...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 and has brain perfusion. If he speaks only in short sentences, he may have breathing problems. Failure of the patient to respond is a clear marker of critical illness. This first rapid ‘Look, Listen and Feel” of the patient should take about 30 s and will often indicate a patient is critically ill and there is a need for urgent help. Ask a colleague to ensure appropriate help is coming....
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...much-admired The Lost World (1925). By the 1930s, he combined his creative talents “with director James Whale, for whom he photographed the first three of Whale's quartet of horror films: Frankenstein (1931), The Old Dark House (1932), and The Invisible Man (1933)” (Wikipedia). Edeson’s cinematic technique can be seen elsewhere in film like The Maltese Falcon (1941), Sergeant York (1941), Casablanca (1942), The Mask of Dimitrios (1944), and Three Strangers (1946). The excellent cinematography in Frankenstein evokes a surreal and mysterious quality, perfectly matching the thunder and lightening storm above the gloomy castle in classic black and white imagery, and capturing that German Expressionism completely, from acting to set design, everything is wonderfully filmed, but as film critic Leonard Matlin mentions in his book Leonard Maltin's Movie and Video Guide 1994, “It’s creaky at times, and cries for music score, but it’s still impressive” (Maltins 441). Historians will point out,...
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...Abstract This paper is about France’s issue with women wearing the veil in public. French people justify wanting to ban the veil by saying that it affects their identity, is threatening, and stands for oppression of women. A lot of statistics are used to prove that what they are claiming is incorrect. I will also be supporting my argument with stories of women who are affected already from credible sources like books. As a woman who wears the veil, I want people to think about the impact that this ban can have on women like me. Even though I do not live in France, countries around France are beginning to act similarly, and so sooner or later it will affect me and the women around me. “In our country, we cannot accept that women be prisoners behind a screen, cut off from all social life, deprived of all identity,” he said to rolling applause. “The burqa is not a religious sign, it’s a sign of subservience, a sign of debasement – I want to say it solemnly: It will not be welcome on the territory of the French Republic” (“Sarkozy speaks out against burka”, 2009) is what French president Nicholas Sarkozy said on March 2004, according to BBC News. What happens if the ban is applied is that women who are seen wearing the veil in public will be fined 15o euros (£119). 30,000 euros and a one-year sentence to jail will befall men who force their women to wear the veil (“French Senate Votes to Ban Islamic Veil in Public”, 2010). The word people use to describe the veil differs from...
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...Running head: CASE STUDY LS Mental Health Case Study LS Nicole Castro College of Southern Nevada Division of Nursing Mental Health Nursing Clinical NURS 243C-S10 Micki Lin Mongogna-Alarcon, MA, BSN, RN October 18, 2010 Mental Health Case Study DM Demographic Data: LS is a 44 year-old female of African and Hispanic decent. She was born in California but moved to Las Vegas as a teenager. She stated that she attended Clark High School and went to a “stewardess college” in California. She worked as a stewardess for 4 years and quit in 1986. Her father was African-American and her mother is Hispanic. She has 4 brothers and 2 sisters. She is married and lives with her husband and his son in their private home. She has two children, fathered by her ex-husband, who are now in custody of LS’s mother. Her children were taken away from her, by the court, due to her abuse of drugs and alcohol. LS stated that her father abused alcohol and that all of her brothers and sisters abused drugs and were diagnosed with bipolar disorder. LS stated that she started noticing symptoms of what she thought was depression 6 years ago but was diagnosed with bipolar disorder in 2005. Her chart stated that she has had an 11 year history of bipolar disorder. Presenting Problem: LS stated that she had not been taking her medications for four days because her husband forgot to pick up her medications from the pharmacy. However, her chart stated that she was off of her medications...
