Friday, August 16, 2019
Everyday Use Essay
ââ¬Å"Everyday Useâ⬠is a highly symbolic story with manifold themes and interpretations. It not only locates conflict that existed within the Afro-American community and presents life in relation to modern and traditional concept of Afro-American heritage but it further takes into account the feminist themes and agendas. It is a representative story of Black movement of 1960s but it does not manifest the Afro-American quest for socio-cultural identity like other Black Movement literature. The central conflict is symbolized by two main characters; Mrs. Johnson and Dee. Dee is an epitome of shallow materialism and an adherent of prevailing concept of heritage where heritage is revered only for trendiness and aesthetic attraction whereas Mrs. Johnson admires heritage for its practical utility and personal importance. Central conflict is between Maggie and Dee and it is about whether legacy and heritage subsists in belongings or in spirit. Deeââ¬â¢s longing for heritage is for ostentatious reasons. Contemporary periodical necessities make her cherish and celebrate her Afro-American heritage. But Mrs. Johnson and Maggie have learnt to live with their heritage. Dee is captivated by the beauty of ââ¬Å"churn topâ⬠and wanted to have it to be used as centerpiece for her alcove table whereas Mrs. Johnson has used it practically for churn butter hitherto. Walker utilizes the butter churn to demonstrate Mrs. Johnsonââ¬â¢s intrinsic understanding of heritage. When [Dee] finished wrapping the dasher the handle stuck out. I took it for a moment in my hands. You didnââ¬â¢t even have to look close to see where hands pushing the dasher up and down to make butter had left a kind of sink in the wood. In fact, there were a lot of small sinks; you could see where thumbs and fingers had sunk into the wood. It was a beautiful light yellow wood, from a tree that grew in the yard where Big Dee and Stash had lived. (Walker, ââ¬Å"Everyday Useâ⬠use page number from your textbook) The narration of the story is in first-person where everything is reported and understood through the lenses of Mrs. Johnson. Her observation is astute as she provides minute details about the actions of her daughters. Alice Walker has introduced various symbols and figurative language to communicate some thematic expressions. The conflict of heritage becomes more evident as well as critical as the quilts are brought in the story. It signifies the procedure from which the insignificant and worthless may be changed into the valued and functional. The development of Dee into Wangero shows various facets and phases through which black identity passed during late 1960s and 1970s. Predilection for appearance as compared with spirit remained hallmark of this era and this trend is manifested through Deeââ¬â¢s transformation into Wangero. Social standing of females was a favorite subject to the writers at the start of 20th century. Society was dominated by patriarchy, male chauvinism and supremacy whereas women were perceived as fragile and dependant. Every Day Use is a thematic expression of feminism and manifests it at various levels and in various orientations. It also revolves around the same theme which was basically about their feminist struggles. In ââ¬Å"Everyday Useâ⬠, Alice juxtaposes the female character against the pathos and miseries of life and demonstrates their strong will and mental capacity to stand against those hardships. They are subservient to any male character and do not needs their companionship. Hence Alice augments their characterization by inculcating a female identity. Although Feminism stands for women to have the same status as men in the society but Alice exhibits another manifestation of Feminism i. e. not a wish to have equal status but a practical demonstration to contribute equally to the socio-cultural milieu of the time. Dee is an epitome of shallow materialistic feminism and an adherent of prevailing concept of feminism that believes in things and materialistic feministic achievements whereas Mrs. Johnson looks at the spirit of feminism and contributes toward it at her own level. She raises up two daughters by her own. This implies she has already taken the position of a father. These kinds of female have the ability to make their own decisions and have independence of thought and actions. The mother even shows how useful and strong a woman is. In the story, Alice Walker pointed out that the mother is ââ¬Å"a large, big-boned woman with rough, man-working handsâ⬠. So Everyday Use is not a mere feministic wish to acquire equal status and should be considered and treated on equal terms but it is a practical manifestation of this feminist thought and ideology. Overall, Walker has invited us start living with our heritage instead of merely cherishing it. She further wants us to search our roots in the American soil instead of locating it on other continents. This story has eternalized the Afro-American themes in particular and feminist theme in general. The characteristic that makes the story universal and eternal is symbolic representation f the above-mentioned themes. It can be read and interpreted in various ways and at various levels.
