Sepsis Related to Aspiration Pneumonia , With Current Condition of Cerebral Palsy and Developmental Delay - Free Essay Example

Sample details Pages: 5 Words: 1621 Downloads: 4 Date added: 2019/10/10 Did you like this example? Patient description The patient was admitted to the hospital from home as result of suffering from Sepsis-related to aspiration pneumonia. According to Balady et al. (2007), pneumonia is one of the leading infections, which causes the death of most adult within the different population, and it affects majorly the lungs which are made up of alveoli when an individual is breathing. Don’t waste time! Our writers will create an original "Sepsis Related to Aspiration Pneumonia , With Current Condition of Cerebral Palsy and Developmental Delay" essay for you Create order The patient was diagnosed and found to be suffering from pneumonia which caused mainly by bacteria which is transferred through the air while he was traveling together with infected persons in the environment where he lives. One of the symptoms of the infection as observed from the patient is inflation of the air sacs found in the patient lungs after which the alveoli are filled with fluids as well as pus thus interferes with the natural gases exchange taking place within the lungs. Other symptoms that the patient possesses include a cough, fever, chills, and breathing difficulties. Current medical condition of the patient The client has been examining to have cerebral palsy as he is also alert and nonverbal. Most of the symptoms shown by the patient currently are characteristics of a person who has been affected by the bacteria causing pneumonia. As the patient continues to go through treatment, his condition continues to get better day by day. There are various attempts made by the doctor for ensuring the patient get better as fast as possible. For example, restricting or putting on holds the fluid that the patient take is a step taken to ensure the Patient PIVV line is reinserted back to normal (Watson, 2007). The priority system assessment This indicates various findings and rationale for the findings regarding the conditions of the patient. The first assessment done to the patient is a respiratory assessment. This is associated with the ineffective airway clearance that is accompanied by excessive secretion along the respiratory track. For the patient suffering from pneumonia, a productive cough is experienced as one of the client symptoms. Interventions for pain management includes administration of medications such as Hydromorphone IV, teaching the patient how to manage pain such as deep breathing exercise and proper positioning if he can. Retained secretions can obstruct airways, leading to an impaired gas exchange that causes pain during inspiratory and expiratory. Rationale: The bacterial pneumonia found in most adults contains risks, which cause the adverse cardiac activities for example heart failure, and heart attacks this contributes significantly to mortality. The pain experienced by the patient is evidenced by the changes that occur in heart rate. Inventions required in the clinical treatment process. Various adjustments need to be made in the medical sector as clinicians make the effort of ensuring patients get required medical attention and drugs. Some of which are listed below. There is need to come up with ways of encouraging patients to get rest as well as avoiding over relaxation which can cause an increase in the number of symptoms they experience while they are they are under medication (Kuiper Pesut, 2004). Since the patient is examining to suffer from pneumonia, improving on the smoothness level of the patient airway patency is necessary. Secretion is one of the symptoms that the infection is characterized with and to fasten the recovery rate, there is need to ensure the secretion interfere retained in its initial conditions (Kuiper Pesut, 2004). This way breathing efficiency of the patients has increased hence the secretion clearance as well as volume expansion is promoted. Laboratory concerns based on the diagnosis values The patient is likely to have anemia based on the lab values obtained (iron deficiency). That is the patient has not been taking balance diet, which does not contain iron (Hgb- 95g/L-Low). Therefore, to ensure that the patient has a strong immune system the oxygen carrying capacity needs to improve for efficient breathing system (Winters, 2013). Medical history of the patient is a necessary clarification that all qualified physicians or doctors must inquire before recommending any further treatment for patients. Similar, carrying out physical exams are important which include auscultating the lungs to check for the abnormal bubbling as well as crackling sounds, which are symptoms of pneumonia. The physician or nurses started to ask about the medical history as well as doing a physical exam, including auscultating of the lungs for checking the abnormal bubbling experienced by the patient and the crackling sounds which are symptoms of pneumonia. Upon suspecting pneumonia, the doctor will recommend the tests listed below: Blood Tests: These are used for the purpose of confirming an infection as well as identifying specific organisms/pathogens, which causes the infection. They found client has low hemoglobin and high PT. Chest X-ray: A