...“A Study On Recruitment Procedure Followed In Fresenius Medical Care (India) Pvt Ltd.” Chapter – I Introduction 1.1. Human Resource Management: Human Resource Management is the management of an organizations work force or Human Resource. It is responsible for attraction, selection, training and assement, rewarding of employee while, also overseeing organizational leadership and culture ensuring with employee and labour laws. The function was initially dominated by transactional work such as payroll and benefits administration but due to globalization, company consolidation, technological advancement and further research. Now Human Resource focus on strategic initiatives like merger and acquisition, talent management, succession planning, industrial and labour relation and diversity and inculsion. It is essential that Human Resource be made an integral part of an organization. Human Resource can be instrumental in developing a full analysis of each division and determining how function like recruiting and employee relation can support new and existing strategies. Human Resource is also an invaluable resource in evaluating how to facilitate the adoption of strategies, recruitment of new talent to sustain them and assure smooth transitions. As we concentrate on recruitment procedure, which is...
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...located in right posterior upper thigh, below buttock. Minor bruising on both upper extremities, No signs of DVT. Patient PICC line placement in right upper arm. Patient is easily fatigued primarily after dialysis sessions. Chooses to ambulate by wheelchair due to occasional dizziness. 1 assist when walking.Diagnostic test: Recent CBC done on 07/11/13 showed an elevated WBC count with a result of 14.0.Progress notes: “ Patient readmitted to facility due to noncompliance with dialysis sessions. Experiencing fatigue and occasional anxiety between dialysis sessions. Recent elevated WBC count may be sign of infection. Will continue to monitor”.2) Diagnosis: Risk for infection r/t altered immune functioning3) Diagnosis: Fatigue r/t effects of chronic uremia | Short term goals: 1) Patient will maintain daily urine output within 500 mL of intake through next week July 18th, 2013.2) Patient will remain free of edema through next week July 18th, 2013.3) Patient will...
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...drowsiness, and an ammonia smell to the breath are a few other signs and symptoms that may occur with acute renal failure although some signs may be confused with post-operative complaints (The Mayo Clinic Staff, 2011). 3. What is causing Ms. Jones’s kidney disease? Ms. Jones’s recent open-heart surgery is most likely the cause of her kidney disease. Low blood pressure during the operation caused her kidneys to stop working because of lack of blood to the organ to filter toxins from the body (Leurs, 1989). 4. What are possible treatment options, and what is the prognosis? A variety of medication can be used to treat kidney failure in this case, including temporary dialysis (The Mayo Clinic Staff, 2011). The prognosis for Ms. Jones is good she will most likely recover, and suffer no long term effects. Scenario B Chronic renal failure: Mr. Hodges, a 73-year-old man, has had congestive heart failure for the past 5 years. His doctor has told him that his heart is not functioning well, needing more and more medicine to maintain circulatory function. He has noticed that he is not urinating more than once a day. 5. Why is the condition of Mr. Hodges’s kidneys affecting the rest of his body? Congestive heart failure (CHF) and chronic renal...
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...down of the kidneys. This could be because the body is in shock due to the surgery that was preformed, and the abnormal amount of urine is also known as oliguria. What other symptoms and signs might occur? There are other systems and signs that might occur due to the kidney failure. One is due to accumulation of compounds containing nitrogen in the blood the smell of ammonia in the mouth. Others can include headaches and gastrointestinal distress. In some cases an elevated level of potassium in the blood known as hyperkalemia. Some other symptoms that might occur with acute kidney failure can include nausea, fatigue, confusion, body swelling, and/or abdominal pain. What is causing Ms. Jones’s kidney disease? Ms. Jones’s kidney disease in most likely due to the surgery to fix the blocked blood vessels that was in her heart. Now that the blood flow is now able to pass and fill those blood vessels, and/ or the damage...
