverty. According to the Business dictionary, poverty is a â€Å"Condition where people s basic needs for food, clothing, and shelter are not being met†. Due to the serious effects and causes of poverty, it has always been an important issue throughout the world. Causes of poverty vary from country to country but the biggest and most common causes are things such as national debt., disabilities, health issues, war, social inequality, lack of education, and natural resources. Poverty comes withRead MoreTrying to Erradicate Poverty and Extreme Poverty1351 Words   |  5 PagesThe very poor suffer from lack of access to safe food and water , basic education, and medicine. For many of the world’s countries, poverty is prevalent. While almost half of the world lives in poverty, the rich continue to get richer. In 2005, the poorer 10% only accounted for 0.5% of the world’s share of private consumption, while the richest 10% accounted for 59% of consumption (Shah 1-4). There is an increasing inequality gap. The world has enough resources to feed and shelter the poor but peopleRead MorePoverty : A Economic Disparity Between The Rich And Poor1361 Words   |  6 Pagesdisparity between the rich and the poor. Adam Smith reflects on the income gap in his quote: â€Å"No society can surely be flourishing and happy, of which the far greater part of the members are poor and miserable.† Due to Saudi Arabia’s vast oil wealth, there is a large amount of the population who live well and fruitful, but more than 20 percent of the population lives in crippling poverty (Baker, 2013). Poverty is usually define d in either absolute or relative terms. Absolute poverty refers to the standardRead MoreThe Need to Address Poverty in Canada990 Words   |  4 PagesPoverty is a serious issue in Canada needs to be addressed promptly. Poverty is not simply about the lack of money an individual has; it is much more than that. The World Bank Organization defines poverty by stating that, â€Å"Poverty is hunger. Poverty is lack of shelter. Poverty is being sick and not being able to see a doctor. Poverty is not having access to school and not knowing how to read. Poverty is not having a job, is fear for the future, living one day at a time†. In Canada, 14.9 percentRead MoreRich And Poor Countries : The Economic Conditions Of The World1245 Words   |  5 Pagesthe industrial revolution and technological advances, while other countries stagnated in poverty. These actions defined the current socio-economic conditions of the world. Today, there is a considerable difference between rich and po or countries. That is, developed countries do a very good job in providing the basic necessities for their populations such as food, education, healthcare and more. Meanwhile poor countries lack of these resources and they do not even have the technical system toRead MorePoverty Is A Grave Issue837 Words   |  4 PagesPoverty is a grave issue that many people face worldwide that is caused by political and economic instability, discrimination, war, and a history of colonialism. Poverty is a social and economic problem characterized by a lack of income and therefore lack of access to adequate resources like food, housing, and services. This problem is widespread and is fatal; the malnutrition and disease that comes along with poverty kills millions of people. Especially in developing countries, diseases, such asRead MoreEssay on The Root Causes and Solutions to Poverty676 Words   |  3 PagesThe same common question comes to us all at one point,†Why are people poor?â⠂¬  Whether you are liberal, conservative, or have had previous experiences that pull us to believe more strongly in certain things, all of our ideas on poverty fall on the same path. Unfortunately, as reality points out, is that inside the walls of the White House, where it is commonly believed that actual progress is happening, ideas on poverty revolve around stock exchange, whose ideas only benefit those who get electedRead MoreHow India s Rich Poor Divide Affects It1302 Words   |  6 PagesIntroduction In my Global Perspectives Project I will be talking about how India’s rich-poor divide affects it. I chose this subject because I truly find it fascinating how India’s poverty and wealth is so fart apart. India’s population escalates from multi million airs to an unbelievable amount of people under the poverty line. I believe that this issue can be solved but over centuries. Of course this isn’t the only problem in India but I find it the most intriguing. Another reason why India isRead MoreThe Gospel Of Luke Acts963 Words   |  4 PagesPoverty and human deprivation have been recognized as the most central challenges to the development of human society ever since the dawn of history. Alongside them is the issue of wealth, and our attitude towards it. Needless to say, Jesus talks about wealth and poverty throughout the Bible, however, more specifically in the Gospels of Luke and Acts in the New Testament. The Gospel of Luke-Acts is considered as the Gosp el having an immense concern on the socio-economic background of the peopleRead MoreEconomists Estimate Wealth And Poverty1736 Words   |  7 PagesBrian Curtis English Comp 2 April 23, 2016 Wealth and Poverty Economists estimate wealth and poverty in many ways. The most three common measures are income, possessions (accumulated wealth in the form of money, securities, and real estate), and socioeconomic metrics. Actions in the last category go beyond financial data to account for health, food, infant mortality, sanitation, and other phases of human well-being. Usually, wealth and poverty measured regarding income. Information on income is readily

