EasyJet Airline Company Essay Example | Topics and Well Written Essays - 2500 words

EasyJet Airline Company - Essay Example The timetable of EasyJet Airline purportedly began in March of 1995 as originator Sir Stelios Haji-Ioannou was noted to have offered trips at fundamentally low tolls in Europe. Currently,it gloats of being â€Å"Europe's driving airline,operating on more than 600 courses across 30 nations with our armada of more than 200 airplane, utilizing more than 8,000 individuals In its very nearly 18 years of authoritative presence, EasyJet was noted to have been represented by a set of accepted rules to manage the conduct and dynamic procedures of its faculty. The paper therefore presents a basic assessment of the code of EasyJet Airline through a portrayal of the code and by completely surveying the code’s viability in showing the company’s qualities and adjustment to business morals. Basic Analysis of the Code The organization’s code was found under the title Governance on their official site: http://corporate.EasyJet.com/about-EasyJet/governance.aspx?sc_lang=en. Upon i ntroductory look, the administration page contains data that demonstrates that the organization’s top managerial staff charged setting standards and moral arrangements, of which, it was unequivocally accentuated that the â€Å"key to these standards is working in a transparent manner† (EasyJet Airline, Governance, n.d., standard. 2). In like manner, the code was clearly designed from the UK Corporate Governance Code which purportedly requires the accompanying data to be disclosed:†¢ Terms of reference for the Finance Committee†¢Terms of reference for the Remuneration Committee... ance Committeeâ Terms of reference for the Remuneration Committee Terms of reference for the Audit Committee Terms of reference for the Nominations Committeeâ Terms and states of arrangement/reappointment of the non-official chiefs Matters saved for the Board Non-Audit Services Policy (EasyJet Airline, Governance, n.d., standard. 3). At long last, two (2) different records were revealed to be consolidated and available: (1) Corporate Governance Pages of the Annual Report; and (2) division of obligations of the Chairman and CEO (EasyJet Airline, Governance, n.d., standard. 4). The Corporate Governance Pages of the 2012 Annual Report are found on pages 44 to 48 and contain the accompanying significant bits, indeed: standards articulation, explanation of consistence, administration, directors’ irreconcilable situations, board commitment with financial specialists, board councils, relations with speculators, inner control, hazard the executives and inside review (EasyJet, Corp orate administration, 2012). The Ethics Resource Center has suggested a code layout that ought to evidently contain the accompanying configuration: I.â â â MEMORABLE TITLE II.  LEADERSHIP LETTER III. TABLE OF CONTENTS IV.  INTRODUCTION-PROLOGUE V.â â CORE VALUES OF ORGANIZATION VI. CODE PROVISIONS-SUBSTANTIVE MATTERS VII.  INFORMATION AND RESOURCES (Ethics Resource Center, 2009, p. 1). From the course modules, it was unequivocally characterized that the substance of moral codes are as per the following: â€Å"standard of lead, complying with the law, employees,consumers, investors, colleagues, network contribution, open exercises, condition, development, rivalry, business respectability, and consistence/monitoring† (University of Salford Manchester, What is the substance of moral codes?, 2012, p. 6; Crane and Matten, 2007).

Ed Gein :: Free Essays

Ed Gein The individuals of Plainfield, considered Ed Gein a delicate man who everyone trusted. Ed had an exceptionally exacting adolescence. His dad passed on when he was youthful. His mom at that point concluded that she would bring up her kids and not wed or be engaged with any relationship. Mrs. Gein told Ed and his sibling Henry that all ladies were terrible and that sex would prompt heart breaks and sicknesses. Further down the road, Ed admitted he felt his mom was acceptable in each way (deranged,wierd,sick, http.//www.deranged.com). Specialists speculated he had a sexual relationship with his mom. Inside a short time Ed's mom and sibling had passed on, leaving Ed forlorn on a ranch which didn't have power. Ed maintained odd sources of income like a jack of all trades and child sitting. In his leisure time, Ed led maniacal examinations. Entranced with the female body, Ed frequently entertained himself with anatomical course readings. To really observe and feel for himself, he went to t he cemetery and uncovered a few bodies, including his moms'. He discovered joy in dealing with dead ladies' sex organs. Much more dreadful, he cleaned the bodies and dismembered the bodies. The stock inside his home comprised of heads, hearts, livers, digestive organs, and skin dissipated about. Around evening time he would remove the entirety of his garments, put on his moms skin, and move around the house. Looking for yet progressively sexual satisfaction Ed made furnishings and instruments from body parts. A portion of these things included lampshades, tom toms, and wristbands. Gein then proceeded onward to murdering others. Despite the fact that he just executed two ladies (Mary Hogan and Bernice Wordan), Ed was as yet thought to be a sequential executioner. Subsequent to murdering Bernice Wordan, the proof abandoned lead to Ed Gein. At the point when the specialists showed up they were invited by a combination of human ancient rarities. Contracted heads, drinking glass skulls, and skin furniture. Ed didn't understand that what he had done wasn't right so he welcomed the police in for espresso. Ed Gein :: Free Essays Ed Gein The individuals of Plainfield, considered Ed Gein a delicate man who everyone trusted. Ed had an exacting youth. His dad passed on when he was youthful. His mom at that point concluded that she would bring up her kids and not wed or be engaged with any relationship. Mrs. Gein told Ed and his sibling Henry that all ladies were terrible and that sex would prompt heart breaks and ailments. Further down the road, Ed admitted he felt his mom was acceptable in each way (deranged,wierd,sick, http.//www.deranged.com). Specialists speculated he had a sexual relationship with his mom. Inside a short time Ed's mom and sibling had passed on, leaving Ed ruined on a homestead which didn't have power. Ed maintained odd sources of income like a jack of all trades and child sitting. In his available time, Ed led maniacal tests. Intrigued with the female body, Ed regularly entertained himself with anatomical course books. To really observe and feel for himself, he went to the memorial park and unearth ed a few bodies, including his moms'. He discovered delight in dealing with dead ladies' sex organs. Far more terrible, he cleaned the bodies and dismembered the bodies. The stock inside his home comprised of heads, hearts, livers, digestion tracts, and skin dissipated about. Around evening time he would remove the entirety of his garments, put on his moms skin, and move around the house. Looking for yet increasingly sexual delight Ed made furnishings and instruments from body parts. A portion of these things included lampshades, tom toms, and wristbands. Gein then proceeded onward to murdering others. Despite the fact that he just slaughtered two ladies (Mary Hogan and Bernice Wordan), Ed was as yet thought to be a sequential executioner. Subsequent to slaughtering Bernice Wordan, the proof abandoned lead to Ed Gein. At the point when the specialists showed up they were invited by a grouping of human antiquities. Contracted heads, drinking glass skulls, and skin furniture. Ed didn' t understand that what he had done wasn't right so he welcomed the police in for espresso.

