Mr. M. H. S Glucose Level - 2132 Words

It was 2 a.m. when Mr. H, a 52 year old man, arrived to the Emergency Department accompanied by his brother complaining of dizziness and hyperglycemia. Upon arrival Mr. H’s glucose level was 500 mg/dl. It was not the first time for Mr. H to visit the Emergency Department complaining of glucose intolerance; he is a regular visitor. In addition to diabetes, Mr. H has a history of hypertension, dyslipidemia, vision and respiratory problems. He was treated with insulin and put under supervision for 24 hours. Once his glucose reached normal level, he was given brief instructions and discharged. Mr. H. works as an industrial engineer away from his family and he is busy most of the time. Due to his work, he spends most of the time in the†¦show more content†¦The nurse started to ask Mr. H. some questions about his disease and she discovered that he did not have the minimum knowledge about diabetes or how to control it; he did not even know how to use the glucometer to check his blood glucose level. Mr. H’s nurse was trying hard to convince him to attend diabetic lectures and read to gain the knowledge needed to prevent the consequences of diabetes, but again he used the time to make excuses. In 2003, Mr. H was diagnosed with End Stage Renal Disease. Therefore, he had to go to the dialysis unit three times a week. Due to this problem, he decided to retire so he would be able to go to the dialysis sessions. Mr. H was committed in going to his dialysis session, but still according to him, he could not change his lifestyle and eating habits. Three years later, his physician decided to do peritoneal dialysis for him. Mr. H’s daughter was taught how to perform it for him at home. Mr. H’s conditions started to deteriorate and he went into depression since he became dependent on others to an extent that he did not want to take a bath. Mr. H refused to take his insulin dose and his daughter was worried. In fact, Mr. H was much more worried because he knew that two of his daughters were diagnosed with diabetes and he did not want them to suffer. Mr. H continued to resist taking his insulin dose and other medications. In August 13, 2005, Mr. H presented to the Emergency Department complaining of

Qualiity Assurance Essay - 862 Words

043: Manage quality in health and social care or children and young people’s settings. Analyse how legislative and regulatory frameworks inform quality standards that apply to the work setting. The main regulatory framework that we follow is the EYFS welfare requirements. The requirements are broken down into sections: * The learning and development requirements This details how we must work in partnership with parents and carers, promote the areas of learning preparing them for school. It ensures we support families that has English as an additional language and highlights the need for key workers. * Assessment This section describes how we, as practitioners, monitor how the children are progressing and in which areas.†¦show more content†¦5. English as an additional language has a clearer focus 6. Wrap-around care now does not need to deliver the EYFS when the time the child spends there is limited. 7. With regard to child protection there is examples of adult’s behaviour which may indicate child abuse and neglect. 8. Again with regard to child protection the EYFS now has strict guidelines about the use of mobile phones and cameras. 9. The decision of who is a suitable person to manage a setting has been simplified and returned to the hands of the setting owner with guidelines. 10. Supervision of staff is compulsory and has been detailed to ensure encouragement of continual professional development. 11. Childminders must complete training in the EYFS. 12. There may be some exceptions to the staff:child ratios. 13. It is now up to the providers to carry out and judge risk a ssessments; they must be recorded in writing. Analyse how quality standards influence positive outcomes for individuals. Parents and carers * They receive a high quality standard of childcare and education. * They are secure in the knowledge that their child is in a safe, secure environment. * They are kept well informed about their child progress through a good partnership with the setting. * Through positive inclusion all parents and carers will feel valued within the setting with their opinions listened to. * They can feelShow MoreRelatedQuality Assurance : The Act Of Giving Confidence1655 Words   |  7 PagesThe phrases â€Å"quality assurance† and â€Å"quality control† are frequently used interchangeably to refer to methods of ensuring the quality of a service or product. These phrases, however, have different meanings. â€Å"ï » ¿ Assurance: The act of giving confidence, the state of being certain or the act of making certain. Quality Assurance: The planned and systematic activities implemented in a quality system so that quality requirements for a product or service will be fulfilled. Control: An evaluation to indicate

