Older adult with multiple comorbidities Case Study

Older adult with multiple comorbidities - Case Study Example There is redness on inspection that is indicative of inflammation. The patient report pain in to be 8 out 10 on the rating scale between 1 and 10. Blood pressure 120/80 and breathing rate of 18 breathe per minute. Then the clinical judgment of nurse is formulated to help in respond patients potential and actual health concern because of condition. This segment is prioritized. In aggressive urinary tract infection there is acute pain (Doenges & Murr, 2014). The nursing diagnosis for pain: The review of system of the patient is necessary, the presenting complain of patient is necessary. The medical laboratory test for urinalysis, blood and the CT scans films for completeness of the patient report. The vital sign are necessary. The patient care is collaborative. The medical laboratory team should do urinalysis to determine the causative agent of the urinary tract infection. The nutritionist should come with appropriate diet of the patient that will aid in control of the urinary tract infection. The physician should carry out a comprehensive review of system to determine the underlying cause because she is a known diabetic patient (Doenges & Murr, 2014). Patient Tien has been having aggressive urinary tract infection on admission to hospital and her past medical history is indicate that she is a known diabetic patient. Other history of the patient includes falls, dementia and atrial

Coca-Colas New Vending Machine Case Study Example | Topics and Well Written Essays - 250 words

Coca-Colas New Vending Machine - Case Study Example I would recommend Coca-Cola to follow "price discrimination" strategy in such cases as: (1) different customer groups (lower prices for students and higher prices for business organizations); and (2) when a customer buys high quantities of a product. Pricing is a sensitive and complex decision area affecting sales, costs, and profits for both industrial and consumer goods. For consumers, price reductions and increases have symbolic meanings. A customer may associate a price reduction with a reduction in quality, the anticipation of new models, or even lower prices or poor market acceptance. Higher prices may indicate better quality, a good image, and good value (Das Narayandas 2000). Price discrimination is effective tool when it is applied to each individual consumer. For instance, if a buyer is willing to pay more for a product and receive exceptional quality, he/she should pay more. The second situation when Coca-Cola can follow price discrimination is when a customer buys products in large quantities. For instance, price reductions can be proposed to repeat customers and loyal customers. The third case when "price discrimination" is justified is when the company serves different customer groups.

Argumentative (Should marijuana be legalized in the U.S.) Essay

Argumentative (Should marijuana be legalized in the U.S.) - Essay Example The legalization of marijuana is the focus of contemporary debate in the US. Colorado and Washington have legalized its use and several other states appear poised to follow suit. Legal penalties for the possession of marijuana are being lifted and decriminalized. This legalization of marijuana is extremely bad for society and deserves to be strongly opposed. Marijuana should not be legalized in the US because it has adverse health effects, and legalization will increase its use and its cost burdens. Marijuana has adverse physical and mental effects, as illustrated by the health problems associated with its usage. According to the National Institute on Drug Usage, marijuana smoking affects the brain and leads to impaired short-term memory, perception, judgment and motor skills. Marijuana users also experience difficulty in concentration, trance-like states, lowered driving and other psychomotor skills, slowed reaction time, impaired goal-directed mental activity, and altered periphera l vision. In another example in the New England Journal of Medicine, 45% of reckless drivers (excluding those under the influence of alcohol), tested positive for marijuana.   Intense anxiety, panic attacks or paranoia are also seen in cases of marijuana usage. Marijuana cigarettes contain the carcinogen Benzopyrene which is linked to lung cancer. Other symptoms include airway injury, acute  and chronic bronchitis, inflamed sinuses, lung inflammation, and vulnerability to pulmonary infection. Marijuana weakens the body’s immune system and leads to decreased motivation. It affects the hormones, resulting in delayed puberty, low sperm count and menstrual disruption  (Frontline). The legalization of marijuana will increase its availability and its use. This is particularly disturbing as â€Å"Marijuana is the most commonly used illicit drug in the United States, with nearly 17 million Americans age 12 and older reporting past?month use, and 374,000 people entering an emer gency room annually with a primary marijuana problem† (White House web site). Legalization would naturally result in a steep fall in marijuana prices, making it affordable to more users, especially adolescents. This is illustrated by the case of gambling, tobacco and alcohol: statistics show that legalization increased use and availability. The Netherlands is a real-time example. Data from the Rand Corp. shows that, with marijuana legalization, its use â€Å"increased consistently and sharply† and tripled among young adults. Legalization â€Å"triggered commercialization† (Sabet). This result will be multiplied in America's ad-driven culture. The promise of profit will encourage aggressive marketing. Closer to home, we have the example of Alaska. Alaska legalized marijuana in the 1970’s. Subsequently, â€Å"teen marijuana use jumped to twice the national average† (CNBC). The state recriminalized marijuana in 1990.    The legalization of marijuana will increase cost burdens. The tax revenue generated through the legalization of marijuana will be off-set by higher social costs. This is again illustrated by the precedent of tobacco and alcohol. The Federal and State tax on alcohol is â€Å"less than 10 percent of the estimated $185 billion in alcohol?related costs to health care, criminal justice, and the workplace in lost productivity† (White House).   Similarly, the annual social cost of smoking lags far behind the tax revenue generated by tobacco. It is estimated that 9 percent of marijuana

