Interpersonal Communications During The Movie Steel Magnolias

Interpersonal Communication is a very important ingredient in making strong, healthy relationships. Communicating is how we get a better understanding of one another’s perception of things, as well as how we help someone to better understand ours. We need to express our feelings in relationships and know that they are reciprocated. Not communicating leads to problems and misunderstandings. People need to learn to understand what the other person is trying to communicate. Interpersonal communication is the process by which people exchange information, feelings, and meaning through verbal and non-verbal messages: it is face-to-face communication. It is about what is said, how it is said, and the use of non-verbal communication through†¦show more content†¦Perception is the process of seeing the world through your own eyes by utilizing your own personal experiences to guide your judgement of what other people are. (Steven A. Beebe, 2011, 2008,2005) In this movie, these concepts are incorporated, whether it be between mother and daughter, employer and employee, or a completely opposite set of best friends. These six women provide acceptance and support to one another throughout their experiences and tragedies. Despite their differences in age, values and beliefs, they form a close family with unbreakable bonds. Regardless of the circumstances, life goes on, as long as we have a family and friends, and a strong communication system, we can push through anything. Steel Magnolias† is a movie about relationships between six women that form an unbreakable bond. The movie takes place in Louisiana in the 1980s. (Ross, 1989) The majority of the movie takes place at the beauty salon owned by Truvy. Truvy has a happy-go-lucky personality and is always very enthusiastic. She always sees the good in every situation. She has a husband that spends most of the time on the couch and a son who has grown up to be a rebel. Truvy loves making everybody feel go od about themselves. She also loves to gossip, and hear the latest town news. Truvy hires Annelle, a shy young woman who has ran into tough times, and is all alone in a strange new town. Annelle is struggling to make ends meet because her husband stole everything she owned

Michael Brown And The Anti Black Racism - 1270 Words

Michael Brown and were not indicted. This movement was a response to the anti-black racism that exists in our society (Cullors, Tometi Garza, 2012). Foner and Garraty (1991) point out that the Civil Rights Act of 1968 was an initiative where Civil rights activists used nonviolent protests and civil disobedience to bring about change for freedom and equality. African American leaders risked their lives to speak out for change while participating in the movement. In 1964 legislation introduced by John F. Kennedy before he was assassinated in 1963 became the Civil Rights Act off 1964 (Carson, 2016). Carson (2016) states the American Civil Rights Movement was a protest against racism, discrimination and segregation in the southern United States that began in the mid 1950’s. The movement began out of slavery, racial oppression and the need for protection of civil rights. This Civil Rights Movement was a nonviolent protest addressed towards government officials for African Americans to achieve gradual equality in their status (Carson, 2016). Martin Luther King Jr. was assassinated in 1968. His death led to rioting in the black communities in our society. It was thought that the U.S. Government and the Military were conspirators in his death. King’s murder was an act of racism and hatred (History.com Staff, 2009). Weiner (2009) explores the disputes over integration that resulted resistance and opposition towards white hegemony within the black community. PoliticalShow MoreRelatedRacism : The Black Lives Matter1202 Words   |  5 Pagestherefore, has been labeled as racism in today s society. Racism has been and still is an issue in America, lately being spiked by the Black Lives Matter movement. Black Lives Matter is a proclamation made by the general population of African Americans that were enraged by the killings of African Americans by white police officers. Racism has been a major issue in the past and still majorly affects today s society with new forms. Slavery is a form of this racism in the United States that has beenRead MoreLuis Velazquez. 