Electrical Utility Deregulation Essay Example For Students

Electrical Utility Deregulation Essay Electrical utility deregulation is the process of transforming electricalutility companies from regulated monopolies to market-driven suppliers ofcompetitive energy and services. (Reliant Energy HLP 1999) It means thatcustomers will have the ability to choose their electrical supplier. Todaysutility customers want lower prices, more choice, and better service as well asreliability. The deregulation of other industries such as railroad, trucking,natural gas, and telecommunications has shown people that choice can providebetter value. The deregulated electric utility industry would look and act a lotlike the long distance phone business. The market would set electricity rates. Sharp increases or decreases in the cost of fuel or customer volume would affectthe prices. Prices have decreased even without deregulation however. Accordingto the Edison Electrical Institute, real electricity prices have dropped 27percent in the last 15 years. But with deregulation there is the potential thatthey will drop even more. The main issue that is of concern to electricalutility companies is stranded costs. Stranded costs are the past investmentsutilities were obligated to make in the regulated electric system. Theseinvestments were prudently incurred and government-approved to ensurereliability of supply and were partially recovered through customers rates. (Reliant Energy HLP 1999) Electrical utilities believe the recovery of pastinvestments should be part of the overall deregulation process since they willbe hard to recover in an open, competitive marketplace. If this issue isresolved to the satisfaction of the utility companies, it will open the way forderegulation. As stated in the previous page, the main obstacle to electricalutility deregulation is stranded costs. Two of the main issues surroundingstranded costs are their impact on electricity prices and stranded costs willaffect the financial viability of an individual electrical utility. It is hardto determine exactly how much stranded cost will be. They have been estimated tobe anywhere from 10 billion to more than 500 billion. And stranded costs may behigher in some parts of the country than in others. According to Research DataInternational, 86 percent of the stranded costs lie in 10 states that have 43percent of the electricity market. California is at the top of the list,fo llowed by New York, Texas, Illinois, Pennsylvania, New Jersey, Ohio, Georgia,Massachusetts, and Connecticut. The utility companies want to be able to recovermost of if not all of their stranded costs, and if they are not able toelectrical prices may be higher because of it. Another problem that has arisenis the concern over possible environmental and social protections built inthrough regulation would be lost. The Utility Workers Union of America believesthat a competitive market would give profit driven companies an incentive topromote consumption, which would undermine many of the conservation programsthat are promoted today. I think that we should not rush to judgement on theseproblems. Many states are implementing deregulation, and we will see exactlywhat happens and doesnt happen during these experimental times. Similarconcerns were raised before the airline industry was deregulated, but it workedout just fine. There are 3 main objectives that electrical utility deregulationhop es to achieve. First and foremost are lower utility rates. Granted thatutility rates are relatively low at the present time, with deregulation thereexists the potential for them to be even lower. Businesses would have the mostto gain from deregulation because of the large amounts of electricity that theyutilize. They would be able to use the money saved on other methods or capitalto better serve their customers. The everyday household would benefit becauseinstead of having to purchase all the services from a utility company, theywould have the option to purchase only some of them, or choose a differentcompany of their liking. Secondly, better quality of service and product as aresult of the competition is another objective of deregulation. With manydifferent companies competing for customers, the companies will not benefit fromproducing an inferior product or poor service. The customers will simply taketheir business elsewhere. Prices will also be lower, because all the companieswil l be trying to entice customers with the lowest rates. Competition is whatmade the American economy into what it is today. It is a vital component ofcapitalism. The freedom of choice enjoyed in a capitalist system is so oftentaken for granted. It is what this nation was founded upon. The third objectiveof deregulation is the creation of more jobs through privatization. Withderegulation there will be many more utility companies forming with the adventof an open market. These new companies will obviously need to hire people. Notjust for their installers and service crews, but salespeople, office personnel,shipping and receiving clerks, stock clerks, order pullers, and many otherpositions. So jobs are Created not only for the skilled utility laborers, butalso for people with sales experience, office training, and people seekingentry-level positions such as stock clerks and shipping and receiving personnel. Etymology of Court EssayTherefore they feel they should be compensated for their investments becausethey were required by the government to build more plants and enter long-termcontracts. If the national plan for deregulation includes an effective andfeasible way to recover stranded costs, it would answer the main problemconcerning deregulation. That would probably be the thing that would bring mosteveryone on board right there. As far as the problem regarding possible loss ofsocial and environmental protections, the government could pass legislation thatwould require the private companies to operate within social and environmentalboundaries. We wont know if this is going to be a major problem yet, thegovernment is doing the right thing by allowing the states to experiment withderegulation. That way the kinks can be worked out with as little Trouble aspossible. You are going to have your bad apples in the bunch, some people justwant to make as much money as they possibly can. They dont care if theydestroy the environment or alienate people. But measures need to be taken toensure that the people and companies that choose to operate in that manner aredealt with harshly. If they are allowed to get away with it then deregulationcould become quite a disaster. We are on the verge of a major change with theadvent of electrical utility deregulation. It couldnt have come to light at abetter time, here at the end of the 20th century. The face of business haschanged many times throughout the course of American history without manyproblems. Deregulation presents a whole world of opportunities for business aswell as the consumer. Entrepreneurs are afforded a marvelous opportunity. Theability to start or get in on the ground floor of a new and potentiallylucrative business.