17 Years free essay sample

Seventeen years, two eyes, one heart, one brain. A kaleidoscopic of cars whizzes by me as I waltz from my bus stop in downtown Los Angeles to my home, a government-funded apartment complex. Seventeen years, two eyes, one heart, one brain. Seventeen years to slay apathy, stockpile verbal ammunition, doubt the status quo, and delay death through learning and living. Seventeen years, and all it takes is just one traitorous second for everything to disappear. As I linger on the curb, shifting my weight while balancing my AP textbooks, I worry about how easy it would be to enter â€Å"the undiscovered country† where â€Å"no traveler returns.† I worry about the insights I’ll never pocket, the pains I’ll never retain. Two eyes, one heart, one brain. Two eyes to judge. A black Honda swerves harshly, hissing at my mortality as it rounds the corner and barely misses my defenseless flesh. We will write a custom essay sample on 17 Years or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page Startled, I stumble. Miscalculating my threshold for shock, I fall to the ground. My textbooks tango in descent as my backpack bemoans momentum’s pull. Impassive, the light changes. I pluck my books from the ground and cradle them in my arms before darting across the street. A homeless person who has witnessed my misfortune smiles and I smile back. Head held high and shoulders back, I hope my confident saunter is not nearly as comedic as I sense it is. One heart to feel. Paranoia pricks my skin darkened with years of outdoor basketball practice and running jaunts as I reflect on how young, female and distinctively pedestrian I am. Only dejected homeless people and doleful carless souls negotiate these paths, where one would be hard-pressed to find even the bravest of joggers. I routinely zigzag home alone since my mom works long hours as a seamstress and my dad works on-again, off-again at a factory. First, I cross the bridge overlooking the 101 Freeway. The second source of paranoia is the overpass I must walk under, embracing obscurity as I pray for light. Needless to say, I usually jog these steps. Third, is the gradual sloping upward of an unpaved sidewalk. In my seven years of walking home, I have seldom seen other pedestrians walking beside or in front of me, but with the California sky peering at me from behind folded arms, I am comforted in knowing I am not alone. One brain to feed. With the relief of passing each perceived danger, I scurry along. Assuming the lighthearted aura of Little Red Riding Hood, the tenacity of The Little Engine That Could, and the optimism of Dr. Seuss, I take a detour to my beloved library. There, I bask in the tranquil familiarity of books, knowledge, words and wisdom. Seventeen years, two eyes, one heart, one brain, one life.

Advancement Medical Healthcare Organization-Myassignmenthelp.Com

Question: Discuss About The Advancement Medical Healthcare Organization? Answer: Introduction: With the recent advancement of medical field and healthcare organization, they are able to successfully handle patients with a large number of chronic diseases altogether. The mean age of expectancy for individuals has increased. Healthcare professionals have become competent enough to handle many such cases with high expertise and their contribution has helped in increase in number of population of old age cohort. Maintaining such complex patients with huge number of chronic morbidities have brought happiness in families and helped them to live longer (Brownie, Scott Rossiter, 2016). The following report will mainly look over the interrelationship of complexity, chronicity and co-morbidity in healthcare. It will also help to untie a case study sequentially giving insights about how nursing professionals can use their critical thinking power to handle such cases effectively. Interrelationship of complexity, chronicity and co-morbidity in healthcare: A recent trend has been captured by researchers over time which has a magnanimous effect on the resources of not only healthcare centers but also on the lives of patients as well as their family members. Mostly in the high income countries, it is found that the population mortality curve has become somewhat rectangular suffering that the mean age death of the individuals has progressively extended towards much older age in comparison to previous years (Grembowski et al., 2014). However, the increase in longevity is has not been associated with reduction in morbidity of the patients. As more number of individuals is living for a much larger period of time than their predecessors, therefore they are being affected by more disorders. This trend is seen being associated with a growth in individuals living in with multiple concurrent chronic conditions called multi-morbidities or co-morbidities (Katjol et al., 2016). Most primary as well as secondary healthcare centers are facing increasi ng number of old aged patients with a number