Professional Documents
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Children and Their Families: The Continuum of Care provides a unique
interdisciplinary perspective that underscores the nurse's role in planning,
coordinating, and working with all members of a pediatric health care team. It
shows students how to make critical judgments and assessments to manage the
care of children in a variety of community settings, including homes, schools, and
medical centers. From infancy through adolescence, this text thoroughly covers
the health promotion, surveillance, and maintenance needs of children. In this
edition, threaded case studies follow a community of pediatric clients and
continue throughout the chapter to show the interrelated dynamics of pediatric
nursing care.
A companion Website includes journal articles, NCLEX®-style chapter review
questions, a Spanish-English audio glossary, Watch and Learn videos, a fluids and
electrolytes tutorial, and much more.
Succeed in your pediatric nursing course with Children and Their Families , Third
Edition! This bestselling text has already helped thousands of students master the
concepts and skills necessary for effective practice in a variety of settings, from
home to school to medical center.
The book's easy-to-understand presentation, striking visuals, and built-in learning
tools help you develop an understanding of the unique role you'll have in working
with all members of the pediatric healthcare system and equip you to make
critical judgments and decisions in a variety of settings across the continuum of
care.
Broaden your understanding of the interrelated dynamics of pediatric nursing
care and make the leap from theory to practice, through Progressive Case Studies
that follow a community of pediatric clients through each chapter. Learn to create
Unit II 254
Denver II 1642
Appendix D 1649
Index 1677
Copyright
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T . (To T .) Ah, prompt, I see. Where is your second?
T . He is delayed a little looking for a surgeon. I expect him
momentarily.
T . That is unfortunate. Quick work here is the order. We are liable to
interruption from the police. We have brought a surgeon, Dr. Short.
T . Let your man Spratt and Doctor Short arrange details, I’m
indifferent.
T . (Haughtily.) This is no place for a display of generosity, sir. This is
very irregular and time is pressing.
S . I see no objection to stepping the ground, for example if Dr.
Short will stand for Mr. Tick.
T . Very irregular, very. What do you say, Dr. Short?
D . S. (Very formal and dignified.) I coincide, sir. It is highly irregular, I
might add, perhaps, unprecedented. Had I the pleasure of the acquaintance
of your opponent—
T . (Bowing low.) I beg your pardon! I forget you were not acquainted!
Mr. Tick, I have the pleasure of introducing Dr. Short. Dr. Short, Mr. Tick.
Mr. Tick, Dr. Short. (They bow.)
D .S . (Judicially and with great dignity.) I think I may lay it down
as an axiom of the code that one gentleman may—I say may—stand at all
times for any other gentleman. Now, the fact that the gentleman’s second is
absent looking for a surgeon must be considered a valid reason for delay
and consequently may—I say advisedly may—allow slight alterations of
previous plans. My decision, then, is that your humble servant might with
absolute propriety—I say might advisedly—stand temporarily for the absent
second of Mr. Tick. (Bows to T .) I am at your service, sir. I consent, to
satisfy honor.
S . Very well, then let’s step thirty paces! (Business of measuring.)
T . (Chuckles aside.) That’s a safe distance.
S . Now for choice of position. Heads or tails? (Produces coin.)
D .S . (Solemnly.) Heads.
S . (Tossing.) Heads it is!
S . (Tosses.) Tails!
S . (Tossing.) Heads it is! Your man gets the advantage of the light.
(To T .) Let us examine your weapons. Are they loaded?
T . (Producing knives from sack.) They are! (All start at sight of
knives.)
T . (Surprised.) What in time are those implements?
T . The weapons.
T . Why, confound you, sir, I wont fight with a butcher’s cleaver.
S . Corncutters, I beg your pardon.
T . A vulgar agricultural implement. I won’t fight with them.
T . I insist. I have the right to choose the weapons.
T . But only gentlemen’s weapons. I’ll have you understand, sir, that I
do not choose to be hacked to pieces with a sausage machine. Dr. Short, I
appeal to you.