A Martian Sends a Postcard Home, by Craig Raine Essay
Formal The first method of criticism to use to better understand the 1979 poem ââ¬Å"A Martian Sends a Postcard Homeâ⬠by Craig Raine is Formalism. When you want to analyze a poem wishing the formalist method you should look at three things. The form, the physical structure of the poem, such as the length of the lines or stanzas, their rhythms, and their rhymes and repetition. Next is diction, what the words of the poem literally mean and why they chose that exact word instead of another one. Last is the unity of the poem, this is when significant parts of the poem come together to make the entire then whole. A formalist will look at all of these things when they critique a poem to try to understand the deeper meaning. Letââ¬â¢s first look at the structure of the poem. ââ¬Å"A Martian Sends a Postcard Homeâ⬠is comprised of 34 lines in couplets that do not rhyme. Sometimes words seem to be places where they shouldnââ¬â¢t be almost overflowing onto the next line. This use of couplets is for the readers benefit, it makes the poem much easier to read on the page. He also could have formatted his poem like this because the poem contains many metaphors and it is easier to focus on the metaphor if there is a break in between. Cleanth Brooks would call this an Aesthetic Structure because the structure of the poem is meant for the readers to understand it easier. Raine tries to write the poem to appeal to whoever is reading it and that is why he chose this form of writing in his poem. Second, we need to look at the diction inside the poem and there is a lot of interesting word choices by Raine. The best way to do this is to look at what words are in each line and what each line is saying. The first six lines are where the author uses his first comparison. A Caxton is a reference to the Englishman Will Caxton who first printed books. He then compares these books to a creature of earth, birds. He compares the birdââ¬â¢s wings to the pages of the books and both birds and books each have their way of showing their importance or meaning. Birds show how their importance and meaning with their color and books show how their importance and meaning with the words they contain. ââ¬Å"cause the eyes to melt/ or the body to shriek without painâ⬠refer to human emotions cry and laugh that the speaker of the poem (The Martian) doesnââ¬â¢t understand. Then he goes on to say how a book cannot fly but he has seen one perch on the hand, making note of how humans hold bo oks as they read them. The next four lines also make a comparison between nature and mankind. ââ¬Å"Mist is when the sky is tired of flightâ⬠could be saying that the sky is a way to travel for the Martian through a UFO or spaceship. ââ¬Å"engravings under tissue paperâ⬠takes us back to a book but this time it seems unimportant, like the Martian might not understand the importance of a book. Lines 11 and 12 the rain is compared to a T.V. They both make things appear darker than they really. Also, rain could be like the static in a T.V when the signal is fuzzy often when it is raining. The next two lines talk about ââ¬Å"a Model Tâ⬠which is a kind of car that was very popular in the early 1900ââ¬â¢s. The ââ¬Å"roomâ⬠is the inside of the car where everyone sits and the ââ¬Å"lockâ⬠is ignition where the key goes. ââ¬Å"Key is turned to free the worldâ⬠is the car moving and the ââ¬Å"filmâ⬠is the mirror that lets you see the world as it goes by in case you mis sed something. Lines 17 and 18 talks about something a lot of people have an obsession with keeping track of, time. Tied to a wrist is a watch and kept in a box is a clock. The Martian is saying that humans try to make time an object and there is no reason for this because your time will always run out. Lines 19- 24 make another comparison to mankind and nature, an ongoing theme in the poem. This time itââ¬â¢s comparing a telephone to a baby. If the phone rings it is similar to a baby when it cries, a parent needs to pick the baby up when it cries as you need to pick up the phone when it is ringing. When the baby is tickled it is like when you dial a number into the phone you are both using your fingers do the action. The next six lines talk about a child and an adult using the restrooms differently. The children ââ¬Å"are allowed to suffer/openlyâ⬠while the ââ¬Å"Adults go to a punishment room / with water but nothing to eat.â⬠Going back to a similar theme with time being imprisoned the people impress themselves in these bathrooms. Everyone is punished when they use the restroom and no one is safe from this punishment. The people force themselves to use the restroom and the children as well, in the eyes of the Martian. The last lines have the last comparison which brings us full circle in the poem. He makes the comparison of reading to dreaming. The night everything becomes dark and the people as a couple start to dream. The author might have used couples like how the whole poem is in couplets showing that humans belong in pairs. ââ¬Å"With their eyelids shutâ⬠is them sleeping in bed ââ¬Å"read about themselvesâ⬠is their dreams. All in all, there are many metaphors to unpack in this poem and you start to get an understanding of the overall meaning of the poem and its unity. So what message is Raine trying to get across to us with all of his man vs nature metaphors? A formalist