Saturday, March 14, 2020
Compare Okonkwo and Gatzby essays The Great Gatsby and Things Fall Apart In this world there are heroes and villains. Neither Gatsby nor Okonkwo are good or bad. Okonkwo seems bad early on, when he beats his wives; he does however show compassion when he goes after Ezinma. Gatsby does something illegal, but everything he does is for Daisy. Their fatal flaws blind both Gatsby and Okonkwo. Okonkwos hubris is that he believes in the Umuofian dream of a perfect society, while Gatsby believes that he is able to erase the past. Their fates are worse than they deserved, Okonkwo is banished from Umuofia after accidentally killing someone and Gatsby does not have the love of Daisy, as he believes. Both Okonkwo from Things Fall Apart and Gatsby from The Great Gatsby are tragic heroes. In Things Fall Apart it seems as if Okonkwo is bad, as he beats his wives and children, he does however show compassion. One night Chielo comes and takes Ezinma to her cave. Okonkwo stays when Ekwefi, against what everyone else says, goes. When he thought he had waited long enough he again returned to the shrine. But the Hills and the Caves were as silent as death. It was only on his fourth trip that he had found Ekwefi, and by then he had become gravely worried. (Achebe, 1959, 112) Okonkwo must be a man without fear, and he pretends not to have any feelings, but he shows love when he goes after his daughter. Gatsby has a lot of money, and he achieved it through illegal means. I found out what your drug-stores were. He turned to us and spoke rapidly. He and this Wolfsheim bought up a lot of side-street drug-stores here and in Chicago and sold grain alcohol over the counter. Thats one of his little stunts. I picked him for a bootlegger the first time I saw him, and I wasnt far wrong(Fitzgerald, 1925, 85) Even though his entire fortune is made of il ...
Wednesday, February 26, 2020
Microsoft Corporation Business Strategy Essay Example | Topics and Well Written Essays - 1750 words - 1
Microsoft Corporation Business Strategy - Essay Example From this paper it is clear thatÃ since Microsoft founding in 1975, there have only been three CEOÃ¢â¬â¢s. Since Nadella appointment to CEO in this last year, there have been seen various changes in the company. According to Business Insider, some of the changes he has made include building excitement for Windows, building excitement for Windows 10 among developers, making it easier to bring Android and iOS apps to windows, rolling out new products such as Delve Microsoft Sway and Power BI, turning bitter rivals into partners, and has overseen MicrosoftÃ¢â¬â¢s biggest layoff ever. Some changes have been positive and some have been negative but overall he is dedicating himself to the company.Ã This study highlights that Microsoft has recognized a growing global concern of climate change awareness, which carries direct potential to affect its daily operational planning. As stated on its website, environmental sustainability is essential to the companyÃ¢â¬â¢s core business pra ctices, affecting its daily operations, inspiring it to develop more efficient IT solutions, and motivating it to provide the tools to employees that will enable overall responsible environmental planning (Our Footprint). With intentions of maintaining operational superiority in the IT field, Microsoft has developed a number of initiatives to streamline business processes, as well as distinguish themselves as forerunners in of environmental corporate responsibility. Ã
Monday, February 10, 2020
Explain how different definitions and contrasting theories trying to explain the causes of dyslexia have shaped your understanding of the syndrome. Discuss the implications for a diagnosis of dyslexia - Essay Example These models are widely related to some biological make-up of victims. The concepts are, therefore, referred to as the biological systems of dyslexia (Wagner, 1973). The theories have been developing as researchers continues to investigate the causes of the disease. Their motivation is derived by their search that could mitigate the disease. One of the theories that have been placed onward in explaining the occurrence of dyslexia is the Cerebellar Theory (Stein & Kapoula, 2012). The model explains that dyslexia is caused by the malfunction of the cerebellum (Beaton, 2011). The lack of proper functioning of the cerebellum may lead to impairment of the brain and therefore the information may lack a good processing when reading. Theorists to this knowledge came up with the idea after a thorough investigation of the information entering the brain at a given time. When a person has some defects on the brain, the signals sending the message got