County Fluoridation Report in Glades

Respiratory System Procedures

Carol Bailey, MSN, RN Introduction | Task | Process | Evaluation | Conclusion | Credits Introduction You are a nurse working in a PCU. Your clinical unit specializes in the care of patients who are undergoing treatment for pulmonary disease. You often provide care and patient teaching for patients having tests and procedures for pulmonary conditions. Your assignment today includes providing care and education support for 2 patients. You have a student nurse observing in your unit today. As you teach, please be sure to include rationales and answer the student’s questions. The Task Patient 1: Mr. Paul Monary, a 58 year old farmer, was admitted to your unit with complaint of progressive hoarseness, difficulty in swallowing, and loss of appetite over the past 3 months. The medical plan of care involves chemotherapy and radiation therapy. He will need a tracheostomy prior to beginning therapies. Objective data: He smokes 1 pack of cigarettes per day. His weight has decreased from 200 pounds to 180 pounds over the past 3 months. The results of a CT scan and MRI reveal that this patient has throat cancer. Subjective data: The doctor said I would have a tracheostomy, but I don’t really know what that means for me. I don’t know how I am going to manage my farm if I have to have surgery. The nursing diagnosis you must address is knowledge deficit related to lack of information regarding care of a tracheostomy as evidenced by patient’s verbal response. Patient 2: Ms. Flora Vack, a 25 year old female, is a bull rider in the “Riding Stars Rodeo” that is currently performing at the Civic Center. She was thrown from a bull in last night’s performance and received repeated kicks to her left posterior chest. She was seen in the emergency room and admitted for follow up care. Her chest X-ray reveals a large pleura effusion on the left. You are assigned to prepare the patient for a thoracentesis. Outcome: You assist with the thoracentesis. 1,500 ml of pink tinged pleural fluid is removed. The patient experiences a pneumothorax following the procedure and a chest tube is inserted and connected to an atrium ocean chest tube drain. You are assigned to prepare the patient for chest tube insertion and to manage the chest tubes after the procedure. The Process To accomplish the task, you will review information from the links provided for each patient to fill in the table below. Patient 1 Links: http://www.youtube.com/watch?v=DoSTehS7iq8 http://www.youtube.com/watch?v=Lo74zm3ULyk Tracheostomy – regular manual approach http://www.youtube.com/watch?v=6TVOSb6sqL8