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...Nursing 344 Week 1: Report Writing & GFHP Report Writing Pt records are sometimes called in evidence before a court of law in order to establish events that may have contributed to a pt’s death or injury. They may also be required as evidence for an inquiry or hearing by the NMB of NSW. ▪ Frequency of documentation relies on: - physical/ mental status of the pt. - the type of care provided (self care v. intensive care) - requirements of health care agency - any legal or other obligations that the health record must meet ▪ Content of documentation needs to be: - relevant - appropriate - accurate - requirements will vary according to pt acuity - content may be guided by framework (assessment, intervention, response) ▪ Documentation framework: - assessment: conclusions reached utilising subjective and objective data - intervention: reflects the action taken - response: reflects the pt’s response to the intervention ▪ Example of using framework to case: Mrs Pat Martin, a 28y/o lady has been admitted overnight via Casualty accompanied by husband. She is 16 wks pregnant and has been diagnosed with appendicitis by Dr Chan. At the moment she is only experiencing mild pain and has a low grade fever of 37.7. IMI Pethidine 50mgs was given at 2am, and may be repeated PRN. Shes been added to the theatre list at 9.30am. She remains NMB and has IV normal saline running over 10hrs. IV Keflin QID commenced, is next due 12md...
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...of the kidneys, ureters, urinary blabber and urethra. The kidneys produce the urine and account for the other functions attributed to the urinary system. The ureters convey the urine away from the kidneys to the urinary bladder, which is a temporary reservoir for the urine. The urethra is a tubular structure that carries the urine from the urinary bladder to outside of the body. WHAT DO NORMAL KIDNEYS DO? * Remove extra water. * Remove waste products. * Balance chemicals in the body. * Help control blood pressure. * Help make red blood cell. * Help build strong bones. When the kidneys no longer able to perform normal functions and starts to deteriorate, renal failure will occur, this condition may be acute or chronic. Then the following problems will occur: * Retention of waste and toxic products and excess water. * Nausea * Vomiting * Loss of appetite * Tiredness * Swelling...
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...Polycystic Kidney Disease This paper is about polycystic kidney disease (PKD). It will describe a case scenario about a newly diagnose patient with end-stage kidney failure. The reader will learn about the kidney and function. What would happen if the kidneys stop working correctly? Continue to read to find the answer. A 40-year-old white well-nourished pleasant male presented with nausea, fatigue, shortness of breath has bilateral lower leg edema with chief complains of not urinating on two days. He and his supportive wife have come to the emergency department. John Doe has not been to the doctors in 20 years. He denies smoking or alcohol abuse. He could not give any family history because he came from a closed adoption at birth. He is usually in good health but has been not feeling well the last couple of months. He currently works at a labor ware house as a manager who has worked there for the past 20 years. Him and his family have health insurance provided threw his place of employment. He and his married have two young children. His educational background is high school equivalent. After blood tests, urinalysis, and a computed tomography scan, confirmed he has PKD. I would further assess his and his wife’s needs after the Nephrologists has come firm his diagnoses with him. Some of the teaching methods for John Doe and his wife to learn about PKD would be to explain the anatomy of the human body and what the disease is all about. I would give him a packet he could take...
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...involved in introducing the process to Sheffield Kidney Institute. In 2004, the number of patients receiving renal replacement therapy in England, Scotland and Wales was 33,511, this figure is sourced from data which has been made available to them from participating renal units throughout the country, the number of patients receiving dialysis since 2000 has risen by 7% (Ansell et al 2005) with it projected to rise by a further 10 percent over the next 5 years (Ansell et al 2005). About 15-29 percent of deaths of patients with end stage renal disease results from a decision to discontinue dialysis (Davison 2006). Importantly we need to explore which patients especially those reaching the end of their lives are choosing to discontinue receiving aggressive renal replacement therapy and what knowledge and skills would be required to facilitate a change in practice and help them towards a ‘peaceful death’. End Stage Renal Disease presents many challenges to the patient who experience and suffer from it and the health care professionals who care for them. Its chronicity and...