D .S . (With great deliberation.) Your objection is reasonable, and I
may add, most weighty. This uncouth weapon is unusual, and—and, vulgar,
I use the word vulgar advisedly in the sense of common, without casting
any reflection on this humble but useful agricultural tool.
T . Gentlemen, my second pronounces the weapons all right.
T . A most remarkable second, sir! I’d like to see him. Why doesn’t he
appear.
T . I think I see him coming now. (Hellos off R.) Hello! Hey! Hurry up
there.
E G . R.
T . (Astonished, falls back.) A niggro!
S . (Repeats.) A nigger.
D .S . (With disgust.) A niggro. This is no place for a gentleman.
(Begins to pack his kit.)
T . Isn’t he a man and brother?
T . (Furious.) This is insufferable! This is a gross insult to be atoned at
once. (Seizes one of corn knives.) I accept the weapons! Take your place. At
the word three, advance and defend yourself. I’ll make shoe strings out of
you, sir. (Vehemently.) I will, on my life I will!
S . One, two, three!
T . Come on. (Makes pass at T who easily eludes him. Business of
T chasing T around the stage, his movements those of a heavy, stiff
man. T easily eludes him, and makes no effort at defense. Business, ad
lib.)
E T suddenly, R.
T . Hello! What’s this? I expected a duel and here’s a sprinting
match. (Laughs heartily. Looks at T .) Why, Topp, what is that you hold
in your hand? An oyster opener? (T and T R. S and S
up C. T L., G . behind him.)
T . Do you dare poke fun at me, sir. Don’t do it again. You laugh again
at your peril.
T . Excuse me. I didn’t mean to talk shop, my cachinatory muscles
are subject to spasmodic movements. But what are you doing?
T . (Throws it away in disgust.) That man had the impudence to bring
a sausage knife on these hallowed precincts.
T . Pardon me! A corncutter!
S . No gentleman would propose a corncutter as a decent weapon.
T . Quite right! We’ll have none of them. They are perfectly
absurd! Fit only for niggros. Nothing like hair triggers. (Steps toward C.)
Has any gentleman a brace of pistols? I think I can arrange all to the
satisfaction of the company.
S . (Comes down C.) I brought a pair for alternatives. (Produces
them from case.)
T . Ah, beauties!
T . I object to hair triggers!
T . On what grounds, sir?
T . They might go off.
T . A frivolous objection, sir! You owe Mr. Topp satisfaction. Your
position is absurd, and let me say, sir, subjects you to suspicion; yes sir, to
suspicion of cowardice!
T . (Comes toward them, C., blusters.) I’m no coward, mind that!
(Aside.) This is serious. (Aside to T .) I don’t want to fight.
T . (In a friendly manner.) Don’t want to fight? What are your
reasons?
T . I might get hurt!
T . That’s no reason!
T . Come aside and I’ll tell you all.
T . Publicity is the only recourse at this stage of the proceedings.
T . If you must then, I—I don’t wish to deprive an honored house of
its head.
T . None of your sentiment, sir!
T . A very commendable sentiment, but invalid.
D .S . Yes, insufficient.
T . At this stage of the quarrel, without having satisfied wounded
honor, no gentleman would ever speak to either of you again. I advise one
shot anyway.
T . I insist on one shot.
T . I object to Mr. Topp’s second. He is here through motives of
revenge. I’ll leave it to Dr. Short if motives of revenge are allowable in an
affair of honor.
D .S . (Emphatically.) Never! (To S , sternly.) Is this true, sir?
(S silent.)
G . It is. He’s mad at Mistah Tick ’cause he made fun of his twins,
Grover Cleveland Spratt and Benjamin Harrison Spratt.
T . I recall some words now, when I come to think of it.
T . Resign, sir, at once! Do you resign?
S . I do! (Aside.) They are onto my scheme.
G . (To S , aside.) Bettah git now.