would argue that Raine is just trying to paint a picture of what an outsider would actually see if they were not in our society. They donââ¬â¢t see things the way humans do and they canââ¬â¢t even think of the right words to say for the things the Martian is seeing. The metaphors thought out the poem reinforce the point that the Martian isnââ¬â¢t sure what he is seeing and can only describe them in things that he has seen before. The Martian is able to take his experiences and connect them in a way with the humans. He thinks some of the things they do are strange and funny at the time, but he can still make references to his own life and his views on life. However, this might not at all be what the author is saying. It is possible that we have no idea what Raine meant when writing this poem and Allen Tate argues the only real way to understand what modern poetry contains is to ââ¬Å"Start young, read the classical languages and later read the philosophers.â⬠We can only make a guess at what Raine was saying in this poem and that is what makes poetry beautiful. Everyone can take it their own way, an infinite possibility of what the poem means to them or to anyone. Or could it be that formalism is not the best method of understanding this poem and we need to look more outside the text to understand what Raine meant? Psychological Criticism This next method of Criticism isnââ¬â¢t as much as taking the text at face value like the formalist method. It is about trying to get inside the mind of the author and figure out what was going on in his head when he was writing his poetry. There are 4 main critics that use Psychological criticism when unpacking literary work and they each have similar but unique styles when doing so. The first is Sigmund Freud, to have a Freudian approach to this text you would not oversimplify what the author meant and exaggerate your interoperations of symbolism as well as using all of Freudââ¬â¢s psychological jargon. This will allow you to dive deeper into the text and not just float on the top of the water. The second is Carl Jung and Mythological Criticism. Jung focuses on two things, the Conscious/Unconscious and archetypes. The Conscious/Unconscious refer to the human psyche and how our ancient ancestors thought and felt. Archetypes are very typical examples of a certain person or thin g. Jung talks about archetypes for characters, images, and situations. The third Northrop Frye used Jungââ¬â¢s ideas of archetypes to help promote his ââ¬Å"theory of mythsâ⬠. Frye argued that every text follows one of four mythoi and the whole text was called the monomyth. Last Jacques Lacan came up with an updated Freudian method for understanding literature. He had a different method for analysis characters in stories such as other and Other. The small o being the inside and the Big O is the outside of the body. Lacan also came up with Antirealism which is his assertion that langue is detached from reality. All of these four authors methods are important when looking at what Rain meant when writing ââ¬Å"A Martain Sends a Postcard Homeâ⬠and to get a better understand lets us apply of these to the Poem. The last Stanza of this poem ââ¬Å"read about themselves/ in color, with their eyelids shutâ⬠could be argued that this is a dream that the humans are having. Freudian theory becomes stronger when people are dreaming, Freud believed that dreams are a symbol of antiquity and that their dreams contain the needs of the induvial that they might fight troublesome
Thursday, August 15, 2019
Management of technology Essay
Explain the term ââ¬Å"Technofact. â⬠How can it be used to define Technology, and Management of Technology? Explain the value and advantage of the term Technofact, compared to other definitions and common agreement about technology. Explain the weaknesses, missing elements, and contradictions in this term. Technofact is a reproducible object created by humans. By reproducible I refer to any product (tangible or virtual) of which the intention of its human creator was to make more of exactly the same, using the same methodology. Once weââ¬â¢ve defined technofact, we are able to focus the term technology around this entity, and to define it as the capability of creating technofacts (or the human capability of creating reproducible objects). Technology is not the technical object itself but rather the capability of creating it over on over again. Other fields of science concentrate on understanding and gathering knowledge around the entity that is in the center of the science in question while the technology ââ¬Å"scienceâ⬠is a capability, which is more than merely an understanding. On top of the knowledge gathered, the term encapsulates the creation itself, the know-how. The different aspects of the means to establish that capability ought to be coordinated and managed, thus, management of technology can only be defined if we separate the term technology from the objects, the technofacts, as one can not manage objects. Most of the traditional definitions of the term technology are either inaccurate or too broad. Inaccurate when the definition refer to objects (tools, products) as the technology itself. Too broad when the definition refer to any human activity (van Wyk), which might include forms of art that can not be considered as a technology. Another broad approach can be found in definitions that consider any nature manipulation as a technology (is navigation by stars a technology? ). There are three cases in which I find difficulty with the term technofact as the central entity that technology deals with: 1. When the product has an inherited random element: Consider a computer program that creates random melodies (or drawings) pleasant to the human ear (or eye), based on some mathematical rules. The program itself is obviously a virtual technofact, but are the new melodies or drawings created by it can also be considered technofacts? Obviously, they are being created over and over again using the same technology, but each time the program produces something different. 