Thursday, November 7, 2019

The #1 Way to Solve Business Disputes

The #1 Way to Solve Business Disputes As a business owner, I want my relationships with both clients and vendors to run smoothly 100% of the time. In actuality, of course, business dealings sometimes involve conflict. Although I am not exactly a conflict avoider, I don’t enjoy it either (I left the legal profession almost 6 years ago for that reason and have never looked back)! Nevertheless, I strongly believe that when faced head-on and handled well, conflict can lead to greater trust and a foundation for long-term success. Whether you are a client or a business owner, you might possibly have experienced conflict in a business relationship, or if not, then you might possibly experience it in the future. Below are some situations I have faced, and which have had different outcomes based on one predominant factor. This factor makes the difference between a happy customer and a dissatisfied one. Commitment to Excellence at The Essay Expert I have a team of writers at The Essay Expert who do top-level work, and 95% of our clients are satisfied with the first draft of their resume and LinkedIn profile. I am proud of that number; and I am even prouder that for the small number of clients who have issues with their first write-ups, we are able to create happy clients 99% of the time. The writers who work with me are fully committed to satisfying our clients and they go the extra mile to accommodate each person’s preferences. In the end, I believe that the most important value we offer is our commitment to doing the work required to satisfy every client. Clients leave feeling like we truly partnered with them to meet their needs. Sometimes I face a situation where a client and writer are not a perfect match. In these cases, if the client speaks up right away (which I encourage them to do), I first determine whether we can resolve the situation with the current writer. If not, I assign the project to another, more senior writer or, in rare cases, step in myself. If any uncorrectable human errors have occurred, I will always offer a partial refund. I am always available for discussion and negotiation, and will do everything I can to reach an agreement and satisfactory resolution. Sometimes the clients who become The Essay Expert’s biggest fans are those who were not satisfied initially, and with whom we worked tirelessly to remedy the situation. In fact, just this week, one such client referred a connection who hired us for a resume and LinkedIn package. How to Handle – and Not Handle – Billing Disputes I am a client to other companies as well as a business owner, and this week I experienced both excellent and poor customer service. In one situation, I raised issues about the service I was receiving and questioned the validity of some charges on their invoice. Despite the fact that I have been a client of this business for two years and have never questioned an invoice before, the owner refused to discuss the issue, instead telling me that the firm no longer would be working with me. I stated my desire to work things out and he still refused, though he did tell me to pay whatever I wanted and they would write off the rest. I was left with a negative impression and if anyone asks me about that business I will tell them how I was treated. In contrast, with another firm, when we ran into an issue where a job they were doing for me went over budget, I agreed to their terms and requested something in return from  them that I felt would be a good trade. They thanked me for my communication and agreed to give me what I asked for. I was left with a positive impression and will continue to refer business to that firm. The #1 Factor: Customer Service (Plus†¦) In each of these cases, what made the difference? Customer service. That’s the #1 factor to watch when addressing business conflict. Good customer service can turn conflict into good will. Bad customer service can create ongoing negativity. Also note that someone has to start the conversation about the issue at hand if anything is to be done about it. When my clients do not tell me they are dissatisfied, I am at a big disadvantage. I can’t resolve an issue I don’t know about. It’s therefore essential to ask clients about their experience consistently so that they have an opportunity to voice any concerns. Showing interest in the quality of their experience is a key piece to customer service. Once an issue is aired, I have found that it’s very helpful to hold a strong vision for the relationship. Whichever party states a vision, the other party often aligns with it. This alignment sets the stage for a satisfactory resolution. In rare cases, one party might state a vision for an amicable ongoing relationship and the other does not join that vision; in this situation, the conflict will likely not be resolved. Thankfully, most of us as human beings are wired to want to work well with other human beings. And most businesses have a strong commitment to good customer service. That commitment, when put into action, creates a foundation where almost any conflict can be resolved. If you have stories of good customer service or more ideas of how to resolve business conflicts, please share below!

