Evidence based case study on hyperosomar hyperglycaemia state patient Essay

Evidence based case study on hyperosomar hyperglycaemia state patient - Essay Example Hyperosomar hyperglycaemia state is a state whereby alteration of sensation may often be present without comma, and it may consist of moderate to variable degrees of clinical ketosis. Therefore, Emergency Department nurses should be keen when assessing for diabetes because older patients may in hyperosomar hyperglycaemia condition. This paper reflects the aspects of care that were provided to a patient, Mr. B, in the Accident and Emergency department, while applying triage, A-G assessment, ECG and fluid management competencies. Triage Triage involves the separation of a patient who requires prioritized care because of the severity his or her condition. This applies most in the Emergency Departments, where doctors and nurses have to determine who gets care first. According to the English Dictionary, the term triage refers to the process of determining the most important people or things from among a large number that requires attention (Oxford University Press, 2013). In medical use, triage is the assignment of degrees of urgency to wounds or illnesses to decide the order of treatment of a large number of patients or casualties. Since every day, Emergency Departments have to attend to a large number of patients who suffer from a wide range of problems, it is essential to have a system that ensures that these patients are seen in order of their clinical need, rather than in order of attendance. Triage manages a patient flow safely when clinical needs exceed capacity. It involves identification of the problem, determination of the alternatives and selection of the most appropriate alternative (Manchester Triage Group, 2008, p, 7). Identification of the problem involves obtaining information from the patients, their careers and any pre-hospital care personnel. (Manchester Triage Group, 2008). The Emergency Department acts as a transfer station through which the casualties should pass, as quickly as possible, on their way to surgery, intensive care, or a ward (Nutbe am & Boylan, 2013, p, 181). In this case, the patient was triaged by an experienced emergency nurse who has undergone specialist training. In the problem identification phase, information was collected from the patient’s son who provided past history of the patient. From the history, it was established that the patient experienced sudden onsets of lethargy, strange behaviour such as waking up at three in the morning to have a shower, reduced frequency in mitcuration and reduced drinking. When the patient was examined, it was found that the patient was alert, did not exhibit limb weakness, and was quiet, which is unusual. Besides, the patient was not clammy or sweaty. The vital signs awarded an early-warning score of 1, given that a tachycardia of 112 beats per minute was exhibited. Consequently, the patient was placed into priority category three, as per the Manchester Triage System. This required the patient to see the doctor within one hour. However, the patient was seen by a doctor, four hours after triage, which is against the requirements of priority three allocations, at triage. Furthermore, due to lack of trolleys and large volume of patients in the department, the patient was allocated on majors’ chairs instead of trolley. A-G Assessment A-G assessment is essential in facilitating the diagnosis and administration of severe and chronic primary health problems that are found in adult clients, especially the aging

Theories and ethnographies on the gift (economic anthropology) Research Paper

Theories and ethnographies on the gift (economic anthropology) - Research Paper Example Therefore, gift in this context can be defined as goods and services that are exchanged with the intention of affirming a social relationship and status. Hence, gifts are a reciprocated system where citizens of any given community will be perpetually indebted to another person. Ethnographers have studied many different interpretations of the gift in traditional societies. The complicated factors of ‘the gift’ in archaic society have attracted debates throughout different fields of study. In addition, several professionals including anthropologists, sociologists, philosophers, as well as economists have researched the issue. A sense of duty bounds these relationships together although these communities may be otherwise hostile towards one another. Marcel Mauss, a French anthropologist and a sociologist, carefully studied the facts on the gift in traditional primitive societies; following Durkheim’s model on the sacred, he theorized that gifts are of a moral, religi ous, and economic nature in natural economic systems; with a sacred quality to exchange and contracts. Mauss presents the idea of a system of obligatory service provision i.e. one provides a service because it is their moral responsibility to do so, this system brings together distinguished characteristics identified based on religion, justification, and economic status. An example is doing voluntary work in the community, Hann et al. (2011) notes, â€Å"... It is groups, and not individuals, which carry on the exchange, make contracts, and are bound by obligations the person represented in the contracts are moral persons- clans, tribes and families; the groups, or the chiefs as intermediaries for the groups, confront and oppose each other† (p.50). He visualized a unique connection between the gift and the recipient and emphasized on the power embedded on the gift that would propel the recipient to reciprocate the act of giving (Mauss, 1925. p.3). With this idea, he stipulate d that the giver not only gives the gift, but part of them is also torn away from them in the process of giving. Due to this, he said that there was no complete separation of the gift from the giver (Mauss, 1925). He further argued that, what they exchange is not exclusively goods and wealth, real and personal property, and things of economic value. They exchange rather courtesies, entertainments, ritual, military assistance, women, children, dances and feasts, in which the market is merely one element and the circulation of wealth, but one part of a wide and enduring contract. Finally, although the social facts and their opposing factors take place under a voluntary guise, they are in essence strictly obligatory, and their sanction is private or open warfare. We propose to call this system of total presentation.† (Mauss, 1926) There is not only an obligation to repay gifts, but also to give and receive them willingly, to refuse to do so could mean refusing to accept the other into one's community and could cause war. However, by giving, the community shows itself as deserving and worthy of respect and generosity. Failure to give will mean to end their partnership and refuse any future gifts. Gift- giving contests have come together on this basis such as the famous North- West Coast Native American Potlatch as well as the Kula Ring in the Trobriand Islands. Malinowski also researched the Trobriand islanders, found the exchange between islanders of the Kula Ring

