Health, Promoting Good Practice Essay Example | Topics and Well Written Essays - 2500 words

Health, Promoting Good Practice - Essay Example She is currently on an acute mixed ward for older people; this is her 3rd day of hospital stay. Mrs Marie Brown lives alone in her own 4 bedroom detached house in the suburbs of the city. Her husband died 4 months ago from cancer. She had been married 58 years. She has one daughter who lives nearby called Claire. She works full time, but helps with shopping and housework(1). Mrs Brown keeps a large amount of cash in the house to pay bills rather than use the bank. Marie's nationality is French and English is not her first language. Marie has exhibited signs of short term memory problems since the death of her husband and has recently started to revert to her mother tongue of French. Mrs Marie Brown has osteoporosis and chronic obstructive airways disease. She uses a nebuliser 3 times a day to assist her breathing. She becomes short of breath on exertion. (Becomes short of breath when she moves around). Prior to admission Mrs Marie Brown could shuffle a short distance of 5-6 steps, whilst using her zimmer frame. She sleeps in one of her downstairs rooms, with a commode next to the bed and her armchair is within easy reach. At present she is unable to stand by herself and requires assistance of one person for toileting and personal care. A home carer attends twice a day, to assist with a.m. getting up, washed and dressed and making breakfast. They also attend in the evening to assist Mrs Brown to get undressed and into bed. The home carers hold keys to the house. Professionals Involved prior to admission A social worker (SW) for older people, from social services (SS) has assessed Mrs Brown following the death of her husband. The SW has arranged for the care package (Home Care and Meals on Wheels) to be in place. An Occupational Therapist, (Also from SS) has assessed Mrs Brown and has recommended and arranged for a commode, zimmer frame and bed and chair to be raised. The patient chosen for the purpose of this essay will be referred to as Mrs. Marie Brown. Mrs. Marie Brown is 78 year old women who suffer with rheumatoid arthritis. This also resulted in Brown having bilateral hip replacements. Brown is on steroid treatment, which leads to thinning of the skin and susceptibility to trauma (Mallet and Dougherty 2001). Brown lives with her husband and two grown up sons. Brown was refereed to the district nurse on her discharge from hospital following her second hip replacement. The initial referral was to check the surgical wound. However on arrival it was pointed out by Brown that she had a skin tear on her left shin that wasn't healing. The district nurse performed an assessment and concluded the wound was a venous leg ulcer as it had been present for 6 weeks. The district nurses used Sorbisan and Telfa to dress the wound. Twice weekly visits were carried out to Joe for a further 4 weeks, and it became obvious that the ulcer was not improving. The d istrict nurse had to make a decision on what care to provide. The decision was to try another dressing Aticoat which is impregnated with silver, and not to refer the

International Investment Law Essay Example | Topics and Well Written Essays - 3500 words

International Investment Law - Essay Example Relevant facts of the dispute This case arises from the privatization program implemented by the Argentine Republic in the early 1990s, including the guarantees they offered to investors buying assets in the electricity sector and the decisions by the respondent in reducing the impact of the Argentine economic crisis in 2001-20021. Prior to the privatization, the electricity assets of the respondent were operated by three companies which were later restructured for privatization based on Decree 634/91 and Law 26,065. Based on these laws, the electricity generation and related matters belonging to the three companies were to be divided into individual units2. The Claimant in this case argued that the impact of the Reform Law destroyed the investments in Transener and declared that the company has already incurred losses due to this law. National Grid later agreed to sell its shares to Dolphin Management in order to mitigate its losses3. Claimant National Grid notified respondent in 20 02 of the investment dispute and sought for the application of Article 3 of the Treaty; they also claimed the benefit of the application of Article 7(2) of the Treaty between the US and Argentina for the protection of their investment and for international arbitration without referral to the Argentina courts. Respondent proposed the suspension of negotiations as their public service contracts were being processed. The claimant declined the proposal to suspend negotiations; the claimant however agreed to meet with authorities for negotiations4. The claimant again expressed its willingness to explore a settlement of the issue; without any response from the respondent, the claimant submitted the case for arbitration. The parties consented. The respondent agreed to the arbitration and claimed its case under the terms of the Treaty which allows the option to settle disputes which may arise with investors who may be nationals of the other State party5. The Claimant submitted to arbitratio n through its notice of arbitration. Based on Article 3.2 of the UNCITRAL Rules, the arbitration started on the date when the Notice of Arbitration was received by the respondent. Findings The tribunal decided that there was no direct or indirect expropriation as National Grid has not been deprived of title to its property and the methods of Argentina in handling the crisis were not equivalent to expropriation6. However, the tribunal ruled that the practice of fair and equitable treatment was violated by Argentina when it did the following: it changed the legal framework which was used as basis by National Grid in its investment; it did not negotiate with National Grid in the implementation of its measures and disposal of its investments; and when it requested for National Grid to abandon its legal remedies in relation to the renegotiation of its investment7. The tribunal also decided that economic difficulties which Argentina found itself in had to be considered. The tribunal then decided that the violation of the fair and equitable standard only happened from the time National Grid asked to renounce its rights, and not from the time the emergency measures were implemented by Argentina8. This made Argentina accountable for the losses of National Grid during the first six months of the crisis. Analysis of the Arbitral Award First of all, the jurisdiction of the Tribunal is based on the instruments of the parties submitting to

