Tuesday, December 31, 2019

The Doctrine of the Immunity of the Crown in the UK and India - Free Essay Example

Sample details Pages: 11 Words: 3161 Downloads: 2 Date added: 2017/06/26 Category Law Essay Type Analytical essay Did you like this example? INTERPRETATION OF STATUTES PROJECT ABSTRACT Statutes Affecting the Crown/State The general English rule is that the à ¢Ã¢â€š ¬Ã…“king is above the lawà ¢Ã¢â€š ¬Ã‚  and all statutes are meant for the subjects only and the crown is not bound by them. The rule of Common Law à ¢Ã¢â€š ¬Ã‹Å"Roy nà ¢Ã¢â€š ¬Ã¢â€ž ¢est lie per ascun statute, si il ne soit expressment nosmeà ¢Ã¢â€š ¬Ã¢â€ž ¢ meaning the statutes neither control the crown nor the rights or properties of the crown, unless expressly or by necessity or by implication is named so in the statute. The only safe rule to construct necessary implication is to read the statute as a whole and to see whether it is manifest from the very terms of the statute, that it was the intention of the Legislature that the Crown should be bound. Don’t waste time! Our writers will create an original "The Doctrine of the Immunity of the Crown in the UK and India" essay for you Create order This presumption extends not only to the crown but also to the Crownà ¢Ã¢â€š ¬Ã¢â€ž ¢s servants. The basis of this rule is to present an efficient and effective functioning of the ruler and his government for the welfare of the people. Historically Early authorities made attempts to lay down certain categories as to when the Crown was bound though not specifically named. These were: (i) Statutes for maintenance of religion, learning and the poor (ii) Statutes for suppression of wrongs (iii) Statutes that tend to perform the will of a founder or donor etc. This mode of construction had various flaws in it. It has been shown through many judicial decisions that without the Crown or the State being bound by a statute, the purpose of the statute would be wholly frustrated or would be meaningless. The rule in India à ¢Ã¢â€š ¬Ã‹Å"A statute applies to State as much as it does to a citizen unless it expressly or by necessary implication exempts the State from its operation.à ¢Ã¢â€š ¬Ã¢ „ ¢ This rule is consistent with the rule of law based on the doctrine of equality enshrined in the Constitution. Various exceptions have been provided through legislative practice in India and it has been established that the various legislatures provided specific exemptions in favour of the Crown whenever they intended to do so and did not rely upon any presumption. In certain circumstances the Common law rule was also applied, whereby the state was not bound as such but was made so by necessary implication. The application of the same rule wasnà ¢Ã¢â€š ¬Ã¢â€ž ¢t uniform. Research Question: This project attempts to analyze the laws and give examples of general exceptions to the doctrine that bind the Crown by express provisions or necessary implication and how the judiciary and the parliament, both in the UK and India, have interpreted this doctrine of the immunity of the crown over the years so as to provide an effective aid to statutory construction. Introduction The common law maxim à ¢Ã¢â€š ¬Ã‹Å"Roy nà ¢Ã¢â€š ¬Ã¢â€ž ¢est lie per ascun statute, si il ne soit expressment nosmeà ¢Ã¢â€š ¬Ã¢â€ž ¢ means that a statute does not bind the Crown unless the Crown has, by express terms or by necessary implication, been named therein. The rule in India has been held to be quite different, wherein general Acts apply to both the citizens as well as the State unless the statute, by express terms or by necessary implication, exempts the State from its operation. There is a consensus of judicial opinion that the common law rule is merely a rule of construction. It has been applied in the colonies and in the Commonwealth as the fact that unless the intention to be bound is apparent, the State or the Executive Government of the State is not bound by statute. It has also been applied in the United States as a rule of construction and the reason given by the Americans for application of the rule is that it is a policy to preserve an efficient and operational functioning of the Government for the public.[1] The present paper attempts to analyze the existing laws and provide examples of general exceptions to the doctrine that bind the Crown by express provisions or necessary implication and how the judiciary and the parliament, both in the UK and India, have interpreted this doctrine of the immunity of the crown over the years so as to provide an effective aid to statutory construction. The Common Law Rule It is the well-settled rule in England that a statute does not bind the Crown unless the Crown has been named in the statute expressly or by necessary implication. It has thus been described as the doctrine of Crown Immunity. Since the Queen in the Parliament with the purpose of regulating her subjects has made the Act, it obviously follows that unless a contrary intention is apparent, the Act will not bind the Crown itself. However, again, unless a contrary intention is made apparent, the Crown may take advantage of such an A ct.[2] In Willian v. Berkley,[3] Lord Plowden explained that when the king gives his assent to a statute, he does not intend to prejudice himself or to bar his own liberties and privileges, but rather, he assents to that fact that the Act be a law for his subjects.[4] This was a very old decision and hence a more modern explanation of the concept can be found in Lord Du Parcqà ¢Ã¢â€š ¬Ã¢â€ž ¢s opinion in the case of Bombay Province v. Bombay Municipal Corporation,[5] wherein he stated that it is the doctrine of common law that the Crown is not bound by any statute unless the Crown has been expressly named and that this rule is subject to one exception that if it is manifest from the terms of the statute that the legislature had intended that the Crown be bound, then the result is the same as that of the Crown being expressly named i.e. the Crown shall in such circumstances be bound by the statute. This is what is meant by à ¢Ã¢â€š ¬Ã‹Å"necessary implicationà ¢Ã¢â€š ¬Ã¢â€ž ¢. S o, it can be inferred from the assent of the Crown that it agreed to be bound by the provisions of the act.[6] In the early days, attempts were made to provide different situations where a statute would bind the Crown even though it was not expressly mentioned. In Magdalen College case,[7] Lord Coke attempted to lay down three types, or categories, of statutes where the State was bound even though it was not named. These included: (i) Statutes for maintenance of religion, learning and the poor, (ii) Statutes for suppression of wrong and (iii) Statutes that tend to perform the will of a founder or donor.[8] In Baconà ¢Ã¢â€š ¬Ã¢â€ž ¢s Abridgment it was stated that if an act of Parliament were made for the à ¢Ã¢â€š ¬Ã‹Å"public goodà ¢Ã¢â€š ¬Ã¢â€ž ¢ then the King would be bound by it even if he were not named.[9] However, there is an apparent problem with such a construction. In modern times, since all States are aiming to become à ¢Ã¢â€š ¬Ã‹Å"Welfare Statesà ¢Ã¢â€š ¬Ã¢â€ž ¢, all statutes passed by the legislature can only be said to be for the public good and if that is the case, then all statutes would bind the State and hence this would completely do away with the concept of Crown Immunity. This cannot be the case and hence a number of cases have held that the statutes, although for public good, still do not bind the State. Thus, it is the provisions of the statute in question or the Code of which the statute forms a part that will determine whether the Crown will be bound by the statute in which it has not been mentioned or not. This is the present law in England.[10] In Madras Electric Supply Corporation v. Boarland,[11] it was held that if the Crown has not been expressly named, then a term which is capable of including the Crown will be read as excluding it, unless a contrary intention manifests itself by necessary implication.[12] Thus in A.G. v. Hancock,[13] the word à ¢Ã¢â€š ¬Ã‹Å"personà ¢Ã¢â€š ¬Ã¢â€ž ¢ was held not to include the Stat e even though it was capable of including it. Thus we see that the only à ¢Ã¢â€š ¬Ã‹Å"safe ruleà ¢Ã¢â€š ¬Ã¢â€ž ¢ to determine whether the Crown can be bound by à ¢Ã¢â€š ¬Ã‹Å"necessary implicationà ¢Ã¢â€š ¬Ã¢â€ž ¢ is by reading the statute as a whole and to check whether it is manifest from the terms of the statute that the legislature intended the Crown to be bound.[14] In Bombay Province v. Bombay Municipal Corporation,[15] the question arose as to whether the provisions of the Bombay Municipal Act 1888 that authorized the Commissioner to carry water mains and municipal drains à ¢Ã¢â€š ¬Ã‹Å"through or under any land whatsoever in the cityà ¢Ã¢â€š ¬Ã¢â€ž ¢ would be applicable to Government land within the city? The Privy Council in deliberating how far the purpose of the statute was relevant in determining whether or not the Crown was bound by necessary implication stated as follows: à ¢Ã¢â€š ¬Ã…“the apparent purpose of the statute is one element, and may be an imp ortant element, to be considered when an intention to bind the Crown is alleged. If it can be affirmed that, at the time when the statute was passed and received the royal sanction, it was apparent from its terms that its beneficent purpose must be wholly frustrated unless the Crown were bound, then it may be inferred that the Crown has agreed to be bound. Their Lordships will add that when the Court is asked to draw this inference, it must always be remembered that, if it be the intention of the Legislature that the Crown shall be bound, nothing is easier than to say so in plain words.à ¢Ã¢â€š ¬Ã‚ [16] Thus, the presumption of immunity can only be rebutted if on reading the statute as a whole, the purpose of the statute would be wholly frustrated if the statute did not bind the Crown. The House of Lords in Lord Advocate v. Dumbarton District Council[17] fully accepted the decision of the Privy Council in the Bombay Municipal Corporation case. In this case, the House of Lord s held that the Crown was not bound by the Roads (Scotland) Act 1947 and the Town and Country Planning (Scotland) Act 1972 because the Crown was not expressly or by necessary implication included in these acts and hence the claims of the local planning authority and local highway authority that work undertaken and encroachment of the Highway were in contravention the said Acts were dismissed.[18] Despite the rule, the immunity of the Crown has been affected by some other factors. For example, s.1 of the Crown Proceedings Act 1947 permits the Crown to be prosecuted directly in those circumstances where preceding the Act, a claim might have been implemented by petition of right. Also, s.2 of the same Act authorizes actions to be brought against the Crown with regard to torts committed by its servants or agents for any breach of its duties that gives rise to tortious liability.[19] The rule though still applicable in England, has received great criticism. In his book on Crown Pro ceedings, Glanville L. Williams has stated that the rule had emerged in the Middle Ages, when maybe there was some justification for the rule, but it has survived merely due to vis inertiae. It is very difficult to apply the rule as well. In modern times, with the increase in Stateà ¢Ã¢â€š ¬Ã¢â€ž ¢s activities as well as the increase in the number of employees of the State, as well as the novel idea in the Crown Proceedings Act that the State should be widely held accountable to the law, it should be the presumption that the State is bound by statutes rather than it is not.[20] Position of Law in India The Supreme Court of India in the case of State of West Bengal v. Corporation of Calcutta,[21] held that the common law rule of construction with regard to statutes affecting the State was not accepted in India even prior to the Constitution. With regard to the Privy Council decision in the Bombay Municipal Corporation case, the court stated that the rule was applied as a conce ssion made by the Council and that it was established and clear from the legislative practices in India that the Indian legislature would provide express exemptions in cases where the State was not to be bound by a statute and that in all other cases the State was bound. Therefore, the Indian legislatures did not rely on any presumption as the common law did, but rather, they relied only on express exemption. The Court further held that the Common Law rule had no application or significance to a democratic republic like India as it was based on the privilege of the Crown. It was inconsistent with the doctrine of equality as laid down in the Indian Constitution.[22] Thus, as a result of this decision, in India, general Acts apply to both the citizens as well as the State unless the statute, by express terms or by necessary implication, exempts the State from its operation. Whether the State has in fact been exempted by necessary implication from being bound by an Act depends on th e fair construction of the Act in question. In this case, Bachawat J. observed that: à ¢Ã¢â€š ¬Ã…“Particular care should be taken in scrutinising the provisions of a taxing or a penal Act. If the application of the Act leads to some absurdity, that may be a ground for holding that the State is excluded from its operation by necessary implication. If the only penalty for an offence is imprisonment, the State cannot be convicted of the offence, for the State cannot be locked up in prison. If the penalty for the offence is fine and the fine goes to the consolidated fund of the State, it may be presumed that the penal provision does not bind the State, for the legislature could not have intended that the State will be the payer as well as the receiver of the fine. Presumably, the Union is not bound by the Central Income-tax Act because if it paid income-tax, it will be both the payer and the receiver. Likewise, a State is prima facie not bound by a State Agricultural Income-tax Ac t where the tax is receivable by it. Moreover cases may conceivably arise where express provisions in a statute binding the State in respect of certain specific matters may give rise to the necessary implication that the State is not bound in respect of other matters.à ¢Ã¢â€š ¬Ã‚ [23] In this case, the State of West Bengal was carrying out trade without a license and without paying the fee as required under s.218 of the Calcutta Municipal Act 1952. According to s.541 of the Act, these offences were punishable with a fine that was to be collected by the Corporation. The court held that the State was bound by this Act because the fine recovered would not go to the Consolidated Fund of the State but to the Corporationà ¢Ã¢â€š ¬Ã¢â€ž ¢s fund and hence there was no implication in the Act that the State should not be held liable for the offence.[24] In Union of India v. Jubbi,[25] the question arose as to whether s.11 of the Himachal Pradesh Abolition of Big Landed Estates and La nd Reforms Act 1953 applied to cases where the Government was the landlord. The section provided the tenants with the right to procure the interests of landlord on payment of compensation. The court held that it would apply even when the Government was the landlord because there was nothing expressly or by necessary implication mentioned in s.11 that exempted the State. Further, since the basis of the Constitution is founded on equality and absence of arbitrary discrimination, the presumption would be that the law that seeks to provide the tenant with security of tenure should bind all landlords no matter whether the landlord is the Government or not.[26] There have been a number of instances when the judiciary has stated that the State is in fact bound by certain legislations even though it is not mentioned in the Act itself. Some instances are as follows: In Samatha v. State of Andhra Pradesh,[27] the word à ¢Ã¢â€š ¬Ã‹Å"personà ¢Ã¢â€š ¬Ã¢â€ž ¢ in the Andhra Pradesh Schedul ed Area Land Transfer Regulations 1959, that prohibits a à ¢Ã¢â€š ¬Ã‹Å"personà ¢Ã¢â€š ¬Ã¢â€ž ¢ from transferring land to non tribals, was held to include State and hence prohibited transfer of government land to non tribals. This is in clear distinction to the decision of the House of Lords in the case of A.G. v. Hancock as discussed earlier. In State of Bihar v. Sonabati Kumari,[28] the supreme court held that if a temporary injunction is disobeyed by the State, then property of the State is liable to be attached as under Order 39 Rule 2(3) of the Code of Civil Procedure. Thus, it held that the State was bound by the CPC just as any other citizen. The court in the case of Municipal Corporation of Amritsar v. Senior Superintendent of Post Offices,[29] held that unless the Parliament provides otherwise, property of the Union is exempt from taxation imposed by a state law as per A.258 of the Constitution. The court in Lucknow Development Authority v. M.K. Gupta,[30] stat ed that the Consumer Protection Act applies to the State just as it applies to any other citizen because the Act does not expressly or impliedly indicate that the State should be excluded from the purview of the Act. In cases of Welfare Legislations, even where the act does not apply to the Government, an agent or instrumentality of the Government, which is not even a department of the Government may be bound by the Act. In Hindustan Steel Works Construction Ltd. v. State of Kerala,[31] a company that was fully owned by the Central Government was held to be bound by the Kerala Construction Workers Welfare Funds Act 1932 although the act was not applicable to the Central Government. Conclusion Through the above the discussion, the difference between the Common Law and the law in India when it comes to interpretation of statutes affecting the crown or the state, can be seen. While the common law works on a presumption of immunity of the crown, the Indian law is applicable to the State just as it would be applicable to any other citizen. The evolution of the law and principles over the years has been developmental and progressive and the rules have proved to be efficient external aids to interpretation. [1] GP Singh, Principles of Statutory Interpretation (12th edn, Lexis Nexis Butterworths Wadhwa Nagpur 2010) 726-727. [2] Francis Bennion, Bennion on Statutory Interpretation (5th edn, Lexis Nexis 2008) 206. [3] [1561] 75 ER 339 (KB). [4] Willian v. Berkley [1561] 75 ER 339 (KB) 240. [5] AIR 1947 PC 34. [6] Bombay Province v. Bombay Municipal Corporation AIR 1947 PC 34, 35. [7] Magdalen College, Cambridge Case (1616) 11 Co Rep 66b. [8] ibid. 70b, 72a, 73b. [9] Matthew Bacon, A New Abridgment of the Law (7th edn, A Strahan 1832) 462. [10] Halsburyà ¢Ã¢â€š ¬Ã¢â€ž ¢s Laws of England vol 36 (3rd edn, Lexis Nexis 1952) 431. [11] (1955) 1 All ER 753. [12] Madras Electric Supply Corporation v. Boarland (1955) 1 All ER 753, 759. [13] (1940) 1 All ER 32. [14] Singh (n 1) 728. [15] AIR 1947 PC 34. [16] Bombay Province v. Bombay Municipal Corporation AIR 1947 PC 34, 36. [17] (1990) 1 All ER 1. [18] Lord Advocate v. Dumbarton District Counc il (1990) 1 All ER 1, 9, 10, 15. [19] Singh (n 1) 730. [20] Ibid. 731-732. [21] AIR 1967 SC 997. [22] State of West Bengal v. Corporation of Calcutta AIR 1967 SC 997, 1008. [23] Ibid.1020. [24] ibid. [25] AIR 1968 SC 360. [26] Union of India v. Jubbi AIR 1968 SC 360. [27] AIR 1997 SC 3297. [28] AIR1961 SC 221. [29] (2004) 3 SCC 92. [30] AIR 1994 SC 787. [31] AIR 1997 SC 2275.

