How might a hole between the sides of the heart affect the functioning of the circulatory system?

Sam and joan have been married for 25 years and have three children: max, who is 23; janet, who is 19; and sarah, who is 15. janet has just been diagnosed with a mental illness. describe the objective and subjective burdens each family member may experience. describe the meaning this diagnosis may have to janet’s parents, younger sibling, and older sibling.

Mr. edwards is 20-year-old male patient who is admitted for treatment of recurring pyelonephritis (kidney infection) and surgical treatment of a urinary stricture, which has decreased the urinary stream. mr. edwards has paraplegia; he is paralyzed from the waist down secondary to an automobile accident when he was 16. he came by ambulance to the hospital, leaving his wheelchair and wheelchair pressure- relieving cushion at home. according to the nursing history, the patient is a nonsmoker and he does not drink alcohol or take any illegal drugs. a. what nursing considerations should be made for mr. edwards related to his disability? b. what health promotion and prevention education does mr. edwards need?

What do you think about that for many of the sexual dysfunctions, the clinician gets to decide if there is a deficiency in functioning by using only their own clinical judgment that is not based on research or particular quantitative data?