3/20/2017. Wednesday 10 A.M. Lecture. Id1458 Words   |  6 Pagescolorblindness has been used to fuel racism therefore it has not helped eradicate anti-blackness and other forms of racism in society because it ignores the struggles blacks face for being black. Anti-blackness is achieved by the dehumanization of black bodies by society in order to create a negative image of black lives. This dehumanization then allows members of society kill blacks, discriminate blacks, and assault blacks with impunity. Anti-blackness creates the idea that the black body is always the perpetuatorRead MoreSlavery : Racism And Racism Essay1134 Words   |  5 PagesSlavery: A root to Racism. Slavery and Racism Slavery as described by Oxford dictionaries â€Å"a person who is the legal property of another is forced to obey them† was introduced to America dating back to 17th and 18th centuries. African slaves were first brought to America as a means of cheap labor to work on tobacco plantations and later on the cotton gin. With the constant demand for labor and declining population, the colonists were led to believe that African slaves were the cheapest and efficientRead MoreThe Protest Between Ferguson s Residents And The City s Government850 Words   |  4 Pagesprotest between Ferguson’s residents and the city’s government has really had a great impact on political views regarding whether racism between police officers and high officials still exist and its effects towards african americans. But conflict between white and black individuals did not began in todays society nor was it any better before. Racism and abuse towards blacks dates back up until the late 16th century, starting from slavery. Slavery first began in 1619, when a dutch ship introducedRead MoreRacism Is A Big Problem? America For Many Year?1032 Words   |  5 PagesRacism has been a big problem in America for many year. In the past, white children in the United States were to be taught that they were more important than black children. They could see how their parents treated other races, and then would begin to think that their own race is valued more than other races. We can see this in the way schools, and towns were set up, and still are set up. In the 1900’s, white families often had a lot nicer houses, and were more highly educated than black childrenRead MoreRacial Profiling And The United States944 Words   |  4 Pages Ever Since being forced to the united states as slaves blacks have been exposed to racism and legal discrimination citizens of African descent in the United States living threw things like Jim crow laws which were laws set to legally separate blacks like they were lesser to white citizens, or dealing acts of terror by groups like the KKK or other racist whites. And most importantly going through slavery which heavily set blacks back. Black men as a whole in society are believed to have the toughestRead MoreThe Black Lives Matter Movement1655 Words   |  7 PagesWhile both are fighting for respect for a single human life, blacks are focused on the safety of their community while the whites are fighting to keep respect and gain safety. The Black Lives Matter movement, also known as BLM, has been occurring since 2013 when the #blacklivesmatter began trending on Twitter after the death of Trayvon Martin. This movement was not started to cause problems, but only as a support group for t he African American community. As growth to the movement occurred, the retaliationRead MoreBlack Lives Matter Is An International Activist Movement1693 Words   |  7 Pages Black Lives Matter Movement Black Lives Matter is an international activist movement, originating in the African-American community that campaigns against violence towards black people. â€Å"Black lives matter† became a rallying cry of a new chapter in the long black freedom struggle. Its unique campaign contributes beyond extrajudicial killings of Blacks by policemen and vigilantes. It all started year 2013, after a white/hispanic male, â€Å" George Zimmermanâ€Å" was found not guilty of the fatal murderRead MoreSocial Justice Action Project, Britnee And I Interviewed College Students892 Words   |  4 PagesFor the Social Justice Action Project, Britnee and I interviewed college students in the Northeast region who revealed their views on the Black Lives Matter Movement, racial injustice, and racial profiling. We had wanted to inform people of what the Black Lives Matter Movement stood for and tackle some of the myths and misconceptions of what the organization represented. In the process, the interviewees have expressed their feelings of how today’s society is blinded by irrational thinking and biasedRead MorePolice Brutality And The Police1281 Words   |  6 PagesMissouri this past August. Michael Brown, who was unarmed, was shot in his back six times by a police officer named Darren Wilson. The controversy behind this situation is if Brown was surrendering or not and whether or not Wilson was racist and just had it out to kill this kid. Supposedly, Brown somehow got on top of Wilson and was beating his face into the ground and Wilson fired a shot from his gun. That is when Brown and his friend tried to flee the scene and then Brown was ultimately killed after

