Saturday, October 5, 2019

Visual Impairment Assignment Example | Topics and Well Written Essays - 500 words

Visual Impairment - Assignment Example Due to this, they are not able to differentiate colors as well as to evade obstacles that may come across their path. While walking with blind folded eyes, all one sees is darkness which makes it impossible to describe the surroundings in which you are in for example whether ugly or beautiful. Spatial awareness also is an important feature that visually impaired people lack. This is the ability to distinguish the surroundings in which a person is which helps one to easily spot and comprehend issues. As such, a visually impaired person may not be able for example to translate other people’s facial expressions which could help him to read their attitude towards an issue. During the activity, various environmental and physical issues were encountered. For example it was difficult to walk without the help of a cane. Using it made it easier to stabilize the body thus making walking much easier. It also helped to evade physical obstacles thus reducing the chances of causing an accident or being injured. Accessing doors was also difficult since it was hard to estimate their exact location. I had to be guided by another person in order to access the doors without falling through the stair cases that lead to the doors. During this time also, it was difficult to follow the directions that were given to me since it was not possible to approximate the exact distance that I was supposed to cover in order to make turns that would lead to my destination. Getting around the campus with a visual impairment is a difficult task especially while navigating through the numerous foot paths which lead to different sections of the campus. Finding directions required the support of another person i.e. my partner, who held my hands and guided me to the right places after I almost fell into a drainage tunnel. Accessing doors was the most difficult task first

Friday, October 4, 2019

Key Reasons for the Depressing Sales and Profit Case Study

Key Reasons for the Depressing Sales and Profit - Case Study Example One of the chief reasons that try to explain the depressing sales and profits of the Cafe Bijoux is the poor advertising and promotion of the restaurant. In accordance to the introduction of the case, study of the Cafe Bijoux, Jennifer the professor of marketing and a marketing consultant drove back and forth the B street in search for the Cafe Bijoux. Jennifer also denotes that she drove along the B Street making several turns without seeing any visible sign of the restaurant1. This implies that the management of the restaurant has failed in making Cafe Bijoux known to the people. Only after making several circling around the street is when Jennifer was capable of seeing a small sign giving direction to the Cafe Bijoux restaurant. In accordance to the description of Jennifer, it is evident that poor promotion and advertisement of the Cafe Bijoux has contributed to the depressing sales and profits. The number of customers visiting a restaurant is determined by the advertisement and p romotions made concerning the services offered. Since the management of the Cafe Bijoux lacks appropriate advertising techniques, it is almost impossible of the customers interested in obtaining food services from the cafe to identify the direction of the cafe2. Since the cafe is poorly advertised to the customers, it explains the reason why the sales and profits are depressing. Fewer customers visiting the Cafe Bijoux contribute little to the management and maintenance of the cafe. An additional reason that explains to the depressing profits and sales of the Cafe Bijoux is fact that the restaurant offers only one meal. The Cafe Bijoux only offers lunch meals to the target customers. Most of the restaurants in the region that aim at increasing the profitable margins aim at serving the customers with breakfast, lunch and dinner. However, serving the customers with only one meal gives a reason why the Cafe Bijoux receives depressing profits and sales. Not all the target customers will eat lunch from the restaurant. Some of the customers will prefer eating breakfast and maybe carry take away dinner to eat with the rest of the family members. However, since the Cafe Bijoux only offers launch meals alone, it discourages the number of the customers willing to eat breakfast and dinner at the same time3. The restaurant ought to increase the number of meals served to attract more customers and increase the sales and profitable returns. 2. Jennifer conducted a quick phone survey to understand the primary customers’ perceptions about Cafe Bijoux. Describe how Jennifer might have conducted the phone survey (based on your knowledge from marketing research). Phone surveys are one of the modern methods of data collection especially in the field of marketing to gather more information concerning the behavior of the customers. In accordance to the case study of the Cafe Bijoux restaurant, Jennifer conducted a quick phone survey to identify the customer’s behavior in relationship to the attitude and perception towards the Cafe Bijoux4. In conducting the phone survey, Jenner also gained additional information concerning the perception of the surrounding resident towards the services offered by the Cafe Bijoux. The phone survey concerning the Cafe Bijoux would also aid in undertaking customers analysis hence discovering the problems affecting the customers willing to acquire services from the restaurant. In Jennifer’s case, the Cafe Bijoux quick phone survey purposefully conducted the quick phone survey to find out the behavior of the City Hall employees who were the key target for the meals served. The phone survey conducted by Jennifer concerning Cafe Bijoux might have been undertaken in diverse ways to get a proper feedback of the

