Luciano-Give Praise.mp4

Why?

 WHY?,...wasn't that our most asked one-word question when we were all kids just some few years ago? ;) So why do we stop asking the "whys" as we grow up and some of us for some reasons just tend to be more and more gullible to everything we hear or assume? Lack of questions to me equates lack of growth. Nobody knows it all, and that is why asking questions such as "whys" in a child-like manner is the gateway to the world of advanced growth, maturity and personal development.Therefore let's regress back to our "WHY" days :) TGIF everyone.

Pal, Ron

To the Unborn-St. Joseph of Cupertino-Pray for Us!!!

Leopold maneuvers

For your patients who are pregnant, Leopold maneuvers comprise a stepwise method of abdominal palpation you can use to determine the number of fetuses, the presenting part, the fetal lie, the fetal attitude, the fetal position, the degree of the descent into the pelvis, and the best location for auscultating fetal heart tones. That location is the point of maximal intensity (PMI) of the fetal heart rate on the patient’s abdomen.

The four Leopold maneuvers are:

• Identifying the fetal part in the uterine fundus to determine fetal lie and the presenting part
• Palpating the fetal back to identify fetal presentation
• Determining which fetal part lies over the pelvic inlet to identify fetal attitude
• Locating the fetal cephalic prominence to identify the attitude of the head

Begin the procedure by asking your patient to empty her bladder so that she won’t feel any discomfort during palpation. Position a small rolled towel under one hip to shift her uterus away from large blood vessels and thus prevent supine hypotensive syndrome. If you are right-handed, stand on the patient's right side facing her. Use the flat palmar surfaces of your fingers to perform Leopold maneuvers.

For the first maneuver, face your patient and place both hands on her abdomen, cupping your hands around the fundus or the top of the uterus. Palpate for the fetal part that occupies the fundus to help identify fetal lie and presentation. Feel for shape, consistency, and mobility. The fetal head will feel firm and round. The breech, that is, the buttocks and legs, will feel softer and less defined.

For the second maneuver, position the palms of your hands on the side of the patient’s abdomen. Use the palmar surface of one hand to locate the fetal back and the various irregularities to identify hands, feet, and elbows. The fetal back will feel smooth and hard. The smaller fetal parts, such as the hands, feet, and elbows, will feel like irregular nodules when you palpate them. This also helps you identify the fetal presentation.

For the third maneuver, use your right hand to grasp the lower section of the patient’s abdomen between your index finger and thumb and press inward over the inlet to the true pelvis. Note any movement and determine whether the presenting part is soft or firm. If there is movement, the presenting part is not engaged. If the head is the presenting part, determine fetal attitude, that is, whether the head is flexed or extended.

For the fourth maneuver, face the patient’s feet and place both hands on both sides of her uterus. Outline the fetal head with your fingertips. Palpate both sides of her abdomen to determine the cephalic prominence, or brow. Note that this maneuver applies only to cephalic presentations. If you find the cephalic prominence on the same side as the feet, hands, and elbows, the head is flexed and the vertex is presenting. If you find the cephalic prominence on the same side as the back, then the head is extended and the face is presenting.

After the procedure, assess the patient's response and then assess fetal well-being. Do this by checking the fetal heart tones and by noticing any changes in fetal position. Document the procedure and discuss the results with your patient’s provider.

References

Lowdermilk, D. L., Perry, S. E, Cashion, K., & Alden, K. R. (2012). Maternity & women’s health care (10th ed.). St. Louis, MO: Elsevier Mosby. p. 443.

Pillitteri, A. P. (2007). Maternal & child health nursing: Care of the childbearing & childrearing family.Philadelphia, PA: Lippincott Williams & Wilkins. pp. 515-516.

The Tomb is Empty

It's Easter Sunday and Catholics with other Christian denominations across the globe celebrate this day in memory of the death and resurrection of our Lord Jesus Christ. This day was when Mary Magdalene, the other Mary, and John the beloved according to the scriptures went and found the tomb empty as was told by the angel that Jesus wasn't here, he has risen from the dead.

His death was for the salvation of mankind and I for one is grateful for the blood of Jesus Christ. This death also symbolizes hope for us men that Christ's death brought us newness of life as we all like new as to beginning.

I hope you and you family have a a wonderful season of utter newness.

God bless!!