Negative side of Iraq War Free Essays

There has been great controversy involved with the Iraq war. This article shall analyze the negative sides of the Iraq war and its detrimental consequences to US, its allies, people of Iraq and the rest of the world.  The September 11, 2001 terrorist attacks that destroyed Twin Towers, part of the Pentagon and caused death of over 3000 people was the principal initiating cause of the Iraq war. We will write a custom essay sample on Negative side of Iraq War or any similar topic only for you Order Now The attack was seen as attack of a medieval and sectarian ideology of terror on the principles of democracy, justice, liberty, freedom humanity and equality that the Twin Towers and ultimately USA represent. Faced with the challenge of safeguarding these ideals as well as necessity of safeguarding its own national security concerns, USA started waged a war to destroy the axis of terrorism and hatred. In this effort Iraq became the second frontier after liberation of Afghanistan in the campaign to root out axis of terror and evil, restore humanitarian values and justice world over (Teson, 2005). The course of war over last four years United States formally declared war on Saddam Hussein’s regime on 20th March, 2003 and within three weeks, on 9th April 2003, the unprecedented strength and force of coalition armies was successful in ending a tyrannical rule that was holding soul and spirit of Iraq in capture over several decades (Aday, Cluverius, Livingston, 2005). However, the end of Saddam Hussein’s regime did not bring end of the war, or the continued presence of allied forces in Iraq. This in itself was the strongest proof that US’s concern in the war ran much beyond merely overthrowing the incumbent tyrannical rule, and that it was fully committed to democracy and peace in Iraq. This commitment to democratic ideals has cost US much more than its first objective of ending former Iraqi government. While it lost only 139 soldiers before the President of United States declared an official end of combat in may 2003, the number of casualties since then has crossed over 3000, and going up even today (Aday, Cluverius, Livingston, 2005, Iraq Coalition Casualties, 2007). Most of these deaths have been due to suicide attacks and rebel attacks by loyalists of the former dictators. Many other have been engineered by al-Queda terror cells in Iraq, that have claimed military along with high number of civilian lives on almost routine basis, creating difficulties in Iraq’s transition to democracy. Consequences of Iraq war Whether seen from economic, ethical, and political point of view or from perspective of human sufferings and causality, Iraq war has spawned a web of troubles and problems that have continued to take their toll on every one involved with the campaign.  The economic costs of Iraq war are huge and involve not just the direct expenditure on US military campaign, but also the cost of war on Iraqi economy, cost of rebuilding Iraqi infrastructure and impact on oil market (Nordhaus, 2002, 55). The initial estimates of cost of Iraq war were projected anywhere from US $ 100 million to US $ 100 billion, although even that was considered an overestimation (Bilmes and Stiglitz, 2006). Very soon the initial estimates were proved wrong and plans for budgetary allocations showed that even congress was estimating the cost of war to be in excess of $ 500 billion. But even this cost was an under projection of the final cost which, in the final analysis of events, shoots upward a staggering $1.3 trillion (Yglesias, 2006). This includes the cost of insurance, medical help, and disability payment made out to soldiers injured or killed in the Iraq campaign. With government’s valuation of a male in prime age at $ 6 million, as determined by environmental and safety regulations, the total cost from casualties alone goes to $ 12 billion (Bilmes and Stiglitz, 2006). Another critical economic cost suffered emanates from diminished American reputation and prestige in Middle Eastern countries and countries hostile to the concept of Iraq war. In these countries American products have lost favor, and American companies no more the first choice to do business with (ibid). As the war has resulted in increase in oil prices, it also threatens to result in increasing prices of various commodities and severely affecting transportation sector, especially the aviation sector where many companies are facing bankruptcy prospects (Bilmes and Stiglitz, 2006). Many analysts have also stated that the money spent in Iraq war might had been better used in strengthening the education and health care system of USA and thus the country has