...cumbria/reflective cycle) I will ensure that I comply with the Nursing and Midwifery council (NMC) in order to achieve this I will write in first person and all names and locations will be changed to protect identity. Ref (NMC 2015). Description My normal day started at 7.30 I was allocated to work in a bay alongside my colleague within my clinical area. An accurate handover of the clinical information was given in relevance to the patient’s continuity and safety of care. (Adams 2012). (Ref- Adams JM, Osbourne-Mckenzie T Advancing the evidence base for a standardized provider handover structure: using staff nurse description of information to deliver competent care. Journal of continuing Education in nursing 2012;43(6):261-6.) My case study is on a 59-year old lady( Appendix 1)who recently had been discharged after surgery on her left neck of femur fracture. This lady had been readmitted to our clinical area following her discharge due to signs of a UTI, fever and the wound site being very red and inflamed. Pam was showing all the signs and symptoms of a severe infection with a temperature ranging from 38.5 to 40 Celsius, heart rate greater than 90 beats per minute, respiratory rate greater than 20 breaths per minute and a white blood cell count greater than 12,000. These combined symptoms are known as the Systemic Inflammatory Response Syndrome (SIRS), this in addition to a confirmed infection is known as Sepsis. On arrival to our clinical area...
Words: 1259 - Pages: 6
...CASE STUDY 1 Acute coronary syndrome Patrick Gallagher Case outline Peter Brown is a 58-year-old gentleman who has experienced an episode of crushing central chest pain while at work. Peter works as a taxi driver and a colleague has taken him to the Accident and Emergency Department. On admission, Peter is sweaty, clammy, nauseated and short of breath. He is complaining of chest pain radiating to his left arm. This is Peter’s first presentation to hospital and he has no relevant past medical history. Peter smokes approximately 20–30 cigarettes per day and takes alcohol at weekends only. Peter is anxious and is concerned that his wife and children are informed. He also states his father died suddenly following a heart attack a number of years ago. Peter is immediately triaged and taken to the resuscitation room. You are the receiving nurse. Observations on admission include: Respiratory rate: 18 breaths per minute Oxygen saturations: 95% Blood pressure: 150/90 mmHg Pulse: 94 beats per minute Temperature: 37ºC. On admission to hospital an electrocardiograph (ECG) has been undertaken. Peter has been diagnosed with an anterior ST segment elevation myocardial infarction (anterior STEMI). Blood samples have also been drawn for urea and electrolytes (U&E), full blood picture (FBP) and highly sensitive troponin T. 1 Discuss Peter’s immediate problems and explain these using your knowledge of pathophysiology. A On admission to Accident and Emergency...
Words: 3270 - Pages: 14
...Top of Form The ABCDE approach Underlying principles The approach to all deteriorating or critically ill patients is the same. The underlying principles are: Use the Airway, Breathing, Circulation, Disability, Exposure (ABCDE) approach to assess and treat the patient. Do a complete initial assessment and re-assess regularly. Treat life-threatening problems before moving to the next part of assessment. Assess the effects of treatment. Recognise when you will need extra help. Call for appropriate help early. Use all members of the team. This enables interventions (e.g. assessment, attaching monitors, intravenous access), to be undertaken simultaneously. Communicate effectively - use the Situation, Background, Assessment, Recommendation (SBAR) or Reason, Story, Vital signs, Plan (RSVP) approach. The aim of the initial treatment is to keep the patient alive, and achieve some clinical improvement. This will buy time for further treatment and making a diagnosis. Remember – it can take a few minutes for treatments to work, so wait a short while before reassessing the patient after an intervention. First steps Ensure personal safety. Wear apron and gloves as appropriate. First look at the patient in general to see if the patient appears unwell. If the patient is awake, ask “How are you?”. If the patient appears unconscious or has collapsed, shake him and ask “Are you alright?” If he responds normally he has a patent airway, is breathing...
Words: 2351 - Pages: 10
...Jason’s Case Study Abstract Jason, a twenty six year old male, is seen in the urgent care clinic with a laceration to his arm. He cut his arm on roof sheeting while at work. While assessing the laceration on Jason’s arm, the nurse notices that he has a sunburn, freckles and moles on his skin. While Jason is still in the urgent care, the patient’s wife calls and asked if the medical staff would assess a mole on her husband. The nurse also educated Jason regarding sunburns, changes in freckles, moles, and lesions. His complexion, hair and eye color puts Jason at a higher risk for cancer and complications of being in the sun. The nurse also reminded Jason to make an appointment to have his family doctor check the laceration on his arm to make sure no infection or complications have developed. Jason’s Case Study After the nurse introduces herself to Jason, she gets his vital signs, height and weight. The nurse or the doctor per facility protocol should cleanse the wound to remove any dirt or debris from the laceration site. The nurse measures the laceration in length and width. The nurse checks the laceration for foreign bodies or debris in his arm. The doctor may order an x-ray of his arm to rule out any foreign bodies that may be in Jason’s arm. Saline gauze should be placed over the laceration site until the doctor comes into the examination room to see the patient. The nurse asks Jason if he has had a tetanus shot in the past five years. Jason should...