How to Write a Research Paper Introduction

How to Write a Research Paper Introduction Tips on How to Write a Research Paper Introduction Home›Tips for Students›Tips on How to Write a Research Paper Introduction Tips for StudentsCompleting a High-profile Introduction for a Research PaperHowever difficult the research might be, sometimes writing an introduction takes much effort. This part is crucial as it prepares a reader for the further explicate information on the topic. While there are no concrete instructions to the length of the section, it should be suitable for the type of writing you undertake. An introduction is in charge of presenting your topic, give reasoning for the investigated theme, and contextualize it in terms of its position in the branch of science. A well-composed introduction leads the way for the coming information, makes a reader curious and states a hypothesis.How to Write a Research Paper IntroductionComposing an introduction, you should be aware of the things it is going to achieve. First of all, you have to provide a reader with some b ackground information, which will definitely work for easier apprehension of the theme. Additionally, you should explain why you have opted for this subject matter and why resolving it may be useful.You won’t find any limitations according to the number of words in the introduction, but remember that it should be brief and laconic. It is an all-encompassing showcase of the whole paper, which is why many professors advise to write it last.It would be also a nice idea to develop an introduction with the help of an outline. The introduction reviews a whole paper, but it doesn’t touch the issues to be solved. You just narrow the topic and elucidate the points to be in the center of attention in a paper.No less important, you should care about the target audience. Keep in mind that people who are going to evaluate your research paper are mostly professors and other experts in the field of science.Disclose the topic of your writing.This is a win-win variant to begin with a couple of s entences, which put out a subject of the research and set forth the questions to be confronted. It will help you light the sparkle of interest in a reader and evoke a will to read further. Firstly, you mention a wider problem and then indicate a more specific issue to be discovered.Mention key words.It is vital to make a reference to the key words of your paper. Publishing the research, you will be required to compile a huge list of key words for the sake of quick indication of the branch of science and problem discussed. In the same manner, a reader will be able to quickly orient in your writing.Clarify the most important terms and concepts.Do not omit this point as it may happen that a reader is not acquainted with a term and it will be impossible for him or her to understand your argumentation. To be secure from such things, you should present the explanation of the mentioned concepts.Use creative techniques to catch reader’s attention.Such fields as social science and humaniti es give some freedom to apply literary methods in the paper writing process. Most commonly, students start with a quotation or an anecdote that denotes the topic of essay and highlights the aspect to be communicated. The technique is called the inverted triangle and efficaciously deals with the task of attracting readers’ attention. Yet you should be very careful picking an appropriate anecdote as it should be truly relevant.Review the literature in a few words.Judging from the length of your essay, you need to overlook the already developed scientific words on the subject chosen. If you take notice of the past and nowadays stages of the problem development, it will show that you have covered enough material while investigating the issue and that you are well-versed in it. What it more, it means that you can debate with other scientists and your research is competitive.Highlight your contribution with the help of literature review.Examining existing publications on your topic, you should demonstrate the place of your own research in the scientific world. Make a smooth shift to discussion of your own paper and tell what valuable income it has brought.Tell why your paper is practical and timely.You have stated a broader context of the topic and now it is time to be definitive and reasonable. Give evidence that your research is a truly valuable piece of writing that makes difference in the perception of the problem. Trust your reader and reveal strengths and weaknesses of the paper. Do not present everything in perfect light, as it is obvious that you may have faced some difficulties, which can be crucial for proper understanding of the special nature of the subject.Indicate the questions you are going to answer in your paper.Make a list of subtopics you are going to deal with. Make a clear division of the tasks you intend to accomplish. Stating a particular question is a good way to show the things you are planning to investigate. This goal can also be achieve d through literature review and frames of your research.Make a thesis statement.Once a reader is roughly aware of the subject matter, you should draw a line presenting a hypothesis. It is a clear announcement of the concrete issue you are going to work on and the outline of your future contributions in the field. It should be clear and debatable.Put briefly the structure of your research paper.Make a review on the organization of the paper; for instance, tell about the section division. This final step is very important as it demonstrates your abilities to process information and lead a reader giving the main points of your writing.Addressing a question ‘how to write an introduction for a research paper?’, you should follow the mentioned tips and try to keep it all brief. You should show your passion for the investigation and encourage a reader in this way. Moreover, be creative within measure in order not to sound to literary. Logic and sound argumentation is the best ingredien t of scientific writing.

