The Most Popular Countries as Tourist Destinations

Tourism to a location means big money is coming to town. Its No. 3 in the biggest economic sectors in the world, according to the report from  the UN World  Tourism Organization. International travel has been on the rise for decades, as increasing numbers of locations invest in bringing people in to visit and spend money. From 2011 to 2016, tourism grew faster than  international trade of goods. The industry is only expected to grow (the report projects out to 2030). Peoples increased purchasing power, improved air connectivity around the world, and more affordable travel overall are reasons for the increase in people visiting other countries. In many developing nations, tourism is the top industry and is expected to grow twice as fast as growth in more mature economies with established tourist spots and a high number of visitors each year already.   Where Are People Going? Most tourists visit places in the same region as their home country. Half of the worlds international arrivals went to Europe in 2016 (616 million), 25 percent to the Asia/Pacific region (308 million), and 16 percent to the Americas (nearly 200 million).  Asia and the Pacific had the biggest tourist number gains in 2016 (9 percent), followed by Africa (8 percent), and the Americas (3 percent). In South America,  the zika virus in some countries didnt affect travel to the continent overall. The Middle East saw a 4 percent drop in tourism. Snapshots and Top Gains France, though at the top of the list for receiving tourists, had a bit of a drop (2 percent) following what the report called security incidents, likely referring to the Charlie Hebdo and simultaneous concert hall/stadium/restaurant attacks of 2015, as did Belgium (10 percent). In Asia, Japan had its fifth straight year of double-digit growth (22 percent), and Vietnam saw an increase of 26 percent over the previous year. Growth in Australia and New Zealand is attributed to increased air capacity. In South America, Chile in 2016 posted its third straight year of double-digit growth (26 percent). Brazil saw an increase of 4 percent due to the Olympics, and Ecuador had a slight drop after its April earthquake. Travel to Cuba increased by 14 percent. Former President Barack Obama had eased restrictions for U.S. travelers, and the first flights from the mainland touched  down there in August 2016. Time will tell what President Donald Trumps changes to the rules will do to Cubas tourism from the United States. Why Go? Just over half of the visitors traveled for recreation; 27 percent were people visiting friends and family, traveling for religious purposes  such as a pilgrimage, receiving health care, or for other reasons; and 13 percent reported traveling for business. A bit more than half of the visitors went by air (55 percent) than land (45 percent).   Whos Going? The leaders in countries residents heading elsewhere as tourists included China, the United States, and Germany, with the amount spent by tourists also following that order. The following is a listing of the 10 most popular countries as destinations for international travelers.  Following each tourist destination country is the number of international tourist arrivals for 2016. Around the world, international tourist numbers reached 1.265 billion people in 2016 ($1.220 trillion spent), up from 674 million in 2000 ($495 billion spent).   Top 10 Countries by Number of Visitors France: 82,600,000United States: 75,600,000Spain:  75,600,000  China:  59,300,000Italy: 52,400,000United Kingdom:  35,800,000Germany:  35,600,000Mexico:  35,000,000*Thailand: 32,600,000Turkey: 39,500,000 (2015) Top 10 Countries by Amount of Tourist Money Spent United States: $205.9 billion  Spain: $60.3  billion  Thailand: $49.9  billionChina: $44.4  billionFrance: $42.5 billionItaly: $40.2 billionUnited Kingdom: $39.6  billionGermany: $37.4  billionHong Kong (China): $32.9  billionAustralia: $32.4  billion * Much of Mexicos total can be attributed to residents of the United States visiting; it captures American tourists due to its proximity and its favorable exchange rate.

Community Based Treatments - 704 Words

COMMUNITY-BASED TREATMENTS Sometimes when a juvenile is charged with a crime there are options available to them that does not include jail time. One option is community-based treatments, community-based treatments refers to efforts to provide care, protection, and treatment for juveniles that are in need. The two community-based treatments that I will focus on are probation and electronic monitoring. Probation is non-punitive legal dispositions for delinquent youths, emphasizing treatment without incarceration. Probation can be assigned to a youth as a sentence for a crime. What happens with probation is the youth is assigned a probation officer and are given specific rules they must follow while on probation. They may also be assigned to participate in other specific treatment programs as well. The juvenile has certain times a month that they meet with an officer and the officer makes sure that the juvenile is keeping up with any other assigned treatment, and following all the rules that were assigned by the court. They must also follow all of the conditions of their parole, which can include maintaining a residence, leading law-abiding lives, and not associating with certain individuals. Electronic monitoring, also known as house arrest, is a program that allows offenders sentenced to probation to remain in the community on condition that they stay at home during specific periods. Usually they have a device attached to their ankles that corresponds with a box in the homeShow MoreRelatedInner Resources Mediation Protocol for Chronic Pain: Translation Research of an Evidence-Based Treatment into a Community Setting1291 Words   |  6 PagesAIMS The principle goal of this study is to assess the feasibility of recruitment and adherence to an evidence-based, eight-session meditation program based on Dr. Lynn Waelde’s Inner Resources for Stress Relief for a community health clinic for adults with chronic pain, and to develop initial estimates of treatment effects of measures of pain and physical functioning. 