of chronic morbidities. This gives an overall concept of the complexity of the patients condition due to the presence of large number of chronic ailments in the form of co morbid symptoms. The most important factor that is supporting the patients to live longer lives are the growth of clinical practice guidelines under the influence of evidence based medicines and concerns for knowledge translation. They have helped many old patients to survive for long even in complex conditions with their chronic co morbid diseases but this had created a huge pressure on the resources of the healthcare centers as well as the family members increasing heir burden and poor quality lives. It is advised by researchers that healthcare industry should develop requisite management tools and care approaches which would help in providing appropriate care for all complex patients (Aquitrre et al., 2017). Therefore it can be seen that complexity, chronicity and co morbidity are interlinked and the concept should be clear to all healthcare professionals so that they can rightly handle the upcoming challenges in healthcares. Pathophysiology of COPD and its association with cigarette smoking both in active and passive mode: COPD is characterized by three important occurrences which affect the health of the patient. They are airway inflammation, mucocilliary dysfunction as well as consequent airway structural changes. The first occurrence which is the airway inflammation is mainly caused by the chronic inflammation of airways, pulmonary blood vessels as well as lung tissues mainly as the results of the exposure of the airway to different inhaled irritant such as tobacco smoke. The inhaled irritants cause inflammatory cells like that of the neutrophils, CD8+T-lymphocytes, B cells and macrophages to come together and accumulate. These cells eventually become activated that helps in the initiation of the inflammatory cascade. This in turn results in the release of various types of inflammatory mediators like as tumor necrosis factor alpha (TNF-), interferongamma (IFN-), matrix-metalloproteinases (MMP-6, MMP-9), C-reactive protein (CRP), interleukins (IL-1, IL-6, IL-8) and fibrinogen (Celi, 2014). They cause sustenance of the inflammatory process which ultimately leads to the damage of various tissues as well as range of different systematic effects. The chronic inflammation also causes outset of the diseases and leads to different types of structural changes in the lungs which causes perpetuation of the airflow limitation. The second factor is the structural changes. Due to airway remodeling, inflammatory response remains associated with COPD that leads to narrowing of the airways. Three factors which contribute to this is the peribronchial fibrosis, building up of the scar tissue that result from the damage to the airways and also occurrence of over multiplication of the epithelial cells which line the airways. Symptoms of emphysema may also take place when there is parenchymal dysfunction. This is associated with the loss of lung tissue elasticity which results due to destruction of the structures that support and fed the alveoli (Adnot, 2014). The small airways collapse during exha lation resulting in impeding airflow, trapping air in the lungs and reducing the lung capacity. The third factor is the mucociliary dysfunction. Smoking and inflammation result in the enlargement of the mucous glands that line the walls of the airway. This causes the goblet cells metaplasia which in turn causes the healthy cells of the lungs to be replaced by mucus secreting cells. The mucocilairy system which is responsible for clearing mucus form the airways also gets damaged dye to the inflammations. Therefore excess mucus is formed in the airways that eventually accumulate that blocks the airways and worsen the airflow (Milne King, 2014). The above mentioned pathophysiology can be linked with the patients condition. She was herself a smoker which had already affected the condition of the lungs. Though she had quitted the smoking habit, she is still projected to danger as her husband is a smoker and she is vulnerable to passive smoking. The tiny particles of the smoke enter into her lungs each time she inhales the smoke, the bronchial tubes get swollen and inflamed. Lining of the airways produces larger amount of mucus which traps the irritants. The combined effect of these makes the airways thickened in the patient as well as narrowed because of swelling and mucus. This cause reduction in the amount of airflow and increased mucus results in persistent cough. In these ways, she has become a COPD patient. Pathophysiology of the osteoarthritis and rationale behind the patients present condition: Osteoarthritis mainly takes place due to the malfunction of the chondrocyte. Due to this reason the structure of the cartilage changes. The production of the large protein which usually helps in the retainment of water within the cartilage gets reduced. As a result of these, the cartilage gradually becomes dehydrated overtime and therefore becomes more brittle (Arden et al., 2014). Therefore when a load is applied on them, the structure is more likely to fail and as a result of which cracks begin to occur. This cracking in the cartilage is termed as fissuring. In course of time as more cracks