been robbed of benefits worth billion of dollars due to diverted and improvident expenditure on Iraq war (Wilson, 2006)  Another negative consequence of Iraq war is the number of casualties and lives lost during the course of the war. Since the beginning of war US military has suffered 3190 deaths whereas 23758 soldiers have been wounded so far (Griffs, 2007). It is important to see that these deaths and casualties are not merely figures and statistics. They represent bright, ambitious and young sons, capable to achieve much in their life, and contribute to the US future in a much better way than to be killed or maimed permanently by a roadside bomb, or an ambush (Grigg, 2006). There are thousands of soldiers who, despite escaping death, have been crippled and suffered permanent loss of their limbs, vision, and disfiguration. These losses to life and health cannot be measured in terms of economic costs and they amount to a life time of agony and pain to survivors and their relatives. The war has also resulted in death of around 60,000 civilian deaths in Iraq (Casualties in Iraq war, 2007). Thousands of   Men, women, and children have been killed by suicide attacks, burnt to death in their own home, entire families have been wiped away and thousands of families in Iraq have lost their sole bread earner (Savoy, 2004). Today they are faced with a grim prospect of uncertain and hard life staring at them. Iraq war has also a deep moral underside. US initiated the war with claims that Iraq possessed large consignments of weapons of mass destruction and with allegations that Iraq had links with al Queda as well was somewhere responsible in September   11. 2001 events (Pfiffner, 2004). However, as it turned out, these reports were completely fictitious and created just in order to give credence to the US case against Iraq (Enemark and Michalesen, 2005). No amount of manipulation of facts and findings could produce any substance to the allegations against Iraq. As a matter of fact, on September 18th, 2003 President Bush surprised many when he admitted that there was no evidence of Iraq’s connection with World Trade Center attacks (Pfiffner, 2004). Even the war in Iraq was no more projected as a war against terror network, but as a war to liberate Iraqi people from tyranny of Saddam Hussein- a claim that was hitherto absent in pre war arguments and preparations. These switching of statements greatly damaged US credibility and soured its relations with many important countries such as Germany and France. The road ahead Although the USA and coalition countries’ military objective of Iraq war were completed with dethroning, capture and finally execution of Saddam Hussein, their continued presence have not served either the interests of Iraqi population or the interests of coalition military personnel. As the most satisfying argument, it can be stated that Iraq has successfully removed its former tyrannical ruler, and with elections it has achieved at least semblance of a democratic order, its complete transition to democracy is yet incomplete due to intense internal conflicts and complexities. However, the US has suffered a great and completely unnecessary ordeal through this entire episode that may potentially affect its strategic and economic leverage and its worldwide reputation. References Sean A, Cluverius J, and Livingston S. 2005.   As Goes the Statue, So Goes the War: The Emergence of the Victory Frame in Television Coverage of the Iraq War. Journal of Broadcasting Electronic Media. Volume: 49. Issue: 3. Page Number: 314+ Kaufman, Whitley. What’s Wrong with Preventive War? the Moral and Legal Basis for the Preventive Use of Force. Ethics ; International Affairs. Volume: 19. Issue: 3.: 2005. Page Number: 23+. Teson, Fernando R ‘Ending Tyranny in Iraq’. ‘Ethics ; International Affairs’ Volume: 19. Issue: 2: Nordhaus, W.D. 2002. War with Iraq-Cost, Consequence and Alternatives. American Academy of Arts and Science. Yglesias, M. 2006.   $1.27 Trillion: The American Prospect. Volume: 17. Issue: 7. Publication Date: July-August 2006. Page Number: 28+. Bilmes, L and Stiglitz, J.E. 2006. The Economic Costs of Iraq War; An appraisal three years after the beginning of the conflict. Accessed on net, 11.03.2007. http://www.informationclearinghouse.info/article11495.htm Wilson, J. Jan 7, 2006. Iraq war could cost US over $ 2 billion. The Guardian. Accessed on net 11.03.2007 https://www.theguardian.com/world/2006/jan/07/usa.iraq Griffs, M. 2007. Casualties in Iraq-The Human Cost of Occupation. AntiWar.com Accessed on web 11.03.2007. http://www.antiwar.com/casualties/ Grigg, W.N. January 9, 2006.Bring ‘Em Home! The New American. Volume: 22. Issue:. Page Number: 12+ Savoy, P. 2004. The Moral Case against the Iraq War The Nation. Volume: 278. Issue: 21.Page Number: 16 :Enemark, C and Michalesen, C. 2005. Just War Doctrine and the Invasion of Iraq.The Australian Journal of Politics and History. Volume: 51. Issue: 4 Pfiffner, J.P. 2004. Did President Bush Mislead the Country in His Arguments for War with Iraq? Presidential Studies Quarterly. Volume: 34. Issue: 1. Publication Year: 2004. Page Number: 25+ How to cite Negative side of Iraq War, Essay examples