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Highlighting the escalating prison population, Olson and Lurigio (2014) noted from 1990-2000 the stateRead MoreOffenders And The Need For Treatment Case Study1407 Words   |  6 PagesOffenders and the Need for Treatment Law enforcement’s hardline stance to treat addiction with a criminal justice approach rather than with a public health approach has resulted in over-crowded prisons and offenders in need of treatment. The rise of the prison population began with the enactment of the federal Anti-Drug Abuse Act of 1986 and The Anti-Drug Abuse Act of 1988 (Olson Lurigio, 2014). Highlighting the escalating prison population, Olson and Lurigio (2014) noted that from 1990-2000Read MoreAwareness Of Mental Illnesses And Treatment Options Essay1235 Words   |  5 PagesAwareness of Mental Illness in My Community Awareness of mental illnesses and treatment options are an ongoing issue in America. This problem isn’t one that can be simply solved overnight. 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It was the beginning of the Deinstitutionalized movement in mental health treatment options for children, youth, and adult s (National Council for Behavioral Health (NCBH)Read MoreJuvenile Delinquency Treatment : Description And Fundamental Principles1452 Words   |  6 PagesJuvenile Delinquency Treatment: Description and Fundamental Principles When treating juvenile delinquency the goal is to punish or rehabilitate the problem children after they have offended and been caught. To punish is to induce pain or payment for misconduct, while rehabilitation revolves around productive work pertaining to a program of education, along with counseling of some nature (Musick, 1995, pg. 233). It is typically assumed that adolescents deserve and require distinct management becauseRead MorePrevention Of Hiv / Aids Essay1641 Words   |  7 Pagesis a chronic disease that once diagnosed, requires adherence to complex and challenging treatment regimens. 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Principles of Modern Finance Sample Midterm Free Essays

Principles of Modern Finance Spring 2013 Sample Midterm February 22, 2012 Instructions †¢ You have 1 hour and 40 minutes. †¢ The exam is out of 25 points. †¢ There are 22 multiple-choice questions. We will write a custom essay sample on Principles of Modern Finance Sample Midterm or any similar topic only for you Order Now 19 questions are worth one point, 3 questions are worth two points and are marked as such. †¢ If you get stuck, move on and come back later. 1 1. A stock is expected to pay a dividend of $10 next year, and this dividend is expected to grow by 5% each year thereafter. What should the price of the stock be if instruments of similar risk are paying 12%? (a) $83. 33 (b) $142. 86 (c) $150 (d) $200 2. A project has the following cash? ows: Year 0 1 2 Cash? w +12000 ? 7080 ? 6654 The IRR of these cash? ows is 9%. Assets of similar risk pay 5%. Should you accept this project? (a) Yes (b) No 3. I am considering buying a Greek government bond that promises to pay $1210 in two years’ time. However, there is a possibility that the Greek government will default between now and the promised payment. If the government does default, the bond will only pay $500. The probability of default is 0. 5. What should the price of the bond be if instruments of similar risk are paying 10%? (a) $10 00 (b) $706. 62 (c) $413. 22 (d) $303. 68 4. I am enrolled in a 2-year MBA program, and have just started classes. To pay the tuition and living expenses, I borrow $50,000 per year (paid at the start of the year). The interest rate on the loan is 5%. I am certain to get a job at the end of the two years of study. That job will be guaranteed for ten years (from the date I start work), at a constant salary which will be paid at the end of each year of work. There are no taxes. I estimate that I will be able to save 1/4 of my income, whatever my income is. What is the minimum salary the job must have to allow me to pay o? my loans within ten years? (2pts) 2 (a) $43,050 (b) $50,000 (c) $55,752 (d) $61,339 5. A credit card company o? rs me a card with 20% APR, compounded daily. I make purchases of $3,000 on the card, and allow interest to accrue on those purchases for a year. Assuming each year has 365 days, the amount I will have to pay back is: (a) $3,315 (b) $3,600 (c) $3,664 (d) $3,901. 30 Answer the next two questions with reference to this information: Analysts argue that two things can happen o ver the next year: the economy can continue as it is or it can go into recession. The returns of two stocks: General Electric (GE) and Cisco (CSCO) in each possible state are given below: State Return on GE Continue as-is 15 Recession ? 5 Return on CSCO 5 -1 The analysts estimate the probability of continuing as-is to be 0. 8 , and the probability of a recession to be 0. 2. 6. What is the expected return on a portfolio which is 120% in GE and ? 20% in CSCO? (a) 10. 04% (b) 8% (c) 2. 55% (d) 0% 7. What is the variance of CSCO? (a) 1. 96%2 (b) 5. 76%2 (c) 13%2 (d) 23. 04%2 3 8. Alice can get a one-year loan at 5% at her bank, while no bank is willing to give Brad a one-year loan for less than 10%. Brad has just had surgery, and must pay the hospital $10,000 immediately, but he has no money today, though he will have money in one year. So Alice o? rs Brad a proposal: she will borrow $10,000 from her bank for one year on her own account, and Brad will repay this loan. In addition, he wi ll pay Alice a sum of money today. What is the maximum amount that Brad should be willing to pay Alice up-front under this arrangement? Alice is not willing to consider borrowing more than $10,000. (2pts) (a) $454. 54 (b) $377. 18 (c) $476. 19 (d) $500 9. The risk-free interest rate today is 7%. One year ago, you bought an asset which is risk-free and would pay $100 two years from the date of purchase. The risk-free interest rate on the date of purchase was 10%. You sell the asset today. What is the rate of return (HPR) that you made? (a) 13% (b) 10% (c) 7% (d) 15% 10. The correlation between Alcoa (AA) and American Express (AXP) is 0. 