NURSING- PALLIATIVE CARE FOR A PATIENT Essay Example | Topics and Well Written Essays - 1500 words

NURSING- PALLIATIVE CARE FOR A PATIENT - Essay Example These emotions are a part of adjustment and grieving to the loss. Patients who are in terminal stages of life need to be managed in a holistic manner keeping in mind the emotional distress they are going through. Such a care is known as palliative care. According to the World Health Organization (2009), palliative care is â€Å"an approach that improves the quality of life of patients and their families facing the problem associated with life-threatening illness, through the prevention and relief of suffering by means of early identification and impeccable assessment and treatment of pain and other problems, physical, psychosocial and spiritual." In this essay, one of the important components of palliative care, the spiritual care, will be discussed with reference to a case scenario in the context of holistic care. 55 year old Marina, a known patient of hypertension and diabetes, was diagnosed to have breast cancer in December 2008. She had consulted her gynecologist because she felt a mass in the left breast. Mammography and biopsy results established the diagnosis of stage-2 breast cancer of the left breast. The very diagnosis of breast cancer upset Marina and her family members. She underwent left mastectomy with removal of left axillary lymph nodes. Since testing for hormone receptors revealed suitability for hormone therapy, Marina was started on tamoxifen therapy. Despite aggressive anti-cancer management, the woman developed metastases over few months and became terminally ill within a year. She developed metastases in the liver and bone subsequent to which she became very ill, pale and sick looking. Having enjoyed a contentful life with full of love, happiness and luxury, Marina pleaded the treating oncologist to provide care which allowed her to live in peace for the few remaining day s in her life. The team of doctors, after consultation with the her husband and other family members initiated palliative care. The main issue that was dealt with in this

The level of skills in contributing to the development of Human Dissertation

The level of skills in contributing to the development of Human Resource Management (HRM) practice in public sector in the Kingd - Dissertation Example Saudi Arabia is one of the biggest countries of Middle East earning mainly from the export of petroleum products (Ramady, 2010). Despite being rich in natural resources the country is facing a paradox of high wealth and a human resource base that is challenged in terms of skills. Saudi Arabia is facing significant shortage of skilled, semi-skilled and unskilled labor (Ramady, 2010). Part of the reason is the influence of religious and cultural values resulting in an educational system that focuses less on a structured vocational or professional training who can meet the demands of the thriving economy (Oxford Business Group, 2008). Moreover, female population constitutes a minor portion of the total workforce due to which the country has to rely on the foreign/overseas employees to fill the demand & supply gap of the workforce (Oxford Business Group, 2008). According to a study by Al-Masnad in 1999, about sixty percent of the population of Saudi Arabia is under the age of eighteen. T he youth is living under social stereotypes due to which they refuse to accept technical and manual jobs and prefer working in managerial positions. As a result, the country is depending on expatriates and third country nationals especially in the fields of engineering and information technology. Apart from this, there is a weak connection between the Saudi educational system output and the requirement of the industry. The system of education is inadequate for the training and development of the future employees in technical and managerial skills needed for the development of human resource management. The country is producing more graduates in the fields of religious studies and humanities (Achoui, 2009). According to a report by World Economic Forum in 2007, the major obstacle in the development of human resources in Arab countries is the uneducated local workforce. Human Resource Management (HRM) is an emerging field in Saudi Arabia (Ali, 2008). Therefore, it is important to see that impact of employee skills of the HR practices of public sector so that companies can gain a clear image of the contribution of their employees in the achievement of their organizational goals. Clearly, the level of skills of the Saudi people affect and are affected by the practice of human resource management in the Kingdom. This is because it is apparent that every HRM system must work hand-in-hand with the people in the area within which it is to operate. Thus, the state of the Saudi human resource base will definitely have an effect on the human resource management system. On the other hand, the human resource management system will attempt to modify the human resource base through events like appraisal, promotion and motivation. Thus the push and pull factors shape and define the human resource system of the country. The purpose of this research proposal is to find out the influence of the changes in the level of skills the public sector of Saudi Arabia on the development o f HRM practices and policies. The importance of this research is that it is an unprecedented exercise that seeks to build the foundation for for future research and development of human resource management in Saudi Arabia. LITERATURE REVIEW: Fitzsimons (1999) stated that education and training are fundamental elements of the concept of human capital which determines the economy of a given nation. In terms of