Real estate and capital structure decisions- Lease versus Buy Analysis Essay

Real estate and capital structure decisions- Lease versus Buy Analysis - Essay Example If the study proves to be promising, that the company will most likely to expand in 2-3 years, the idea of buying a space could then be possible---but it still might not be the best option. Company expansion may not even mean an extension of the same space. It would sometimes be practical, and this is what most businessmen prefer, to rent a space from a different area. This aims to win a different market and could then maximize company profits, or at times, if it is not a marketing company, this option will give its clients an option on which office is more accessible. Another factor is the present company financial status on the STL’s immediate needs. Having a twenty full-time staff, STL could then be considered as a small enterprise, and its financial statements show that STL is not earning a quite impressive profit; in fact, the statement indicates that the company will be immediately affected of the lease rent increase. Below is an illustration of a basic computation to determine the distinction on the lease expense and the purchase option. The trading company is currently paying an annual amount of HK$970,000 or HK$80,833.333 every month, whereas, an additional ten percent would require the company to spend HK$1,067,000 every year or HK$88916.667 each month. This amount, when multiplied by 10, would make the company an allotment of HK$10, 670,000. Please note the possibility of another increase for the lease. This would be dependent on the length of time of the contract, if STL has a 10-year lease contract it is not likely to endure another price rise. The amount, however, was multiplied by ten, for the anticipation of a ten- year-mortgage should the company decide to purchase its own space. The interest would depend on the market and economy; however, it is evident that the purchase price does not have a great difference in amount. The purchase

Contemporary Masculinity Coursework Example | Topics and Well Written Essays - 7000 words

Contemporary Masculinity - Coursework Example Some say the shift was caused by the women's movement, which brought men and women on equal footing. Others argue the reason is simple economics, with men needing to be well groomed to be more competitive in a tightening job market. Still others trace the phenomenon to the proliferation of media and the changing face of consumerism. Whatever the reasons, the men exhibiting the old attributes of manhood are held less likely to play a significant part as role models for the youth in modern civilised life. Today's examples of modern manliness are David Beckham and his courtliness, Peter Mandelson and his buttoned-up punctiliousness, and Ruth Kelly and his dogged refusal to buckle under pressure 1. The new models of masculinity, according to the growing literature on the subject, require that they no longer engage in barroom brawls and out-drink everybody. They get themselves into trouble now and then but they are not above regretting their actions and feeling contrite for these, as gleaned from the frequent outbursts of Beckham on court, for which he would apologize to the sports fans later on. More important, the new icons of masculinity are fastidious about their appearance such that this has given rise to the unisex beauty salons, which used to service an all-female clientele. What brought about this marked shi ft in perception about the concept of true masculinity Were there any events or male personalities then and now that influenced this phenomenon If so, how exactly did it happen These then are the major questions that this paper will seek answers to. The objective is to see what factor or conglomeration of factors and events brought about the change in the new concept of masculinity, and why characteristics previously considered unbecoming of a real man now seem to make up the epitome of manliness. Toward this end, the dissertation explores both the field and the literature for possible explanation. Section 1 will address metrosexuality, the name by which contemporary masculinity is now known, by focusing on its origin, spread and influences. Section 2 discusses the possible role of celebrities from the movie world, politics and the upper crust of society in bringing about this fascination with a new kind of

Learning Organizations Research Paper Example | Topics and Well Written Essays - 500 words