Tuesday, November 5, 2019

Killer Whale Dorsal Fin Collapse

Killer Whale Dorsal Fin Collapse For some time, theres been a heated debate about why  killer whales in captivity have dorsal fins that are flopped over or collapsed. Animal-rights activists say that these fins collapse because the conditions under which killer whales - or  orcas - are held in captivity are not healthy. Others, such as water parks that keep killer whales in captivity and use them in theme-park shows, argue that there are no health threats to killer whales held in captivity and that dorsal fin collapse is natural. The Lowdown on Dorsal Fins All killer whales have a dorsal fin on their back, but the males dorsal fin is much taller than a females and can grow up to 6 feet tall. Despite the fact that the dorsal fin is very straight, it is supported not by bone but a fibrous connective tissue called collagen. All males in captivity have collapsed dorsal fins, but the condition, also known as dorsal fin collapse, flaccid fin, or folded fin syndrome, ​does occur in many captive females. Scientists are not certain why orcas have dorsal fins or what purpose the appendages serve. But, there is some speculation.  Whales Online  says that the large dorsal fin enhances the hydrodynamics of killer whales: (The dorsal fin) helps them slip through the water more efficiently. Similar to the ears of elephants or the tongues of dogs, dorsal, caudal and pectoral fins also help eliminate excess heat during intense activities such as hunting. Orca Live  agrees that the fins help regulate a killer whales body temperature: Excess heat, generated as they swim along, is released into the surrounding water and air via the dorsal fin - much like a radiator! Though there are different theories about their specific purpose, its a fact that dorsal fin collapse is far more prevalent in whales that are held in captivity. Dorsal Fin Collapse A wild orca often travels far, and quickly, in deep water. The water provides pressure to the fin, keeping the tissues inside healthy and straight. One theory as to why dorsal fins collapse in captivity is because the orca spends much of its time at the water surface and doesnt swim very far. This means that the fin tissue gets less support than it would if the orca were in the wild, and it starts to fall over. The whales also often swim in a repetitive circular pattern. Other potential causes for fin collapse may be dehydration and overheating of fin tissue  due to  warmer water and air temperatures, stress due to captivity or changes in diet,  reduced activity that causes low blood pressure, or age. SeaWorld of Hurt, a website operated by animal rights organization PETA, takes this stance, noting that dorsal fins of captive whales likely collapse Because they have no space in which to swim freely and are fed an unnatural diet of thawed dead fish. SeaWorld claims that this condition is common - however, in the wild, it rarely ever happens and is a sign of an injured or unhealthy orca. SeaWorld announced in 2016 that it would stop breeding whales in captivity immediately and  phase out killer whale shows  at all its parks by 2019. (In San Diego, the shows ended in 2017.) The company has said, however, that the shape of a killer whales dorsal fin is  not an indicator of its health. The dorsal fin is a structure like our ear, said Dr. Christopher Dold, SeaWorld’s head veterinarian: It doesnt have any bones in it whatsoever. So our whales spend a lot of time at the surface, and accordingly, tall, heavy dorsal fins (of adult male killer whales) without any bone in it, will slowly bend over and assume a different shape. Wild Orcas While less likely, it is not impossible for a wild orcas dorsal fin to collapse or become bent, and it may be a trait that varies among whale populations. A study of killer whales in New Zealand showed a relatively high rate - 23 percent - of collapsing, collapsed, or even bent or wavy dorsal fins. This was higher than that observed in populations in British Columbia or Norway, where only one male from the 30 studied had a fully collapsed dorsal fin, the study said. In 1989, the dorsal fins of two male killer whales collapsed after exposure to oil during the  Exxon Valdez  oil spill- the whales collapsed fins were thought to be a sign of poor health, as both whales died soon after the collapsed fins were documented. Researchers have theorized that dorsal fin collapse in wild whales may be due to age, stress, injury, or altercations with other killer whales.   Sources Matkin, C. O., and E. Saulitis. 1997. Restoration Notebook: Killer Whale (Orcinus orca). Exxon Valdez Oil Spill Trustee Council, Anchorage, Alaska.  National Marine Fisheries Service Northwest Regional Office. 2005. Proposed Conservation Plan for Southern Resident Killer Whales, ). orcaOrcinusVisser, I.N. 1998. Prolific Body Scars and Collapsing Dorsal Fins on Killer Whales (Orcinus orca) in New Zealand Waters. Aquatic Mammals  24.2,71-81.

