Friday, January 31, 2020

Analysis of Paediatric Gastroenteritis Case Study

Analysis of Paediatric Gastroenteritis - Case Study Example   It shall consider the case of Kane, who is a young boy presenting to the emergency department with his parents. Upon admission, the records establish that Kane is a four-year-old male child who has been suffering for 24 hours (prior to consultation) from diarrhea and vomiting. He is also: pale with peripheral warmth; with RR of 30/min (without wheezing on auscultation); HR of 140/min at rest; temperature of 39.4 degrees Celsius; with the dry tongue; tearfulness; lethargy; and with weight at 15.4 kg. He has mild intermittent asthma managed with salbutamol. Parents express that the child has been vomiting sporadically, is not able to keep fluids down, and refuses to drink. He also has had four episodes of watery offensive stool in the last 12 hours PTC. The physician diagnosed the child with possible gastroenteritis, and the plan of care was to try fluids orally if tolerated and if not, to consider IV cannula. The child was admitted to the children’s ward and scheduled for r eassessment after 12 hours. This study shall now consider two clinical guidelines related to pediatric gastroenteritis. ... Australian sources were excluded in the search. Literature which matched the current case was reviewed and the specific journal was chosen based on relevance, reliability, and validity. Immediate Priorities for Kane’s care: To assess and manage the patient’s level of dehydration To reduce or totally end his diarrhoea and vomiting Plan and intervention for patient’s care Assessment and management of patient’s level of dehydration Based on the NSW Clinical Guidelines, the assessment of patient’s level of dehydration is based on three levels: mild, moderate, and severe. The care of the dehydrated patient subsequently follows based on the level of dehydration. Based on the patient’s symptoms, Kane is moderately dehydrated based on his following symptoms: elevated heart rate, elevated breath rate, pallor, dry mucous membrane, and lethargy (NSW Health, 2010, p. 7). These are all symptoms which signal moderate dehydration. The replacement fluid rate shall, therefore, be nasogastric therapy: one Oral Rehydration Solution (Gastrolyte); or it may be intravenous through (rapid or standard speed). The IV shall be 0.9% NaCl + 2.5% Glucose or 0.9% NaCl + 2.5% Glucose or 0.45% NaCl + 2.5% Glucose (NSW Health, 2010, p. 7). The Canadian Clinical Guidelines presented with slightly different details. Firstly, the child is also moderately dehydrated under these guidelines as assessed from the child’s exhibited symptoms, including dry mucous membrane, elevated heart rate, and lethargy (Gysler, 2011, p. 3).  Ã‚  

Thursday, January 23, 2020

Essay --

English 103 Marla Allegre 20 November 2013 Abolishing the Death Penalty for Good One of the most controversial issues in the modern world concerns the acceptability of the death penalty. The death penalty is still exercised in many areas as a punishment for heinous crimes especially murder. Communities from the Europe and North America embrace the death penalty as a suitable punishment methodology and from 1608 to 2011 the United States has executed 14,489 people (Evans, Brian). The death penalty has come a long way from the firing squads that were used for the first recorded execution in 1608 of George Kendall for alleged espionage activity (Evans, Brian). However, pertinent issues concerning capital punishment are unlikely to be resolved soon due to the different justifications given by the different sides. Central issues of the death penalty revolve around the cost of the death penalty for the taxpayer’s verses life in prison, the errors that are made during criminal cases, and especially the argument that the death penalty does little to deter crime. Due to the economic crisis in the United States today death penalty opponents have formed their most successful argument yet-money. Just two states have abolished the death penalty in the past forty years, New Jersey in 2007 and New Mexico in 2009. The cost of capital punishment played a key role in both decisions, and is driving current legislative attempts to repeal the death penalty in a number of other states. The bittersweet reality is that money, not morality has become the reason for saving lives. In California, which houses the largest death row facility in the United States, it costs about $137 million annually to maintain the state’s capital punishment system (Lain,... ...me again that that is just not the case. In a time where the United States is in an economic crisis, it is time to start finding ways to cut budgets, and since the death penalty is a punishment that is rarely carried out, I believe that is a good place to start. Not only would we be saving billions of dollars in tax payer money, we would also cut down the rate of people falsely imprisoned on death row due to false testimony, new DNA test results or other new evidence. The claim that the death penalty deters crime can also be dismissed due to the fact that violent crime has been linked to the socioeconomic state of the country, not to the death penalty. If we abolish the death penalty we could use the billions of dollars we would save towards rebuilding the impoverished cities of our nation, and giving people with mental health issues the kind of care that they need.