Business Law And How It Ties Into Our Everyday Lives

Research Paper Business law and how it ties into our everyday lives is very important. To understand these laws and find them applicable in certain life issues is something I feel that every citizen should have a grasp of. With this research paper I will focus on the issue of copyrights, lawsuits, trademarks and how it affects designers and artist. I myself am a clothing designer and have my own brand 5ivepillars. Numerous times during my years as an artist and designer I have seen companies both big and small rip off my work. Most of the time these companies and the individuals behind them steal a concept or idea you may have and replicate it using different colors. This trend has grown more and more in the fashion industry while leading to a large amount of lawsuits, and trademark suits. But these lawsuits have not stopped companies from stealing intellectual property. Some such as forever21 have blatantly stolen dress and clothing ideas straight off of runaways and have had them i n stores ready to sell two weeks after the dresses were show cased. This time of disagreed for the law sadly happens a lot to designers and creatives in the United states. Lets see how this happens. Copyrights by definition are the exclusive legal right, given to an originator or an assignee to print, publish, perform, film, or record literary, artistic, or musical material, and to authorize others to do the same. By reading the definition one might feel comfortable with the process ofShow MoreRelatedHow Immigration Has A Positive Effect On Canada876 Words   |  4 PagesSince 1867, the year of the confederation Canada has allowed over 17 million migrates into our boarders legally. With each new year, the number of migrates allowed in Canada varied, depending on causal effects within our world, and the personal lives of migrates. There are many different reasons as to why migrates come to Canada. Research describes how immigration has a positive effect on Canada. Some people may think immigration is a disgrace, do to their own judgment, and lack of education uponRead MoreThe Pains of Anarchy in Lord of the Flies by William Golding 619 Words   |  3 Pages Earlier this year, I became the government. Everyday, for the next few days, I woke up before the sun rose and filled my hotel room with light. In business professional attire, I would walk down the halls of the California State Capitol and into the Assembly Chambers. I experienced firsthand how the administration of our society works. There came a day, a cloudy day with rain falling momentarily, in which a protest was gathered in the streets. A man spoke, asking for the government to remove itsRead MoreThe Brundtland Report Defined Sustainable Development Essay1585 Words   |  7 Pagesopportunities for others, helping businesses thrive, and taking into account numerous other cultural, economical, and social components. Food sustainability is integrated into the numerous parts of our society. According to the Huffington Post, Congress even addressed food sustainability in 1990 with the Farm Bill. The law explained the term â€Å"sustainable agriculture,† means â€Å"an inte grated system of plant and animal production practices having a site-specific application that will, over the long term: satisfyRead MoreEssay on Sweatshops and Unethical Labor Practices1260 Words   |  6 Pagesmigrant workers in china. These workers make most of the things we own. Most of us don’t think about the people who make our clothes, our phones, our computers; items that we use everyday. Our way of life revolves on mass consumerism, where we value the article more than the person or persons who made it. Mass media and multi million dollar industries keep the conditions on how these people work as a total mystery. Some brands have been exposed for sweatshop and unethical labor practices, yet nothingRead MoreThe Right For Individual Legal Age Essay1234 Words   |  5 Pagessomething we trys to achieve everyday in the political world. If anyone who wish to become president of the United States he or she will have to understand the American dream and what American need. The American dream is equal opportunity to achieve success and prosperity through hard work, determination, and initiative. As we know the American dream is the ideal for every Americans citizen and this is the American political culture. When it comes to this question, How do some of these values differentRead MoreThe Absolute Biggest Threat That Our World Faces Today Is Global Mass Corruption Essay1512 Words   |  7 Pagesthat our world faces today is global mass corruption. A comprehensive report suggests that Afghanistan, Somalia, and North Korea are among worst regions in terms of corruption. Transparency International is the firm in which has established the Corruption Perceptions Index. The index is based on the collaborated global professional opinion of many intellects in order to define the measured perceived levels of public sector corruption. The score a nation receives in the report determine just how corruptRead MoreThe Guanxi Between China And China1741 Words   |  7 PagesIntroduction The Guanxi phenomena is exclusive to China and is very apparent in everyday life, it can be used in the personal dealings or at the business level. Guanxi concept is not completely alien to the rest of the world, it is apparent in a slightly different, more modest form. Most of people would be aware of bribery (it is an act of giving money or gifts that alters the behavior of the recipient), which would be someway linked to guanxi concept. The main difference is that bribery recognisedRead MoreAccounting Fundamentals For Health Care1378 Words   |  6 PagesNext, the Patient Protection and Affordable Care Act of 2010 is extensive, complex, and deals with accounting and finance which is all worth mentioning. Another factor of health care organizations is not-for profit using health care funding and how it all ties in together for accounting and finance for health care organizations. Lastly, the purpose behind the concepts and terminology from Accounting Fundamentals for Health Care Management from my work experiences will enhance my perspective of the overallRead MoreDurkheim1434 Words   |  6 Pageslabor† (Index 1). On the other hand you have Mechanical Solidarity which according to â€Å"Emile Durkheim (1858-1917) to refer to a state of c ommunity bonding or interdependency which rests on a similarity of beliefs and values, shared activities, and ties of kinship and cooperation† (index 1). Both of these terms are highly relative when it comes to the basis of â€Å"The Division of Labor in Society.† This book discusses the major themes relating to both solidarities while also progressing in the ideasRead MoreClass : Ids 230 - Great Books1731 Words   |  7 PagesClass: IDS 230 – Great Books Instructor: Professor Catherine Milton Student: Herfalyn Williams Final Essay Question â€Å"What is â€Å"Race?† Race to me is one issue that is staring in our face, we see it but behave as if it’s not there. I moved to America a few years ago and experienced the culture shock of the issue of race that is affecting us as people. When I first got here I was so unaware of a fact that my race was referred to as minorities. I knew not much about my history and lived amongst Jamaicans

Compare And Contrast Emily Dickinsons Death And Nothing...

