...omissions or errors. Figures in tables and analyses are calculated from unrounded data and may not sum. Analyses found in the briefings may not totally reflect the companies’ opinions, reader discretion is advised. Beauty and Personal Care Baby and ChildSpecific Products Bath and Shower Colour Cosmetics Deodorants Depilatories Fragrances Hair Care Men's Grooming Oral Care Skin Care L'Oréal has performed well thanks to a segmented portfolio lending it the flexibility to address diverse consumer groups across the world. However, competitive intensity is increasing, which L'Oréal needs to heed to retain its market position in the long run. Sun Care Set/Kits Premium Cosmetics Mass Cosmetics © Euromonitor International BEAUTY AND PERSONAL CARE: L'ORÉAL GROUPE PASSPORT 2 STRATEGIC EVALUATION COMPETITIVE POSITIONING MARKET ASSESSMENT GEOGRAPHIC AND CATEGORY OPPORTUNITIES BRAND STRATEGY OPERATIONS RECOMMENDATIONS STRATEGIC EVALUATION Key company facts L'Oréal Groupe Headquarters: Regional involvement: France Global Skin care, colour cosmetics, Category involvement: hair care, fragrances, men’s grooming, sun care World BPC share 2011: 9.7% World BPC value 4.8% growth 2011: ...
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...ASSESSMENT OF THE PATIENT Why do we assess the pt? · To evaluate the client’s current physical condition · To detect early signs of developing health problems · · Gather General Data information….The Data Base 1. Personal Data 2. Chief Complaint = 3. Past Health History = the past health problems, treatments, & outcomes. A. Surgical history…..type & date of surgery. B. Medical Illnesses 4. Family History= 5. Allergies = 6. Current Meds 7. Prosthesis= Pacemaker, Hearing Aid, Dentures, False Eye, False Limb 8. ADL’S @ home….hygiene, bladder & bowel elimination, hygiene, activity level, diet habits. 9. Health Practices 10. Lifestyle Habits Vital Signs: Must be taken Height/Weight: Always take the pt’s weight on the hospital scale 1. Compare the weight with 2. Determine if See Guidelines of Wgt/Height measurement pg. 188. Before you begin your assessment, ask the pt how he/she feels? · Note any Signs & Symptoms = warning that something is wrong. A. sign= B. symptom = C. local sign= D. systemic sign = one that’s produced by the effect of disease on the whole body · Does the pt c/o any pain or discomfort? Where? · How much pain? · use Make your assessment give a mental picture of the patient: · don’t use critical or judgmental words · don’t use the words: Good or Bad, Well, or Normal · Instead describe why you think it’s normal, good, or bad! 4...
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...Evidence Based Nursing Practice Morise Oluwole Walden University Nurs 4000- Research and Scholarship for Evidence -Based Practice September 6, 2015 PRESSURE ULCERS An essential part of nursing care of hospitalized patients is skin integrity maintenance. As markers of the values or products of care most affected by the assessment and interventions delivered by nurses, the rate of PUs is being screened thoroughly now than ever before (Manning, 2015). Pressure ulcers (PUs) are preventable, but PU rates persist to increase disturbingly fast, according to an article by Gary and Hampton published in 2015, the incidence of PUs has increased in the US between 1995 and 2008. The purpose of this paper is to review the incidence of PUs and how to prevent its occurrence and nurses’ responsibility. Practice Setting Problem Pressure ulcer occurs when part of the skin and the tissues underneath are impaired as a result of being placed under enough pressure to impair blood supply. Immobility-related pressure ulcers are defined as localized areas of tissue damage that develops when soft tissue is compressed between a bony prominence and an external surface for a prolonged time. The most common sites were the sacrum, the heel, the ischium and the trochanter. Pressure is where the weight of the body squeezes the tissues between a bony prominence (such as heel, elbow, sacrum or ischials etc) and a hard surface (such as bed, chair or, in the case of heels, the floor). There are four...