Words: 1722 - Pages: 7
...and Political Science Master’s thesis in Sport Science Trondheim, January 2012 Terese Wilhelmsen PHYSICAL ACTIVITY IN THE EVERYDAY LIFE OF CHILDREN Exploring how intergenerational transfer of habitus frame boys and girls opportunity to generate and negotiate physical activity within their everyday life. Master in Sport Science Department of Sociology and Political Science Faculty of Social Sciences and Technology Management Norwegian University of Science and Technology, NTNU Trondheim, Norway. 1 ABSTRACT Several indicators of social background and gender expectations are found to have an important impact on children’s physical activity patterns, yet few studies have explored intergenerational transfer of habitus through the use of triangulation of methods. The aim of this study is to explore how intergenerational transfer of habitus frames children’s opportunit to generate and negotiate physical activity in their everyday life. This is done by examining the relationship between children’s physical activity pattern’s and: parental capital, parental perception of gender appropriate sport, gender expectations, children’s housing, and children’s own experience with sports and physical activity in their everyday life. The empirical material is drawn from a one-year fieldwork conducted at a public elementary school located in Metro Manila, the Philippines, where I worked as a voluntary physical education teacher. A triangulation of methods has been utilized...
Words: 57260 - Pages: 230
...YingJieSheng.COM ............................................................................................................................................5 1.1 .......................................................................................................................................................5 1.2 .......................................................................................................................................................5 1.3 ...........................................................................................................................................................6 1.4 ...............................................................................................................................................6 kpmg ....................................................................................................................................7 2.1 2013kpmg ..................................................................................................................7 2.2 verbal ...............................................................................................8 2.3 Oct.13.2013. KPMG .............................................................................................................................8 2.4 ........................................................................................................................................9 2.5 10.12KPMG ....................................
Words: 10502 - Pages: 43
...International Journal of Advanced System and Social Engineering Research ISSN 2278-6031, Vol 3, Issue 1, 2013, pp18-22 http://www.bipublication.com ADVANTAGES AND DISADVANTAGES OF PRIVATISATION IN INDIA Anant Kousadikar and Trivender Kumar Singh* *Jatan Swaroop PostGraduate College, Kayasthwada,Sikandrabad(U.P.), Distt: Bulandshar [Received-05/12/2012, Published-17/01/2013] ABSTRACT Privatization in generic terms refers to the process of transfer of ownership, can be of both permanent or long term lease in nature, of a once upon a time state-owned or public owned property to individuals or groups that intend to utilize it for private benefits and run the entity with the aim of profit maximization. In other words, it is a route from public or state ownership to private players or a group. From the other point of view, it is a strategy that provides advantages to a few at the price of many. However, this is always subjected to the circumstances involved. In this paper, the aim is to understand the major advantages and disadvantages of privatization in this country. Index Terms: Privatisation, advantages, Public administration. I. INTRODUCTION Privatization is a managerial approach that has attracted the interest of many categories of peopleacademicians, politicians, government employees, players of the private sector, and public on the whole. As per the opinion by the subject experts, privatization can be advantageous in terms of the higher flexibility and scope of innovation...
Words: 2546 - Pages: 11
...International Journal of Advanced System and Social Engineering Research ISSN 2278-6031, Vol 3, Issue 1, 2013, pp18-22 http://www.bipublication.com ADVANTAGES AND DISADVANTAGES OF PRIVATISATION IN INDIA Anant Kousadikar and Trivender Kumar Singh* *Jatan Swaroop PostGraduate College, Kayasthwada,Sikandrabad(U.P.), Distt: Bulandshar [Received-05/12/2012, Published-17/01/2013] ABSTRACT Privatization in generic terms refers to the process of transfer of ownership, can be of both permanent or long term lease in nature, of a once upon a time state-owned or public owned property to individuals or groups that intend to utilize it for private benefits and run the entity with the aim of profit maximization. In other words, it is a route from public or state ownership to private players or a group. From the other point of view, it is a strategy that provides advantages to a few at the price of many. However, this is always subjected to the circumstances involved. In this paper, the aim is to understand the major advantages and disadvantages of privatization in this country. Index Terms: Privatisation, advantages, Public administration. I. INTRODUCTION Privatization is a managerial approach that has attracted the interest of many categories of peopleacademicians, politicians, government employees, players of the private sector, and public on the whole. As per the opinion by the subject experts, privatization can be advantageous in terms of the higher flexibility and scope of innovation...