The Marburg Virus Essays - Zoonoses, Biological Weapons,

The Marburg Virus Many new viruses are emerging from the rainforest every year. The deadly viruses include the Ebola, Marburg, and AIDS viruses. They are some of the most destructive and lethal viruses that human kind has ever seen. They seem to affect most of the body and it's organs with some rather gruesome symptoms. Although most die ending their suffering, some survive to relay the story of their pain. The Marburg virus described in "The Hot Zone" , by Richard Preston, exemplifies these new gruesome viruses well. A person is infected with the virus through sexual contact or contact with bodily fluid(29,39). After infection, the symptoms begin within seven days(14). The symptoms begin with a headache. This headache worsens throughout the day spreading to pain in the eyes and temples. On the second day the victim begins to feel horrible back pains(14). These symptoms of the first stage of the virus are considerably vague. The victim can easily mistake these symptoms as something minor such as the flu, thus delaying diagnosis. During the second stage of the virus the symptoms become more visual. At this stage the victim becomes a little more aware that there is something more serious than the flu wrong with them. During this stage the victim's eyes begin to turn red in color and the face loses all appearance of life(15). "His face lost all appearance of life and set itself into an expressionless mask, with eyeballs fixed, paralytic, and staring. The eyelids were slightly droopy, which gave him a peculiar appearance, as if his eyes were popping out of his head. The eyeballs themselves seemed frozen in their sockets, and they turned bright red. The skin of his face turned yellowish, with brilliant starlike red speckles."(15) This passage describes Charles Monet who, at this point, is just entering the second stage of the Marburg virus. His skin became jaundice and his eyes have started to turn red, these were the first visible signs that there was something seriously wrong with him(15). At this point Monet's personality was said to have changed. He was described as sullen, resentful, angry, and he was beginning to lose his memory(15). The symptoms of the virus at this point could still be mistaken for another disease such as Malaria. Dr. Shem Musoke mistook the virus for Malaria when he was in this stage of the virus(29). When given a shot for Malaria, he remarked that "He had never felt such pain from a shot; it was abnormal and memorable."(30) The third stage of the virus is by far the most damaging of the stages. "His eyes are the color of rubies, and his face is an expressionless mass of bruises. The red spots, which a few days before had started out as starlike speckles, have expanded and now merge into huge, spontaneous purple shadows: his whole head is turning black-and-blue. The muscles of his face droop. The connective tissue in his face is dissolving, and his face appears to hang from the underlying bone, as if the face is detaching itself from the skull."(17-18) This passage describes Monet during the third stage of the virus. At this point the victim begins to vomit uncontrollably. This black spotted, red vomit is known as "vomito negro", or the "black vomit". This vomit is loaded with the virus(18). At this point "extreme amplification"(18) is starting to take place. Extreme amplification is the saturation of the body with virus particles. At this point it is said that there may be over a hundred million particl es of the virus in one drop of the victims blood. Black vomit is the first sign of extreme amplification(18). Blood clot begin to occur throughout the body at the point. The intestines begin to die for lack of blood. Depersonalization starts to take place. This is the wiping away of the victim's personality by brain damage. Spots on the brain are liquefying(19). During the final stage "? the human virus bomb explodes."(23) At this stage the host is said to "crash and bled out"(23). The victim begins to feel weak and their spine goes limp. At this point the victim goes into shock.(23) Massive quantities of blood are expelled from the mouth and