S . I’ll get even with you, you black rascal. (Exit, while G . goes
through pantomime of kicking him out.)
T . (Muses.) Hang it all, I’ll act as second for both parties. How’s
that?
D .S . (Gravely.) Unusual, without precedent but honorable.
T . (Brusquely.) Gentlemen, consider it settled! Take your places!
(They move to places. T R., T L. T mechanically, as if half
dazed.) The word is one, two, three, fire. (Thrusts pistol in hand of each and
goes up C. to give signal. T holds his weapon very awkwardly, pointing
down.) Young man, are you going to shoot a hole in the earth? (Adjusts
pistol on level for him.)
T . (Dodging.) I don’t like that. That’s partiality.
T . Ah, possibly. (Reflects a moment.) Stay, I have an idea.
(Produces pistol from pocket.) Dr. Short, favor me with your weapon.
(Takes S ’ pistol and goes up C.) Ready, gentlemen. Dr. Short, I’ll
trouble you to give the signal. The principals will kindly aim at each other
and, to show strict impartiality, I’ll shoot at both. (Levels a pistol at each of
the principals.)
T . (Dodging.) Hold on there!
T . (Dodging, immediately recovering himself.) No sir—ee! that wont
do!
D .S . Extraordinary!
E M .T , R., runs to T .
M . T. Oh, Josiah, have you found them? (T hastily thrusts one
pistol in his pocket and tries to hide the other under his coat.) Oh, Josiah,
why don’t you speak. Is anybody killed? Has blood been shed?
T . (Disgusted.) Not a blamed drop! (Aside.) Fun all spoiled.
E A and M . T-K., running R.
M . T-K. (Running to T , R.) Oh, Mr. Topp, I implore you spare him!
A . (Running to T , L.) Spare him, Mr. Tick! Spare him!
T . Certainly! I can spare him! (Puts arm round her waist.)
T . (Furious.) Bless my eyes! Look at his audacity! I will commit
murder. (Tries to get at T , flourishing corncutter. M . T-K. clings to
him.)
M . T-K. You shall not! (Tableau.) Be merciful!
T . Rash woman, let me go! My honor is at stake.
M . T. Mr. Topp, there’s a slight mistake somewhere. (Everybody pauses
for explanations, T. crosses to T .) I’ll try to clear it up. You advertised
for twins?
T . Twins! (Makes face of surprise.) Dogs!
M . T. Generous man!
T . (Annoyed.) Madam, this is no place for a disquisition on generosity.
M . T. So modest! Don’t deny it.
M . T. Your advertisement brought my daughters to your house. You
admired one of them, but I fear you made advances to the wrong one by
mistake.
T . (Pointing to A .) That is the young lady I meant.
M . T-K. But unfortunately she objects. (Confidentially.) I fear her
affections are elsewhere. (A cuddles up to T .)
T . (Regarding A and T .) Humph! Well, I shouldn’t be
surprised if they were. Here’s a pretty state of affairs. I’ve made a fool of
myself. Well, “There’s no fool like an old fool.”
M . T. My dear Mr. Topp, a young man should not be so pessimistic. Let
me match your maxim with another. “There’s just as good fish in the sea as
ever were caught.” (Nudges M . T. aside.) How’s that for a pointer?
M . T. Mr. Topp, let me introduce my daughter, Mrs. Twiggs-Knott.
(T bows. M . T., confidentially.) She is the mother of lovely twins.
T . Ah! indeed, madam? (To M . T-K.) Boys?
M . T-K. Fine fellows.
T . Age?
M . T-K. Seven.
T . Both the same age?
M . T-K. (Confused.) Why, to be sure.
T . (Confused.) Yes, of course, I beg pardon!
M . T-K. (Nudging Josiah.) Confused! That’s a good sign.
M . T. Rattled!
T . Healthy?
M . T-K. Tough as pine knots.
M . T. (Laughing.) Pine knots, Twiggs-Knotts too. (Laughs at his
witticism.)