3. You want to form a portfolio, investing 50% in each stock. What is the variance of your portfolio’s return? You have the following information: AA AXP 10 12 8 16 Expected return Standard deviation of return (a) 85. 76%2 (b) 99. 2%2 (c) 121%2 (d) 144%2 11. If you can get an 8% return (annual e? ective) on a ten year CD from your local bank, would it be wise to invest in a 10 year bond which promises to make a single payment of $1000 at the end of its life? Assume both are equally risky). This bond costs $475 now and will pay $1000 in ten years. 4 (a) Yes, the bond is better. (b) No, the bond is worse. (c) Can’t tell from information given 12. You are given the following information about portfolios of two risky assets, A and B: Weight in A Weight in B Std. dev. of portfolio 0 1 12 0. 5 0. 5 14 1 0 16 What is the covaria nce between A and B? (a) 192%2 (b) 168%2 (c) 224%2 (d) Cannot be determined 13. A ? rm in a well-functioning capital market has the following projects available. The risk-free rate is 10%. Which should it invest in? NPV IRR X 10 15% Y 0. 3% Z -5 22% OCC 22% 5% 6% (a) X only (b) Z only (c) X and Y (d) X and Z (e) All three 5 14. You are considering investing in a bond. This bond costs $300 now and pays $550 in ten years. What is the IRR of this investment? (a) 1. 06% (b) 6. 25% (c) 8. 33% (d) 9. 01% Answer the next two questions using the following information: A project has the following expected cash ? ows. Year 0 1 2 Expected cash? ow ? 370 814 ? 447. 7 The IRR of these cash ? ows is 10%. 15. Which of the NPV functions on the following page best describes this project? (2pts) (a) Graph A (b) Graph B (c) Graph C (d) Graph D 16. Given your answer to the previous question, what is the range of discount rates for which you should accept this project? (a) 10% only (b) Greater than 10% (c) Less than 10% (d) Always accept, except at 10% (e) Always reject 6 NPV NPV 10% Discount rate 10% Discount rate Graph A Graph B NPV NPV 10% Discount rate 10% Discount rate Graph C Graph D 7 Answer the next six questions using the following information: Boeing is a very pro? table aeroplane manufacturer. It is considering building a facility to manufacture 747s on 10,000 acres in the Nevada desert. It is not considering any other sites. To encourage Boeing to set up the facility, the local chamber of commerce has bought the land and has o? ered to rent it to Boeing at a rent of zero dollars per year. Assume that this â€Å"gift† has no tax implications for Boeing. If Boeing were to try to rent the land in the open market, the rent would be $1,500 per acre per year, payable at the end of each year. Building the factory will cost Boeing $800M (800 million dollars), of which $200M is payable today and $600M will be need to be paid as soon as the factory begins production. It will take one year to build the factory and start production. The IRS says that the $800M cost can be depreciated (straight-line to zero) over the ? rst twenty years in which the factory produces aeroplanes. However, Boeing expects that the demand for the 747 will eventually dry up, and so they plan to scrap the plant after the ? rst ten years of production. They expect the scrap will be sold for $100M. Boeing expects the facility to produce and sell three Boeing 747 aeroplanes a year, with the ? rst batch ready by the end of year 2. Raw materials cost $100M per plane, and labour costs will be $120M a year. Labour costs will be paid at the end of the year in which they are incurred. Raw material will be paid for one year late (i. e. , raw material costs incurred in year 2 will be paid at the end of year 3). Sales will be paid for two years late. Inventory is always 0. The price Boeing will receive for each plane is uncertain. It might be as high as $500M, or as low as $200M. Most likely, the price will be $400M. On average, the price they expect to receive is $350M. Boeing’s corporate o? ce is located in Chicago. Currently the CEO and his sta? make 120 ? ights a year in the corporate jet. Each ? ight costs $200,000. If the Nevada facility is built, the CEO will have to make ten more ? ghts a year, starting in the ? rst year of production, with the cost per ? ight being the same. The cost of the ? ights is incurred at the end of year in which the ? ights are made. The salary of the CEO will remain ? xed at $12m per year. However, the corporate o? ce has decided to allocate $1m per year of this cost to the Nevada project, should it be built, starting at the end of year 2. This allocation has no tax implications. Boeing has another project which they wanted to start today. This project has a single after-tax cash in? ow of $20 million one year after it is started (and no other in? ws or out? ows). Building the factory in Nevada will occupy executive time, and mean that Boeing will have to delay starting this project until the Nevada factory begins production. Taxes are expected to be 30%. The discount rate is 8%. 8 17. When calculating cash ? ows for NPV, the revenue in the income statement at the end of each year of production will be (a) $600M (b) $1050M (c) $1200M (d) $1500M 18. The expected cash ? ow the ? rm obtains from scrapping the plant after ten years of production is (a) $70M (b) $90M (c) $100M (d) $190M (e) $280M 19. The cost that you will show in the income statement for each year of production will be: (a) $420M (b) $422M (c) $423M (d) $438M 20. What is the working capital at the end of the second year of production? (a) ? $300M (b) $750M (c) $1050M (d) $1800M 21. What is your net cash ? ow two years after the plant has stopped producing, that is, at the end of year 13? (a) $0 (b) $735M (c) $750M (d) $1050M (e) $1800M 9 22. The PV today of the opportunity cost from delaying the other project is: (a) $20M (b) $18. 52M (c) $17. 15M (d) $1. 37M 10 How to cite Principles of Modern Finance Sample Midterm, Essay examples

Gibb’s Reflective Cycle