Commerce paper essay Example | Topics and Well Written Essays - 2000 words

Commerce paper - Essay Example In addition, the CEO needs to encourage employees to openly express their views and suggestions regarding the ethical culture of the organization so as to ensure a comprehensive ethical framework. The essential elements needed for the establishment of an effective ethical framework may vary from culture to culture as ethics is related to perceptions of people. Therefore, the CEO must acquire thorough knowledge regarding different cultural aspects of the region in which his company operates. For this, the CEO has to directly or indirectly analyze the traditional beliefs and practices and living standards of people who reside in the company’s target business territory. Before setting the ethical standards of an organization, the CEO should evaluate what his competitors do and to what extent they are effective. It is clear that finance is an essential component in the design and implementation of proposed ethical standards. Here, the CEO has the responsibility to find potential s ources of finance and distribute them among different divisions of the organization. Hence, the CEO needs to choose appropriate means of market survey to understand what people expect from the company. Similarly, the CEO has to convince personnel about the significance of ethical culture since effective employee participation is inevitable for the successful implementation of the designed ethical standards. Therefore, the CEO must also ensure that the proposed ethical framework does not hurt the employees’ worksite interests. In order for setting up ethical standards effectively, upward and downward flow of communication is necessary at various management levels. Ethical standards and practices would not benefit an organization if bad behavior of managerial persons or other employees goes unreported. Hence, the CEO must design a well structured reporting system by focusing on various departmental divisions. Furthermore, the CEO has to remember the fact that generational diffe rences can raise ethical changes and hence he should not focus too much on traditional ethical practices of the organization. Gable highlights the point that people with different work styles can demonstrate same commitment and work efficacy. Hence, individuality of people has to be admired while framing ethical standards of an organization. In other words, the ethical standards must make the employees feel that the company is loyal to them. In sum, the CEO must ensure that the proposed ethical standards are authentic and not too liberal. 2. In macroeconomics and management, vertical integration is a process through which several phases in production and/or distribution of a product/service are owned and operated by a single company in order to increase business territory and market power. A vertical integration strategy has the following advantages and disadvantages; Advantages Improved supply chain coordination is the most notable benefit of a vertical integration strategy as this feature assists an organization to increase its operational efficiency and thereby profitability. In most times, it seems that a vertical integration results in closer geographic proximity and it is beneficial for the integrated firm to take advantages of reduced transportation costs. Economists opine that vertical amalgamation is useful for

The effect of various types of electoral balloting on election results Research Paper - 1

