NURSING ASSIGNMENT Continuing care - Incontinence Essay

NURSING ASSIGNMENT Continuing care - Incontinence - Essay ExampleIt shall die how care was planned and delivered in order to meet the identified continuing ask in likeness to evidence gathered from literature. It shall then reflect on the emergecomes of care delivery for the continuing care needs identified.The patient of, for this paper, shall be referred to with the pseudonym John Wilson. He is 82 years and was admitted into the Accidents and Emergency Unit after measly a perch. He was later transferred to the medical ward to help him recover from his fall. He had a prior history of prostatectomy and was having problems with incontinence. He showed early signs of dementia, which however did not interfere with the checks communication with the patient. The patients wife Barbara besides assisted in answering questions about the patient. He lives with his wife and is oftentimes visited by his daughter and son-in-law. He needs continuing care because his mobility is compromi sed and cannot easily make it to and from the bathroom to excuse himself during urinary urgencies. He needs continuing care in order to help manage his urination, in order to prevent him from withdrawing from society, and eventually to keep him from being depressed.The continuing needs of the patient were assessed by the nurse and the other members of the multidisciplinary team (MDT). The nurse and the members of the multidisciplinary team (physiotherapist, occupational therapist, and the attending physician) assessed his risk for experiencing another fall. His previous fall broke his right hip and he underwent hip replacement surgery soon after. He is promptly undergoing physical and rehabilitative therapy in order to gradually regain his mobility. He could get himself independently out of bed, but he has to use a walker in order to move about. He also needs assistance with his activities of daily living, but he is slowly gaining independence in carrying out these activities. Wit h therapy and rehabilitation, he is slowly

You may pick a good one Essay Example | Topics and Well Written Essays - 500 words

You may pick a good cardinal - Essay ExampleThe two cultural groups breaks differences as described in the following paragraphs.African American has traditions, set and customs concerning death. This is drawn from the various ethnic, culture and religious backgrounds they exhibit. Some of the common practices exhibited by African Americans in their values complicateAfrican Americans also have distinct patterns of language. Some of the developed languages among the communities present include Gullah popular with the Sea Islands and Creole common to the Louisiana. The African American culture is also associated with donnish legitimate dialect due to its logical structure however other people consider this as slang because of the poor Standard American English command (Hudgens 57). The African Americans also practice a variety of religions ranging from Protestant Christianity to Muslims.On the other hand, Latino Americans possess diverse cultural and custom background. They inclu de people from Puerto Rico, Cuba, Dominican Republic, Spain, central and South America, and Mexico. Some of the common cultural values and customs they exhibit in relation to death includeHispanic Americans are often united by language, customs, values and religion. However, an extensive diversity exists among them in their traits. Some of these values include family commitment, belief on the child fashion reflecting the family honor, a strong system of support to the family, duty to care and hierarchical order in the family siblings (Dunn 239). Hispanic Americans are hence different from the African Americans in language, religion, customs, values and beliefs as mentioned in the

Campaign Analysis Essay Example | Topics and Well Written Essays - 1500 words - 1

military campaign Analysis - Essay ExampleThe goal is one the United Nations formulated in the hope of changing the trends and perceptions of the entire world regarding the management of the environment. The goal is a social change program because it entails both communicatory aspects and an implementation that relies on modification of the characters of population. An interpretation of the ripening goal will elaborate its scope within the social context. The communicative aspects of the project will demonstrate the effectiveness of the theories of communication of social change.Development of the case of development communication is not like the rest of the areas of knowledge because there exists many practical theories utilise simultaneously. As such, newer ideas emerge and apply alongside older theories of the same case. The developed theories have a stern of a number of factors. Most of them seek to interpret the relationship between people and development projects. For i nstance, they pronounce to establish the correlation between culture and the environment, psychology and the political interventions to environmental development (Gumucio & Tufte 2006, p.531). They also image the link between individuals and the community and the existing hierarchy as well as their involvement. As such, the theories let off the importance of communicating the process of social change in the society.The most dominant paradigm has been carriage change models because social change entails behavioral adjustments (McMichael 2008, p. 276). Most of such theories based on the idea that the hindrances to development lied in lack of lack of knowledge of the people. As such, the principles affirmed that the best approaches were those that would provide the people with information that would change their character. One such theory is that of modernization, which proposes that information and culture deficits underlie the development problems, and their solutions

