ALTERED HEALTH STATUS AND HEALTH PROMOTION IN MENTAL HEALTH NURSING Essay

ALTERED HEALTH STATUS AND HEALTH PROMOTION IN MENTAL HEALTH NURSING - Essay Example His unusual behaviours included the following. He entered without a licence and pointed a gun at a shop assistant. He stabbed a friend during an unprovoked argument. Also, he committed the offence of burglary, and his fingerprints were found at the scene of the crime. Mr. Abouja was imprisoned and then later transferred to a forensic ward due to mental illness. While in the forensic unit, Mr. Abouja suffered a cardiac arrest secondary to a bi-lateral massive pulmonary embolism. After having suffered a pulmonary embolism, Mr. Abouja should be assessed for further risk in the near future. â€Å"Confirmation of pulmonary embolism (PE) must be followed by risk stratification in order to obtain information on short-term prognosis and determine the need for more aggressive therapy such as thrombolysis or surgical interventional embolectomy† (Konstantinides, pp. 69). The medication Mr. Abouja has been placed on is Warfarin, also commonly known as rat poison. The levels of Warfarin ha ve to be carefully evaluated, to ensure that the patient is not poisoned himself. Basically, Warfarin is most likely going to be used for a lengthier amount of time in order to treat Mr. Abouja’s illness. â€Å"A vitamin K antagonist such as warfarin should be considered for long-term treatment† (Stein, 2007, pp. 129). There is a timetable for how long the Warfarin should be used. â€Å"Initial treatment [with Warfarin] is usually for a minimum of three to six months† (James, Ortel, & Tapson, 2007, pp. 42). However, the nurse should make sure â€Å"In healthy subjects, sildenafil alone or in combination with warfarin or aspirin did not affect bleeding time or prothrombin time. However, in a recent study, a transient prolongation of bleeding time 1 hour after administration of 100 mg of sildenafil was demonstrated† (Broderick, 2005, pp. 215). Therefore, bleeding complications are possible when taking Warfarin. Generally, Warfarin is used in these types of situations such as the one in which Mr. Abouja found himself in. â€Å"[Warfarin, also known as Coumadin, is] used to prevent the formation of blood clots in the heart and to prevent stroke in patients with conditions such as atrial fibrillation and atrial flutter†¦[usage] must be carefully monitored by a [regularly-administered] blood test†¦Ã¢â‚¬  (Cohen, 2010, pp. 196). Mr. Abouja was given Warfarin for the Pulmonary Embolism. He is being given 3 mg of Risperdal (Risperidone) on a daily basis, a commonly-used antipsychotic. Some of the side effects Mr. Abouja is suffering, among others, are muscle weakness and sexual dysfunction. Mr. Abouja’s mother had a history of heart disease or PE; his father refused to be in touch due to his offences. Mr. Abouja was born in Angola. 2. Identify appropriate assessment tool/framework and provide rationale for ?your choice of tool/framework. (200 words) The assessment measures which would be appropriate to use as a framework f or care would be: 1) a physical assessment; 2) a psychological assessment; and 3) a emotional assessment. The patient had a physical assessment completed upon him. This physical assessment is rationalised by the fact that he needs to have an intervention for any physical problems that may come up since he has just had a major health issue with the cardiac arrest. Interestingly enough, Mr. Abouja had no pain in his upper left arm, which is recognizant of having heart problems—namely, risk of cardiac arrest. The physical assessme

Offshoring (Offshore Outsourcing) Essay Example | Topics and Well Written Essays - 250 words

Offshoring (Offshore Outsourcing) - Essay Example Offshoring is gaining popularity because it allows organization to reduce their costs, develop an extended market reach, and improve efficiency and productivity of work at the same time (Masciarelli, 2011). Successfully implementing offshoring is a challenging task. It requires careful planning and monitoring. The first step is to plan which functions to outsource. This includes planning of critical functions, skill transfer and scalability. The next step is to evaluate a cost-benefit analysis. This is done to evaluate whether the benefits of the operation will outweigh the costs. Only is the benefits outweigh the costs, the next step should be taken. The next step is developing a project management team which would be responsible for the offshoring process. This includes the planning process, setting the timetable and hiring the necessary personnel for the job (Neelankavil and Rai, 2009). According to Ilan (2011) successful offshoring is dependent on finding the right model for opening up business operations in a different country. The most likely destination for offshoring activities today is China which offers a variety of incentives to businesses around the world including cheap labor and good