distorted, and their response fails. The theory also suggests that the brain disorder makes the patient have no room to store what he or she is reading. Even though, they read they lack to comprehend whatever they are reading. Another concept that explains the existence of dyslexia is an evolutionary model (Stevens, 2010). The theory outlines that dyslexia may occur as a result of a problem during the human evolution. Human being changes their behaviour as they evolve, and their young ones should also develop these changes, failure to which they will be left behind in development. Majority of communities uses speech as a way of communication rather than written methods. The lack of exposure in writing and reading causes dyslexia according to the theory. The theory has similar reasoning with the cerebellar theory in that the symptoms associated are caused by the lack of proper development of cerebellar vestibular. Cerebellar vestibular malfunction,
Thursday, January 30, 2020
The Effect Of China As A Power House On U.S. Economy Essay Analysts have described the rise of China as a poor, stagnant country to an economic powerhouse as the greatest economic growth of this modern time. Studies show that, from 1979 when the first economic reform was made to 2006, ChinaÃ¢â¬â¢s economy has increased by over 11 folds. Its gross domestic products grew at an annual rate (GDP) of 9. 6 percent and its real per capita GDP grew to over eight folds. Its world trade ranking rose from 27th to 3rd and its is projected to be the first in the next decade. Because of this rise, the business relationship between the U. S and China has grown over the recent decades. The U. S. -China economic relationship rose from $4. 3 billion in 1983 to $343 billion in 2006. For the United States, China has become their second largest trade partner, most imports done in the United States come from China and these imports amounts to billions yearly. China is also the fourth largest export market for the U. S. economy and the second largest for its imports. The purchasing power of the U. S. citizens is increased due to the inexpensive imports from China. In addition, many U. S manufacturing firms also have most of their manufacturing done in China. This is to take advantage of the huge Chinese market and the cheap labor force that is available to them. ChinaÃ¢â¬â¢s purchases of U. S. Treasury securities have funded federal deficits and helped keep interest rates relatively low. Though despite the perceived threat of ChinaÃ¢â¬â¢s economic growth, unites states economy has maintained a full employment rate and robust economic growth. Nevertheless, the rise of China as an economic powerhouse has raised concern among many U. S. policy makers. Their fears include the taking over of China as the worldÃ¢â¬â¢s largest trade economy in the next few years and the worldÃ¢â¬â¢s largest economy in the next two decades. Going by this view, it is believed that the rise of China begins the relative fall of U. S. another point of concern is the large business relationship between U. S. and China which is value at about $343 billion. The view projected is that China use unfair trade practices. One of those practices are the supply of low priced products, thereby not encouraging exports from the U. S. the practices put threats to U. S. jobs, wages and living standards. The situation tends to worsen when China moves towards improving the quality of products done by them like autos and computers. Some of the recent development is the efforts put forward by China state owned firms to acquire U. S companies and the accumulation of U. S. Treasury securities. Policy makers have expressed concern over chinÃ¢â¬â¢s large holdings of U. S. securities and Treasury securities. They believe that China could use it as a political tool against the United States. This I agree with because with such holdings, China can have the power to make dollar collapse if they want. They can do this by liquidating their large portion of their large portion of U. S. Treasury securities holdings if the Unites States impose sanction on the revaluation of Yuan and the threat to do so could be used as a bargaining chip. Looking at all this, one would ask a question; what will the trade with China do to AmericaÃ¢â¬â¢s economy? He trade deficit with China has grown to a significantly over the recent years. This is due to the large imports f ChinaÃ¢â¬â¢s product into United States and the large exports of AmericaÃ¢â¬â¢s products to China. This trade deficit with China has grown larger than any other trade deficit that America has with any other country. The fears are still growing over policies done by the Chinese to boost their exports