begin to develop, piece of cartilage begins to flake away and no new cartilage is produced in the gaps (Mobasheri Batt, 2016). In course of time, no cartilage remains left that would cover the bone. Hence, any movement of the joints requires the bone to move directly against the bones. Therefore it causes successive pain the individuals (Olivotto et al., 2015). The patient of the case study had a strenuous livelihood of a cleaner and mechanical tear and wear over the years had resulted in her to develop symptoms of arthritis. Symptoms that the nurse should take in consideration before designing her care plan: The patient who has come for consultation to the clinic has disorders like COPD and arthritis like symptoms. With the gradual advancement of age, she is noticing gradual loss of mobility and increased issues with her breathing even when she is conducting minor works and walking small distances. This is disrupting her caring for her grandchildren. The nurse found that her body weight has increased from 64 Kg to that of 72 Kg in the last 3 months. She is also having pain and discomfort arising from her spine. Hence the patient is having a set of complex symptoms which the nurse to critically analyze properly so that she can develop an intervention plan which will help he patient to handle all her symptoms effectively and help her enjoy a better quality life. Interaction between hypertension, COPD and arthritis: As the patient is suffering from COPD, the amount of oxygen that is going to the blood gets reduced. This results in the production of high blood pressure in the blood vessels form the heart to that to the lungs. This makes it even more difficult for the heart as it cannot pump much needed blood to the rest of the body. Moreover this disorder of the lungs also cause body to produce more red blood cells thereby making the blood thicker and it becomes difficult for the heart to pump (Kirby Coxson, 2015). Therefore a person having both COPD and hypertension has to breathe faster in order to take in more oxygen. When a person suffers from such a situation, the doctor usually prescribed a proper lifestyle and correct medications which help to keep any harmful effects in heck and the patient can thereby lead proper quality life (Petersen et al., 2014). Another link up that may be found is that between osteoarthritis as well as high blood pressure. This has been stated by many researchers that a person suffering form osteoarthritis often suffer form joint pain as well a stress which in turn results in the rise of the blood pressure. Anxiety that a person usually develops due to lack of independence and fears about debility may also result the pressure to rise. Often worries about finances of management, rehabilitation and becoming incapacitated result in contribution to blood pressure elevation. Use of non steroidal anti-inflammatory medications also result in the development of high blood pressure in osteoarthritis patients but this cannot be the case as she uses only paracetamol to cure from the pain. The nurse should also be sure not to provide any NSAIDS as they may increase the blood pressure of the patient (Crofford et al., 2013). The patient is also seen to develop have gained weight and this would have a very harmful impact on the health of the patients. A greater body weight will put in more pressure and load on the bones which will affect the patients and her mobility will decrease over time due to the excessive pain that occur due to heavy weight on such bones. Medications provided to the patient and rationale behind it: Symbicort which is prescribed to the patient due to his COPD is formed form the combination of the budesonide as well as formoterol. The former one is the steroids which helps in the reduction o the inflammation that occurs in any part do the body and formoterol is a bronchodilator which helps in the relaxation of the muscles in the airways that helps in improvement in breathing. Therefore this medication is a right type of drug prescribed to the patient (Bagherisadhegi, Lahrnib Chrystyn. 2015). Spiriva contains tiotropium which is very much helpful to prevent symptoms like wheezing, shortness of breath and others which patients with COPD often face. This medication mainly works by relaxing the muscles around the airways s that they can easily open up and the patient can breathe more easily. Salbutamol is the medication which is often used as inhalers by patients. They work by acting on the receptors present in the beta 2 receptors. This medication actually helps in the stimulation of the receptors which in turn causes the muscles in the airways to relax. This allows the airways to open and help the patient in easy breathing (Ballantine, 2017). Paracetamol is prescribed to the patients for mild to moderate pain in muscular spasms as well. For inflammatory arthritis often nurses prescribe the use of paracetamol with non steroidal anti inflammatory drug. However, the nurse should be very careful as this is a complex case and the patient already has hypertension. It is suggested by the researchers that NSAIDS often increase the blood pressure and therefore if do happens in the patients, she might face threats to her life. Hence she would be very careful in providing medication to the patient for arthritis. Perindropil