Gestalt Key Concepts Essay Example

Gestalt Key Concepts Essay Example Gestalt Key Concepts Paper Gestalt Key Concepts Paper Gestalt therapy aims for self knowledge, acceptance and growth by looking at the current existence. This theory entails concepts around what is actually currently happening rather than what has happened in the past. It focuses on the here and now, not on what should be, could be or what was. From this present centred forcus, one can become clear about ones needs, wishes, goals and values. The concepts emphasized in gestalt therapy are creative adjustment and modification, unfinished business, Zones of awareness, creative indifference Creative adjustment and modification: contact is necessary if change and growth are to occur. Contact is made by, seeing, hearing, smelling, touching and moving. It is made effectively by interacting with nature and other people without one losing their individuality, however people often resist contract. Resistance to contact are defences we develop to prevent us from experiencing the present. These modification are called introjection, projection, retoflection,, deflection and confluence. The therapist is to help the client to become aware of how there are blocking there contact with themselves and environment. Unfinished business: This refers to clients who do finish things in their lives and often relates to people with growth disorder. Clients with unfinished business often resent the present and because of this are unable to focus on the here and now. For example if figures emergy from the background but are not completed and resolved, clients or individuals are left with unfinished business and this can manifest in expressed feelings such as resentment, frustration, rage, pain , anxitey, and grief. : Zones of awareness: this concept where you focus on what one is in touch with and in situations requiring such attention. It is thought that is leads to insight results in change or adjustment. This concept encourages the client to directly experience a situation rather then talk about it. These three zone of awareness according to gestalt therapy, outer zone, middle zone and inner zone. We / clients can get struck in any of these zones. Its best being able to be choose from one zone to another in order to develop self awareness. Awareness is needed in situations where thinking and acting are not working and in which one does not learn from experience. It helps the client gain awarenesss of what there are experiencing and doing at that particular time in there life. Outer zone: this is where the client makes contact with the outer world through the use of all senses. This includes awareness of there environment and the other people. Middle zone: this zone includes all over thinking process and what we imagine, fantasize, memories and daydream. Inner zone: this zone is concerned with what we feel, experience, dreamworld, our emotions and bodily sensations. We make statements such as â€Å"I am noticing†, â€Å"I am imagining†, â€Å"I am feeling† there relate to the three zones by paying attention to all three zones we can heighten our own awareness so that we become a highly attend instrument, assessing what is going on and for using this knowledge to help build the relationship we want with ourselves and the client.

