Thursday, October 31, 2019
Getting a Degree in the Business Administration Personal Statement
Getting a Degree in the Business Administration - Personal Statement Example A person has to work hard and dedicate her/himself towards the program. When I look at my self, I see that I am a hard working person and also have an attitude towards finance. In fact, I have been towards accounting, finance, and administration since the beginning. I completed my bachelors in Accounting in 1998, and masters in Public Administration in 2002. With regard to my working capabilities and experience, currently, I am disabled and physically unable to work full time due to my illness. Before my illness, I was a mid-level governmental financial and budget senior program manager. Although I am not able to work full time at the moment, I still volunteer at Orange County Governmentââ¬â¢s Neighborhood Centers for Families. These centers provide social services to lower income areas. I work in the organization as a volunteer by helping families establish family budgets. With regard to my future plan, I would like to return back to work as a full-time regular employee within a couple of years. In the future, I would like to utilize the competencies and expertise I learned in the business classes, especially in finance and organizational behavior to make the most of the growing relationship between the government and the non-profitable private organizations. After completing my degree, I would like to work as a part-time Adjunct Professor at a local university or college. As a part-time professor, I believe that I can focus on my true desire for teaching and research in a selected area in the field of finance. Doing research in minority finance is one of my dreams. I want to do research in this as I see that there is an ongoing belief in the African-American population that funding for African-American run non-profit companies and it cannot be found especially for upstart companies.à Ã
Tuesday, October 29, 2019
Marketing Plan Essay Example | Topics and Well Written Essays - 4000 words
Marketing Plan - Essay Example Moreover there is a feeling of belongingness for The Big Three among Americans. Hence the market is highly competitive. The report makes an attempt to develop a marketing plan that would help Toyota to regain its market share and become a market leader once again. A detailed analysis of the internal strengths and weakness, market scenario, competition analysis is done to identify the gap and accordingly new ways of meeting these gaps through an effective market plan is devised. Bargaining Power of Suppliers: Toyota believes in the philosophy that it is as strong as its weakest supplier. Hence Toyota believes in building long term relationship with its supplierââ¬â¢s and also goes to the extent of providing support and technical guidance which promotes a ââ¬Å"win-winâ⬠situation for both. Hence Toyotaââ¬â¢s suppliers are always loyal and also strive to deliver the best quality of materials (Lean Enterprise Institute, 2006). Toyota does not change suppliers based on cost considerations because it upsets the entire working model of Toyota. Toyotaââ¬â¢s success depends on strong alliances with its vendors. It is something that Toyota lives with every day (LaFlamme, n.d.). Bargaining Power of Buyers: Buyers in U.S. are very well informed about the automobile market and the latest cars. A wide variety of choices is available to the customer. Some of the big names include General Motors, Ford, Chrysler, BMW, Hyundai, Mitsubishi etc. With information available easily in the internet customers can dictate terms. They can negotiate on price, mode of payment, more discounts on used cars, free accessories etc. Hence bargaining power of buyers is high (Gatton College of Business & Economics-a, n.d.). Industry Rivalry: US market has been dominated by the Big Three namely, General Motors, Ford and Chrysler. In addition there are others like Nissan, Hyundai, Volkswagen, Mitsubishi and BMW having significant
Sunday, October 27, 2019
Chronic Urinary Tract Infections Treatment Case Nursing Essay