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...Name malee bekakoo Student ID : 1367 Unit name: BSBADV507B Develop a media plan Course Name : Diploma of Business 1. Read the advertising brief provided in the Appendices of this Assessment Task. 2. Identify the characteristics of the target audience from the advertising brief. The primary target audience consists of women who are 25 to 45 years old. They are married or can be single. They are professionals and wives of professionals. They are from different racial backgrounds. Their income is about $150,000 per year. They are also beauty conscious and interested in looking after their well-being using holistic approaches to health. They consider taking care of their skin a major priority. They live an active life, occupying themselves with any combination of work, study, raising children, staying fit and healthy, and socialising. They are becoming increasingly aware of the adverse effects of chemical-based skin care products. They are searching for a skin care regime based on natural products which won’t harm their body or the environment. 3. Prepare a detailed consumer profile. Gender : | Female | Age : | 25-45 | Income : | Combined annual house hold incomes of approximately $150,000. | Marital Status : | Married, single, study | Level of education attained : | University graduates | Occupation attained : | They are professionals and wives of professionals. | Benefits sought : | 1. Earthsprite products are 100% natural, effective, affordable...
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...University of Santo Tomas College of Science Isolation of Microorganisms from Environmental Samples Experiment 6 (Group 6) JALIPA, Jomari T. JAVIER, Rhea A. JIMENEZ, Ma. Mikaela P. JURILLA, Joaquim Gerardo L. March 2016 ABSTRACT The exercise aims to enumerate the various microbial species that are present in a particular environment by collecting different substances such as pond water and soil that will be the source of microorganisms to be isolated and identified. Moreover, this exercise also aims to isolate microorganisms from the environment. This will be done by exposing half-strength Nutrient Agar plates to a specific site the experimenters chose. After which, the Agar plate will be incubated and the colonies formed were observed in the laboratory. INTRODUCTION There are approximately 10,000 named species of microorganisms. It is estimated that there are between 10,000 and 100,000 more unidentified species for every identified one (Truckee Meadows Community College, n.d.). Upon appearance, these microbes have evolved, diversified and virtually occupied every habitat possible on earth; from extreme environments to the corners of our nails, or from the deepest parts of the ocean to the tip of the high mountains. The ubiquity of these microorganisms causes them to populate in natural environments whether suspended in air, in water or associated with other organisms (ie: humans). Different surfaces whether inside or outside...
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...reached the age of 22, I developed a case of adult acne. My symptoms consisted of cystic pimples around my jawline, chin and neck. The acne severely impacted my self-image and psychological well-being at this time, since I had just started my first job after graduating college and had to work with clients in person. After seeing a dermatologist, I was diagnosed with moderate-to-severe late-onset adult acne. Anatomical Structure and Physiological Processes Affected by Adult Acne Acne - General Acne is a chronic skin disorder affecting both adolescents and adults. The birthplace of acne is the pore around the hair follicle. Each hair follicle contains sebaceous glands that produce a fatty oil called sebum which is meant to lubricate the hair and skin. Hair follicles become clogged with shedding cells from the lining of the follicle, and clump together blocking the sebum from traveling up from the hair shaft and out through the pore. When the excess dead skin cells and sebum are present, they solidify as a soft plug that may close the pore. This causes the follicle wall to bulge and a whitehead is formed. Blackheads are formed if the pore remains open and the top surface of the plug darkens. A pimple then develops when the wall of the hair follicle ruptures. An inflammatory response is stimulated by P. acnes (Propionibacterium acnes) and other microorganisms, resulting in a red pimple filled with pus (Howard). Adult Acne in Females There are two types of adult acne:...