The effect of various types of electoral balloting on election results - Research Paper Example Paper ballots for political elections first appeared in America in 1889 (Fund 7). Originally, voters would write the name of their candidate of choice on a piece of paper (Fund 9). In modern times, parties preprint ballot papers, and the voter selects their preferred candidate by ticking or crossing (Fund 9). Incidence of human error that may occur while utilizing such a ballot is high. However, the reason why this system is ineffective is the laws that govern the likely occurrence of these errors. The Supreme Court set standards that ensure objectivity and fairness in the vote counting process (Segal et al 309). However, these standards seem prejudiced because they allow the skilled vote counters the privilege to utilize arguments such as technicalities to disqualify a vote even in situations where the voter displays intent (Streb 74). The ruling party in most instances may use these standards to reduce the votes for the opposition. For instance, the party may ensure its voter offic ials train better than those of the opposition allowing them to detect â€Å"technicalities† with much more ease than the opposition’s officials (Fund 35). As such, the officials favor voter intent for their party while rejecting voter intent for other parties. Currently, less than 2% of American voters utilize this system (Streb 92). Hand counting ballot papers is a time consuming cumbersome process (Streb 91). This may lead to errors as the electoral officials become overwhelmed by the counting. This method also has a high level of fraud as it is easy to steal or misplace them (Streb 91). Mechanical lever machines first appeared in America in the 1892 elections. Their popularity over the years that followed reflects on the fraudulent nature of the paper ballot that people were trying to escape (Avaliktos 160). The citizenry trusted technology (hence the machine) over human

Shape Strategy Essay Example | Topics and Well Written Essays - 1250 words

Shape Strategy - Essay Example This kind of technology helps to improve effectiveness, efficiency, productivity, cost, elasticity and service quality of the business entity. IT enabled facilities of the organization help to build up the competitive advantage of the company by providing consumers with superior services. The successful deployment and adoption of IT will enable the company to accomplish success more easily. Five specific areas where IT represents a risk to a company’s competitive advantage: The five risks that the company has to consider during the course of its business are: â€Å"the bargaining power of buyers, the bargaining power of suppliers, the threat of substitute products or services, and threats from new entrants† (Mishra, 2012, par. 1). Threat of Entry: The entry of new firms to an industry bring new ability and a need to gain market share that puts stress on costs, prices and the price of investment essential to compete in the market. Microeconomics justifies that profitable industries attract new competition until the downward pressure on costs has forced our all financial profit from the industries. The most obvious sign of a company deteriorating is its failure to address to IT communications, which is the foundation for the break of the efficiency of IT generally. This vulnerability most frequently manifests itself in insufficient environment management tools, unreliable? old hardware etc. The power of suppliers: Powerful suppliers play a significant part in controlling the price of their products and services by charging high cost for limited services, high costs in general, or changing costs according to different customers. Suppliers are powerful if they are capable of charging differentiated price. Leading IT risk units have performed extensive research and have reached the conclusion that organizations which proactively deal with IT risks reap the most profits and benefits. The power of buyers: IT risk most frequently occurs during the breakdo wn of the enterprise business management to help with oversight of IT in some rational governance structure. The threat of substitutes: A substitute product functions similarly to that of the organization’s products but only by a different means. Positive IT risk management creates three competitive advantages for an organization. First, there is fewer firefighting. This permits the enterprise to concentrate on more strategic and productive work. Second, the base is better prepared thus freeing personnel, resources and dollars to focus more on efforts that can increase the price of the product. Third, the project is located in a stronger location than others to charge risk and? therefore? potentially employ chances that others would think too risky. Rivalry among existing competitors: Risk both downside and upside may happen from globalization, emerging technology, data growth, vendor chain complexities, economic ebbs and flows, client expectations as well as compliance suppl ies. Five specific areas in which IT may support or promote a company’s competitive advantage. Threat of new entrants: The increased usage of Information technology globally has many sides to it? one of which makes the threat of new entrants high. Mainly the entry of new firms has been made possible from the transition of wired technology to wireless? and such related facilities. The power of suppliers: Strategic systems have been used to give new facilities to