What most people know about Emily Dickinson is that she was an isolated poet from Massachusetts who composed plenty of poems in the 1800s, which was published after her death. Death and funerals are two major topics of Emilys poem. Because I Could Not Stop for Death is one of Emily Dickinsons longest and most captivating poem. The artist Pablo Neruda is also a very popular poet for his political activism and his electric poetry. He was first known for his alluring poems such as Today around evening time I Can Write. The poem Nothing But death is an example of Nerudas idyllic vision and style. Both the poems â€Å"Because I could not stop for death† and â€Å"Nothing But Death† are on the topics of death, therefore, their theme is also†¦show more content†¦Although the theme of both the poems is same, its meaning illustrates the contrasting story to the reader. â€Å"Because I could not stop for death† takes the readers on the journey of the poet’s death. According to Patricia Engle, â€Å"She juggles temporal with eternal, corporal with spiritual, and life with death deftly, in mercurial shifts between micro and macro views of the worlds around her, within her, and beyond her.† (2) The poem reminds the readers about the ultimate reality of death. Because death is a purpose of uncertainty for everyone while she is excited and relieved taking it as a seasonal activity. â€Å"I had put away/ My labor my leisure too, /For His civility† (6-8), further she says death is â€Å"Kind† and Dickinson â€Å"could not stop for death.† The poem â€Å"Nothing But Death† talks more about graves and dead souls. Pablo denotes â€Å"death† into â€Å"bones† â€Å"coffins.† He sees all the dead things around him, â€Å"with women that have dead hair/with bakers as white as angels† (17), â€Å"the colors of damp violet† (33). The melancholy and darkness are carried all throu ghout the poem. The poet uses â€Å"darkness† three times in one line to express how much he fears the graves and dead bodies around him. Both the poems exhibited theShow MoreRelatedThe Concept of Death in Emily Dickinsons Poetry: An Analysis3177 Words   |  13 Pagesï » ¿Death in Emily Dickinsons Poetry Introduction Emily Dickinsons 19th century anti-sentimental death poetry illustrates the awful struggle she faced with her spirituality and the realities of life, death and despair. Her attitudes were compelled by a perplexity regarding the prospect of Immortality and the afterlife. Dickinson almost appears at times to see in Death the personification of Relief. In other poems, she seems to see Death as something frightening and demanding of ones faith. InRead MoreThe Flea By William Shakespeare, Emily Dickinson, And John Donne1521 Words   |  7 Pagesshowcased in the works by famous poets like William Shakespeare, Emily Dickinson, and John Donne. William Shakespeare is credited to be a wordsmith ahead of his time for crafting some of the most well known works in literature, Emily Dickinson is considered one of America’s leading female poets of the 1800s, and John Donne is recognized as one of the leading members of the metaphysical movement. Even so, their work spoke out on religion, lo ve, death, and anything concerning society’s implication on the establishedRead MoreComparing Death And It Was Not Death, For I Stood Up1537 Words   |  7 Pagescontrasting the two poems ‘Death’ and ‘It was not Death, for I stood up’ Indeed. in their respective poems it is evident that the poets George Herbert and Emily Dickinson are writing in two different centuries. Both differ in terms of style, language and the different way in which they approach the concept of death. However, despite their differences, both ‘Death’ and ‘It was not Death, for I stood up’ signify the fundamental features of death in the poems which reiterates death as biological despiteRead More Inspiration and Manipulation Essay2655 Words   |  11 PagesInspiration and Manipulation Emily Dickinson is a poet of great interest because she is one of a handful of artists that â€Å"refuse to conform to the Anglo-American literary traditions† (Howe 11). One of the most fascinating aspects of Emily Dickinson’s character is that she willingly shuts her door to the world which ultimately allows her creativity to thrive without criticism. While historical documents allow contemporary readers insight into her life and provide potential reasons for her seclusionRead MoreDeath in American Literature2425 Words   |  10 Pagesthat doubts and questions its own reflections. They employ death as the focal point of self-consciousness, the unknowable center around which our thoughts inevitably swirl (whether we are aware of it or not).   Compare Dickinson’s poem #315 and Poe’s â€Å"Ligeia† on the topic. Philosophy of the death The theme of death has always been a presence in American writings – from early colonial diaries and through the nineteen century – because death was perceived to be ever present in people’s lives. DescendedRead MoreThe Raven By Edgar Allan Poe945 Words   |  4 Pagespersonally am very fortunate and have not had to experience hardly any grief in my life. Everyone is different which results in everyone having their own way that they deal with grief. The way that Edgar Allan Poe describes grief and the way that Emily Dickinson describes grief is both different and similar. Poe’s famous poem titled â€Å"The Raven† is a great example of how Edgar Allan Poe writes about grief. The poem is about the grief of the narrator during the loss of the love of his life, LenoreRead MoreEssay on Literature Comparison Between a Short Story and a Poem2124 Words   |  9 Pageshear. The two short stories I have chosen to compare and contrast is the poem â€Å"Because I Could Not Stop for Death† written by Emily Dickinson in 1890/1983 and story â€Å"The Secret Life of Walter Mitty† written by James Thurber in 1939. These two stories take place in two different time periods. The main character, in each story, differs in death and position. However, these two stories share a similar message concerning life and marriage. Obviously, Emily Dickinson and James Thurber are two very differentRead MoreHow Fa Has the Use of English Language Enriched or Disrupted Life and Culture in Mauritius15928 Words   |  64 PagesPost your close reading posts here. Share this: †¢ Twitter †¢ Facebook †¢ Like this: Like Loading... [pic] 26 Comments on â€Å"CLOSE READINGS† 1. [pic]John Cooper says: July 13, 2011 at 3:36 pm Emily Dickenson’s poem â€Å"Because I could not stop for Death† details the events the narrator experiences after dying. In the poem, the narrator is driven around in a horse-drawn carriage to several places, including a schoolyard, a field of wheat, and a house sunken in the groundRead MoreA Poem Comparison of Donnes Anniversary and Jennings One Flesh1991 Words   |  8 Pagesto your wider reading in the poetry of love (40 marks). John Donne’s ‘The Anniversary’ is all about the love the theoretical narrator and his object of love share. A year has passed, and everything has grown older, drawing closer to their end. In contrast, the one ageless thing is the unchanging love the poet shares with his lover. Although their bodies will be in separate graves when they die, their eternal souls will be reunited when they are resurrected. For now, the two are kings in their worldRead MoreHow Poets of the Eighteenth Century Handled Love2802 Words   |  12 Pagesour own experiences with love. Poets are infamous for expressing emotions such as pain, love and passions associated with this emotion we call ‘love.’ They allow us an outlet to experience and express love. Eighteenth century poets: Robert Frost, Emily Dickerson, John Keats and Edgar Allen Poe were infamous for their poetic contributions to the literary world; because of their extraordinary gifts of expression we are able to unde rstand different aspects of what it was like to experience love in the