Abortion Essay Example | Topics and Well Written Essays - 2000 words - 1

Abortion - Essay Example serious problems, such as when the birth of a child can result in the death of his/her mother or the child was conceived through rape and its birth will have an extremely negative role on the rest of the woman’s life. Nevertheless, despite the fact that the supporters of abortion point out rather strong factors in favor of abortion, it is necessary to take into account the fact that it is primarily about human life that is recognized as priceless by all. The high incidence of abortions as the most simple solution to the problem has led to the fact that partly a childs life has lost its meaning and significance as a gift of God or a gift of nature (depending on how one perceives the birth). This problem did not exist until 1912 because before 1912, there were no laws against abortion (London). Despite the adoption of various laws on abortion, the problem is that abortion is still being applied even in cases when the birth of a child shall not be a threat to the physical or ment al health of the mother and is justified from a practical point of view (too early pregnancy, physical complexity, condemned by the parents, etc.). Given all this, one can confidently assert that abortion is an extremely negative phenomenon and its evaluation should be primarily negative. Justification for abortion is only possible in some cases, namely, if the birth of a child will lead to the death of the mother or cause deep psychological trauma that can lead in tragic consequences in the woman’s life. As noted above, the proponents of abortion can point out many arguments in favor of their position. In particular, one of the first argument can appeal to the fact that nature itself provides the means for a natural abortion. Natural abortion can occur as a result of the inability of a woman to bear a child, her poor health, bad heredity, etc. Thus, even nature suggests the possibility of miscarriage. For this reason, one cannot blame the doctors that they offer women the opportunity to

WRITTEN INTERVIEW Essay Example | Topics and Well Written Essays - 750 words

WRITTEN INTERVIEW - Essay Example The World is a mixture of people who are different from each other and that is what makes it so interesting to get to know about each other. In this reference I conducted an interview of a person who is a part of a different culture. The main reasons were to study the different characteristics that a person possesses and the things he or she acquires while growing up in a different culture. I would not disclose the name of the person that I interviewed due to his request but would like to mention the culture where he comes from. The person belonged to a Muslim family. The person had proper good schooling and claimed a Bachelors degree later in Business Administration. He also had a Masters degree in the same field and was working in a reputable organization since the past four years. The person highlighted some major issues relating to people of his age group in their culture concerning problems like physical, cognitive and psychosocial developments. The first aspect of physical development is related to the food that is been given to the person and as most Muslim countries are third world countries hence physical development has always been a problem. Early deaths, improper growth these have been problems related to the Muslim community. Though physical development has not been a major problem for the Muslim community but it has been a reason to hinder their success and development. The thinking ability of most Muslims is seen as of extremism and is also thought of as conservative all over the globe but in reality it’s not the same. The Muslims are very open to every aspect of life and this negative bias that has been created is due to some people who do not actually know what are the morals of the Muslim culture. According to the interview people of thi s culture are very good and concentrated thinkers. They follow the rationality principal and all the set of ideas that they believe on come from their Holy Book Quran. These set of

A Thesis Driven Argument in Education Essay Example | Topics and Well Written Essays - 1250 words

