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 The Clinical Situation And Plan Nursing Interventions
The case scenario will look at the journey of Mr Larry Lyons, has been admitted to the University
Hospital for a scheduled cholecystectomy. The intended procedure will be performed by a
laparoscopy however there is a chance that a laparotomy may be required. The patient has no
previous known medical condition. It will discuss and analysis the nursing interventions,
therapeutic communication and person centred approach to perioperative care. Surgery is a
unique experience and no two people respond the same to similar operations. No matter how
minor or major the surgery it can still be a stress to the patient who can be left feeling anxious and
fearful. Dempsey (2014), states perioperative care as the beginning phase of a client s decision to
have surgery and ending with the transfer to the operating theatre. I was able to analyse the clinical
situation and plan nursing interventions outlined in FILA table Appendix A. Dempsey, (2014) states
that a nurse must assess the physical and psychosocial needs of the person and family and
establishing a plan of care based on identified issues and interventions that meet the person s care
needs and facilitates recovery through the perioperative period. The desired outcomes for Mr Lyons
include being educated about the procedure, to understand the preoperative procedure and sensation,
postoperative care and sensations for example sore throat, cool temperature. Demonstrate post op
exercises and breathing techniques and provide
 Mozart And Beethoven s Musical Origins
Haydn began his musical career as a choirboy in Vienna up until the age of 17. Mozart and
Beethoven s musical origins are similar, both coming from families with musical backgrounds.
Mozart s father taught him and his sister before taking them to tour throughout Europe.
Beethoven also studied with his father before receiving his study abroad opportunity in Vienna in
1792. After serving as a choirboy, Haydn found himself in need of a means to make a living. He
was barely able to support himself as a freelance musician. Haydn s first serious position occurred
around 1757 when he became music director for Count Morzin. It was also around this time that
Haydn began to write some of his first symphonies. Most of Haydn s earlier symphonies were
three movement works (fast slow fast), somewhat like the Italian opera overture. Other symphonies
were four movement works arranged much like a sonata de chiesa. In 1761, Haydn began working
for the Esterházy princes, spending nearly 30 years at the Esterházy court. He composed at every
wish of the Esterházy princes; any work they demanded. Haydn s duties included conducting,
training, and supervising all musicians, and maintaining instruments. He built an orchestra of 25
players His time at Eszterhaza really influenced the success of his career; Haydn got to hear his
work in excellent performances. Because Esterhaza was so isolated, vsitors would often keep him in
the loop about music events in other locations. Haydn s compositions
 How The White Southern Identity In Bears Discover Fire, By...
The American South is largely characterized as a backwards and antiquated place, fighting to keep
a past way of life alive. While accurate at some level, the nuance of white Southern identity is
sometimes lost in this portrayal. The culture is dynamic, shifting as new ideas compete with old
ones. In his short story Bears Discover Fire , Terry Bisson not only examines how the South is
caught between the past and the future, but also illustrates the ways in which progress (no matter
how natural) can be unsettling if it appears to leave us behind. The story begins with a flat tire
causing what you might call knowing groans (Bisson), instigating a lecture from the our narrator s
brother that is clearly familiar to Bobby. The tension between... Show more content on
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While never outright aggressive like the hunter s wife and the policemen, Bobby approaches this
change with a characteristic skepticism. As he begins to spend more time with the bears,
watching their fires and seeing Little dramas...being played out as fiery chambers were created
and then destroyed (Bisson), he grows more comfortable with them. This observation in
particular, seeing fire as an agent of change, is indicative of how Bobby grows to see the bears
evolution. He sits with them, sharing in their fire, and realizes that their spirits seem solitary
(Bisson). Bobby sees them as individual beings, each with their own mind. Bisson frames the
bears as usurpers, and perhaps as more than a metaphor for general change. In this context, the
bears could be a stand in for any non White or non Southern group moving into and changing the
South. This evolution of Bobby s view on change, and a group that seems threatening to an old
way of life that had humanity as the sole fire bearers, alludes to one of the solutions for resistance
to progress in the South: exposure. Bisson illustrates how real experience and connection with
progress and diversity influences our worldview. In short, the bears aren t just bears; they are
progress, change, and groups of
 Adult Learning Style
Learning style is an individual s unique approach to learning based on strengths, weaknesses, and
preferences.