Sunday, December 22, 2019

College Rhetorical Analysis - 1337 Words

An Argument on Gun Control: Ann Coulter’s â€Å"Guns Don’t Kill People, the Mentally Ill Do† In this lengthy article â€Å"Guns Don’t Kill People, the Mentally Ill Do,† that was published in the Townhall Daily, the author, Ann Coulter, argues about a major prevailing issue today, gun control. She believes the problem isn’t the guns themselves, but the mentally disturbed people. Coulter credits the declining mental health system as the main setback. She supports her argument by providing tragic examples from mass shootings that took place in the past. One example was the 2011 shooting that took place in Tucson, Arizona where the shopping mall shooter, Jared Loughner was so obviously disturbed that he stated â€Å"If I stay long enough to make the†¦show more content†¦This argument first appeared on January 16, 2013 after Coulter did some researching about mass shootings in the past. It responds to the most recent shooting at Sandy Hook Elementary. Coulter states, â€Å"Enough is e nough, the public needs to know and understand the danger behind mentally ill individuals.† Her main claim is that there aren’t enough precautions being taken when it comes to suspecting someone of being mentally disturbed. There are several reasons given in support for her claim. Seung-Hui Cho, who committed the Virginia Tech massacre in 2007, had been diagnosed with severe anxiety disorder as a child and placed under consistent treatment but the college was prohibited from being told about Cho’s mental health problems because of federal privacy laws such as HIPPA laws (Health Insurance Portability and Accountability Act). Another example is when one of Loughner’s (Tucson, Arizona shooting) teachers, Ben McCahee, filed numerous complaints to the school against him, hoping to have him removed from class. McCahee stated, â€Å"When I turned my back to write on the board, I would always turn back around quickly to see if he had a gun.† Coulter goes on to say, â€Å"Committing Loughner to a mental institution would have required a court order stating that he was a danger to himself and society.† Ann Coulter adds to the examples when she informs the audience of James Holmes, the Aurora, Colorado shooter. He was underShow MoreRelatedRhetorical Analysis : College Football1262 Words   |  6 PagesEssay 2 (Rhetorical Analysis) College Football is American Football played by student athletes at universities and colleges around the Nation. In American Football they have a Quarterback, in most cases, the Quarterback is the leader and focal point of the Football Team. At the University of Florida, they had a guy named Tim Tebow. 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Saturday, December 14, 2019

Rock And Roll Fan Film Studies Essay Free Essays

The Ultimate Stones is a set that recreates a true Rolling Stones experience. The set originated in Southern California and has become to be recognized as one of the greatest Rolled Stones testimonial sets. Bruce Forrest, from All Access Magazine, stated, â€Å" And so we have the Ultimate Stones, who seemingly knows what it takes to be effectual, and do it on such a superior, and professional degree, it makes all the other â€Å" tribute sets † look inferior. We will write a custom essay sample on Rock And Roll Fan Film Studies Essay or any similar topic only for you Order Now † The Ultimate Stones all have a look-alike dramatis personae, adding to the portraiture of the existent Rolling Stones set. The set consists of lead vocal vocalist, Mick Adams ( Mick Jagger ) , Rick Harchol ( Keith Richards ) , Vince Lupo ( Charlie Watts ) , Bernard Yantz ( Bill Wyman ) , with Justine Ducloux ( Merry Clayton ) besides on vocals. Each set member has an experienced background in the music industry. The Ultimate Rocks have been touring all over the United States for old ages and have become frequent visitants in the Las Vegas and Southern California countries. They have become recognized by some of the most celebrated beginnings of media for their hailing testimonial to the Rolling Stones ability. Opening the concert with â€Å" Wild Horses † was a simple manner to ease into the dark. I had heard the vocal before, but it was an reading that was sung by another creative person. I recognized the vocal, and instantly liked it much more than the covered version I had originally heard. The vocal had a poetic and deep tone colour. It was emotionally complex, doing the significance behind it come alive. Leading in with a soft dynamic matched with the slow pacing highlight the unhappiness. About a minute in, the beat displacements with the debut of a more marked membranophone. The simple quiet acoustic guitar alterations form throughout the vocal, as with the wordss. â€Å" Faith has been broken.A Tears must be cried.A We have our freedom, but we do n’t hold much clip†¦ Wild Equus caballuss could n’t rupture us apart.A Wild Equus caballuss, we ‘ll sit them someday. â€Å" A The wordss are a paradox within themselves. High harmoniousnesss in the center made the song come alive, about constructing up. The harmoniousnesss throughout the vocal were first-class. The vocal had a elusive state melody to it accompanied by a stone feeling. This was due to the acoustic guitar playing in a â€Å" Nashville tuning † and rhythm one played in harmoniousness. â€Å" Nashville Tuning † is used on this vocal – which is a tuning that makes a 6-string guitar sound like a 12-string.A The lead vocal is really recognizable and distinguished. Another vocal that stood out during their concert, â€Å" Ruby Tuesday, † which was another dissolution lay. The construction of the vocal differs from the more typical of the Rolling Stones vocals. It does n’t look to be wholly stone and axial rotation or a blues manner. The vocal takes a piece to rush up the pacing, finally constructing up to the chorus where there is a recording equipment involved. The kineticss of the vocal are really soft, supplying the temper of any grief. A piano, guitar, recording equipment, and even a bass were distinguishable throughout the vocal every bit good. The recording equipment solo is traveling, about powerful I found out. The poetries are quietly sung with simple harmoniousnesss in the background, supplying an effectual tune. At the terminal of some of the poetries, Mick Adams hit really low registries, adding to the dejecting tone merely to pick it up once more. The choruses contrast with the poetries, presenting a more intense paci ng along with the kineticss where membranophones are so introduced. Like â€Å" Wild Horses, † Ruby Tuesday has a lonely and soft tone colour. I enjoyed this vocal particularly the portion the recording equipment served, it is merely relatable to any grief and they rhythm was faithful to the original Rolling Stones version. Contrasting with the old vocal, â€Å" Paint It Black † has more of a dark colour tone. The usage of the bass guitar, sitar, membranophones, and some kind of maracas are used to present the vocal. The pacing starts off slow gap into a more frequent round. After the debut, the starting vocals seem about labored, quickened. The vocal did n’t look to hold many ties to the usual blues sound they typically gravitate towards. The usage of the sitar adds to the dark colour melody which added some kind of â€Å" twangy † sound. The tune sounded about Middle-Eastern, Indian about. The beat is particularly influenced with Indian roots, which are emphasized with the sitar. The membranophones come in and out, conveying a difficult stone sound that speeds the pacing up until it subsequently drops down once more when Mick Adams resumes his poetries. The Ultimate Stones used the back-up singer to their advantage when they hummed a series of creepy Riffs in the background of the choruses functioning as the dark harmoniousnesss. The vocal carries a reasonably low registry throughout the full vocal. The assorted textures within the vocal attention deficit disorder to a more heavy texture, the sitar being a premier instrument. I find this song really challenging ; it has a more dark feeling to it, doing it tricky. The sitar used, was alone, which I admire and the Ultimate Stones, once more, stayed loyal to the original Rolling Stones. Another authoritative Rolling Stones hit, Gim me Shelter was played towards the terminal of the set. The vocal is one of a mid-tempo stone vocal. It begins with a beat guitar presentation by the lead guitar player, followed by Mick ‘s presentation. The guitar is foremost introduced making the tune along with a piano while the bass sneaks in towards the terminal of the presentation. The piano finally fades out, playing underneath the mouth organ. During certain parts of the vocal, the kineticss of the set muffle the sound of the singer ‘s voice. The consonant â€Å" oohs † are sung over the guitar player ‘s parts and quiet the tone. Mick ‘s low texture contrasts with the shriek, higher registry of the back-up vocalists. This is besides the first vocal, that the adult female singer is heard. The colour of this vocal, is once more dark, portraying the vocal ‘s significance. The poetries are instead ordinary and workmanlike in comparing to the chorus, another great catchy Stones chorus that can be half-shouted and half-sung along with.A This vocal does portray the lost times during the Vietnam War, and the Ultimate Stones did a antic occupation with the vocal. However, out of all the vocals they played that dark, I had many vocals that I preferred more than this one. The shutting vocal did n’t halt short of antic. â€Å" ( I Ca n’t Get No ) Satisfaction † delivered energy to the room that was indefinable. The trenchant kineticss of the vocal and the fast pacing are the incarnation of a stone vocal. Mixtures of electric instruments were used, adding to the tone of the vocal. Guitar Riffs have a beat are a form of descending and go uping notes that produce a cooling Riff harmoniousness. Set against a round suited for foot-stomping and hand-clapping, Mick sang the poetries in a muted tone. Each poetry would go on to construct and construct into an explosive chorus. The chorus is normally sung about Mick ‘s universe ailments in a powerful manner. Much of the vocal ‘s texture is highlighted by the guitars played underneath Mick ‘s voice. During the poetry to chorus parts, Mick hits a twine of lines with low registries before detonating in one of his highest registries. My favourite Rolling Stones vocal ended the dark, and in that one vocal, it was if the energy within the whole room was bombinating. It seems to be such a universal vocal, everybody knows it and sings along with the chorus. It seemed to convey everyone together that dark, and to me, it was the best public presentation of the dark. I was nil short of impressed with this set. Many of my friends and household members had thought that a â€Å" tribute set † was cheesy, something that could non populate up to the original set. However, I had some background with the Rolling Stones before this concert and from what I heard, it was non far away. It was neither bum nor bad. The Ultimate Rocks were non â€Å" wanna-be ‘s. † In fact, the Ultimate Stones merit the congratulations they have gotten throughout magazines and the intelligence they have appeared in. They brought a serious public presentation and kept their promise to do the concert as stopping point to the original Rolling Stones as possible. Mick Adams portrayed an first-class Mick Jagger as with the remainder of the set. They have been recognized as one of the best testimonial sets in the universe, and truly so. I was non allow down at all by this public presentation and would non waver in returning one time more. How to cite Rock And Roll Fan Film Studies Essay, Essay examples