Thursday, October 3, 2019

Morality in Politics Essay Example for Free

Morality in Politics Essay Civic virtue is the formation of habits of personal living that are claimed to be important for the success of the community. This term was important to Aristotle’s theories on politics. He felt that all humans should take pleasure in civic virtue and that it was essential for living â€Å"the good life†. Today, our democratic government is well-suited to promote civic virtue and participation of all people in the country. Although times have changed since Aristotle’s days, this ideology can be seen actively in our society. One of the main ideas in Aristotle’s philosophy was teleos, or the purpose or goal of something. To fully understand something, we must also understand its teleos. For example, I have an apple. I know that it is red, kind of round, and grows on a tree, but the real purpose or teleos of that apple to me is food. As far as humans go, Aristotle says that humans are meant to be happy. To be happy, humans must live a life of virtue, which means they always choose what is morally good. Humans have the abilities to think and speak, and therefore decide what is good and bad, right and wrong, etc. People that may think they are living a good life but are not making moral decisions are not truly happy in Aristotle’s eyes. Politics provides a place for people to interact with each other, talk about what is right and wrong, just or unjust, and to make laws reflecting these things. It allows people to participate in their lives, make ethical decisions, and fulfill their happiness potential. Politics is dynamic, unlike math or science that are concrete and unchanging. People can work with each other in politics and work for the greater good. The development of civic virtue allows for a person to relate to their community. It helps them understand their ties to the community and responsibility within it. It helps them see beyond their own personal interests. Some examples of civic virtue would be voting, volunteering, or going to a town meeting. Today, anyone can participate in these things, but Aristotle believed differently. He held that women and slaves were not eligible to participate in politics, and very young men were not ready to participate because they did not understand how the society worked yet. Because of this, a small number of people in his time actually participated in politics compared to today. The American democratic government is well suited for civic virtue. The first reason is that everyone can participate, which means that everyone has the opportunity to become happy people living their life to the fullest. Anyone, provided they are 18 and a citizen, can vote. They can vote for the candidate they feel will represent their moral views and put them into action. People can run for office and put their views to work. Another reason is freedom of speech. Americans have the opportunity to speak freely about issues and share their opinions with others. This helps them create those habits of morality that become a part of their civic virtue. A third reason is the freedom to assemble. Any person can start a club or a group to meet with others. Active participation in public life is essential to civic virtue. A group may be a philanthropy group aimed at helping others. Reciprocity or giving back to the community is another key element of civic virtue. Virtue is closely related to free will. Through active participation, people develop their moral compass and they develop their ideas of what is right and wrong, and their habits of how to react in situations accordingly. People develop their own morality. How can one legislate free will? You cannot. But the legal system can shape morality. By setting laws in certain ways, people will develop their moral views around them. Laws can shape habits by reducing the frequency of certain acts. Giving prison time, fines, probation, and so on can help people learn that they do not want to do the things that caused those punishments. Laws can shape morality as well because people naturally draw influence from other sources. Some may create their moral background on the basis of religion or their family, but the law can be one of those influences as well. The legal system is important for developing morality in society and promoting civic virtue. Civic virtue is important in society. By actively participating in the community, Aristotle believes that people will be ultimately happy. The true purpose of humans is to be happy, and civic virtue is the pathway to this happiness. The American government gives many opportunities for people to participate in both politics and the community, which promotes civic virtue.

