American Constitution Essay Example | Topics and Well Written Essays - 4250 words

American Constitution - Essay Example It would be erroneous, however, to describe the frame of government, signed by Washington and his fellow-delegates at Philadelphia, as their invention. It is not so much a creation of political theorists as a codification by practical statesmen of doctrines which experience showed had worked well, or were needed for the well-working of government in their country. Moreover, it did not fully satisfy any of its framers, and the discussion connected with its adoption disclosed a strong popular feeling that it ought to be supplemented by a formal bill of rights. Accordingly, various amendments were prepared and ten of these were ratified within two years after the original Constitution went into effect. All of these were suggested by political experience during the revolutionary and colonial periods, while some trace their origin back through English history to Magna Charta. T is clear that the Convention which drafted our Constitution did not originate with political agitators whose heads were filled with new schemes of government. It resulted from the popular conviction that the existing federal system was a failure, a conviction which was voiced by Patrick Henry 1 and other champions of state sovereignty, as well as by those who "thought continentally." How slowly this conviction matured is shown in the stages by which public opinion advanced towards the goal of the Convention. (Taylor 1998 67) The Background of the Constitutional Convention As early as 1643 the colonies of Massachusetts, New Plymouth, Connecticut, and New Haven drew up "Articles of Confederation of the United Colonies of New England," driven thereto by the dangers which threatened them from the hostile Indians, and from the Dutch at New Amsterdam and Fort Orange ( New York and Albany). The purpose of this confederation was principally that of mutual defence, and matters of internal affairs were expressly left to the several colonies, but nevertheless the commissioners were directed to "endeavoured to frame and establish agreements and orders in general cases of a civil nature wherein all the plant cons are interested for preserving peace among themselves, and preventing as much as may bee all occasions of war or difference with others." (Tucker, 1997 74) Provision was also made for the return by each colony to the authorities of the others of runaway servants and escaped criminals. Control of the affairs of the confederation was put into the hands of eight commissioners, two from each colony, and in most matters action could be taken by the concurrence of six commissioners. 2 The confederation functioned actively until the conquest of New Netherlands in 1664, and there were occasional meetings of the commissioners for twenty years more, when the organization finally fell apart. In 1684 representatives of Massachusetts, New York, Maryland, and Virginia met at Albany to provide for measures of defence against the Five Nations, and ten years later representatives from Massachusetts, New York, Connecticut, and New Jersey met at the same place to frame a treaty with the same Indian tribes. While in 1721 there was a gathering of New England governors

Patient Presentation with COPD Essay Example | Topics and Well Written Essays - 3000 words

Patient Presentation with COPD - Essay Example COPD is partially irreversible and its symptoms are associated with hyper-responsiveness of the airways. The aforementioned conditions are recognized as a major disability causing a progressive chronic airway obstruction or narrowing that frequently occur as one entity. In the United Kingdom (UK), the prevalence of COPD affects both men and women more commonly in their fourth decade of life. Differential diagnosis of COPD includes asthma, congestive heart failure, bronchiectasis, tuberculosis, obliterative bronchiolitis, and diffuse panbronchiolitis. Nonpharmacological and pharmacological management are considered in treating the patient. Other treatments include rehabilitation, oxygen therapy, and ventilatory support. Patient Presentation with COPD A Brief Introduction: This paper discusses chronic obstructive pulmonary disease (COPD) and its significance in the family and community settings, its socio-economic and cultural background, past medical history, differential diagnosis, and current guidelines relating to pharmacological and nonpharmacological patient management. The analysis of psychosocial impact of COPD to the patient and her family as well as strategies for patient education, and the context of multidisciplinary care team are also will be discussed in the paper. Short Background on COPD: ... Nursing Assessment: Patient, JC, is a 76 year old female patient with a ten year history of chronic obstructive pulmonary disease (COPD). JC, white female, now 76 years old was 66 year old when diagnosed with COPD in 2002. In the United Kingdom (UK), the prevalence of COPD affects both men and women more commonly in their fourth decade of life (NICE, 2010). It is associated with high rate of mortality and significant healthcare system cost (Raherison and Girodet, 2009). Epidemiological studies note a close association between chronic bronchitis prevalence and low socioeconomic status (Viegi, et al., 2001). COPD is classically thought to be a combination of chronic bronchitis and emphysema, even though in COPD patients, only one of the previously mentioned conditions is present (MayoClinic, 2011; CDC, 2011; and British Medical Journal, 2012). Sharma (2012) defined chronic bronchitis as persistent productive cough for more than three months each year in a period of two consecutive year s. The mucous glands in lungs of individuals with chronic bronchitis are enlarged, the airways are inflamed, and the bronchial walls are thickened with subsequent changes and loss of supporting alveolar connection, which results to narrowing and deformity of the lumen of the airway and eventually causes limitation of airflow (Sharma, 2012). On the other hand, emphysema, one of the causative agents of COPD is defined as an abnormal and permanent alveolar enlargement of the terminal bronchioles that results to destruction of the airspace wall (Sharma, 2012). The patient has her own home; she is married with two children and one grandchild. Prior to her diagnosis, the patient worked in an office for most of her working life. She was a known cigarette