Nursing care during Primary Angioplasty Essay Example | Topics and Well Written Essays - 1750 words

Nursing care during Primary Angioplasty - Essay Example Details to be collected typically include – onset duration progress of cardiac symptoms, similar complaints in the past, any other major illnesses like diabetes, hypertension, medicines with dosage, previous surgeries, any allergies, etc. Details are provided to the respective physician and orders noted accordingly. Meanwhile the patient and the relatives are provided counseling and assurance. Coronary Angioplasty is planned in this patient to widen the occluded coronary artery. These arteries supply blood and oxygen to the heart muscles. These arteries get occluded due to fatty tissue or atheroma resulting in reduced blood supply to the heart causing chest pain. Angioplasty is performed to open up the blocked vessels by compressing fatty tissue against anterior coronary vessel wall. This procedure helps to improve blood flow through the vessels to the heart muscles and helps in relieving chest pain. Also, this procedure is advised when - a. Medicines like calcium channel bloc ker, beta adnergic blockers or nitrates fail to correct coronary heart disease symptoms (NICE technology appraisal guidance 71) or b. There is recurrence of chest pain post CABG (Coronary Artery Bypass Graft surgery). Coronary angioplasty can be planned procedure or an emergency procedure in the case of heart attack and unstable chest pain with acute myocardial infarction. (Coronary Angioplasty and Stents) This operation is performed either through radial artery or femoral artery. Radial route is more popular in recent times because radial artery is easily accessible and palpable. Its superficial location makes it easy to compress to achieve homeostasis later on. Normal Allen’s test ensures dual blood supply to hand. So in case of bruise to radial artery or radial blood flow shunt, hands will still receive perfusion through Ulnar artery without feeling any damage. There is less chance of nerve injury in radial method. This approach provides comfort to the patient as it allows them ability to mobilize. It is easier for the patient to notice and control any bleeding from the radial incision, the femoral artery lies deeper in leg, so compressing the artery is difficult and by the time hematoma is noted bleeding would be significant. Radial artery method is cost effective too. (Radial Approach to Cardiac Catheterisation). Coronary Angiography is performed with the Angioplasty in an emergency. Angiogram allows doctor to look inside coronary arteries and find out how severe and where the narrowed areas are. (Coronary Angioplasty and Stents) Patient is advised what medicines to be avoided on the day of the procedure, such as aspirin or any anti coagulant, which medicines should be stopped few days before the procedure and what additional medicines need to be taken. He/she is also informed about the details of the procedure along with the effect of anesthetic drugs during and after the procedure. Doctor explains about the nature of pain the patient may have. Nu rsing staff ensures that patient would not eat or drink anything 4 -5 hours before the procedure. Proper consent is taken from the patient and relatives informing them about the complication involved in it. Nursing staff prepares the patient for the procedure by checking

The Joe Salatino President of Great Northern American Case Study Research Paper

The Joe Salatino President of Great Northern American Case Study - Research Paper Example Perception and attribution are of greater significance in comprehending and administering of the organizational behavior, since all the decisions along with behavior in Great Northern American tend to be impacted by the way in which its members interpret and make meaning out of them. When an individual observes people, he/she tries to identify the reasons behind the persons behaving in certain manners. The basis of the attribution theory is that an individual wants to understand the reasons behind the actions that he/she is taking and others take. An individual further wants to attribute reasons to behaviors he/she observes instead of assuming that these behaviors are random. It is quite significant to mention the fact that attributions are crucial for Great Northern American since perceived reasons of behavior may impact managers’ and employees’ judgments and actions. Joe Salatino perceives the fact that in order to keep the sales force motivated and dedicated, it is q uite significant to spend money on commissions and bonuses. It is worthy of mentioning the fact that there are two forms of attributions. They are internal attribution and external attribution. The internal attribution is likely to take place when an individual believes that a particular behavior has been chosen freely, it was deliberate in nature and was quite low in terms of social desirability. When the salespersons at Great Northern American are not capable of handling the self-starting selling intensity, they may leave the company because of their dissatisfaction level. Such behavior is generally called internal attribution. On the other hand, an external attribution takes place when it is believed that the behavior was not freely selected and it was unintended. For instance, despite Joe Salatino offering his employees with bonus and commission for good job done, if the employees demonstrate the tendency to leave the organization, then it can be identified as external attributi on (Martinko, 2004). It is found that Joe Salatino felt that his employees were not much effective. Some employees were functioning very effectively and were earning more than the salary of the top producers because they were capable of generating huge sales for the company. On the other hand, most of the employees were leaving the company since they were not capable of handling the ‘self-starting selling intensity’ and disorder. In addition to these, Joe Salatino noted that it took for an employee a year to develop good account base. When Joe Salatino confronted with these issues he tried to realize what caused those events. When Joe Salatino experienced unpleasant outcomes, attributions could assist him in identifying and avoiding the behaviors as well as other factors that led them to happen. On the contrary, when Joe Salatino experienced pleasant outcomes, he would prefer understanding the behavior that led to such actions of the customers as well as employees. It c an be noted that such attribution and perception theory can assist Joe Salatino to identify what actions the company must take in order to bring significant improvements in the behaviors of the employees whose performances have been below satisfactory level in comparison to those employees whose performances are satisfactory. Therefore, it is the proper understanding of the behavior of