Wednesday, October 2, 2019

Clinical Manifestation Of Osteomyelitis Nursing Essay

Clinical Manifestation Of Osteomyelitis Nursing Essay Osteomyelitis is the inflammation of the bone. This can be due to bacteria, fungi and germs PubMed Health 2012. Bone destruction, necrosis and formation of new bone or also called as involucrum are all features of chronic osteomyelitis. Osteomyelitis are characterised into two types depending where the infection originates. Homogenous osteomyelitis where the culprit of the infection such as bacteria, fungi or germs enters the bone through the lymphatic and circulatory systems and lodged in the small vessels, causing blockage in the bone. The bone will deprived of oxygen supply that causes thrombosis, ischaemia and eventually the bone will die, known as sequestrum (Marek 2007). The characteristic of bone inflammation is the accumulation of fluid, increased vasculature and leukocytes in the area. Bones caniculi will be sealed by exudates through the metaphysis, bone marrow cavity and into the cortex. As a result, this will lead to the formation of new bone by osteoblast, known, as invo lucrum. The infected materials escape through the opening of the involucrum into the soft tissues. The infectious materials will weaken the cortex of bone making it more prone to fracture (Marek 2007). Exogenous osteomyelitis is the infection starts at the soft tissues affecting the muscles and connective tissues that lead to the formation of abscesses oedema or this is known as Brodies abscesses (Marek 2007). Clinical Manifestation of Osteomyelitis The clinical manifestation of osteomyelitis generally includes general malaise or weakness, headache, anorexia and fever. The site of infection will exhibit redness, swelling, warm to touch, tender and usually contains purulent material (Marek 2007). The high dose intravenous antibiotic treatment for Mr. Andrews of three to eight weeks is necessary to kill the causative agents of the infection and prevent its reoccurrence (Marek 2007). What is PICC and the complications associated with the device? Peripherally inserted central catheter or PICC is a soft, long plastic tube inserted into the superficial vein proximal to the basilic or cephalic vein. The PICC is place for medication treatment such as antibiotic, chemotherapy and total parenteral nutrition (TPN) (California Pacific Medical Center 2012). Complications of the PICC are includes infection, occlusion, thrombosis and air embolism. Infection usually occurs either inside or on the insertion site. The area becomes swollen/tender, red and fever. The PICC line should be plush before and after the procedure to ensure patency of the line thus, preventing blood clot or thrombosis. The line should remained clamped and close after being used to prevent air from entering into the system (Erickson Field 2007). What information should be included in the nurses documentation of the dressing change? When changing the dressing the nurses should observe for signs and symptoms of systemic infection such as redness and swelling or any abnormalities on the surrounding area (Monahan et al 2007, p 1592). The documentation should include the date and time of dressing change, appearance of the wound or infection site, may take a photo of the infection or trace the wound using tracing paper. The location of the infection should be documented, any signs of granulating tissue or presence of slough material, purulent discharge and its amount and ask for patient of any pain around the site. What observations should be noted related to the exudates collected in the haemovac? The exudates collected in the haemovac should be noted. The amount or volume, color, odour and consistency should all be documented on the wound chart. The new data collected should be compared from the previous data to ensure that the wound discharge is decreasing. If not, the wound is not probably healing and infection is still going on. In this case, this should be reported to the doctor. Each of the medication below is prescribed for Mr. Andrews. For each provide the therapeutic drug classification and discuss the purpose of the medication for Mr. Andrews and potential adverse effect(s) that the nurse should monitor. Linezolid (Zyvox) oral is an antibacterial agent that inhibits the protein synthesis of the bacteria. This drug is use to treat infection on Mr. Andrews hip (Tiziani 2010, p 129). Some of the adverse reaction includes lactic acidosis, nausea and vomiting and low level of bicarbonate. If patient experience recurrent nausea and vomiting this should be reported to the doctor immediately (McKinnell, Jr. nd). Enoxaparin (Clexane) sub-cut is an anticoagulant medication use to prevent the formation of clot. This is usually given to patient after surgery and bedridden patient (Tiziani 2010, p 137). Patient should be monitor for any sign and symptoms of bruising or pain on the site, bleeding, haematoma, difficulty breathing or anything that is unusual (Tiziani 2010, p 138). Docusate Sodium (Coloxyl with Senna) oral is a laxative drugs use to prevent constipation. Mr. Andrews may experience constipation as a side effect to pain medication. This drug is given to alleviate restraining during defaecation . Some of the common side effects of the drugs includes: nausea, abdominal bloating and flatulence (Tiziani 2010, p 612). Tramadol hydrochloride (Tramal) oral- is a synthetic opioid analgesic for the treatment of pain. The adverse effects of the drug include nausea, anorexia, constipation, vomiting, dry mouth and many others. Important nursing consideration to consider if given to patient is to ensure that the patient will not develop dependency on the drugs Tiziani 2010, p 655). This drug will help alleviate Mr. Andrews pain due to surgical incision from his hip infection. Paracetamol (Panadol) oral is an analgesic and anti-pyretic medication. It is a short acting pain relief drug that is usually given in conjunction with slow release pain medication such as Tramadol. Avoid using with other Paracetamol drugs to prevent overdose and liver problems. Monitor patient for sign of overdose like nausea, lethargy, abdominal pain, hypotension, sweating and hypoglycaemia (Tiziani 2010, p 11-12). Conclusion If a wound is not looked after it can become a serious illness and even cause death. Osteomyelitis is one of the serious complication related to surgery, it is really a nasty disease that could paralysed or killed someone if left untreated. A proper monitoring and right treatment of the disease is the key to managing and controlling the adverse possible complication osteomyelitis can bring. The drugs used to treat the infection, surgery to the removed the dead tissues, maintaining aseptic technique during wound dressing and proper monitoring and documentation of the wound are essentials to keep the wound healed. There are also some important things to consider in giving the drugs to the patient to ensure that the drugs effectively does its intended job and there should be no major side effects to the patient.