Question: How did you feel and what did you think prior to the experience? how did you feel and what did you think during the experience? how did you react during the experience? how did you feel and what did you think after the experience? Answer: Description: While during my placement, I used to work in the psychiatric department. I remember one incident where I have to deal with the 70-year-old female patient who had depression. She was on certain anti-depressants for her depression, but she still appeared to be low-esteemed and sad. She appeared to be neglecting herself, and was not interested in anything. She had continuous crying spells. She had no one in her family to look after as she lost her husband and son in an accident. Feelings: As it was the initial phase of my training, I was having mixed feelings at that time and was bit a nervous, as well as, excited at the same time. Before dealing with the patient, I was confident enough that I will handle the case easily. However, when I actually handled the case, I found that it was slightly complex, as the patient was having continuous crying spell and was not interested in talking too much. During her assessment, I kept myself calm and though I was irritated at some points but I did not let my expressions to be visible on my face. After the incidence, I realized that the foremost requirement in dealing with the depressed patient is polite and patient attitude (Gibbs, Brigden and Hellenberg, 2005). Evaluation: The counseling part went well with the patient. She began to discuss things and issues that were bothering her. However, after some time I realized that she was unable to express herself fully, as she used to be silent in between the process. Even my calm and patient nature did not work well in making her completely comfortable to discuss things in detail at certain times. Hence, the experience ended when the practitioner came and tried to access the problem. Analysis: From this experience, I analyzed that building the trust in between the patient is very important. Though my patient and calm attitude made her comfortable to discuss things with me, but she did not trust me completely to discuss things at certain times. To deal with the depressive patient is a challenging task. I also analyzed that she completely discussed all the problems with the practitioner without any suspicion. The difference in the reaction was that the practitioner was able to build that trust in her by creating healthier and trustworthy relationship with her (Tan, 2013). Conclusion: After the counseling, I realized that to deal with a depressive patient there is a requirement of real listening skills and interpersonal skills. I also realized that things could be handled differently too. I would have persuaded the patient that to get the effective result and output she also needs to put input. Moreover, I realized that I actually had contributed very little in the whole process, except for the listening part. I understood that besides listening I need to develop the skill of active monitoring and lateral thinking for better analysis (Gibbs, 2016). Action Plan: From this experience, I learnt that I need to work on my interpersonal skills in dealing with the depressed patients who have little or no interest in the interaction process. I should start handling more and more cases of psychiatric patients to become more skillful and efficient in dealing with them. Moreover, I learned that building a trustworthy relationship between the patient is very important for the better assessment and evaluation of them (Franklin, 2002). References Franklin, S. (2002). A Reflective Essay: Getting Along is Highly Overrated.Policy, Politics, Nursing Practice, 3(2), pp.93-96. Gibbs, A. (2016). The Power of One: Why auto-ethnography, solo service-user voice and reflective case study analysis are useful strategies for researching family-centred social work practice.ANZSWJ, 25(4), p.15. Gibbs, T., Brigden, D. and Hellenberg, D. (2005). Encouraging reflective practice.South African Family Practice, 47(7), pp.5-7. Tan, C. (2013). Reflective thinking for intelligence analysis using a case study.Reflective Practice, 15(2), pp.218-231.

Case Study of Ms Foley-Free-Samples for Students-Myassignmenthelp

Questions: 1.Refer to the case scenario provided below for Ms Foley who has been diagnosed with acute pulmonary oedema. From the assessment information in the scenario, you are to analyse the information provided and then complete two (2) charts Observation Chart and Fluid Balance Chart (FBC). 2.Explain the inter-professional model of care required for Ms Foley while in hospital. You are to include the most appropriate national nursing regulatory standards linked to Ms Foleys care. A starting point is to read the Registered Nurse Standards for Practice (NMBA 2016). Answers: Introduction and outline This assignment is about a patient named Ms. Martha Foley, a 35 year old lady who is suffering from acute pulmonary oedema and was admitted in the hospital prior to 5 days because of post multi-trauma caused by a car accident. She is also suffering from multiple fractures in both legs and smoke inhalation as being trapped in car for 15 minutes. This paper has been divided into two parts. Part 1 contains the description of Ms. Foley and her history along with the treatment in the hospital and the analysis of the Observation Chart and Fluid Balance Chart. It also contains a brief description of acute pulmonary oedema, its pathophysiology and the implications of nursing assessment of this situation. Part 2 contains the inter-professional model of care required for Ms Foley while in hospital. 