2. When the product is a natural object or resource: For example in agriculture. Carrots cannot be considered technofacts, but there is obviously a technology to grow carrots. The tools which are used in the process (a plow or a combine) are technofacts, which farmers use to produce the crop itself, but they are not the reproducible product the technology deals with. Another examples can be mining technologies. The end product is the extracted material, which can not be considered a technofact. 3. When the product is an action: For example, the capability to lift heavy weights. A crane is a technofact, but it is not the reproducible object this specific technology enable to reproduce. The reproducible object in this case is not an object but rather an action. What is a ââ¬Å"Technology-Based Organizationâ⬠? Give an example for a TBO and non-TBO. Can a company be a TBO for a limited time? Explain and give an example. A technology based organization is an organization that uses technology to create economic value or to create a competitive business advantage over other competing organizations. The organization can be continuously pursuing technological improvements, manufacturing technofacts or both. This kind of an organization will be perpetually considered a TBO. On the other hand a non-TBO organization can become one for a limited time, if it incorporates a new technology to improve its processes, thus creating an advantage over its competitors. During the process of assimilating the technology and the time that takes other players to use the same technology, a non-TBO organization can be considered a TBO, as it creates economic value using technology. Consider an imaginary traditional dairy that used to produce milk in the old milking fashion, using the farmerââ¬â¢s hands and a big nice bucket. At some point the farmer decided to acquire a milking machine from his engineer friend that had recently established a milking equipment factory using his own inventions. The farmer installed the machine in his farm and taught his kid how to use it, so he can peacefully retire. During the next couple of years, the farmerââ¬â¢s kid gained an advantage over his neighbor farmers, bought more cows, made a small fortune and established a new dairy company (which he called after his dad). Few years later, after all the other farmers had done the same, the farmerââ¬â¢s kid decided to install digital thermometers in the dairy (acquired from the very same milking equipment factory), and became the leading milk provider to the entire region, with the reputation of having the freshest milk around. Again, achieving an economic advantage using new technology. This dairy had become a TBO for short periods of time during its existence, while the milking equipment factory that had invented and manufactured the machinery was a TBO throughout the years. Explain the term ââ¬Å"White Spacesâ⬠in the context of technological innovation. How could this term be used in an organization to help planning and decision making about innovation? White spaces are the two optional gaps between technologies and applications. The first gap exists when there is a need in the market but no solution to match it. The second gap takes place when there is a technology out there that has the capability to produce a technofact that no one knows what to do with. A technofact that did not yet find the ââ¬Å"ultimate productâ⬠it enables (where thereââ¬â¢s a way but there is no ââ¬Å"willâ⬠). Innovative organization can either fill up the first gap by pursuing new technologies to match the unanswered market needs, or they can focus their efforts around understanding the potential of existing technologies and to use them to develop new groundbreaking applications. Outlines the dangers and risks associated with rapid technological development to society and individuals. Are you pessimistic or optimistic about it? What can and should we do as a society and as individuals to benefit from technology and avoid the risks. The dangers and risks that rapid emerging technologies incorporate can come in many ways, shapes and forms according to the technology domain. From the lose of privacy through health jeopardizing, moral issues and mass destruction weapons, they all have one thing in common ââ¬â the rate of the technology adoption and development has become faster than the rate of the ability to comprehensively understanding its implications. Successful technologies are spreading swiftly, acquiring life of their own and ââ¬Å"forcingâ⬠people to use them in order to survive in the modern society. Even if a certain individual decides to rebel and not to use a specific technology directly, it