How Does Stevenson Intend His Readers to Respond to Dr Jekyll and Mr :: English Literature

How Does Stevenson Intend His Readers to Respond to Dr Jekyll and Mr Hyde? What Methods Does He Use to Bring About These Responses? Robert Lewis (later changed to ‘Louis’) Stevenson was born in Edinburgh November 13th 1850, into an engineering family. Although he had been plagued with illness all his life, after inheriting tuberculosis from his mother, he enrolled at Edinburgh University to study engineering, to follow in his successful father’s footsteps. However he abandoned that road of studies and swapped to law, where he ‘passed advocate,’ although he had the education to practise law he did not follow that either, because by this time he had realised that he could and would write instead. To expand his horizons he would visit France in the summer to be within the company of other artists, both painters and writers. And his first publication was called ‘Roads,’ which was within a series of publications, all works about travelling. His first truly successful piece was ‘Treasure Island’ released in 1883, which truly launched his career. Later in 1886 he released ‘Dr Jekyll and Mr Hyde’ which was also a huge success, as it was so controversial and faced things that most people were too scared to write about. This controversial behaviour had begun when he was a young man by denying his faith, much to the surprise of his strongly protestant parents, he ended up leading a bohemian life. Stevenson’s experiences through life greatly effected his works, such as in ‘Dr Jekyll and Mr Hyde’ the scene is set in London, yet based a lot on Edinburgh, the luxurious and grand main city, and the dirty, grimy, back street, underground scene as well. He used this to create an effect on the reader, and to create the response that he wanted. Stevenson used themes throughout the book, and there are a large number of them, running the course of it, that influence greatly the response the reader has to ‘Dr Jekyll and Mr Hyde’, and also reflects themes running through society at the time. Some of the most prominent themes being the parable of good versus evil, satanical references and religion that intertwines throughout. ‘If I ever read Satan’s signature upon a face, it on that of your new friend Mr Hyde.’ Mr Utterson says that, oddly, to himself about Mr Hyde after refereeing to Mr Hyde’s unnameable malformations; the use of ‘Satan’ means that although Mr Hyde has nothing especially wrong with him facially or physically, his deformity is in his soul, in his evilness. People sense his dark nature and reflect it in how they view him. This gives