Words: 2546 - Pages: 11
...The aim of this essay is to explore an acute deterioration in the health of an adult I have encountered during a clinical placement, in an acute care setting. The essay will begin with a definition of acute care, followed by the introduction of my patient and predisposing factors. This essay will include an explanation of the significant pathophysiological changes and related clinical manifestations and a critical analysis of the nursing interventions implemented during the acute episode of care, focusing on holistic care, rationale and evidence base. It will then describe the actual deterioration in the patient’s condition, and discuss the nurse’s role in the recognition and assessment of the actual deteriorating condition following the trusts policies. Assessment tools, monitoring, detecting and reporting will be considered. Finally this essay will include a discussion of the importance of multidisciplinary team collaboration in the diagnosis and provision of care during the acute episode, and a discussion on whether the deterioration could have been prevented by identifying any areas of practice which could change in relation to evidence based practice. For the purposes of privacy and confidentiality, in accordance with NMC (2008) code of conduct, the name of the patient will be changed to Peter and the placement area will remain as an acute care setting. According to McFerran (2008) the term “acute” is described as a disease of rapid onset, severe symptoms, and brief duration...
Words: 4236 - Pages: 17
...CHAPTER NINE Quantity, Logic, Time, Movement, and Velocity C H A P T E R 8 dealt with what might be called the first wave of Piaget's experimental assault on the development of intelligence in the postinfancy years. There was to be a second wave, of larger scale and longer duration. This second wave of research had a small beginning in the period 1935-1940 with a few scattered journal articles (e.g., Inhelder, 1936; Meyer, 1935; Szeminska, 1935; Piaget and Szeminska, 1939) and moved into high gear in 1941 with the publication of the first (Piaget, 1952b) of a long series of full-length books on various cognitive-developmental problems: number, quantity, logic, space, time, and so on. QUANTITY There are several studies which touch on one or another aspect of the child's grasp of quantity notions (Apostel, Morf, Mays, and Piaget, 1957; Fischer, 1955; Inhelder, 1936; Piaget, 1960a; Piaget and Szeminska, 1939; Szeminska, 1935). The earlier papers are primarily of historical interest, since their contents have for the most part been incorporated into the systematic book on the subject by Piaget and Inhelder, Le Developpement des quantites chez I'enfant (1941). This book is divided into four sections, each three chapters long. In addition, there is the customary chapter of summary and conclusions at the end of the book. The first section deals with what is probably the best-known segment of the quantity work: the so-called conservation of matter, weight, and volume of an object...
Words: 14444 - Pages: 58
...U.S. Department of Justice Office of Justice Programs National Institute of Justice APR. 04 Special REPORT Forensic Examination of Digital Evidence: A Guide for Law Enforcement U.S. Department of Justice Office of Justice Programs 810 Seventh Street N.W. Washington, DC 20531 John Ashcroft Attorney General Deborah J. Daniels Assistant Attorney General Sarah V. Hart Director, National Institute of Justice This and other publications and products of the U.S. Department of Justice, Office of Justice Programs, National Institute of Justice can be found on the World Wide Web at the following site: Office of Justice Programs National Institute of Justice http://www.ojp.usdoj.gov/nij APR. 04 Forensic Examination of Digital Evidence: A Guide for Law Enforcement NCJ 199408 Sarah V. Hart Director This document is not intended to create, does not create, and may not be relied upon to create any rights, substantive or procedural, enforceable at law by any party in any matter civil or criminal. Opinions or points of view expressed in this document represent a consensus of the authors and do not represent the official position or policies of the U.S. Department of Justice. The products, manufacturers, and organizations discussed in this document are presented for informational purposes only and do not constitute product approval or endorsement by the U.S. Department of Justice. This document was prepared under Interagency Agreement #1999–IJ–R–094 between...
Words: 22743 - Pages: 91
...Multinational Corporations and Foreign Direct Investment This page intentionally left blank Multinational Corporations and Foreign Direct Investment Avoiding Simplicity, Embracing Complexity Stephen D. Cohen 1 2007 1 Oxford University Press, Inc., publishes works that further Oxford University’s objective of excellence in research, scholarship, and education. Oxford New York Auckland Cape Town Dar es Salaam Hong Kong Karachi Kuala Lumpur Madrid Melbourne Mexico City Nairobi New Delhi Shanghai Taipei Toronto With offices in Argentina Austria Brazil Chile Czech Republic France Greece Guatemala Hungary Italy Japan Poland Portugal Singapore South Korea Switzerland Thailand Turkey Ukraine Vietnam Copyright # 2007 by Oxford University Press Published by Oxford University Press, Inc. 198 Madison Avenue, New York, New York 10016 www.oup.com Oxford is a registered trademark of Oxford University Press All rights reserved. No part of this publication may be reproduced, stored in a retrieval system, or transmitted, in any form or by any means, electronic, mechanical, photocopying, recording, or otherwise, without the prior permission of Oxford University Press. Library of Congress Cataloging-in-Publication Data Cohen, Stephen D. Multinational corporations and foreign direct investment: avoiding simplicity, embracing complexity / Stephen D. Cohen. p. cm. Includes index. ISBN-13 978-0-19-517935-4; 978-0-19-517936-1 (pbk.) ISBN 0-19-517935-8; 0-19-517936-6 (pbk.) 1. International...