into U. S and restricting American products into China. EFFECT ON TRADES AND JOBS The effect of the rising status of China on the U. S economy carries a mixed effect. On some sectors of employments and jobs, it carries a positive and negative effect. The imports done from China can destroy most of AmericaÃ¢â¬â¢s jobs and manufacturing firms that produces same products. Analysis shows that the current inflow of imports is likely to increase the rate of job loss. The closing down of companies could reduce the economic standard of the country. The relative steadiness of full employment and output are two complementary reasons in the face of steady imports and disruptive markets. The use of monetary policy by the Federal Reserve to control the rate of spending in the country to the level generally consistent with full employment. A well run monetary policy can minimize the deviations that can occur in full employment sector and reduce the duration of such episodes. It helps keep the level of employment high in most years despite trades in general. Giving a better example and expositions to job losses and its relationship to total employment, considering that in any quarter of 2000, the peak of the last economic expansion, the total American jobs of about 137 million, the total job losses was about 9 million and most them was as a result of the foreign trade done. Another similar case was the total job loss of about 7. 4 million in 2004. Apart from the job loss due o foreign trade, the industries are the ones that are hit hard. Secondly, looking at purchasing imports. The increase in the price of imports would also increase the prices of exports. This outcome flows from the fundamental economic requirements hat imports must be paid for and exports are the only means of making those payments. The exports that are sold could be already finished goods and services. It can also be the sale of assets to foreigners such as savings in the bank, shares and stocks, bonds and real properties. This is to say that, when tallied across transactions in assets or goods, a nations trade is always in balance and in any in balance in the trading of goods must be compensated with in balance in the trading of assets. Therefore, most types of exports have positive effect on employments. There is a positive effect of exportation of goods from U. S. on employment is high. When foreigners increase their purchase of exported goods, the total output and employment increases. This counters the level of job lost that is caused by the rate of importation. Therefore, this is to say that the large Chinese market has a positive effect on the employment rate of the United States. Looking at it from another point of view, because the sale of assets is equal to the level of savings in the United States, it exerts a downward push on the domestic interest rates. This stimulates the interest sensitive activities such as spending on consumer durables, residential constructions, raising output, and employments in this sector. Therefore, this is to say that the negative effect of imports on the economy and the rate of employment are offset by the increased rate of exports from other parts of the economy. Another common concern of the rising status of China is that is puts downward pressure on the wages of domestic workers. Foreign trade is seen by American companies as the search fro a low-cost labor environments. This is turn will place American workers in a competition of low wage working environment. This is what is termed as race to the bottom between domestic and foreign workers. In a general summary, ChinaÃ¢â¬â¢s economic growth has increased substantial commercial business activities with the U. S economy. It is now the third largest U. S. trade partner, the second largest source of import and the fourth largest source of exports. Status showing for over the past five years, China is fast becoming the rising source of exports for U. S. goods and is likely to me a good market for U. S. products provided that trades barriers continues to fall. It is projected that within two decades, China will surpass the United States and become the worldÃ¢â¬â¢s largest economy. It is believed that any fall in the living standard of U. S. will lead to the rise in ChinaÃ¢â¬â¢s status. The high level of low-cost imports from China has benefited the U. S. in many ways. First, the low imports have helped to keep the rate of inflation down. It has increased the overall consumer welfare, enabling them to be able to purchase other goods and services. Finally, the low-cost imports have benefited many U. S. firms that use these imports for the production of their goods. This is of course making the