Friday, December 6, 2019

Ap Psychology Review Packet free essay sample

Absolute Threshold:  the minimum stimulation needed to detect a particular stimulus 50% of the time. 2. Accommodation:  the process by which the eyes lens changes shape to focus near or far images on the retina. 3. Acetylcholine:  neurotransmitter that enables muscle action, learning and memory. 4. Achievement Motivation:  desire for accomplishment. 5. Achievement Test:  an exam designed to test what a person has earned. 6. Acoustic Encoding:  encoding of sound, especially words. 7. Acquisition:  the initial stage when one links a neutral stimulus and an unconditioned stimulus. 8. Action Potential:  a neural impulse; a brief electrical charge that travels down an axon. 9. Activation Synthesis:  theory that REM sleep triggers neural firing that evokes random images, which our sleep brain weaves into stories. 10. Adaptation Level Phenomenon:  tendency to form judgements relative to a neutral level defined by our prior experience. 11. Adrenal Glands:  a pair of endocrine glands that sit just above the kidneys and secrete hormones that help arouse the body in times of stress. 12. Algorithm:  a methodical, logical rule that guarantees solving a particular problem. 3. Alpha Waves:  the relatively slow brain waves of an awake, relaxed state. 14. Amnesia:  loss of memory. 15. Amphetamines:  drugs that stimulate neural activity, causing speeded-up body functions and associated energy and mood changes. 16. Amygdala:  two lima bean-sized neural clusters in the limbic system; linked to emotion. 17. Aphasia:  impairment of language caused by left hemisphere damage to Brocas area, impairing speaking, or Wernickes area, impairing understanding. 18. Applied Research:  scientific study that aims to solve practical problems 19. Aptitude Test:  designed to predict a persons future performance. 20. Association Areas:  areas of the cerebral cortex that are not involved in primary or sensory functions but in higher mental functions. 21. Associative Learning:  learning that certain events occur together. 22. Automatic Processing:  unconscious encoding of incidental information. 23. Autonomic Nervous System:  the part of the peripheral nervous system that controls the glands and the muscles of the internal organs. 24. Availability Heuristic:  estimating the likelihood of events based on their availability in memory. 5. Axon:  the extension of a neuron, ending in branching terminal fibers, through which messages pass to other neurons or to muscles and glands. 26. B. F. Skinner:  a leading behaviorist; rejected introspection and studied how consequences shape behavior. 27. Babbling Stage:  begins at 4 months; stage of speech development in which infant spontaneously utters various sounds. 28. Barb ituates:  drugs that depress the activity of the central nervous system,  reducing anxiety  but impairing memory and judgement. 29. Basal Metabolic Rate:  bodys resting rate of energy expenditure. 30. Basic Research:  pure science that aims to increase the scientific knowledge base 31. Behavior Genetics:  the study of the relative power and limits of genetic and environmental influences on behavior. 32. Behavioral Medicine:  integrates behavioral and medical knowledge to apply to health and disease. 33. Behaviorism:  the view that psychology should be an objective science that studies behavior without reference to mental process. 34. Belief Perseverance:  clinging to ones initial conceptions after the basis has been discredited. 35. Binocular Cues:  depth cues such as retinal disparity that depend on using two eyes. 36. Bio-Feedback:  electronically recording, amplifying and feeding back information regarding a subtle physiological state. 37. Biological Psychology:  a branch of psychology concerned with the links between biology and behavior. 38. Biopsychosocial Approach:  an integrated approach that incorporates biological, psychological, and social-cultural levels of analysis. 39. Blind Spot:  the point at which the optic nerve leaves the eye, creating a blind spot because no receptor cells are located there. 40. Bottom-Up Processing:  analysis that starts with the sensory receptors and works up to the brains integration of sensory information. 1. Brocas Area:  controls language expression; area of the frontal lobe of the left hemisphere. 42. Cannon-Baird Theory:  emotion arousing stimulus triggers physiological response and subjective experience of emotion. 43. Case Study:  an observational technique in which one person id studied in depth in the hope of revealing universal princi ples. 44. Central Nervous System:  the brain and spinal cord. 45. Cerebellum:  the little brain at the rear of the brainstem; processes sensory input and coordinates movement output and balance. 46. Cerebral Cortex:  the intricate fabric of interconnected neural cells covering the cerebral hemispheres; the bodys ultimate control and information-processing center. 47. Change Blindness:  failing to notice changes in the environment 48. Charles Darwin:  argued that natural selection shapes behaviors as well as bodies. 49. Chunking:  organizing items into familiar, manageable units; often occurs automatically. 50. Circadian Rhythm:  the biological clock; regular bodily rhythms that occur on a 24-hour cycle 51. Classical Conditioning:  one learns to link two or more stimuli and anticipate future events. 2. Clinical Psychology:  a branch of psychology that studies, assesses, and treats psychological disorders. 53. Cochlea:  a coiled, bony, fluid-filled tube in the inner ear through which sound waves trigger neural impulses. 54. Cochlear Implant:  device for converting sounds into electrical signals and stimulating the auditory nerve through electrodes threaded throug h the cochlea. 55. Cognition:  Mental activities associated with thinking, knowing, remembering and communicating. 56. Cognitive Map:  mental representation of the layout of ones environment. 57. Cognitive Neuroscience:  the interdisciplinary study of brain activity linked with cognition. 58. Cognitive Perspective:  how we encode, process, store, and retrieve information. 59. Color Constancy:  perceiving familiar objects as having consistent color either if changing illumination alters the wavelengths reflected by the object. 60. Complementary Alternative Medicine:  unproven healthcare treatments intended to supplement conventional medicine. 61. Conditioned Reinforcer:  a stimulus that gains reinforcing power through its association with the primary reinforcer. 62. Conditioned Response:  the learned response to a previously neutral stimulus. 63. Conditioned Stimulus:  an originally irrelevant stimulus that, after association with US, triggers a response. 64. Conduction Hearing Loss:  hearing loss caused by damage to the mechanical system that conducts sound waves to the cochlea. 65. Cones:  retinal receptor cells that are concentrated near the center of the retina and function in daylight of well-lit conditions. 66. Confirmation Bias:  a tendency to search for information that backs ones own beliefs. 67. Consciousness:  our awareness of ourselves and our environment. 68. Content Validity:  extent to which a test samples the behavior that is of interest, 69. Continuous Reinforcement:  reinforcing a desired response every time it occurs. 70. Control Group:  the group that is not exposed to the treatment in an experiment. 71. Coping:  alleviating stress using emotional, cognitive, or behavioral methods. 72. Corpus Callosum:  axon fibers connecting the two cerebral hemispheres. 73. Correlation:  a measure of the extent to which two factors vary together, and thus of how well either factor predicts the other. 74. Correlation Coefficient:  a statistical index of the relationship between two things (from -1 to +1) 75. Counseling Psychology:  a branch of psychology that assists people with problems in living and in achieving greater well-being. 76. Critical Thinking:  thinking that does not blindly accept arguments and conclusions. 77. Culture:  the enduring behaviors, ideas, attitudes, and traditions shared by a group of people and transmitted from one culture to the next. 78. Delta Waves:  the large, slow brain waves associated with deep sleep. 79. Dendrite:  the bushy, branchy extensions of a neuron that receive message and conduct impulses towards the cell body. 0. Dependent Variable:  the outcome factor; the variable that may change in response to the manipulation of the independent variable. 81. Depressants:  drugs that reduce neural activity and slow body functions. 82. Difference Threshold:  the minimum difference between stimuli required for detection 50% of the time. 83. Discrimination:  learned ability to distinguish between CS and stimuli that do not signal a US. 84. D issociation:  a split in consciousness, which allows some thoughts and behaviors to occur simultaneously with others. 85. Dopamine:  neurotransmitter that influences movement, learning, attention and emotion. 86. Double-Blind Procedure:  an experimental procedure in which both the research participants and the research staff are ignorant as to whether the group has received a treatment or a placebo. 87. Drive-Reduction Theory:  physiological need; creates an aroused tension state, a drive, that motivates an organism to satisfy the need. 88. Dual Processing:  the principle that information is simultaneously processed on separate conscious and unconscious tracks 89. Echoic Memory:  momentary sensory memory of an auditory stimuli. 0. Ecstasy (MDMA):  a synthetic stimulant and a mild hallucinogen. Produces Euphoria and social intimacy, but with short-term health risks and longer-term harm to serotonin-producing neurans and to mood and cognition. 91. Edward Titchener:  father of structuralism. 92. Effortful Processing:  encoding that requires attention and conscious effort. 93. Electroencepha logram (EEG):  an amplified recording of the waves of electrical activity that sweep across the brains surface. 94. Emotion:  response of the whole organism involving psychological arousal, expressive behavior and conscious experience. 95. Emotion-Focused Coping:  Attempting to alleviate stress by avoiding or ignoring a stressor and attending to emotional needs relating to ones stress. 96. Encoding:  the processing of information into the memory system by extracting meaning. 97. Endocrine System:  the bodys slow chemical communication system; a set of glands that secrete hormones into the bloodstream. 98. Endorphins:  morphine within natural, opiatelike neurotransmitters linked to pain control and to pleasure. 99. Environment:  every non-genetic influence. 100. ESP:  claim that perception can occur apart from sensory input. 101. Estrogen:  the primary female sex hormone. 102. Evolutionary Psychology:  the study of the evolution of behavior and the mind, using principles of natural selection. 103. Experiment:  a research method in which an investigator manipulates one of more factors to observe the effect on some behavior or mental process. 104. Experimental Group:  the group that is exposed to the treatment in an experiment. 105. Explicit Memory:  memory of facts and experiences that one can consciously know and declare; stored in hippocampus. 106. Extinction:  diminishing of CR; occurs in classical conditions when US does not follow CS. 07. Extrinsic Motivation:  desire to perform to receive rewards or avoid punishment. 108. Factor Analysis:  a statistical procedure that identifies clusters of related items, called factors, on a test. 109. Feature Detectors:  nerve cells in the brain that respond to specific features of the stimulus, such as shape, angle or movement. 110. Feel-Good Do-Good Phenomena:  tendency to be helpful when already in a good mood. 111. Figure-Ground:  organization of visual field into objects that stand out from their surroundings. 112. Fixation:  inability to see a problem from a new perspective. 113. Fixed-Interval Schedule:  reinforcement schedule that reinforces a response only after a specified amount of time has elapsed. 114. Fixed-Ratio Schedule:  reinforcement schedule that reinforces only after specified number of responses. 115. Flashbulb Memory:  a clear memory of an emotionally significant moment or event. 116. Flow:  a completely involved, focused state of consciousness resulting from optimal engagements of ones skills. 117. fMRI:  a technique for revealing bloodflow and, therefore, brain activity shows brain function. 118. Fovea:  the central focal point in the retina, around which the eyes cones cluster. 19. Framing:  the way an issue is posed. 120. Fraternal Twins:  twins who develop from separate fertilized eggs. They are genetically no closer than a brother or sister. 121. Frequency:  the number of complete wavelengths that pass a point in a given time. 122. Frequency Theory:  in hearing, the theory that the rate of neural impulses traveling u p the auditory nerve matches the frequency of a tone, thus enabling us to sense its pitch. 123. Freuds Wish-fulfillment:  theory that dreams provide a psychic safety valve for expressing otherwise unacceptable feelings. 124. Frontal Lobes:  portion of the cerebral cortex lying just behind the forehead; involved in speaking, muscles movement, making plans and judgement. 125. Functional Fixedness:  the tendency to think of things only in their usual function. 126. Functionalism:  a school of psychology that focused on how our mental and behavioral processes function how they enable us to adapt, survive and flourish. 127. GABA (gamma-aminobutyric acid):  a major inhibitory neurotransmitter. 128. Gate-Control Theory:  theory that spinal cord contains a neurological gate that blocks pain signals or allows them to pass to the brain. 29. Gender Identity:  our sense of being male or female. 130. Gender Role:  a set of expectations for either males or females. 131. Gender Typing:  the acquisition of a traditional male or female role. 132. General Adaptation Syndrome:  Selyes concept of bodys adaptive response to stress; alarm, resistance, exhaustion. 133. General Intelligence:  general intell igence factor, according to Spearman, underlies specific mental abilities and is measured by every task on an intelligence test. 134. Generalization:  tendency after response has been conditioned for similar stimuli to elicit similar responses. 135. Genome:  the complete instructions for making an organism. 136. Gestault:  organized whole; tendency to integrate pieces of information into meaningful wholes. 137. Glial Cells:  cells in the nervous system that support, nourish, and protect neurons. 138. Glutamate:  a major excitatory neurotransmitter involved in memory. 139. Grouping:  perceptual tendency to organize stimuli into coherent groups based on proximity, similarity, continuity and connectedness. 140. Hallucinations:  false sensory experiences. 141. Hallucinogens:  drugs taht distort perception and evoke sensory images in the absence of sensory input. 142. Health Psychology:  sub-field of psychology; provides psychologys contribution to behavioral medicine. 143. Heritability:  the proportion of variation among individuals that we can attribute to genes. 144. Heuristic:  a simple thinking strategy that often allows us to make strategies and solve problems quickly. 