Pal Ron

Happy St. Patrick’s Day 2015

"It's St. Patrick's Day and who are my Irish in the room?", their hands went up and mine did too and folks around me were laughing. So I said to the, you wanna laugh more? They said yes, and I said to them-well my great great great grandfather was an Irish and that my Irish name is O'Ronald. They couldn't hold it together for a second. Life without laughter is death. Happy St. Patrick’s Day Everyone, for it is not over yet. heart emoticon smile emoticon wink emoticon

A Streetcar Named Desire (FEATURE PLAY - MOVIE)

Selma 50 Years Later!

Gil Scott Heron - Black Wax

We are Because of Others-Nana Okyere was a good Man

We are all who we are because of the incredible contributions and sacrifices from other people in our lives. I find it so hard to swallow when I see people talk about their individual accomplishments and how nobody was ever there for them. And “I did it all by myself nonsense”. FYI, that is not true. People might behave as though they don’t care about you and what you are doing but somehow they do care and will support you in various ways that you yourself might not even know about. 

To all my Valentine's out there

So today is Valentine’s Day and I wish to write not only on the subject of love but about one particular individual who once gave me opportunities and opened his house for me regardless of who I was and who he thought I could be.

All I said on this day, thus today Valentine’s Day is that, love is often defined differently by people of different divides and if yours is tight to chocolate, go for it, if it is to other people in your life, why not?, and if it’s for the sake of love and how others perceive the subject, so be it. But for me it is considering what other people needs are, considering the fact that love has no boundaries, it is universal and that all human beings deserve love and affection from other people. Of course I will be disagreed upon on this but again, that is my perception and opinion of love. Here is what I wrote on my Facebook page this morning:

               “Greed is a reality and that is why we always tend to think that there is scarcity. In fact there is enough for everyone what is not enough is LOVE. May we all starve our greeds and the quest for more on this day, Valentine’s Day and feed our love for one another. Please make a difference in somebody's life today. OH!, Happy Valentine's day everyone”-Ronnie Law.

Is it that true? Of course it is not because I wrote it, but because it is true and love should be 7 days a week, 52 weeks a year and 365 days per annum business. But we don’t have the ability to do so, do we?

                The second part of my message today as states earlier is a tribute to honor a great man I once met and got to know in Ghana. His name? Nana Okyere Darko. He was a wonderful man and he was the man who opened his house to me and introduced to me his children of whom I am friends with some on Facebook. He passed away on this date in 2013 without my knowledge. I never knew of his demise until I was told by a son of his, Nana Agyemang just last year. It hurts to lose a lot of dear ones when you are overseas like I am and that I understood is part of life. You make sacrifices to get what you need for your own survival. Nana was a wonderful man full of love and compassion for others. The name Nana by the way in the Akan tradition, which is the largest ethnicity in Ghana means, royal, emperor, but in some cultures it means elderly. 

Nana Okyere in his traditional Kente Clothes

             Flashback:  I met and got to knew Nana when I was in Sunyani and while there, one day I was seriously doing job-hunt in town as usual. As I passed by his house I saw that they were buying and bagging cocoa and I thought to myself why don’t I stop by and find out if they needed help? So I did just as my conscience told me to but they didn’t need a hand, and there Nana said to me, "you are a nice young man". But I am sorry these days the cocoa market is not good else you would have been hired to help us. Having said that he gave me some pocket money and asked that any time I was in town without much to do I should stop by the house and maybe he will have something for me to do.

Lo and behold, I did just that and most of the times I wouldn't get to do much and most of the time I would and with time I got to meet his wife, kids, and grand-kids and he also got to brought me to his cocoa farms a couple of times in his car and the rest is history. I lost touch with Nana when I had to travel to the United States and just last year I heard he passed away while inquiring about him. I was very saddened by this news and decided I was going to write a piece in his honor on Valentine’s Day for the rest of my pals across the world. So this is it, people.

He liked to smile and laugh, you are forever missed Nana Okyere

           Do you still think about your successes as your own efforts? I don’t think so and remember, we are all who we are because somebody looked after us as though we were somebody and that we are worthy of love and compassion as human beings. On that note, I intend to be a prisoner of love for the rest of my life. Whatever I get I will give to the good of the least fortunate of us knowing that I am who I am because of the love and sacrifices and compassion of people I know and doesn't know as well. The least of these, the 25^th Chapter of the Gospel of Matthew. I have nothing yet I always feel as though I have everything on the surface of this planet. I feel rich, energetic, and powerful. I take back my words on I have nothing, actually I have everything.

I look forward a long wonderful relationship with his kids who are like brothers to me. The story of my life and we will be expounding on that someday.

          Happy Valentines to you all and don’t forget to share you love with everyone, we all need love and care.

Yours Pal,

Ron

Bushonomics