Pulmonary Oedema in Contemporary †Free Samples to Students

Question: Discuss about the Pulmonary Oedema in Contemporary. Answer: Introduction: In the given case study, information has been presented about a 72 year old patient named Giovanni who has been suffering from Chronic Heart Failure and presented to the Emergency department in the hospital with complaints of shortness of breath and a sensation of breathing. Management of chronic heart failure thus will be carried out (heartfoundation.org.au, 2017). His symptom of dyspnoea was not relived immediately. Further, it was seen that his breathlessness symptoms has been bothering him since quite long interfering with his activities of daily living. His swollen foot also posed problems for him in wearing shoes. Inquiring about his lifestyle revealed that he has been a smoker and is unable to maintain his diet and pursue proper exercise regime. Subsequent undertaking of diagnostic tests and assessments of vital parameters showed that he has acute manifestation of heart failure. Hence, the two nursing priorities at this hour should aim to address his distressed breathing and p roblems related to swollen foot effectively. Assessment of the patient carried out on admission to the emergency department revealed that he has been feeling out of breath and suffocated due to accelerated heart rate and respiratory rate. This feeling of puffiness and difficulty in performing the activities of daily living has been bothering him since the last few days as reported to the Registered Nurse by Giovanni himself. He admitted of being a chain smoker and assessment of his health record reveals that within 30 minutes of waking he resorts to smoking and the number of cigarettes smoked per day goes up to 20. Further he expressed his inability to curb this behavior and modifying his diet and exercise regime for a healthy lifestyle. He has already been diagnosed with chronic heart failure and has been under medications to tackle the condition as suggested by the physician. His chest X-ray examination is further suggestive of acute manifestation of chronic heart failure. Considering his age and in contrast to his height, he was found to be overweight and therefore is designated as being severely obese based on his calculated BMI (Sharma et al., 2015). Therefore proper planning in the form of nursing interventions is desirable to address the condition. The primary goal of such intervention will be to alleviate the symptoms of breathlessness and chest discomfort in the patient (Brake Jones, 2017). Proper lifestyle modification through curbing the rates of smoking and controlling the dietary and exercise pattern in the patient will ensure the success of the projected objectives of reliving the cardiorespiratory difficulties (Yancy et al., 2013). Empirical findings have suggested that smoking and unhealthy lifestyle in absence of adequate exercise and proper nutrition pose great threats to the onset as well as aggravation of the chronic heart failure conditions (Kotseva et al., 2016). Hence it is likely that the collective and individual interventions applied to the patients will pave the way for optimum and better outcomes in the patient without compromising on the health front. It is expected as part of the evaluation outcomes that the patient will express satisfaction on observance of the therapeutic interventions by means of less complaint of chest discomfort and improved mode of lifestyle through weight mitigation and abandoning the habit of smoking completely. Nursing Interventions The nursing intervention in connection to the lifestyle modification of the patient to treat his condition due to chronic heart failure must be addressed in a collaborative way with vital inputs from professionals across various related interdisciplinary domains (Lavie, Arena Franklin, 2016). Primarily the chest discomfort will be acted upon through proper medication as suggested by the physician. The preliminary recommendation for carrying out an effective healthy lifestyle will involve a healthy weight management through maintenance of a well balanced diet and doing regular exercise. A diet rich in vegetables, fruits and whole grains is considered good for cardiovascular functioning. Food low in carbohydrate and fat will be encouraged to take by the patient with adequate amount of