Most Important Prehistoric Animals of Italy

Building A Risk Management Plan - 946 Words

In order to effectively development a risk management plan that will be effective, it is important to start with discussing the framework for risk management as provided by the Presidential/Congressional Commission. We will review each step as well as dis-cuss how each step will be used in the current context of a recent health concern of current head lice species have become resistant to the most widely used chemical used to treat this condition. There are opposing views on whether the common treatment is not effective or if it is not administered correctly. The framework six stages are: 1-defining the problem and put into context, the problem in this case is the inability of current methods to treat infestation of head lice; 2-analyze risks associated with problem in context, the risks are the potential for the condition to spread, longer infection periods, requiring higher costs for more advanced treatments; 3-examine options for addressing risk, some of the options are better edu-cating parents on effective over the counter treatment methods, when it is necessary to consult the child’s physician and when should the more costly options be considered, particularly if they have not been found to be more effective, are they worth it?, devel-oping other drugs the bugs are not immune to would also need to be considered; 4-decide which option or options to implement, the quickest and easiest of the afore men-tioned options is better education of parents in the proper methods ofShow MoreRelatedProject Task and Risk Plan1031 Words   |   4 Pages Task and Risk Plan Plan Move With Warehouse Manager New Facility Old Facility New Facility Install RFID Equipment Palletize goods Assemble racks Plan Layout Count inventory Place equipment according to layout Ensure Licensure Shrink wrap goods Place racking according to layout plan Ensure Code Requirements are met Place goods for moving Place goods on racking Inform vendors Break down racking Place RFID tags Move racking to new facility Count inventory Move goods toRead MoreRefurbishment Of Broron Oil And Gas Limited Three Storey Building1675 Words   |  7 PagesLIMITED THREE STOREY BUILDING IN LAGOS NIGERIAN. 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Nursing Care Plan Basic Conditioning Free Essays

COMMUNITY COLLEGE DEPARTMENT OF NURSING CLINICAL ASSESSMENT TOOL Subjective Data (Basic Conditioning Factors) Student: Date of Care: 10/03/09 Patient’s Initials: P. V. Age: 37 Room #: 3114 Bed 1Allergies: Food: NKA Gender: FMedications: NKA Environmental: NKA Admitting Diagnosis: Pancreatitis Developmental Stage (Erickson and Havinghurst): (List Developmental stage and tasks, assess each task) 1. We will write a custom essay sample on Nursing Care Plan Basic Conditioning or any similar topic only for you Order Now Selecting a mate: Although patient is single, she has many friends. Patient was happy to introduce her friends that came to visit. Introductions were all made as friends, no boyfriend or husband mentioned. 2. Starting a family and raising children: Patient is not interested in these aspects of life. Patient is more concerned over her friends and their activities that they do together. 3. Managing home: While the patient lives alone, she would prefer to have a roommate to share housekeeping tasks and rent. 4. Taking civic responsibility: Patient is not interest in helping out community. 5. Starting occupation: Patient has been a Title Researcher for two years, she claims that it is just a job to pay the bills. 6. Finding congenial social group: Patient claims that she has a tight group of friends that she enjoys going out with. While the patient was agreeable, she wanted to be left alone. The Erickson stage that the patient is in is adulthood; Intimacy vs. Isolation. I find that Miss F. V. to be in isolation, developmentally. She wanted no socialization from myself, lives alone, and works alone. She is not actively looking for a mate and was demanding to have her door shut my entire shift, which was the norm since she was admitted 20 days ago. History of present illness: On 9/13/09 patient presented with severe ABD pain in ED. A computed tomography Scan (CT-Scan) of the