chest x-ray is the best tool for diagnosing pneumonia. It is used to determine the extent as well as location of the disease. The patient was examine through chest X-RAY to confirm whether he had lung abscess, fluids or air in his lungs. The X-RAY showed fluid in his right lower lobe. They inserted chest tube on his right chest to drain off fluids. Sputum Test: is a sample of fluid taken from the patient lungs after a deep cough by the patient and carry out its analysis to identify the pathogen causing the disease. Revealed my patient had bacterial pneumonia. CT scan: when the infection is not clearing faster as projected, the doctor will recommend an alternative testing which is a chest CT scan to be able to obtain an image of the lungs, which is more detailed. Pleural fluid culture:Â   is the liquid sample, which is taken through putting a needle in between the ribs of an individual starting from the pleural region as well as carrying out an analysis to assist in identifying the infection type. Incorporation of theory into the nursing practice Application of knowing via inquiry, which is termed to be empirical, personal as well as aesthetic, is used. The application of the science of knowing assist in identifying the patients normal and most sensitive signs making it easier to predict the possible result of diagnosis thus faster medical recommendations. Similarly, science knowing allows the clinicians to have a proper understanding of the side effects that the drugs they prescribed to the patients are likely to pose on their health (Winters, 2013). An effective introduction to patients needs the clinicians to have the ethical way of knowing. Ethical way of knowing provide the medical specialist with the opportunity to acquire knowledge in their field of study and master all procedures which are involved in treating patients in the clinics. Demonstration of safe patient care and the unsafe situations observed in the medical environment Ensuring safety in the medical facilities or health care clinics is essential, as most of the operations need to be carried out faster based on different conditions that are experienced by patients. One of the safe patient cares I employed to ensure their safety is keen monitoring and checking of the equipment used for their protection like oxygen and Foley cater (Landers, 2000). Removing obstacles in the clinic environment is another safe patient care practice that I employed in ensuring the patient is well-taken care off/safe. Other safety measures are put in place during treatment of the patient is cleaning of the equipment used during diagnosis after each procedure. Safe nursing practices is a step in ensuring that one gains personal nursing progression, that is the progress of competencies as well as being able to learn the plan goals (Zwarenstein, et al. 2009). This involved demonstrating a professional presence and model behavior while handling patients. This is possible through pear introduction and learning how to interact effectively with the patients in every medical environment (Zwarenstein, et al. 2009). Application of relevant assessment tools as well as techniques while consulting different patients and different health care providers is a safe nursing practice recommended for good patient protection. The BP machine and telescope were used effectively in assessing the bow sound produced by the patient suffering from pneumonia, and this ensures the feelings of the patient are recorded appropriately. After diagnosis and treatment of the patient, there are various factors, which act as barriers to the discharge of the patient. Some of which are listed below. Development of nosocomial infections such as C-difficult or MRSA, associated with hospitalization. Persistence of pneumonia symptoms despite a course of antibiotics. Fortunately, the patient had a good response to treatment within 48 hours of antibiotic administration. The Doctor even removed the chest tube, meaning the fluid in the lungs were not visible anymore (Kolanowski, et al., 2011). Development of complications indicated by an increase in temperature with growing cough, fremitus, and adventitious breath echoes on auscultation of the lungs, confusion and variations in cognitive status. Misperception might be related to hypoxemia, fever, dryness sleep deficiency or emerging sepsis (Kolanowski, et al., 2011). Development of complications is evidenced by the increase in temperatures as well as cough increased as well as well cognitive status. Some of the confusions experienced are related to hypoxemia, fever, dehydration and developing sepsis Areas of improvement One of the challenges I faced during my early days of my clinical was mixed emotions of nervous as well as existence. Because this was my first medical unit association with others after several years of study (Watson, 2007). For one to be able to learn new things in the medical field, for example, checking the IV for preventing complication like filtration, there is need to put more commitments. Working in a various hospital environment with modernized technology is an important factor that an individual practicing nursing needs to put into consideration. Being ready to assist others is another character that needs adjustment for one to cope up with the nursing assistance needs in health care centers.