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

Chlamydia - Research Paper Example In addition, it affects both men and women. Additionally, about 30 to 50 percent of the women in the United States have been exposed to the bacterium at one point in their life. Additionally, Chlamydia ascends to the upper genital tract if left untreated in about 40 percent of the cases. As a result, C. trachomatis is known to be one of the major causes of acquired infertility. Generally, due to the high prevalence and adverse complication of untreated infections Chlamydia remains a major public health problem in industrialized countries (Dean, et al., 2009). As aforementioned, Chlamydia is transmitted from one individual to another through oral and sexual contact. Penetrative sexual intercourse is the primary mode of transmission. Chlamydia is transmitted through the vagina, anus, and oral sexual intercourse with an disease-ridden partner (Malhotra, Sood, Mukherjee, Muralidhar, & Bala, 2013). Infected individuals are the reservoirs of the infection. According to Breguet (2006), Mother to Child Transmission (MCT) can occur during vaginal delivery. In addition, conjunctivitis can occur on the occasion that a person touches his or her eyes with infected hands. The infections occur in the urethra, cervix, throat, rectum, eyes, throat, penis, and cervix (Breguet, 2006). According to the CDC (2007), a quarter of the females infected and half of the males do not present with any symptoms. In this regard, it is referred to as the ‘silent’ disease. However, in the population that presents with symptoms, they usually occur within 1 to 3 weeks after infection. Additionally, the symptoms tend to present differently in both men and women. The urethra and the cervix are the major organs affected in women. After an infection, women present with symptoms such as abnormal vaginal discharge and pain when passing urine. An infection of the cervix and fallopian tubes is characterized by symptoms such as pain during copulation, abnormal vaginal bleeding, abdominal pain,

Confession Case Study Example | Topics and Well Written Essays - 2500 words

Confession - Case Study Example Fiona, who has a mental age of 12, is also questioned before the arrival of her solicitor and she admits after 2 hours of questioning that she did assist Elizabeth, but she only did so because she finds her intimidating. Elizabeth and Fiona have previous convictions for burglary and theft and are anxious that these should not be revealed to the jury. Elizabeth informs you that she was at home with her partner James at the time of the alleged offence and has therefore been wrongfully charged. Elizabeth instructs you that James is willing to give evidence on her behalf. Fiona claims that she did inform the interviewing officer of her wish to have her solicitor present before she was interviewed, the officer she claims offered to deal with her leniently if she admitted to her participation in the offence. Are the confessions obtained by the police from Elizabeth and Fiona in the interview admissible as evidence in the offence charged against them Is James qualified to give testimonial evidence in behalf of Elizabeth And will the previous conviction of Elizabeth and Fiona for burglary and theft admissible as evidence against them in this case The current laws of the United Kingdom admit confession as a form of testimonial evidence in an offence charged against a defendant. However, in order to be admissible, a confession is subject to certain conditions or requirements. Confession that was obtained through oppression or violation of the defendant's (human) rights is excluded or inadmissible as evidence in the offence charged against him. To understand the admissibility of the confessions and to answer other relevant issues in this case, it is first essential to analyze history, definition and the conditions for a confession to be admissible as evidence in criminal cases. Historical Perspectives on the Issues Relating to Confessions Most of the decisions in criminal cases at the United Kingdom were based on common law. Under this law, evidence even if improperly obtained is admissible as long as it is relevant to an issue of a case. "A trial judge has no discretion to refuse the acceptance of relevant evidences on the ground that it was improperly obtained or obtained through unfair means" (R v Sang, 1979, UKHL 3). However, with the passage of time, new codes were passed in the United Kingdom that limited or modified the use of common law in deciding cases. Important of these laws are the Police and Criminal Evidence Act 1984, herein referred to as PACE 1984, and the Criminal Justice Act 2003 that will be the primary bases of the arguments to be laid down in this presentation. The Police and Criminal Evidence Act of 1984 (PACE) (1984 c. 60) is an Act of Parliament which instituted a legislative framework for the powers of police officers in England and Wales to combat crime, as well as providing codes of practice for the exercise of this powers" On the other hand, the Criminal Justice Act of 2003 provides guidelines on the admissibility in criminal proceedings of various evidences. The passage of these laws gave a new requirement for evidence to be admissible in criminal cases, that is, competency. In general, evidence is admissible in court proceedings if it is competent and relevant. Evidence is competent if it is not excluded by any rule of law, and it is relevant if it has a logical connection in the facts in issue. Evidence obtained violating these requirements is inadmissible in cour