We can use most of our senses to learn. Ears, eyes, nose and tongue can be used in combination or
individually to learn new things every day. We should develop that part of our sensory system so
that we learn faster, retain more knowledge and make better decisions. You can be the sort of
learner who will read everything many times and force yourself to retain this information or be the
one who will only be able to recollect the information if someone relates it to them. Some people are
even able to use imagery to cause a stimulated response to memory and recollect them. Wether you
seek out opportunities to learn or are lead to them ... Show more content on Helpwriting.net ...
If you can develop your skills in this area you can significantly reduce time spent learning and
absorbing information. Look for opportunities to learn through audio visual presentations (such as
CD ROM and Webcasts.) When making notes, group information according to concepts and then
create visual links with arrows going to and from them. Take every opportunity you can to create
charts and tables and diagrams.
Active Learners: if you act before you think you are apt to make hasty and potentially ill informed
judgments. You need to concentrate on summarizing situations, and taking time to sit by yourself to
digest information you have been given before jumping in and discussing it with others.
Reflective Learners: if you think too much you risk doing nothing. There comes a time when a
decision has to be made or an action taken. Involve yourself in group decision making whenever
possible and try to apply the information you have in as practical a manner as
 The Famous Entrepreneur, Steven Paul Jobs
Steve Jobs Steven Paul Jobs was born on February 24, 1955, in San Francisco, California, to
Joanne Schieble and Abdulfattah John Jandali, two University of Wisconsin graduate students
who gave their unnamed son up for adoption. His dad, Abdulfattah Jandali, was a Syrian political
science professor and his mother, Joanne Schieble, worked as a speech therapist. Shortly after
Steve was placed for adoption, his biological parents married and had another child,Mona
Simpson. It was not until Jobs was 27 that he was able to uncover information on his biological
parents. Steve, was an orphan adopted by Paul and Clara Jobs of Mountain View, California in
February 1955. Jobs was not happy at school in Mountain Viewso the family moved to Los Altos,
where Steven went to Homestead High School. His electronics teacher at Homestead High, John
McCollum, recalled he was something of a loner and always had a different way of looking at
things. Steve Jobsis one of the most famous Entrepreneurs of all time. Steve Jobs permanently
redefined the method, look and feel of personal computing. He was among the first to recognize the
vast commercial potential of the graphical user interface, the mouse driven point and click system
that pilots virtually every desktop computer today. After high school, Jobs enrolled at Reed College
in Portland, Oregon. Lacking direction, he dropped out of college after six months and spent the
next 18 months dropping in on creative classes. Jobs later
 Herman Miller
Introduction Herman Miller, Inc. is primarily concentrated in the business and institutional market.
Herman Miller is one of the leading players in the US office furniture industry with a 12% market
share. Over the last several years, the entire industry has experienced significant declines in sales due
to poor macroeconomic conditions. However, Herman Miller has managed to outperform most of its
competitors in terms of profitability, illustrated through strong operating margins and return on sales.
Herman Miller has a strong reputation for high quality, innovative products, strong customerservice,
high customization, and reliability. This strong brand equity enables the company to leverage its
brand strength across different market... Show more content on Helpwriting.net ...
Threat of New Entrants
Herman Miller specializes in the design and manufacture of high end office furniture. The company
has established itself as a premium manufacturer of these products. With research and development
costs being over $20 million a year, most companies are not capable of entering into this high end
market. With the future of the industry currently looking to be on the downside due to prolonged
effects of the recession, most potential new entrants will be driven away from investing into the
office furniture industry. Also, Herman Miller s high end product line would be difficult for
competitors to imitate due to high research and development costs, and moderately high capital
expenditures needed to start up. These factors would determine a Low Threat of Entry.

Threat of Substitutes
There are a number of available substitute products in the office furniture industry. Customers can
easily switch to another product because of price, service, or several other factors. These factors
determine the Threat of Substitutes to be high.

Bargaining Power of Suppliers

The items used in healthcare furnishings are standard throughout the industry. Suppliers are plentiful
and manufactures can easily switch suppliers.
Bargaining Power of Buyers
Customers of office furniture have a number of companies to choose from, and an even larger
variation of products to choose from. Buyers can choose between a large range of prices and
 Now a day, Consumers’ demands have been changed in terms...
Now a day, Consumers demands have been changed in terms of fashion, brand name, brand
authenticity, quality of the product and, its environment impact during production and end use. In
past few years, activities associated with pirated products have enormously increased and, in today s
competitive world brandprotection has become a major issue for all the existing companies along
with the quality product, good service and competitive prices. Also, companies are very much
cautious about the supply chain of the product because they don t want to give any opportunity to
the other competitor to steal their customers. Textile is one of mostly affected sector and barely able
to deal with the problems of counterfeiting and brand protection.... Show more content on
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The complexity related to the manufacturing process allows producing only certain number of
unique labels which are replicated over and again for all the products. Thus, every label does not
carry unique identity rather a group of labels carry same identity and which is different from other
group. These labels cannot act as DNA for one item and therefore neither useful in supply chain
management nor for the blue prints information of the product.