1.Clinical assessment Ms. Foley is a full time worker at a supermarket and is a victim of domestic violence from her former partner. She had a good relationship and support from her friends and co-workers. The day of the accident she and her friend Ms. Annie Jones were travelling in the same car. Ms. Jones was also admitted in the same hospital. Ms. Foley was a smoker of 10 cigarettes per day and also intake drugs such as methamphetamines IV and cocaine. But dont drink alcohol and is a vegetarian. She had suffered from left sided heart failure in the past and is treated by cardiomyopathy. Fluid balance chart describes that Ms. Foley is given compound Sodium acetate was given intravenously from 01:00 am to 08:00 am at 200mls per hour and only 100mls is drained out through urine. It has been shown in appendix 1. Observation chart describes about the general physical conditions of Ms. Foley during the time of her admission in the hospital. The following things were measured: Respiratory rate 16-20 breathe/min O2 Saturation 95-97% Air delivery method RA Blood pressure 120/40-150/80 mmHg Pulse rate 70-90 beats /min Temperature 36.6-37.0 ? Consciousness/Sedation 0 Pain score 0-5 Application of pathophysiology Acute pulmonary oedema is a type of disease in which the alveoli gets filled up with fluid and the person is unable to breathe. As the fluid gets accumulated creates misbalance in exchange of gases and leads to dyspnoea and hypoxia. Acute pulmonary oedema (APO) is caused by two main mechanisms. The first mechanism is elevations in pulmonary pressures due to severe increase in intra-cardiac pressure of chambers and second is severe lung injury causing increase in pulmonary vascular permeability (Liesching et al. 2014). Pulmonary oedema caused due to lung injury is termed as acute respiratory distress syndrome (ARDS) while pulmonary oedema which is due to acute elevations in pulmonary micro vascular pressures is termed acute cardiogenic pulmonary oedema (Lavin et al. 2015). The pathophysiology of these two types of oedema is almost different due to which their treatments are also different. This document relates specifically to acute cardiogenic pulmonary oedema (Zeiss 2016). Pathophysiology Acute cardiogenic pulmonary oedema is caused by an intense ischemic occasion bringing about cardiovascular brokenness. Intense diastolic disappointment may likewise be caused from hypertension and atherosclerosis. Less generally the intense sight might be optional to other essential occasions, for example, intense valvular issue or arrhythmia (Elias et al. 2015). The acute cardiac dysfunction that happens from a background marked by myocardial ischemia brings about expanded cardiovascular end diastolic weights which thus result in hoisted pneumonic micro vascular weights and the improvement of intense cardiogenic aspiratory oedema (Vlaar and Juffermans 2013). There is a decrease in cardiovascular yield with ensuing solid enactment of the thoughtful sensory system and the renin-angiotensin framework. This outcomes in lifted blood weights and expanded delayed consequences on the heart starting a gooey cycle of expanded myocardial oxygen request and further lessening in cardiovascular yield (Luks et al. 2014). In the problems of heart failure there are homeostatic systems that prompt liquid maintenance and pneumonic blockage. In APO there might be starting of liquid fill up, however the essential pathophysiology won't be reliant on the benchmark liquid status. It is significant that s number of these patients is hemoconcentrated on introduction because of the gathering of up to 2 litres of liquid in their lungs (Spoletini et al. 2015). They may then show up hemodiluted 24 hours after the fact when they are in the recuperation stage. As it were they give off an impression of being enduring a more prominent plasma volume as of now, which is suggestive that the issue is not fundamentally a liquid over-burden issue. By and large of APO the issue is less liquid abundance; rather it is an instance of liquid in the wrong "compartment", (intra-alveolar, as opposed to intra-vascular) (Duffy et al. 2015). Nursing care plan The nursing care plan depends upon the appearance of the patients respiratory status. To perform the assessment of nursing care for acute pulmonary oedema the nurse must observe the individuals responses (Akoumianaki et al. 2014). To assess the respiratory rate, intensity, and effort, including nasal flaring, and abnormal patterns of breathe. To assess the lungs to locate the areas of decreased ventilation. To monitor the mental status of the patient for beginning of agitation, confusion, and extreme tiredness. To monitor the symptoms of atelectasis: bronchial or tubular sounds of breathing, crackles, reduced chest congestion, and shift of trachea to the affected side. To monitor the alteration in Blood Pressure. To observe the nail beds, skin cyanosis and mucous membranes of mouth. To monitor oxygen saturation continuously, using pulse oximeter. Monitor the effects changes in position during oxygenation (ABGs), venous oxygen saturation and pulse oximetry. To assess the ability of patient to excrete out mucous by coughing. Take note of the quantity, colour, and consistency of the sputum. Evaluate the patients hydration status. Check on Hgb levels. Monitor chest x-ray reports Nursing Interventions The following are the therapeutic nursing interventions foracute pulmonary oedema: A nurse must check the patients position regularly so that she must not fall from bed. The nurse must turn the patient after every 2 hours and monitor the venous oxygen diffusion after turning. If it drops below 10% or fails to return to baseline promptly, turn the patient back into a supine position and evaluate oxygen status. If patient is suffering from obesity then change the patient to Trendelenburg position at 45 degrees which can be tolerated by the patient. If the patient is extremely dyspnoeic, try the patient to lean over a bedside table, if it is tolerable by patient. Maintain the oxygen delivering device as per the instruction, which can maintain oxygen saturation. Avoid increasing the concentration of oxygen to the patients with COPD. Encourage or assist with ambulation as per physicians order. Help the patient to take deep breath and control coughing. To support the patient to inhale deeply, then holding the breath for some seconds, and cough for two to three times by keeping the mouth open. Encourage slow deep breathing using an incentive spirometer as indicated. For postoperative patients, assist with splinting the chest. Oxygen delivering devices The initial management of patients with cardiogenic pulmonary edema (CPE) should address the ABCs of resuscitation, that is, airway, breathing, and circulation. Oxygen should be administered to all patients to