Learning Organizations - Research Paper Example The paper will describe two United States based organizations i.e. IBM and Motorola, which are considered as learning organizations, with proper evidence. The objective of the paper is to understand the aspects of learning organization. IBM is considered as a prudent example of a learning organization. The company incorporates the modern developments in strategic variation, administrative leadership, constant enhancement of business and learning along with development of employees. The major evidence for claiming IBM as a learning organization is its training and learning strategies. IBM is dedicated towards developing the knowledge of the employees and it considers that learning is critical for the success of its business. Through learning, IBM ensures that the members constantly enhance their skills for adjusting with new business environments or new working conditions. In the year 2004, IBM had invested almost US$64 million for training and development of its workers which is considered to be a part of the learning activity of IBM. IBM provides training to the personnel by numerous ways such as on-the job training and classroom exercises. As a learning organization, IBM provides the facility of e-learning which offers employees the prospect to learn by using a new technology equipped with internet (American Jewish University, 2012). The other significant example of a learning organization is Motorola. The reason for considering Motorola as a learning organization is that it also provides training to the employees and develops itself in order to construct productive principles in the organization. In order to become a learning organization, Motorola has established Motorola University in the year 1981, which provides learning in order to generate a good corporate value. Motorola seems to be dynamic in bringing in innovation in terms of new products and incorporating

Asthma Research Paper Example | Topics and Well Written Essays - 1000 words

Asthma - Research Paper Example An individual finds it extremely strenuous to take air in and out of the lungs during an asthma attack. This is because the inner layer of the tubes conveying air between the throat and lungs become swollen to some extent closing the airway (5). There is also increased secretion of mucus, which further serves to narrow the airway. The inflamed airway is sensitive to a number of substances, which causes asthmatic patients to be extremely allergic to various substances. The precise cause of asthma is unknown; however, researchers believe that there is an interaction of some genetic and environmental factors, which bring about asthma. This usually happens during the early stages of development. Statistics show that about 23 million Americans have asthma, 7 million of them being under the age of eighteen years (Murphy 7). The genetic and environmental factors that cause asthma include atopy, childhood respiratory infections, contact with airborne allergens, having asthmatic parents, and contact with some viral illnesses during infancy or early childhood as the immune system is developing (What Is Asthma? - NHLBI, NIH). Atopy is the hereditary propensity of developing asthma. The Hygiene Hypothesis tries to explain the causes of asthma by suggesting that reduced exposure to various childhood ailments due to the highly hygienic Western lifestyle affects children’s immune systems, making them more prone to atopy and asthma. There is no known cure for asthma and the ailment can erupt at any time despite the patient feeling fine. It is, therefore, imperative to treat symptoms as soon as one notices them to prevent the progression of a mild attack into a strong attack. Consequently, one needs to know asthma symptoms to recognize them. The most common signs of asthma are wheezing, coughing, shortness of breath, and chest tightness (What Is Asthma? - NHLBI, NIH). However, possessing these signs does not always mean that a person has asthma. Hence, a person displayin g these symptoms needs to see a doctor for proper diagnosis using the lung function test and a physical examination. Many things set off or aggravate asthma conditions including allergens derived from dust, mold, pollen, animal fur, and cockroaches. Cigarette smoke, dust, and sprays also contain irritants that can spark asthma attacks. Viral infections of the upper respiratory tract, for example, colds, some medications (nonsteroidal anti-inflammatory drugs and nonselective beta-blockers), and sulfites present in foodstuffs and beverages also trigger asthma attacks (What Is Asthma? - NHLBI, NIH). Vigorous physical activity such as exercises may also worsen the symptoms of asthma. Other health conditions e.g. â€Å"a runny nose, sinus infections, reflux disease, psychological stress, and sleep apnea† make the management of asthma more challenging and ought to be treated, as well (What Is Asthma? - NHLBI, NIH). The identification of asthma relies on medical and family histories , test results, and a physical examination. The establishment of medical and family histories involves determining the frequency and severity of asthma symptoms. It is also imperative to determine the exact periods of the attacks, for example, certain times of the day or seasons of the year. Physical examination involves the doctor looking out for asthma signs such as â€Å"wheezing, a runny nose, swollen nasal passages and allergic skin conditions such as eczema†