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...* 3 head nurses, * 5 nurses, * 4 assistances, * 2 workers. Situation analysis: Current service: - AlSalam nephrology department, responsible for many services, like: * Renal transplantation, * Follow up renal-transplanted patients, * Renal dialysis for chronic renal failure patients, * Outpatient clinic for kidney diseases; and * Teaching and practicing place for new doctors who care with nephrology. - The unit in AlSalam hospital, which present in ElMohandseen area in Giza, Egypt, which is a famous, commercial, crowded, rich area. - The hospital accredited with ISO 9001 in 2004. -Background information -Date of opening the unit: 1983 -Average No. of outpatient/Day: 60 patients - No. renal failure patients/Day: 20 patients -Costs /outpatient: 40 LE -Revenue /out patient: 120 LE -Net profit /outpatient: - 80 LE, which is good. -Costs / renal failure patients: 200 LE -Revenue / renal failure patients: 250 LE -Net profit / renal failure patients: 50 LE, which is very low. - My unit is the only private unit all over the country, which produce services 24 h/7 d. - My unit has two types of services: • ACUTE this is for new comers and for emergencies. • CHRONIC this is for the regular patients. - Our reputation gives us the promotion from accurate, good, timely services. - We have...
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...Central University of Technology, Bloemfontein Early detection and prevention of Chronic Kidney Disease Contents page Definition of key terms used in the assignment Abbreviations used in the assignment Introduction Chronic Kidney Disease, a condition characterised by a gradual loss of kidney function. CKD is often misdiagnosed owing to the lack of knowledge about the disease. With early detection and prevention of the progression of the disease CKD patients can still enjoy life to the fullest while they manage their disease, however if the healthcare professionals fail to identify the disease on time the patient can suffer dire consequences. Besides the financial implications associated with the disease, there are the emotional implications together with physical and psychological. This assignment seeks to explore such implications in an effort to highlight the importance of early detection and prevention of kidney disease, with the best interest of the patient at heart Background Normal kidney anatomy http://doctorstock.photoshelter.com/image/I000096SqkYwaLhE The bean-shaped kidneys lie in retroperitoneal position in the superior lumbar region. Extending approximately from T12 to L3, the kidneys receive some form of protection from the lower part of the rib cage (E.N. Marieb, K Hoehn, 2010) The kidneys functions can be divided into two, non-excretory functions and excretory functions. Under excretory we have Glomerular filtration, Tubule...
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...Levels of Neutrophil Gelatinase- Associated Lipocalin for Early Kidney Disease. Student’s Name University Table of Contents 1.0 Introduction/Background of the Study………………………………………………...3 2.0 Problem………………………………………………………………………………..3 3.0 Significance to Nursing……………………………………………………………….4 4.0 Purpose………………………………………………………………………………..4 5.0 Objectives……………………………………………………………………………..4 6.0 Research Questions……………………………………………………………………4 7.0 Methods of Study……………………………………………………………………...4 8.0 Quantitative or Qualitative…………………………………………………………….5 9.0 Research Design……………………………………………………………………….5 10.0 Sample………………………………………………………………………………..5 11.0 Procedures/results of Study…………………………………………………………..5 12.0 Findings………………………………………………………………………………6 13.0 Implications for Nursing……………………………………………………………....6 14.0 Contribution of Findings to Nursing Knowledge…………………………………….6 15.0 Ethical Considerations………………………………………………………………..6 16.0 Study Approval…………………………………………………………………….....7 17.0 Patient Privacy Protection………………………………………………………….....7 18.0 Conclusion…………………………………………………………………………….7 References……………………………………………………………………………….…8 1. Background of the Study Neutrophil Gelatinase also known as Oncogene 24p3 is associated with Lipocalin, Coresh et. al(2007). NGAL is a protein that is in humans and is always associated with the genes of LCN2.Lipocalin abbreviated...