U. S. firms very competitive. Although this rise is often seen as a threat, economists see it as mutually beneficial to both parties. This is to say that both economies need each other to keep up. Looking at low-cost imports from other points of view, the imports from China has negative effect on some firms and jobs such as the textile industries. The import causes diminishing effects on their level of output, wages, and employments. Nevertheless, it is believed that the imbalances in trade between these countries are not the cause for the job loss and low output. Most economists contend that, the rise the value of Chinese currency would not have any effect on the manufacturing industries. They maintain that the appreciation would largely shift manufacturing to low-wage countries not to the United States. China maintains a number of inefficient and distortionary policies such as Government Financial Support for CEOs, industrial polices tend to assist investors. Economists note that although subsidies on exports can negatively affect import-competing domestic firms and workers, they also benefit consumers and users of imported inputs who can obtain such goods at lower prices than under the conditions of free trade. In effect, this improves the U. S. terms of trade because it means a given level of U. S. exports can obtain more imports. On the other hand, the use of subsidies by China lowers its terms of trade and promotes inefficiencies in the economy. Even if Chinese subsidies produce net benefits to the U. S. economy, many U. S. policymakers oppose their use because they do cause some U. S. firms and workers to suffer. Public perceptions that some countries are not playing by the rules of trade may impact their support (and that of their government representatives) for further trade liberalization on a bilateral on multilateral basis. Some trade practices, such a failure to protect IPR, hurt both the U. S. and Chinese economies. China traditionally has focused on low-end, labor-intensive manufacturing, much of which did not compete directly with U. S. firms. However, China is attempting to move into more advanced production and hopes to become globally competitive in a number of industries, such as autos and information technology. This has raised concerns that China may pose the kind of competitive challenge to major U. S. industries that Japan posed during the 1980s. Although it is difficult to accurately predict how advanced ChinaÃ¢â¬â¢s economy will become, it currently lags significantly behind the United States. The divergent experience of the U. S. and Japanese economies since the 1990s suggests that the competitive threat from China is questionable, especially considering the extensive economic challenges China faces in the years ahead. Chinese purchases of U. S. Treasury securities have helped the federal government fund its budget deficits and therefore have helped keep U. S. interest rates down. At the same time, China has become the second-largest foreign holder of these securities, and some analysts contend that this status gives China economic leverage over the United States. But any attempt to harm the U. S. economy by unloading these holdings would likely cause comparable harm to the Chinese economy. Similar arguments are made regarding ChinaÃ¢â¬â¢s attempts to purchase U. S. companies. However, analysts contend that it would not be in ChinaÃ¢â¬â¢s economic interest to purchase U. S. companies if it did not intend to operate them profitably. In general, given the growing importance of the U. S. economy to ChinaÃ¢â¬â¢s economic growth, policies to destabilize the U. S. economy would destabilize ChinaÃ¢â¬â¢s economy as well.
Wednesday, January 22, 2020
1 BACKGROUND 1.1 Ford Motor Company Ford was the pioneer of the motor vehicle, just over 100 years ago. Today, Ford Motor Company is a family of automotive brands consisting of: Ford, Lincoln, Mercury, Mazda, Jaguar, Land Rover, Aston Martin, and Volvo, employing 350,321 (Yahoo Finance) workers in more than 200 countries. 