A Thesis Driven Argument in Education - Essay Example It is not acceptable as the Asian students are working hard and give their full effort in studies to fulfill their dreams and meet personal career objectives. It is true that people may have several opinions, but looking into the facts that are portrayed by the documentary film it can be argued that Chinese and Indian students deserve more things and opportunities in life as they seriously work hard comparing to the American students in order to fulfill their dreams. According to the interview of Tim Draper; the venture capitalist of Silicon Valley, the education system of America is breaking down. This documentary film follows the argument with several facts. The most amazing and interesting one is that more than fifty percent of the American students do not take mathematics beyond one year in Geometry and two years in Algebra. It is quite shocking. The demand of this particular subject is significantly increasing around the globe. Several geometric, algebraic and calculus calculati ons are required in several big projects. Limited knack of students towards mathematics is seriously affecting the education system of the country. It is an important fact. This source of this particular information is the website of â€Å"National center for Education Statistics, 2004†. Asian students are known for their hard work in their studies. It is true and cannot be denied that major talented and skilled professional come from this part of the globe. But, several political and economical issues create various difficulties for the Asian students to capitalize on the potential opportunities. The education system and concept about education varies from a country to country. American students generally devote themselves in their sports and jobs since their childhood.... This paper approves that recent financial crisis and economic recession changed the scenario of global economic environment. Limited disposable income of people, low purchasing power and poor economic growth of several developed and developing countries forced several governments to change their economic policies. American students can avail several potential opportunities in their life to make prosperous and successful professional career. On the other hand, the Chinese and Indian students follow straight line in studies. They never used to deviate from their major aim and goal due to lack of options and potential opportunities in their countries. This essay makes a conclusion that the documentary film â€Å"2 Million Minutes† is an effective documentary film that provided a strong message attached to it. It is highly understandable that there are huge differences between the education systems in India, China and The United States of America. Students of India and China generally prefer in-depth study. They give their 100 percent in studies as their parents guide them to do so. On the other hand, American students do not love to spend long school hours as they prefer to take interest in several extra curriculum activities. Despite the hard work, the Asian students find it difficult to get the opportunity to study in renowned colleges and universities. On the other hand, American students get the opportunity to study in their preferred colleges. It is the economical advantages and political stability of US that helps the students to grow in their preferable fields. Therefore, it can be stated that the documentary film is totally practical and unbiased.

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

Psychology Careers - Research Paper Example He liked that idea too. Some of the questions were: Who is a substance abuse counselor? What is the qualification for being a substance abuse counselor? In what environment is the counseling conducted? Is it different from a general psychologist? If so, how? What are the usual practices of the substance abuse counseling? What typical challenges does a substance abuse counselor normally face and what is the best way to cope with them? What is group counseling and individual counseling? What is the average salary range for a substance abuse counselor? My cousin told me that an individual at least needs to have a BSc degree in Psychology in order to be a substance abuse counselor, and the average salary for a substance abuse counselor ranges from $40,000 to $50,000. The interview was conducted in his office that was at a distance of about a kilometer from my home. I met him at around 10 o’ clock in the morning. It had been 1 hr since he had started the duty. I entered the room. W e hugged each other since we were friends as well as relatives. There was no formality at all, yet I was prudent not to waste his time in any manner since he was on the duty and I had come to him with a business matter, and not for a personal reason. As I had already forwarded him the list of questions the print out of which he had in front of him on the table, he started to explain himself without having me bother to ask the questions. He replied every single question of mine while I was taking the notes, and was writing questions that were popping up in my mind from the discussion as I wrote. In the end, when he asked me if I had something else to ask him, I put forward all of those questions to which he promptly required. I thanked him, and wished him good-bye. I learned that a substance abuse counselor is an individual that helps people come out of their addictions. The interventions made by a substance abuse counselor may be staged. In other cases, counseling is offered to peop le who have yet to realize that their addiction is the root cause of a lot of troubles in their life. However, in most of the cases, substance abuse counselors offer counseling to the people who know that they are addicted and need treatment in order to come out of their problems before it is too late. A general psychologist deals with all areas of psychology whereas a substance abuse counselor specifically deals with patients that are addicted with a wide range of products. Sometimes, patients are addicted to alcohol, yet in a vast majority of cases the product is much more harmful than alcohol like Heroin, Codeine, Cocaine and Vicodin. The environment in which substance abuse counselors work is no less varying than the substances they have to provide the counseling for. Some counselors offer treatment in the very residence of the patient, while others may conduct the counseling sessions in offices, churches, or other community outreach centers (Jones, 2011). Thus, either a patient approaches the counselor or else, the counselor approaches patient. Counseling occurs either way as convenient to both the parties. The protocol that a substance abuse counselor mostly works in is established specifically for the treatment of addicts. A 12 Step Program is often used by the substance abuse counselors. Such programs are based upon twelve stages of treatment. Some of the most important of the twelve stages are â€Å"admitting powerlessness, turning to God, and making