Sunday, November 3, 2019

Compare and contrast the importance of using primary and secondary Essay

Compare and contrast the importance of using primary and secondary methods when conducting market research. Are secondary methods more advantageous when analysing results for a new product - Essay Example Significantly, each business venture at least has an organization it looks up to in terms of strategies; it also has a vision that acts as a guiding principle. Entrepreneurs conduct market research so that they can reduce the risks associated with their business, indentify more opportunities and predict current and potentially future problems. Such information will aid in making decision on whether to execute the new product or shelve for another time. The research also enables individuals to establish benchmarks that will assist the business not to collapse when they encounter uncertainties along the way. Methods of data collection when carrying out market research influence the end result. While both primary and secondary methods hugely contribute to informed data, one overrides the other one. This paper will focus on establishing the comparison and contrast of primary and secondary methods of market research. It will also determine whether secondary methods are more advantageous when analysis the market situation of a new product. Primary research methods refer to the original research carried out by the owner of the business or by a contracted company (Sumathi & Saravanavel, 2003, p. 154). The main aim of this research is to answer a specific objective. Before going into the field, a set of objectives and research questions are outlined. In addition, a clear hypothesis may be set so that at least the data obtained will measure it. With primary method, information compilation is done from scratch since it bases on what the respondents give. Despite the fact that the information provided by the respondents play a critical role, the researcher must have a set of expectation. In essence, the desired goal and the vision of the business inform the whole idea of market research. Primary research could lead to quantitative or qualitative data. This depends on the format

Friday, November 1, 2019

Global communications Essay Example | Topics and Well Written Essays - 1000 words - 1

Global communications - Essay Example The article further describes the condition known as sociological illiteracy and compares it to an individual being scientifically illiterate. Just as a scientifically illiterate person may have little or no idea about science, a person uneducated in the social sciences would be quite helpless when it comes to using or understanding the insights provided by fields such as sociology. The problem with this sort of illiteracy is also an issue of acknowledgement since a person may be quite willing to admit that they know very little about a scientific or artistic field but they may believe internally that hey are quite aware of social issues and the field of sociology. This conceptual awareness is weak and what adds to some people’s social illiteracy is the lack of acknowledgement that they are not fully aware of sociology as a science. They do not recognize that they are ignorant of social theories that can explain the shape of society as well as show why the social order operates the way it does. Instead of seeking proper knowledge and the evidence gathered by sociologists, socially ignorant individuals may take their own personal beliefs to be valid scientific knowledge. By using the schemas they have about the social system they live in, socially ignorant people use their own assumptions to not only view the world but also to explain it to others. In fact, the individuals who are suffering from social illiteracy are also suffering from the lack of sociological imagination. It is certainly true that many people can work as volunteers and even work as social workers in society but for the most part, they are unable to see beyond what they are doing. The issues concerning policy making and the problems of creating an effective social structure remain elusive to them. Without sociological imagination, it is impossible for them to see how their contribution to their sphere in a positive manner is

Wednesday, October 30, 2019

UK Economic Policies Dissertation Example | Topics and Well Written Essays - 500 words

UK Economic Policies - Dissertation Example Economic Policy Measures undertaken on or before the 1990s. †¢ Privatization ï  ¶ Mainly aimed to tackle the stagflation that gulped the nation during the 1970s and to prevent further such developments. However has been criticised by a number of economists. ï  ¶ Also enabled the revision of labour laws so as to reduce the power of the labour union and assign more power to the company. ï  ¶ Moreover, the competitive spirit that the step would instil among the producers will help the nation to achieve a comparatively advantageous position. ï  ¶ Most relevant sectors, other than the postal system, were privatized. ï  ¶ The scheme was preceded by a number of failures and required a lot of effort from the then Prime Minister, Margaret Thatcher, before it finally achieved success almost a decade later. †¢ Reduction in unemployment benefits combined with a modification of tax laws that might act as an incentive for higher production and thus an improved GDP position (Wagnur, 2000). †¢ Modification of the education system in the country and providing maximum financial coverage to the students. †¢ New pension plans so as to shift the burden from the state to the individuals. ï  ¶ Introduction of pay-as-you-go scheme in the occupational structure, where the individual has to purchase and become a part of some pension benefit scheme (Taylor-Gooby, 2006). †¢ Increased housing ownership due to introduction of buyer-side subsidies. †¢ Capital account convertibility that helped the inflow foreign investments.