protein. Foodstuffs containing higher amount of salts, solid fats, refined grains and added sugars must be strictly avoided. The cardiac rehabilitation team comprising of the nutritionist, exercise thera pist, physician, and nurse will all act in coalition to harbor positive outcomes for Giovanni. Expert guidance will be sought from the physical therapist to suggest suitable moderate intensity aerobic exercise pertinent to the patient to lend cardio-protective function (Ades et al., 2013). Further for abatement of the smoking habit in the patient transdermal nicotine patches will be used as smoking deterrent. It will act to provide low dosage of nicotine through acting by means of lessening the physical signs of withdrawal symptoms and aiding in quitting smoking (Ferguson et al., 2016). Salt consumption diet need to be strictly monitored and regulated further to optimize the outcomes. The registered nurse (RN) will keep a track of the patient progress and report to the attending doctor in a timely manner. Emphasis must be laid on being active and maintain a healthy diet to keep the symptoms at bay. Concomitant to the weight loss and dietary management improvement in the symptoms of breathlessness and others will follow in a cascade manner (Clark, Fonarow Horwich, 2014). Thus the lifestyle modification varied out with respect to effective cardiac rehabilitation procedure will ensure better results. The feeling of puffiness in the patient alongside associated symptoms of breathlessness and difficulty in doing ADLs due to physical exertion may be properly addressed by virtue of proper medicinal intervention by administering beta blocker drug such as atenolol as prescribed by the physician. Oral route of administration will be followed by giving 50 mg on a daily basis to the patient (davisplus.fadavis.com, 2017). The chest discomfort will be reduced by means of administering atenolol. The rapid heart rate will be reduced on taking this medicine. However care must be taken to observe for any adverse reaction or side effects. However it must be checked for food or lifestyle interactions. Consumption of large amount of orange juice must be prevented as it might decrease the effectiveness of atenolol. Interactions with drugs like that of lisinopril and furosemide that have been prescribed to the patient must be checked for any adverse reaction (Heusch et al., 2014). Thus reduction in the signs and symptoms of chronic heart failure will indirectly help in enhancing the QOL of the patient through improvement in hearty function. If symptoms including blurred vision, confusion, sweating, wheezing, anxiety, weight gain, nausea, diarrhea, trouble sleeping are noted in the patient then medication must be stopped and referral to the doctor must be made. The blood pressure, ECG and pulse must be monitored frequently in course of the dosage and adjustment period as well as periodically throughout the therapy. The intake and output ratios in addition to the weight also need to be checked routinely. Signs of toxicity and overdose must not be overlooked and prompt notification to the physician must be undertaken. Thus every effort must be made so that the patient complies with the prescribed medication allaying the possibility of any harm or side effects (DeJongh, Birkeland Brenner, 2015). Evaluation of the patient on admission to the hospital further brought to the forefront an issue relevant to the difficulty in wearing shoes due to swollen foot of the patient over the last couple of days. This report may be further corroborated with the revelation of pitting edema in both the limbs of the patient. The weakness of the heart in conjunction with the diminished blood flow accounts for fluid accumulation and retention in the lower region of the body in the limbs (Platz et al., 2015). Moreover the patient also complained that he faced issue while moving indoor at home and encountered much difficulty in motion. Results from the patient risk assessment further demonstrated that he has difficulty in normal functioning and is requiring assistance of a person in doing activities of daily living (ADL) such as that for dressing, bathing, eating, toileting, transfers and mobility. Moreover the factors that pose risks for fall in case of the patient were identified as his age over 65 years, weakness in the limbs, imbalance and gait problems. His restricted movements and inability to perform day to day tasks independently seemed to have rendered a psychological pressure in Giovanni as he has been reported to have mood swings encompassing feelings of moroseness, depression and hopelessness. Thus a referral to the psychological mentor and counselor is imperative to take care of his mental health status (Tully et al., 2015). Hence, both mental and physical