Philosophy of Man Essay Example for Free

Philosophy of Man Essay

Predatory pricing of petrol Essay Example for Free

Predatory pricing of petrol Essay Supermarket price wars are putting Britain’s small petrol stations out of business at the rate of one a day. Sainsbury’s, Tesco, Asda and Morrisons have this year embarked on a war to attract hard-hit consumers and the price of fuel has been central to their campaign. Morrisons is offering loyalty points on its new fuel card while Asda has launched a price comparison app for mobile phones to convince shoppers it has the cheapest fuel. Both Sainsbury’s and Tesco have offered money-off vouchers for petrol customers. The Retail Motor Industry Federation (RMI), a trade association representing the interests of 6 000 small petrol stations, is hoping the OFT inquiry will support its members, who believe that unfair and predatory pricing by the supermarkets and some major oil companies is making it impossible for them to compete. There are now about 8 000 small petrol retailers compared with 21 000 two decades ago and 40 000 in 1966. It predicts that in five years there will be very few independent petrol retailers left. The OFT inquiry comes at a time when the supermarkets have proved particularly effective at building up a huge stake in the petrol market. With the recession dragging on, households are keen to save even one or two pence a litre, particularly those families whose livelihoods depend on the use of a car. Between June 2007 and June 2012 – a period that saw  considerable crude oil price volatility – the price of petrol rose by 38% while diesel rose by 45%. In 2011, supermarkets accounted for 45% of total fuel sales from just 1 316 sites compared with 37.4 % in 2010. The OFT said the fuel market for Britain’s 33 million motorists is worth around  £32 billion a year, and accounts for 5p in every  £1 of household expenditure. But many have also blamed the Government and increases in fuel tax for soaring petrol prices. It takes 60% of the price of every litre of petrol in tax – the highest rate in Europe.