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...Harvard Business School 9-395-016 January 3, 1995 3M: Profile of an Innovating Company As a perennial winner in Fortune magazine’s annual poll of American CEOs to determine “The Ten Most Admired Corporations,” 3M was almost universally recognized as one of the world’s most consistently innovative companies. Indeed, Fortune described it as “a kind of corporate petri dish that fosters a culture of innovation.” In an era when large companies were struggling to reignite employees’ entrepreneurial spark, 3M was the benchmarking standard. Yet, in November 1991, as “Desi” DeSimone assumed the job of CEO in the midst of a worldwide recession, he was more focused on 3M’s uncertain future than on its glorious past. Beyond the stagnating sales and declining margins he knew would be reflected in his first annual report (see Exhibit 1), DeSimone was aware that the company faced some longer term challenges. With a portfolio of over 100 core technologies being leveraged into some 60,000 products which it sold in 200 countries, some observers were beginning to ask whether this $14 billion giant with over 88,000 employees could continue its extraordinary innovation-powered growth and expansion. It was a question that the new CEO knew he would have to confront honestly. A lot more than the continued admiration of his Fortune 500 peers depended on it. The Beginning: Foundations of 3M’s Values In 1902, on the basis of a report that deposits of corundum, an abrasive mineral, had been found...
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...For the exclusive use of Q. WEI2015. 9-699-012 REV: JULY 23, 2002 STEFAN THOMKE Innovation at 3M Corporation (A) On the evening of October 23, 1997, Rita Shor, senior product specialist at 3M, looked across the conference room at her team from the Medical-Surgical Markets Division. She wondered when to draw to close the intense ongoing debate on the nature of the team’s recommendations to the Health Care Unit’s senior management. A hand-picked group of talented individuals, the team had embarked on a new method for understanding customer needs called “Lead User Research.” But this initiative to introduce leading-edge market research methods into 3M’s legendary innovation process had now grown into a revolutionary series of recommendations that threatened to rip apart the division. While senior management wanted the “Lead User” team to execute a manageable project involving surgical draping material to protect surgery patients from infections, the team now wanted to rewrite the entire business unit’s strategy statement to also include more pro-active products or services that would permit the upstream containment of infectious agents such as germs. This went against the incrementalist approach that for so long had pervaded 3M. After all, as Mary Sonnack, division scientist and an internal 3M consultant on the new Lead User methodology, noted “3M gets so much revenue from incremental products . . . like a blue Post-it note instead of just a yellow one.” ...
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...Introduction The last few years have seen an increase in research in the treatment of childhood cancer. Such research is essential for understanding common challenges that arise after the difficult cancer diagnosis experience and may lead to better strategies and interventions for anticipating and mitigating the adverse impact of cancer on the child and his or her family giving a more holistic approach to care. From this case study, one can immediately notice that family Cauchi have passed through a lot of hardships over a short period of time. Over three weeks they have faced the diagnosis of cancer, prolonged hospitalisation, and a disrupted routine, together with surgical and invasive procedures, intensive treatment along with adverse side-effects, as well as changes in the child’s body image and in his habitual personality. In its first section, this assignment will give an overview of the initial diagnosis and acute phase of the leukaemia treatment. In light of literature, the following section will discuss and evaluate interventions carried out to prevent, reduce and manage adverse side-effects, in order to maintain the overall physical health of the child. Subsequently, the impact of the illness experience on the child, sibling and the parents is addressed from a psychological, social and spiritual point of view. The nurse’s role in providing support, information and education throughout hospitalisation, as well as in preparation for discharge, is outlined...