abdomen and pelvis with contrast was performed; showing severe pancreatitis with prominent pancreas demonstrating significant edema. Moderate to large amounts of ABD ascites demonstrating simple fluid attenuation was noted. Peritoneal enhancement was predominantly noted within the left ABD, reflecting significant peritonitis. No bowel obstruction was noted and pancreatic necrosis was not excluded. Moderate bilateral pleural effusions were also noted. Past medical history : Irritable Bowel Syndrome Anxiety Depression Cocaine use (1998) Smoker Past surgical history: none Medications: Drug NameDoseRoute FrequencyClassification Metoprolol Tartrate50mgPO q12hAntihypertensive Enoxaparin Sodium40mgSQ dailyAnticoagulant Esomeprazole Mag Trihy40gmPO dailyAnti-ulcer Hydromorphone hydr2mgPO PRN Opioid Analgesic Ergocalciferol800int unitsPO daily Vitamin Complementary/Alternative Medical Practices Herbal Remedies: None Vitamins/Minerals: Daily multivitamins Meditation/Yoga: None Massage: None Acupuncture/Acupressure: None Aromatherapy: None Other: None Health Care Systems (Current orders and role of health care members): Low fat diet IV TPN@83cc/hr q24h Double Lumen PICC line Left AC CBC OOB Sociocultural / spiritual orientation: none Family system: Patient has family support, however lives alone in a walk up apartment. Patterns of Living: A. Employment: Title Researcher B. Education: Some college C. Hobbies / interest: None D. ETOH / drug use: Social only Environment (Conditions of living and working): Client lives alone, although the answer changed from 9/13/09 to 9/14/09 to lives with a friend. Family is supportive. Friends are supportive. Available Resources (Economic, personal, agencies): Primary Insurance: Primary Insurance is a HMO with BlueCross BlueShield. Objective Assessment of the USCR’s Pt: F. V. Room 13314 Bed 1 Jennifer Hughes Please use Y, N, NA to indicate Yes, No or Not Applicable Day 1Day 2Additional Data Psychosocial Solitude v. Social Interaction or Normalcy Well groomed/Good hygieneY Appropriate/Full range affect Y Maintains eye contactN Calm moodN Cooperative attitudeY Able to concentrateY Clear speech (volume/tone) Y Psychomotor retardation N Tics/Tremors N Hyperactivity/Restlessness/Agitation N Hallucinations/Illusions N Suicidal/Homicidal Ideations N Activity/Rest Well-rested N FatiguedN Slept through night N Neuromuscular (prevention of hazards) Alert and oriented Y Times 3 Gait steady Y Hygiene independentN Refused AM care Primary notified Pain free NDilaudid 2mg given @ 6am by primary Hand grasp, strong and equal bilat Y Foot push, strong and equal bilat Y Smile symmetrical Y Tongue to midline Y PERL Y Meets developmental task Y Cardiovascular (air or water) Palpable pedal pulses bilaterally Y Oral mucosa pink Y Conjunctiva pink Y Capillary refill within 2 seconds Y Absence of edema Y Apical/radial regular rhythm YRate= 94 Blood pressure YBP= 86/60 primary notified Telemetry Y Integument (prevention of hazards) Temperature YTemp= 98. 0 Skin turgor WNL Y No tenting noted Skin warm to palpation Y Cool to touch Skin intact Y Incisions N Wounds N Day 1Day 2Additional Data Respiratory (air) Resps easy and even Y Lungs clear Y Secretions N Oxygen in use N Oxygen saturationY 98 Cough and deep breathe N Chest tubesN Gastrointestinal (Food or Elimination) Abdomen softY Tender to the touch Abdomen non-distended Y Bowel sounds presentYAll 4 quads Abdominal drainsN Stomach tubesN Bowel movementN Nausea/vomiting N Feeds selfY Breakfast (% consumed) 50% Lunch (% consumed) 75% Dinner (% consumed) Tube feedingN IV solution (type and rate) YTPN @83cc/hr bag @ 1200cc @ 07:40 IV site (location)YLeft AC PICC Double Lumen IV site without redness or swelling Y IV dressing dry and intact Y Chemstick n/a Gastrointestinal (food or Elimination) Voids in bedpan or bathroom Y Pt. using bathroom Foley catheterN Suprapubic tube N Urine clearY Color yellow-amber Y Yellow Amount (cc’s)n/a Continuous bladder irrigation N Lab Data (explain abnormal values) RANGE WBC: 4. 5 – 11. 0 HGB: Men 14. 7 – 16. 1 Women 9. 3 L12. 0 16. 0May indicate anemia. HCT: Men 42. 0 – 52. 0 Women 27. 1 L37. 0 47. 0May indicate anemia, bone marrow dysfunction, malnutrition, over hydration Platelet 490 H150. 0 – 450. 0 Could indicate hemorrhage or inflammatory disorder. Glucose 8370. 0 – 110. 0WNR Sodium 140135. 0 – 145. 0 WNR Chloride 10395. 0 – 110. 0 WNR Potassium 4. 3 3. 5 – 5. 1 WNR Calcium 8. 1 L8. 4 – 10. 2May indicate protein vitamin D deficiency, malnutrition, cushing syndrome, acute pancreatitis Albumin 2. 6 L 3. 4 – 5. 0Could indicate malnutrition, ulcerative colitis, use of penicillin, sulfonamides, aspirin or ascorbic acid. BUN: 127. 0 – 20. 0 WNR CR: . 40. 3 – 1. 5 WNR PT: Not in labs 10 – 12 sec PTT: Not in labs 3045 sec INR: Not in labs 2 – 3 How to cite Nursing Care Plan Basic Conditioning, Essay examples