1.2 Motor Industry The American oligopoly in the motor industry, consisting of Ford, General Motors and Chrysler, has suffered from poor financial results recently. As reported by www.guardian.co.uk (16/06/03), Ã¢â¬Å"the big three US car-makers are wrestling with the combined effects of over-capacity, growing competition from Europe and Japan, huge pension and health care costs, and a damaging increase in incentives to get customers into the showroomsÃ¢â¬ . A real sign that the car industry is in the midst of major change came when www.reuters.com (25/01/04) reported that Toyota had overtaken Ford as the worldÃ¢â¬â¢s second-biggest automobile manufacturer. The Japanese firmÃ¢â¬â¢s strategy of focusing on quality, efficient manufacturing and targeting new markets paid off with their market capitalisation, at $120bn, totalling more than the Ã¢â¬Å"big threeÃ¢â¬ combined. The main value driver for the motor industry is platforms, or production lines. The Japanese and European firms invested heavily in multi-car platforms and can now base a number of cars on one platform, rather than the traditional method of one car per platform. This has reduced their fixed costs dramatically and allowed these firms to sell their cars at much cheaper rates and gain market share. Developing new platforms requires serious investment not just in financial terms, but also in time. The Ã¢â¬Å"big threeÃ¢â¬ are several years behind the new competition and because of this, American automotive research firm Iceology estimate the market share of the Ã¢â¬Å"big threeÃ¢â¬ could fall from 60.2% in 2003 to 56.5% by 2006 (Business Week, 3867, 76). 2 CURRENT POSITION 2.1 Competitive Position The intense publicity generated by FordÃ¢â¬â¢s recent centenary celebrations diverted attention from the fact the company was suffering from slowing sales and dire financial results, such as losing $5.5bn in 2001 (Strategic Direction, 19(1), 9). CEO Jacques Nasser led Ford away from their core business and despite replacing him in 2001, the combined effects of his reign and the e... ...Can Ford Fix This Flat?Ã¢â¬â¢, Ã¢â¬ËBusiness WeekÃ¢â¬â¢, 2003, 3860, 50 Ã¢â¬ËDetroit Tries It the Japanese WayÃ¢â¬â¢, Business Week, 2004, 3867, 76 Ã¢â¬ËFord Feels the PressureÃ¢â¬â¢, Ã¢â¬ËStrategic DirectionÃ¢â¬â¢, 2003, 19(1), 9-12 Ã¢â¬ËBig Three Car Bosses Fight for Pole PositionÃ¢â¬â¢, Ã¢â¬ËStrategic DirectionÃ¢â¬â¢, 2003, 19(11), 10-13 Ã¢â¬ËRestructuring Ford EuropeÃ¢â¬â¢, Ã¢â¬ËEuropean Business ReviewÃ¢â¬â¢, 2003, 15(2), 77 - 86 Ã¢â¬ËPedal to the Medal - Enough is enoughÃ¢â¬â¢, Ã¢â¬ËBusiness WeekÃ¢â¬â¢, 2004, 3865, 30 Financial Resources DataStream (Aston University Library) Internet Resources www.guardian.co.uk, Ã¢â¬ËFord goes in for refit after 100 yearsÃ¢â¬â¢ www.reuters.com, Ã¢â¬ËToyota overtakes Ford as No.2 car makerÃ¢â¬â¢ http://finance.yahoo.com/, Yahoo Finance http://www.autointell-news.com/News-2002/January-2002/January-2002-3/January-16-02-p4.htm - Ford Motor Company Announces Revitalisation Plans http://www.forbes.com/reuters/newswire/2004/03/02/rtr1282302.html - Ford's Scheele sees deflationary price environment Truby (2002) - http://www.detnews.com/2002/autosinsider/0209/25/a01-596413.htm Susanto (2003) - http://www.susanto.id.au/papers/JITFORD.asp Lienhert (2004) - http://www.forbes.com/2003/12/15/cx_dl_1215feat.html
Tuesday, January 14, 2020
A 55 twelvemonth old male named Nicholas Manners, is admitted to the ward for direction of his high blood pressure. Upon reaching, he appears rather ruddy in the face. He was referred to the exigency section by his GP as he was kicking of a concern and giddiness. He was stabilised and has been transferred to the ward for farther direction. He tells the nurse, he has had a concern for the last three yearss and has had really small slumber. Mr Manners is a Chief executive officer of an advertisement bureau and works long hours. Nicholas has two boies aged 15 & A ; 17 and his married woman Lucy, who is really supportive. Lucy tells the nurse that Nick chows on the tally due to his busy agenda and frequently chows at eating houses when entertaining clients. Nick smokes 10-15 cigarettes/day and has had multiple efforts at discontinuing. He has a household history of coronary arteria disease, his male parent died of a bosom onslaught 5 old ages ago at the age of 75. Observations on admitta nce ; BP 160/90, SaO2 97 % on room air, Temp. 37.1, Pulse 95, RR 19 beats per minute, wt 90 kilogram, ht 170 centimeter, Nil Known Allergies ( Jennings, 2010 ) . Blood force per unit area refers to the measuring of force that is applied to the walls of the arterias as the bosom pumps blood through the organic structure. The force per unit area is determined by the force and the sum of blood pumped, and the size and flexibleness of the arterias. High blood force per unit area, besides known as Hypertension, is considered as above 120/80 mmHg ( PubMed Health, 2011 )PathophysiologyArterial blood force per unit area is a merchandise of cardiac end product and systemic vascular opposition. A alteration in the vascular wall thickness affects the elaboration of peripheral vascular opposition in hypertensive patients. This consequences in the contemplation of moving ridges back to the aorta and hence increasing the systolic blood force per unit area ( Medscape, 2011 ) . Although 90 % of high blood pressure instances, the cause is