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...‘The body has become part of a project to be worked at, a project increasingly linked to a person’s identity of self.’ (Entwistle, ‘The Influence of Foucault,’ 19) Discuss. Pictures of the self- reinforced through language, imagery, embodied practices and mental habits- hold us captive in ways we are not even aware of. The challenge of thinking ourselves differently as embodied individuals demands that we make visible these pictures so that we can come to understand, if you will, that the door might open inwards. (Heyes, 2007: 20) The physical body we live in-‘we’ being our innate selves, our souls- denies society the view beneath the skin. The only indication of our identity, as Heyes implies, is through the visual self. This is supported by Thesander’s (1997) assertion that “the most characteristic aspect of fashion is its ability to transform objects into symbols. Clothes are transformed into fashion garments and the body becomes the fashion body.” (67) In this essay, I will discuss, using various readings, about how women’s bodies are moulded by society and how it shifts with the current ideals of beauty. I will also elaborate on how the body is used as a shell to depict what the inside holds, in other words, the identity of the being residing in it. I will use Michel Foucault’s theories to explain how the body is affected by the subjection of discipline and examination. Then, I will use the concept of cosmetic surgery to show how the body is an ongoing project to be worked...
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...The Illusion of Leadership Directing Creativity in Business and the Arts Piers Ibbotson The Illusion of Leadership This page intentionally left blank The Illusion of Leadership Directing Creativity in Business and the Arts Piers Ibbotson © Piers Ibbotson 2008 All rights reserved. No reproduction, copy or transmission of this publication may be made without written permission. No portion of this publication may be reproduced, copied or transmitted save with written permission or in accordance with the provisions of the Copyright, Designs and Patents Act 1988, or under the terms of any licence permitting limited copying issued by the Copyright Licensing Agency, Saffron House, 6-10 Kirby Street, London EC1N 8TS. Any person who does any unauthorized act in relation to this publication may be liable to criminal prosecution and civil claims for damages. The author has asserted his right to be identified as the author of this work in accordance with the Copyright, Designs and Patents Act 1988. First published 2008 by PALGRAVE MACMILLAN Palgrave Macmillan in the UK is an imprint of Macmillan Publishers Limited, registered in England, company number 785998, of Houndmills, Basingstoke, Hampshire RG21 6XS. Palgrave Macmillan in the US is a division of St Martin’s Press LLC, 175 Fifth Avenue, New York, NY 10010. Palgrave Macmillan is the global academic imprint of the above companies and has companies and representatives throughout the world. Palgrave® and Macmillan®...
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...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...
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...SITUATION : Arthur, A registered nurse, witnessed an old woman hit by a motorcycle while crossing a train railway. The old woman fell at the railway. Arthur rushed at the scene. 1. As a registered nurse, Arthur knew that the first thing that he will do at the scene is A. Stay with the person, Encourage her to remain still and Immobilize the leg while While waiting for the ambulance. B. Leave the person for a few moments to call for help. C. Reduce the fracture manually. D. Move the person to a safer place. 2. Arthur suspects a hip fracture when he noticed that the old woman’s leg is A. Lengthened, Abducted and Internally Rotated. B. Shortened, Abducted and Externally Rotated. C. Shortened, Adducted and Internally Rotated. D. Shortened, Adducted and Externally Rotated. 3. The old woman complains of pain. John noticed that the knee is reddened, warm to touch and swollen. John interprets that this signs and symptoms are likely related to A. Infection B. Thrombophlebitis C. Inflammation D. Degenerative disease 4. The old woman told John that she has osteoporosis; Arthur knew that all of the following factors would contribute to osteoporosis except A. Hypothyroidism B. End stage renal disease C. Cushing’s Disease D. Taking Furosemide and Phenytoin. 5. Martha, The old woman was now Immobilized and brought to the emergency room. The X-ray shows a fractured femur and pelvis. The ER Nurse would carefully monitor Martha for which of the following...