Soldiers Attitude to Wwi free essay sample

Soldiers were perceived as a coward if they had not enlisted to go to war. Women would hand them a white feather, symbolising that they did not show pride in their country. This glorious adventure was backed up by the feeling that both spiritual renewal and courage could be developed. Soldiers believed that the war would be over Christmas and many had feared that war would be over before they had even got involved. Captain Julian Grenfell, in a letter to his mother during war, had emphasized that he â€Å"adore(s) war, it’s like a big picnic without the object lesson of a picnic. I’ve never been so well or so happy†¦ it is all the best fun. † As depicted from a photograph of a crowd in Berlin at the outbreak of war in 1914, many numerous young men are saluting their hats the sky and singing praises due to the outbreak of war, outlining happiness and excitement, through the expression evident on their faces. War poet, Wilfred Owen, outlines the enthusiasm and keenness to join war as he emphasizes that, â€Å"O meet it is and passing sweet, to live in peace with others, but sweet still and far more meet, to die in war for brothers. Owen encourages readers to enlist for war as it is a honor and a credit to serves for ones country. War poet Rupert Brooke, in his poem, ‘The Soldier,’ mentions, â€Å"†¦and think, this heart, all evil shed away†¦laughter, learnt of friends and gentleness,† as he outlines the positive experiences of engaging in the war effort. Author W. H Stephens, of ‘Imperial Camp Songs and Recitations of the war of 1914-1915,’ states that â€Å"if you want a jolly outing at this season of the year, just put on a Khaki outfit,† highlights that the need to feel good is to enlist in the war. In Europe, the war was known to have brought needed â€Å"purification and spiritual cleansing. † At the beginning of the war in 1914, Britain’s men of one million had enlisted in the war with three million having enlisted by the end of 1915. Buckingham Palace in Britain was surrounded by cheering crowds, as nationalism was evident everywhere. The German’s had believed that they felt they needed to be attacked. The Military Law Proclamation of the 31st July, 1914, had called all men for military service. Reports proved that ten million men were on camp. Both allied and German soldiers were enthused to engage in the war effort at the beginning of 1914 and 1915. It is known by Historian Malcolm Brown, that within two months at war, the soldiers were starting to become disillusioned. The reality was starting to kick in as they had not comprehended what they were in for. The Christmas truce had acted as an agreement between the two opposing sides, of the allied and Germans, to cease fighting. On Christmas day, the guns had stopped firing. This had changed the attitude of the German and allied soldier as gifts were exchanged, such as alcohol, cigarettes, chocolates and photographs, singing of Christmas carols were heard and conversation between them was spoken. Due to such actions evident on no man’s land, Commander of the British Expeditionary Force, Sir John French, ordered, â€Å"to prevent any reoccurrence, of such conduct, and called the local commanders to strict account, which resulted in a great deal of trouble. In a letter to his mother, Second Lieutenant Dougan Chate r, on the 25th of December, 1914, mentioned â€Å"I have seen one of the most extraordinary sights today that anyone has ever seen†¦our men went out to meet them [German’s] and in about two minutes the ground between the two lines of trenches was swarming with men and officers of both sides shaking hands and wishing each other a happy