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Lucy’s monologue occurs three months after Julia’s death

Details: Lucy’s monologue occurs three months after Julia’s death. Lucy is in the emergency room. She is grieving and wants to talk about Julia and their life together. She feels very lonely, but has had some contact with her neighbor Adele and her niece, Nora. There have been other instances where she became anxious and dizzy and slightly confused, stating that her heart was pounding and she feels like she “can’t walk or do anything.” Lucy thinks she has called 911 “about once a month since Julia died” and was transported by ambulance to the emergency department.

Well, here I am again, waiting to be seen by the emergency room doctor. This must be the third time this has happened since Julia died. I miss her so much. I never knew it would be so lonely in that house by myself. Nora comes to visit every once and awhile. In fact she’s on her way here now, with my neighbor Adele. I don’t want to scare them though I know Adele saw the ambulance and must be worried. This has happened about once a month I think. I feel okay, then for no reason at all I just get anxious and dizzy. My heart kind of pounds and I just feel like I can’t walk or do anything. One time I fell, but I didn’t get hurt too bad. This time I almost fell, landed on my couch and scraped my arm. I think I tripped over my shoe that I was going to put on. I was able to reach for the phone and call 911. I felt a little better by the time the paramedics got there, but they thought I should come in and be checked out anyway. I need someone to look at this scrape on my arm. They should probably check my knees too. They’re a little weak. I had surgery on one of them. Most days I’m fine, it’s just once in a while……. I don’t think we ever had to call 911 when Julia was alive. I don’t remember ever having these dizzy spells then. My knees were weak, but I took it easy and never fell that I can recall. I was feeling pretty bad these past few years that I couldn’t walk as far or as fast as we used to. We loved to travel, and hike around new places. We traveled all over. I think my favorite place was Ireland. Julia wanted to go there, she picked that trip. It was wonderful. We rented a car and just drove all everywhere.

We went out to pubs for music every night, and we went to the Waterford crystal factory. It was lovely. It’s so sad to know we’ll never have those experiences again. Oh, we loved our adventures! They are all over now. It’s just me in that old house. Nora visits when she can, every few weeks or so. Neil came once for my birthday. That was nice. My neighbor Adele stops by, but not very often because she has her grandkids to take care of. Sometimes days go by and I never talk to another soul. That never happened when Julia was alive. She always had something to say! I felt safer then. I never had these dizzy spells. Maybe the doctors will figure it out this time.

Discussion Questions:

1. What are Lucy’s strengths?

2. What are your concerns for this patient?

3. What is the cause of your concern?

4. What information do you need?

5. What are you going to do about it?

6. What is Lucy experiencing?

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Type-2 diabetes occurs at a lower BMI (Body Mass Index) among Chinese (Luong 2014). African-Americans have a lower incidence of osteoporosis compared to Whites (CDC 2015)

Topic Paper Assignment

Purpose: to gather reliable information & think critically about a course-related topic that interests you, & to express the information in an organized, logical, & well-written paper.

Topic: Heart Disease

Title: should be descriptive, but not more than 12 words long. Write your name below the title. Introduction: Briefly introduce your topic. You can include your personal interest in your topic. Body of paper: Present information clearly & logically & in your own words & style. Do not quote, copy, or simply paraphrase sentences from your sources (5 or more – at least 2 pubmed and 1 .gov website) Clearly indicate which reference you used when you present information in appropriate citation format (please see below and sample research paper). Use the author (or organization)-year method:

Utvich (2015) found that a certain type of epilepsy was related to a gene dubbed E4S7. Type-2 diabetes occurs at a lower BMI (Body Mass Index) among Chinese (Luong 2014). African-Americans have a lower incidence of osteoporosis compared to Whites (CDC 2015).

Integrate the information, rather than serially presenting info from each of your references. The info should be substantive. Depending on your topic: Explain what’s known about the causes. For diseases, are there genetic causes or susceptibilities; are they affected by lifestyle (e.g., diet, exercise, smoking)? Are there societal or ethical issues (e.g., discrimination, animal rights)?

Your paper should not be technical. Write it as if telling your classmates what you learned. Write multiple drafts, exceeding the word count at first, allowing you to edit & make the paper more clear & concise & grammatically correct. Allow time to polish & proofread. If needed, get help from the Writing Center.

Conclusion: What did you conclude about your topic? Has what you learned impacted your

outlook/life?

Word Count: Put below conclusion: Must be 900 words, from introduction to conclusion. List of

References Cited: List only those that you cited in your paper. List in this format:

Afable-Munsuz (2014). Immigrant generation and diabetes risk among Mexican Americans: The Sacramento area Latino study on aging. American Journal of Public Health.

American Cancer Society (ACS). (2015, June 10). What are the risk factors for breast cancer? Retrieved from http://www.cancer.org/cancer/breastcancer/detailedguide/breast-cancer-risk-factors

Sample Topic Paper: Read it as an example of a well-written paper, & an example of how the references should be cited & listed.

Submit your paper as a Word file as [your last name]-paper (e.g., Lee-paper). Separately, submit the full texts of your references in PDF format. Submit all of this online by 11:59 pm M 11/15.

Late penalty: -5pts/24 hrs (can turn in up to a week late for credit).

Grading: Informative, well-written, logical, organized, clear, concise, polished, information documented by citing the source, spelling, grammar, word count, references cited correctly, etc. = 100 pts (Grading Rubric on next page.) Grading Rubric: Informative: /10 Introduction /40 Substantive info on your topic, documented by citing sources (author-year). /10 Conclusion: Possible effects of info on your lifestyle choices, etc.

Well-written: /20 Organized, clear, concise, written in own words (no quotes) in language understandable to classmates /10 Correct grammar, spelling, proofread, polished, word count (900-1100 words)

List of References Cited /10 Includes all & only the references cited in paper, in alphabetical order, in appropriate format as listed in assignment sheet, all full text pdfs uploaded.

Penalties ___ Late (-5 pts/24 hours) ___ Topic NOT consistent with sign up sheet

Total /100

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During communication, a common problem occurs when you encounter two stakeholders who have conflicting ideas about a software

1. During communication, a common problem occurs when you encounter two stakeholders who have conflicting ideas about a software. That is, they have mutually contradictory requirements. Develop a process pattern that addresses this problem and suggest a practical approach to it.

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