keep oxygen saturation at greater than 90%. Any associated arrhythmia or MI should be treated appropriately (Lumb 2016). Methods of oxygen delivery incorporate the utilization of a face covering, non-intrusive pressure support ventilation (which incorporates bi-level positive aviation route weight [BiPAP] and consistent positive airway pressure [CPAP]), and intubation and mechanical ventilation (Stocker et al. 2014). The method that will be utilized relies upon the proximity of hypoxemia and acidosis and on the patient's level of cognizance. For instance, intubation and mechanical ventilation may end up noticeably important in instances of tireless hypoxemia, acidosis, or changed mental status. The utilization of non-intrusive weight bolster ventilation in acidotic patients with serious intense cardiogenic aspiratory oedema does not give off an impression of being related with unfavourable results (early mortality and intubation rates) in these patients (Adam, Osborne and Welch 2017). Pharmacological uses of frusamide Intravenous: Initial dose: Frusamide is given intravenously and the dosage is 20-40 mg (slowly for 1 to 2 minutes) or may increase the dosage by 20 mg later by 2 hours after the previous dose until the desired diuretic effect has been obtained. Use: Treatment of oedema associated with congestive heart failure, cirrhosis of the liver, and renal disease, including the nephrotic syndrome, especially when an agent with greater diuretic potential is desired (Soni et al. 2017). Oral: Initial dose: 20 to 80 mg orally once; may repeat with the same dose or increase by 20 or 40 mg no sooner than 6 to 8 hours after the previous dose until the desired diuretic effect has been obtained. Maintenance dose: Administer the dose that provided the desired diuretic effect once or twice a day. Maximum dose: 600 mg/day in patients with clinically severe oedematous states. Comments: -Oedema may be most efficiently and safely mobilized by giving this drug on 2 to 4 consecutive days each week. -When doses greater than 80 mg/day are given for prolonged periods of time, careful clinical observation and laboratory monitoring are particularly advisable. Use: Treatment of oedema associated with congestive heart failure, cirrhosis of the liver and renal disease, including the nephrotic syndrome, especially when an agent with greater diuretic potential is desired. 2.Inter-professional model of care The Inter-Professional Model of Patient Care (IPMPC) was introduced in 2006 when inter-professional collaboration started as a priority of policy agenda in Canada. This model causes the experts to enhance better care the patients and their families which likewise can manage the extra issues of human medicinal services. The models speak to a pedantic program, a group based affair and a between proficient recreation encounter. The instructional program stresses between proficient group building abilities, information of callings, tolerant focused care, benefit taking in, the effect of culture on medicinal services conveyance and a between proficient clinical segment (Maggiore et al. 2014). Nurses were ready for Ms Foley to attend her while she was lying flat on her bed, trying to sit up, and gasping for air. She is worried, stating she is scared, and that she has a weird feeling that she can only describe as a sense of impending doom. Vital signs taken and are the following: Pulse 120bpm and regular, BP 100/50, RR 34, SaO2 92% on RA. Her lips have started to turn blue and the nail beds on her fingers are cyanotic. She remains dyspnoeic and desperate for air. She is coughing. Risk management The integral part of inter-professional care of nursing is quality improvement. ACHS is a handbook which gives information of management of risks and improvement of quality to assist organisations and to manage the risks at the organisational levels and to ensure that quality of care and services are integrated (Powell et al. 2016). Implication of Inter professional model of care PE teams have found their place in health care. Teams do not replace the physician-patient relationship, but rather enhance itcreating a more comprehensive, efficient, and tailored health care experience (Short et al. 2014). The care convention was created by the IP group amid a CPE workshop and encouraged group gatherings. It was utilized as the guide by medical caretakers or doctors associates who gave mind at the visits. Components of the IP mind convention included visual signs, for example, publications on the exam room dividers that represent the body frameworks affected by diabetes, and an envelope with data, worksheets and apparatuses created by the IP group on parts of connecting with relatives for help, eating regimen, exercise and medical administration. Conclusion Thus through the above discussion it can be concluded that Ms. Martha Foley had an accident and detected by acute pulmonary oedema which is a type of disease in which the lungs is filled up with fluid. At first in this task there had been included clinical assessment tools; pathophysiology and its applications; nursing care plan; nursing interventions; pharmacological uses of frusamide; inter-professional model of care, its risk management and its implications References Adam, S., Osborne, S. and Welch, J. eds., 2017. Critical care nursing: science and practice. Oxford University Press. Akoumianaki, E., Maggiore, S.M., Valenza, F., Bellani, G., Jubran, A., Loring, S.H., Pelosi, P., Talmor, D., Grasso, S., Chiumello, D. and Gurin, C., 2014. The application of esophageal pressure measurement in patients with respiratory failure. American journal of respiratory and critical care medicine, 189(5), pp.520-531. Duffy, M., Jain, S., Harrell, N., Kothari, N. and Reddi, A.S., 2015. Albumin and furosemide combination for management of edema in nephrotic syndrome: a review of clinical studies. Cells, 4(4), pp.622-630. Elias, B., Barginere, M., Berry, P.A. and Selleck, C.S., 2015. Implementation of an electronic health records system within an interprofessional model of care. Journal of interprofessional care, 29(6), pp.551-554. Lavin, M., Harper, E. and Barr, N., 