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...Research name | No of individuals | Reason for use | Reason for discard | | Donor Structural and Functional Parameters Are IndependentPredictors of Renal Function at 3 Months | 202(111 biopsied) | | A donor preimplantation biopsy with sufficient material forevaluation was available in 111 cases. Mean global glomerularsclerosis was 1.2% _ 3.5% and in seven cases globalglomerular sclerosis was greater than 10%. Mean donorchronic damage score was 0 in 77 cases; 1 in 15 cases; 2 in13 cases; and _3 in five cases(LOW PERCENTAGE OF GLOMEROSCLEROSIS) | | Histopathologic Evaluation of Pretransplant Biopsy as a Factor InfluencingGraft Function After Kidney Transplantation: A 1-Year Observation | 92 | We observed a significant correlation between immediate graft function (IGF)and lack of ATN in the pre-0 biopsy. We observed no correlation between renal functionand arterial hyalinization and fibrosis, inflammatory infiltration, tubular atrophy. In thepostoperative period, we observed a significant correlation between IGF and lack ofinterstitial fibrosis with significantly lower levels of creatinine, urea, and potassium andhigher urine output early after transplantation. IGF and better function of the right kidneywas correlated with shorter time to reach a creatinine level of 2 mg%. In the postoperativeperiods, we also observed a difference between renal function depending on gender. Thepresence of acute tubular necrosis, arterial fibrosis, lack of inflammatory infiltration in thepre-0 biopsy correlated...
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...Should there be a legal market for the transplant of kidneys from live donors? If so, what form should this market take? If not, how should the shortage of kidneys for transplant be addressed? First I am going to argue that that a upholding the right to self-ownership should be a justification in allowing for an unregulated legal market for the transplant of kidneys from live donors. Second I will explain how the negative externality that would occur due to the existence of a new market for live kidneys, would create a decrease in the welfare of society through behavioural effects in other similar markets. I will counter this argument by explaining that there would be an overall net gain in utility received by a variety of agents in society (This analysis would be done in isolation/exclusion of a right-based justification). Finally I will explain the framework of what form this market should take. Even though I may have indicated it should be a free market from the first paragraph, I will argue how immoral circumstances that could occur from the commodification of the kidney on an unregulated market, would create a strong justification to have certain regulations enforced by the government. The prevention of any legal market for the transplantation of live kidneys undermines the right of self-ownership. Rights can be defined by a universally held entitlement that all humans hold and by which they can exercise certain claims on other agents in upholding these entitlements...
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...insufficient kidney available for transplant, analyze its social and economic effects in the United States and evaluate the problem and a possible solution using economic sociology principles. Social and Economic Costs Currently, there are over 100,000 end-stage renal disease (ESRD) patients on the waiting list for a kidney transplant in the United States. (National Kidney Foundation, 2014) Patients have to wait anywhere between 5 to 10 years for a deceased organ. While they wait for available organs, most patients endure a four-hour session in a dialysis center three times per week. In 2009, the annual cost of taking care of an ESRD patient is around $70,000. The total cost was estimated to be over $40 billion. (USA Today, 2009) Because of Medicare rules written in the 1970’s, hemodialysis is a covered service, and no politician who desires to be re-elected will ever suggest eliminating hemodialysis coverage despite the cost. Aside from the financial cost, ESRD results in significant morbidity and mortality. Individuals with no chronic kidney disease are more likely than those with chronic kidney disease (CKD) stage 3 to 5 to be alive 1 year after a heart attack. (National Kidney and Urologic Diseases Information Clearinghouse,...
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...Dialysis Patients: Vulnerable Population Dialysis patients are part of an extremely vulnerable population. And they have to be given special attention (Pavlovic, 2010). They are susceptible and vulnerable to developing other chronic diseases. Cardiovascular disease along with end-stage renal disease usually develops and accounts for over 50% mortality rates. With this chronic disease spouses becomes caregivers. Depression and negative emotions can settle in. This can lead to abuse or neglect. It is important to ask the patient how they are being treated in their relationships. The nurse must show concern, and listen closely to the patient, and look for nonverbal clues. Many of these patient do not have the money or transportation to and from dialysis. They have to rely on others to get them to and from dialysis. Many of these vulnerable patients end up living in a nursing home. They are also vulnerable due to living in low income housing. Some are unable to get to the store to buy the foods, they need a special diet. When you are hungry then you take what you can get. The goal is to reduce cardiovascular morbidity and mortality in these high risk patients. These patients usually die from SCD which is sudden cardiac death (Schlieper, 2015). Many have no insurance, and other have insurance like Medicare, which there has been many cuts in the past. Cuts which threaten them from getting good quality care. Medicare accounts for over 85% coverage for over 400,000 dialysis...
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