The American Dream Essay Example for Free

The American Dream Essay Everyone has there own dream. Many just see it as just being happy. To others it may be becoming rich and having the perfect family. In life many people wonder how far would you go for you would go to obtain the american dream. How far would you go? The American Dream to me is having equal opportunity, to live without any worries, and doing the things in life that you love the most. Most would do all they can in power to make sure they come close to the American Dream. According to John Fitzgerald Kennedy â€Å" All of us do not have equal talents . But all of us should have an equal opportunity to develop our talents. † Kennedy was basically saying that we might not all have been create equally with the same gifts and talents. Are all of us created equally? Lots of the time we don’t treat each other as if we are all equal. Americans put each other in ranks call social classes. If we had a life without social classes everyone would be the same thing. No one would have to worry about having more power over one another. In the Declaration it quotes â€Å" All mean are created equal† (Jefferson 98) That means that every person is entitled to do anything that the most wealthy man does. For an example a restaurant can’t refuse to serve someone just because of their religion. In America the Declaration makes us equal. No one can take away your rights. We create each others equality. In the text â€Å"I Will Fight No More Forever† the native americans were driven out of their own land. ( Chief Joseph 455) There was no equality present. The Natives tried to fight for their rights to stay but they didn’t stand a chance. The American dream is having equal rights, and feeling as if you are wanted or equal. Everyone wants to be excepted by people and to be treated right. To feel as if you are a equal , what would you do? Many immigrants live in the US looking for equal opportunity. They are happier here because had more opportunity. There are many people who came from different countries to the United States and became very successful . Just like Justin Bieber, a Canadian , he became one of the most famous pop singers in the US. But some people aren’t really here legally . Is it alright to live in the US illegally with good intentions? How far would you go? Would you marry a legal person to get your green card? Would you have a baby just so you can stay in the country? I do think it is okay to break the law if it is absolutely necessary. It does say in the constitution that every person in the US are made equal. So everyone are equal legal or not. The American Dream is feeling as if you are equal , and the US makes everyone here feel that way. Every human deserves equal opportunity. Have you ever thought about life without worries? Just think about , no stress, no coercion. The most successful people live life without worry. Take Wiz Khalifa as an example. A rapper that sends out a message to relax , and let things flow. He never really worried about his career. By living in a nonchalant manner Wiz became one of the top rappers in the US. In many of his interviews he made it clear that what ever happens in life just happens; whether it’s good or bad. If it’s bad you just let it be, just know it could always be worse. As he quoted â€Å" Good things come in good time†. When he says that he’s saying that just be patient. Don’t get upset and worked up. Everyone has their time to shine. A life without worries or the American Dream, can be reached in many way. But how far would you go to have a stress free life. In the Incidents in the Life Slave Girl , the main character Linda runs away in hope that one day her and her children would live a life without strive. Her grandmother patiently waited; she saved up money for each child to buy them. They wanted to be free , so they could live without worrying about being beaten, sold to someone else, or having their family be split up. The American Dream would be secure when Linda and her family are out of slavery. (Jacobs 406) When people picture themselves experiencing The American Dream, they picture themselves doing something they love. As you go through life teachers, parents, and friends install the idea that, when you grow up you should get a job that you love and that your happy doing. According to Militants are living the American Dream. They are getting paid to do jobs that they love and are gifted at. Nurses in particular. They love helping people. They took advantage of the free chance to get paid and work for the country. They also get plenty of benefits. Thats the best part about it. Waking up every morning knowing that your about to being a day that only good can come out of. According to Al Lopez â€Å"Do what you love to do and give your very best. Whether it’s business or baseball, or theater, or any field. If you don’t love what you’re doing and you can’t give it your best,get out of it. Life is too short. You’ll be an old man before you know it†. If you wake up one day wanting to start a job that would make you happy, how far would you go to try and obtain that profession. Would you lie about being certified or having a certain degree? Many systems in the US don’t do background checks on their employees. They just automatically trust and believe that all the information that has been summited is verifiable. People lie everyday to get a job that they know they would be happy in but aren’t willing to put in the work to go to school and get the proper transactions made. Does it matter if your lying on your resumes when your applying for a low ranked job? If your dream job is just working at a window for McDonalds , and you say that you have work experience elsewhere when you really don’t ; is that alright? Celebrity Robert Irvine who is a famous chef lied about designing Prince Charles and Princess Diana’s wedding cake. He was fired from his own show when it was uncovered. Is it worth going that far and risking everything. People would go to far measures to do the things that make them happy in life. Just like in Mark Twains â€Å" The Lowest Animal† it says that they would do whatever they have to do to insure their own happiness. ( Twain 468) When you have come to the climax in our life where you know you love what you are doing and your happy, most people would do whatever it takes to excel in that category. In conclusion The American Dream is living life without worries, having equal opportunity, and doing the things in life that make you happy. It doesn’t matter if you want a equal chance in society , be able to provide for your family, or have a job in a career that you love and can excel in at a blistering rate. The American Dream is obtainable for everyone; it just didn’t happen to Justin Bieber or Wiz Khalifa. The worked for what they got. Like Wiz said everyone has their chance to shine. Sometimes you might have to just sit and wait, in other cases you have to put all you’ve got into being successful. People in America today are relentless . They would do whatever they have to do to be noticed. They lie on resumes to get certain perks. It might not be as serious as lying about designing a wedding cake, but they would go to the ends of the world to make themselves happy. The American Dream is riveting, exciting , and intriguing.