145. Hierarchy of Needs:  Mazlows pyramid of human needs; begins with physiological needs which must be met before higher goals can be attained. 146. Higher-Order Conditioning:  procedure where conditioned stimulus in one experience is paired with a new, neutral stimulus, creating a new Conditioned Stimulus. 47. Hindsight Bias:  the tendency to believe that, after learning the outcome, one would have foreseen it. 148. Hippocampus:  a neural center that is located in the limbic system and helps process explicit memories for storage. 149. Homeostasis:  tendency to maintain a state of balance. 150. Hormones:  chemical messengers that are manufactured by the endo crine glands. 151. Hue:  the dimension of color that is determined by the wavelength of the light. 152. Humanistic Psychology:  historically significant perspective that emphasized the growth potential of healthy people and the individuals potential for personal growth. 53. Hypothalamus:  a neural structure lying below the thalamus; it directs several maintenance activities, helps govern the endocrine system, and is linked to emotion and reward. 154. Hypothesis:  a testable prediction. 155. Iconic Memory:  a momentary sensory memory of a visual stimuli; a photographic memory lasting no more than a few tenths of a second. 156. Identical Twins:  twins who develop from a single fertilized egg that splits into two, creating two genetically identical organisms. 157. Illusory correlation:  the perception of a relationship where none exists. 158. Implicit Memory:  retention independent of conscious recollection; stored in cerebellum. 159. Inattentional Blindness:  failing to see visible objects when our attention is directed elsewhere 160. Incentive:  a positive or negative environmental stimulus. 161. Independent Variable:  the experimental factor which is directly manipulated. 162. Industrial Organizational Psychology:  using psychological concepts to optimize behavior in work places. 163. Information Processing:  theory that dreams help us sort out the days events and consolidate our memories. 164. Infradian Rhythm:  long-term cycle; greater than a day 65. Inner Ear:  the inner most part of the ear, containing the cochlea, semicircular canals, and vestibular sacs. 166. Insight:  sudden and novel realization of the solution to a problem. 167. Insomnia:  recurring problems in falling or staying asleep. 168. Instinct:  a complex behavior rigidly patterned throughout the species and is unlearned. 169. Int ensity:  the amount of energy in a light or sound wave, which we can perceive as brightness or loudness, as determined by the waves amplitude. 170. Interaction:  the interplay that occurs when the effect of one factor depends on another. 171. Interneurons:  neurons within the brain and spinal cord that communicate internally and intervene between the sensory inputs and the motor outputs. 172. Intrinsic Motivation:  desire to perform for its own sake. 173. Intuition:  effortless, immediate feeling or thought. 174. Iris:  a ring of muscle tissue that forms the colored portion of the eye around the pupil and controls the size of the pupil opening. 175. James-Lange Theory:  emotion is awareness of physiological responses to emotion-arousing stimuli. 176. Kinesthesis:  system for sensing the position and movement of individual body movements. 77. Latent Content:  according to Freud, the underlying meaning of a dream. 178. Latent Learning:  learning that occurs but is not apparent until there is an incentive to demonstrate it. 179. Law of Effect:  Thorndikes principle that behavior followed by favorable consequences become more likely and behaviors followed by negative consequences become less likely. 180. Len s:  the transparent structure behind the pupil that changes shape to help focus images on the retina. 181. Lesion:  destruction of the brain tissue. 182. Levels of Analysis:  the differing complementary views for analyzing any iven phenomenon. 183. Limbic System:  neural system located below the cerebral hemispheres; associated with emotions and drives. 184. Lingusitic Determinism:  Whorfs hypothesis that language determines the way we think. 185. Long-Term Memory:  relatively permanent and limitless storehouse of the memory system. 186. Long-Term Potentiation (LTP):  increase in synapse-s firing potential after rapid stimulation; the neural basis for learning and memory. 187. LSD:  a powerful hallucinogenic drug; alsdo known as acid. 188. Lymphocytes:  the two types of white blood cells that are part of the immune system. 189. Manifest Content:  according to Freud, the remembered story line of a dream. 190. Mean:  the arithmetic average of a distribution. 191. Median:  the middle score in a distribution. 192. Medulla:  the base of the brainstem; controls heartbeat and breathing. 193. Mental Age:  measure of test performance devised by Binet; chronological age that typically correlates with a given age. 194. Mental Set:  tendency to approach a problem in a particular way, often one that has been successful. 195. Methamphetamine:  a powerfully addictive drug that stimulates the central nervous system and appears to drop base dopamine levels over time. 96. Middle Ear:  the chamber between the eardrum and the cochlea containing three tiny bones (hammer, anvil and stirrup) that concentrate the vibrations of the eardrum on the cochleas oval window. 197. Mirror Neurons:  frontal lobe neurons that fire when performing certain actions or when performing another doing so; this may enable imitation or empathy. 198. Misinformation Effect:  incorporating misleading information into ones memory. 199. Mnemonics:  memory aids. 200. Mode:  the most frequently occurring score(s) in a distribution. 201. Modeling:  observing and imitating a specific behavior. 202. Monocular Cues:  depth cues available to either eye alone. Includes relative height, relative size, interposition, linear perspective, light and shadow, and relative motion. 203. Mood Congruent Memory:  tendency to recall experiences that are consistent with ones current mood. 204. Morpheme:  the smallest unit that carries meaning. 205. Motivation:  a need or desire that energizes and directs behavior. 206. Motor Cortex:  an area at the rear if the frontal lobes that controls voluntary movements. 207. Motor Neurons:  neurons that carry outgoing information from the brain and spinal cord to the muscles and glands. 208. MRI:  a technique that uses magnetic fields and radio waves to produce computer-generated images of soft tissue. 209. Mutation:  a random error in gene replication that leads to a change. 210. Myelin Sheath:  a layer of fatty tissue segmentally encasing the fibers of many neurons; enables vastly greater transmission speed. 211. Narcolepsy:  a sleep disorder characterized by uncontrollable sleep attacks. The sufferer may lapse directly into REM sleep, often at inopportune times. 212. Natural Selection:  inherited trait variations contributing to survival and reproduction will be passed on to succeeding generations. 13. Naturalistic Observation:  observing and recording behavior in naturally occurring situations without trying to manipulate or control the situation. 214. Nature-Nurture issue:  controversy over contributions of genes vs. experience 215. Near-death Experience:  an altered state of consciousness reported after a close brush with death; often similar to dru g-induced hallucinations. 216. Negative Reinforcement:  increasing behaviors by stopping a negative stimuli. 217. Neo-Freudian Theory:  theory that dreams can be used as a coping mechanism to deal with past events. 218. Nerves:  bundled axons that form neural cables connecting the central nervous system with muscles, glands, and sense organs. 219. Nervous system:  the bodys speedy, electrochemical communication network, consisting of all the nerve cells of the peripheral and central nervous systems. 220. Neurogenesis:  the formation of new neurons. 221. Neuron:  a nerve cell; the basic building block of he nervous system. 222. Neurotransmitters:  chemical messengers that cross the synaptic gaps between neurons. 223. Night Terrors:  a sleep disorder characterized by high arousal and an appearance of being terrified. 24. Norepinephrine:  neurotransmitter that helps control alertness and arousal. 225. Normal Curve:  a symmetrical, bell-shaped curve that describes the distribution of many types of data. 226. Observational Learning:  learning by observing others. 227. Occipital Lobes:  portion of the cerebral cortex lying at the back of the head; includes areas that receive informatio n from the visual fields 228. One-Word Stage:  from age 1 to 2; when a child speaks in single words. 229. Operant Behavior:  Behavior that operates on the environment, producing consequences. 230. Operant Chamber:  a chamber / Skinner Box containing a bar that an animal can manipulate to obtain water or food. 231. Operant Conditioning:  type of learning in which behavior is strengthened followed by a reinforcer or diminished followed by a punisher. 232. Operational Definition:  a statement of the procedures used to define research variables. 233. Opiates:  opium and its derivatives, such as morphine and heroin; they depress neural activity, temporarily lessening pain and anxiety. 234. Opponent-Process Theory:  the theory that opposing retinal processes (red-green, yellow-blue, white-black) enable color vision. 35. Optic Nerve:  the nerve that carries neural impulses from the eye to the brain. 236. Organizational Psychology:  part of IO Psychology; examines psychological influences o worker satisfaction and productivity. 237. Overconfidence:  tendency to be more confident than correct. 238. Parallel Processing:  the processing of many aspects of a problem simu ltaneously. 239. Parapsychology:  study of paranormal phenomena. 240. Parasympathetic Nervous System:  the division of the autonomic nervous system that calms the body, conserving its energy. 241. Parathyroids:  help regulate the level of calcium in the blood 242. Parietal Lobes:  portion of the cerebral cortex lying at the top/rear of the head; receives sensory input for touch and body position. 243. Partial/Intermittent Reinforcement:  Reinforcing a response only part of the time. 244. Perception:  the process of organizing and interpreting sensory information, enabling us to recognize meaningful objects and events. 245. Perceptual Adaptation:  in vision, the ability to adjust to an artificially displaced or inverted visual field. 246. Perceptual Set:  mental predisposition to perceive one thing and not another. 247. Peripheral Nervous System:  the sensory and motor neurons that connect the central nervous system to the rest of the body. 248. Personnel Psychology:  focuses on recruitment, selection and placement of employees. 249. PET Scan:  a visual display of brain activity that detects where a radioactive form of glucose goes while the brain performs a given task. 250. Phoneme:  the smallest distinctive sound unit. 251. Physical Dependence:  a physiological need for a drug, marked by unpleasant withdrawal symptoms when the drug is discontinued 252. Pitch:  a tones experienced highness or lowness; depends on frequency. 53. Pituitary Gland:  the endocrine gland systems most influential gland. Under the influence of the hypothalamus, the pituitary regulates growth and controls other endocrine glands. 254. Place Theory:  in hearing, the theory that links the pitch we hear with the place where the cochleas membrane is stimulated. 255. Placebo Effect:  experimental results caused b y expectation alone. 256. Plasticity:  the brains ability to change, especially during childhood, by reorganizing after damage of by building new pathways based on experience 257. Polygraph:  lie detector machine; measures responses to emotion. 58. Pons:  part of the brainstem that helps coordinate movements. 259. Population:  all the cases in a group being studied, from which samples can be drawn. 260. Positive Reinforcement:  increasing behaviors by presenting positive stimuli. 261. Posthypnotic Suggestion:  a suggestion, made during a hypnotic session, to be carried out after the subject is no longer hypnotized. 262. Predictive Validity:  the success with which a test predicts the behavior it is designed to predict. 263. Primary Reinforcer:  an innately reinforcing stimulus, such as one that satisfies a biological need. 264. Priming:  the activation, often unconsciously, of certain associations, thus predisposing ones perception, memory, or response. 265. Pro-Social Behavior:  positive, constructive behavior. 266. Proactive Interference:  the disruptive effect of prior learning on the recall of new information. 267. Problem-Focused Coping:  attempting to alleviate stress by changing the stressor or how we interact with that stressor. 268. Prototype:  a mental image or best example of a category. 269. Pshchological Dependence:  a psychological need to use a drug, such as to relieve negative emotions. 270. Psychiatry:  a branch of medicine dealing with psychological disorders. 271. Psychoactive Drug:  a chemical substance that alters perceptions and moods. 272. Psychodynamic Perspective:  how behavior springs from unconscious drives and conflicts 273. Psychology:  the study of behavior and mental processes. 274. Psychoneuroeimmunology:  study of how psychological, neural, and endocrine processes affect the immune system. 275. Psychophysics:  the study of relationships between the physical characteristics of stimuli, such as their intensity, and our psychological experience of them. 276. Psychophysiological Illness:  mind-body illness; any stress-related physical illness, including hypertension. 277. Pupil:  the adjustable opening in the center of the eye through which light enters. 278. Random Assignment:  assigning participants to experimental and control groups by chance, thus minimizing pre-existing differences between the two groups. 279. Random Sample:  a sample that fairly represents a given population. 280. Range:  The difference between the highest and lowest scores in a distribution. 281. Recall:  measure of memory in which the person must retrieve information learned earlier. 82. Recognition:  measure of memory in which the person only identifies items previously learned. 283. Reflex:  a simple, autonomic response to a sensory stimulus. 284. Rehearsal:  conscious repetition of information, either for maintenance or encoding. 285. Reinforcer:  an event that strengthens behavior. 286. Relative Deprivation:  perception that one is worse off relative to those you compare yourself to. 287. Relearning:  a measure of memory that assesses the amount of time saved when learning material for a second time. 288. Reliability:  extent to which a test yields consistent results. 89. REM Rebound:  the tendency for REM sleep to increase following REM sleep deprivation. 290. REM sleep:  rapid eye movement sleep, a recurring sleep stage during which vivid dreams commonly occur. 291. Replication:  repeating the essence of a research study to see whether the basic findings extend to other participants and circumstances. 292. Representativeness Heuristic:  judging the likelihood of things in terms of how well they seem to represent particular prototypes. 293. Respondent Behavior:  occurs as automatic response to some stimulus. 