A trip Essay Example | Topics and Well Written Essays - 250 words

A trip - Essay Example Since we had no special plans for the weekend, we halfheartedly decided to go with Oliver. To our surprise, with every passing second, we became more and more excited about the trip. And so, the night before the trip, we failed to contain our excitement and hardly fell asleep. It was a Sunday morning. The time was almost 5:30 a.m. when we heard a familiar honking of a car. It was Oliver. The sun has not fully come out yet, and the house was still dark. Our parents were asleep. Oliver had arranged for our breakfast, so we rushed out as soon as we heard the car horn. Once outside the house, we were greeted by the cool morning breeze. Sliding into the front seat next to Oliver, I grabbed the biggest burger and started munching instantly. In all the excitement, I forgot to pass over Sam’s share in the back seat. A questioning look on Oliver’s face made me realize what I had missed doing. Therefore, I passed Sam his burger; I felt embarrassed. After that, our journey began. As I watched the car drive through the same route, my heart sunk. It was the same route we took almost every weekend with our family. But when Oliver did not take the last turn, the excitement returned. I knew we were headed for â€Å"different†. After twenty five minut es’ drive, we stopped at a roadside densely lined with trees. It seemed like a jungle. When Oliver got out of the car, I realized it was the starting point of our trip. The plan was to meet our usual hiking trail but through the jungle. Taking only a few steps into the trees, we found ourselves standing amidst a dense forest. The sounds of birds, insects and animals echoed all around us. Thick vegetation grew everywhere. The shelter of leaves blocked the sun, so it was slightly darker. The air was damp and had a strange smell. Oliver was leading the way, and we were tracing his steps. Sam was in front of me. The way Oliver was making his way through the bushes and trees was admirable as I could hardly see any path. I

University Personal Statement Essay Example | Topics and Well Written Essays - 500 words

University Personal Statement - Essay Example One of my uncles studied from USA and, according to him, studying in USA was the right choice for me as students get highly professional teachers and scholars who help them excel in their fields. People have always been globe-trotting for good education and the hot education destination is always USA. I also wanted to avail excellent quality of education and training which is recognized worldwide. Also because there are a wide variety of courses offered in USA, I preferred to apply in some university which offered me my desired courses. Why I chose the University of New Haven, Boston Post Road West Haven, is because it offered me the major in fire science which I wanted to avail and start my career in. The university is a private, top-tier institution and offers globally recognized experiential education. It offers highly qualified teachers. It helps the students in various means like in getting a tutor, scholarships, free-ships, stipends, internships, and etcetera. Special training courses are also held which enable the students to apply the knowledge practically. This university has also been nominated as North America’s Best Colleges in the US News and World Report Magazine. These factors made me choose this university for my higher studies.

Discharge planning of a patient using a patient profile Essay

Discharge planning of a patient using a patient profile - Essay Example These readmissions crop up as a result of mistakes resulting from lack of proper care for the patients after discharge, or discontinuation of medication (DOH, 2005). Low health literacy being in high rates gives rise to increased rates of re-hospitalisation, especially, in urban patients, who earn low income. Lack of coordination between the in-patient and out-patient process, boosts the risk of readmission in hospitals, together with gaps in social care and supports. Primary care physicians find it hard to understand the complex process of hospitalisation, since the inpatient care is provided in the hospitals (Bortwick et al., 2009). A discharge plan is the key tool used by the primary care- providers so as to go on with the care of the patient. Therefore, a safe and comprehensive discharge plan is essential when discharging a patient, in order to aid the primary care providers and social workers in their duties. A discharge plan Discharge is a vital component of care management in any aspect. It makes sure that social care and health systems remain proactive when supporting patients, their families and carers, when there is the need to go home, or move to a different setting (SPLG, 2010). Mr. Sharma, 87 years old man has been hospitalized and, due to the considerable progress he has made in recovery, he will be discharged after ten days. A safe and comprehensive discharge plan needs to be developed which will suit him, and which will ensure his recovery without re-hospitalisation. Mr. Sharma’s discharge plan is supposed to prepare the home for him, to meet all his needs, reduce the probability of readmission, as well as saving on social care services (SPLG, 2010). Putting in mind that Mr. Sharma has multiple conditions, an open wound, he is taking many drugs, and that he is an old man, the following discharge plan will best suit him. A discharge plan will help his carers after he is discharged, to coo rdinate services and care (Katikireddi and Cloud, 2009). This paper will address the probable problems, the interventions, and the rationale behind the decisions made. Problem The patient is an old man aged 87 years old. Outcome Being an old person, the patient requires careful and extra care since he is exceptionally delicate. Close supervision should be done always to ensure all the medical requirements are done (Lindenberg, 2010). Intervention 1. Meet with the family members and the carers of the patient, in order to discover who takes care of the patient most time, prior to discharge (Roberts, 2002). 2. Explain the need to have a person close to Mr. Sharma always, and close supervision. 3. Ensure that the patient will be kept busy and occupied. This can be through the provision of a television set or even constant company, to avoid boredom. 4. Discover if there is polypharmacy. Rationale The patient is an elderly person and hence the need to meet with the family members and the carers to enlighten them on the complications faced by old people after discharge, and the factors that can lead to readmission. According to the National Service Frame work for older people, old people are likely to suffer multiple complications, unlike, young people. They can have different conditions requiring different and specific treatment (DOH, 2001). The need to meet with the family members and carers of the patient is to make them understand how to care for the old person to reduce the case of readmission. The elderly patient needs a person close to him to monitor