Chronic Urinary Tract Infections Treatment Case Nursing Essay RP, a 72-year-old Caucasian female, was brought to the emergency room (E.R) from Hillcrest Adult Foster Care via ambulance. Preadmission report to F-300 stated that she came to E.R confused, lethargic and weak, complaining of acute pain upon urination. She also urinated small amounts ( Upon arrival to F-300 RPs labs revealed significantly lowered thyroid stimulation hormone (TSH), a lowered red blood cell (RBC) count, along with decreased hemoglobin and hematocrit (HH). Her white blood (WBC) count was elevated, as expected with a urinary tract infection (UTI). Primary Diagnosis and Priority Secondary diagnosis The primary medical diagnosis was chronic urinary tract infections, with a secondary diagnosis of hypothyroidism. Patient History RP has a history of chronic UTIs, hypothyroidism, chronic kidney disease (stage III), and chronic anemia. She has several admissions the past few months related mainly to UTIs and dehydration. PATHOPHYSIOLOGY/ETILOGY OF THE PRIMARY DIAGNOSIS AND PRIORITY SECONDARY DIAGNOSIS UTIs are the results of infection, mainly from bacteria, fungi, viruses, or parasites. This leads to a condition referred to as cystitis (inflammation of the bladder). Most common of the UTIs are from infection known as infectious cystitis. A bacterium, the most common cause of infectious cystitis, is from the external urethra, this spreads inwards to the bladder (distal to proximal). Once a bacterium migrates to the bladder and starts the process of growing, it can migrate to other parts of the body (Ignatavicius Workman, 2006). UTIs present with symptoms that include frequency, urgency, retention, burning, foul odor, and incontinence. According to Wikipedia, four stages must be met in order for bacteria to grow. These include an infectious agent, one that must be able to grow, multiply and enter the body. Once we have the agent, the bacteria must find a portal of entry, (how it enters the body). Once in the body it needs an adequate reservoir, a place where organisms can thrive and multiply and the susceptibility of host, how bacteria affects the body after entry. Determents include age, overall health and other co-morbidities of the host and the susceptibility to pathogens. Most UTIs first grow in the perineal area due to irritation; in RPs case this may have been caused by lack of personal hygiene due to being overly fatigued, brought on by her hypothyroidism. Minton (2009) stated, Thyroid is the most important hormone in the body. Because it stimulates the production of cellular energy, production of all other hormones will be negatively impacted when thyroid hormone levels are less than optimal. Every aspect of health is affected by low thyroid function. Hypothyroidism is signaled by fatigue and loss of energy. According to textbook, hypothyroidism is the result of decreased metabolism from low levels of thyroid hormones (THs). Low levels of THs may be a result of several different reasons: thyroid cells may fail to produce sufficient amounts, or the cells themselves are damaged. The patient may not be ingesting enough of the substances needed to make THs, especially iodide and tyrosine. Low levels of THs affect most tissue and organs causing decreased cellular energy. The patient could become confused, lethargic, and have slowing of intellectual functions. ACTUAL OR POTENTIAL IMPACT OF RELEVANT MEDICAL HISTORY ON THE PRIMARY DIAGNOSIS AND PRIORITY SECONDARY DIAGNOSIS RP has a history of chronic UTIs that has caused numerous admits to the hospital over the last few months. UTIs that are left untreated may and can cause damage to the kidneys and start the process of renal failure. Chronic infection of the kidneys causes scar tissue, which decreases the function of the renal system. With renal failure, the body cannot rid itself of certain toxins that may contribute to UTIs. Chronic UTIs may lead to chronic pyelonephritis, repeated upper tract infection of bacteria that migrates from the bladder superior (toward the kidney) to the kidneys. RPs diagnosis of chronic renal failure may be heightened by the chronic UTIs. Hypothyroidism and anemia, that cause fatigue and loss of energy, will discourage you from providing adequate hygiene. This encourages bacterial growth, which may start the chain of events leading up to a UTI. RP resides at an extended care facility that may not have adequate staff to assure that she receives the necessary amounts of iodide and tyrosine needed stimulate TH production. She is also very confused which would decrease her understanding of the importance of proper nutritional intake. MEDICAL MANAGEMENT: CHRONIC URINARY TRACT INFECTIONS And Hypothyroidism A urine sample must be obtained either by a clean catch method or if client unable, by straight catheter method. A catheter method was used on RP, due to her confusion and retention. Urinalysis testing for leukocyte esterase (n=negative) and nitrate (n=none), along with a WBC (n= 0-4) are specifically for diagnosis of a UTIs (Mosbys 2006). Normal urine should appear clear with a yellow tint present (Mosbys 2006). A noticeable smell should not be present in uninfected urine; RPs urine had a pungent odor noted. RPs leukocyte esterase was 3+ and her nitrate was positive. WBCs were to numerous to count. These results determined that RP did have a