There is No Perfect Government, No Utopia Essay - 2077 Words

From the early stages of civilization men created a form of government to help bring order to society. One of the greatest philosophers Thomas Hobbes believed that men left in their natural state is solitary, poor, nasty, brutish, and short; however, for men to obtain peace they must renounce their freedom to a form of government to gain freedom. (Hobbes, 1865 ) The government has shaped many civilizations, and brought many changes to each new civilization. Throughout history one can observe many forms of government, some government systems brought peace and prosperity to the states while others brought destruction, war, and famine which can be seen in Ancient Greek and Rome. The question then arises, what there a perfect†¦show more content†¦Athens was a civilization which prospered and exerted influence to other city-states, they focused on philosophy and education rather than military. Nevertheless, despite Athens Golden Age, there were many flaws in the government syst em, women, children, slaves and resident aliens were not considered citizens, and since everyone had a say in democracy, the Athens lacked professional civil service. The Politics and the judiciary in Athens remained under the influence of people of wealth and venal judges presided at courts of law marked by corruption and perjury. (Frank, 2009) Eventually, the Athenian government system failed to overpower their enemy in the Peloponnesian War against Sparta, and Athens was defeated. Sparta however was the fearsome polis in Ancient Greek. Unlike Athens, Sparta was a mixed constitution of democracy, monarchy and oligarchy. As unlikely as it seems, Sparta had one of the best functional government in the Ancient World. The Spartan government consisted of two kings, the Ephors, the council of Elders, and Demos which was an assembly of men over the age of thirty. (Mathisen, 2012) This form of government made sure that there was no corruption in the government, and during the time of warfare one king was on the battlefield while the other ruled the people. Sparta however was a military based civilization with two social groups, Spartan citizens and Helots (slaves); unlike Athens, SpartanShow MoreRelatedUtopia is defined as a place of ideal perfection especially in laws, government, and social1000 Words   |  4 PagesUtopia is defined as a place of ideal perfection especially in laws, government, and social conditions, (merriam-webster.com). Utopia is a mindset that p eople are conditioned to believe is achievable, when in actuality it isn’t. In a utopian society when people believe that they have reached idealized perfection, there will still be things or people that make the society imperfect. â€Å"Every utopia faces the same problem: What do you do with the people who dont fit in?† (Margaret Atwood, a novelistRead More Comparing Margaret Cavendish’s The Description of a New World, Called the Blazing World and Sir Tho1706 Words   |  7 PagesThe Description of a New World, Called the Blazing World and Sir Thomas More’s Utopia The so-called Utopia – the quasi-perfect society – flourishes in Margaret Cavendish’s â€Å"The Description of a New World, Called a Blazing World† and Sir Thomas More’s Utopia. While the former is a dreamlike account of fantasy rule and the latter a pseudo-realistic travelogue, both works paint a picture of worlds that are not so perfect after all. 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A Report On LVMH HR Policies Education Essay Free Essays

Lvmh HR policies are in surplus of required and implement on the concern groups and companies. Through flexible regulation, it besides provides organisation. The map of corporate HR is to normalise certain ways, to exemplify program and to give force to companies ‘ HR squads. We will write a custom essay sample on A Report On LVMH HR Policies Education Essay or any similar topic only for you Order Now In connexion with scheme, HR offers other than hardly of all time oblige. An employee work reciprocally with the concern group which study to corporate central office. Approximately 55 to 60 % of advancements are controlled by companies, the else managed by the concern groups or corporate. There are four types of HR directors at Lvmh. Subsequent the group ‘s construction, they operate on four degrees: corporate, regional, concern group and company degree. The subordinate HR Director or the individual moving as such, studies to the subordinate ‘s President. The subordinate ‘s HR Director gets recommendation and shore up from his company. The concern group ‘s HR Director organizes his companies ‘ HR Directors through monthly meetings. The intent of these meetings is to place vacant places throughout the universe and to analyze the list of possible campaigners for these places, between which are the Ready to Move. Lvmh has ready internal mobility – both geographic and functional – a footing of their human resources policy. This cross-fertilisation of experience within their ecosystem under the consolidative umbrella of the group creates matchless cause of proficient and personal fulfillment. International mobility is indispensable portion of every prospective calling way. It targets to make planetary directors many of them have far above the land cardinal practical