Jordanian Economic System History to Modern day Term Paper

Jordanian Economic System History to Modern day - Term Paper Example This research will begin with the economical history of Jordan. Jordan gained independence in the year 1946 when the United Nations declared the nation Independent from the rule of the British. If we delve into the economic history of Jordan, it becomes clear that Jordan since its independence in 1946 and its takeover by the West Bank has managed to position itself in a prominent place in world economy. Soon after the annexation, Jordan experienced a great level of economic growth in different areas as a result of availability of large arable lands and a large amount of supply of water from West Bank. It is to be noted that it is one of the most flourishing periods in the economy of Jordan. The annexation opened up the doors for economic prosperity for the nation as it now stood to gain an upper hand in agriculture. The country however experienced a slump period in its economy since Israel defeated and took over West Bank and sent the people of Jordan back from West Bank. Jordan suff ered a major set back due to this as it experienced a great deal of loss in terms of resources and materials. The Black September Civil war, that Jordan fought in September of 1970, to quash the Palestine military served to create a major set back for the economic growth of the region. The Black September civil war put a stop to the economical prosperity that the nation faced after the annexation. Soon after recovering from the civil war, the country again got back to its full form and had a stable growth until 1980s.    A Short Lived Boon in 1980    In the 1980s the country had a  considerable  boon in the economy due to the nation's  capitalization on the oil economy. Oil market is one of the biggest commodities in the world today and is mandatory to move industries and promote

Paper on Freeman Dyson's Technology and Social Justice Essay

Paper on Freeman Dyson's Technology and Social Justice - Essay Example As a matter of fact, he effectively counters the arguments of some sections of the society maintaining that technological sophistications have in fact led to a rise in social injustice and inequalities. Dyson elaborates this by coming out with a real-life example. He states that, the invention of diverse household appliances have enabled the advent of a scenario where, the need for servants was eliminated. In addition, sons and daughters of servants have been enabled to pursue higher education, and thus get elevated to middle class. (1) Dyson considers that as a vivid reflection of a key facet of social justice: the segment that was hitherto downtrodden has now been empowered by the knowledge gained through education. And according to him, that became possible solely because of the advent of the aforesaid technologies (domestic appliances). (1) Dyson emphatically argues that technology should be more focused on meeting the needs of the poverty-stricken people, rather than providing m ore luxuries for the affluent. He goes on to add that poverty could be eliminated by appropriately combining the technologies of genetic engineering, solar energy and Internet. In this context, he strengthens his argument by focusing on the fact that there is plenty of untapped solar energy in some zones of the Globe where, severe poverty is the order of the day.

Strategic Review of Kepak Essay Example | Topics and Well Written Essays - 2000 words

Strategic Review of Kepak - Essay Example To analyze the current strategies followed by the firm internal business analysis has been done by using TOWS Matrix which analysis the strengths, weaknesses, opportunities, and threats of the organization to produce accurate and strategic solutions and approaches for a better business outcome. Table of Contents Table of Contents 3 Introduction 4 Industry Analysis 4 PESTLE Analysis 4 Porter’s Five Forces 5 Success Factors Driving Beef Industry 6 Company Analysis 7 Competitive Stance 7 Differentiation 7 Positioning 7 Value Chain Analysis 7 Strategic resources 8 Critical strategy 9 Introduction Kepak is one of the three largest beef producers in Ireland. Noel Keating founded the company in mid 1960s and is headquartered at Meath, Ireland. The Business divisions are Kepak Convenience Foods (KCF), Kepak Meat Division (KMD), and Agra Trading. Started as a retail butcher’s business, it soon expanded as a wholesale supplier selling beef to the food service sector and other lar ger markets (Bell, Mcloughlin and Shelman, 2011). The company is facing some challenges as well as some significant opportunities due to the changing business and economic environment in Ireland. Industry Analysis A business environment consists of three major components (American Accounting Association, 2013). These are suppliers, competitors and customers. Kepak’s external business can be assessed by using pestle analysis and porters five forces model. PESTLE Analysis Economic The current gross domestic product (GDP) of Ireland is $191.5 billion and the purchasing power parity is $41,700 (CIA, 2013). The agri-food sector is considered as one of the major indigenous manufacturing sector in Ireland (Department of Agriculture, Food and the Marine, n.d.). Around 85% of the food supplies are exported to a large number of countries. Ireland is considered as Europe’s largest net exporter of beef and is well known for producing highest quality beef (Ukfg, n.d.). Almost 1 lak h Irish farmers are involved in cattle rearing and out of these almost 70000 are categorized as specialist beef producers (Bell, Mcloughlin and Shelman, 2011). In the wake of the current economic crisis, the Irish government has identified food and agriculture business as the major sector which will significantly increase the country’s growth in exports and imports. Social 62% of the total population in Ireland lives in urban areas getting access to the most of the daily requirements. The average age of farmers kept on increasing. In 2007, 51% of the family farm holders were above 55 years old and only 7 percent were under 35 years of age (Bell, Mcloughlin and Shelman, 2011). This was because of a significant change in the occupational trends of people, who gradually shifted from agribusiness to other alternatives for a more stable and secure life. Beef consumption in the European market has fallen since 2007 (Bordbia, n.d.).Various reasons accounted for this. Because of the economic crisis the consumers started cutting back their beef purchases and changed to lesser expensive alternatives such as protein supplements and dairy products. Environmental High waste-water discharges, air emissions associated with energy consumption, solid waste and order and a moderate to high