2015. Health information technology, patient safety, and professional nursing care documentation in acute care settings. OJIN: The Online Journal of Issues in Nursing, 20(2). Liesching, T., Nelson, D.L., Cormier, K.L., Sucov, A., Short, K., Warburton, R. and Hill, N.S., 2014. Randomized trial of bilevel versus continuous positive airway pressure for acute pulmonary edema. The Journal of emergency medicine, 46(1), pp.130-140. Luks, A.M., McIntosh, S.E., Grissom, C.K., Auerbach, P.S., Rodway, G.W., Schoene, R.B., Zafren, K. and Hackett, P.H., 2014. Wilderness Medical Society practice guidelines for the prevention and treatment of acute altitude illness: 2014 update. Wilderness environmental medicine, 25(4), pp.S4-S14. Lumb, A.B., 2016. Nunn's Applied Respiratory Physiology eBook. Elsevier Health Sciences. Maggiore, S.M., Idone, F.A., Vaschetto, R., Festa, R., Cataldo, A., Antonicelli, F., Montini, L., De Gaetano, A., Navalesi, P. and Antonelli, M., 2014. Nasal high-flow versus Venturi mask oxygen therapy after extubation. Effects on oxygenation, comfort, and clinical outcome. American journal of respiratory and critical care medicine, 190(3), pp.282-288. Powell, J., Graham, D., OReilly, S. and Punton, G., 2016. Acute pulmonary oedema. Nursing Standard, 30(23), pp.51-60. Short, K.R., Kroeze, E.J.V., Fouchier, R.A. and Kuiken, T., 2014. Pathogenesis of influenza-induced acute respiratory distress syndrome. The Lancet infectious diseases, 14(1), pp.57-69. Soni, L., Ansari, M., Thakre, N., Singh, A., Bhowmick, M. and Rathi, J., 2017. Development and in-vitro evaluation of Furosemide Solid Dispersion using different Water Soluble Carriers. International Journal, 6(2), pp.2571-2575. Spoletini, G., Alotaibi, M., Blasi, F. and Hill, N.S., 2015. Heated humidified high-flow nasal oxygen in adults: mechanisms of action and clinical implications. CHEST Journal, 148(1), pp.253-261. Stocker, R., Lenzlinger, P.M. and Stover, J.F., 2014. Contemporary intensive care treatment for patients with severe multiple trauma. In General Trauma Care and Related Aspects (pp. 95-109). Springer Berlin Heidelberg. Vlaar, A.P. and Juffermans, N.P., 2013. Transfusion-related acute lung injury: a clinical review. The Lancet, 382(9896), pp.984-994. Zeiss, A.M., 2016. Cognitive Behavioral Therapy as an Integral Component of Interprofessional Care. Cognitive and Behavioral Practice, 23(4), pp.441-445

Zavier Bacote Essays (657 words) - Helmets, Sports Equipment, Sports

Zavier Bacote ENG 111 Sarah Bruton 16 January 2018 Rhetorical Analysis Draft In the article, Football Helmet IP Goes Head to Head by Kevin Rieffel, He explains the history and technology that goes into preventing concussions and in the future CTE. Football Helmets are a very important piece of equipment and the most expensive piece of equipment that is used to protect football players heads when it comes to impact on the football field. Kevin Rieffel, a chief counsel for Patent Consulting Services with TechPats, in Philadelphia (Rieffel 11), is involved in patents for football helmets and other football equipment. But mainly they work on finding ways to upgrade the football helmet in many ways in technology so finding more ways to prevent concussions and CTE from ever happening to another football player ever again. Rieffel for many years have wrote number of publications and blogs on technology for football equipment and ways that the sport of football could be rid of concussions, and he feels that the technology researchers are working on could really be the help that the sport of football needed to crack down the concussion issue that is a problem for the game of football all over the world. In another article called Tackling Concussions by Kevin Ryan, he talks about the life long effects that can be caused when hit hard enough in the head from critical impact from another football player, and the importance in having updated equipment. A helmet called the Zero1 is one of the safest helmets that could've been created . Made by a company called Riddell, the Zero1 helmet is one of their safest helmets it has passed many safety test with the highest number. A company that provides the NFL with 90% of their helmets one helmet surpasses them all (RYAN). The Zero 1 may not be the most stylish looking helmet in the world but it's guaranteed that it will allow you to have a long and healthy football career. And I can guarantee that many football players will take health of having the best looking helmets. Football players like Richard Sherman, and Alex Smith have already worn the helmet and both have they have never worn a more comfortable a safe helmet they have ever worn. The Zero1 price range is around $1,500 which is fairly good for a helmet that has advance technology and is a 99 percent concussion proof helmet. As a former high school football player the Zero1 is a great helmet to wear if you want to prevent concussions. As a young child playing the sport of football can become very dangerous because of the young kids brains not fully being developed, and if they get a concussion it could lead to more severe problems. That's why the Zero 1 should be the main helmet younger football leagues should wear and every school that provides football for ages 19 and lower. Kevin Rieffel , and Kevin Ryan both researchers and helpers to the cause to preventing concussion in the game of football. An injury that is so common and hard to stop will need many researchers such as the people mentioned to find new ways and new technology so that the youth and the future of the sport can be safe as possible, and however long it takes to find that way to prevent such an injury will be worth it in the near future. WORK CITED RYAN, KEVIN J. "Tackling Concussions." Inc, vol. 39, no. 8, Oct. 2017, pp. 34-35. EBSCOhost, ezproxy.faytechcc.edu/login?url=http://search.ebscohost.com/login.aspx?direct=truedb=a9hAN=124964182site=eds-live. Rieffel, Kevin. "Football Helmet IP Goes Head to Head." IP Litigator, vol. 22, no. 6, Nov/Dec2016, pp. 11-13. EBSCOhost, ezproxy.faytechcc.edu/login?url=http://search.ebscohost.com/login.aspx?direct=truedb=a9hAN=119908073site=eds-live.