Tuesday, October 1, 2019

Victims law challenges and opportunities Essay -- Colombian Government

Victims law challenges and opportunities The argument of this paper is that in order to succeed in the process of land restitution the Colombian government must overcome the adverse conditions that both the inequitable agrarian structure and the widespread presence of paramilitary groups have generated for poor peasants’ livelihoods. In the previous chapters I have provided some arguments about how those factors have shaped an unfavorable institutional landscape for the land restitution process. This chapter aims to stress the interrelation of those factors, and accordingly providing some proposals that may contribute in implementing the law. The inequitable agrarian structure and the paramilitary phenomenon The agrarian structure and the paramilitary phenomenon are two intertwined elements. They are part of the mediating processes both internal and external that have affected people’s access to resources and the construction of livelihood strategies in particular rural contexts (Ellis, 2000). Since social actors have a differential capacity to influence the processes to access capitals therefore better off people may exclude others from access to resources (Haan and Zoomers, 2005). Following this argument it is evident that in the Colombian countryside those with the capacity to control state’s policies as well as the local social arrangements have established a social closure strategy in which the poor have been systematically excluded from opportunities to improve their livelihoods. In particular, the contradictory nature of land policies has consolidated an exclusionary agrarian structure that constrains poor peasants’ life conditions. This is evident through the numerous attempts and counter-attempts to broaden... ...venties and eighties the pressure exerted by urban middle sectors, leftist political parties, workers and peasants organizations and guerrilla groups as well as the political changes brought about by the decentralization and the political opening processes threatened the dominant position of landed elites in several regions. For this reason, the creation of paramilitary armies in the early eighties was the violent reaction of a landed elites group, whose power was declining, to the endogenous and exogenous factors that challenged their hegemony. Therefore, the paramilitary phenomenon must be understood as a reactionary extension of the latifundio structure. Its aim was to reestablish the rural social order through the annihilation of latifundio’s rivals in the competition for the control of the regional resources (land, local government, and means of violence). Victims law challenges and opportunities Essay -- Colombian Government Victims law challenges and opportunities The argument of this paper is that in order to succeed in the process of land restitution the Colombian government must overcome the adverse conditions that both the inequitable agrarian structure and the widespread presence of paramilitary groups have generated for poor peasants’ livelihoods. In the previous chapters I have provided some arguments about how those factors have shaped an unfavorable institutional landscape for the land restitution process. This chapter aims to stress the interrelation of those factors, and accordingly providing some proposals that may contribute in implementing the law. The inequitable agrarian structure and the paramilitary phenomenon The agrarian structure and the paramilitary phenomenon are two intertwined elements. They are part of the mediating processes both internal and external that have affected people’s access to resources and the construction of livelihood strategies in particular rural contexts (Ellis, 2000). Since social actors have a differential capacity to influence the processes to access capitals therefore better off people may exclude others from access to resources (Haan and Zoomers, 2005). Following this argument it is evident that in the Colombian countryside those with the capacity to control state’s policies as well as the local social arrangements have established a social closure strategy in which the poor have been systematically excluded from opportunities to improve their livelihoods. In particular, the contradictory nature of land policies has consolidated an exclusionary agrarian structure that constrains poor peasants’ life conditions. This is evident through the numerous attempts and counter-attempts to broaden... ...venties and eighties the pressure exerted by urban middle sectors, leftist political parties, workers and peasants organizations and guerrilla groups as well as the political changes brought about by the decentralization and the political opening processes threatened the dominant position of landed elites in several regions. For this reason, the creation of paramilitary armies in the early eighties was the violent reaction of a landed elites group, whose power was declining, to the endogenous and exogenous factors that challenged their hegemony. Therefore, the paramilitary phenomenon must be understood as a reactionary extension of the latifundio structure. Its aim was to reestablish the rural social order through the annihilation of latifundio’s rivals in the competition for the control of the regional resources (land, local government, and means of violence).