Cultural studies Essay Example | Topics and Well Written Essays - 1000 words - 1

heathenish studies - Essay ExampleThis selective selfishness, as the author calls it, is the essence of all great things that rich person happened in the world. The author also talks in detail about what he calls as historical work force, men who study history as the basis of their future actions (p 65). The author debates that history should not be inured as a pure science and that it is neither a source for pure knowledge. Hence, he concedes to the hypothesis that it can merely be used as a reference to take life forward. turn total lack of history and too much of history are both derogatory, it is essential that merciful beings take the middle path and recognize its relevance in human life. According to the author, man should be able to selectively switch off and on his awareness and reverence for the past and must not fall a prey to delusions provided by historical anecdotes.In On the Uses and Disadvantage of History for sprightliness, Friedrich Nietzsche, analyses the im portance of history in the guiding the modern generations. He lays out a path, a dogma, that is to be followed by all those who are desirous of attaining enlightenment in their lives. For example, he says that history that speaks of the past and provides zip new, does not invigorate the mind (p 113). On the contrary, history shows its heroes and heroines as those who questioned a dogma is to be followed, if we are to make any sense of history and the future. Hence, Friedrich Nietzsche tells us that we need to be path finders in a world that is dominated by historical data that could be biased and one-sided and does not take into consideration information that has many perspectives to it. History, further can be conceived as a biased deceit of an individual or a group of persons for furthering some rested interests. We have seen instances where historical information which ere believed to have been facts, had been challenged later on. Nietzsche, in particular,

Case study Essay Example | Topics and Well Written Essays - 1000 words

Case study - Essay ExampleA higher level to the previous or a higher level as compared to the competitor indicates that the business is prospering. family 2012 2013 2014 2015 2016 unit car sales expected 80 120 150 180 190 The profitability of the company the organization has an pass judgment annual change of 1.02. This shows that the organization is on the positive trend in profit making. The profits commode only increase if the company focuses more in cost reduction than in employment. Breakeven levels Unit opening-even for the year 2012 fairish Annual Fixed Cost/ (Average Per Unit Sales Price - Average Per Unit protean Cost) Fixed costs= (direct labor +supervision + office staff+ managerial) 550,033 =33+130,000+120,000 + 300,000 Variable costs = production overheads + production person-hours + sales overheads + other office overheads 100,900 = 50,000 + 900 + 18,000 + 32,000 Therefore average annual fixed costs = 550,033/ 12= 45836.08 Average per unit sales = 75000/80= 937. 5 Average per unit variable cost = total variable cost / number of units/12 =100900/80/12= 105.10 Break even = 45836.08/ (937.50-105.10) = 55 units Sales break even for the year 2012 Annual Fixed Cost/1 - (Average Per Unit Variable Cost ? Average Per Unit Sales Price) =550033/ 1- (105.10/937.5) =550033/1-0.1121 =550033/0.8879 =619476.29 ? Sensitivity of the figures to the key estimates The estimated figures show a positive increase in twain the expenses and incomes. For example on the sales estimates there is a gradual increase in the number of units to be sold annually. This is not reflected in the other expenses. For example it is assumed that the variable costs are not changing with the increase in sales. Other factors not considered include market trends, additional investments, depreciation of the cars. overly the interests on the borrowed capital are assumed that they will remain unchanged for the due period. There should be a provision for such changes as the global econom y is fluctuating. Also there are provision for bad debts. Everything is assumed to a clear cut transaction. Recommendations The company therein is sales oriented. It projects a peachy increase in sales without putting into focus the other internal and external factors. The company therefore change this trend and focus on both production and cost reduction. References Cooperative extension, (n.d), Agr-business management, viewed April 21, 2012,

International Relations Essay Example | Topics and Well Written Essays - 1750 words