Project manager for a Cable Planning Essay Example for Free

Project manager for a Cable Planning Essay As the project manager for a Cable Planning team, I will manage the creation of the cable plan for a new building that will be built, with construction set to begin in six weeks. My first task in creating a Cabling Plan is to develop an Executive Summary that will contain the Project Introduction and Infrastructure Cable Specifications and Standards. My manager gave me the overall project plan that includes: A detailed description of the new building, including the total number of computers for all of the employees of the company. Also the server and network topology hardware that is required to put the system together. Cable Standards and Codes: ANSI/NEMA Standards Publication No. WC 66-2001 â€Å"Performance Standard for Category 6 and Category 7 100 Ohm Shielded and Unshielded Twisted Pair Cables† ANSI/TIA/EIA-526-7 â€Å"Measurement of Optical Power Loss of Installed Single-Mode Fiber Cable Plant† ANSI/TIA/EIA-526-14A â€Å"Optical Power Loss Measurements of Installed Multimode Fiber Cable Plant† BICSI TDMM â€Å"Telecommunications Distribution Methods Manual, 11th Edition† CENELEC EN 50173:2000 and amendments â€Å"Information Technology – Generic Cabling Systems† IEC/TR3 61000-5-2 – Ed. 1.0 and amendments â€Å"Electromagnetic compatibility (EMC) – Part 5: Installation and mitigation guidelines – Section 2: Earthing and cabling† ISO/IEC 11801:2002 Ed 2.0 and amendments â€Å"Information technology – Generic cabling for customer premises† NFPA70 National Electric Code – Article 645 and Article 800 2.2.15. NFPA 70E â€Å"Standard for Electrical Safety in the Workplace, 2004 Edition† 2.2.16. NFPA 75 â€Å"Standard for the Protection of Information Technology Equipment, 2003 Ed.† Building Standards and Codes: ANSI/TIA/EIA-568-B.1, ANSI/TIA/EIA-568-B.2, ANSI/TIA/EIA-568-B.3, and addenda â€Å"Commercial Building Telecommunications Cabling Standard – Part 1: General Requirements† â€Å"Commercial Building Telecommunications Cabling Standard – Part 2: Balanced Twisted-Pair Cabling Components (December 2003)† â€Å"Commercial Building Telecommunications Cabling Standard – Part 3: Optical Fiber Cabling and Components Standard† ANSI/TIA/EIA-569-B and addenda â€Å"Commercial Building Standard for Telecommunications Pathways and Spaces† ANSI/TIA/EIA-606-A and addenda â€Å"Administration Standard for the Telecommunications Infrastructure of Commercial Buildings† NFPA 76 â€Å"Standard for the Fire Protection of Telecommunications Facilities, 2005 Edition† ANSI-J-STD-607-A and addenda â€Å"Commercial Building Grounding and Bonding Requirements for Telecommunications† Project Materials †¢Fiber-Optic Design Considerations a)We will be utilizing fiber optics in various ways. We will be crafting the backbone, and riser runs with fiber optic cables. †¢Basement Server Complex Design a)The server will have a network capacity that exceeds the 110 people/computers in the basement. One computer per person. b)We will patch each of these computers to the wall outlet with standard Cat6 patch cables. c)Risers and backbones will be constructed with fiber optic cables. d)Horizontal runs with utilize Cat6 cabling. e)We will need 5 Cisco WS-C3750 G-24PS-S:24 Ports catalyst switches to maintain the minimum standard of having 4 ports free on each switch †¢Standard Floor Design a)The network capacity of this design is to exceed 200 people/computers. One computer per person. b)I will patch each of these computers to the wall outlet with standard Cat6 patch cables. c)Risers and backbones will be constructed with fiber optic cables. d)Horizontal runs with utilize Cat6 cabling. e)I will need 10 Cisco WS-C3750 G-24PS-S:24 Ports catalyst switches to maintain the minimum standard of having 4 ports free on each switch. †¢Fiber-Optic Characteristics: a)SC connectors will be used to terminate optical cables. †¢Bandwidth a)The hardware we are installing will have a speed of 1Gbps. †¢Attenuation a)I will use special tools to test for attenuation as the project progresses, and replace accordingly. †¢Electromagnetic Immunity a)I will periodically test for interference. †¢Link Performance Analysis a)I will schedule periodic tests to verify performance, and bandwidth speeds. †¢Cable Transmission Performance a)I will test for inconsistencies in transmissions sent and received. †¢Splice and Connector Performance a)I will test each termination and connector to ensure it meets or exceeds the expected standards. †¢Power Budget a)I will calculate each devices power requirement, to ensure adequate power is provided. b)I will use energy efficient methods, which will not sacrifice performance, but ensure that utility costs do not exceed the budget. Standard floor layout