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...Integumentary Disorders Anatomy of the skin The skin consists of 3 layers: 1. Epidermis- non vascular outermost layer, continuously dividing cells 2. Dermis- takes the largest portion of the skin and provides strength and structure. It consists of glands (sebaceous, sweat), hair follicle, blood vessels, and nerve endings 3. Subcutaneous tissue (hypodermis)- the inner most layer. contains major vascular networks, fat, nerves, and lymphatics Function of the skin • Protection- protection of underlying structures from invasion by bacteria, noxious chemicals and foreign matter. • Sensory perception- transmits pain, touch, pressure, temperature, itching, etc • Fluid balance (excretion)- absorption of fluids and evaporation of excess. • Temperature regulation- produced heat released through skin by radiation, conduction, and convection 1|Page • Vitamin synthesis- skin exposed to ultra violet light can convert substances necessary for synthesizing vitamin D3 (cholecalciferol). • Aesthetic- affects appearance Factors influencing skin integrity • Immoblity is the major factor leading to pressure sore development . • The pt who is confined to bed & unable to change position is at greatest risk . • Trauma most likely occur – over the prominent areas – weight bearing areas • • Prolonged pressure impairs blood flow to tissue & resulfs in ischemia & inferction The extent of pressure necessary to cause tisue damage...
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...3 million of patient admitted in the healthcare setting, and account up to $5 million in annual health care expenditure. Healing a single pressure ulcer can cost as much as $90,000 (McGee, 2000). Pressure ulcers can develop in immobilized, elderly patient and those that have physical impairment especially on those patients living in long term care facilities. According to research about 15% of patient admitted to the nursing home have pressure ulcer upon admission and those without pressure ulcer develop it within two years of their stay. About 9% of hospitalized patient develop pressure ulcer (McGee,2000). For instance in the hospital where I practice, this problem was rampant , either because nurses do not perform thorough skin assessment upon admission, or the nurses and other health care providers are not giving quality care to the patient. In most case, it was due to the carelessness of nurses, some patient already develops the pressure ulcer upon admission, but it was not realized initially, therefore the hospital is responsible for the cost of treatment and long hospital stay. This problem prompted the hospital to set up an association/committee that collaborates with experts and researchers to provide the best treatment and prevention of pressure ulcer using evidence based practice. This committee elected some representatives who monitor wound protocol as a method of evaluating quality of care. They also introduce a guideline entitled “pressure ulcer prevention...
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...Skin is the largest structure in the body, and it has three layers, Epidermis, dermis, and hypodermis. Epidermis provides a waterproof barrier and creates the skin tone. Dermis contains blood vessel that feeds the skin, and hypodermis: helps body from getting too cold or too warm, protects muscles and bones from pumps and falls. Malignant Melanoma is the most life threatening and deadliest skin cancer in the world. Malignant melanoma develops in the melanocytes, and melanocyte give the skin its color, and it will be easier to spread in the skin. The melanoma in women mostly occur on the legs, while in men they are most common on the back. It can also form in your eyes in internal organs, like intestines. There are three types of malignant...
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...of acute wounds, and they can develop superficial or from within the deep tissue. Early Pressure sore signs detection is challenging and healing process occurs within deep tissue layers. It is caused when skin and the tissues below are damaged due to being placed under pressure to impair blood supply, and this is a major problem for patients with reduced ability to sense injury and with impaired mobility. The management of these wounds entails many different approaches such as mattresses, cushions, airbeds, and pressure-relieving supporting surfaces. High-frequency ultrasound is a method for evaluation of wounds such as pressure ulcers, burn scars, and surgery wounds. It has been shown to be better at wound assessment then CT, MRI or X-rays. This research reported nonhomogeneous echogenic areas...
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... 4 y/o Post incision and drainage Cues | Diagnosis | Inference | Plan of care | Nursing Interventions | Rationale | Evaluation | Subjective:“ sakit sugat ko dito ma” as verbalized by the patientObjective: * Localized erythema and edema * (+) pruritus on the site of the incision. * (+) Facial grimace * (+)Irritability * (+) Guarding behavior * (+) Crying * (+) VS normal T= 36.8 ‘ c PR= 77 RR= 25 * Pain assessment>Location: Right post auricular area>Interval: frequent | Acute pain related to tissue trauma secondary to incision and drainage as manifested by * Localized erythema and edema * Pruritus on the site of the incision * Facial grimace * Irritability * Crying * Guarding behavior * Frequent interval of pain | Nociceptive stimuli(wound/inflammation)↓Nerve fibers (nociceptor) ↓ ↓A-delta fiber C-fiber (fast) (slow) ↓ ↓ Spinal cord & Dorsal horn pain modulating circuit (primary touch fiber) Neospino- Paleospino- thalamic thalamic tract (sharp, tract (dull,bright pain) aching pain) Substantia Gelatinosa (synapse) Thalamus (center...