Adverse trend and data management Essay

Data accessibility is a necessity in the health care system. â€Å"Data management is the process of controlling the collection, storage, retrieval, and use of data to optimize accuracy and utility while safeguarding integrity† (Hebda & Czar, 2013, p.65). Nursing informatics has changed the accessibility of data and decision-making process. Nursing Informatics is the â€Å"science and practice (that) integrates nursing, its information and knowledge, with management of information and communication technologies to promote the health of people, families, and communities worldwide† (IMIA Special Interest Group on Nursing Informatics 2009). Technology has changed the way information is collected and shared. Interoperability allows to entities computer or human to share data while not changing and maintaining the original meaning data. This paper will discuss how adverse trend may occur and why to investigate further. The data needed to collect, the source, and why that dat a is needed. List of description of data collections methods, how the data affects the adverse trend, explain how the use of technology is used, and a description of the regulatory factors. Adverse trends lead to severe medical errors. A trend that frequently occurs is inconsistency of patient’s knowledge of the dosages or names of their home medications. Frequently on admission when questioning patients they do not recall the name of the medication or dosage. Patient’s that are on methadone need to maintain their dose to decrease with draw symptoms knowing the dosage is important. After reading and learning about other hospitals and having a mater patient index that gives a complete view of the patient’s history. Developing a master patient index that had interoperability to communicate with other pharmacies and clinicians. Master patient index is a database that lists all identifiers to one patient  using all information systems. Using this system would allow access to all patient information. Having access to all patient information would allow you to see the current medications and dosages the patients are taking. This access increases patient safety. In order to initiate a master patient index program the data that would be needed is patient first and last name, social security number, birth dates, and driver license number. Information needed goes beyond demographic information and social security number. Creating a master patient index can decrease errors, view patient history, increase time efficiency, and improve accuracy. Through the master patient index accessing patient medications from pharmacies allows nurses to know the current medications patient’s are taking, and increasing safety. There are many issues of safety acknowledging medication allergies, and contraindication of medications with current medication. The master patient index is highly security, business integrity and confidential. As in any facility HIPPA is the only legal issue. Accessing patient’s records should only be on a need to know basis. Hospital staff that access patient’s record that should not are reprimanded according to the facility hospital. The increasing change in technology has allowed for data accessed at a finger touch. The increasing access can help save a patient life. Data management is helpful in decreasing medical errors, quicker documentation, increasing patient safety, and assist in decision-making process. Data management can assist in recognizing trends, and help create a new nursing process. Master patient index would create a current record of patient’s history for all facilities to view. If a patient came into the hospital unable to speak accessing their health record the master patient index would allow physicians to view the patient medications, allergies, vitals, and retrieval patient’s visits. Reference: Hebda, T., & Czar, P. (2013). Handbook of Informatics for Nurses & Healthcare Professionals (5th ed.). : Pearson Education, Inc. Sewell, J., & Thead, L. (2013). Informatics and Nursing: Opportunities and Challeges (4th ed.). Philadelphia, Pennsylvania: Wolters Kluwer Health | Lippincott Williams & Wilkins. http://www.amia.org/programs/working-groups/nursing-informatics http://www.cdc.gov/nchs/data/misc/healthcare.pdf