move. As an illustration the caput of HR development remember the instance of a Gallic insurance specializer in the manner concern unit who was sent to Romania to head a shoe mill. LVMH be on familiar footings with they could make with hazards to develop likely impending. It needs to set them in new fortunes to assist them develop new accomplishments and set up their bravery. Lvmh actively supports the professional development of its employees. The decentralised organisation of the Lvmh group encourages single enterprise. Half of Lvmh ‘s senior executives and over 40 per cent of managerial staff are Gallic, whereas the Gallic history for 37 per cent of the group ‘s planetary work force. HR needs to develop more planetary concern directors so they can be a portion of globalized top direction. Lvmh mobility procedure works on the web of HR squads who largely staffed with locals. Lvmh did non direct out any experts because non hold local gift. Generally their experts fit two profiles: those sent out by the corporate HQ to command its subordinates and protect its involvements and sent out to develop their accomplishments. To back up the international concern growing relocate is lifting. Though, it non means that increasing figure of Gallic exiles will coerce this disposition. Lvmh lake of planetary directors creates their order adverse in footings of deploying adept director to company ‘s desire program or task given to that director. Lvmh did non pull experts by giving them higher fringe benefits in footings of their degree. The group is motivated for cost effectivity. They know that a good bundle is indispensable, but that it non the chief encouragement to travel abroad. The primary balance-sheet move in the way of bundle is based on the benchmark that proficient should neither lost nor turn from their reallocate. Lvmh ‘s C A ; B section has connected this draw near as a direct for it does remunerate bundle policy. Specific state based salary is evident for international mission. Salary will acquire hire during the period of mission. That is used as a vital for work out of societal security and pension payments. The mobility rewards are mean comparison to local labor market. Lvmh distinguishable two types of high potencies, HP1 and HP2 is an single likely to accomplish a top direction place such as member of Board commissions, Regional president or Subsidiary president. An HP2 is an employee probably to travel up one or two stairss in the hierarchy. For corporate HR this word picture of high potency is excessively wide and is more relevant for level constructions. It is now sing contracting it. It would retain the definition of HP1 and include those who are considered to be experts in their field. Lvmh is giving specific undertaking or mission to the planetary director in their working content for specific period and give him or her full authorization to take determination for the company, besides they want to larn from this sort of freedom to make new or dare things. Undertaking 2 To fit the planetary demand of concern working form Lvmh has to deploy local people instead than experts from the Gallic, because they do non hold know the local civilization or local market how they react in new or old section for their merchandises or what is the tendency among them for Lvmh ‘s merchandises. If they select local director with relevant expertness for their desire undertaking or purpose to accomplish. In this status they can acquire director with accomplishment which they want and besides acquire betterment from his cognition about their merchandise fiting the local public positions and if possible implement them for acquiring better consequences. For LVMH operates in all over universe so, they have to believe globally and move locally for their operations. For illustration they have decided same regulations and ordinances for the all employee universe broad like their rewards and benefits. In France they have decided to give 6500 ˆ per month wage to the planetary director for giving his or her services to the company as per same wage may non be pay in other continent like Asiatic states China or India. Populating criterion in all continents is different so, their policies should be different than headquarter and subordinate in footings of rewards. Lvmh has to take attention for the different civilization base for their scheme in HRM for illustration in Japan they can non deploy younger director on the employee who is senior in footings of age so him or her, because Nipponese have cultural usage that they respect elder individual and do non traverse their words of all time so, in that manner Lvmh has to be specific about cultural differences. Like in South East Asia India is a populated state and have more knowledge base potency campaigners are available to fit their standards but they have to maintain in head that Indian civilization is a versatile and full of festivals. If they want to establish the new merchandise there they have to look frontward for the appropriate gay season for their merchandises and the director who familiar with the usage of this festival and achieve company ‘s end. Before directing the planetary trough on his or her assignment they has to be given developing about linguistic communication which is locally spoken over at that place and have