294. Reticular Formation:  a nerve network in the brainstem that plays an important role in controlling arousal. 295. Retina:  the light-sensitive inner surface of the eye. 296. Retinal Disparity:  a binocular cue for perceiving depth by comparing the images of the retinas from the two eyes. 297. Retrieval:  process of getting information out of storage. 298. Retroactive Interference:  the disruptive effect of new learning on the recall of old information. 299. Reuptake:  a neurotransmitters reabsorption by the sending neuron. 300. Rods:  retinal receptors that detect black, white and gray. 301. Savant Syndrome:  condition in which a person is limited in mental ability but has exceptional specific skill. 302. Scatterplots:  a graphed cluster of dots, the slope of which helps predict the direction of the relationship between the two variables. 303. Selective Attention:  the focusing of conscious awareness on a particular stimuli 304. Semantic Encoding:  encoding of meaning. 305. Semantics:  set of rules by which we derive meaning from morphemes, words and sentences. 306. Sensation:  the process by which our sensory receptors and nervous system receive and represent stimulus energies from our environment. 07. Sensorineural Hearing Loss:  hearing loss caused by damage to the cochleas receptor cells or to the auditory nerves. Also called nerve deafness. 308. Sensory Adaptation:  diminished sensitivity as a consequence of constant stimulation. 309. Sensory Cortex:  area at the front of the parietal lobes that registers and processes body touch and movement sensa tions. 310. Sensory Interaction:  principle that one sense may influence another; smell of food influences its taste. 311. Sensory Memory:  immediate, very brief recording of sensory information in the memory. 12. Sensory Neurons:  neurons that carry incoming information from the sensory receptors to the brain and spinal cord. 313. Serial Position Effect:  the tendency to recall best the last and first items in a list. 314. Serotonin:  neurotransmitter that affects mood, hunger, sleep and arousal. 315. Set Point:  the point where someones weight thermostat. 316. Shaping:  an operant conditioning procedure in which reinforcers guide behavior closer and closer to the desired behavior. 317. Short-Term Memory:  activated memory that holds a few items briefly. 318. Sigmund Freud:  Austrian neurologists who founded psychoanalysis. 319. Signal Detection Theory:  a theory predicting how and when we detect the presence of a faint stimulus (signal) amid background noise. Assumes there is no single absolute threshold and that detection depends partly on a persons experience, expectations, motivation and level of fatigue. 320. Sleep Apnea:  a sleep disorder characterized by temporary cessations of breathing during sleep and repeated momentary awakenings. 321. Social Leadership:  group oriented leadership that builds teamwork and offers support. 322. Social Learning Theory:  the theory that we learn social behavior by observing and imitating and by being rewarded and punished. 323. Social-cultural Perspective:  how behavior and thinking vary across situations and cultures 324. Somatic Nervous System:  the division of the peripheral nervous system that controls the bodys skeletal muscles. 325. Source Amnesia:  attributing the wrong source to an event we have experienced; at the heart of many false memories. 326. Spacing Effect:  tendency for distributed study or practice to yield better retention that massed study or practice. 327. Split Brain:  a condition resulting from surgery that isolates the brains two hemispheres by cutting the fibers connecting them. 328. Spontaneous Recovery:  Reappearance after a pause of an extinguished CR. 329. Standard Deviation:  a computed measure of how much the scores vary around the mean score. 330. Stanford-Binet:  widely used American revision of Binets original intelligence test. 331. Statistical Significance:  a statistical statement of how likely it is that an obtained result occurred by chance. 332. Stereotype Threat:  self-confirming concern that one will be evaluated based on negative stereotypes. 333. Stimulants:  drugs that excite neural activity and speed up body functions. 334. Storage:  retention of encoded information. 335. Stress:  how we perceive and respond to stressors that we appraise as threatening or challenging. 336. Structuralism:  an early school of psychology that used introspection to explore the structural elements of the human mind. 337. Structured Interviews:  asking the same questions of all applicants and rating on the standard scale. 338. Subjective Well-Being:  self-perceived happiness or satisfaction with life. 339. Subliminal:  below ones absolute threshold for conscious awareness. 340. Survey:  a technique for ascertaining the self-reported attitudes of behaviors of a group. 341. Sympathetic Nervous System:  the division of the autonomic nervous system that arouses the body, mobilizing its energy in stressful situations. 342. Synapse:  the junction between the axon tip of the sending neuron and the dendrite or cell body of the receiving neuron. 343. Syntax:  rules for combining words into sensible sentences. 344. Task Leadership:  goal oriented leadership that sets standards, organizes leadership and focuses on goals. 345. Telegraphic Speech:  early speech stage where child speaks like a telegram; uses nouns and verbs. 46. Temporal Lobes:  portion of the cerebral cortex lying above the ears; receives auditory information 347. Testosterone:  the most important of male sex hormones. Both males and females have it, but the additional testosterone in males stimulates the growth of the male sex organs in the fetus and the development of the male sex char acteristics during puberty. 348. Thalamus:  the brains sensory switchboard, located on top of the brainstem. 349. THC:  the major active ingredient in marijuana; triggers a variety of effects, including mild hallucinations. 350. Theory:  an explanation that organizes behavior and predicts future outcomes. 351. Threshold:  the level of stimulation necessary to trigger a neural impulse. 352. Thyroid Gland:  affects metabolism, among other things 353. Tolerance:  the diminishing effect with regular use of the same dose of a drug, requiring the user to take larger and larger doses of the drug before experiencing the drugs effects. 354. Top-Down Processing:  information processing guided by higher level mental processes, as when we construct perceptions drawing on our experience and expectations. 55. Transduction:  conversion of one form of energy into another. 356. Two_Word Stage:  beginning at age 2; child speaks in 2 word statements. 357. Two-Factor Theory:  called Schachter-Singer Theory; to experience emotion, one must be physically aroused and cognitively label the arousal. 358. Type A:  competitive, hard-driving, impatient. 359. Type B:  easy-going, relaxed people. 360. Ultradian Rhythm :  short-term cycle; less than a day 361. Unconditioned Response:  the unlearned naturally occurring response to the unconditioned stimulus. 362. Unconditioned Stimulus:  a stimulus that unconditionally triggers a response. 363. Validity:  extent to which a test measures what its supposed to measure. 364. Variable-Interval Schedule:  reinforcement schedule that reinforces a response after random number of responses. 365. Variable-Ratio Schedule:  reinforcement schedule that reinforces a response after an unpredictable number of responses. 366. Vestibular Sense:  sense of body movement and position including balance. 367. Visual Cliff:  lab device for testing depth perception in infants and young animals. 368. Visual Encoding:  encoding of picture images. 369. Watson and Rayner:  famous for their Little Albert experiment. 370. Wavelength:  the distance from the peak of one light or sound wave to the peak of the next. 371. Webers Law:  the principle that, to be perceived as different, two stimuli must differ by a constant minimum percentage. 372. Wechsler Adult Intelligence Scale:  most widely used intelligence test; contains verbal and non-verbal sub-tests. 373. Wernickes Area:  controls language reception; a brain area involved in language comprehension and expression in left temporal lobe. 74. Wilhelm Wundt:  known as father of experimental psychology; established the first psychology laboratory. 375. Withdrawal:  the discomfort and distress that follow discontinuing the use of an addictive drug. 376. Working Memory:  a newer understanding of short-term memory that focuses on conscious, active processing of incoming auditory and visual spatial information and of informa tion retrieved from long-term memory. 377. X-Chromosome:  the sex chromosome found in both men and women. 378. Y-Chromosome:  the sex chromosome found only in men. 379. Young-Helmholtz Trichromatic Theory:  the theory that the retina contains three different color receptors red, green and blue. absolute threshold:   The minimum stimulation needed to detect a particular stimulus 50 percent of the time. 2. accommodation:   The process by which the eyes lens changes shape to focus near or far objects on the retina. 3. accommodations:   Adapting ones current understandings (schemas) to incorporate new information. 4. acetylcholine:   A neurotransmitter that, among its functions, triggers muscle contraction. 5. acoustic encoding:   The encoding of sounds, especially the sound of words. . acquisition:   The initial stage in classical conditioning; the phase associating a neutral stimulus with an unconditioned stimulus so that the neutral stimulus comes to elicit a conditioned response. In operant conditioning, the strengthening of a reinforced response. 7. action potential:   A neural impulse; a brief electrical charge that travels down a n axon. The action potential is generated by the movement of positively charged atoms in and out of channels in the axons membrane. 8. activation synthesis hypothesis:   Theory to describe dreaming that explains dreaming as being random neural activity hat the brain tries to make sense of. 9. acuity:   The Sharpness of vision. 10. addictions:  dependency to drugs comes about from potentially one use of the substance were the body can build up dependence to the substance. 11. adolescence:   The transition period from childhood to adulthood, extending from puberty to independence. 12. adrenal glands:   A pair of endocrine glands just above the kidneys. The adrenals secrete the hormones epinephrine (adrenaline) and norepinephrine (nonadrenaline), which help to arouse the body in times of stress. 13. ll or nothing law:   Increasing the stimulus above the threshold will not increase the action potential intensity. The neurons action is an all or nothing response; it either wi ll fire or it will not. The strength of the stimulus does not effect action potentials speed. 14. alpha waves:   The relatively slow brain waves of a relaxed, awake state. 15. alzheimers disease:   A progressive and irreversible brain disorder characterized by gradual deterioration of memory, reasoning, language, and, finally physical functioning. 16. amnesia:   The loss of memory 17. mygdala:   Two almond-shaped neural clusters that are components of the limbic system and are linked to emotion. 18. assimilation:   Interpreting ones new experience in terms of ones existing schemas. 19. association areas:   Areas of the cerebral cortex that are not involved in primary motor or sensory functions; rather, they are involved in higher mental functions such as learning, remembering, thinking, and speaking. 20. associative learning:   Learning that certain events occur together. The events may be two stimuli (as in classical conditioning) or a response and its consequences (a s in operant conditioning). 1. attachment:   An emotional tie with another person; shown in young children by their seeking closeness to the caregiver and showing distress on separation. 22. audition:   The sense of hearing 23. automatic nervous system:   The part of the peripheral nervous system that controls the glands and the muscles of the internal organs (such as the heart). Its sympathetic division arouses; its parasympathetic division calms. 24. automatic processing:   Unconscious encoding of incidental information, such as space, time, and frequency, and of well-learned information, such as word meanings. 25. xon:   The extension of a neuron, ending in branching terminal fibers, through which messages pass to other neurons or to muscles or glands. 26. barbiturates:   Drugs that depress the activity of the central nervous system, reducing anxiety but impairing memory and judgement. 27. basiler membrane:  within the cochlea of the inner ear is a stiff structural element that separates two liquid-filled tubes that run along the coil of the cochlea, the scala media and the scala tympani. 28. behavioral genetics:   The study of the relative power and limits of genetic and environmental influences on behavior. 29. Behavioral Psychology:  a branch of psychology that focuses on how we learn from observable responses. An individuals response to different environment stimuli shapes our behaviors. 30. Behaviorism:  The view that psychology should be an objective science that studies behavior without reference to mental processes. Most research psychologists today agree that psychology should be an objective science but do not think that it should be without reference to mental processes. 31. behaviorism:   The view that psychology (1) should be an objective science that (2) studies behavior without reference to mental processes. For example, intelligence may be operationally defined as what an intelligence test measures. 193. opiates:   Opium and its derivatives, such as morphine and heroin; they depress neural activity, temporarily lessening pain and anxiety. 194. opponent-process theory:   The theory that opposing retinal processes (red-green, yellow-blue, white-black) enable color vision. For example, some cells are stimulated by green and inhibited by red; others are stimulated by red and inhibited by green 195. optic nerve:   The nerve that carries neural impulses from the eye to the brain. 96. parallel processing:   The processing of several aspects of a problem simultaneously; the brains natural mode of information processing for many functions, including vision. Contrasts with the step-by-step (serial) processing of most computers and of conscious problem solving. 197. parallel processing:   The processing of several aspects of a problem simultaneously; the brains natural mode of informatio n processing for many functions, including vision. Contrasts with the step-by-step (serial) processing of most computers and of conscience problem solving. 198. Parasympathetic nervous system:   The division of the autonomic nervous system that calms the body, conserving its energy. 199. parietal lobes:   The portion of the cerebral cortex lying at the top of the head and toward the rear; includes the sensory cortex. 200. Peripheral nervous system:   The sensory and motor neurons that connect the central nervous system (CNS) to the rest of the body. 201. PET:   A visual display of brain activity that detects where a radioactive form of glucose goes while the brain performs a given task. 202. Phenotype:   An organisms physical characteristics is its phenotype.