History Of The Scientific Method

History Of The Scientific Method Do scientists need the Scientific Method to perform a meaningful experiment? It is undeniable that the best way to solve a problem in science is through a series of steps that lead to the solution. Since early stages in the development of Science, scientists have had the need of following certain steps in order to solve problems they were curious about to research. According to historians, Isaac Newton was the first researcher to complete the early process of the scientific method. (Yahoo Answers , 2006) The history of the scientific method begins in the Greeks civilization.greeks were the first ones who used observation and measurement to learn about the world. Aristoteles was the founder of the empirical science, but the muslims were the ones who developed the scientific process. They became the promotors of the scientific method. Galileo Galilei is given all the credit for being the creator of The Scientific Method. Meanwhile Brtish, Italians, French, and the Germans contributed to the methodology during the 17th, 18th, and 19th centuries. Among them are James Bacon, Renee Descartes, and Isaac Newton. It was between 19th and 20th century when scientists such as John Dewey and Morris R. Cohen spoke about the scientific method in America. (Edmund, 2000-2009) The scientific method is the process of asking and answering a specific question by performing experiment and observing the results obtained. It involves a series of steps that go from identifying a problem to a conclusion and, therefore, the publishing of the work to the scientific community around the world. This process includes the following steps: Identify a problem, or ask a question. Gather information, which consist in researching about the topic. Find relevant information about the theme being investigating. Develop a hypothesis, which is an educated guess or prediction of what the researcher thinks might happen. Perform an experiment to prove the hypothesis, or educated guess. Record and analyze data to see if the hypothesis was right or wrong. If your hypothesis is wrong, the researcher has to go back the process and restate the hypothesis. When the hypothesis is right the scientist draw conclusions and then publishes his work. (Science Buddies, 2012) Identifying a problem and asking a question are the base of the scientific method. Without a question to answer there is no need to develop a hypothesis or develop an investigation. The research question, the problem observed is the base. The researcher questions himself why a phenomenon occurs. From this, the other steps in the scientific method develop. (Science Stuff, 2007) When gathering information, observation is fundamental. Observation includes the use of the five senses to collect data. In this step it is important to record the information that is relevant to the investigation. It also includes research about the topic. (Science Stuff, 2007) The hypothesis is an explanation of why the phenomenon occurs; it is the educated guess. It proposes a statement in the Ifà ¢Ã¢â€š ¬Ã‚ ¦Thenà ¢Ã¢â€š ¬Ã‚ ¦Because format. It is the scientists proposal to answer the question formulated at the beginning of the investigation. The hypothesis can be conceived as a prediction of what the scientist expects it is going to happen. (Science Stuff, 2007) The experiment is the step where scientists perform their tests and observe everything and figures out if the experimentation is going as they planned. In this step, different factors play important roles. These factors or variables are of great relevance in experiments. The variables can be independent, dependent, constants, and control. The independent variable is the factor that changes throughout the experiment. The dependent variable is the one that is being measured. In other words, the dependent variable could be the impact of the antibiotic on the bacteria. An independent variable is the presumed cause, whereas the dependent variable is the presumed effect. For example, if a scientist is investigating the effect of antibiotics on specific bacteria, the independent variable could be the amount of antibiotic used. The control is the standard of measurement in the experiment. It is a standard of comparison, the reference investigators use to compare their results. As scientists investigate, they need to record data while they observe the experiment progressing. They use different tools to record this data. Sometimes it is useful to keep a journal to record in a more detailed way what is going on in their experiment. Another important tool used by scientists when recording and analyzing data is charts and graphs. Bar graphs and pie charts get used frequently in science. These tools help visualize and display the information in a more effective way. (Science Stuff, 2007) The last step of the scientific method, draw a conclusion. In this step, scientists approve or reject the hypothesis formulated at the beginning. They conclude if their conjecture was right or wrong. In other words, the conclusion is a summary of the statements that have being proved throughout the experiment to answer the original question. In this step, it is required to have an answer, to tell if the hypothesis was true or false. In this conclusion scientists include the data that helped them confirm the hypothesis, but if the hypothesis was not confirmed scientist need to evaluate the process to find out what was the error. They should review everything that might cause a difference in results from what it was expected. (Science Stuff, 2007) In order to obtain a valid or reliable, scientists should repeat the experiment many times to see if the results are the same. This process could be tedious, but it will help confirm that the experiement is accurate. This helps find out if there was an error in the first experimentation. Performing an experiment only once does not provide enough information to comfirm or reject a hypopthesis. Scientist have used the scientific method to figure out explanations to different phenomenon. The scientist used the scientific method to come up with scientific laws and scientific theories. A scientific theory is an explanation of a phenomenon obtained by reasoning, observing , and experimenting. An example of scientific theory is Darwins theory of evolution. On the other hand, a scientific law tries to describe a phenomenon that occurs in nature. An example of Scientific law is E = mc ² referring to the speed of light in a vacumm. In most cases, scientists do not have the technology to model the phenomenon in study. But by studying and investigating it, they can conclude and formulate a scientific law. They have also used the scientific method to discover how technology affects the results in an experiment. When following the scientific method, technology has an important role. As technology has developed, scientists have had the opportunity to use it in their doings, being able to perform actions that facilitate the process. Technology affects science in a positive way, helping people gain knowledge. There are innumerable processes that are possible today thanks to the use of technology that were inimaginable long time ago. Many of the phenomenon that have been observed since ever have finally found their explantions just because of the application of technology in science. The scientific method is extremely important for researchers and scientists. They use the scientific method everytime they have a new discovery in science. The scientific method has 5 steps that are required for an investigation: identify a problem, research about the topic, formulate a hypothesis, perform an experiment, and record and analyze data from the observations made during the experiment. An extremely interesting fact about science is that it is not affected negatively by technology; on the contrary, technology is a useful tool in todays generation. As Robert M. Pirsig Traditional scientific method has always been at the very best, 20 20 hindsight. It is good for seeing where you have been. Its good for testing the truth of what you think you know, but it cant tell you where you ought to go. (Thinkexist, 1999-2012)