Febrile Seizures Research Paper Example | Topics and Well Written Essays - 3000 words

Febrile Seizures - Research Paper Example Up to 5% or may be more in the population is estimated to have had at least one seizure arising from any cause during their lifetime. Epilepsy can be found in any individual ranging from young babies to aged old men and women. It is clinically known that epilepsy can have its beginning or onset in both old age and in childhood. The underlying causes of seizure in medical terms in unknown. More than 32 different kinds of seizures are known today (Seizure and Epilepsy, 3). These are divided into focal seizures and generalized seizures. A seizure is caused by an electro chemical disorder in the brain. Chemical reactions are used by the brain cells to produce the electric discharges. When there is an imbalance of excitation and inhibition in a particular area of the brain a seizure can occur. In a seizure attack, the normal regulated function of the nerve cells in the cerebral hemisphere gets disrupted (Appleton & Marson, 2). Many people also some patients suffering from seizures have th e notion that the actual seizures are ones that have strong, uncontrolled movements. They believe that having an uneasy pain or feeling in the stomach, going blank for a few moments, or jerking of the arm few times is not to be assumed to be a seizure. It can be at most considered to be a minor spell. But the fact is any change in the sensation or behavior that arises from an uncontrolled activity of electric neurons in the brain is a form of seizure. In the human brain, the undersurface area of the temporal lobe is very prone to have seizures. The temporal lobe consists of the regions of the brain that are mostly involved in causing adult epilepsy. These temporal structures are coined by Greek names, such as the amygdale which means an almond and hippocampus which means a sea-horse. The amygdala and the hippocampus are the target areas for surgical removal during surgery for curing epilepsy. The amygdala and the hippocampus are also involved in controlling the expression of emotion s and in the ability of the brain to form memory. Seizures can also be caused by brain poisoning caused by lead and carbon monoxide (Seizure and Epilepsy, 2). Types of seizures Seizure is divided into two categories. These are known as a partial or focal seizure and a generalized seizure. Partial seizures are one that start at one side of the hemisphere of the brain where as the seizures that begin in both the sides of the hemisphere of the brain at the same time are known as generalized seizures (Pitkanen, et al, 6). Partial seizures are further classified into simple partial seizures that have no alteration in consciousness or memory and secondly complex partial seizures that have alteration in consciousness or memory (Fisher & Saul, 6). Simple partial seizures are characterized by motor seizures that include twitching, unusual sensations, unusual visions, sounds and smells as well as distortions of perception. Seizure activity can reach up to the autonomic nervous system that can result in flushing, tingling sensations or nausea. These symptoms of simple partial seizures remain in the clear consciousness and are in full recalling ability for the patient. Complex partial seizures that were previously known as psychomotor seizures or the temporal lobe seizures or the limbic seizure is another type of partial seizure. Complex partial seizures can have an aura, which is a symptom or a warning of the seizure (Fisher

Strategy implementation Essay Example | Topics and Well Written Essays - 1750 words

Strategy implementation - Essay Example In Andrews’ definition, there appears to be a clear division between strategy formulation and its implementation. It is at the implementation stage that resource allocation becomes crucial. This is in keeping with the classical or planned model of thinking about strategy. In the more recent, process, or resource-based view (RBV) of strategy, when speaking of the competitive advantage of a firm, scholars stress the importance of ‘resources’ and ‘capabilities’ available to it (Amit and Shoemaker 1993). It is commonsensical to argue that the strategy implementation of an enterprise is predicated on the availability (’command’) of resources and capabilities of the firm. Resources are held to be available business-wide, while capabilities are the skills and abilities developed within and specific to the firm. Resources alone therefore, are not in themselves sufficient to gain a ’sustainable competitive advantage’ for a firm. Cap abilities, often in the form of patents, and expertise developed in-house, and not easily replicated by outsiders, are equally, if not more important. It is too simplistic to separate strategy implementation from strategy formulation, since a strategy has to be adaptive and evolving, while keeping at the forefront the ends and goals that need to be met for the business to remain viable. Barney (1991), supported by a number of other researchers, claimed that a firm’s key resources needed optimally to conform to the following criteria.