Friday, November 29, 2019

candy shoes Review Essay Example

candy shoes Review Paper Essay on candy shoes I can not say I loved it. Chocolate plot to continuing not ask, therefore, probably, candy shoes seemed unnecessary frills that soon this diluted intense emotions from reading the first book, than to prolong the pleasure The plot is very simple. Viani decides to change his way of life, to give his plainness from magic, from love to the creation of chocolate and in that whatever was to settle in one place for the sake of children. Yes it is the children, not the child: the heroine is born another daughter Rosette. So, before us is a boring, ordinary woman who has decided to mutilate his own I, sincerely believing that makes it good. Can you believe it ?! I no, and only with great inner dissatisfaction took this plot the course of the author And then one day at the door of her chocolate shop there is some stranger who turns out to be a witch, had his eye on the nascent force Anouk.. (Mystics candy shoes, by the way, is much more than a chocolate, and it ceases to be a light, subtle seasoning, becoming almost-based dishes) And there have Vian enemies who are, after all, and say thank you for the return of the old cheerful, smiling, friendly, bright and active Chocolate machines. That is waiting for us a happy ending We will write a custom essay sample on candy shoes Review specifically for you for only $16.38 $13.9/page Order now We will write a custom essay sample on candy shoes Review specifically for you FOR ONLY $16.38 $13.9/page Hire Writer We will write a custom essay sample on candy shoes Review specifically for you FOR ONLY $16.38 $13.9/page Hire Writer We met and old friend -. Roux, who, it turns out, all these years about Viani and thought forget! Another uninteresting and unnatural course writer. staleness gives a sentimental turn with a happy reunion Vianna and her real mother. It is fair to say that the space allocated to it a little bit (what he does is unclear probably to the heap, as sketched still a lot of things to a heap) In general intrigue weave Harris failed. It seems that insidious Zozi (the same witch who Anouk decided to lure) of everything in their nets navpletala (and past a sniff, and Anouk charmed and fraud went, and the name Vianna blackened, and her mother sought out, and the people -zavsegdataev tamed, etc ), and as a result some turned zilch -. even hurt but pleased with animated description of Paris, the young and the old, mysterious and ordinary, the mystical and real, as well as anywhere Harris did not devsheesya skill in describing the wonderful aromas and flavors of chocolate fairyland x sweets, from which salivate excessively. In general, the book is good, taken separately, but can not be compared, if we consider it as a continuation of Chocolate. Agree even candy sometimes very nice, but never compare with real chocolate;)

Monday, November 25, 2019

Abstinence essays

Abstinence essays In the article Abstinence by Ray Hoskins (Slife, 1994) it is stated that abstinence is the only way that a person with an addiction can recover. On the other hand Michael S. Levy states in his article Individualized Care For The Treatment Of Alcoholism (Slife, 1994) that abstinence may not the best way to treat an addiction, but that the best way to treat an addiction depends on each individuals specific needs. It is clear that the only way a person can strive and conquer an addiction is to completely distance themselves from the cause of that addiction, in the case of an alcoholic; they must distance themselves from alcohol. To understand abstinence we must first understand what the terms addict and addiction mean. According to Websters Dictionary (1996) addict is defined as, surrendering (oneself) habitually or compulsively to something, as caffeine or alcohol. To break down this definition, we can say that an addict is a person that creates a habit on relying on a substance (alcohol) or an act (sex). With the understanding of what an addict is we can define addiction as a state of mind where one depends upon a substance (alcohol) or an act (sex) that affects their daily life in some form, usually in a negative way. For example in Levys Individualized Care For The Treatment Of Alcoholism (Slife, 1994) case vignette 5 states; L...a 30 year old, married male...described his drinking most every day, but was most concerned about his heavy drinking with loss of control, which generally occurred three times a week. In this case we can see that L was showing signs of addiction towards alcohol in the ways that he formed a habit, drinking everyday, and it affected his life, losing control. When a person does become addicted to a substance such as alcohol the only way to successfully stop the addiction is through the means of abstinence, or stopping completely ...

Thursday, November 21, 2019

Principles of Critical Care Nursing - Leadership and teamwork when Essay - 1

Principles of Critical Care Nursing - Leadership and teamwork when planning care and making decisions - Essay Example Besides, the clinicians must ascertain the patient’s variables such as salt and diet intakes alongside the ability to adhere to the therapeutic regimen (Aronson, 2009). It is critical to maintaining optimal potassium levels of at least 4.0 mmol/L for this particular patient besides a routine potassium monitoring. There is also need for the joint administration of Magnesium to enhance the cellular uptake of potassium (Urden, Stacy & Lough, 2014)). The Intravenous piggyback infusions of electrolyte require that the administration be executed based on free-flow protected devices such as an infusion pump. Patients must meet certain conditions before the initiation of the Potassium (SCr 40Kg). The electrolyte replacement protocols such as potassium Phosphate or Chloride may be ordered individually or jointly (Kee, Paulanka & Polek, 2010). Initiating intravenous Potassium therapy is hazardous and should meet certain strict requirements. The intravenous treatment of hypokalemia has to be instigated only when the enteral route cannot be availed or confirmed not to achieve the standard elevation of serum Potassium based a clinically set timeframe (Kee, Paulanka & Polek, 2010). The guidelines for initiation of replacing Potassium must be determined by the urgency of Potassium replacement and should only be performed in case of cardiac arrhythmia, low serum Potassium (

Wednesday, November 20, 2019

Recurring U.S. Government Spending and Debt Ceiling Crises Assignment

Recurring U.S. Government Spending and Debt Ceiling Crises - Assignment Example Increase in worsening of economic condition will result in further decline of the value of the US dollar. Question 3: The overall healthcare expenditure of the United States of America will increase by 6.1 percent due to Obama Care Act in 2014 and Morgan states that this estimate is lesser than the previous estimates of increase in government spending by 7.4% (Morgan 1). An increase of 6.1% will result in a total expenditure of $3 trillion on the healthcare system. Question 4: From the period of 2009 to 2013 the Medicare spending increased at an average of 0.02 trillion. During the period of 2009 it was 0.42 trillion and during the period of 2013 it was 049 trillion, while it fell from 0.48 trillion of 2011 to 0.47 trillion in 2012. It is expected that in 2014 it would rise to 0.52 trillion (usgovernmentspending.com 1). Question 5: The United States has budgeted that its overall government spending for the period of 2014 will be 3.7 trillion and this will include spending on pensions, health care, defense as well as welfare (usfederalbudget.us 1). In order to cover this budget of 3.7 trillion, the government has projected to collect a total of 3.0 trillion on tax revenues (usgovernmentrevenue.com 1). This means that a total of 0.7 trillion in tax revenues need to be increased to cover all government spending. Question 6: By the end of 2013 the United States’ federal government debt to GDP ratio was 101.6% and by the period of 2003 it was 59.5%. This means that the debt to GDP ratio of the United States Federal government has almost increased by 66% in 10 years time period which is quite an alarming situation (tradingeconomics.com 1). Question 7: The FED or Federal Reserve Bank of United States already owns 64% of the debt of United States government (Jeffrey 1). The FED owns this amount since it is purchasing government bonds in order to help the federal government to

Monday, November 18, 2019

Personal Plan Essay Example | Topics and Well Written Essays - 500 words

Personal Plan - Essay Example Such a culture would provide room for innovation and creativity. The work schedule in such a culture would be convenient and suitable for individual employees. An ideal workplace culture would be the one in which goals, jobs, and expectations are clear. The management would be considerate and there would not be clashing demands. The culture would provide a supportive environment and encourage personal development and feedback. It would be a stable environment and one that provides for recognition of effort and celebration of success. Employees would enjoy working in such a workplace (Lawler & Thye, 2006). I think there is a relationship between effective study habits and techniques and being successful in such work cultures. Motivating oneself to study by setting goals would inculcate personal discipline that is crucial for success in the workplace. Timetabling or charting one’s time usage teaches how to manage, effectively, time even when in the workplace. Effective listening skills are useful to students and they go a long way to determining how the individual will get along with seniors and colleagues in the workplace. Participating in-group discussions equips individuals with skills necessary for teamwork that is an important factor influencing success at the workplace. Taking breaks is an effective study technique, is also needed for success in the workplace because it allows individuals to reenergize and refresh, and prevents burn out (Lawler & Thye, 2006). My blind spots help me identify how it would feel working in a particular workplace. Some workplaces elicit strong negative reactions while others elicit strong positive reactions. I consider working in the latter and avoid the former. One of my strengths is optimism and I consider working in a place that will help me live positively. Self-motivation is my strength and I look forward to working in a