FRANKENSTEIN Essay -- Essays Papers

FRANKENSTEIN In the story â€Å"Frankenstein,† written by the author Mary Shelley, Victor Frankenstein decided that wanted to create a being out of people that were already dead. He believed that he could bring people back from the grave. Playing with nature in such a way would make him play the role of God. With Victor Frankenstein feeling that he had no true friends, the only relief he had of expressing his feeling was through letters to Elizabeth. Elizabeth was not Victors’ true sister but he loved her very dearly, making sure to always write her when ever he had the chance. Yet, when Victor left something strange came over him. Already being interested in subjects such as natural philosophy and chemistry, he fall upon the question of how to bring someone back to life. He became very involved in this project and worked on it for days on end. The project had to do with defying the laws of nature. Victor believe wholeheartedly that he could bring the dead back to life. He felt that the dead were not ready to die and they were just resting. Victor became so self absorbed into his project that he seem to forget all that was important to him. He even disengaged himself from all the people he loved in his life. People like his father, Elizabeth, and other loved ones. Victor began to write less and less. Yet, it was not until Elizabeth got a discouraged letter from Victor, did his love ones start to wary about him. Though, the letter was full of words, it gave no relief ...

Company Introduction, Market Segmentation, and Product Positioning Essay

The key to successful product implementation in today’s national enterprise system is the effective marketing of a new product with the company’s line of existing products. As stated by Lacobucci (2012), marketing is defined as an exchange between a company and its customers. The customer wants something from the company or firm and vice versa. In previous times, a company would manufacture a product they thought the customer would want or need. The customer purchased that product because of a pending need, which basically meant that marketing used to be product oriented. However, marketing today is more that an advertisement for goods and services in an attempt to attract new business. We live in a customer orientated and empowered marketing environment. We realize the importance and ramifications of having an exchange with our customers and developing a relationship with them. It is this exchange of information between our company and our existing as well as future customers that secures our position in our target market. Our company is a regional tool distributor located in the northeastern section of the United States. Our customer base consists of several major retailers, nationally known in the retail and wholesale tool industry. We used the brand label Blue Steel Tools for marketing and distribution of our products to discuss the implementation of an effective plan to market a new product line, the Illuminated Power Wrench. This paper will analyze market, identify our market segment for sales distribution and discuss the reasoning for the segment. Discussing the target market and why the targeted customers were specifically selected. We will do the SWOT analysis; describe the unique market position and the expected service provided in meeting the needs of the target audience. 1. Identify the marketing segment for the product and provide a rationale for this segment. The definition of a market segment as stated by Lacobucci (2012) is a group of customers that shares similar inclinations towards our brand. To define market segment further for our needs, it is an identifiable group of individuals, professionals or organizations that share one or more characteristics or needs in an otherwise homogenous market. In our case, our product will have a very wide market of consumers and small business owners and employees. Therefore we will need to reduce the market segments to larger chunks. Market segments generally respond in a predictable manner to a marketing or promotion offer. The market segment for the new product will vary widely due to the versatility of our product usage. Our main segment approach will focus on the wholesale distribution to retail repair supply stores who carry lines of tools for resale to the private and business consumer. These market segments will include businesses such as Lowes and Home Depot, retail tool distributors such as Harbor Freight Tools, automobile parts stores such as Advance Auto Parts and tool catalogue companies such as great Northern to name a few. As we analyze this segment we ask the question if this segment is viable and can we profit from using it. Other considerations are accessibility and measurability. This segment is small enough to manage our sales and distribution, but large enough to reach the ultimate user of our product. This market segment possesses the potential and versatility to sell and distribute our product to the target consumer market with a widely diversified audience in the retail industry. The bases for this segmentation include similar demographics, geographical locations, and psychological make-up of customers and behaviors of users/purchasers. In other words, the customer base for our segments meets the desired user of our end product. Anyone who builds or repairs something whether they are a novice or professional is a potential customer. Therefore, by using this method of market segmentation for product distribution, we will successfully sub-divide a large homogenous market into clear identifiable and manageable segments that have similar needs, wants or demand characteristics indicated by Lacobucci (2012). 