Do young people enjoy life more than older people do Free Essays

Some people may think that older people enjoy life more than young people do. However in opinion, young people enjoy life more than older people do. Young people’ passion and energy are enough to enjoy life more than older people do. We will write a custom essay sample on Do young people enjoy life more than older people do? or any similar topic only for you Order Now The reasons of it are that they do not have to be responsible for numerous tasks, that they are much more energetic than the elderly, and that they can get familiar with new technologies even faster than old people. First of all, young people do not have much responsibility compare to older people. For example, older people have responsibility to take care of their children, to earn money, to complete their work, etc. These responsibilities make them limited to enjoy their life. Moreover, whenever they try to do something to enjoy life they prefer their children’s favor first, like to travel where, to choose which movie, to come together with my friends and their mother. These all make the life less enjoyable thing. On the other hand, young people do not have these responsibilities; they are free to choose from variety of options to do for enjoying their life. They can meet with their own friends, and they can go most recent and famous movie. These show us that young people enjoy their life more than older people do. Additionally, young people have more energy to do anything. In contrast, older people usually suffer from some disabilities by the time is passing. For example, my friend and I have lived in same apartment for about ten years and usually we tried to come together whenever we found some free time. And every time we went different places, and tried new things. Sometimes, our parents were the ones who planned and scheduled the vacation. Unfortunately, they were less powerful and active than we were, which forced our decision for changing according to our parents’ situation. We had great time, and enjoyed of course. However, our parents were sorry to not be able to do everything that they used to do it before. Hence, we see that by the time our enjoying life terms will change up to our ages. And we think that we should go, try and see as much as we can do while we are still young, otherwise we will not be in proper health condition to do whatever we want. Lastly, young people enjoy life more than older people because of the reality that they can easily follow the technology compare to the older people. And technology is one of the most enjoyable things in our life. For example, we are using social media, kinds of application to be more connected to our friends. The more connection creates more friendship. And the more friendship means more enjoyable life. However, older people can only connect with their friends with traditional method which is only couple friends. As a result of this, young people can more enjoy life than older people. To sum up, there is a huge difference between young and older people to enjoy their life. Of course, the older people can also enjoy their life according to their new age. However in some point, they feel that they are not able to do everything they want, and in this manner they feel little boundary surrounding them. They might not feel fully enjoyed life like in their young age. On the other hand, young people can able to enjoy life by being less responsible, more energetic and more following up new things. How to cite Do young people enjoy life more than older people do?, Essays