Christmas. † Bruce Bairnsfather, an Eng lish Soldier, recalled that â€Å"there was not an atom of hate on either side that day: and yet, on our side, not for a moment was the will to beat them relaxed. The military leaders of that time could not punish any soldier for his actions that day, yet warned them that it was to not happen again, as they issued strict orders. Leaders had encouraged the soldier’s to envy the opposition and encouraged fighting to continue, so that soldiers would not develop friendships and not want to fight any more. Although this was to never transpire again, there are some accounts of this occurring on Christmas In 1915. A changing attitude to war developed between the allied and German soldiers. War weariness had begun to settle in and the enthusiasm and passion to fight in war had died off. The war had gone on a lot longer than anticipated. The battlefields were becoming increasingly difficult for soldiers to bear. There was realization that the war would continue. The soldiers felt like nothing more than a trip home. In July 1918, Private A. Golding stated that, â€Å"Ill own, that his shells put the wind up me, and that Im not, and dont want to be a hero. I want to go home. † This is in great comparison to what the soldiers had previously thought. The conditions on the battlefields were harsh, which contributed to war weariness as soldiers comprehended the comparison of their previous thoughts of war, with present reality. Dangerous, loud explosions were encounted by the soldiers on the battlefields as â€Å"a terrific crash which flung me yards,† was experienced by the soldier, R. H Mottram, author of the Personal Records of the War. He suffered â€Å"enormous noise†¦ continuous explosion,† which degraded and disturbed the living conditions of soldiers on the Western Front. Private W. Carson Carton mentioned that food was â€Å"cooked in the same container it was boiled†¦and plum and apple jam and biscuits were washed down with tea. † The soldier’s enthusiasm between each other was still alive, yet many had given up. War time poet, Wilfred Owen, in his poem, â€Å"The Dead-Beat,† states that, â€Å"He dropped, more sullenly than wearily, Lay stupid like a cod, heavy like meat, And none of us could kick him to his feet. † Due to personal losses and huge casualties, the soldier’s began to view war very differently. Poet Henry Weston Pryce, in 1918 stated that,If such be life, and if to lives to love, O God, weve made a bloody mess of it! German and Allied attempts to break the stalemate through the Schlieffen Plan, the Battle of the Verdun, Operation St. Michael, as well as the Battle of the Somme and Passchendaele all contributed in increasing war weariness due to the amount of casualties and deaths. War weariness began to settle in as time had ventured on and the soldier’s attitude to war had significantly changed in comparison to what emotions were felt in 1914. German’s had a change in attitude during World War One alike the Allies. War weariness for the German’s was an even more serious problem. On the home fronts, Germany’s citizens were undertaking strikes to resemble the grief hat the soldiers were feeling and the urge for war to not continue. August 8th had been marked â€Å"the Black Day† for Germans as the allies were keen to push through German front lines to victory. On this day, â€Å"all hell broke loose and we heard nothing more. The world was enveloped in sound and flame, and our ears just couldnt cope. The ground shook. † ( Gunner J. R. Armitage). Battles on the War front ha d a significant impact on the German soldiers. Ludendorff claimed in 1918 that, â€Å"The Somme was the muddy grave of the German field Army. Confidence, Morale, and self esteem had gradually fallen in the high spirits of German soldiers. German soldier, Adolf Galland mentions â€Å"Of course, the outcome of the war would not have been changed. The war was lost perhaps, when it was started. † The changing attitude of the soldiers was clearly evident in the German army. Many contributing factors accumulated for the changing attitudes of both allied and German soldier’s fighting on the War Front. The changing attitudes from enthusiasm to depression had a significant impact on the German and Allied soldier’s experience at war.