Racial hostility within the media Dissertation Example | Topics and Well Written Essays - 9000 words

Racial hostility within the media - Dissertation Example Various researchers have pointed out that media has played an important role in terms of shaping the perceptions, beliefs and attitudes of people towards members of minority groups. In the United States of America, it was perceived that the media played a significant role in emphasizing the historical oppression and oppression of the African-Americans in relation to their White counterparts. In view of the same, researchers showed that the White Americans tend to have a complete lack of understanding towards the African-Americans. It is in this particular context that the researcher looked into the experiences of Michelle Obama during her husband’s presidential campaign in 2008. ... gainst a white oppressor† Generally, the racist comments were caused by the fact that Americans are not used to the fact that a Black Woman would take her place as the country’s first lady. Respondents in this particular study noted that the country is yet to be accustomed to such fact, thus they was not willing to accept Michelle Obama, thus the racist comments. Chapter 1 Introduction Background of the Study The media is known to be a very powerful institution that has been established within a democratic community. It aims to transmit and communicate cultural ideas, images, myths, and sequences of events (Nairn, Pega, McCreanor, Rankine, and Barnes 2006). Media discourse remains to be a significant means of reproducing shared beliefs and fundamental values of the society. Hence, the media plays a relevant role for exchanging opinions, knowledge, and information. The media, per se, have become a major instrument with which countries can establish and publicize its ideal s as they are expected to express a wide range of viewpoints, remain as objective and neutral as possible, and provide access to various groups, regardless of gender, racial background, religion, social class, and sexual orientation, to name a few (Wetherell and Potter 1992). Print and electronic media has made a significant impact on the daily lives of communities and its members as the television, radio, and print media, among other types of media, present the components out of which individuals can establish identities and make sense of themselves (e.g. meaning of one’s own gender, ethnicity, and national identity). Moreover, it enables the society to differentiate and understanding what it means to be â€Å"us† and â€Å"them† (McQuail 2000). At present, although the media is expected to reflect

Development of a Model Aviation Safety Program for General Aviation Dissertation

Development of a Model Aviation Safety Program for General Aviation - Dissertation Example In relation to research methodology, a qualitative research approach has been considered in this study. Moreover, questionnaire surveys have been conducted for both the service providers as well as the customers of the aviation industry. The sample size was considered to be 100 for the customers and 50 for the service providers. Additionally, both primary sources (in the form of questionnaires) and secondary sources (in the form of literature review) have been taken into concern for this study. Introduction The introduction and the subsequent development of aviation safety programs has eventually emerged as one of the topmost concerns for the general aviation companies due to an increased rate of airline accidents or fatalities in the global arena. In relation to aviation safety, the two priority areas, which include the human factors and the impact of technological factors, are often observed as the most prominent causes for airline fatalities. With respect to the manual causing fac tors, it has been viewed that the errors which are often caused manually by the humans ultimately lead towards serious safety issues. Conversely, with regard to technology factors, it has been apparently observed that when the technology relating to aviation segment fails to perform its functions, it also increases the degree of risks concerning the security (Aviation Safety Corps, n.d.). After acquiring a brief idea concerning the different facets of the identified research issue, it can be stated that the study mainly deals with qualitative factors such as the experiences of the service providers and the conception of the consumers regarding the development of model aviation safety related programs. Consequently, a qualitative approach of research methodology has been implemented in this study in order to gain a better knowledge regarding the necessity of introducing as well as developing aviation safety programs for the general aviation companies. With regard to research design, suitable as well as important data has been collected from conducting surveys in the form of questionnaires as a primary source. The questionnaires have been designed taking into account the service providers of the aviation companies and also the customers as the respondents. Apart from the primary source, the secondary source as a form of literature review has also been used in this study. The sample size was considered to be 100 for the customers and 50 for service providers. A descriptive analysis approach has been used in the study by evaluating the secondary sources in accordance with the primary data obtained. According to the data, the importance of introducing as well as developing model aviation safety related programs for the general aviation companies have been obtained. Project Literature Review According to the report published by the International Civil Aviation Organization (2011), it has been viewed that the numbers of airline accidents have increased substantially in the current years. This is fundamentally owing to the increased technological and human errors in preserving aviation safety. Consequently, the general aviation companies have been focussed upon the implementation and the advancement of different safety initiatives with the intention of reducing the accidents by a greater extent as well