Words: 160016 - Pages: 641
...CUSTOMER PORTFOLIO MANAGEMENT – The construct and performance Harri Terho Sarja/Series A-4:2008 Copyright © Harri Terho & Turun kauppakorkeakoulu ISBN 978-951-564-592-0 (nid.) 978-951-564-593-7 (PDF) ISSN 0357-4652 (nid.) 1459-4870 (PDF) UDK 658.8 658.89 658.8.012.2 Esa Print Tampere, Tampere 2008 ACKNOWLEDGEMENTS Writing this dissertation has been a huge learning experience. Over the years I have received great support from a large number of people. I wish to thank everyone who has helped me to make and complete this interesting journey. I would like to start with my supervisor, Professor Aino Halinen-Kaila. She encouraged me to begin working on the dissertation in the first place. She has always given me great freedom in my work, and has supported my occasionally unconventional research decisions. The numerous projects and discussions with her have really been an intellectual joy and also helped me to make progress. Aino, thank you: I would not be here without your contribution. I was honored to have Professor Thomas Ritter from the Copenhagen Business School and Professor Olli Kuivalainen of the University of Lappeenranta as the official examiners of my thesis. They gave me valuable and constructive comments on the manuscript. My colleagues have given me great support in completing the thesis. I wish to express my gratitude to Professor Rami Olkkonen, Professor (emer.) Helena Mäkinen, Professor Leila Hurmerinta-Peltomäki, Dr. Juha Panula...
Words: 75762 - Pages: 304
...Praise for Succeeding with Agile “Understanding the mechanics of an agile process is just not enough. Mike Cohn has compiled a superb and comprehensive collection of advice that will help individuals and teams with the intricate task of adopting and adapting agile processes to fit their specific challenges. This book will become the definitive handbook for agile teams.” —Colin Bird, Global Head of Agile, EMC Consulting “Mike Cohn’s experience working with so many different organizations in the adoption of agile methods shines through with practical approaches and valuable insights. If you really want agile methods to stick, this is the book to read.” —Jeff Honious,Vice President, Innovation, Reed Elsevier “Mike Cohn has done it again. Succeeding with Agile is based on his experience, and all of our experience, with agile to date. He covers from the earliest days of the project up to maturity and offers advice for the individual, the team, and the enterprise. No matter where you are in the agile cycle, this book has something for you!” —Ron Jeffries, www.XProgramming.com “If you want to start or take the next step in agile software development, this book is for you. It discusses issues, great solutions, and helpful guidelines when scaling up in agile projects. We used the guidelines from this book extensively when we introduced agile in a large, FDA-regulated department.” —Christ Vriens, Department Head of MiPlaza, part of Philips Research “If making the move to agile has always...
Words: 194469 - Pages: 778
...A kid with Hepatitis A can return to school 1 week within the onset of jaundice. 2. After a patient has dialysis they may have a slight fever...this is normal due to the fact that the dialysis solution is warmed by the machine. 3. Hyperkalemia presents on an EKG as tall peaked T-waves 4. The antidote for Mag Sulfate toxicity is ---Calcium Gluconate 5. Impetigo is a CONTAGEOUS skin disorder and the person needs to wash ALL linens and dishes seperate from the family. They also need to wash their hands frequently and avoid contact. positive sweat test. indicative of cystic fibrosis 1. Herbs: Black Cohosh is used to treat menopausal symptoms. When taken with an antihypertensive, it may cause hypotension. Licorice can increase potassium loss and may cause dig toxicity. 2. With acute appendicitis, expect to see pain first then nausea and vomiting. With gastroenitis, you will see nausea and vomiting first then pain. 3. If a patient is allergic to latex, they should avoid apricots, cherries, grapes, kiwi, passion fruit, bananas, avocados, chestnuts, tomatoes and peaches. 4. Do not elevate the stump after an AKA after the first 24 hours, as this may cause flexion contracture. 5. Beta Blockers and ACEI are less effective in African Americans than Caucasians. 1. for the myelogram postop positions. water based dye (lighter) bed elevated. oil based dye heavier bed flat. 2.autonomic dysreflexia- elevated bed first....then check foley...
Words: 72133 - Pages: 289