2. Discuss the target market and provide rationale for this target market. The target market defined is the particular market segment at which a marketing campaign is focused. As stated earlier, this product has been designed for the retail tool industry. We have targeted segments in the industry that will be the most successful in reaching the consumer and generating a demand for our product through steady sales. Lacobucci stated the first perspective in assessing segments target is to have a view of the segments themselves and the primary concern is the segment be profitable. This in turn will become a profitability issue for our company as we continue to hold a place in the small tool market and generate profits with continued sales. The second perspective examined was if the market or segment fit with who we are. In this case the answer is yes. The ultimate target for this product is the consumer. The greater exposure we have, the higher propensity for sales growth. The illuminated ratchet screw driver is a quality tool for use by not only the novice home self repair person; it will also meet the needs of the professional repair person, no matter what the industry. The illumination system in the handle of the wrench will appeal to the vehicle mechanic working in the close quarters of an engine compartment, the electrician repairing the circuit breaker box, the computer repair technician working in between electronic circuitry as well as to the basic consumer performing handy maintenance projects. This tool will come with the standard wrench lugs and have availability to accessories such as wrench tips to enhance its versatility to meet the needs of a wider target audience. The wider target audience is customers of our targeted market segments. Therefore the target market is our pathway to the ultimate user of the product is consumer sales. The strategic sales objective of these retail establishments coincides with our strategic vision of reaching the ultimate user of our products, satisfying their needs and increasing the likelihood of additional product sales. 3. Perform a SWOT (strengths, weakness, opportunities and treats) for the company. As we move forward in the marketing of our product, we need to our own corporate strengths. Lacobucci (2012) suggests the use of a SWOT analysis in identifying our strengths, weaknesses, opportunities and threats. The strengths and weaknesses characterize our company in relation to competitors where the opportunities and threats characterize the broader environment such as the tool industry, suppliers, the government and etc. Our strengths are in our track record in t he tool industry. We have provided quality products at competitive prices. Another perceived strength is in the management of our company. The senior management of Steel City Tools has provided a strategic vision with clearly defined attainable goals for market position and sales. However a perceived threat is in the foreign market. A number of tool company’s efforts have been over shadowed with a cheaper duplication of products from foreign markets. The US has been plagued with a reduction in the manufacturing industry due to globalized markets, elimination of trade barriers and outsourcing. The end result is our market segment (distributor) could purchase a similar product cheaper and increase their gross margin and not purchase our product for resale. Another threat we are not prepared to react to is loss of a major distributing customer. With more and more businesses merging, we could lose a distribution source with no warning. One of our weaknesses is we have focused on sales east of the Mississippi, thus limiting market expansion. However, this could be turned around as a future opportunity for market expansion. An easy way to expand our market is to establish a retail division and use infomercials through the cable television network to accept mail order/telephone order select product sales such as our new illuminated power wrench. However, a marketing effort of this nature would require careful consideration must be given to the geographical area so as not to alienate our primary segment customers. A move of this nature would require additional capital investment and careful analysis of this type of expansion would be necessary to minimize risk of project failure. The SWOT is useful in clarifying our marketing questions. The key is to address our shortcomings so as not to give the competition an upper hand and not raise concerns with our customers and capitalize on our strengths for continued success. 4. Create the market position for your product and service. Explain your rationale. Product positioning, according to the Encyclopedia of Business, involves the tailoring the entire marketing program to include product features, distribution, price, quality and service to meet the needs of the consumer within the specific market segment. In this manner, the product positioning is part of the overall market segmentation. Product position takes place in our distributors store, or target market segment and tells us how we can strive most effectively in that market segment against our competition which are also present on display. The key is to understand the consumer perceptions of the product and the marketing behind it. Quality, reliability, affordability, unique features, benefits to the customer is just a few attributes of product positioning. According to Lacobucci (2012) positioning is often about modifying the four P’s of marketing (position, price, place and promotion). In the case of our company, our reputation is a reflection of the position to provide a quality product at a competitive price while leading the market in innovation. Our company performance is attributed to the quality of our employment staff. Our employees are at the core to our success. We have established core values for our company’s work force by creating a positive work culture with recognition of the whole person concept. The strategic leadership from the top on down to the employee fosters productivity with reward and recognition to enhance their performance in support of the company operations to include our marketing efforts. Thus the positive and proactive personality of our company in meeting its marketing objectives is a direct reflection of the quality of every member of the Blue Steel Tool Team. As we continue to grow and develop products for sale, we position our products at a distribution sales point or market segment with the greatest customer exposure for maximum market penetration. We will service our product to the satisfaction and benefit of the customer so as not to jeopardize customer confidence as well as the business relationship with our market segment. The product we create and the service we provide are a direct reflection of not only our company, but that of our distributors. Our products are designed to meet the working needs of our professional as well as consumer clientele with a level of quality that meet or exceed expectations at the best value. References Lacobucci, D. (2012) Marketing Management: 2012 custom edition. Mason OH Market Segment Defined Retrieved from http://www. businessdictionary. com/definition/market-segment. html Morley R. (2006), Trumpet Print Edition: The Death of American Manufacturing, February 2006 Retrieved from http://www. thetrumpet. com/index. php? page=article&id=1955 Reference for Business Product Positioning: Encyclopedia of Business, 2nd ed. Retrieved from http://www. referenceforbusiness. com/small/Op-Qu/Product-Positioning. html Target Market Defined retrieved from http://www. businessdictionary. com/definition/target-market. html