Habit or Second Nature William James seems to see a connection between habit and a person’s possibilities as being intertwined, that one does not exist without the other. James’ gives the example of a tiger that through an accident is set free. Yet he comes back to his cage which suggests that habit overrides instinct. Habit is a safe place for not only animals but people as well. We Just follow the easiest path. Society has brainwashed us into acting as a unit, by not teaching us how to be individuals and to explore our own personalities in life.
We are confined by the box we have put ourselves in, since it is easiest for us to do. To follow society’s teachings we need to do as others before us and step outside our boxes to experience the world as it really is. Our own natural instincts are suppressed by habit When a person or animal has been trained or brainwashed to act a certain way they lose the use of the natural instincts we are all born with. We lose the self preservation that is ingrained in us by following the easiest path such as habit. As James’ tiger by going back to a place he knew as comfortable and safe.
James also uses the example of the military solider hearing the word “Attention”, to show how he has been so conditioned that he reacts out of habit. All of us, be it animal or human, have a comfort zone where we stay out of habit. To step out of what is familiar would cause us to act or react to life that is unfamiliar. So in a lot of ways habit has left us blind to what we are really capable of in our lives, Just as James’ example of the men growing old in prison who asked to be readmitted since they were used to the habits and routines in prison. They were nable to adapt to change and the real world outside, their instincts for freedom had been suppressed. James also states, “Habit is what keeps the fisherman and the deck-hand at sea through the winter; it keeps the coal miner in the dark
pneumonia SOAP NOTE
pneumonia SOAP NOTE.
Description Soap Note 1 Acute Conditions (15 Points) Due 02/16/2019 Pick any Acute Disease from Weeks 1-5 (see syllabus) Pneumonia Soap notes will be uploaded to Moodle and put through TURN-It-In (anti-Plagiarism program) Turn it in Score must be less than 50% or will not be accepted for credit, must be your own work and in your own words. You can resubmit, Final submission will be accepted if less than 50%. Copy paste from websites or textbooks will not be accepted or tolerated. Please see College Handbook with reference to Academic Misconduct Statement. Follow the MRU Soap Note Rubric as a guide: Grading Rubric Student______________________________________ This sheet is to help you understand what we are looking for, and what our margin remarks might be about on your write-ups of patients. Since at all of the write-ups that you hand in are uniform, this represents what MUST be included in every write-up. 1) Identifying Data (___5pts): The opening list of the note. It contains age, sex, race, marital status, etc. The patient complaint should be given in quotes. If the patient has more than one complaint, each complaint should be listed separately (1, 2, etc.) and each addressed in the subjective and under the appropriate number. 2) Subjective Data (___30pts.): This is the historical part of the note. It contains the following: a) Symptom analysis/HPI(Location, quality, quantity or severity, timing, setting, factors that make it better or worse, and associated manifestations.(10pts). b) Review of systems of associated systems, reporting all pertinent positives and negatives (10pts). c) Any PMH, family Hx, social hx, allergies, medications related to the complaint/problem (10pts). If more than one chief complaint, each should be written u in this manner. 3) Objective Data(__25pt.): Vital signs need to be present. Height and Weight should be included where appropriate. a) Appropriate systems are examined, listed in the note and consistent with those identified in 2b.(10pts). b) Pertinent positives and negatives must be documented for each relevant system. c) Any abnormalities must be fully described. Measure and record sizes of things (likes moles, scars). Avoid using “ok”, “clear”, “within normal limits”, positive/ negative, and normal/abnormal to describe things. (5pts). 4) Assessment (___10pts.): Diagnoses should be clearly listed and worded appropriately. 5) Plan (___15pts.): Be sure to include any teaching, health maintenance and counseling along with the pharmacological and non-pharmacological measures. If you have more than one diagnosis, it is helpful to have this section divided into separate numbered sections. 6) Subjective/ Objective, Assessment and Management and Consistent (___10pts.): Does the note support the appropriate differential diagnosis process? Is there evidence that you know what systems and what symptoms go with which complaints? The assessment/diagnoses should be consistent with the subjective section and then the assessment and plan. The management should be consistent with the assessment/ diagnoses identified. 7) Clarity of the Write-up(___5pts.): Is it literate, organized and complete? Comments: Total Score: ____________ Instructor: __________________________________ Pagana, K., &Pagana, T. (2009). Mosby’s manual of diagnostic and laboratory tests (9th ed.). St. Louis, MO: Elsevier Health Sciences.
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