Sunday, October 27, 2019

Anaesthetic care

Anaesthetic care In the following text I the author will provide an account of the anaesthetic care given to a paediatric patient in my care during a surgical procedure to repair her cleft palate. I will discuss the rationale behind the chosen anaesthetic technique and will analyse why the method was identified as the most suitable backing the findings up with related literature. The text will explore the care given to the patient and the preparation needed to ensure a safe procedure starting from the pre-assessment visit right to the anaesthetic room looking at the roles of some of the multi disciplinary team members involved in the childs care. An episode of care for any individual patient is a complex series of interactions that make up the process of care. The recipient of this anaesthetic care is an 8-month-old female, who, as patient confidentiality forbids the use of her real name (NMC 2002a) shall be known as Eve. Eve was born at 41 weeks gestation, during a routine prenatal scan at 23 weeks gestation an abnormality of her facial structure was noted, her parents were informed of this and counselling and advice was offered. The extent of the abnormality was not seen until Eve was born. She was born with a unilateral cleft lip and palate, which is were there is a single cleft of the lip, and the hard, and soft palate are also divided (Shprintzen and Bardach 1995) but was otherwise fit and well. In accordance to Watson et al 2001 clefts of the lip and palate may be isolated deformities or may be a part of a syndrome. Eve has not been diagnosed with a syndrome there for this is an isolated deformity. Watson (2001) suggests that non-syndromic clefts are multi-factorial in origin and could occur due to gene involvement, various environmental factors or embryo development in relation the mothers life choices during pregnancy i.e. excessive alcohol, drug abuse etc. Eve had previously undergone the first stage of the surgery, which was a repair to her cleft lip. This is done between the ages of two and four months within our trust. This is mainly due to cosmetic reasons but also to encourage oral feeding and sucking and to encourage the tissues to grow at the same rate as the childs facial structure (Watson Et al, 2001). Eve was admitted to hospital the day prior to her surgery. Eves mother had requested this rather than attending pre-admission clinic as she had problems with transportation to the hospital. This highlights good communication (Department of Health, 2003) between the nursing staff and Eves mother, which is of benefit to both the child and the familys needs (Clayton, 2000). The Department of Health (1989) states that the welfare of the child is paramount, however Smith and Daughtrey (2000) believe that it is also important to ensure that parental needs are also met. Wong (1999), states that good family centred care is considerate of all family members needs and not only the needs of the child. The initial assessment of Eve involved her primary nurse, Eve and her mother Joanne. The cleft palate pathway was used as assessment aid and highlighted any needs that Eve and her family had. The anaesthetist (Dr A) then examined Eve and was able to explain the procedure to Eves mother. This meeting with Dr A provided Eves mother with both verbal and written information therefore equipping the family with knowledge and support (Summerton, 1998). During Dr As visit she was able to assess Eves physical and mental condition ensuring that it would be safe to administer a general anaesthetic. During this assessment Dr A was able to request that routine blood samples were taken including cross match in case Eve should need a blood transfusion due to high blood loss during the procedure. She was able to read the operation notes from Eves previous visit making notes of the ET tube size used, the analgesia given, there amounts and if they had the given effects on Eves pain relief and do an assessment of Eves airway. Dr A was aware that Eve would have a difficult airway due to her cleft palate and the fact that her mother reports of her snoring whilst asleep, however she is also aware that assessment of this can be difficult due to Eve being uncooperative or asleep and that most tests used in adult practice including the mallampati scoring system are not validated for use in the paediatric population and are not really useful in the y ounger child (Sumner and Hatch, 1999). She was able to discuss the proposed anaesthetic and pain relief techniques and pre warn eves mother about the monitoring that she may see being used on eve in both the anaesthetic and recovery rooms. Dr A also discussed the use of premeditation such as madazalam with Joanne, it was decided that Eve would not have this as rendering her semi or fully unconscious with a respiratory depressant drug can become hazardous due to Eves cleft palate as her tongue may fall backwards and obstruct her already compromised airway (Sasada, M and Smith, S.2003). All information obtained during the pre assessment by Dr A should and was relayed to the operation department practioner (ODP) who was working alongside her during the case, ensuring that all equipment needed was readily available as and when needed. As Morton (1997) states the motto â€Å"Be Prepared† is a very important principle in anaesthesia. If things were to go wrong during the anaesthesia, intervention must be immediate to avoid harm to the patient; therefore preparation and the checking of equipment