Physical Assesment Case Study Research Paper Example | Topics and Well Written Essays - 1000 words

Physical Assesment Case Study - Research Paper Example Client was awake, alert and coherent. Physical assessment revealed erythematous plaques covering both cheeks, and at the bridge of her nose, without affecting the nasolabial folds or any other part of her body. Aside from that, her head was found to be normocephalic with no signs of trauma or other deformities. She had clear white sclera and clear conjunctiva; her pupils were reactive to both light and accommodation. Erythema was noted on the posterior wall of her pharynx, and ulcers were found on both of her buccal mucosa. Her neck showed no swelling or bumps, and no traces of lymphadenopathy or thyromegaly. Patient had no trouble achieving full range of motion in her joints with no obvious swelling or deformities. Patient’s vital signs showed a normal heart rate at 62 beats per minute, normal respiratory rate at 12 breaths per minute, a normal blood pressure of 112/66 mmHg, and an elevated temperature of 100.3 degrees Fahrenheit. Interview and Health History Patient reported that the rash was first noticed after a week outdoor hiking and camping in the Appalachians. She denies exposure to any new skin products, usage of medications, environmental exposure, and food allergies. She has not taken any medication for the rash. She denies experiencing headache, sore throat, ear pain, nasal congestion, chest pain, shortness of breath, cough, pain during urination, urination and diarrhea. She reports no stiffness in the joints or difficulty in getting up in the morning. The only surgical procedure that the patient has undergone was a tonsillectomy at age 9 due to her chronic strep throat infection. Other than that, she has not had any other diseases needing hospitalizations as an adult. An investigation into her family history revealed that her mother had rheumatoid arthritis She does not engage in smoking or recreational drug use, but admits to taking a glass of wine almost every night with dinner. Nursing Care Plan Based on the information, the patientâ€⠄¢s main concern is the rash on her face and what it means. Considering the location, the shape, and the other symptoms, it could be a malar rash pointing to Systemic Lupus Erythematosus, but since it is yet to be diagnosed, the more pressing concern is her fatigue. This can be caused by not enough energy being produced to cope with the inflammation going on with her rash, the erythematous posterior wall of her pharynx, and her fever. Her weight loss could also be an effect of this. Fatigue is defined as â€Å"an overwhelming sense of exhaustion and decreased capacity for physical and mental work at the usual level† (Doenges, Moorhouse, & Murr, 2010). The patient verbally reports feeling fatigue after the rash appeared (Sommers, Johnson, & Beery, 2010; Smeltzer & Bare, 2011; WebMD, 2011). In a nursing care plan to take care of the client’s fatigue, the desired outcomes would be that the client will: - Report improved sense of energy - Identify the basis of fatigue and individual areas of control - Perform ADLs and participate in desired activities at level of ability - Participate in recommended treatment program with sufficient energy (Source: Doenges, Moorhouse, & Murr, 2010; Sommers, Johnson, & Beery, 2010) Nursing interventions to help with the patients fatigue are: Intervention: Identify the presence of physical and/or psychological conditions (e.g. infection, nutritional deficiency, depression, trauma, autoimmune disorders, substance use/abuse,

Consumer Behaviour Assignment Example | Topics and Well Written Essays - 1000 words