transnational Relations - Essay ExampleIn Constructivism, human values, ideas, and shared beliefs are important because the worlds practices are constantly affected by how bulk speak about them (Tickner & Blaney, 2012). This theory heightens the ordinary citizens personal sensitivity to their socially constructed interests and identities. When considered against the backdrop of internationalistic relations, constructivism stresses on how nations perceive themselves as well as their national identity (Tickner & Blaney, 2012). For instance the identification with words like middle post or top executive and the implied meaning that comes with these expressions determines the subjects conduct and so the theorys ideas influence how states and their rulers conduct themselves on the international stage.Classical Realism and NeorealismThe realism focuses on the world as it really is instead of reflecting on how it ought to be. Basically, this is an empirical and not a normative model (T ickner & Blaney, 2012). Freudian observation appear to support the realists beliefs in the examination of personal behaviour within groups. This seeks to define how primary human instincts lead people to engage in the avoidance of all kinds of pain, the never-ending pursuit of personal objectives, and the importance of employing foreceful tactics when dealing with other people, organizations, or nations.Realism is essentially a pessimistic theory that stresses on the intermittent patterns of power politics as evidenced by repeated rivalries, conflicts, and wars (Tickner & Blaney, 2012). In this theory, the factors that are predominant include the hostage dilemma and the balance of power. Realists also view the state as the main factor of importance in international affairs. The worlds superpowers or richest nations are given the most attention as they prolong the greatest leverage on the global stage. Additionally, it is the national interest that influences state behavior, accor ding to this theory. Realists also exercise that the allocation of power is responsible for deciding international outcomes. Neo realism adds to realism in that it deems that international conflict is the result of the chaotic international system (Tickner & Blaney, 2012). Conversely, in neo realism, the state is not viewed as being superior to the system which is the case in

How can a company pursue sustainable development in order to Dissertation

How can a telephoner pursue sustainable development in request to go to excellence competitive adjoin and financial position - Dissertation ExampleHow can a company pursue sustainable development in order to contribute to excellence competitive edge and financial position? This research explores how companies can support sustainable development to improve their competitiveness in the light of the lessons from Toyota. This study mainly relies on secondary data to gather qualitative as head as quantitative data in order for meeting the research objectives. The findings demo that Toyota strongly supports the impression of sustainable development to gain a competitive edge over its rivals. The sustainable business trading operations have greatly benefited the TMC to improve its competitive edge and strengthen its financial position. Toyota has been successful in fashioning their customers aware of the companys environmental sustainability efforts. The agreement increasingly rel ies on sustainability reports and social networking sites to communicate its sustainability initiatives to the company stakeholders. The emergence of globalization eliminated international trade barriers and thus intensified cross border flow of capital, labour, ideas, and cultures. Evidently, globalisation and the resulted fast industrial expansion contributed to various issues like global warming, climate change, body of water pollution, and increased cipher consumption, which in turn pose potential threats to the long term sustainability of the environment today. There has also been a notable increase in the population growth over the last two decades, and that worsened the condition. Researches indicate that universes current non-conventional energy sources will be admitd out if people and organisations continue to consume the energy at the current rate. Therefore, it is necessary to limit the use of conventional energy sources, maintain water case, and take other environme ntal actions to meet the needs of future generations. However companies like Toyota have adoptive the concept of sustainable development to drive environment-conscious growth and thereby enjoy wider market acceptance. TMC encourages and establishes innovative technologies to edit out the environmental impacts of its business operations and inspires local communities to support the companys environmental efforts. In this context, it is relevant to explore how a company can pursue sustainable development in order to contribute to the competitive edge and financial position. 3. Literature review 3.1 A brief overview of Toyota Toyota Motor Corporation (TMC) is the worlds leading automobile producer headquartered in Japan. The organisation was founded on 28th August 1937 by Kiichiro Toyoda. As of 2010 Toyota employed 300,734 people worldwide to run its business and the company was rated as the largest automobile manufacturer in the world by means of production (Toyota CSR & Sustainabil ity News). TMC is a part of the Toyota Group and currently the organisation has presence in almost all countries across the globe. Since its foundation, the organisation has been particularly focusing on quality because the management believes that quality is the key to brand loyalty. In order to ensure improved product quality, the organisations has substantial extensive production line strategies which can make sure that production and assembly processes are in line with accepted industry standards. According to reports, one of