and drugs are vital. At the start of each case careful attention to detail is required when setting up the work area. The anaesthetic machine both in the anaesthetic room and in side theatre must be checked in accordance with The Association of Anaesthetists guidelines (Appendix 1) and the manufactures guidelines, and all equipment required must be gathered. There seems to be no set guidelines stating the exact equipment needed so the anaesthetist and the ODP must work together and decide for themselves what they need. â€Å"The success of a paediatric procedure depends not only on the skill and knowledge of the anaesthetist, but also on the possession and utilisation of the proper equipment† (Bell.1991.pg81) Bell (1991) offers the Pre-Anaesthesia Checklist: SCOMLADI that may help towards the selection of equipment: SCOMLADI is a mnemonic for Suction Circuit Oxygen Monitors Laryngoscope handle and blades Airway oral, nasal, ETT, +/- LMA Drugs: Intravenous drips (Bell, 1991.) In Eves case the pieces of equipment that were made available were: Suction, this can be a vital piece of equipment during anaesthesia. This is due to the fact that it can remove gubbings that may cause airway obstruction quickly ensuring the safety of the unconscious patient, although great care must be taken when using suction on an oral wound to ensure no further damage or trauma to the repaired area (Stoddart and Lauder, 2004) Circuit, the Jackson Rees modification of the Ayres t-piece is the main choice as it was designing for paediatric use and it is said to decrease the resistance to breathing by eliminating valves and decreases the amount of dead space in the circuit. Oxygen, this is readily available on the anaesthetic machine. The oxygen is delivered to the machine via a pipeline from the hospital stores. There must also be a full cylinder on the machine for use in case of a malfunction of the pipeline supply. This must be checked during the machine check. Monitors and monitoring aids. Some of the important aids are: Pulse oximeter, this gives a continuous reading of the oxygen saturation in the blood via a fingertip sensor. Although extremely reliable the probes may not pick up a good trace if the patient is cold of has a poor peripheral perfusion. ECG, This provides us with the information of the heart rate and rhythm. This is a valuable aid in detecting bradycardia and arrhythmias in paediatric patients. Blood pressure (bp), the most common way to measure Bp is by using a cuff this is known as non-invasive. Parameters are set on the monitoring console to enable the cuff to inflate and record the patients blood pressure at regular intervals. Arterial Bp can be measured via a cannula placed in an artery, which attaches to a transducer, this is known as invasive monitoring and can give continuous readings. In Eves case a cuff was used in accordance to Dr As wishes. Capnography This is attached to the breathing circuit and analyses the gas mixture. The monitor displays the concentration of oxygen, nitrous oxide, carbon dioxide and volatile agents. This information is useful for assessing the adequacy in ventilation and the depth of anaesthesia. The presence of carbon dioxide on the reading confirms that the ET tube is in the right place (Morton, 1997). Temperature Infants lose heat very quickly and there ability to maintain their own temperature is blocked by the anaesthetic (Kumar, 1998). A naso/oesophageal probe is placed in Eves nostril instead of her mouth, as that is where the surgery is taking place. There is other methods of monitoring available such as blood gases, central venous pressure, neuro muscular transmission etc but in Eves case these would only be used if Dr A requested them. Laryngoscope and blade, the different choices of blades are due to the variation in the anatomy found in small infants and children, this is due to the fact that a childs larynx lies higher and more interiorly in the neck and there epiglottis is longer and thinner than adults (Watson, 2001). The use of different size and shape blades is down to the anaesthetists personal choice Dr A prefers to use a lateral approach with a straight blade such as a Magill (Morton.1997). Dr A also likes to have a piece of rolled up gauze filling the cleft to ensure that the blade does not get caught in the deep cleft. The difficult intubations trolley is also essential this is because there is a large selection of different blades, handles, bougies and airways such as cut/uncut endotracheal tubes, guidell airways, laryngeal masks and face masks which are all available on hand. Airways, A selection of pre-formed south facing, uncut and reinforced endotracheal tubes. The size of which can be calculated by using a formula (age / 4 + 4.5 = estimated tube size) or by the childs weight (Morton, 1997). Eve should take a 4.0mm tube but it was noted on her last anaesthetic sheet that a 3.5mm tube was used with a gauze pack insitu due to her different anatomy. Drugs, There are many different types of anaesthetic drugs available such as Volatile induction agents (Gas), Intravenous induction agents, muscle relaxants, reversal agents, anti emetics, local anaesthesia and analgesics. All of which have the own pros and cons for using them. Dr A has chosen to use the volatile agent Sevoflurane in order to initially anaesthetise Eve this is due to the fact that Eves Venous access is poor due to her being a â€Å"podgy† baby. Sevoflurane is the least pungent and irritant of the volatiles and rivals many of the other