Operations Management: Toyota Motor Company Evaluation Essay

essay writing service free Inter-links and synergies of the five objectives of operations management Operations management has become increasingly important over the last couple of years as a result of the changing business environment. The level of competition among organizations is becoming stiffer each day. The competition puts pressure on the organizations and the management to work tirelessly to gain and maintain a competitive edge. Any organization that is willing to succeed in the current business world cannot afford to relax in the competition (Slack, 2009). Losing a competitive edge means that the organization loses its customers and sales. One of the ways that have the capability of guaranteeing the organization a competitive edge is customer satisfaction (Slack et al. 2012). Customers are always willing to get quality products and services from organizations. Therefore, quality production can increase customer satisfaction and an organization’s competitiveness. Operations management is the department that plays a major role in production and providing quality products and services. It oversees the design and management of processes, services, as well as the supply chains that are carried out as raw materials are converted into finished products ready for use. It also oversees the movement of products from the location where they are produced to the point where they are consumed (Slack et al. 2012). The operations management acquires, develops, and utilizes resources that an organization requires to deliver the goods or the services to the customers (Mahadevan, 2010). Operations management has 5 major objectives, which include cost, quality, speed, dependability, and flexibility (Slack, 2009). Most organizations that have been successful and able to win the competition battle have combined all the five operations management objectives effectively (Slack et al. 2012). Toyota Motor Company is one of the largest companies in the automotive industry. The company has one of the best operations management departments. Toyota has been able to produce high quality vehicles and sell at low prices that are affordable to many people. In addition, Toyota is able to deliver the goods to the desired consumers at the right time. The operations management is flexible such that it can adapt to the different tastes and preferences in the business world and produce different vehicles based on the customer needs. Toyota is further independent in that it can perform at a high level without necessarily depending on other companies (Slack, 2009). Get your 100% original paper on any topic done in as little as 3 hours Learn More Toyota Motor Corporation vehicles are relatively cheap compared to those of other companies, such as BMW, Mercedes Benz, Audi, Land Rover, and Ford, among others. This makes the Toyota vehicles more affordable to many people. The company produces cars that are meant for different classes of people, including high income earners, middle income earners, as well as low income earners. It should be noted that most customers are able and willing to spend the least amount possible on a product. However, customers are also conscious about the quality of the products they purchase (Ahoy, 2009). Toyota has been able to address this need in that it produces goods that are of high quality. The low price by Toyota does not compromise the quality of its vehicles. The operations management of the company has been able to secure low cost production and low prices for its products because it is located in a country where there is plenty of cheap labour. Toyota is based in Japan, a country that is ranked among the highest populated nations in the world. A large percentage of the Japanese citizens have skills and knowledge that can enable them to participate in production activities. This has been an important factor to the operations managers in that they can easily reduce the production cost and the selling price of vehicles. Toyota’s operations management is already in a position of satisfying its customers in matters of quality and low cost production. However, it has adopted the Toyota Production System to further increase the level of satisfaction. This is a system that ensures vehicles are produced and delivered to their target customers in time. The company does not hold too much inventory. This further helps in reducing operations costs and prices of vehicles. The Toyota Production System it is able to produce in a speedy and timely manner to deliver the vehicles at the right place and the right time without the need to hold stock (Wild, 2003). One of the factors that help Toyota to deliver on time is its dependability. The company depends on itself for most of the production activities. Therefore, it is not easy for it to experience delays on grounds that it was inconvenienced by a third party (Slack et al. 2012). Dependability is an operations management objective that has been effective in increasing the production speed and efficiency of Toyota. The company has all the technology that it requires for its production. It also has sufficient labour and finances to fund its operations. We will write a custom Essay on Operations Management: Toyota Motor Company specifically for you! Get your first paper with 15% OFF Learn More Finally, Toyota is flexible and able to address all the needs of the different customers speedily. Further, dependability facilitates flexibility in that the company has all it requires to respond to the customer needs. The business world today is changing rapidly. The needs of customers are equally changing fast and an organization should be in a position to address the changes as they come to maintain a competitive edge. The advancement in technology further facilitates the increased changes in the business world. An organization should be flexible enough to adapt to the changes (Slack et al. 2012). Toyota is able to respond to the changes in a timely manner, given its dependability, the cost advantage, and its speed of production. Recommendations Toyota is among the largest companies in the world. Its success is linked to its operations management department. Toyota has been able to reduce the production cost of vehicles, thereby reducing the price at which it sells the cars to customers. However, Toyota should ensure that it is up to date with the changes in technology to maintain and improve on its current performance. It should also have the right employees all time to realize this objective. Reference List Ahoy, CK 2009, Customer-driven operations: Aligning quality tools and business processes for customer excellence, McGraw-Hill, New York, NY. Mahadevan, B 2010, Operations management: Theory and practice, Pearson, Upper Saddle River, NJ. Slack, N 2009, Operations and process management: Principles and practice for strategic impact, Prentice Hall/Financial Times, Harlow, England. Slack, N, Brandon-Jones, A, Johnston, R,