still might change the environment this person lives in, to affect and endanger im just the same (e. g. cellular phones). The lose of freedom inflicted by some technologies is a big price of its own that society and individuals have to pay. History tells us that panic from new technologies had always existed, and we are probably experiencing the same unjustified fear of the unknown that the car inflicted on society a hundred years ago. But the problem with history is that it can only explain the past, while the present is unlike anything humanity imagined before. I donââ¬â¢t believe that governmental regulations aiming to restrain technology can work in the long run, but in order to control at least some of the risks, governments should cooperate globally on some issues to regulate technologies similar to the way new medicines and drugs are treated. As individuals, we must take responsibility for our health and moral values, to deal with it at all times among ourselves, to be aware of the risks we are taking and not to become blind addicts for anything new. Still, Iââ¬â¢m pessimistic as for the capability of mankind to do that and overcome its basic selfish nature.
Wednesday, August 14, 2019
One More Thing
ââ¬Å"One More Thingâ⬠: it is your choice The short story, One More Thing, is written by, American writer, Raymond Carver. Raymond Carver was born may 25, 1938, and he died august 2, 1988. He started his career back in 1958. His first break through was with the book, Carnations. One More Thing, has three characters, Rae, Maxine and L. D. The short story is about L. D. , who gets kicked out of his home. L. D. is married to Maxine, and together they have a child, Rae, who is a 15 year old girl. L. D. ââ¬â¢s selfish behaviour illustrates how much it can cost you, if you do not think about the people that you really love.L. D. is a aggressive and selfish person, which you can see through his actions. He throws the jar through the window: he picked up the jar and pitched it through the kitchen window. Also the way he talks is aggressive: ââ¬Å"All right, Iââ¬â¢m going right now,â⬠he said. ââ¬Å"It suits me to a tee. Youââ¬â¢re nuts here, anyway. This is a nuthouse. Thereââ¬â¢s another life out there. Believe me, this is no picnic, this nuthouseâ⬠. It is not written in the text, but it seems to be a problem for L. D. and his family, that he drinks to much: L. D. ââ¬â¢s wife, Maxine, told him to get the night she came home from work and found L.D. drunk again and being abusive to Rae. L. D. is also a bit confused. L. D. says many times, Iââ¬â¢m going, or when Maxine tells him to leave, he just says, ok. He says it like he does not care, like he is not against, that it is fine. How ever, when he is done packing his stuff, and also a bit of Maxines (tooth paste, soap etc. ), he comes back into the living room. Then he is hesitating, because he does not know what to say only, this is it. This is good-bye. I donââ¬â¢t know what to say, except I guess Iââ¬â¢ll never see you again. You too. Raymond Carver has a special writing style.He does not tell his reader what has happened before. He only tells the reader, the most important d etails. It is also called the minimalistic writer. He does not write much, but what he writes, is the most important. It is up to the reader to improvise, and think about what had happened. He gives his reader some responsibility, and some freedom, to use his or hers fantasy. He begins this short story real straight. There is no intro to the story, it just starts, L. D. ââ¬â¢s Wife, Maxine, told him to get outâ⬠¦ instead of for example, L. D. is a man. He is 35 years old. L. D. s married to Maxine. Normally the author would have a little intro, both for the story, but also an intro for the different characters in the story. The end of this short story, one more thing, is also different from a lot of other short stories. In this short story Raymond Carver stops the story as he has started it, real straight. Most of the times, the author gives the reader a closed ending of a story, by tell the reader where, in this case, L. D. would have gone. How ever, in this short story, Ray mond Carver let his reader decide, or make his reader fantasies of what could happen next.Raymond Carvers, one more thing, is also in a easy, understandable language. Raymond Carver does not make use of too long sentences. Most of the time he makes short directly sentences, which is easy for the reader to understand. A theme to this short story could be, that you live your life through the people around you. L. D. is really confident at the beginning of the short story. In the beginning he is quick with answers to Rae, but later on, in the short story, Rae says to him: ââ¬Å"just remember. â⬠Rae said. ââ¬Å"Itââ¬â¢s in your head. â⬠ââ¬Å"Iââ¬â¢m going, thatââ¬â¢s all I can say,â⬠L.D. said. ââ¬Å"Anyplaceâ⬠. As L. D. sees that he is actually has been thrown out of the house, and it was not just a normal fight, and he is loosing them who means something to him, he looses his confident. You need to show the important people in your life some love. Yo u need to think of them too, and not just your self. If you stop care for them, you will lose them at some point. The text reminds you of, the fact that, people around makes you, and that, you live through them. How would you be if you did not have someone that you really loved?