non truly known ( Moser, p.11 ) , harmonizing to the Australian Institute of Health and Welfare ( AIHW ) , the causes of h igh blood force per unit area are both biomedical and lifestyle oriented. Major causes include ; being overweight, dietetic salt consumption, and nutrition forms which involve low consumption of fruit and veggies and an high consumption of saturated fat ( Australian Institue of Health and Welfare,2010 ) . Although most of the clip there are no marks and symptoms, such may happen ; confusion, ear noise or buzzing, weariness, concern, irregular pulse, epistaxis, vision alterations. These marks are known as marks of complication or perilously high blood force per unit area called malignant high blood pressureNursing AppraisalAs a patient is admitted to the infirmary, it is critical to execute a nursing appraisal on admittance to garner baseline readings of the patient. The Systems Approach Framework was used to buttockss Mr Nicholas Manners from caput to toe in a mode of subjective and nonsubjective informations. The classs used are as follows ; Central Nervous System, Cardiovascular S ystem, Respiratory System, Gastrointestinal Tract, Renal System, Integumentary System and Metabolic System. CNS Ã¢â¬â patient is able to communicate-states he has a concern, assess motion of limbs, esthesis to fringes and trouble if any. CVS Ã¢â¬â HR 95, BP 160/90, assess capillary refill, patient is red in the face Ã¢â¬â assess circulation of the remainder of the organic structure including warmth and coloring material. RESP. Ã¢â¬â RR 19 beats per minute, SaO2 97 % on room air, auscultate his chest- listen for abnormalcies in the lungs as he is a tobacco user, measure his work of external respiration. GIT Ã¢â¬â farther buttocks appetency and eating wonts, auscultate for intestine sounds, buttocks and record intestine direction. RENAL Ã¢â¬â buttocks input and end product and record observations if needed, utilizing a unstable balance chart. INTEGUMENTARY Ã¢â¬â buttocks tegument for cicatrixs, waterlessness, integral and skin turgor. METABOLIC Ã¢â¬â buttocks Hb, BGL and liver map through a blood trial.Education and Psychosocial supportEducation and support that can be offered to Nicholas to help him in deriving more information and support for his Hypertension include: Dieticians which Nicholas can be referred to during his stay in infirmary, to educate him about a healthy diet and besides supply support. Social worker to supply support for Nicholas and his household if needed. Information brochures can be retreived from the infirmary, to educate Nicholas on Hypertension. Web sites such as Better Health Channel, Hypertension Education Foundation and the Heart Foundation, all provide instruction and information about support for patients about high blood pressure.Nursing DiagnosisGoalsInterventionsRationaleEvaluationIneffective wellness care related to incapableness to change life style Short term: Introduce low-sodium and low fat nutrients into Nicholas Ã¢â¬Ë diet Refer Nicholas to a dietitian for instruction of low-sodium and low-fat nutrients. To cut down the sum of high-fat nutrients Nicholas is devouring. Nicholas Ã¢â¬Ë diet presently consists of less high-fat nutrients. Short term: Aim to cut down blood force per unit area readings to less than 150/80 by the following GP visit in a hebdomad. Teach Nicholas to take Nicholas ain blood force per unit area daily at place and record it. To brace Nicholas Ã¢â¬Ë blood force per unit area at a lower degree. Nicholas Ã¢â¬Ë blood force per unit area readings have now stabilised to a lower degree. Long term: Develop a regular exercising program for Nicholas to follow. Promote Nicholas to walk for an hr each twenty-four hours. To promote Nicholas to prosecute in a healthy life style. Nicholas participates in an hr of physical activity each twenty-four hours. Long term: Aim to discontinue smoke in the following 8-12 months. Refer Nicholas to back up plans such as Ã¢â¬ËQUIT Ã¢â¬Ë to back up and help Nicholas in discontinuing smoke. To cut down Nicholas Ã¢â¬Ë hazard of holding blocked arterias and therefore increasing Nicholas blood force per unit area Nicholas has now quit smokeNursing DiagnosisGoalsInterventionsRationaleEvaluationFatigue related to the effects of high blood pressure and the day-to-day life stressors. Short term: Aim to command side effects such as weariness. Educate Nicholas on the side effects, to help him in commanding them. To help Nicholas in deriving cognition of the side effects and how to command them in instance they are experienced after discharge. Nicholas is able to command his small if any side effects experienced. Short term: Aim to keep a stable degree of fluids in the