Consumer Behaviour - Assignment Example 87) the market situation analysis of Nestle shows: Sales- It holds the first position in selling foods. It makes major profits from the sales of food products alone, this year sales rose to 67.6 billion swiss francs which were only 60.9 billion francs last year. Also it’s the world leader in manufacturing coffee. The first three months of 2013 shows that the company’s sales rose to 21.9 billion Swiss francs from the last year but it failed to meet the expected sales which are 22.5 billion Swiss francs. Competitors-Nestle give good competition to most of the fmcg brands like Kraft Foods Inc., Unilever plc. , P & G, PepsiCo, Coca-Cola, Heinz etc. Its huge range of diversified products makes it a strong contender in the fmcg & food sector (Express, 2012). Market Share- It’s the market leader in the coffee & mineral water segment. The table below displays the sales & market shares in the year 1992, of different companies- (Source: Pagell and Halperin 1999, p. 195) Pr oduct Range- The product range includes bottled waters, chocolates, cereals, dairy, coffee, drinks, food, ice-creams purina pet care etc. It puts more emphasis on the taste & nutrition content of the product & therefore it ends up fixing slightly higher prices than its competitors. Creating pet foods makes it a unique brand which not only cares for humans but also it shows significant care to the pets. Its delicious range of hot chocolate & sausage makes it the number one brand in the food & drink sector. Also the beverage systems offered by the company is used widely throughout the world. (Gilbert, 2013) Markets- It has its presence in the continents of Africa, America, Asia, Australia & Europe, in almost over 80 countries. It customizes its product according to the place where it’s being sold. More or less every household contains a product of this brand. 2. Target Market Customer base of Nestle ranges from middle income groups to higher income groups, from kids to adults, from the health conscious to the junk food eaters because Nestle’s products serve various day to day needs of a person. 3. Social Influences on Buying Behaviour PERSONAL FACTORS Age serves as an important factor for the products and services of the firm. Nestle’s consumer range includes adults, aged people, teenagers as well as kids below 12 years. Due to the brands all over presence across the world, its customer base includes people from various race, religion and ethnicity. These things affect the consumer’s food habit to a great extent. The climate, food habits, language, religion, dressing style, income status, etc. falls basically within the wide gamut of geography. For example let’s think about the approach adapted by McDonalds. The well-known fast food chain has got diverse menu for diverse sites across the world. When the firm was asked to state the cause behind the broad range of menus, the firm replied, â€Å"We try to adapt our menu to reflec t different tastes and local traditions for every country in which we have restaurants. We're keen to respect cultural differences and so every country has its own policy of developing menu items†. Moreover consumer behavior depends to a large extent on the education and knowledge of the people, for instance people who are well educated are more concerned about the adverse effects of calorie consumption and thus they would prefer to choose the sugar free chocolate prepared by

Is globalisation a state-authored process Essay

Is globalisation a state-authored process - Essay Example This increased level of globalisation has necessarily meant that cultures and individuals that otherwise might not integrated with one another have come to the in closer contact and sharing a great many more similarities than they have any previous time within recorded human history. The example of the way in which social media has integrated many otherwise disparate individuals throughout the world is a good example of the way that this fundamental shift has been witnessed throughout the current model of media proliferation and globalisation. However, from even a cursory unit of analysis and a discussion into the view that has thus far been put forward, it must be understood that the proliferation and globalisation throughout the world is not an authorless process. Oftentimes, powerful individuals, and indeed states, within the developed world have a strong impact with regards to the way in which globalisation takes place and the particular manner through which the internationalizat ion effects that globalisation is capable of engendering take place. As a function of understanding this â€Å"state authored impact† that globalisation is capable of bringing to bear, the following analysis will approach current levels of globalisation from three distinct perspectives: trade interaction, the impact of technology, and the proliferation of globalized media. It is the hope of this author that through such a distinctive and nuanced approach, the reader will be able to come to a more appreciable view of the way in which current levels of globalisation are illustrated and affected. An Analysis of Globalisation in Tade: Whereas globalisation can be understood in a litany of different mechanisms, perhaps the most effective towards understanding globalisation and the power that it has over individuals throughout the world is to engage it based upon its monetary value (Schoen et al., 2013). In seeking to engage globalisation from a monetary value standpoint, the first rational approach that can be engaged is to approach it from the standpoint of trade. Whereas globalisation is represented throughout the world and impacts upon individuals in a litany of different situations, the power that globalisation has over trade and the means through which different nations choose interact with one another is ultimately the driving force that helps to spread globalisation and increase its impact throughout the world. However, even though globalisation can be understood as a universal concept, it must also be appreciated that globalisation is state specific and ultimately a state authored process (Corstjens & Umblijs, 2012). What is meant by this is the fact that regardless of the nation that is analyzed with a particular economic system that is considered, it must be understood that globalisation exists within a given region only due to the fact that trade agreements, domestic legislation, tariffs, barriers, and a litany of other financial issues have alrea dy been determined and directed in such a way so that globalisation is able to integrate with a given economy (Cook & Underwood, 2013). As such, if it were not for regional and domestic governance and choices that these institutions were able to make, the level and extent to which a globalized economy and the impact of global trade could affect a given region would understandably be minimal (Lapido et al., 2013). An example of this can of course be seen with respect to the way in which the United States,

International Investments Essay Example | Topics and Well Written Essays - 500 words