Tuesday, August 13, 2019
Managing business performance & IT Case Study Example | Topics and Well Written Essays - 3250 words
Managing business performance & IT - Case Study Example 1. Current inclination of the company to explore only ââ¬Å"opportunities that are not considered profitable for the large organizationsâ⬠. Propensity to niche-market only instead of aggressively competing in the market for a bigger market share. 2. Conservative (in contrast to aggressive) marketing strategies, relying mainly for repeat sales on ââ¬Å"quality of its productsâ⬠and on its ââ¬Å"competitive pricing strategyâ⬠with its related price flexibility rational 2. Profit maximization as a result of faster turn-over of products and service opportunities brought about by a likely sales increase due to increased access to company products and services by existing and prospective clients 5. Potential inability to respond quickly and appropriately to a fast-changing, technologically driven developments in the industry which might make the company become a mere industry follower instead of becoming an industry leader; a price taker instead of becoming a price leader. Porterââ¬â¢s Five Forces is a business analysis tool that is focused on the industry with which the firm or the company operates. Accordingly, a chief executive must use this business tool in order to analyze how his company fares well within the industry, and the analysis is contextualized given the peculiarities of the industry within which it operates. The framework of analysis, developed by Michael Porter, indicates the five forces which Porter claimed to be influencing the behavior of a particular company. These forces are: supplier power, buyer power, barriers to entry, threat of substitutes, and degree of rivalry (Porter, 1998). The facts of the case that were given were quite limited to do a comprehensive analysis of the industry with which the company operates. As such the analysis using Porterââ¬â¢s Five Forces is quite limited to the facts that were given, plus certain assumptions and educated guess works. According to the given facts of the case, the company has a good working
Monday, August 12, 2019
Reflective Nursing in ctitical care Account of an intubation Essay
Reflective Nursing in ctitical care Account of an intubation - Essay Example That is to say, nursing has a more active role to play in the health care delivery system than the past and nursing, as a profession is 'accountable' today. The patient in this case was admitted for an acute exacerbation of COPD with the complications of Atelectasis and Cor pulmonale. Chronic obstructive pulmonary disease (COPD), also known as chronic obstructive lung disease (COLD), is a term used to describe progressive lung diseases, which include emphysema, chronic bronchitis and chronic asthma.The common symptoms of COPD are progressive limitations of the airflow into and out of the lungs and shortness of breath. Emphysema and chronic bronchitis are closely related and patients with COPD may have both, which affects lung function, preventing the lungs from bringing oxygen to the body and getting rid of carbon dioxide. Atelectasis is a condition where there is a collapse of part or all of a lung by blockage of the bronchus or bronchioles or by very shallow breathing. Atelectasis can be both acute and chronic. Acute atelectasis is the recent collapse of the lung and is primarily notable only for airlessness. In chronic atelectasis, the affected area is often characterized by a complex mixture of airlessness, infection, bronchiectasis, and fibrosis. The most common cause of atelectasis is an obstruction of a large bronchus. Smaller airways also become blocked. The obstruction is caused by a plug of mucus, a tumor, or an inhaled foreign object inside the bronchus. Alternatively, the bronchus is also blocked by a tumor, enlarged lymph nodes, or a significant amount of pleural effusion or pneumothorax in the pleural space. When an airway becomes blocked, the air in the alveoli beyond the blockage is absorbed into the bloodstream, causing the alveoli to shrink and retract. The collapsed lung tissue commonly fills with blood cells, serum, and mucus and becomes infected. Acute atelectasis is a postoperative complication, especially after chest or abdominal surgery. Cor pulmonale is the failure of the right side of the heart caused by prolonged high blood pressure in the