UTI. Blood work was noted that RPs thyroid stimulating hormone (TSH) was 0.05 (n=2-10). This confirmed the diagnosis of hypothyroidism. NURSING MANAGEMENT: URINARY TRACT INFECTION Recommended textbook intervention is to monitor for signs of UTIs. This includes, but not limited to: frequency, urgency, dysuria, incontinence, pyuria. In some older adults the only sign may be an increase in mental confusion or frequent, unexplained falls. RP was on Q-4 hour vital sign assessment, paying close attention to any increase in temperature and/or heart rate. The patient remained afebrile throughout admission. Heart rate remained between 80-90 beats per minute. Respiratory rate remained between 16-20 breaths per minute. Due to her confusion, bed alarms and padded side rails were used. She had a high fall risk assessment; therefore fall risk precautions were implemented upon admission. She was placed on strict intake and output (IO), and her fluids were monitored. She was instructed to drink required amount of fluid per day (1500ml). Staff member offered bedside commode every two hours to encouraging voiding. She and family members were informed as to the importance of RP to remain dry. This will limit the environmental factors needed for bacterial growth. RN (preceptor) communicated with adult foster care on the needs of the client after discharge. Lab results were also monitored closely for any change that would indicate worsening infection. PHARMACOLOGICAL MANAGEMENT: URINARY TRACT INFECTION AND HYPOTHYROIDISM Textbook recommends medications that treat bacteria and the promotion of client comfort. Cure is dependent on the antibiotic level achieved in the urine. Long-term antibiotic therapy is recommended for chronic UTIs (Ignatavicius Workman, 2006). RP received, via intravenous therapy (IV), Azactam (antibiotic) per Dr. order, to treat her infection. Paroxetine mesylate (antianxiety agent, antidepressant) 30 mg by mouth daily, used to decrease anxiety. Also given Levothyroxine (hormone) as a thyroid supplement. PROVIDER AND MANAGER ROLE: NURSING CARE PLAN Priority Nursing Diagnosis P Impaired urinary elimination R Incontinence due to urinary tract infection C Acute lower tract pain 7/10 upon urination, Priority Patient Goal The patient will be able to state absence of pain or excessive urination by discharge AEB: Pain upon urination 0/10, Decreased urge to void, Empting bladder completely Three Priority Nursing Interventions The nurse will monitor patient for incomplete emptying of bladder by using bladder scan post void. The nurse will encourage patient to drink water at each meal. The nurse will instruct patient on the signs and symptoms of a urinary tract infection. Evaluation of Progress toward Patient Goal The patient was able to recite some signs of UTIs to nurse. She recognized pain on urination and foul odor as signs of an infection. The patient was reluctant to drink water at any one time. She continued to have incontinent periods, but this was less frequent on day of discharge. The patient partially met the goals put forth for her. PROVIDER AND MANAGER ROLE Member of the discipline and the Role of the Multi-Disciplinary Team As a member of the discipline I was inclined to have verbal interactions with the ER staff before RP had arrived to F-300. Consulted with housekeeping to assure the RPs room was cleaned and ready for admission. Ward clerk assured that tests were ordered. Dietician was consulted to help with nutritional needs. Discharged planner made transportation arrangement to return patient to long care facility. Social worker discussed local community resources of support with the family. Provider of Care Role As provider of care for this patient, I kept this patient cleaned and dry when incontinent. I utilized the fall risk precautions to provided safety. Implemented steps to encourage patient to accept and understand a bladder training routine. Monitored patient labs and reported abnormal results to the doctor. Manager of Care Role As manager of care I evaluated the client for her fall risk and implemented fall risk precautions. Delegated the placement of bed alarms and tabs to the LPN assigned to us. My preceptor and I discussed the possible ways to teach client prevention of developing UTIs. Collaborated with nursing home staff on ways to improve clients care at extended care facility. Growth in the Manager of Care Role In completing these tasks I was able to see the complete picture of the patient. I was educated on the disease process and the effect other co-morbidities had on providing an environment that encourages an infection. In caring for RP I was able to developed and strengthen my delegating skills, learning to rely on others and not solely on myself.