health interventions will aid to improve his condition by resorting to appropriate measures. The short term goal in this context will be to improve the mobility of the patient by mitigating the symptoms of leg edema (Trayes et al., 2013). The patient must be able to walk independently and perform the ADL efficiently devoid of any support. Further his quality of living (QOL) is likely to be enhanced on following the measures in an appropriate manner and complying to the recommended medications or any other inte rventions effectively. The depressive mood symptoms are also expected to be mitigated upon proper therapeutic intervention. Nursing Interventions In case of chronic heart failure, pitting edema is a common complaint among the patients, and in this case this has lead to obstructing the ADL for the patient. Therefore efforts to reduce these symptoms so that he may get back to his normal living need to be reiterated. In an effort to manage the swelling of the foot compliance to proper medications is advised that need to be strictly supervised and given by the attending nursing professional as directed by the physician (davisplus.fadavis.com, 2017). In this context, the furosermide medicine as suggested by the physician to treat his existing heart failure condition may be applied. It will act by inhibiting the reabsorption of salts and cause excessive renal excretion of water through increased mobilization of excess fluid. Symptoms for any contraindications or adverse drug reactions must be closely observed and must be reported to the physician appropriately. The drug must be administered through the intravenous route in 40 mg dos age as prescribed by the physician in proper intervals. The fluid status of the patient must be assessed properly to direct the treatment modality (Ballester, et al., 2015). Blood pressure and pulse must be monitored both before and after administration. The monitoring of the renal and hepatic function also needs to be followed for evaluating the efficacy of the drug prescribed (Gaalema et al., 2017). Dose must not be missed under any circumstances to increase the efficiency of the action of the drug. Dehydration must be strictly avoided in course of the medication duration and the nurse must take measures to ensure that the patient is taking fluid in adequate quantity. The recommended dose of medication must be given carefully as overdose of furosemide may lead to irreversible hearing loss (Kelm et al., 2015). Thus furosemide may be applicable to ameliorate the symptoms of pitting edema that occurred as a side effect of chronic heart failure. The prevalence of pitting edema in the patient significantly restricted the mobility of the patient that indirectly impacted upon his mental health. His mental health status is marked by mood swings, feelings of hopelessness and depression. Thus in addition to taking low salt diet and avoidance in taking too much fluid, effective approaches must be followed for the sake of addressing his mental health concerns and in motivating him to lead a better life (McCleary et al., 2013). The non-pharmacologic therapeutic intervention has garnered significant attention in this regard to treat patients with such ailments (Ambrosy et al., 2013). However this motive cannot be achieved alone and the RN must take the help of a counselor to deal with the situation. The cognitive behavioral therapy (CBT) may be resorted to for altering the pattern of thinking and behavior in the person to account for positive changes (Elliot et al., 2014). Research has found out that in conjunction with the relaxation exercises, CBT has the potential to alleviate the depressive symptom in the patients with chronic heart failure as part of the disease management programs (Lundgren, Andersson Johansson, 2015). The nurse attending the patient must work in collaboration with the attending psychological counselor to enhance the QOL in the concerned individual. In contrast to the usual care regime, CBT might be chosen as adjunct therapy to harbor positive outcomes with respect to interventions for treating depression alongside heart failure related self care (Freedland et al., 2015). Thus adopting these strategies and technique Giovanni is likely to be benefited showing stark improvements in his mobility as well as mood elevation. Reviewing and evaluating the information regarding the patients health status through utilization of the Clinical Reasoning Cycle it is evident that the projected interventions are likely to benefit the patient by means of enhancing his quality of living and ameliorating the symptoms that typically represent his acute manifestation of heart failure (Gruppen, 2017). The proper compliance to the therapeutic interventions in the form of medications and other