For addressing these problems, few other techniques have been proposed which includes such as
Radio frequency identification tag or RFID, encrypted bar codes (1D and 2D). Bar codes (1D)
contain the linear lines of different width arranged parallel in different sequences depending upon
the code associated with it. Similarly, 2D barcodes contain rectangles of different dimension
arranged in matrix form and, each rectangle denotes a character. Thus, the combination of rectangles
arrangement in 2D square matrix makes a unique code for identification. Information related to the
product can be uploaded on a central server and coupled with the code given on product barcode.
Therefore, information regarding any product can be accessed using code generated by scanning
barcode. Similarly, they are very useful in product tracking in supply chain. The labels having
barcode are easy to produce by simple printing on paper or polymeric film which can be attached or
sewed to the fabric. For avoiding the
 Examples Of Scrooge
A life without cause is a life without effect, a famous quote from Paulo Coelho. This quote is
similar to Ebenezer Scrooge s transformation. Scrooge, being as miserly as he was causing a
bigger impact on the play and also in his alteration. Scrooge was an old niggardly man who was
selfish and didn t aid or support anyone besides himself. As a result of his actions, his deceased
business partner, Jacob Marley visits Scrooge is attempting to change Scrooge for the better.
Marley with all of his fearful powers compels Scrooge to change his old miserly ways. During the
play three spirits Past, Present, and future who shows Scrooge his past, present, and projected future.
For example, Past brings Scrooge to his old lonely childhood. Present brings... Show more content on
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Scrooge successfully transforms with the help of Past, Present, and Future. The story of Scrooge and
Marley A Christmas Carol was about giving, being thoughtful, and also being evil and possessive.
The playwright called Scrooge and Marley was to alert you to be careful of your actions, but also
remind you that anyone can change. In the end Scrooge learns his lessons and transfigures from
miserable to a vigorous
 Essay On Purchasing Parity Power
The purpose of this paper is to examine the key term of purchasing parity power (PPP). This key
term is used for several global business processes and decision making from the strategic to the
operational level of management. The current research is mathematically based with regard to the
validity of the variables used to calculate PPP and provides examples of ways to restructure the
variables for certain business processes. Ultimately, it is a term and algorithm in which global
business leaders should be well versed to conduct cross border project management and develop
effective strategic business decisions.
Key term and Interest Purchasing power parity (PPP) interests me because of the vast implications at
every level of business. ... Show more content on Helpwriting.net ...
In other words, the exchange rate is the equalizing factor that maintains product costs relatively
consistent across countries.
While there are myriad of PPP calculations, there are two general approaches, absolute and relative
(Hyrina Serletis, 2010). The absolute calculation relies on the nominal exchange rate and the relative
accounts for fluctuations like inflation (2010). In fact, the variables of the calculation create the
controversy, in that, scholars agree that there are additional non constant variables to consider and
many different perspectives to view the variables. Nevertheless, despite the controversy regarding
how PPP is calculated, it is used for analyzing and reporting on costs across countries by the
International Monetary Fund (IMF), the Organization for Economic Cooperation and Development
(OECD), and by global business leaders to make decisions (Investopedia, 2016).
Major Article Summary In the article by Langston (2016), a positive view of using the standard PPP
calculation was presented as applied it to international project cost benchmarking. His research goal
was to prove that the PPP calculation, and one in particular, enables the highest level of accuracy for
cost benchmarking for international businesses (Langston, 2016). He did this because current
benchmarking calculations use exchange rates to first get monetary units to U.S. dollar (USD),
instead of using PPP, which is a more comprehensive picture of location
 Exquisite Interview Essay Questions
Zak Keel
Mr. Kintigh
Advanced Writing
The Exquisite Interview
My foot gently pressed against the brake pedal as I sensed the momentum of my vehicle gradually
easing into cessation. Before crossing the one way, my eyes zeroed in on two white perpendicular
pillars from across the road, refined upright indicating a stately gateway. I peered right for traffic,
traversed over the four lanes, and started down the private drive. The columns dissipated from my
peripheral, as I was welcomed by the grande dame of neoclassical facades. An extensive presence
manifested itself through a bold white exterior, including four vertically stretched columns,
complemented with a verdant lawn, mature trees, and a few brightly colored gardens. The picturesque
... Show more content on Helpwriting.net ...