International Investments - Essay Example ne thing that makes Indian stock market as a good long term investment according to the article â€Å"Advantages for NRIS investing in the Indian Market† 2011, is that most of its stocks are correctly valued, returns of investment are excellent and its stock market is well regulated. In my observation, based on financial reports, India has a booming economy and is one of the emerging economies next to China. As such, confidence of investors is rising such that there are continuing interests from foreign multinationals on Indian companies. As compared to United States that is experiencing a slow economic growth; investors are losing interest of holding US dollars and therefore lessen interest in US investment. These investors now look for new investments in emerging countries like China, India and Brazil. India has advantage on this as the government continuously works on its deregulation and free market principles to attract investments. Because of the investors’ intere sts, the economy of India is expected to improve further and reach a high GDP figure of 10%, and economic growth will continue on years to come. Economic activities along this line are take-over, acquisitions and mergers and are spreading on iron and steel, spirits, manufacturing, auto parts, not just IT, and equity. Investment in the Indian debt securities, I believe, is a good investment because according to BSE (2011), the Indian debt market is one of the largest in Asia. Securities are issued by the government (central and state), public sector, other government bodies, financial institutions, banks and corporations. As such, the fixed income securities become one of the most attractive investment opportunities since it provides safety of investments, adequate liquidity, and flexibility in structuring a portfolio, easier monitoring, long term reliability and assured returns (India Debt Market, 2010). Fixed income securities may either be interest-bearing bonds, varied type of debt

Discussion Summary-Assignment Assignment Example | Topics and Well Written Essays - 500 words

Discussion Summary- - Assignment Example Fellow classmates have provided a raft of examples and the corresponding lists of examples supporting each of the four proximity levels. Bishop Pearce provided the example of the Waterbrooke Assisted facility, located in Elizabeth City, NC. The facility provides personalized care including three meals and snacks a day, physician and psychiatric services. On environmental proximity, he identified each of the four levels drawing the work by (Sigh, 2010) to be the foundation on which he drew the four levels on proximity. The work drew a number of replies, most notably Kathleen, who wanted to know if the facility were next to hospital, would it have been a source of hindrance or help. Yvette De Leon, on the other hand cited the Arbors of Port Warwick Facility that is in Newport News, VA. The hospital provides 24 hours services to the residents, though only a meal day is provided. Just like the first contributor, Yvette cited (Singh, 2010), when updating the four Environmental Proximity Model. Kathleen Almeda, on the other hand, gave Dominion Village at Williamsburg that is owned by Five Star Senior Living. Â  Dominion Village offers assisted living, memory care, outpatient rehab services, and respite/short-term stays. Felisa Artis provided the example of the Consulate Health Care as the facility of choice, which specializes in post-acute care, operating 200 centers in 21 states. However, her focus is the one that is at Norfolk, VA. She explicitly provides the examples to match the four levels of proximity and a discussion ensues between the classmates and her. Jennifer Supples provides an example of a facility located 15 minutes from his place of residence, Willows at Meadow Branch which is part of the Consulate facilities. However, he does provide examples on the environmental proximity models. The level of services provided in the facilities were also different, for example, Paola Williams mentioned that Hopkins center for Rehabilitation and Healthcare,