Role of IASB and Auditing Standards †Free Samples to Students

Question: Discuss about the Role of IASB and Auditing Standards. Answer: Introduction: Australian Accounting standards are issued by the Australian Accounting Standard Board. AASB follows a policy of transaction neutrality which means that that similar or like natured events and transactions are treated in the similar manner among the profit sector and the non-profit sector. These standards are aimed at the development and maintenance of high quality in the financial reporting practices for all the Australian reporting entities. The accounting standards have been amended on time to time basis in response to problems like Global financial crisis which was occurred in year 2007-2008 and is considered as the worst disaster of the worlds economy. There were various reasons that led to the crisis. The methods that were used to account for the financial instruments and also the requirement for their fair valuation as per the accounting standards have actually contributed to the financial crisis. At the end of year 2007 the crisis began to raise, the professional accountants and the financial directors were forced to account for the main reasons behind the remarkable decline in the earnings of company, primarily because of the excessive losses that were being recognized after the re-measurement of derivative instruments fair value and also to make good the losses existing in special purpose vehicles (Anamaria M?d?lina, 2014). The same directors were paid considerable amount of bonuses on the basis of increased fair values shown in the financial statements (Jarolim ppinger, 2012). In the initial days of emergence of subprime crisis during late 2007, home loans which were housed in securitized special purpose vehicles were not able to clear their debts due to sudden decline in house prices (Shiller, 2012). Resultantly, the financial institutions having low credit ratings especially the subordinated loans in those securitization vehicles started reporting huge losses. In earlier years these low quality subordinated loans had confined to limited markets and there were higher demands for the same as these papers were yielding high returns. As a result of which the positive adjustments of fair values were being recognized in the profit statements. But, when the decline in prices of housing industry started gaining momentum, the market for the low quality debts started disappearing and therefore it led to swift reduction in fair valuation of these debts (Pozen, R.C., 2009). The effect of subprime crisis had reach the various economies all over the globe, which purchased those low quality debt papers in order to make benefits from the lucrative market (Mishkin, 2011). These financial institutions had already securitized the mortgages of their own and due to financial pressures from all over the world, these special purpose vehicles also started making defaults and thus resulting in reporting of further losses (Ojo, M., 2010). During the global financial crisis, the credit losses on the loans and other financial instruments were being recognized lately and this approach was identified as the severe limitation of the already existing accounting standards (GAA Accounting, 2017) Moreover, the stakeholders believed that the financial statements did not make sufficient disclosures on various elements of fair value measurement. The serious impact of global financial crisis on the worlds economy coupled with the extensive political interference has made IASB revise the accounting standards in relation to the financial instruments. Therefore, the international accounting standard board has now issued the relevant IFRS in response to the global financial crisis. In response to the severe issue of financial crisis the IASB has established a Financial Crisis Advisory Group. The FCAG has by far concluded that the revised standard should also consider a review on impairment recognition, fair value recognition guidance and hedging provisions. It also opined that applicable standards did not consider different business models which were adopted by such entities. Further, the fair value recognition should not be considered a suitable basis for recognition of every financial instrument. It was also concluded that the biggest setback was the attitude of the companies to just legally comply the accounting standards and ignoring the principles contained in the standards up to a certain extent. It also reached to the conclusion that detailed understanding is needed in illiquid markets for recognition of fair value instruments. Furthermore, a series of actions were also taken by IASB in response to the crisis such as the proposals for improving the accounting of off balance sheet items were made and the possible difference between the approaches followed in IFRS a nd GAAP were clarified by issuing the guidance thereupon (Australian Accounting Standard Board, n.d.) The IASB through its remarkable efforts has been able to control the severity of the global financial crisis on the world economy but the fact that accounting for recognition of financial instruments needs to be changed from time to time, its responsibility has not ended there. It needs to develop the more simplified and high quality standards on financial instruments so as to satisfy all the stakeholders including investors of the companies and political bodies influencing their existence. Amendments to the accounting standards in response to Global Financial Crisis IAS 39 was highly criticized especially by the banks because of its complexities and the possible consequences of the use of mark to market methods of measuring the financial instruments. The banks have suggested that the market to market valuation would not always help in reflecting the fair value of some assets and thereby contributed to the credit crisis by weakening the balance sheet of banks. In order to deal with this problem IASB has introduced amendments to IAS 39 to reclassify the financial instruments. This revision was made with the motive of simplifying the financial instruments classification. The new approach followed by IASB constitutes primarily merely two classes of financial instruments: instruments measured on the fair value basis and the others which are valued at amortized value. The earlier IAS 39 prescribed the complex classification of financial instruments which included four classes of financial assets and two classes of financial liabilities. This approach of IASB was extremely difficult to be followed by the reporting entities and the companies were taking undue advantages of fair value accounting. IFRS 13, Fair Value Measurement, issued by IASB in May 2011 and explains the concept of fair value. It provides the framework to measure the fair values and also prescribes the material disclosures in relation to measurement of fair value. IASB wanted to increase the disclosures about the fair value so that the intended users could make better assessment of the valuation techniques which were used in determining the fair value. The IFRS 9, Financial Instruments, was aimed at the replacement of IAS 39, Financial Instruments Recognition and Measurement. IFRS 9 is aiming towards the further developments which are in progress in relation to impairment, derivatives and hedging. There is an increased focus on the fair value accounting as well as reporting as it is important for providing both reliable and relevant information to intended users of financial reports. Also, IFRS 9 has lessened the degree of judgment in classifying and accounting the financial assets, which must support uniform financial reporting in relation to the financial assets and contribute to better understanding and comparison of financial information. The overall impact of this IFRS is that there is enhanced focus on accounting of financial assets on the basis of fair value instead of use of other basis of measurements like amortized or historical cost. AASBs response to the Global Financial Crisis Australian Accounting Standard Board is the regulatory body existing for the development issuance and the maintenance of accounting standards and the related pronouncements in Australia. Like the other economies of world Australian economy was also affected by the financial crisis that occurred globally. In order to respond to the severe issues of credit crisis AASB had promptly decided to revise the Australian accounting standards. The accounting standards formulated by the AASB were amended to ensure their consistency with the new standards that were prescribed by International Accounting Standard Board (PKF Australia, 2015). These amendments were made to ensure that the business entities in Australia are able in using those accounting treatments that are in consistence with those standards that are applicable in other countries (Claessens, 2010). The amendments made by AASB are retrospectively effective from 1st July 2008. AASB then decided to quickly respond to the IASBs action o f amendment to IAS 39 and IFRS 7, AASB issued the amendments to AASB 139 and AASB 7. The biggest challenge for IASB and FASB was to enhance the investors faith and confidence in financial reporting and also to help boards across the world to identify accounting issues that are significant and requires immediate attention of them. In order to discuss these accounting issues IASB conducted various round table meetings in Tokyo, London and New York. Participant countries in those meetings were asked for help to identify significant accounting issues that should be given immediate and long run consideration. At that time the chairperson of AASB also participated in Tokyo Roundtable meeting. IASB through its various initiatives and projects is trying to increase the confidence of investors in financial reporting through: Improving the disclosure and accounting requirements for off balance sheet items. These proposed disclosures are made part of consolidated financial statements ED 171 which are equivalent of AASB to ISAB ED 10 (Hughes Hoy, 2013). Clarifying accounting treatment regarding embedded derivatives in financial statements which needs classification using fair value accounting through the profit statements in accordance with amendments brought in IAS 39 in year 2008. The AASB from time to time has commented upon all these IASB initiatives to ensure that its standards converge with the IFRS and important and relevant improvements are made to Australian standards (Australian Government, 2008). References list: Anamaria, S. and M?d?lina, M., 2014. The Evolution of the Fair Value Accounting-A Response to the Global Financial Crisis.Ovidius University Annals, Series Economic Sciences,14(2). Australian Accounting Standard Board, n.d., How standard setters are dealing with the credit crisis: available at: https://www.aasb.gov.au/admin/file/content2/c7/Article_update_on_credit_crisis_1235697565128.pdf (assessed on: 29.09.2017) Australian Government, 2008, Australian Accounting Standards Amended in Global Action to Address Impact of Credit Crisis: available at: https://ministers.treasury.gov.au/DisplayDocs.aspx?doc=pressreleases/2008/067.htmpageID=003min=njsYear=DocType= (assessed on: 29.09.2017) Claessens, S., DellAriccia, G., Igan, D. and Laeven, L., 2010. Cross-country experiences and policy implications from the global financial crisis.Economic Policy,25(62), pp.267-293. GAA ACCOUNTING: The Journal of the Global Accounting Alliance, 2017, Are Accounting Standards Responsible for the Global Financial Crisis, available at: https://www.gaaaccounting.com/are-accounting-standards-responsible-for-the-global-financial-crisis/ (assessed on: 29.09.2017) Hughes, M. and Hoy, S., 2013. Two Steps Backward and One Step Forward: The IASB's Response to Off-Balance Sheet Financing Through Investments in Other Entities. Jarolim, N. ppinger, C., 2012, ACRN Journal of Finance and Risk Perspectives, Fair Value Accounting in Times of Financial Crisis, Vol. 1, pp. 67-90. Mishkin, F.S., 2011. Over the cliff: From the subprime to the global financial crisis.The Journal of Economic Perspectives,25(1), pp.49-70. Ojo, M., 2010. The Role of the IASB and Auditing Standards in the Aftermath of the 2008/2009 Financial Crisis.European Law Journal,16(5), pp.604-623. PKF Australia: Accountants and Business Advisers, 2015, IASB concludes its response to the global financial crisis, available at: https://www.pkf.com.au/blog/2015/iasb-concludes-its-response-to-the-global-financial-crisis/ (assessed on: 29.09.2017) Pozen, R.C., 2009, Crisis Management, Is it fair to blame fair value accounting for financial crisis? Available at: https://hbr.org/2009/11/is-it-fair-to-blame-fair-value-accounting-for-the-financial-crisis (assessed on 29.09.2017) Shiller, R.J., 2012.The subprime solution: how today's global financial crisis happened, and what to do about it. Princeton University Press.