good bid over at least 3 linguistic communications other so French. Looking frontward the HRM policies of Lvmh is to follow divergency in footings of local environment like in UK people like to imbibe Beer while in USA and France prefer to imbibe Wine. Such things keep in head and develop their program for act in a planetary market through their planetary directors who really implement their policies to their concern. Undertaking 3 Lvmh has created his name in the planetary universe so they have to choose planetary linguistic communication like Good English talking individual because in the yesteryear they select staff from the France merely, they ca n’t talk English fluently for that they have to larn English as a preparation and development undertaking which is programmed by HR section and educate them to cover in English at planetary degree. How to cite A Report On LVMH HR Policies Education Essay, Essay examples

Business Development of Commonwealth Bank-Free-Samples for Students

Question: Discuss about the Sustainable Business Development of Commonwealth Bank. Answer: Introduction: The aim of this paper is to harp on the concepts of business model and disruption of the business model. The paper also discusses the threats and opportunities ushered in by the smart-connected devices by delving into its impact on Commonwealth Bank, Australia. There are discussions on the Osterwalder and Pigneurs business model in contextualizing the disruptive business model of Commonwealth Bank and further discussions on the two perspectives of business model. Business model: Business model comprises of three elements that define the structure and goals of the business (Tidd, Bessant Pavitt, 2005). These three elements are profit formula, value proposition and the key processes and resources. Customer value propositions deals with the notion of fulfilling the task are meant for the better experience of the customers (Chesbrough, 2010). The notion of profit formula is concerned with the strategies that the company has employed in generating a lucrative deal. Third notion of the key processes and key resources indicates the processes imperative for the delivery of the proposition. Disruption in business: Disruption in business has become the trend in contemporary phase of business. The term disruption refers to the drastic alteration in the landscape of the traditional business model of the company. Companies have adopted the disruptive model to bring innovation in their business. Some of the illustrations are that companies have disrupted the business model by converting the necessities into shipping products and subscriptions (Commonwelath Bank of Australia, 2018). Companies have tapped the advantage posed by the revolution in internet speed the mushrooming of the mobile device that would stream high-quality content in exchange of monthly subscription. Another illustration of innovation would be Netflix. The company has ensconced a strong position by continuously innovating its business model. This is done through renting the DVDs and therefore changing the fate of blockbusters. In 2007, the company incorporated the streaming service and has over the years built a reputation. It ha s also branched out into the sector of original content. Currently, Netflix has become the contributor in cord-cutting phenomenon that has posed a threat to the cable companies. Another illustration of disruptive business model is Amazon. The retail giant has been consistently focussed in elevating the experience of shopping for the consumers. It has placed 500 products in the market that would be available at the fingertip of the customers. Recently, it has launched that app that has led to a sweeping increase in its sales. To stay ahead in the business, the company innovated convenience that includes the facility of Amazon Prime for its customers. Along with that it has granted access to the customers membership to two-day shipping and has allowed them to access millions of products including the benefit of music libraries and video. Disruptive business model has incorporated drop box for the purpose of communication. This had led to the enhancement in participation, accessibility and productivity. Another feature of disruptive model is that it has led to the building in of gamification that has led to the enhancement in engagement with the customers Business model of Commonwealth bank: Opportunities and threats The eruption in technology has led to the radical automation in the service of the Commonwealth Bank (Porter Heppelmann, 2014). The company has introduced a range of smart machines that interact with humans and has led to the generation of GDP. Smart-connected devices and service has altered the business model of Common Wealth Bank as envisaged by Dilan Rajasingaham, the Head of the CommonBanks Emerging Technology team (Welcome to the Machine-to-Machine economy, 2018). The company has introduced machine-to-machine economy the feature of which is that machines can eliminate the tasks that are otherwise boring, tiring or onerous. The company is planning to introduce automated machines that can look after it, in other words it can do self-monitoring and are capable of taking orders and making decisions on insurance. Machines will perform these functions and will open a new door in