pulmonary artery and right ventricle of the heart.The left side of the heart exerts a higher level of blood pressure to pump blood to the body.Whereas, the right side pumps blood through the lungs with a lower pressure. Thus, any condition that leads to prolonged high blood pressure in the arteries or veins of the lungs causes a condition called pulmonary hypertension.This pulmonary hypertension is not tolerated by the right ventricle of the heart and thus fails to properly pump against these abnormally high pressures leading to cor pulmonale.Chronic lung diseases like COPD or other conditions like Obstructive sleep apnea,Central sleep apnea,Cystic fibrosis causing prolonged low blood oxygen can lead to cor pulmonale.The symptoms include shortness of breath,wheezing, coughing, swelling of the feet or ankles,exercise intolerance,chest discomfort, cyanosis,distension of the neck veins indicating high right-heart pressures,abnormal fluid collection in the abdomen, enlargement of the liver,swelling of the ankles and abnormal heart sounds.
Sunday, August 11, 2019
Triage protocol Dissertation Example | Topics and Well Written Essays - 1000 words
Triage protocol - Dissertation Example The protocol is defined in such a manner that its implementation depends on the definition of the treatment to be offered; this is because it contains both inclusion and exclusion criteria, which appropriately informs the triage nurses about the exact time to request X-Rays to avoid subjecting patients to excessive radiation. Constant review of the protocol will be conducted quarterly to ensure its appropriateness. 2. Outline the rationale for selecting the change The triage protocol suggested for implementation will help provide rapid health care services for patients in critical conditions within the emergency rooms in hospitals. Request of X-rays by triage nurses through the protocol reduces the waiting time by about 18 minutes, which leads to satisfaction of both the patients and the hospital staff (Crinson, 1999). This process entails the involvement of triage nurses, who must possess the ability to make quick decisions. In addition, triage nurses must have a high level of liste ning and communication skills and extensive knowledge of warning signs and symptoms. It is important to note that these field nurses must have vast experience in emergency medicine to be able to become triage nurses (Ward, 1999). According to the Department of Health (1997), triage is critically important since it is the foremost assessment in patient care. The surest way to save resources is to identify and separate the critically injured from the patients with less severe conditions. The new triage protocol is ready for implementation to ensure that patientsââ¬â¢ safety is taken care of and that patients are identified accurately (Davies, 1994b). 3. Discuss the organisational impact you hope the change will have and the expected outcome(s) According to the Department of Health (1997), the new triage protocol has diverse impacts in terms of how hospitals operate. The protocol is expected to bring quality in health care provision through effectiveness and efficiency of healthcare delivery. The program will also boost the employee welfare in terms of the learning and education of the nurses. Triage is, therefore, very important in hospitals, most so in emergency departments worldwide, as it helps prevent overcrowding. Therefore, it improves emergency care through prioritization during clinical emergencies. Despite resource consumption variations in patients, triage nurses are urged through ESI resource and through prediction thinking to solve the presented emergencies (Cutts, 1999). It is also in addition that resources in emergency departments consume general resources. For instance, a provider seeing a very old patient with an in dwelling urinary catheter and complaints of fever and cough will call for blood order and urine test with chest X-Ray. The triage nurse can, therefore, accurately predict the patientsââ¬â¢ needs for two or more resources and thus be able to classify the patient as ESI level 3 through triage protocol. According to the Department of Health (2000), the outcomes of this change will be the ability for the future advancement of the same protocol; it will also ensure that there is ease in distinguishing between the responder and the
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