inhalation induction agents for children. Eve was induced with oxygen, nitrous oxide and 8% sevoflurane, her airway was difficult to maintain due to her tongue being large in relation to her oral cavity which is normal in infants (Wong, 1999) therefore a size 1 guedel airway was used in order to keep the tongue from causing an obstruction. Anaesthesia was maintained with oxygen, nitrous oxide and isoflurane another of the volatil e agents also used within paediatrics with the feeling that this is mainly due to the low cost. Eve also had an infusion of the opioid remi-fentinal. Intra-Venous (IV), IV access was gained when an adequate depth of anaesthesia was reached and endoteacheal intubation was achieved. In total four IV lines were inserted, one to administer IV drugs such as anti emetics, anti biotics and IV pain relief etc. another for the IV infusion of Remi fentinal pain relief. Another for the maintenance fluids and the last on as a spare of to use if blood products are needed. Fluid therapy is important in both adults and children due to the fact that they have been nil by mouth for many hours before there procedure in accordance to hospital guidelines. IV fluids are given as maintenance to preserve hydration, to compensate fluid/electrolyte defects as a result of fasting and also to replace ongoing loss due to evaporation and surgical bleeding (Wong, 1999). As well as the preparation of the anaesthetic room the ODP must also ensure that all equipment needed inside theatre and during the procedure is available such as an operating table that is in good working order, a cleft palate mattress to ensure the correct positioning of Eve, a warming blanket to ensure temperature maintenance and a jelly mat to protect from pressure area sores (Kumar, 1998). It is also the ODPs responsibility along with Dr A to ensure that Eve is transferred in to theatre and on the to operating table safely, that all monitoring equipment is transferred to the inside machines and that all IV therapy equipment is connected before the surgeon preps and drapes the patient as this helps towards maintaining the sterile field around the patient. Throughout the surgery it is seen as best practice for the ODP to remain within close proximity to the patient and anaesthetist in case there is a problem (Kumar, 1998), one such problem noted in Eves case was that when the surgeon inserted the gag needed to keep Eves mouth open he unintentionally moved the position of the ET tube causing a drop in her O2 saturations. Dr A listened to Eves chest with a stethoscope whilst hand ventilating her, this enable her to reposition the ET tube back in to the correct position. Once back in the right place more tape was applied, and the tube was fastened in more securely. If Dr A was unable to just reposition the tube she would have had to remove the tube and reintubate Eve, this means that she would have needed a new Et tube the laryngoscope and blade, maybe a face mask in order to pre oxygenate before re intubation. This is the main reason why all intubation equipment used in the anaesthetic room must follow with the patient into theatre. Whilst in theatre a mechanical ventilator is use in order to ventilate Eve. The Newfield 200 is the vent used within this trust it works by intermittently occluding the expiratory limb of the t-piece and is able to compensate for any leaks around the tube. The ventilator can be adjusted in accordance to Dr As request meeting Eves needs by changing the pressures and times needed. Ventilation was once carried out purely by squeezing the bag by hand; leaving the anaesthetist with just one hand to do other important things such as administer medication or record information, meaning that the Newfield 200 is the preferred method of ventilation in recent times (Sumner and Hatch, 1999). Following the procedure Dr A stopped the infusion of Remi Fentinal and turned off the volatile gas this was to help with the waking up procedure and the safe extubation of Eve. Dr A also ensured that the pack inserted at the beginning was removed safely without causing trauma. Extubation should take place when the patient is fully conscious with there protective reflexes fully intact (Sumner and Hatch, 1999), this is even more important in Eves case due to the nature of her surgery as there could be excessive bleeding or oedema due to the trauma of the oral surgery causing more obstruction to her airway. Although suction should be available during extubation it is noted that large suction catheters such as a yanker should not be used and suction kept to a minimum this is to lower the risk of airway obstruction caused by trauma or by disruption of the surgical repair site. Eves was extubated safely and was transferred to the recovery room with out the need of ICU or HDU intervention. There she was given o2 and monitored by trained recovery staff until they were satisfied that she was able to maintain her own airway and o2 saturations, there was no or minimal blood loss from the wound site and she was pain free. Dr A had prescribed Eve with analgesics to be given back on the ward if needed, this was to ensure that she had a pain free recovery preventing her from getting upset and crying which can encourage the healing process of the wound and maintaining her patient airway. The process of Eves anaesthetic ran a smooth cause. She remained safe throughout the procedure. Great care and planning by both Dr A and the ODP ensured that all events that may have occurred were well prepared for.