Saturday, November 16, 2019

Congestive Heart Failure Introduction Of Patient Nursing Essay

Congestive Heart Failure Introduction Of Patient Nursing Essay This cases study was conducted on February 13th, 2012. This patient will be identified by the initials AH throughout this paper. AH is a 91-year-old Caucasian female. Her mood is as expected for her age and culture. This patient agreed to work with me during her hospital stay and continuation of follow up information after discharge. AH was admitted to the hospital on February 09th, 2012 onto the medical floor. This patient was brought into the emergency department by her son, DH, at approximately 9:00 a.m. on February 09, 2012. AH stated she had an increase of shortness of breath, weakness throughout her body, and her ankles were swollen. When asked about the history of these symptoms, AH stated these symptoms have been present since Sunday February 05, 2012. AH went into the doctors office in her hometown and was told to go into the emergency department at the hospital by the physician. On assessment at the emergency department, AH had a temperature of 96.9 degrees Fahrenheit, a pulse of 130 beats per minutes, respirations of 20 breaths per minute, blood pressure of 192 systolic over 105 diastolic, and a pain level of 0 out of 10 on the pain rating scale. Assessment findings were crackles, bilaterally with auscultation, a non-productive cough occasionally, irregular heart rate, 3+ pitting edema bilaterally in lower extremities from the knee down and in feet. This patient had a delayed capillary refill and neck vein distension. AH also had palpable pulses with upper extremity pulses being strong and lower extremity pulses being weak. This patient was admitted with congestive heart failure and atrial flutter with rapid ventricular response. This patient has a history of hypertension, arthritis, hard of hearing, occasional urinary tract inf ections and had a myocardial infarction in 1990. AH had two previous surgical procedures in her life. She has had a left hip replacement in 2006 and a right hip replacement in 2007. AH denies any significant family health history. She also denies any current use or history of alcohol consumption, tobacco use, or drug use. She is not on any supplemental oxygen at home. AH was able to state name, dose, and reason for home medications. These medications are Bumex water pill 1 MG orally taken daily, Clonidine blood pressure pill 0.1 MG orally taken three times a day, Metoprolol blood pressure pill 50MG orally taken daily, and Nitroglycerin for heart 2.5MG orally taken two times a day. I was able to do a total head to toe assessment on February 13, 2012. AH is 182.90 pounds, 60.00 inches tall, and has a body mass index of 35.72. AH is categorized as obese with this body mass index result. This patient is alert and oriented to person, place, and time. This patients pupils are equal, responsive, and reacts to light upon inspection. AH does have slight pitosis of the right upper eyelid. This patient does wear eyeglasses to read. Her total Glasgow Coma Scale is rated at a 15 out of 15. This is a perfect score and shows no impairments. This patient communicates verbally with no problems. AH has full movement in all four extremities and has intact circulation, movement, and sensation. When asked about history of falls, AH stated she had no current or past falls. Her skin is pink, warm, and dry without diaphoresis but has slight purplish discoloration bilaterally on shins from knee to ankle. When assessing AH respiratory status, she stated that she was not experiencing an y distress or shortness of breath currently but does experience this with exertion. AH is not on any supplemental oxygen. Her oxygen saturation was at 94% on room air. Upon auscultation this patients lungs were clear bilaterally in upper lobes and diminished bilaterally in lower lobes. Her respirations were at 16 breaths per minute. Her chest configuration is symmetrical. I did observe a weak non-productive cough occasionally during this assessment. During the cardiovascular assessment, apical pulse was 84 and her radial pulse was 80. This showed a pulse deficit of 4 beats per minute, which could be due to the irregular heartbeat (atrial flutter) with the rapid ventricular response. Patient was on telemetry to monitor for abnormalities during admission. S1 and S2 were heart upon auscultation. AH had a blood pressure of 167 systolic over 82 diastolic on her right upper extremity. AH did have distended neck veins upon inspection, which is a sign of congestive heart failure. AH denied any chest pain. This patient does not have any implanted cardiac defibrillator or pacemaker. This patients abdomen was soft and non-tender with bowel sounds active in all four quadrants. She is on a low sodium diet and states that she does follow the diet restrictions but when asked about exact amount of allowed sodium intake patient did not know. During her hospital stay AH was on a fluid restriction of 1.5 liters per 24 hours. Patient was able to adhere to fluid restriction but states she is on no fluid restriction at home. AH is continent of stool and urine but had Foley catheter in place per physician orders. AH is full weight bearing and has a steady gait but does use a walker for an assistive device while at the hospital. AH states she uses a wheelchair at home. AH has active range of motion and shows no limitations or discomfort within normal limits. AH was under no precautions or isolation. She had five different medications that I administered to her during her admission to the hospital that ranged from antibiotics, hypertension medications, to diuretics. These will be discussed individually in the following systems breakdowns. When asked about cancer screenings, AH denied any annual appointments. AH stated that she was not worried about this currently. AH also does not obtain influenza or pneumococcal vaccines annually and her last tetanus vaccine was unknown. From observation, this patients health promotion is low and patient may need education on importance to her health. When assessing this patients home life, AH stated she has never had any physical or emotional abuse. AH lives at home with her son DH. Her husband passed away several years ago so she arranged for her son to come live with her. DH provides transportation and assistance with activities of daily living for AH. She has a loving relationship with her son and he assists her with medical decisions. She states she is not afraid of her living situation. AH complied with medical regimen and asked questions when she was not sure of the situation. When asked about the history of her congestive heart failure and length of time she has been diagnose d, AH did not understand that she had congestive heart failure and did not know how long she has had this condition. She stated she would speak with her new physician. She will be set up with a new primary physician since she does not currently have one. With this information, this indicates an need for additional information about primary condition due to deficient knowledge stated by patient. Pathophysiology of Congestive Heart Failure The heart, blood vessels, and blood are components that make up the cardiovascular system. The pumping action of the heart consists of contraction and relaxation of the myocardial (muscle) layer of the heart. Each contraction and relaxation that occurs consists of one cardiac cycle. During diastole (relaxation), the ventricles fill with blood. Systole (ventricular contraction) then occurs, which propels the blood out of the ventricles and into the circulation. Cardiac performance can be calculated by measuring the cardiac output. Cardiac output is the amount of blood moving through either systemic or the pulmonary circuit per minute. (Huether McCance, 2008) Cardiac output is calculated by multiplying stroke volume (volume of blood ejected per beat during systole) and heart rate. The amount of blood a ventricle ejects during the cardiac cycle is called ejection fraction. Ejection fraction is calculated by stroke volume divided by end-diastolic volume (blood left in the blood after di astole). The normal ejection fraction is from 50%-70%. A decrease of ejection fraction is a hallmark sign of ventricular fraction, such as left-sided heart failure. The factors that determine cardiac output are preload, afterload, contractility, and heart rate. Preload is the volume and associated pressure generated in the ventricle at the end of diastole (ventricular end-diastolic volume). Preload is determined by the amount of venous return to the ventricle and the blood left in the ventricle after systole (end-systolic volume). Afterload is the resistance the heart has to overcome to eject blood from the left ventricle. Heart failure is a term for the inability of the heart to work effectively as a pump. It results from different acute and chronic cardiovascular problems. The major types of heart failure are left-sided heart failure, right-sided heart failure, and high-output heart failure. The focus of this case study will be on left sided heart failure. Most heart failure starts out with failure of the left ventricle and progresses to both ventricles failing. Typical causes of left-sided heart failure are hypertension, coronary artery, and valvular disease. Decreased tissue perfusion from poor cardiac output and pulmonary congestion indicate left ventricular failure. Left-sided heart failure is also known as congestive heart failure; however not all cases of left ventricular failure involve fluid accumulation. Left-sided heart failure can be further broke down to systolic heart failure and diastolic heart failure. (Ignatavicius Workman, 2010) Systolic heart failure happens when the heart is unable to contract forcefully enough during systole to eject sufficient amounts of blood into the circulation. Preload increases with decreased contractility, and afterload increases as a result of increased peripheral resistance in the vascular spaces (hypertension). The percentage of blood ejected from the heart during systole (ejection fraction) drops from the normal range (50%-70%) down to 40%. As this percentage decreases, tissue perfusion decreases and blood backs up into the pulmonary vessels. This creates symptoms of systemic and pulmonary congestion. Diastolic heart failure occurs when the left ventricle cannot relax enough during the rest period. When the ventricle cannot relax enough, stiffening of the ventricle occurs and prevents the ventricle from filling up with sufficient blood to ensure adequate cardiac output. This ventricle becomes less compliant because more pressure is needed to move the same amount of volume compa red to a healthy heart. (Ignatavicius Workman, 2010) When cardiac output is unable to meet the demands of the body, other areas of the body start to increase their workload to improve cardiac output. Theses mechanisms start off helping cardiac output increase but eventually have a damaging effect on the function of cardiac pumping. The compensatory mechanisms of heart failure are stimulation of the sympathetic nervous system, activation of the renin-angiotension system, release of pro-inflammatory cytokines, release of natriuretic peptides, release of vasopressin, and myocardial hypertrophy. (Ignatavicius Workman, 2010) These compensatory mechanisms will be discussed further in the appropriate body systems throughout this case study. There are many presenting signs and symptoms of heart failure that a patient may have. Signs and symptoms of left-sided heart failure are restlessness, confusion, orthopnea, tachycardia, dyspnea with exertion, fatigue, cyanosis, cough, crackles, wheezes, blood-tinged sputum, and tachypnea. AH has several of these problems. She has tachycardia, dyspnea with exertion, fatigue, orthopnea, occasional cough, tachypnea, and crackles heard with auscultation. These problems make AHs activities of daily living hard to perform at times. She does not use any supplemental oxygen during any of these times. AH is also showing signs and symptoms of right-sided heart failure that could indicate that her condition is progressing. These symptoms are distended jugular veins, and dependent edema. These symptoms of right-sided heart failure can be due to her history of a myocardial infarction, which could have caused the right ventricle to try and compensate for the increase in pulmonary circulation. Thi s leads to the right ventricle to dilate and begin to fail. This is the cause of the distended jugular veins and edema because the systemic venous circulation increases with the compensation of the right ventricle. Treatment of these symptoms is managed with the treatment of left-sided heart failure. (Huether McCance, 2008) There are several risk factors that put a patient at risk for heart failure. Common risk factors that put a patient at risk for heart failure are hypertension, coronary artery disease, cardiomyopathy, substance abuse with alcohol and tobacco use, dysrhythmias, cardiac infections and inflammations, diabetes mellitus, family history, obesity, and conditions such as hyperthyroidism. (Ignatavicius Workman, 2010) AH has several of these risk factors. She has a history of hypertension, obesity, atrial flutter (dysrhythmia), and past myocardial infarction. All of these have a negative affect on the cardiovascular system and lead to the worsening this patients heart failure. Lifestyle modifications can be made to decrease how some of these risk factors affect this patient. Dietary changes such as watching weight, low sodium, and balanced meals could reduce this patients obesity and hypertension. Also, adhering to medication regimen assists with controlling hypertension and removing retained water from the body. Chest x-rays can be helpful in the diagnosis of left ventricular failure. The problem with chest x-rays is that it may lag behind the clinical findings as much as 24 hours. You may see that the heart is enlarged (cardiomegaly) which can be due to hypertrophy and dilation. AH had a chest x-ray done on February 08, 2012. The reason this was done was because of dyspnea. Results obtained from physician were trachea midline, mild prominence of interstitial markings in bilateral lung fields without lobar consolidation, basilar atelectasis, elevated left hemidiaphragm, no evidence of pneumothorax or pleural effusion, mild cardiomegaly, ectatic aorta with vascular calcification and degenerative changes involving shoulder joints. Echocardiograms are considered the best tool in the diagnosis of heart failure. You can see changes in the valves, fluid accumulation in the pericardial space (pericardial effusion), chamber enlargement, and ventricular hypertrophy. This test can also determine eject ion fraction, which shows how bad the ventricular hypertrophy is decreasing the amount of blood ejected from that ventricle. An electrocardiogram may show ventricular hypertrophy, dysrhythmias such as atrial flutter with AH, and any degree of myocardial injury but is not helpful in determining the presence or extent of heart failure. (Ignatavicius Workman, 2010). This test would be helpful for this patient due to the fact of having a dysrhythmia and also have a past myocardial infarction. Laboratory assessments can also be helpful in diagnosis of heart failure. Electrolyte imbalances may occur from heart failure or because of side effects of medications, especially diuretics such as Bumex with AH. Regular assessments of sodium, potassium, magnesium, calcium, and chloride, are obtained. Any impairment