Nursing Essay Example | Topics and Well Written Essays - 2750 words

Nursing - Essay Example The patient opened his bowels most days with a small, hard constipated result, which did not relief the abdominal pain. The patient had been unable to eat solid food, surviving only on nutritional supplement drinks and had lost one and half stone in weight. Eventually, after further investigation the patient was diagnosed with inflammation of the colon and it was decided to perform an elective surgery by performing an ileomstomy leaving the wound on the patient’s left side. After the operation on the ward, the patient was told that the colostomy would be non reversible. I inquired how he felt about it. He replied that he had felt physically and psychologically prepared for the surgery. I felt that this was a positive sign; even through the surgery resulted in him receiving a stoma. In addition the patient had a relatively smooth post-operative recovery. Diet right after surgery should consist of liquids that are high in protein. After discharged Benign discharged home after fi fteen day and then referred to the local stoma nurse for follow-up. The clinic provided the opportunity to look at alternative appliances owning to frequent leak, but a satisfactory one-pice with flange extenders was agreed which worked well What is a colostomy? A surgical procedure that creates a hole or stoma on the abdomen and brings out the end of the colon during the stoma for the reasons of stool expulsion, a colostomy bag is attached to the stoma for stool compilation. A colostomy is normally done due to problems within the colon, such as colon cancer and intestinal trauma, Patients with colostomies should consume food that prevents complications and enables the stoma to... This paper approves that Benign discharged home after fifteen day and then referred to the local stoma nurse for follow-up. The clinic provided the opportunity to look at alternative appliances owning to frequent leak, but a satisfactory one-pice with flange extenders was agreed which worked well. A surgical procedure that creates a hole or stoma on the abdomen and brings out the end of the colon during the stoma for the reasons of stool expulsion, a colostomy bag is attached to the stoma for stool compilation. A colostomy is normally done due to problems within the colon, such as colon cancer and intestinal trauma, Patients with colostomies should consume food that prevents complications and enables the stoma to heal. This essay makes a conclusion that Multidisciplinary teams are groups of professionals from different fields of medicine who come together to provide comprehensive assessment and consultation in medical cases. The multi disciplinary team were involved in the ileomstomy surgery since more than one health professional was required to assist in the operation. The MDT combines mutually individuals who have expertise in various areas of medicine and care, and typically meet as frequently as on weekly basis to talk about the diagnosis, treatment and care of individual patients. The health professionals included in the multi disciplinary team are a colon and rectal surgeon, a general surgeon, a specialized stoma therapy nurse, a gastroenterologist, a histopathologist, a dietician, an enterostomal therapist, a primary nurse, a psychologist and social workers.

Explain in detail the connection between respiration, Assignment

Explain in detail the connection between respiration, nutrition,ventilation and circulation in supporting the healthy functioning of cells - Assignment Example d be working in order, respiration, circulation, ventilation and nutrition all are dependent on each other in terms of performance because if one performs and other organs is not working properly then cells won’t be getting full energy and improper growth would take place which can result into malfunctioning. We need to understand the link between all the four organs and their effect on the growth of the cells. In order to understand the connection between respiration, nutrition, ventilation and circulation separate understanding of these processes is important, understanding of these processes can make connection between these four processes and thus can build an understanding of the support that these four most important processed of human body gives to the healthy functioning of the cells. If we explain process of respiration then it is basically set of metabolic reactions which take place in all organisms’ cells which convert nutritional biochemical energy into adenosine triphosphate (ATP), and after conversion it releases waste products. Reactions which are responsible in this process of respiration are catabolic which is a reaction involving reduction of one molecule and oxidation of other molecules. Plants and animals cells use few nutrients which are glucose, fatty acids. amino acids, oxidizing agent (electron acceptor) which is molecular oxygen (O2). Archaea and bacteria usually can be lithotrophs so these organisms have respiration support by using inorganic molecules which can be acceptors and electron donors example of such inorganic molecules is sulfur, hydrogen, methane, metal ions. In respiration those organism which use oxygen as final electron acceptor are called aerobics and those who don’t fall in this category are called anaerobic. Respiration process results in a form of energy and to store this energy synthesize ATP is used. ATP stored energy is used to drive different processed which require energy to perform action. Biosynthesis,

Internal and External Threats Essay Example | Topics and Well Written Essays - 500 words