Exploring the Complexity of Trinity and Identifying its Applicative Term Paper

Exploring the Complexity of Trinity and Identifying its Applicative Issues Introduction - Term Paper Example Though certain aspects of the Christian teaching were passed on the Christian culture, the extent of such permeation was considered superficial. Inclusive of these failing Christian aspects was the Trinity. The scope of the study covers two major themes: the exploration of the complexities surrounding the purlieu of Trinity and the identification of issues in terms of applying the concept of Trinity in the Christian life. Thus, this work attempts to provide answers and insights to questions and themes involving the current state of the Trinity in the Christian worship, the collection of the Trinity’s perspective-critiques, and the application issues. The overall structure shall be inclusive of the methodology; this feature aims to present the method followed in the coverage of this paper’s scope and inherent objectives. The structure of the paper also consists of the purview and critiques assigned for the complexity-exploration and the application issues for the identif ication section. Apart from these main sections, the paper shall also brief some implications of this study in the conclusions-part. Moreover, while the critiques of the Trinitarian concept successfully warranted its spot in the controversial light, its significance is, nevertheless, uncontested. As a direct, symbolical aspect of the Christian worship, the Trinity’s contribution to the development of the Christian’s strength in faith is at its edge. The reliance to ambiguous Christian aspects, such as the Trinity, is considered to be the thorn of Christian worship and, probably, faith. Methodology To effectively present the exploration and identification of Trinitarian concepts and application, the study conveniently divided the themes to three focuses. The first focus, ‘The Trinity,’ presented the basics of the Christian aspect, namely: manifestations, Bible dereference, and the visualization approaches. These parts served to illustrate the Trinityâ€℠¢s foundations and the nature thereof. Moreover, this first focus is the first part of the exploration on the Trinity’s complexity. The second focus and the last part of this complexity-exploration is the headed, ‘Critiques.’ This part elaborated the components revolving around the ambiguity of the Trinity. It may include, but are not limited to, the compromise of God’s main concept, the wording of the Trinitarian concept, the opposing Social Doctrine of the Trinity as well as the inferiority of the creator god to the redeemer god. The last focus, the ‘Applicative Issues,’ deals with the circumstantial issues on applying the Trinity in Christian life. Though its presence in worship made the Trinitarian concept conceivable, its extension to the Christian way of life was soberly uncharted. Evidently, this last focus, which will shed light of the Trinity’s applicative issues, is the component of the second main theme (i.e. issue-identifica tion). The conclusion then closes the whole exploration and identification process by determining the implications of the study, as well as providing aspects of the Trinitarian research that are promising and uncovered. The Trinity, at a Glance The explicit manifestation of the Trinitarian interpretation were immortalized by the Bible verses (i.e. Matthew 28:19 and 2 Corinthians 13:14) that were incorporated in the Catholic

Learning style Essay Example | Topics and Well Written Essays - 500 words

Learning style - Essay Example Solitary is my best way of learning, where I carry out study on my own. Some prefer studying through social or group discussions among other styles. The reflection matches with mine since I have the unique learning style that I also prefer most, in addition, I also combine other learning styles as mentioned above. Generally, I prefer the use of solitary learning style which involves personal learning that does not involve the help of the other people. Personally, I am very shy to talk in front of other people, therefore, I do not feel comfortable in the other style like social which has to involve many people as well as the group discussions that will do have to contribute. Even though group discussions are good study habits, I do not participate so much when it comes to the group study. I do not speak so much in class, and I like keeping everything to myself, and fail to participate in the group discussion, or class participation like answering questions, demonstrations among others. Being a Non-American, I am afraid of raising my hand in front of other learners even when I know the answer because I feel they might laugh or mock me. Since I do not have the courage to face everyone, I do not contribute so much in class. Even though I do not interact so much with people, but I relate with very social friends. Physically, I enjoy playing with other people. Even though I do not talk too much, I use a lot of vocabulary to write (Erickson, p 12). My current study habit is that reading on my own in a quiet place, by so doing, I realize that I utilize my time well when I am seriously studying alone than when being with others. In fact, I sometimes prefer locking myself alone in the room to avoid external distractions. In my current study, I find it not working well with my learning style since; I realize that I need to combine a number of my learning style in order to achieve my objectives. I would prefer to adopt group