Medicine Issues: Emphysema’ Disease Essay

The increasing dilemma of dealing with chronic obstructive pulmonary diseases (COPD), as an empirical research asserts, is the major challenge that the primary care physicians and their counterparts, medical specialists currently face. COPD refer to the two lung complications, that is, emphysema and chronic bronchitis. This is asserted because both diseases are characterized by obstructing the smooth flow of air through the trachea into the lungs, thus interfering with the normal breathing process, and the two diseases normally coexists. However, to narrow down into emphysema, Emphysema aptly defines it as a long-term persistent lung infection that is marked by over enlargement and shrinking of lung-like sores in the lungs muscles (par. 1). Since in such conditions the carbon IV Oxide is confined in the lung-like blisters, each new breath to supply the lungs with fresh air needed by an individuals’ body, thrusts the air truck walls outwards upon each fresh breath. As the process continues over a period, the difficulty in air transfers arises, thereby causing expansion of the lungs. The lungs then losses the elasticity, and eventually the process destroy the lung tissues. This leads to the retention of high volume of carbon IV Oxide in this respiration organ, thereby shrinking the space for clean air. As a result, the condition makes an individual to suffer from shortness of breath (Emphysema par. 2). The major muscle used for breathing, that is, the diaphragm flattens. Consequently, the diaphragm does not perform its functions as expected. Causes of emphysema Even though medical practitioners, authors and medical researchers across the world admit that emphysema is majorly caused by smoking, the University of Michigan Health System points out that the dreaded diseases can be because of either one or a combination of cigarette smoking, Alpha-1 antitrypsin deficiency, or Air pollution (Emphysema par. 4). Cigarette smoking Smoking of cigarettes changes the operation and alignment of lungs, thereby enlarging them and eventually losing their elasticity. As noted, smoking of cigarettes augments the amount of inflammatory cells in a smoker’s respiratory organ; the increased cells discharge enzymes, which damage the tissues of the lungs (Emphysema par. 4). Get your 100% original paper on any topic done in as little as 3 hours Learn More Because of the excess enzymes and other products, the lungs develop bullae and, at the same time, lose its elasticity, thus resulting in emphysema. Alpha-1 antitrypsin deficiency Apart from smoking of cigarettes, the University of Michigan Health System notes that Alpha-1 antitrypsin deficiency is another common cause of this chronic disease. However noted as a cause, in comparison to smoking, the deficiency is said to be of negligible volume. Alpha-1 antitrypsin, as the University of Michigan Health System indicates, is a natural protein that circulates in the blood in order to keep the white blood cells from harming the regular tissues. Where the Alpha-1 antitrypsin are deficient, which in most cases are genetic condition, the white blood cells continually damage the lung tissues, thereby resulting in emphysema (Emphysema par. 6). However, empirical research declares that individuals with Alpha-1 antitrypsin deficiency have high chances of developing the chronic complication at a tender age. Air pollution Exposure to poor environmental conditions such as air pollution and second hand smoking is suggested by several studies to also contribute to the cause of emphysema. Sign and symptoms of emphysema These include shortness of breath, wheezing, a barrel shaped chest, fatigue and a continued loss of weight. Treatment of emphysema According to the University of Michigan Health System, treatment for emphysema can be accorded in different ways, such as the use of bronchodilators, steroids, antibiotics, and oxygen. Nonetheless, empirical research shows that each individual response differently to same medication. Therefore, any intake of the steroids should be under a doctor’s prescription. We will write a custom Essay on Medicine Issues: Emphysema’ Disease specifically for you! Get your first paper with 15% OFF Learn More In addition, emphysema patients can deploy the use of pulmonary rehabilitation and exercise to increase their endurance. In so doing, it is exceedingly imperative to note that the patients exercise in nontoxic and examined atmosphere in which the level of oxygen is checked constantly. Still, additional oxygen when supplied to the patients can assist in decreasing shortness of breath, as well as wheezing. Similarly, this should be supplied under the instruction of a physician. Moreover, under circumstances where the medical treatments fail to bear fruits, the University of Michigan Health System affirms that surgical options can be applied. These may include lung transplantation and lung size reduction surgery. In all the scenarios, the authors emphasize that all the patients with this chronic condition ought to avoid direct and passive smoking, as well as air polluted regions in order to mitigate additional destruction to the airways (Emphysema par. 8). In addition, these patients ought to involve in consistent workouts. Similarly, emphysema patients should seek a flue vaccination in the early fall of the disease, as well as a timely treatment of any lung infections that may emerge. Lastly, emphysema patients ought to take small quantities of food severally per day, drink ten to twelve glasses of liquid products per day. In case of patients with excess weight, they should devise means of losing weight in order to minimize wheezing. Works Cited Emphysema. N.p., 5 Apr. 2014. Web. 20 June 2014.

WU Social Work Planning In Foster Care Program Case Study

WU Social Work Planning In Foster Care Program Case Study.

Directions:For this post, you evaluate group research design methods that can be used for an outcome evaluation of a foster parent training program. You also generate criteria to be measured in the program.To prepare for this Discussion, review the “Social Work Research: Planning a Program Evaluation” case study in this week’s resources, Plummer, S.-B., Makris, S., & Brocksen S. (Eds.). (2014b). Social work case studies: Concentration year. Retrieved from http://www.vitalsource.com , and the section of “Basic Guide to Outcomes-Based Evaluation for Nonprofit Organizations with Very Limited Resources”, titled “Overview of Methods to Collect Information.”Post your explanation of which group research design and data collection method from those outlined in the Resources you selected as appropriate for the “Social Work Research: “Planning a Program Evaluation” case study and why.Then, generate criteria to be measured using the research design by identifying a specific outcome and a method for measuring that outcome. Specify who will collect the data and how the data will be collected.Support your post with specific references to the resources. Be sure to provide full APA citations for your references.Resources:Plummer, S.-B., Makris, S., & Brocksen S. (Eds.). (2014b). Social work case studies: Concentration year. Baltimore, MD: Laureate International Universities Publishing. [Vital Source e-reader].Read the following section:“Social Work Research: Planning a Program Evaluation” McNamara, C. (2006a). Contents of an evaluation plan. In Basic guide to program evaluation (including outcomes evaluation). Retrieved from http://managementhelp.org/evaluation/program-evaluation-guide.htm#anchor1586742 Dudley, J. R. (2014). Social work evaluation: Enhancing what we do. (2nd ed.) Chicago, IL: Lyceum Books.Chapter 10, “Analyzing Evaluation Data” (pp. 255–275)
WU Social Work Planning In Foster Care Program Case Study