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...Clinical guidelines Diagnosis and treatment manual for curative programmes in hospitals and dispensaries guidance for prescribing 2010 EDITION © Médecins Sans Frontières – January 2010 All rights reserved for all countries. No reproduction, translation and adaptation may be done without the prior permission of the Copyright owner. ISBN 2-906498-81-5 Clinical guidelines Diagnosis and treatment manual Editorial Committee: I. Broek (MD), N. Harris (MD), M. Henkens (MD), H. Mekaoui (MD), P.P. Palma (MD), E. Szumilin (MD) and V. Grouzard (N, general editor) Contributors: P. Albajar (MD), S. Balkan (MD), P. Barel (MD), E. Baron (MD), M. Biot (MD), F. Boillot (S), L. Bonte (L), M.C. Bottineau (MD), M.E. Burny (N), M. Cereceda (MD), F. Charles (MD), M.J de Chazelles (MD), D. Chédorge (N), A.S. Coutin (MD), C. Danet (MD), B. Dehaye (S), K. Dilworth (MD), F. Fermon (N), B. Graz (MD), B. Guyard-Boileau (MD), G. Hanquet (MD), G. Harczi (N), M. van Herp (MD), C. Hook (MD), K. de Jong (P), S. Lagrange (MD), X. Lassalle (AA), D. Laureillard (MD), M. Lekkerkerker (MD), J. Maritoux (Ph), J. Menschik (MD), D. Mesia (MD), A. Minetti (MD), R. Murphy (MD), J. Pinel (Ph), J. Rigal (MD), M. de Smet (MD), S. Seyfert (MD), F. Varaine (MD), B. Vasset (MD) (S) Surgeon, (L) Laboratory technician, (MD) Medical Doctor, (N) Nurse, (AA) Anaesthetist-assistant, (Ph) Pharmacist, (P) Psychologist We would like to thank the following doctors for their invaluable help:...
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...writer on writing I suppose my head has always been full of images. Peter Shaffer is one of Britain's foremost contemporary dramatists. Born in 1926 and educated at Cambridge he had a variety of jobs before becoming a playwright. During the Second World War he worked down a coal-mine; he has also worked in the New York Public Library and as a journalist. He was awarded the CBE in the 1987 Birthday Honours List. His first big success was with Five Finger Exercise in 1958, which ran for two years in London before transferring to New York. Other successes include Amadeus (which has been filmed), The Private Ear: The Public Eye and The Royal Hunt of the Sun. This last play represented a departure for Shaffer as a writer; he moved from detective stories, naturalistic drama and farce to epic theatre and the adoption of avant-garde stage techniques. It was while writing The Royal Hunt of the Sun that Shaffer first collaborated with the British theatrical director John Dexter, who also directed Equus in its first production at the National Theatre in 1973. 5 Both The Royal Hunt of the Sun and Equus are above all plays about faith. One of Shaffer's preoccupations as a writer is with the concept of worship and human beings' attempts at gaining or...
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...NINTH EDITION Burton’s MICROBIOLOGY FOR THE HEALTH SCIENCES Paul G. Engelkirk, PhD, MT(ASCP), SM(AAM) Biomedical Educational Services (Biomed Ed) Belton, Texas Adjunct Faculty, Biology Department Temple College, Temple, TX Janet Duben-Engelkirk, EdD, MT(ASCP) Biomedical Educational Services (Biomed Ed) Belton, Texas Adjunct Faculty, Biotechnology Department Temple College, Temple, TX Acquisitions Editor: David B. Troy Product Manager: John Larkin Managing Editor: Laura S. Horowitz, Hearthside Publishing Services Marketing Manager: Allison Powell Designer: Steve Druding Compositor: Maryland Composition/Absolute Service Inc. Ninth Edition Copyright © 2011 Lippincott Williams & Wilkins, a Wolters Kluwer business © 2007 Lippincott Williams & Wilkins, © 2004 Lippincott Williams & Wilkins, © 2000 Lippincott Williams & Wilkins, © 1996 Lippincott-Raven, © 1992, 1988, 1983, 1979 JB Lippincott Co. 351 West Camden Street Baltimore, MD 21201 Printed in the People’s Republic of China All rights reserved. This book is protected by copyright. No part of this book may be reproduced or transmitted in any form or by any means, including as photocopies or scanned-in or other electronic copies, or utilized by any information storage and retrieval system without written permission from the copyright owner, except for brief quotations embodied in critical articles and reviews. Materials appearing in this book prepared by individuals as part of their official duties as U.S. government employees...
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