terms of providing smooth service to the customers and ease their pain. The technology partner of Commbank Emerging Technology has collaborated with public and private tech partners and the academic community who would be able to experiment with technology. The focus areas of Commonwealth Bank are big data analysis, blackchain, smart machines and cyber security (Reinventing Your Business Model, 2018). The team of CommBank is committed in preparing a future based on experimentation, education, adoption of new technologies and learning. Whilst, these were the opportunities, the threats are also quite prominent. According to a survey conducted by the Mobile Ecosystem Forum, 60 per cent of the population were worried about the proliferation of the connecting devices, and 62 per cent of the population was of the opinion that privacy was a real concern that was being hampered by the smart-connecting devices (Commonwelath Bank of Australia ,2018). It was reported that 21 per cent of the sample population conceded that internet of Things (IoTs) poses a real threat (How Smart, Connected Products Are Transforming Competition, 2018). The advantage lies in gaining or securing the trust of the customers in the management of transactional data. CommBank is committed to innovating in the space of payment technology. The company has constructed a network that would enable in the innovation of the business through a decentralized structure and distribution. The broader aim of the company is to work its privacy protocols that would underpin the transaction banking of CommBank. Business model framework of Osterwalder and Pigneur to analyze the business model of Commonwealth Bank: An analysis of Commonwealth Banks disruptive model with the framework of Osterwalder and Pigneur is imperative. It has been found that the bank is committed towards building on its customer relationships and the value proposition. In terms of value proposition, the company believes in making transaction smoother for the customers, in terms of customer relationships, the company believes that smart-connected device would cater to the growing needs of the millenials for whom everything is just a click away and finally in terms of channels, the company is planning to reach to the potential customers via notification through mobile phones (Osterwalder Pigneur, 2010). Key Partners Partner with private and public service providers Key Activities Providing smooth bank experience to the customers Machine-to-machine transaction economy Big data analysis Cyber security Value Proposition The company delivers the value of easy money transaction Customer Relationships Building trust Customer service Cordial and long-term relationship. Customer Segments Millenials who service to be quick and efficient Key Resources Smart connected technology Automated banking Self-monitoring machines Channels Decentralized structure and distribution Cost Structure Technology Customs Employee wages Taxes to government and intercity and interstate taxes Production costs Installation of the machines throughout the country Revenue Streams Easing the burden on payment technology Two business model perspectives Business model as a set of capabilities- This refers to the ability of an organization to recognize and build on the right kinds of capabilities. This capability provides the opportunity to translate the strategy into actionable tasks and ensured that it is executed in the business areas (Zott Massa, 2011). Business model as profit formula- Business model as a profit formula refers to the four aspects of business. These are cost structure, target unit margin, revenue model and the velocity of the resources. Conclusion Therefore, it can be stated that smart-connected products in the form of machine-to-machine economy will make it easier for the customers to make transactions. It will also transform the landscape of the banking sector. This is an illustration of disruptive business model for CommonWealth Bank. References Chesbrough, H. (2010). Business model innovation: opportunities and barriers.Long range planning,43(2-3), 354-363. Commonwelath Bank of Australia (2018). Disrupting beliefs: A new approach to business-model innovation.McKinsey Quarterly,3, 66-75. How Smart, Connected Products Are Transforming Competition. (2018).Harvard Business Review. Retrieved 19 April 2018, from https://hbr.org/2014/11/how-smart-connected-products-are-transforming-competition Osterwalder, A., Pigneur, Y. (2010).Business model generation: a handbook for visionaries, game changers, and challengers. John Wiley Sons. Porter, M. E., Heppelmann, J. E. (2014). How smart, connected products are transforming competition.Harvard Business Review,92(11), 64-88. Reinventing Your Business Model. (2018).Harvard Business Review. Retrieved 19 April 2018, from https://hbr.org/2008/12/reinventing-your-business-model Tidd, J., Bessant, J., Pavitt, K. (2005).Managing innovation integrating technological, market and organizational change. John Wiley and Sons Ltd. Welcome to the Machine-to-Machine economy. (2018).Commbank.com.au. Retrieved 21 April 2018, from https://www.commbank.com.au/guidance/newsroom/corporate-travel1-201711.html Zott, C., Amit, R., Massa, L. (2011). The business model: recent developments and future research.Journal of management,37(4), 1019-1042