Immigration Policy and illegal immigrants Term Paper

Immigration Policy and wicked immigrants - Term Paper grammatical caseFor a nation made and flourished by immigrants and rightfully admired by immigrants from across the globe, it is quite inconclusive to mistreat and exploit modern-day immigrants. The unfortunate and negative connotation associated with in-migration in the US is likewise observed to further degrade the lives of Native Americans, African-Americans and Chicanas (Moreno, 2004). These groups are treated as lesser citizens in their possess country and sometimes forced to go done with(predicate) the shame of being stereotyped as embezzled citizens (Hernandez, 2009). Amidst all these immigration negativity, it is observed that flagitious immigrants do have positives especially in regards economic and form _or_ system of government-making considerations. This study will provide a background on the issue of illegal immigration in the US in terms of current immigration polity and the Bracero Program, before discu ssing the costs and benefits that illegal immigration brings to the nation. The study will be based on the premise that illegal immigration is beneficial to the coupled States. Background According to the CBO (2006), US immigration policy is anchored on three goals. The first is to reunite families through admission of immigrants who already have family members living in the US. Secondly is to admit skilled labor in order to meet projected labor shortages and lastly to provide refuge to people in riskiness of political, religious or racial persecution in their home countries. These three goals are the result of evolution of the nations immigration policy over time. In terms of illegal immigration, the law defines such individuals as unauthorized aliens who enter the US without legal documentation or who overstay their temporary visa requirements. The policy of dealing with such individuals is through apprehension either at the point of entry or indoors the US. it has been argued that failure to devise sound and sustainable immigration policy has resulted in the weakening of the American economy, riskiness of diplomacy and threats to national security (Council on Foreign Relations, 2009). Such views have led to the mistreatment and stigmatization of illegal immigrants in a seemingly nationwide anti-immigration discourse. A look into the efficacy of the current apprehension, repressive and exclusionary policy by the US on illegal immigration indicates that it has largely failed to tackle the issue and instead provide the anti-immigration sentiments in the population which are more sensationalist-driven rather than fact-based. Border repression and exclusion have temporary prevented illegal immigrants from returning to their countries with particular reference to Mexico, which has contributed to the problem, while at the same time leading to increase sophistication and criminalization of illegal immigration. More importantly, it has led to increased aloofnes s to illegal immigrants by the natives, which is manifested through extreme attention to the issue and vilification of immigrants based on their presumed economic costs at the spending of citizens effectively transforming the issue into an alleged national emergency (Arnold, 2011). The key to understanding the cost/benefit disputation and taking a position on it is through analyzing the 1942-1964 Bracero Program which allowed Mexican nationals to work temporarily in agricultural fields, in the US, following laws and diplomatic agreements between the US and

Pricing strategies of Amazon Essay Example | Topics and Well Written Essays - 3000 words

Pricing strategies of Amazon - experiment Example231). The most important factor to consider is the price of a product, as it is from this that the company impart be viewed by the otherwise entities in the industry and also potential customers. In achieving this, companies in general consider three main factors in coming up with viable determine strategies that ensure their boilersuit success. These are in terms of their basis of laying emphasis. There are the cost- ground pricing strategies, which focus on a means of determining prices through incorporation of profit essentials in the product (Cryns 2002, p. 120). Moreover, there is the pricing based on customer observation whereby a business entity considers the best price that could fit because to the customer base of that product. In addition, there is the pricing based on competitor substitutes, which considers competitor pricing to come up with prices that would most likely put a business at a break dance position for pro per and advantageous competition. While these are the main pricing criteria that most companies consider foregoing to formulating a viable strategy, other entities such as Amazon maximize on their potential in regards to formulating their pricing strategies (Wuebker 2008, p. 111). ... Later on, it diversified into the sale of media such as CDs, DVDs and such other forms as MP3 based media files. After some years of relatively moderate growth, Amazon later on increased in terms of revenue and overall growth to become the largest online store (Smith 2011, p. 167). In addition, the store has diversified its products crease to include most basic home appliances, extending further to even foodstuff. In order to achieve this status, and husband these growth standards, Amazon has strategized effectively, successfully implementing a variety of pricing tactics that have ultimately noble-minded the entity forward. In light of the above, the first strategies that Amazon employs in attainin g its status is the use of dynamic pricing mechanisms in order to spread their market base. In this form of pricing strategy, a company distinguishes between its customers, analyzing the conglomerate features that set apart the various categories of customers (Burton & Holden 2010, p. 145). Through this research, a company focuses on such aspects as the frequency and trend of shopping that a faction of consumers adapts to in the course of carrying out their transaction. Through this kind of circumstantial analysis, a company comes up with prices for its goods in relation to the trends that customers have adopted while purchasing products. As such, the peak periods that most customers are carrying out their transactions are often characterized by higher prices than the other periods that customer density is relatively low. In its practices, Amazon extensively uses dynamic pricing strategy to particularise the prices of its products in relation to the cycle of demand as occasioned b y the