organic structure. Ensure Nicholas drinks plentifulness of H2O throughout the twenty-four hours. To maintain Nicholas hydrous and cut down weariness. Record amounts utilizing a unstable balance chart if needed Nicholas Ã¢â¬Ë weariness degrees have decreased as he is imbibing plentifulness of H2O throughout the twenty-four hours. Long term: Reduce the emphasis degrees experienced throughout the twenty-four hours. Discuss emphasis cut downing methods applicable to Nicholas. To cut down the hazard of increasing Nicholas Ã¢â¬Ë blood force per unit area. Nicholas has reduced his emphasis degrees utilizing the methods discussed Long term: Develop a healthy feeding program to utilize one time Nicholas is discharged Refer Nicholas to a dietician to help in educating him in the importance of a healthy diet and developing a program. To cut down weariness related to an unhealthy diet. Nicholas has continued his healthy feeding program and does non endure from weariness.Nursing DiagnosisGoalsInterventionsRationaleEvaluationImbalanced nutrition related to deficient cognition of the relationship between diet and the disease Short term: Brace the instabilities of nutrition Provide Nicholas with a scope of fruits and veggies To supply Nicholas with a assortment of foods from a scope of nutrients. Nicholas Ã¢â¬Ë diet now chiefly consists of fruit and veggies Short term: To do Nicholas Ã¢â¬Ë cognition on the disease Provide Nicholas with information such as booklets about high blood pressure To guarantee Nicholas has a good cognition of high blood pressure Nicholas is now good educated on his disease Long term: To brace Nicholas Ã¢â¬Ë weight within 6-8 months of discharge Refer to dietician to measure and supervise his diet and aid with his weight loss To guarantee Nicholas has the support required to run into his end Nicholas is now within a healthy weight scope for his gender, tallness and age Long term: Derive more cognition on the effects of smoke Educate Nicholas on the effects of smoking to his organic structure To guarantee he is cognizant of the harm smoke is making to his organic structure Nicholas is good informed on the effects of smokeNursing DiagnosisGoalsInterventionsRationaleEvaluationNon-compliance related to the side effects of the intervention ( Ackley & A ; Ladwig, p.315 ) Short term: Maintain stableness of side effects Monitor Nicholas and supply advice when non following instructions of intervention To guarantee Nicholas Ã¢â¬Ë intervention continues on the right way. Nicholas Ã¢â¬Ë side effects have decreased. Short term: Long term: Long term: Maintain conformity of intervention Educate Nicholas on hazards if intervention non followed as required To guarantee Nicholas Ã¢â¬Ë wellness does non deteriorate Nicholas is compliant with his interventionDiagnostic TrialsDiagnostic trials that will help with the appraisal and direction of Nicholas include: Electrocardiogram ( ECG ) Ã¢â¬â This trial determines if the bosom has sustained nay harm due to untreated high blood pressure ( Cardio Connection, n.d ) . This trial assists with the direction of Nicholas Ã¢â¬Ë high blood pressure by supplying moving ridges of the electrical current of the bosom. Urinalysis Ã¢â¬â This trial is used to test the causes of high blood pressure and expression for any harm to the kidneys as a consequence of untreated high blood pressure ( Cardio Connection, n.d ) . The trial assists with the direction to derive information about the wellness of Nicholas Ã¢â¬Ë kidneys. Blood Glucose Ã¢â¬â This trial determines the sugar degrees in the blood and screens for secondary causes of high blood pressure and the hazard factors involved with more accelerated diseases such as diabetes. Both diabetes and high blood pressure are associated with the rapid patterned advance of arterial sclerosis and harm to the kidneys ( Cardio Connection, n.d ) . This assists in keeping a stabile sugar degree of the blood to cut down the hazard of harm to the kidneys. Serum K Ã¢â¬â This trial looks for a treatable cause of high blood force per unit area and finding the baseline degree prior to utilizing medical specialty for intervention ( Cardio Connection, n.d ) . This assists in finding a baseline to compare to if it were to promote.Hazard AppraisalUpon admittance, a hazard appraisal must be completed to find the patient Ã¢â¬Ës hazard of holding a autumn. This appraisal besides assists the nurses in guaranting the patient has their properties or AIDSs within range to guarantee the patient Ã¢â¬Ës safety and to diminish their hazard of hurt. The appropriate appraisal tool for Nicholas would be a Falls Risk Assessment Tool ( FRAT ) . This relates to Nicholas as he complained of giddiness and