M . T. (Aside.) Josiah, your puns are atrocious. (Twiggs goes L. C. to
T and speaks inaudibly to him.)
T . Madam, I’ll take the goods, if they’re up to grade.
M . T-K. The goods?
T . Now, the old man is talking shop himself.
T . I mean, I’ll take the boys.
M . T-K. Oh, thank you! Oh, how good of him!
T . Mr. Twiggs, you seem to know that young man of monumental
assurance. Who is this Tick?
T . Tick? Why, his name is not Tick. That is a nick-name the boys
gave him. He is the son of my oldest friend, John Baggs. He is in the
employ of Topp & Topp.
T . (To T .) Are you my man, Jim Baggs?
T . (Bowing.) I have that honor.
T . Playing tricks on the “old man,” eh? I’ve a mind to discharge you
on the spot. Well, I wont, come to think of it. The manager says you could
sell oysters to a tobacco sign.
T . (Bowing.) Thank you!
T . But I can’t forgive such freaks, sir.
T . I’m very sorry—
T . Yes, he’s sorry. Young blood you know and none spilled either
—(All laugh.)
M . T. (Severely.) Josiah!
M . T. Yes, my dear!
M . T-K. We had better go home!
T . Certainly, madam. Potts! Where’s that niggro?
G . (Coming forward.) Yis, sah.
T . Go to the cab stand at the Park and send carriages to meet us at the
fountain.
G . Yis, sah. (Exit L.)
M . T-K. (To T .) I do so dislike to part with my dear little boys. Only
poverty—
T . They shall have all the advantages of wealth.
M . T-K. There may be conditions attached to their going?
T . Indeed? I thought that was all settled?
M . T-K. (Sentimentally, with languishing glance.) I should be very
lonely.
T . Ah, I think I understand the conditions. (Looks at her significantly.)
The mother goes with the twins?
M . T-K. She might be induced—that is—oh, dear, how sudden! how
embarrassing!
T . To relieve that embarrassment, I accept the conditions.
T . Take her, my boy! Take her, and God bless you, my children.
(Slaps T on back.)
M . T. Josiah, you shock me. You anticipate. This is no place for such
demonstrations. Will you go home?
M . T. I will. Come along. (Seizes her arm.)
T . (Taking arm of M . T-K.) Come, dear. The house of Topp & Topp
shall still keep in the line of its traditions. Twin brothers, same age. (T
takes A ’ arm. Dress stage.)
T :
R. L.
S ,M .T , M . T-K., T , M . T., A ,T .
C .
B T. S. DENISON
Author of
Odds with the Enemy, Initiating a Granger, Wanted, a Correspondent, A Family Strike, Seth
Greenback, Louva, the Pauper, Hans Von Smash, Borrowing Trouble, Two Ghosts in White, The
Pull-Back, Country Justice, The Assessor, The Sparkling Cup, Our Country, Irish Linen Peddler,
The School Ma’am, Kansas Immigrants, An Only Daughter, Too Much of a Good Thing, Under the
Laurels, Hard Cider, The Danger Signal, Wide Enough for Two, Pets of Society, Is the Editor In?
The New Woman, Patsy O’Wang, Rejected, Only Cold Tea, Madam P’s Beauty Parlors, Topp’s
Twins, A First-Class Hotel, It’s all in the Pay-Streak, The Cobbler, A Dude in a Cyclone, Friday
Dialogues.
CHICAGO:
T. S. DENISON, P ,
163 R S .
PATSY O’WANG.
COPYRIGHT, 1895, BY T. S. DENISON.
CAST OF CHARACTERS.
S H P .
PROPERTIES.
STAGE DIRECTIONS.
R. means right of the stage C., center; R. C., right center; L., left; 1 E.,
first entrance; U. E., upper entrance, etc.; D. F., door in flat or back of the
stage. The actor is supposed to be facing the audience.
PATSY O’WANG.
PATSY O’WANG.