The Crucible Essays (845 words) - Salem Witch Trials, The Crucible

The Crucible The deterioration of Salem's social structure precipitated the murders of many innocent people. Arthur Miller's depiction of the Salem witch trials, The Crucible, deals with a community that starts out looking like it is tightly knit and church loving. It turns out that once Tituba starts pointing her finger at the witches, the community starts pointing their fingers at each other. Hysteria and hidden agendas break down the social structure and then everyone must protect themselves from the people that they thought were their friends. The church, legal system and the togetherness of the community died so that children could protect their families' social status. Being isolated from any other group of people with different beliefs created a church led Puritan society that was not able to accept a lot of change. The church was against the devil, at the same time it was against such things as dancing and other premature acts. The reputation of the family was very important to the member s of the community. When the girls were caught dancing in the woods, they lied to protect not just themselves but the reputation of their families. They claimed that the devil took them over and influenced them to dance. The girls also said that they saw members of the town standing with the devil. A community living in a puritan society like Salem could easily go into a chaotic state and have a difficult time dealing with what they consider to be the largest form of evil. Salem's hysteria made the community lose faith in the spiritual beliefs that they were trying to strictly enforce. The church lost many of its parishioners because the interest of the town was now on Abigail because people wanted to know who was going to be named next. When the church was trying to excommunicate John Proctor, there were not enough people at church to do it. The people were getting misled so far as to leave a dagger stuck in the door of their minister's house: ?Tonight, when I open my door to leave my house--a dagger clattered to the ground...There is danger for me.?(128) were Parris' exact words. With the conveyer of God fearing for his life there was no longer anyone but Abigail to lead the community. The justice system is designed to protect the people that it serves but during the trials the accused witch had two choices, death or imprisonment. The punishment of death was given to all people that pleaded not guilty; the other punishment was to plead guilty and go to jail. John Proctor gave his view of the justice system when he said ?I like not the smell of this ?authority' ?(29). ?And do you know that near to four hundred are in the jails from Marblehead to Lynn, and upon my signature(85) said Danforth, describing the number of people that were in jail on charges of witchcraft. There were so many people executed that Hale commented ?there are orphans wandering from house to house; abandoned cattle bellow on the highroads, the stink of rotting crops hangs everywhere...?(1 30) Salem was turning into a ghost town. With Abigail controlling the community, the church no longer getting the whole town to prayer, and an unjust legal system, it is natural that the people were in a state of total chaos. The unexplained was caused by the devil, so some members of Salem used the unexplained to their advantage. Mrs. Putnam told the truth when she said, ?There are wheels within wheels in this village, and fires within fires!?(26) Mrs. Putnam did her share of spreading rumors after she heard that the girls were flying, so she asked Parris ?How high did she (Abigail) fly, how high(11). These rumors happened because people did not want any blame put on to themselves. This ?passing the buck' made people start fighting with one another such as Corey charging Putnam of having his daughter accuse a resident of witchcraft in order to get Corey's land. Abigail used her power of getting people to listen to her to her advantage when she charged Proctor's spouse with being a witch so Abigail could live with John. This again proves that Abigail

Coruption of Antigua essays

Coruption of Antigua essays Jamaica Kincaid writes very well in expressing her feelings and letting the reader know how she feels on certain topics. She is very convincing on how beautiful Antigua is but also how corrupt it is at the same time. Kincaid writes with aggression and rage towards her Antiguan government, the tourism in Antigua, and the history of Antigua with the European influence. The government in Antigua is run by corrupt people who really only care about money. The government is for sale; anybody from anywhere can come to Antigua and for a sum of money get what he wants. (47) The only people in Antigua that live a life of island paradise are the ones with a lot of money. The bad thing in Antigua is the way the government is set up; there is no way to make an honest living, to make a lot of money in this place. The people that have lots of money in Antigua get it from corrupt things, like drugs, the rich people are mostly criminals. This is very sad, and feeling this way about your government is very depressing. Jamaica also is very disappointed in her government because they dont fund anything for the people that live in Antigua. The library in Antigua was damaged in 1974, and the repairs on it are still pending. Jamaica as a writer would have liked to frequent the library, but it has been damaged for over a decade when this essay was written. This is just an example of the government of Antigua not caring about its citizens. The government would rather spend money on roads just for when the Queen visits. They care more about making sure the Queen has a pleasurable experience then other things that should be more important like the welfare of the natives in the country. It is also depressing that in a poor country like this most of the money that the government gets is from tourism which is another reason for anger. Antigua is a small country which thrives of the money it makes in ...

Mother, daughter arrested in robbery Essay Example | Topics and Well Written Essays - 1250 words

Mother, daughter arrested in robbery - Essay Example She is being held on $250,000 bond at the Eastern Regional Jail awaiting extradition back to Washington County, Maryland where she is charged in warrants with robbery, armed robbery, being a fugitive from justice and other offenses. Her 16-year-old daughter, Jade Wilson, was arrested at Martinsburg High School about an hour before her mother’s arrest, was taken into custody and is being held on $125,000 bail at the Vicki V. Douglas Center. According to The Herald-Mail Company, it is not clear if she will be transferred to a juvenile facility in Maryland. Like her mother, she is awaiting extradition to Hagerstown, where the teen is expected to be charged as an adult. According to Sergeant Roy Harsh of the Washington County Sheriff’s Department, the bank robbery occurred when two females handed a teller a note and one woman showed a gun that she had in her sleeve. They left with an unspecified amount of money. During the time of the robbery, the bank was open and one customer was inside. The robbery was quick and very low-key and the customer inside the bank did not even note that it was going on. The two allegedly took the note back and swiftly left the bank with the money in a bag. Police believe that the two suspects climbed into a getaway car with a possible West Virginia registration. The sheriffs department says they used some of the money to pay $750 in back due rent. According to investigators, there is a possibility of more arrests in the case (McMillion, 2009). It is simply an act accompanied by specified circumstances and an essential element of a crime that must be proved to secure a conviction. The actus reus of the current case involved robbing the Susquehanna Bank branch in Halfway, Maryland. It is important to note that the suspects could not be punished for thinking criminal thoughts but for

COMUNICATION Coursework Example | Topics and Well Written Essays - 500 words

COMUNICATION - Coursework Example A skill that I am very excited about improving is people skills. People skills involve a wide range of interpersonal skills including assertion skills, collaboration, problem solving, and conflict resolution skills. I am very excited about improving my people skills because doing so will make a better professional. People skills help people in business because they enable the person to adapt to the situation based on the audience the person is communicating with. For example a manager can use his people skills to persuade a supplier to lower their prices. People skills can benefit people from any professional background. Doctors utilize people skills to gain the trust of their patients. Once this occurs the doctor will have a returning client. I need to make improvements in my people skills to improve my ability to interact with other students. In college a lot of learning takes place outside of the classroom. Students with good people skills are able to interact with all types of pe rsons in an effective manner. I realized that in order for me to succeed in the business world I have to improve my people skills due to fact that these skills are valuable tools that can enhance a person’s career opportunities. People skills can help me improve my interactions in everyday life. People skills can help me achieve better results when dealing with governmental employees.