America in 1920s Essay Example | Topics and Well Written Essays - 750 words

America in 1920s - Essay Example In the track of World War One, American men tussled to hoard their realm and woman wrestled to triumph the spot on to take part in an election. Near the conclusion of the First World War America was viewed as the mainly influential and affluent state in the world. During the 1920s the United States' cutback was roaring with hit and rising wealth, in which a huge pact of Americans, although surely not everyone, collectively. This epoch was too identified as the 'roaring twenties. By a copious contribute of raw resources (e.g. oil and coal) and the strategy of separation and repression in place; America rapidly becomes yet extra dominant and richer. America had large area variety, with every district contributing a bit diverse to the financial system. Into Metropolis at hand were fine waged career so folks who existed in city profited since the improved salaried work. Beside amid the goal of a state in the 1920's, at hand was as well frustration. America experienced the immense stash market collides that left a lot of Americans impoverished. This dissatisfaction in America was too what directed to the country's misery (Kallen (2002), p. 28). The melancholy instigates in 1929 and final for almost a decade. Millions of individuals lost their occupations beside with lots of industry going broke. The inequity of funds is what shaped such a wobbly economy. The stock market's undertaking a lot poorer than populace attention in this age. This condition leads to the largest stock market hurtle in our account. Cost attained a point that citizens by no means imagined. At one face whilst the market was deafening in September 1929 forty percent of stock market values were clean air. This supposed that financiers thinking that the stock market would set off up since it have been going up. Ku Klux Klan's existence paved the way for extensive fame during the 1920's. The KKK pleased the mainstream of white conventional America of any accountability for the inadequacy of the social order. It as well presented them a sagacity of refuge by shaping a hefty treaty in opposition to minorities (Smith (2002), p. 106). The 1920's where a point in time of conservatism, it was a period of immense communal modification. As of the world of fashion to the world to politics, forces collide to manufacture the mainly volatile decade of the century. The eighteenth Amendment was approved in 1920, which finished alcohol unlawful. It was named the Prohibition Amendment. This was recognized as the "Noble Experiment". All in history contributes to what a country is today and that is what we call contribution to culture, a way of life. The way we are today can be explained of what we experienced from the past. As a consequence, a lot of non-traditional tendency embark on to emerge in the lives of the youthful liberals in the 1920's. Women set in train to sense extra sexually unconventional and comprehend that they also had desires apart from only breathing to house their male equivalent. Many women also obtain up smoking, a commotion beforehand hand over wholly to men. In addition, progressively, women chase careers outside of their homes. The tempo of separation mounted. The young age band had closed living their lives according to customary culture, principles and had slot in their individual sets of needs, ambitions, and principles by which to exist as an alternative. The 1920's has really contributed greatly in the present

Operation management Essay Example | Topics and Well Written Essays - 2000 words

Operation management - Essay Example rations (chemical, mechanical, assembly, electrical, transportation, assembly, inspection, etc), number, and sequence are usually specified for each and every input. In this case, the output will be chemicals, complete parts/products etc. the production function illustrates the relationship between an organization’s inputs and outputs. The maximum output which can be realized with specific inputs or resources can be determined by studying the production function; this is dependent on factors like the available technology among others. Relationship between Production Function and Operations Management Both operations management and production are essential in achieving an organization’s desired goals and objectives (Heizer and Render 2001, pg. 26). The core essence of any organization/business is to satisfy the needs of its customers through the provision of goods and services, and consequently solve their problems and create value for them. Production function and opera tions management are about applying management and business organization concepts in the creation of goods and services. When applied together, the production function and operations are very essential and influential in realizing an organization’s goals and meeting objectives. In order to create and supply value for customers in services and products, it is imperative that a company identifies customers’ preferences and then convert them into specific products or services (quantity of products needed for a known period of time). An organization must also conduct backdating (backward working) so as to know the raw material needs; this is based on the requirements of a particular product. Finally, using operations management, it is necessary to involve internal and external retailers with the...The Nature of the Relationship between Operations Management and other. Operations management facilitates collaboration among operation management professionals and other executives and managers in order to establish how operational planning can improve and sustain an organization’s long-term marketing strategy. This planning may include identifying policies and goals for marketing management, support services planning and budget management. Operations management (with the assistance of the operations manager) ensures that the marketing department is fulfilling its expected responsibilities within the company by meeting budgetary guidelines and productivity goals. In service operations like Heathrow’s, customers frequently participate in the conversion process. Manufacturing operations like Nestlà ©Ã¢â‚¬â„¢s employ very sophisticated and complex techniques for gauging resource consumption and production activities during the conversion process. Nestlà ©Ã¢â‚¬â„¢s operations, for example, take into consideration the manufacturing layout. In Nestlà ©Ã¢â‚¬â„¢s manufacturing environment, operations managers are in charge of the processes required to convert raw materials into finished products. In Heathrow’s service operations, operations managers delegate duties to workers in order to make the handling of customer demand easier. Manufacturing and service organizations usually face many similar challenges that affect the eventual result of their operations.