When writing and reading Children's literature, can it be just for Essay

When writing and reading Children's literature, can it be just for pleasure or does the text have to have a teaching element - Essay Example Yet a good piece of literature will have universal themes that will appeal to children and adults, and will teach more than just developmental skills. Harry Potter and the Philosopher's Stone is a premier example of this principle. It is a piece of literature that is children's literature in that it is accessible to young children but not in the sense that it is exclusively for young children, it teaches not only vocabulary but also mythology and ethics, and it is excellently written. Jon Sciezska, author of stories like The True Story of the 3 Little Pigs, argues that many of the approaches of educators in the West has been misleading or wrong (Zastrow, 2008). â€Å"I would say just to let kids play around, and let them play around with reading† (Zastrow, 2008). Everything that a child interacts with is educational: Every experience, every tree, every song, every book, will have indelible impacts that may resonate for their whole lives in ways no adult can predict. â€Å"Edu cational† children's literature, then, isn't different because it teaches something; rather, it's different because it teaches particular things and sets out to teach those things, like civics, morals, values, good social behavior, math, grammar, colors, shapes, etc. There is nothing wrong with this kind of literature. But it's not the only kind of literature children should read, any more than adults should only read newspapers and journal articles. Sciezska recommends that â€Å"Reading shouldn't be a bitter pill† and that children should have choices in what they read (Zastrow, 2008). There are few choices more apt for children than Harry Potter and the Philosopher's Stone. The book is not an educational book: It is magical fantasy, pure and simple. It begins with a Cinderella dream: Child growing up among cruel step-parents with arbitrary step-siblings is revealed to have a special destiny. But the book actually is filled with all sorts of educational elements nonet heless. By not being specifically â€Å"educational†, it is actually able to have fully-fledged themes and elements that lead children away from the simple grammar school progression and towards advanced life skills that will pay off for the months, years and decades to come. The composition of Rowling's work is itself highly educational. Children learn all sorts of vocabulary from the book, and not just vocabulary of magical phenomena but of a far broader nature. But it's not just vocabulary: Children pick that up constantly, from the telly to conversations to the schoolyard. What the book teaches is how to write. Children reading Harry Potter learn accessible techniques of description, sentence construction, suspense, comparing and contrasting, etc. It is true that children could also learn how to write from Mark Twain or Plato, but Harry Potter uses modern elements, modern themes and appeals to modern needs. It uses contemporary language that British, Scottish, Welsh, Iris h and Yank children can understand. This paper focuses on Harry Potter and the Philosopher's Stone because, being the first book, it has the least adult themes, is the least likely to scare children (though the image of Voldemort growing out of the back of Quirrel is fairly grotesque) and has the simplest plot and language, but all the books are quite valuable for young readers. In particular, Harry Potter and the Philosopher's Stone as well as the other books in the series teach good narrative structure. The books have an element of the mystery novel to them: The reader is told clues that allow them to piece things together. In fact, fans accurately guessed

The Reform of the Banking System Essay Example | Topics and Well Written Essays - 2500 words

The Reform of the Banking System - Essay Example led because there is a prevalence of risk about their existence that in the future again their performance might lead to economic and financial crisis. According to the President of the Dallas Federal Reserve Bank, Richard Fisher, the pseudo-banks and the large banks are difficult to manage due to their big size that creates problem in its supervision. The President is of the view that the costs that these banks impose are more than the advantages that people or society receives from their existence. The financial institutions which were considered â€Å"too big to fall† intensified the crisis in the past few years and had resulted in the fall of potential output and most importantly employment. Moreover, it is better to have several manageable units rather than one big unmanageable unit (Nutting, 2010). 1.2 Banks should not be broken up According to the Confederation of British Industry (CBI), the banks should not be broken up because the splitting policy could harm the role of the UK at the control of global finance. The present public anger should be tackled which is over the bankers’ larger bonuses by ensuring that the banks in the UK can still attract and employ top talents. The Independent Commission on Banking (ICB) was set up in Britain during the year 2010, whose responsibility was to analyse the probable shaking up of the industry after the credit crisis occurred and it found that top lenders such as Lloyds and Royal Bank of Scotland are in need of taxpayer bailout. It is believed by the CBI that breaking up the banks would be a mistake and they need to develop a strong system of banking that would help the economic growth as a whole. The views of the CBI are supportive if observed from the side that during the global financial crisis, many universal banks... This essay approves that the rules of the regulatory bodies regarding the penalties against the banks that violate the standards should be presented in stringent form to the bankers. The policy can be set in which the bankers get paid only for the returns on five to ten years of investment by the people. This will make the bankers to concentrate on the amount of risk when it develops and sells products. This paper makes a conclusion that Financial Crisis Responsibility Fee is incorporated by the government to earn the bailout cost. This is an earning of the government through tax that primarily performs two things. One is that it modifies the behaviour of the banks and the other is that it generates revenue for the government which can be used for reimbursing the taxpayers for bailout cost in the economy’s financial system. The tax would affect the bank behaviour in the sense that tax is more precisely termed as a payment of interest. In this case, it is paid after the occurrence of the disaster rather than before the occurrence. It can also be termed as a loan to the banking industry if the cost of the bailout is paid in full by the banks. They are only charged for certain direct and indirect costs such as the package of stimulus for helping the ruined economy. This arrangement would provide an assurance to the government that in case of occurrence of any financial crisis in the future where the government has to bail the banks out, the banks will not be able to escape payment of certain costs.