Friday, October 25, 2019
Canterbury Tales Morality Paper -- essays research papers
Eternal Bliss or Life Amiss?: Analysis of Theme in Chaucerââ¬â¢s The Canterbury Tales The Christian Church has been a driving force in politics and morals for hundreds of years. In the medieval time period in Europe, the Church was particularly strong, a majority of the European peoples and rulers were followers. The set of moral codes and virtues the Church sets forth dictates how each person should live. Provided that one follows these morals, the Church guarantees every follower a place in Heaven, a paradise for a soul after its bodyââ¬â¢s death. Although the Christian Church offers salvation to each of its followers, nevertheless, certain peopleââ¬â¢s desire for immediate reward leads them to sin because the idea of an immediate reward outweighs that of a reward promised by the Church for the afterlife. In The Canterbury Tales by Geoffrey Chaucer, the Pardoner, the Summoner, the Oxford Cleric, and the Friar seek immediate reward in cheating unsuspecting victims, in doing as little of what displeases them as possible, and in seeking extravagant posses sions and pleasures. Characters in The Canterbury Tales see opportunities for riches, however immoral, and in pursuing them lose the Churchââ¬â¢s promise of entrance into Heaven. The Pardoner and the Summoner in particular display a desire to cheat out anyone they can in order to further their own personal wealth. The Pardoner carries with him ââ¬Å"â⬠¦a pillow-case/Which he assert[s] â⬠¦[is]â⬠¦Our Ladyââ¬â¢s veilâ⬠(Chaucer 712-713) and he is said to find ââ¬Å"Some poor up-county parson to astound,â⬠(720) charging them to see and touch this false relic. Though he seems a virtuous and trustworthy man, the Pardoner is just a fourteenth century con artist. His official job in the church is to sell ... ...eds of years and remains as such. When inducted to service with the Church, each of the characters: the Pardoner, the Summoner, the Oxford Cleric, and the Friar, are given a place of paradise for their souls after death. As officials in such a highly respected institution, each is expected to maintain his responsibilities and behavior in a proper manner. After seeing the opportunity for personal gain, however, each of the men ignores his job and does exactly what pleases him most. The choice of an immediate pleasure over an eternal pleasure is too great, and thus, each does things that they can not seem to help themselves from doing. These include accepting bribes and cheating unsuspecting holy men, sinful and wicked crimes. It is therefore evident that because each of the characters mentioned prefers his way to the Churchââ¬â¢s, he sins and gives up his place in Heaven.