Internal and External Threats - Essay Example The health information technology has been implemented in major health organizations in the country. Cedar Sinai which is one of the major health providers in the country did not have a very successful outcome from the implementation of this program. Health information technology has its benefits but it is a subject of concern for the health care executives. The healthcare executive should be concerned with the potential threats that may exist within the health organization. The proper implementation of the health care program is a task that needs to be undertaken with utmost care. It requires proper supervision and implementation of the program in a health organization effectively so that it is brought into use and improves the working of the hospital rather than delaying the normal work of the physicians. This is because it is believed by some physicians that clinical records on the computer can serve to take longer hours than otherwise. Errors in handling the information technolog ical systems can result in blunders with regard to patient health care and hence the health executive needs to be aware of such threats as well. Hence, extensive training and investment is very important with regards to the implementation of such programs. External threats also need to be considered with regard to this implementation. Electronic Health Record is an essential component of the maintenance of the records of the patient electronically. There are differing ways which can be used to keep these records which include buying the software for the organization’s computers or another option is ASP which uses a different server which holds the electronic health record of the patient and the software is present on that server. ASP is a more widely used option and it needs to be understood by the healthcare executive that information via this method is shared on a remote server which may be viewed by

Performancemangement Essay Example | Topics and Well Written Essays - 2500 words

Performancemangement - Essay Example t hand and to keep with the competition, the company has taken up the decision to focus more on the new costing and pricing techniques to keep their focus on the customer and on maximization of the profit through cost reduction. The company uses the traditional costing methods to base the cost of their surgical equipments which are quite outdated and are therefore show a lesser profit as compared to the new costing methods which can help a company to maximize their profits. The traditional method used by the company does not focus on the reason for the occurrence of the cost i.e. whether the cost is directly linked with the production of the equipment or the cost is merely an overhead cost. (Exact Cost n.d.) Therefore, the cost is incorrectly charged to the product which decreases the profit margin for the company. It does not differentiate the cost on the basis of their use. As a certain material used in the production of equipment may be more costly than the other but is required in a limited quantity while the other may be cheaper but required in huge quantity. Costs cannot be properly allocated on the basis as to which department has provided the maximum amount of service to the particular department and the large amount of cost may be allocated to a department which has provided no service at all thus increasing the cost of that particular equipment. In contrast with the traditional costing methods which have certain deficiencies, a modern costing method can be used. This method is known as Activity Based Costing (ABC). Some points regarding this method are discussed in detail below: This method is based on the actual costing of a particular department as people who are connected to the department are involved in the costing process extract the data of cost to be allocated and allocate the cost to the production or service department as per the level of service provided. Since the costs are properly allocated to the respective departments in the

Technostructural Intervention of TRW Systems Essay

Technostructural Intervention of TRW Systems - Essay Example (Thompson, Seher, and Kotter, 1976) Ramo-Wooldridge Corporation experienced quick growth due to its ties to the â€Å"accelerating ICBM program that the air force was sponsoring. Following the win on the contract bid for the job of providing technical supervision of the ICBM program it is reported that RW gradually expanded its capability to include advance planning for future ballistic weapons systems and space technology and by providing technical advice to the Air Force.† (Thompson, Seher, and Kotter, 1976) RW was held by many to be a ‘quasi-government’ agency with some of the aerospace industry competitors resenting the opportunities presenting in the audit and examination RW conducted on their operations. RW was due to this relationship with the Air Force prohibited from competition for mainframe and assembly work for the Air Force. TRW made the decision, following the merger of 1959 with Thompson that the hardware ban was too great a liability and moved to f ree the Systems Group from its limiting relationship with the Air Force. (Thompson, Seher, and Kotter, 1976, paraphrased) Because of the value of the services provided by RW to the Air Force a solution was created calling for a non-profit organization to be created by the Air Force and specifically the Aerospace Corporation. This Corporation is reported to have assumed the â€Å"advance planning and broad technical assistance† formerly provided by the Systems Group. ... he process pricing and billing was ‘cost-plus-fixed-fee-basis† and that changed to what is known as an incentive-based process in which rewards came from excellent performance, delivery dates that were specific and failures resulting in payment of penalties. It is reported that System â€Å"thrived in the new competitive arena, winning a number of important contracts.† (Thompson, Seher, and Kotter, 1976) II. Background In 1963 TRW is described being different systems in a matrix organization with functional divisions and the offices for program management (using project interchangeably with program). (paraphrased) TRW Systems Group was headed by the Director, and Sub-headed by the Florida, Houston, San Bernadino, and Washington Operations all of which comprised one subhead of the organization joined by the other subhead being that of the Administration. Team building is a process that was used in the earlier days of TRW. The first team-building meeting was held â⠂¬Å"offsite† and involved a team development session, which reported that the group â€Å"improved its working relationships with manufacturing. The success of this experiment became well known throughout the company.† (Davies-Williams, nd) The matrix of TRW is such that â€Å"any one man is a member of many systems simultaneously. He has interfaces with many different groups. In addition, he is continuously moving from one team to another, so they need team development to get the teams off to a fast start.† (Davies-Williams, nd) The process used at TRW Systems is one that can be easily disseminated in the interchange of company representatives after a planning session in which they all express views that differentiate the concerns and consideration of the organization when it enters into a project or process