Ethnic studies Essay Example for Free

Ethnic studies Essay The students, united, will never be defeated! . This was the rallying call of students at San Francisco State University trying to save their Asian America Studies classes in 2008. 40 years after the first Third World Liberation Front protested and fought against discrimination and for their rights to have ethnic studies classes, the fight still continues. Students fought to have classes from the perspective of ethnic peoples, and not the Eurocentric point of view. In doing so, the struggle for ethnic studies from students and the community challenged and broke the status quo and construct of race in a Eurocentric America. Ethnic studies in the U. S. campuses started in the 60s along with the Civil Rights Movement, opposition against the Vietnam War, the fight for womens rights, and many other fights by the people for their rights. In March of 1968, The SFSU Third World Liberation Front was created by students of different ethnicities coming together. This was the longest strike in student history, and resulted in the creation of ethnic studies at SFSU, as well as increased admissions for students of colors to the university. The second longest strike occurred in UC Berkeley, with the strike more violent than the first. The clenched fist was the symbol for the strike, equality, power, unity, and change for the minority groups in America. Over the years, there have been many strikes and protest from students to have ethnic studies. California was a hotbed for the struggle of ethnic studies because it has the most immigrant and ethnic groups in the United States. It was a melting pot of African Americans, Asians, American Indians, Latinos, and so on. It was really only a matter of time before they stood up against discrimination. When people of color got up in unity and went on strike, it scared them. Them referring to the white political leaders of the schools. The first to stand up to discrimination is usually those that are educated and realize they can make a change through their actions. Students of ethnic background fought for social justice not only for themselves, but for a larger picture going back to their communities. Ethnic students are representatives to their families and communities. Many of these ethnic students were the first to attend college because their parents or families came to America in search for a better life and an opportunity for their children at an education. As these strikes were occurring, the community came to support them. Not only the communities of ethnic students, but white supporters as well. Supporters that understood the struggle of the ethnic groups, and came together to fight together. Quite a few white students had come to the point of understanding, what our cause was, what it meant, and that we did not want to take over the university, take over the country, we wanted ends. When we think third world we think of people that are improvised, poor, and lacking education. These third world people a Though they werent really third world students, inadequate access to classes that represented their ethnic background meant they had no way to really learn the struggle of ethnics people that came before them. Luis Alarcon made a point that he considered UC Berkeley his university, but the president of Berkeley disagreed and said the university was for the people of California. Although Luis is a person of California, the president did not consider the university for him. As a race of minorities, they were trying to free themselves from being third world citizens in the United States. What we got from this agreement were things that we as third world peoples deserved, and we as students, and we as citizens of this country deserved. But is there a scientific claim that makes certain people third world, or is it a political agenda to people ethnic people third world citizens? Ethnic people living in the United States in the were often discriminated against. As Laureen Chew said, of course I blamed it all on ourselves and our family for being born Chinese, etc. They blamed their race, instead of finding a fault in society for making them an inferior race that were mistreated unfairly. Even today, although racism is not as obvious, it is still alive and in place. Color-blind racism serves as the ideological armor for a convert and institutionalized system in the post-Civil Rights era†. Minorities can be discriminated against their morals, values, and character without whites sounding racist. But is being color-blind discriminating as well? By not seeing color, one fails to recognize that we still havent reached a level where we only judge from character, and not the color of our skin. Its apparent we today, have not reached that goal yet. Tom Horne Arizona superintendent of public instruction believes in cutting off ethnic studies classes because it will divide kids up and only teach them narrowly about the race they were born into. Ethnic studies is for the empowerment of not only ethnic students, but for all students who want to learn about the history of different peoples. It wasnt so long ago when minorities were second citizens in the United States. Many were segregated against, beaten, killed, and uneducated. But what were the terms that classified certain peoples as a different race from whites? Race is a concept with signifies and symbolizes social conflicts and interests by referring to different types of human bodies. So because people of different ethnicities have different bodies, specifically skin color they were disadvantaged in comparison to white Americans. The word domination reminds us that the institutional racism is a type of power that encompasses the symbolic power to classify one group of people as normal and other groups of people as abnormal, the political power to withhold basic rights from people of color and marshal the full power