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...Skin has three layers: Epidermis - The epidermis, the outermost layer of skin, provides a waterproof barrier and creates our skin tone. Dermis - The dermis, beneath the epidermis, contains tough connective tissue, hair follicles and sweat glands. Hypodermis - The deeper subcutaneous tissue (hypodermis) is made of fat and connective tissue. Skin serves several functions such as: Regulation of body temperature. In response to high environmental temperature or strenuous exercise, the evaporation of sweat from the skin surface helps lower an elevated body temperature to normal. In response to low environmental temperature, production of sweat is decreased, which helps conserve heat. Changes in the flow of blood to the skin also help regulate...
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...above, we can see that we have extended our service to some days. This is due to some unavoidable circumstances happened during the event day. The total batches that we planned to provide a service is 10 batches. However, during the event, only 7 batches were attended. Another 3 batches were not available due to assignment trip. Therefore, we proceeded with the services and lessons with a total of 7 batches. Everything went smoothly as per planned except on the skin analysis and the make-up lesson. Unfortunately, our skin analysis machine was not functioning well and our make-up artist, Carmen Wong who is supposely to give the make-up talk and lesson was unable to attend the event due to illness. These are the reason why we can not proceed with make-up lesson and the skin analysis service on that event day which is on July 31st. Other than that, the evaluation form has been completed on that day for us to review. With that, we received a feedback from the evaluation form. Most of them wanted the make-up lesson and skin analysis service to be operated. Therefore, we planned to perform again to make our service complete 100% in order to satisfy everyone’s needs. We feel that our reputation in delivering good services is important as our major concern is customer’s satisfaction. Besides, we noticed that we should extend the lesson...
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...device • Impaired sensory perception (impaired ability to respond meaningfully to pressure-related discomfort). Patients without sensory perception impairment remove or request removal of shoes, stockings, or medical devices that feel uncomfortable or too tight. Conversely, patients with sensory perception impairment may not adequately communicate discomfort such as with confusion, disorientation, over-sedation or unresponsiveness. Patients who are alert and oriented may also be unable to communicate discomfort if they are orally intubated, speak a different language than their caregivers, or cannot feel pain due to paralysis or neuropathy. • Moisture may be a cofactor for the development of device related pressure ulcers making the skin less resilient in the presence of nasal, oral, or gastric secretions or oxygen humidity. Common Presentation/Differential Diagnosis • Located under or near a medical device • May not be associated with a bony prominence • Sometimes in the shape of a medical device • Rapid deterioration to sDTI, stage III, IV or unstagable due to locations without fatty tissue (i.e. nares, behind the...
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...Is Apremilast a safe and effective alternative to use in patients presenting with moderate to severe plaque psoriasis who qualify for phototherapy or biologics? Background: Plaque psoriasis is a chronic autoimmune condition that appears on the skin and presents as patches of thick, red, itchy, and scaly skin, particularly on the scalp, elbows, and knees.6,9 Psoriasis is a serious medical condition and affects approximately 7.5 million individuals.3 The current treatment regimen for moderate to severe plaque psoriasis consists of systemic agents, phototherapy, or biologic agents. Apremilast is the first oral drug to receive FDA approval (march 21, 2014), it is an oral phosphodiesterase 4 inhibitor (PDE4) which works intracellularly to prevent the breakdown of cyclic adenosine monophosphate (cAMP) which is important for cellular processes such as inflammation, and it prevents pro-inflammatory cytokine production. Apremilast inhibitors tumor necrosis factor-alpha (TNF-alpha), interferon-gamma, and interleukinds-12, 23 and others. It is important to determine if apremilast can be used as an alternative therapy for patients who are not responding to biologics or phototherapy, and those who...
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