deficiency of slumber. This is needed to measure his hazard of hurt. Mention to Appendix 1 for a Falls Risk Assessment Tool.MedicinesNifedipine Ã¢â¬â Antihypertensive agent Ã¢â¬â as stated by Tiziani, 2006 Action: Besides known as Ca adversaries, these agents impede the inflow of Ca ions during depolarization of cardiac and vascular smooth musculus, doing betterment in the myocardial O supply and cardiac end product, and a decrease in myocardial work by cut downing afterload ( Tiziani, 2006 ) Use: Angina pectoris Mild to chair high blood pressure Nicholas has been prescribed this medicine to help with bracing his blood force per unit area. Interactions: Contraindicated with rifampicin May do bosom failure if used with beta-adrenoceptor-blocking agents Serum concentrations may be increased if given with Tagamet, Quinidex or Cardizem. Excessive cardiovascular depression may happen if given with inspiration anesthetics. Adverse effects: Headache, giddiness, dizziness, flushing, weariness, dizziness. Anorexia, sickness, irregularity, abdominal hurting, dry oral cavity. Muscle spasms. Nursing points/precautions: Note and study thorax hurting because thie requires stoping the drug. Patient should be advised to avoid drive or operating machinery if giddiness or dizziness is a job. Caution if used in those with aortal stricture, bosom failure, liver damage, discrepancy or Prinzmental angina, unstable angina, or recent myocardial infarction. Atorvastatin Ã¢â¬â lipid-regulating agent Ã¢â¬â as stated by Tiziani, 2006 Action: Reduce cholesterin significantly in patients with type II lipemia and hence besides significantly cut down the hazard of coronary arteria disease Use: Hypercholesterolaemia Nicholas has been prescribed this medicine to take down the entire cholesterin and low-density lipoproteins ( LDL ) Interactions: May addition plasma concentration of Lanoxin, increasing the hazard of toxicity. Caution if used with Tagamet, Aldactone or ketoconazole. Adverse effects: Headache, insomnia. Constipation, flatulency, abdominal hurting, sickness, diarrhea. Back hurting Nursing points/precautions: Liver map trial should be performed before get downing therapy and at 6 and 2 hebdomads, so twice annually. Advise patient to describe any musculus hurting, spasms, tenderness or failing, unease or febrility. Should be withheld if any status occurs that predisposes the patient to rhabdomyolysis, such as injury, sepsis, uncontrolled epilepsy or metabolic, or endocrinal instabilities.
Monday, January 6, 2020
Running head: COCA-COLA COMPREHENSIVE MARKETING PLAN 1 COCA-COLA COMPREHENSIVE MARKETING PLAN 5 Coca-Cola Comprehensive Marketing Plan Hieu Le Columbia Southern University Coca-Cola Comprehensive Marketing Plan Product pricing is the primary justification for value from a customer?s perspective (Perreault, Cannon McCarthy, 2015). Majority times consumers lack a knowledge of the total cost of product that launching into the market. However, those customers may understand the benefits of product provide for them in the way of distributing value. Essential pricing satisfies the demands of customers and encourages the exchange operation. Furthermore, price demands that marketers acknowledge that eachÃ¢â¬ ¦show more contentÃ¢â¬ ¦Profit Target return is relatively connected to profitability. When a firm is not performing well and has not meet the financial expectation in a specific earnings, investors consider as a failure and pressuring to the executives. Majority business corporations prefer that generating a long-term profit is a first priority, which satisfies to stockholders, investors, and stakeholders in their financial demand. Revenues: Only as target return requires a long-term profit for a business corporation, profit needs revenue in order to generate a financial surplus. To be succeed in generating of a superior financial result, executives need to supervise their demand marketing team to promote sales regularly in a daily basis of a business operation. Therefore, marketing management?s objective is to refine revenues in a few desirable model (Perreault et al., 2015) Market Share: Leadership of entire business organizations are considered with sustaining a reasonable percentage of the market share to lead their firm compete, maintain, prosper, and profit in the marketplace. Thus pricing tactic is a critical aspect in creating and maintaining market share. In order to attract sales and increase an appropriate share in the market, product pricing must be a reasonable set that allow consumers purchase regularly in significant numbers. According to Perreault et al. (2015), many business executives focus to grow their business market share in a long term.