Wednesday, January 15, 2020

Boundaryless organization

Jack Welch of General Electric (GE) coined the phrase â€Å"The Boundaryless Organization†. He believed and has been proven correct, that GE would be much more effective if the cultural, geographical and organizational barriers that separated the employees become more permeable. He put emphasis on the boundaries’ ability to enable business, rather than get in its way. In the next era of the information age, we will expect to have information from multiple parts of the enterprise at our fingertips, all integrated to suit our specific needs, instantly available, across geographies, time zones and organizational structures.In order to achieve that and to enable the information age to realize its full potential, we need to allow â€Å"Boundaryless Information Flow† – a continuous secure stream of information seamlessly flowing within and among enterprises, across permeable boundaries. To achieve Boundrayless Information Flow, a top manager in an organization n eeds to put in place infrastructure services that bring data sources together and provide that information to those users and applications that need it. Creating the environment for integrated information has been a challenge.What more once regarded as necessary boundaries between the different stages in operational processes designed to achieve the benefits of specialization, now represent silos delivering outmoded solutions, which do not allow for the sharing of information. Barriers at the business and technical level must be broken down. If we take the case and strategic history of JetBlue and put it in the concept of Jack Welch, in my opinion the easiest boundary to remove was the â€Å"cultural boundry† in the whole organization that diverted their direction from bottom to top.For e. g. , simply by implementing the snacks serving instead of food in the flight have ease the passengers of every region, since food is always region specific but snacks are commonly taken in every part of the world. Further this step removed trolley movement within the flight i. e. also a strong step towards passenger comfort. Secondly, the most difficult boundary to remove for JetBlue would be the geographical boundaries.Since, assessing in the synopsis the overall performance of JetBlue, it witnesses their success because of their operation in specific region. However, in my opinion it would be real difficult to further enhance their operations in other regions since the attitude and working environment JetBlue have developed, cannot be managed in every part of the world. (for more details, see the www. opengroup. org/downloads official site)

Tuesday, January 7, 2020

Egyptian Art and Architecture - 4176 Words

Egyptian Art and Architecture I INTRODUCTION Egyptian Art and Architecture, the buildings, paintings, sculpture, and allied arts of ancient Egypt, from prehistoric times to its conquest by the Romans in 30 bc. Egypt had the longest unified history of any civilization in the ancient Mediterranean, extending with few interruptions from about 3000 bc to the 4th century ad. The nature of the country, fertilized and united by the Nile, and its semi-isolation from outside cultural influences, produced an artistic style that changed little during this long period. Art in all its forms was devoted principally to the service of the pharaoh, who was considered a god on Earth, to the state, and to religion. From early times a belief in a life†¦show more content†¦The great Step Pyramid in which the remains of the king were laid is the oldest surviving example of monumental architecture; it also illustrates one of the phases in the development of the true pyramid. The architecture of the Old Kingdom can be described as monumental in the sense that native limestone and granite were used for the construction of large-scale buildings and tombs. Of the temples built during this period little remains. The pyramid complex at Giza where the kings of the 4th Dynasty were buried illustrates the ability of Egyptian architects to construct monuments that remain wonders of the world. The Great Pyramid of Khufu originally stood about 146 m (480 ft) high and contained about 2.3 million blocks with an average weight of 2.5 tonnes each. The purpose of pyramids was to preserve and protect the bodies of the kings for eternity. Each pyramid had a valley temple, a landing and staging area, and a pyramid temple or cult chapel where religious rites for the kings spirit were performed. 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