of renal function resulting from inadequate perfusion causes the patients blood urea nitrogen and serum creatinine to be elevated and a decrease in creatinine clearance levels. A urinalysis can show if there is an increased amount of protein present in the urine and an elevated specific gravity due to the kidneys not adequately working. Hemoglobin and Hematocrit levels should be obtained to check to see if the heart failure is from anemia, which is a low level of red blood cells. This can be caused from the kidneys not creating enough erythropoietin, which regulates red blood cell production. B-Type natriuretic peptide (BNP) is used for diagnosing heart failure in patient s with dyspnea. An increase in BNP helps determine whether it is dyspnea from heart failure or lung dysfunction. Patients with atrial dysrhythmias and renal disease may also have elevated BNP levels. (Ignatavicius Workman, 2010) AH does have an atrial dysrhythmia (atrial flutter), which could cause an elevated BNP level even without the heart failure. Arterial blood gases could show if the patient is hypoxic due to the low oxygen level from fluid filled alveoli. Respiratory alkalosis could occur because of hyperventilation, respiratory acidosis could occur because of the carbon dioxide retention, and metabolic acidosis could be present from accumulation of lactic acid. (Ignatavicius Workman, 2010). AH did not have arterial blood gas values drawn to look at any abnormalities. TEST RANGE DATE: 02-08-12 DATE: 02-11-12 DATE: 02-13-12 WBC 5,000-10,000 mm3 8.89 mm3 10.00 mm3 RBC 4.2-6.1 X10 / g 4.70 5.11 HGB 11.5-17.5 g/dl 13.8 g/dl 14.8 g/dl HCT 40-52% 43.7% 46.8 % PLATELETS 150,000-400,000 mm3 194,000 mm3 207,000 mm3 NEUTROPHILS 55-70% 78.0% 78.8 % LYMPHOCYTES 20-40% 10.3% 9.5 % MONOCYTES 2-8% 8.7% 9.2 % EOSINOPHILS 1-4% 1.7% 1.5 % BASOPHILS 0.5-1.0% 1.3% 1.0 % SODIUM 135-145 mEq/L 142 mEq/L 138 mEq/L 13 mEq/L CHLORIDE 98-106 mEq/L 105 mEq/L 98 mEq/L 93 mEq/L POTASSIUM 3.5-5.0 mEq/L 5.5 mEq/L 5.0 mEq/L 4.2 mEq/L CO2 24-30 mEq/L 28 mEq/L 28 mEq/L 35 mEq/L MAGNESIUM 1.3-2.1 mEq/L 1.9 mEq/L CALCIUM 9.0-10.5 mg/dl 7.7 mg/dl 7.8 mg/dl 7.3 mg/dl BUN 10-20 mg/dl 45 mg/dl 68 mg/dl 68 mg/dl CREATININE 0.5-1.2 mg/dl 1.29 mg/dl 1.58 mg/dl 1.52 mg/dl GFR 39 37 39 GLUCOSE 70-110 mg/dl 108 mg/dl AST 0-35 U/L 47 U/L ALT 4-36 IU/L 112 IU/L BNP 952 361 TROPONIN I 0.10 0.07 Treatments for heart failure are a combination of pharmacologic and non-pharmacologic therapies. Treatment often focuses on a combination of afterload-reduction with angiotension-converting-enzyme (ACE) inhibitors, reduction of catecholamine surges with beta blockers, and preload reduction with diuretics. ACE inhibitors reduce the production of angiotension II, which is a potent vasoconstrictor, from angiotension I. This will allow the patients blood pressure to lower to a normal range by vasodilation and also prevents ventricular remodeling (alteration in the structure and function of the heart). These medications are recommended for all patients with heart failure with lowered systolic function. With these medications you need to monitor for adverse effects such as dry hacking cough, hypotension, and renal dysfunction. AH was given Lisinopril 10MG tab QD during her hospital admission. Beta blockers protect the heart from the harmful effects of norepinephrine and epinephrine which a re circulating neurohormones released as a compensatory mechanism. This is aimed to reverse ventricular remodeling. Beta blockers help reduce mortality when combined with ACE inhibitors. This combination is referred to as the cornerstone of heart failure treatment. AH was given Lopressor 100MG tab BID to inhibit beta 2 adrenorecpetors of bronchial and vascular smooth muscle. (Jones Bartlett, 2010). This medication helps lower blood pressure and relieve patient of symptoms of heart failure. Diuretics are a key aspect in the relief of dyspnea and signs of sodium and water retention. This helps reduce blood pressure by removing extra fluid in the circulation. Also, putting the patient on sodium restriction decreases the resistance of diuretics. These medications can also be the first line of treatment for older adults with heart failure and fluid overload. AH was administered Bumex 1MG tab BID. This is a loop diuretic, which means it inhibits reabsorption of sodium and chloride in the ascending Loop of Henle and enhances potassium excretion. (Jones Bartlett, 2010) With this medication you must monitor the patients labs to prevent hypokalemia. Another treatment option for heart failure is cardiac glycosides. These drugs increase intracellular calcium, which increases contraction of the heart. Their function results from an increased cardiac output by increasing the force of contraction of the heart. (Jones Bartlett, 2010). Digoxin was the cardiac glycoside administered to AH during her hospital admission. AH received 125MCG tab QD. Potential benefits of this medication are increased contractility, reduced heart rate, slowing of conduction through the atrioventricular node and inhibition of sympathetic activity while enhancing parasympathetic activity. (Ignatavicius Workman, 2010). Monitoring potassium levels is very important for this medication due to lower levels causing patients to be more sensitive to digoxin, which can cause digitalis toxicity. These sign s and symptoms are also vague and nonspecific and include; anorexia, fatigue, changes in mental status and dysrhythmias. Watch for a loss of the P wave on an electrocardiogram. Also, you must monitor apical pulse and heart rhythm on these patients. You must make sure the heart rate is above 60 beats per minute. Any drug that increases the workload of the heart will also increase its oxygen demand. Patients should be monitored for chest pain while taking digoxin. Non-pharmacological interventions for heart failure are ventilation assistance, energy management, and nutrition therapy. Ventilation assistance is an important aspect of treatment for heart failure patients. This allows the patient to have adequate oxygen and carbon dioxide exchange in the lungs. Depending on the patients oxygen saturation and dyspnea, they may need supplemental oxygen prescribed by the physician. Positioning the patient in a high Fowlers position, and keeping the head of the bed elevated over 45 degrees will minimize respiratory efforts. AH did not receive supplemental oxygen, but maintained adequate ventilation by sitting in a bed side chair most of the time during her admission. She was unable to sleep in the hospital bed due to complaints of orthopnea so she also needed to sleep in the chair. (Ignatavicius Workman, 2010) Energy management will help prevent fatigue and perform activities of daily living to the best of their ability. Steps to take to promote ener gy management is monitor patient response to activity, determine patients physical limitations, encourage alternate rest and activity periods, arrange physical activities to reduce competition for oxygen supply to vital body functions, encourage physical activity, monitor patients oxygen response, and teach patient techniques of self-care that will minimize oxygen consumption. (Ignatavicius Workman, 2010) AH was able to ambulate to the bathroom when needed, but was unable to ambulate larger distances. She maintained adequate oxygenation with adequate rest periods when she became short of breath. AH is able to identify when these rest periods need to be taken on her own. Nutrition therapy is also a key aspect in the treatment of heart failure. This treatment targets sodium reduction and water retention. Physicians may prescribe sodium restrictions to decrease fluid retention. Since sodium follows water, a decrease in sodium allows for a decrease in retained water. AH was on a sodium restricted diet but was unable to state the exact amount of allowed daily sodium. All she could state was that she was not allowed to add extra salt to meals. Some patients are also placed on fluid restrictions. This allows for the body to excrete retained fluid in the body without having work harder with additional fluid intake. The restriction depends on the patient and the extent of the heart failure. AH was put on fluid restrictions by her physician. She was allowed 1.5 liters of fluid per 24 hours. AH was able to comply with this restriction. Assistive personnel need to be accurate in measuring intake and output for these patients. Weighing these patients daily is a key factor for heart failure. This allows seeing if the patient is retaining extra fluid which could cause congestion and result in worsened heart failure. 1 kilogram of weight gain or loss equals 1 liter of retained or lost fluid. The same scale should be used everyday at the same time of day (morning) wearing close to the same amount of clothing for the most accurate assessment of weight. (Ignatavicius Workman, 2010) Cardiovascular The heart, blood vessels, and blood all make up the cardiovascular system. The hearts pumps the blood through a network of blood vessels and delivers oxygen, carbon dioxide, and nutrients to the cells and tissues of the body. This circulatory system also removes waste products of cellular metabolism. (Huether McCance, 2008). The blood is carried away from the heart by arteries that branch into capillaries and provide the body with all the nutrients needed to properly function. Veins carry the blood from the capillaries throughout the body back to the heart where the system starts the process over. Since AH has congestive heart failure (as described above), hypertension, atrial flutter, and previous myocardial infarction, her cardiovascular system is greatly affected. One compensatory mechanism that occurs in the cardiovascular system due to congestive heart failure is myocardial hypertrophy. This is enlargement of the myocardium and can be with or without dilation of the chamber. The heart walls thicken to provide more muscle mass. This results in more forceful contractions. This further increases cardiac output. Often a hypertrophied heart is slightly oxygen deprived. All the compensatory mechanisms contribute to an increase in consumption of myocardial oxygen. When the demand for oxygen increases, and the reserve of the myocardium has been exhausted, manifestations of heart failure develop. AH has a history of hypertension. Hypertension is a consistent elevation of systemic arterial blood pressure. It is defined as a sustained systolic blood pressure of 140 mm Hg or greater systolic pressure or a diastolic pressure of 90 mm Hg or greater. (Huether McCance, 2008) There are four different classifications of hypertension. These are normal, prehypertension, stage 1 hypertension, and stage 2 hypertension. AH is categorized in stage 2 hypertension with her systolic blood pressure ranging around 167 mm Hg. This stage of hypertension puts her at risk for damage to target organs such as her brain, kidneys, and heart. Since systolic hypertension is the most significant factor causing target organ damage, this puts AH at an even higher risk. AH also has an elevated diastolic blood pressure ranging around 82 mm Hg. She would be categorized as prehypertension with this value. When a patient has hypertension both by systolic and diastolic measurements, they are diagnosed with primar y hypertension. A specific cause for primary hypertension has not been identified but it is found that a combination of environmental and genetic factors can be the cause of development. Factors associated with primary hypertension are family history, advancing age, gender (more common in women after age 55), black race, high dietary sodium intake, glucose intolerance, cigarette smoking, obesity, heavy alcohol consumption, and low dietary intake of potassium, calcium, and magnesium. (Huether McCance, 2008) AH has several of these factors which are a family history of hypertension, advancing age, female gender, obesity, and poor nutritional status. Many of these factors are also risk factors for other cardiovascular disorders. With AH, the history of myocardial infarction and congestive heart failure all accumulate to poor cardiovascular effects. Pathophysiologic mechanisms mediate these effects that include; the sympathetic nervous system, the renin-angiotension aldosterone system, and natriuretic peptides. The systemic arterial pressure is made up of cardiac output and total peripheral vascular resistance. Total peripheral vascular resistance is the resistance of blood flow in systemic blood vessels. Cardiac output is determined by multiplying stroke volume and heart rate. Stroke volume is the amount of blood ejected by the ventricle with each beat of the heart. Control of peripheral vascular resistance (dilation or constriction) is controlled by the autonomic nervous system (sympathetic and parasympathetic) and circulating hormones (epinephrine and norepinephrine). Any factor that affects peripheral vascular resistance, heart rate, or stroke volume affects systemic arterial pressure, which affects the patients blood pressure. If all increase, blood pressure will increase. If all decrease, blood pressure will decrease. Four control systems play a major role in maintaining blood pressure; the arterial baroreceptor system, regulation of body fluid volume, the renin-angiotension aldosterone system and vascular autoregulation. The arterial baroreceptors monitor the arterial pressure and counteract a rise in arterial pressure by mediated cardiac slowing and vasodilation. (Ignatavicius Workman, 2010) Changes in fluid volume and renin-angiotension aldosterone system will be discussed further in the renal system. Patients with hypertension are often asymptomatic, however patients may have headaches, dizziness, fainting, facial flushing. AH had no complaints of any of these symptoms, but I did observe facial flushing. AH stated that she has had blood pressure issues for quite some time now. AH is on several medications to help assist the body in lowering her blood pressure. She is taking Lopressor 100 MG tab BID (beta blocker), Digoxin 125 MCG tab QD (cardiac glycoside), Lisinopril 10 MG tab QD (angiotension converting enzyme inhibitor) and also Bumex (loop diuretic). All of these medication help lower her blood pressure which will decrease the workload of the heart which assists in compensating in the effects of her congestive heart failure. Atrial flutter is a rapid depolarization occurring at a rate of 250 to 350 times per minute. This rapid depolarization is caused from the electrical current circulating in a small circle within the atria instead of moving from one end to the other. This current travels in a circle because conduction is slowed due to heart damage and the myocardial cells are unable to activate. (Huether McCance, 2008). This is considered a supraventricular tachycardia due to the fact that it is above the ventricle. The atrioventricular node (between the right atrium and right ventricle) in the heart blocks the number of impulses that reach the ventricles as a protective mechanism. (Ignatavicius Workman, 2010). Atrial flutter has many causes but two causes that are related to AH are ischemic heart disease (myocardial infarction), and heart failure. Symptoms are palpitations, weakness, fatigue, shortness of breath, nervousness, anxiety, syncope, angina, and signs of heart failure. AH has several of th ese symptoms but they also could be due to her heart failure. The patient with a normal ventricular rate is usually asymptomatic. Due to her left ventricle conducting at a slower rate, she is at risk for having these symptoms. With these