Thursday, October 24, 2019
Food and Religion Essay
Food is a very important aspect in three main religions in the world, Judaism, Islam and Christianity. In a Jewish culture, food is often regarded in feasts or celebration such as the Passover. Jews usually prepare bread, wine, apples, nuts, cinnamon, eggs, lamb, vegetables, and cakes (McGilly, 2005). Islamic culture and Jewish cultures have almost the same type of cuisine and foods prepared especially during the early periods. Milk, lamb, breads, wine, apples, cheese, honey and dates are some of the common Arab foods. On the other hand, Christians are known for their bread and wine. Jerusalem, Egypt, and Middle East are in a desert region where early people lived as shepherds. They are called nomads because they move from place to place where there is plenty of food for their goats and herds of sheep. Wheat and barley were the common crops then used in making bread and cakes. Besides the nomads, there are also agricultural regions where different crops are planted. The plants by the early and present Israelites are much the same such as olives, honey, pomegranates, figs, date, grapes; and foods and beverages such as breads, cheese, yogurt, roast lamb, milk, and of course, wine. Wine is the most common beverage drank in occasions such as the Passover and wedding. Another major plant is the olive tree which is highly regarded because of its many uses such as oil for cooking, wood for fire, and medicine (ââ¬Å"Great Feasts of the Bible,â⬠2002). Foods are the main ingredient in Jewish and Christian feasts such as the Passover. Passover is celebrated as the salvation of the Israelite slaves in Egypt. During the Passover, unleavened, roasted lamb, and bitter herbs are commonly prepared. Passover is celebrated in other regions as Easter (Christian festival) in America and Europe. Although celebrated in different dates and regarded as different occasions, they share a theme for both Christian holiday and Christââ¬â¢s resurrection. Passover was also celebrated by Jesus Christ as his Last Supper before his death (ââ¬Å"Great Feasts of the Bible,â⬠2002). REFERENCES: Great Feasts of the Bible. (2002). McGilly, J. (2005). Jewish Foods. Retrieved 16 September, 2007, from http://www. ilperetz. org/graduates/joshua_mcgilly. htm
Wednesday, October 23, 2019
Individual Analysis of Hamlet; Act 4, Scene 7
Individual Analysis Hamlet; Act 4, Scene 7 Steven Roach Friday, November 16, 2012 A Freudian angle of (4. 7 135 ââ¬â 145) and (4. 7 9 ââ¬â 21) Throughout the scene Claudius depicts a personality that evaluates situations and makes choices out of desire without much concern for consequence. Although Claudius does show a little bit of concern for consequence, he generally acts from an ââ¬Å"inner-childâ⬠psyche. In the scene, Claudius plots with Laertes and acts quickly out of a sense of DESIRE and makes a plan to kill Hamlet.Demonstrated in the lines; ââ¬Å"A sword unbated, and in a pass of practice, Requite him for your father. â⬠(4. 7. 137 ââ¬â 140) And ââ¬Å"I will doââ¬â¢t. And for that purpose Iââ¬â¢ll anoint my sword. I bought unction of a mountebank, So mortal that, but dip a knife in it, Where it draws blood no cataplasm so rare, Collected from all simples that have virtue Under the moon, can save the thing from death That is but scratched witha l. Iââ¬â¢ll touch my point With this contagion, that if I gall him slightly It may be death. â⬠(4. 7. 140 ââ¬â 145).In these lines, Claudius and Laertes plan to kill hamlet by sharpening a fencing blade and dousing it with a poison that will cripple upon contact. This is clearly a representation of a psyche that acts rapidly out of an intense sense of desire. Although Claudius will often display act from a sense of the ââ¬Å"IDâ⬠or ââ¬Å"inner-childâ⬠, he also demonstrates, albeit relatively minimal compared to the previous example, a concern for consequence. In the beginning of the scene, he explains to Laertes his reasoning for not prosecuting Hamlet for the death of Polonius, Laertesââ¬â¢ father.Depicted in the lines; ââ¬Å"Oh, for two special reasons, Which may to you perhaps seem much unsinewed, But yet to me they are strong. The queen his mother Lives almost by his looks, and for myselfââ¬â My virtue or my plague, be it either whichââ¬â Sh eââ¬â¢s so conjunctive to my life and soul, That, as the star moves not but in his sphere, I could not but by her. The other motive Why to a public count I might not go, Is the great love the general gender bear him, Who, dipping all his faults in their affection, Would, like the spring that turneth wood to stone, Convert his gyves to gracesâ⬠(4. 9 ââ¬â 21). Claudius claims that because of the fact that his mother is completely devoted to him, and the idea that the general public loves him so much; the prosecution would end up hurting him more than it would Hamlet. He cannot live without Hamlets mother, so he cannot make the prosecution. Claudius displays a small fraction of his psyche that acts as the ââ¬Å"super-egoâ⬠and evaluates situations based upon the consequential outcome.
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