Paperwork was already neatly composed in corresponding sections amongst my workspace and did
not take long to fill out. Without guilt, I even signed my signature with a few extra loops to fit the
mood. Out of the blue, a well dressed man from up the staircase advances his way to the ground floor
. He was wearing an imperial blue blazer, tucked into trousers of the same color. Gold rimmed
spectacles hung just below his eyes, which paired alongside the timepiece mounted on his wrist. The
presence that followed him was notable in the least. I collected my documents and stood, awaiting
his company.
As the man grew closer, he stuck out his hand, greeting me. I obliged and did the same, following
through with a firm handshake. The handshaking instantaneously provoked flashbacks of meeting
other men of significance, such as the mayor, superintendent, or college professors all having a
handshake of direct similarity; steadiness, a tight grip and cumbersomely prolonged. He led me
down a hallway to our right where a set table sat aside a floor to ceiling window overlooking the
lavish grounds. I handed my filings over. The proprietor began immediately. Questions were
thrown in a rapid fire, as the progression of complexity increasingly became more evident. Topics
drifted amid personal interests, personality, plus ethics, to assessments on situational reaction as
well as demeanor. I could feel my body becoming warm due to subtle anxiety like small furnace was
 Heirloom Piano Research Paper
Are you the proud owner of an heirloom piano? Are you planning to move to a new home soon?
If you re still trying to figure out the best way to get your beloved piano to your new residence,
here are some questions to ask any prospective piano movers: How is the piano going to be
moved? Not all piano moving services are created equal. Some regular moving services may
claim that they can move pianos, but will simply treat it as another large piece of furniture.
However, a piano is a delicate instrument and not simply a large piece of furniture. While your
grandmother s armoire may be able to stand being jostled about, this same treatment could severely
impact your piano and result in costly repairs. A good piano mover will be able to explain
 Similarities Between Frederick Douglass And I Too Sing...
In the poems Frederick Douglass by Robert Hayden and I, Too, Sing America by Langston Hughes,
both authors engage in the common themes of race, oppression, and freedom, but Hayden
contextualizes the theme in a wider mindset instead of narrowing it down to just black oppression,
while Langston contextualizes the theme with a direct approach to black oppression and freedom.
Not only are the approaches to the topic different, but they also relate through the messages that they
are conveying about freedom. Both authors way of engaging with the themes alters and enrich the
understanding of the issues at hand. They broaden the reader s scope on race, prejudice, and freedom
while informing the reader that it will take time. Robert Hayden approaches the poem Frederick
Douglass without using any direct link to black oppression and freedom other than the famous
figure Frederick Douglass himself. This poem was written in 1966, and in that year several
things were happening in the United States with race relations. In 1966 the black power
movement had just started and there was a lot going on with the fight for equality and freedom. I
argue that Hayden used Frederick Douglass to mold this poem because he is best known as a civil
rights leader in the abolition movement and Douglass stood for freedom (Douglass and Gates). Not
only did he stand for black freedom and equality, but he stood for all freedom and equality. Being as
though Douglass stood for all, I strongly believe that
 Military Technology And Technological Advancements
Since the evolution of mankind, the art of warfare has witnessed numerous changes. Over the years,
military technology kept on changing and has advanced from rifles to the nuclear weapons. The 20th
century saw a drastic change in the military technology and military thinkers adapted to this change
and took it as a way to totally transform the war. These technological advancements added new
dimensions to warfare through a combination of firepower, mobility, and maneuver. Warfare has now
transitioned to become the battle of wits, nerves, technology and tactics. Military thinkers developed
new theories to integrate these technological advancements into the existing military setup. General
Swinston and Colonel Fuller developed theories that influenced development of the armored warfare.
Early airpower theorists, Giulio Douhet, Billy Mitchel and Hugh Trenchard evolved different
concepts for effective employment of the airpower (AP). Admiral William Moffett, the architect of
naval aviation, formulated tactics for the naval aviation and the development of the aircraft carriers.
This essay aims to analyze how the modern military thinkers formulated new theories to grapple with
the technological advancements and strategic environment. Introduction of mechanized warfare,
aircraft, aircraft carriers, Nuclear weapons and asymmetric warfare are a few additions that
necessitated a doctrine change.
Mechanized warfare was a direct outcome of trench warfare, because the initial moves in