Islamic banking and financial in a global economy Assignment

Islamic banking and financial in a global economy - Assignment Example This growth is conspicuous from the emergence of new Shariah compliant instruments in various asset classes, ranging from equities, real estate, commodities and private equity (not bonds as interest bearing instruments are considered prohibited (haram)). Estimates suggest that since 1990, the market size of the Islamic Finance has multiplied five times from USD 150 billion to USD 900 billion in the year 2008; whereas it is expected to more than double at USD 2 trillion by the year 2010. The main markets currently involved in the Islamic finance and banking across the globe comprises mainly the active participation from the GCC countries, followed by Middle Eastern and North African countries. Slowly and gradually European states, Australia and other American states have started penetrating the market with wild growth rates. It is noticeable from the onset of Shariah compliant banking units of Citigroup (America), HSBC (Britain), and Deutsche Bank (Germany). As opposed to conventional banking, Islamic banking has its roots in the core values of the religion, Islam. Where, Islam itself is the way of life and conduct of living, the underlying theme of the Islamic Financial system is application of ethics and discipline to the banking and finance sector. It is not so simple; it does not only prohibit usury/interest (money on money), but aims at eliminating unjust behavior for the development of an equitable economy. Prohibition of interest, avoidance of uncertainty and contingency, restrictions on short selling, sharing in profits and losses are the core principles governing Islamic finance; it also places restrictions on financing sectors that engage in illegal and illicit activities – such as alcohol and tobacco, gambling, arms and ammunition, pornography and acts that are harmful for the environment. For the avoidance of all these prohibit able acts and indulgences, the community of Islamic shariah scholars have come up with

Technostructural Intervention of TRW Systems Essay

Technostructural Intervention of TRW Systems - Essay Example (Thompson, Seher, and Kotter, 1976) Ramo-Wooldridge Corporation experienced quick growth due to its ties to the â€Å"accelerating ICBM program that the air force was sponsoring. Following the win on the contract bid for the job of providing technical supervision of the ICBM program it is reported that RW gradually expanded its capability to include advance planning for future ballistic weapons systems and space technology and by providing technical advice to the Air Force.† (Thompson, Seher, and Kotter, 1976) RW was held by many to be a ‘quasi-government’ agency with some of the aerospace industry competitors resenting the opportunities presenting in the audit and examination RW conducted on their operations. RW was due to this relationship with the Air Force prohibited from competition for mainframe and assembly work for the Air Force. TRW made the decision, following the merger of 1959 with Thompson that the hardware ban was too great a liability and moved to f ree the Systems Group from its limiting relationship with the Air Force. (Thompson, Seher, and Kotter, 1976, paraphrased) Because of the value of the services provided by RW to the Air Force a solution was created calling for a non-profit organization to be created by the Air Force and specifically the Aerospace Corporation. This Corporation is reported to have assumed the â€Å"advance planning and broad technical assistance† formerly provided by the Systems Group. ... he process pricing and billing was ‘cost-plus-fixed-fee-basis† and that changed to what is known as an incentive-based process in which rewards came from excellent performance, delivery dates that were specific and failures resulting in payment of penalties. It is reported that System â€Å"thrived in the new competitive arena, winning a number of important contracts.† (Thompson, Seher, and Kotter, 1976) II. Background In 1963 TRW is described being different systems in a matrix organization with functional divisions and the offices for program management (using project interchangeably with program). (paraphrased) TRW Systems Group was headed by the Director, and Sub-headed by the Florida, Houston, San Bernadino, and Washington Operations all of which comprised one subhead of the organization joined by the other subhead being that of the Administration. Team building is a process that was used in the earlier days of TRW. The first team-building meeting was held â⠂¬Å"offsite† and involved a team development session, which reported that the group â€Å"improved its working relationships with manufacturing. The success of this experiment became well known throughout the company.† (Davies-Williams, nd) The matrix of TRW is such that â€Å"any one man is a member of many systems simultaneously. He has interfaces with many different groups. In addition, he is continuously moving from one team to another, so they need team development to get the teams off to a fast start.† (Davies-Williams, nd) The process used at TRW Systems is one that can be easily disseminated in the interchange of company representatives after a planning session in which they all express views that differentiate the concerns and consideration of the organization when it enters into a project or process