The Universal Lessons of Oedipus the King Essay Example

The Universal Lessons of Oedipus the King Essay Example The Universal Lessons of Oedipus the King Paper The Universal Lessons of Oedipus the King Paper The Universal Lessons of Oedipus the King Oedipus the King is a dramatic tale of a great king brought down by â€Å"fate† and the destiny of the gods. It is a story of strife over events that were out of one’s control but mainly handled in a way that only caused further destruction and heartache. There are many universal lessons to be learned by Oedipus and his tragic story; lessons that every man today could benefit from, such as the downfalls of arrogance and selfishness, the grave mistakes in being judgmental and sanctimonious, and the repercussions of being quick to act without sufficient knowledge. Now, I am here. I will begin the search again, I will reveal the truth, expose everything, let it all be seen† (160-163). This line spoken by Oedipus toward the start of the play clearly demonstrates his tendencies toward arrogance and insolence. He boasts of his abilities above others previous and states how he will come to find the truth when they could not. He g oes on to reveal that he is doing so mostly for selfish reasons. â€Å"Justice and vengeance are what I want. [†¦] Family, friends- I won’t rid myself of this stain, this disease, for them- they’re far from here. I’ll do it for myself, for me† (165, 167-169). Oedipus allows his selfish ego to get in the way of him here. The people are in need of help and he claims to be the only one who can provide it. He takes matters into his own hands and decides that for his own glory he is going to discover the secrets of the past and lives before his arrival in Thebes. He then reveals that he is doing so mostly for his own benefit. I think he proves himself haughty in his claims to be able to uncover the truth and such actions and attitude prove to be met with unpleasant ends. After Oedipus makes these bold claims that he and he alone can uncover the culprit he seeks, he compiles his mistakes by being smug and quick to judge. He proclaims his unquestionable innocence and quickly denounces whosoever is the guilty party. â€Å"I know nothing about the murder, I was alone, how could I have tracked the killer, without a clue, I came to Thebes after the crime was done. [†¦] these words come from and innocent man. One of you knows who killed Laios (294-296, 298-299). After quickly announcing his own innocence, Oedipus goes on to condemn the guilty. My power is absolute in Thebes, my rule reaches everywhere, my words will drive the guilty man, the man who knows, out of this city, away from Thebes, forever. [†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦] Drive him from your homes. Let him have no home, nothing. No words, no food, shelter, warmth of hand, shared worship. Let him have nothing. Drive him out, let him die. He is our disease. [†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦. ] let my hatred burn out his life, hatred, always. Make him an ember of suffering. Make all his happiness ashes (313-315, 324-327, and 335-338). Oedipus publicly makes these statements, arrogantly exiling the culprit, all the while ignorantly condemning himself. Once he states his ability to be the only savior of Thebes and promises to weed out the â€Å"disease† of the city, Oedipus wraps himself too far up in his own boastful quest that he cannot even see when other are trying to turn him off his path of self destruction. Teiresias warns Oedipus that his pursuance of the past will only bring him sorrow but he ignores these warnings, forcing Teiresias to speak. â€Å"Stubborn old fool, you’d make a rock angry! Tell me what you know! Say it! † (449-450). Jocasta, his wife, even begs Oedipus to leave these pursuits once she learns the travesty of the truth and Oedipus ignores her as well. JOCASTA. Oedipus, you must stop. I beg you- stop! OEDIPUS. Nothing can stop me now. I must know everything. Everything! JOCASTA. I implore you, Oedipus. For your own good. OEDIPUS. Damn my own good! (1329-1334) Oedipus does exactly that. He damns his own good by being overtaken by his selfish arrogance, self-righteous judgment, and his quick action in ignorance. Oedipus turns out to be the murderer he seeks. He unknowingly is the â€Å"disease† he speaks of expelling from the city. All of these events come together to reinforce age-old life lessons. One should never bask in his own abilities and be boastful of his capabilities, but rather be humble and hardworking towards any success. One should not be quick to judge others when they are ignorant of the facts. This also reflects the saying, â€Å"people in glass houses shouldn’t throw stones. † Oedipus was unknowingly living in a giant glass house that inevitably came crashing down on him. He mocked the blind Teiresias, just to end up blind himself in the end. He slandered his own name by slandering that of a culprit he sought out. He condemned his own life by condemning another. He didn’t heed the advice of others but instead pushed on his own selfish path to what unknowingly led to his demise. The lessons of Oedipus are truly universal. What one wishes to receive, one should give. People should act with compassion and understanding and be sure to have all the facts before making judgments. Selfishness will only lead to loneliness and despair. In the end, though Oedipus’ tale is more dramatic than most modern day situations, one could end up exactly the same as he if they do not heed these lessons. Nothing, nothing is left of me now- no city with its high walls, no shining statues of the gods. I stripped all these things from myself- I, Oedipus, fallen lower than any man now, born nobler than the best. Born the king of Thebes! Cursed with my own curses, I commanded Thebes to drive out a killer. I banished the royal son of Laios, the man the gods revealed is stained with the awful stain. The secret stain that I myself revealed is my stain. And now, revealed at last, how could I ever look men in the eyes? Never. Never.