Discuss a particular image pattern or cluster of symbols and show how Essay

Discuss a particular image pattern or cluster of symbols and show how it functions in one or two works on the course - Essay Example The Yellow Wallpaper was not only an intimate autobiographical work but one of the few instances where in text, a real life 19th century woman spoke out. A major theme in å… ¸he Yellow Wallpaperis the medical mistreatment of women which plagued the 1900s which is explored by Gilmans use of symbolism and character development. The Yellow Wallpaperis a short story written by the prolific author Charlotte Perkins Gilman in 1892 and then was forgotten. Fifty years later Gilman and her works were rediscovered and this particular short story has become a quintessential piece of 1800s feminist literature. Married women during this time were freed from the necessity of contributing to society outside the home, presumably because marriage befit her for motherhood and motherhood required all of her energies."(ODonnell). On the surface it was the story of a woman who has a child and suffered from depression. Her husband, who is also her doctor, prescribed the å… ¸he Mitchell Treatment This was a standard treatment for all mental disorders during this time which consisted of isolation and rest. The woman, the main character, was placed in an attic for a month of recovery. Her only companion was the peeling yellow wallpaper. Slowly the unnamed narrator slipped into deep depressive psychosis. It is not until she sh irked off the treatment and the invisible societal chains that she becomes well again. "The Yellow Wallpaper, by Charlotte Perkins Gilman ... present image[s] of women imprisoned within a labyrinthine underworld that represents the threat of madness; and in each case the myths become metaphors for poesis, hermeneusis, and psychogenesis.(Smith 227). This short story was based on Gilmançâ€" ´ real life experience with depression and the 途esttreatment. The Yellow Wallpaper was not only an intimate autobiographical work but one of the few instances where in text, a real life 19th century woman spoke out. A major theme

Advertising and promotion strategies of three different companies in Essay

Advertising and promotion strategies of three different companies in the cosmetic industry - Essay Example Advertising and promotion strategies of three different companies in the cosmetic industry The major strategy behind the advertising campaigns of the group is to highlight the brand in each and every product. The strategy is that it relates its product line to those individuals who deserves the best and is cautious about the beauty products they use. It advertises its products as premium priced but believes to deliver the best quality cosmetic products. It uses several communication or media channels and highlights is growth over the years to its customers. Apart from the advertising strategies of its newly launched products the company also undertakes promotional strategies through various forms such as using in-store promotions in retail outlets, direct marketing to YouTube and through bloggers, promotions through contests in the form of digital contest in Facebook and Instagram, and even given an opportunity to the customers to customize their products in terms of size and smell so as to associate with the customers easily. The main strategy behind the promotions is to reach out to large consumer market section. The company even incorporates many celebrity endorsements in its product advertisement. The major strength of its advertisement and promotional techniques is that it helps to trigger in the consumer mind the brand name; it helps to create a niche market in the industry and also strengthens its brand. The weakness of the strategies is that it focuses on premium segment of the market and loses behind the vast section of the middle income group of the market.

Activity or Working Capital Efficiency Ratios Term Paper

Activity or Working Capital Efficiency Ratios - Term Paper Example Activity ratios are operating efficiency measures, which determine the ability of a company to maximize its output given a certain level of resources. These ratios significantly gauge the asset, investment, and cost management performance of the business entity. Ratios under this category are inventory, creditors’ and debtors’ ratio. The inventory ratio measures the number of days the inventories stay in the company’s distribution center or warehouses. The debtors’ ratio reveals the efficiency of a business organization in collecting its account receivables while creditors’ ratio shows the number of days the company is able to pay its suppliers. Lower numbers are typically preferred in this ratio classification as they signify speed and efficiency of the business organization in dealing with its different transactions.             Appendix 3 shows the working capital efficiency of HR Owen Plc and Antonov Plc. It should be noted that in general, HR Owen is able to boost its efficiency as indicated from the improvement of its inventory and trade creditor ratio. The company is able to reduce the number of days the stocks sit on its warehouse from 84 to 65. HR Owen is also more responsible for its debts it is able to pay its trade creditors in just 12 days. However, HR Owen should still concentrate on its efforts of collecting its receivables from customers. The company reports that it became relatively slower I collecting receivables by three days compared to the 12 days recorded in 2004. The performance of Astronov is again inferior to HR Owen evidenced by its higher debtor’s ratio. The other ratios cannot be computed as the company does not record revenue and cost of sales for the periods considered. Liquidity or solvency ratios are used as measures of the company’s ability to finance its short-term obligations by its cash and near-cash items. Included in these ratios are the current and acid test or quick ratios. Current ratio expresses the â€Å"working capital’ relationship of current assets available to meet the company’s current obligations.†