Friday, October 25, 2019

Bad Science :: essays research papers fc

  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   Bad Science   Ã‚  Ã‚  Ã‚  Ã‚  On Monday, November 15th, 1982 the New York Times published an article entitled â€Å"Out of Death, a Zest for Life.† The title caught my eye because it seemed to be the only one that didn’t have to do with politics, the economy, or terrorism. The author, Nadine Brozan, wrote this article based on an interview with a woman named Dr. Gisella Perl. Dr. Perl was a Hungarian gynecologist and a survivor of the Holocaust from one of its most famous death camps; Auschwitz. As a prisoner, she was allowed to work as a doctor who was forced to aid Dr. Josef Mengele. Dr. Mengele was a man who practiced very bizarre, unethical medical experiments on the prisoners of Auschwitz and he eventually became known as â€Å"the doctor of death† or â€Å"the angel of death.† Dr, Perl said, â€Å"One of the greatest crimes in Auschwitz was to be pregnant.† (Brozan C: 20) Not only did Dr. Mengele perform horrible experiments on pregnant women, but he also preformed tests on handicapped prisoners and twins (which he is most famous for).   Ã‚  Ã‚  Ã‚  Ã‚  Dr. Mengele tricked Dr. Perl into sending the pregnant woman to him. â€Å"He said that they would go to another camp for better nutrition....I learned that they were all taken to the research block to be used as guinea pigs, and then the two lives would be thrown in the crematorium.† (Brozan C: 20) As far as sanitation was concerned at Auschwitz, there really wasn’t any. It is a fact that Dr. Mengele’s hospital had no beds, no operating tools, not even bandages. (Brozan C: 20) When compared to the hospitals in the United States, I feel that a hospital in Auschwitz does not deserve the title, â€Å"hospital.† Apparently, Dr. Perl felt the same way. She took it upon herself to find the women held prisoner in the camp, and some how made them deliver their babies prematurely (Brozan C: 20). â€Å"Hundreds of times I had premature deliveries. No one will ever know what it meant to me to destroy those babies, but if I had not done it, both mother and child would have been cruelly murdered.† (Brozan C: 20) It really makes me think how horrible it must have been for Dr. Perl. A very powerful quote taken from the article has her saying, â€Å"God, you owe me a life, a living baby.† For her to say this every time she enters the delivery rooms makes it difficult to imagine the massive amounts of babies she delivered that did not possess a life; that had even gotten the opportunity to take a breath of air.