appropriate techniques will ensure the harboring of optimum outcomes in the patient. Nursing skills will reach out to addressing his health both collaboratively and independently thereby paving the way for effective health outcomes. The severity of his symptoms pertaining to chronic heart failure will require him to undertake both short term and long term objectives to maintain a healthy life. The risk assessment carried out pertinent to the patient further provided future implications that need to be reconsidered in making prudent clinical decisions. References Ades, P. A., Keteyian, S. J., Balady, G. J., Houston-Miller, N., Kitzman, D. W., Mancini, D. M., Rich, M. W. (2013). Cardiac rehabilitation exercise and self-care for chronic heart failure. JACC: Heart failure, 1(6), 540-547. Ambrosy, A. P., Pang, P. S., Khan, S., Konstam, M. A., Fonarow, G. C., Traver, B., ... Grinfeld, L. (2013). Clinical course and predictive value of congestion during hospitalization in patients admitted for worsening signs and symptoms of heart failure with reduced ejection fraction: findings from the EVEREST trial. European heart journal, ehs444. Ballester, M. R., Roig, E., Gich, I., Puntes, M., Delgadillo, J., Santos, B., Antonijoan, R. M. (2015). randomized, open-label, blinded-endpoint, crossover, single-dose study to compare the pharmacodynamics of torasemide-Pr 10 mg, torasemide-ir 10 mg, and furosemide-ir 40 mg, in patients with chronic heart failure. Drug design, development and therapy, 9, 4291. Brake, R., Jones, I. D. (2017). Chronic heart failure part 1: pathophysiology, signs and symptoms.Nursing Standard,31(19), 54-63. Clark, A. L., Fonarow, G. C., Horwich, T. B. (2014). Obesity and the obesity paradox in heart failure. Progress in cardiovascular diseases, 56(4), 409-414. Davisplus.fadavis.com. (2017).atenolol. Retrieved 10 May 2017, from https://davisplus.fadavis.com/3976/meddeck/pdf/atenolol.pdf Davisplus.fadavis.com. (2017).furosemide. Retrieved 10 May 2017, from https://davisplus.fadavis.com/3976/meddeck/pdf/ furosemide.pdf DeJongh, B., Birkeland, K., Brenner, M. (2015). Managing comorbidities in patients with chronic heart failure: first, do no harm. American Journal of Cardiovascular Drugs, 15(3), 171-184. Elliot, M., Salt, H., Dent, J., Stafford, C., Schiza, A. (2014). Heart2Heart: An integrated approach to cardiac rehabilitation and CBT.British Journal of Cardiac Nursing,9(10). Ferguson, S. G., Lu, W., Chappell, K., Wells, G. P. (2016). The effect of varenicline and nicotine patch on smoking rate and satisfaction with smoking: An examination of the mechanism of action of two pre-quit pharmacotherapies. In SRNT Europe 2016-17th Annual Conference. Freedland, K. E., Carney, R. M., Rich, M. W., Steinmeyer, B. C., Rubin, E. H. (2015). Cognitive behavior therapy for depression and self-care in heart failure patients: a randomized clinical trial. JAMA internal medicine, 175(11), 1773-1782. Gaalema, D. E., Savage, P. D., Rengo, J. L., Cutler, A. Y., Elliott, R. J., Priest, J. S., ... Ades, P. A. (2017). Patient characteristics predictive of cardiac rehabilitation adherence.Journal of cardiopulmonary rehabilitation and prevention,37(2), 103-110. Gruppen, L. D. (2017). Clinical Reasoning: Defining It, Teaching It, Assessing It, Studying It.Western Journal of Emergency Medicine,18(1), 4. Heartfoundation.org.au. (2017). Chronic heart failure - the facts. www.heartfoundation.org.au. Retrieved 10 May 2017, from https://www.heartfoundation.org.au/your-heart/heart-conditions/chronic-heart-failure- Heusch, G., Libby, P., Gersh, B., Yellon, D., Bhm, M., Lopaschuk, G., Opie, L. (2014). Cardiovascular remodelling in coronary artery disease and heart failure. The Lancet, 383(9932), 1933-1943. Kelm, D. J., Perrin, J. T., Cartin-Ceba, R., Gajic, O., Schenck, L., Kennedy, C. C. (2015). Fluid overload in patients with severe sepsis and septic shock treated with early-goal directed therapy is associated with increased acute need for fluid-related medical interventions and hospital death. Shock (Augusta, Ga.), 43(1), 68. Kotseva, K., Wood, D., De Bacquer, D., De Backer, G., Rydn, L., Jennings, C., ... Cfkov, R. (2016). EUROASPIRE IV: A European Society of Cardiology survey on the lifestyle, risk factor and therapeutic management of coronary patients from 24 European countries. European journal of preventive cardiology, 23(6), 636-648. Lavie, C. J., Arena, R., Franklin, B. A. (2016). Cardiac Rehabilitation and healthy life-style interventions.Journal of the American College of Cardiology,67(1), 13. Lundgren, J., Andersson, G., Johansson, P. (2015). Can cognitive behaviour therapy be beneficial for heart failure patients?. Current heart failure reports, 12(2), 166-172. McCleary, N., Duncan, E. 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