is along acting angiotensin converting enzyme inhibitor which is prescribed by doctors to treat high blood pressure, heart failure as well as stable coronary artery diseases in form of perindopril arginine. In case of this patient, it would be helpful in controlling his high blood pressure by relaxing the blood vessel and helping in easy and smooth passage of blood (Sirenko et al., 2016). Nurses intervention: Besides this medication, the nurse should also introduce proper lifestyle management plans for her along with proper diet system is that she can effectively mange her weight. As she is osteo-arthritis, she would be given some freehand exercises and would also be asked to consult with physiotherapist for best effects. Proper medication should be followed in order to tackle the symptoms of COPD and arthritis and hypertension. The management of such complete situation of the patient will result in outflow of finances which would provide a hard time on her family. As her daughters would be working, the entire care giving responsibility would be on her husband who is also aged and might get stressed when providing care to such complex patients. Therefore, a strenuous situation may arise but proper planning with the members of the family and correct healthcare education will benefit the patient and also all the members successfully. Conclusion: The nurses of this age are educated with the most modern form of nursing that uses evidence based studies as their mode of development of skills. These had helped them to understand the interrelationship of the different chronic illness faced by the patients. They try to find the link by properly understanding their pathophysiology and then link them with the patients condition. They then try to provide medication and interventions which will help patients to overcome their symptoms. At the same time, they also need to be careful that the medication do not cause drug drug interaction which affects the patients negatively. Hence, student nurses should develop themselves according to this trend so that they can practice their profession with skill and knowledge. References: Adnot, S. (2014). Cell senescence and pathophysiology of chronic lung diseases: role in chronic obstructive pulmonary disease.Bulletin de l'Academie nationale de medecine,198(4-5), 659-671. Aguirre, N. G., Martnez, A. C., Muoz, L. B., Avellana, M. C., Marco, J. V., Dez-Manglano, J. (2017). Polypathology, polypharmacy, medication regimen complexity and drug therapy appropriateness.Revista Clnica Espaola (English Edition). Arden, N., Blanco, F., Cooper, C., Guermazi, A., Hayashi, D., Hunter, D., ... Reginster, J. Y. (2014).Atlas of osteoarthritis. Springer Healthcare Limited. Bagherisadeghi, G., Larhrib, H., Chrystyn, H. (2015). Ex-vivo study of Symbicort using inhalation profiles of patients with chronic obstructive pulmonary disease (COPD).J Aeros Med and Pulmon Drug Deli, A11-A12. Ballantine, M. (2017). Letter in response to: A Cost Analysis of Salbutamol Administration by Metered-Dose Inhalers with Spacers versus Nebulization for Patients with Wheeze in the Pediatric Emergency Department: Evidence from Observational Data in Nova Scotia.Canadian Journal of Emergency Medicine, 1-1. Brownie, S., Scott, R., Rossiter, R. (2016). Therapeutic communication and elationships in chronic and complex care.Nursing Standard,31(6), 54-63. Celli, B. R. (2014). Pathophysiology of chronic obstructive pulmonary disease. InMechanics of Breathing(pp. 339-352). Springer Milan. Crofford, L. J. (2013). Use of NSAIDs in treating patients with arthritis.Arthritis research therapy,15(3), S2. Grembowski, D., Schaefer, J., Johnson, K. E., Fischer, H., Moore, S. L., Tai-Seale, M., ... LeRoy, L. (2014). A conceptual model of the role of complexity in the care of patients with multiple chronic conditions.Medical care,52, S7-S14. Kathol, R. G., Knutson, K. H., Dehnel, P. J. (2016). Health Complexity and the Interaction Between Physical and Behavioral Health Conditions in Adults. InPhysician's Guide(pp. 27-49). Springer International Publishing. Kirby, M., Coxson, H. O. (2015). Uncovering the Bronchovascular Links in Patients with Chronic Obstructive Pulmonary Disease with Pulmonary Hypertension. Milne, S., King, G. G. (2014). Advanced imaging in COPD: insights into pulmonary pathophysiology.Journal of thoracic disease,6(11), 1570. Mobasheri, A., Batt, M. (2016). An update on the pathophysiology of osteoarthritis.Annals of physical and rehabilitation medicine,59(5), 333-339. Olivotto, E., Otero, M., Marcu, K. B., Goldring, M. B. (2015). Pathophysiology of osteoarthritis: canonical NF-B/IKK-dependent and kinase-independent effects of IKK in cartilage degradation and chondrocyte differentiation.RMD open,1(Suppl 1), e000061. Petersen, H., Sood, A., Meek, P. M., Shen, X., Cheng, Y., Belinsky, S. A., ... Celli, B. (2014). Rapid lung function decline in smokers is a risk factor for COPD and is attenuated by angiotensin-converting enzyme inhibitor use.CHEST Journal,145(4), 695-703. Sirenko, Y. M., Rekovets, O. L., Kushnir, S. M., Torbas, O. O. (2016). Comparative Efficiency of Enalapril and Perindopril in Terms of the Effect on Central Blood Pressure and Elastic Properties of Arteries in Patients with Mild to Moderate Hypertension.HYPERTENSION, (2.46), 101-112.