of the state to enforce segregation and in equality. To break this institution, learning ethnic studies brings out the truth of this country, which in turn brings out the greatness of the United States. Ethnic studies allows us to think critically about our relationship in terms of our relationship this country and our backgrounds. It gives us a basis to deal with historic racial issues such as the Zimmerman trial. Ethnic studies departments in the CSU are at the forefront in leading students to balanced, critical, and open discussions of racial and ethnic matters that, unfortunately, have yet to be resolved in the US. Its important to have a format in educating students so that we may form our own educated opinions and learn facts on the history of our ethnicities. People gave up their bodies for their right to have ethnic studies. I wanted to give you a poem, but I give you my body instead. As she finished her speech, her fellow supporters agreed with her with loud applause. She was only one of many proponents in decades of struggle by students to fight for their ethnic studies departments. The protesting for ethnic studies was intertwined with the opposition against the war, civil rights, and other social issues going on at the time. In 1999 the issue was California becoming increasingly wary against immigrants, using them as a scapegoat for the economy failing. Protesting at Berkeley meant defending affirmative action, defending the rights of immigrants. The protesting in SFSU was the longest lasting student protest. Their cries for we want the puppet! meant they wanted to discuss ethnic studies with S. I. Hayakawa who did not rally with the students even though he was Asian American. These students were subject to police violence, who went into the cafeterias to harass and attack the students. At Valley State University, Latino students with the black students protested in order to have more representation in and open up classes for Chicano studies and Black studies. So what role does race really play in all of this? We know that even if its not about race, its always about race. You can say that the student protests were all about race. When you ask people about which race they are, one normally gets a response like, asian, black, white, or so on. The two schools of thought, Primordialism and Instrumentalism, are opposing forces in which the former believes that races existed, that races are biologically determined and distinct from one another. The latter believes race as a man-made, human created reality. It is an instrument that was constructed sociohistorically in order to allocate resources. An outcome of the struggle for ethnic studies is that it challenged what the racial norm really was. By fighting for their rights, the protestors inadvertently chipped away at what really defines race; a racist invention to divide and allocate resources. But can we really ignore that our race has nothing to do with our genetic makeup and the way we look? Discriminatory and prejudiced behavior towards minorities was the cause of the student unrest, as well as gaining support from non-ethnical students and community. Jesus Rodriguez realized people can be so quick to attach certain characteristics to a persons race. The characteristics we attach to minorities are theyre lazy, they dont want to leave the bottom, theyre slow learners, etc. With this in mind, white people in power discriminated these minorities, saying they dont belong in their universities. Many white people believed in the status quo or race at the time and opposed the ethnic protestors. But what about everyone else that eventually sided with the protestors? Especially during the 60s and 70s, people began to fight for each others rights. The division between races between people were lessening, and the thought of a human race were expanding. They fought for their own rights and they fought for each others rights, because they realized all minorities at the time were going through the same struggle. I believe that it is important for every American to know their history, even if it has nothing to do with their color or ethnicity: since events such as the Third World Strike influenced some of your fellow Americans, these same events indirectly influenced you as well. Where would we be without ethnic studies today? Without the efforts and sacrifices of those student protesters, someone like me might not even appreciate and understand the struggle that so many went through. We stand on the shoulders of those who dared to challenge injustice and discrimination, and broke the barriers of race and racial equality. Leon, Teresa W. History of AAS at CSUN. N. p. , 13 Sept. 2013. Web. 11 Oct. 2013. Shiekh, Irum. On Strike: Ethnic Studies Progressive Films. Progressive Films. Progressive Films, n. d. Web. 11 Oct. 2013. Ethnic Studies Ban Racist? YouTube. YouTube, 13 May 2010. Web. 11 Oct. 2013. CSUN Student Political Activism 1960s/70s The Storm at Valley State YouTube. YouTube, 27 Jan. 2009. Web. 11 Oct. 2013. Bonilla-Silva, Eduardo. Racism without Racists: Color-blind Racism and the Persistence of Racial Inequality in America. 3rd ed. Lanham: Rowman Littlefield, 2010. Print. SF State Third World Student Strike. YouTube. YouTube, 22 June 2007. Web. 11 Oct. 2013. Save Our AAS. YouTube. YouTube, 09 Nov. 2008. Web. 11 Oct. 2013. Leon-WIlliams, Teresa. Lecture Notes on The Historical Origins of Race CSU Northridge: Login to the Site. N. p. , 30 Sept. 2013. Web. 11 Oct. 2013. Student Unrest at SF State College and S. I. Hayakawa. YouTube. YouTube, 19 Apr. 2008. Web. 11 Oct. 2013. Leon-WIlliams, Teresa. How the Blind Perceive race. . . CSU Northridge: Login to the Site. N. p. , 30 Sept. 2013. Web. 11 Oct. 2013. Rodriguez, Jesus. Re: Race the Working Field. Weblog comment. N. p. , 8 Oct. 2013. Web. 12 Oct. 2013. Leon-WIlliams, Teresa. Prejudice Discrimination. Moodle, 16 Sept. 2013. Web. 12 Oct. 2013.