Welfare State and Social Policies in Britain

Welfare State and Social Policies in Britain What are the essential characteristics of ‘conservative’ welfare states? Given that welfare states are normally associated with left of centre governments, and the supposed hostility of conservative right wing parties toward high levels of state intervention, the term ‘conservative welfare states’ seems somewhat of an anomaly. Nonetheless, there are definite examples of conservative states that not only refrain from fighting the welfare state but actually encourage the dependence of citizens on the government. This can be traced back to the Bismarckian ‘corporatist’ system of 19th century Germany, in which it was seen as in the interests of the state to look after the welfare of its citizens. This type of welfare state (in its extreme form) is less about reducing inequality and improving citizens lives than it is maintaining the status quo – a hierarchical system based on a culture of dependence (Esping-Anderson, 1990). Conservative welfare states are often religious and/or nationalist in nature, with a strong emphasis on family values. Epitomising such characteristics is arguably George Bush’s current reign. Despite initial cuts in public expenditure, government spending has actually increased faster under Bush than it did under Bill Clinton, with an increase of almost 33%. The religious aspect of Bush’s conservative system is illustrated with reference to his 2001 pledge to give billions of dollars to faith-based charities. Accepting the inevitability of ‘big government’ (and thus the end of Conservative emphasis on cutting spending), the republican government under Bush has prioritised public spending partly according to religious preferences. Therefore, a ‘conservative’ welfare state is one which uses welfare as a control mechanism, to advance a particular way of thinking – for instance religion, nationalism – on its citizens. What impact has social policy in Britain had on minority ethnic groups? One of the greatest challenges for social policy in Britain has been to encompass minority ethnic groups, and in many ways it has failed to achieve this. Bochel points out that for many years social policy has been reluctant to recognize ethnic diversity, intending to be universal in character, so the issue of race has long been overlooked. This has had a significant impact on minority ethnic groups as the discrimination that they most definitely suffer in the labour market and in the community has not been properly addressed. Research has shown that men and women from ethnic minority groups are twice as likely to be unemployed as white Britons, and other social indicators echo this pattern. Ethnic minorities are also more likely to undertake low-paid, low-skilled work, and the vicious circle that stems from this – inferior housing, poorer living standards, and substandard schools in deprived areas – is actually partly caused by the welfare state system, which instituti onalises this discrimination. The unique problems faced by ethnic minorities must be addressed individually, and until recently social policy has failed to do this. Furthermore, the emphasis on tackling crime that has underpinned New Labour’s social policy and that of the previous Conservative governments has impacted on ethnic minorities due to the often discriminatory nature of initiatives to cut crime. The ‘stop and search’ programme is unfairly targeted toward black youths, to the extent that many believe being black is tantamount to a social problem (McGhee, 2005). Such flaws in British social policy have undoubtedly contributed to a growing sense of isolation amongst ethnic minority groups, and thus it could be argued that social policy is often more harmful than beneficial. What have been the most significant changes in the size and use of public social expenditure in the UK in the past 30 years? The 1970s certainly marked a watershed in British history with regard to the welfare state; however, to claim that the past 30 years has witnessed a roll-back of the state and a decline in public spending is at best too simplistic and at worst incorrect. In fact, research has shown that from the late 1970s, public spending as a proportion of GDP has remained fairly stable. Thatcher certainly espoused the merits of small government and individualism and bemoaned the high levels of government spending associated with the economic crises of the 1970s, but the welfare state had become entrenched in British society, practically to the point of no return. There have, though, been significant changes in the use of public spending, as governments have been forced to re-prioritise spending (Alcock et al). For example, spending on education has increased in the past 30 years, whereas the Conservative and New Labour governments have attempted to tighten their budgets in the area of income suppo rt through an increase in means testing for benefits. NHS spending has also increased significantly under Labour following the 1999 Comprehensive Spending Review, by approximately 4.7% annually (Alcock et al). Ultimately, governments in the past 30 years have strived to improve the efficiency of public services, and this has accounted for the changes in the use of public social expenditure. What was distinctive about the ‘classic welfare state’ in Britain from the 1940s to the 1970s? Although it is important not to overlook the pre-1940 foundations upon which the welfare state was built, one cannot deny that the concept of the welfare state was most fully realized in Britain between 1940 and 1970. Building on the strong sense of collectivism that characterized the war years, the public and the government alike reached the consensus that state intervention was necessary to ensure that Britain would meet its full economic potential. It is widely regarded that the subsequent policies stemmed from a combination of the economic philosophy of John Maynard Keynes and the social philosophy of William Beveridge. The fact that a basic framework of social policy emerged for the first time was distinctive because it complemented the political and economic rights afforded to citizens from the turn of the century. Moreover, it represented the beginning of a rights-based citizenship in Britain (Alcock et al). It was also effectively the first time since the development of polit ical parties that the common good of the nation prevailed over partisan differences. Asa Briggs’ classic essay identified three principal elements of the welfare state which were distinctive from the pre-war period. The aim was to ensure the guarantee of minimum standards (including income), social protection by the state at times of need and the provision of services at a maximum level (Briggs, 1985). Another distinctive factor was that this protection was to be universal – unlike the poor laws of the Victorian times, access to welfare was to be ‘free at the point of delivery’ for all, without the stigma previously attached to welfare support. Of course, the ideal of the welfare state was never truly realized and disagreements regarding policy were common, but the consensus that emerged from the Second World War undoubtedly marked a major turning point in British history regarding the development of social policy. References Alcock, C. Introducing Social Policy, Harlow: Pearson Prentice Hall, 2004. Bochel, H. Social Policy: Issues and Development, Oxford University Press, 2005 Briggs, A. The Collected Essays of Asa Briggs, Harvester Press, 1985 Esping-Anderson, G. The Three Worlds of Welfare Capitalism, Cambridge, 1990 McGhee, D. Intolerant Britain, Open University Press, 2005

Pestel Analysis of Burger King Essay

Environmental factors may contribute to the increasing prevalence of obesity, especially in black and low-income populations. In this paper, the geographic distribution of fast food restaurants is examined relative to neighborhood sociodemographics. Methods Using geographic information system software, all fast-food restaurants within the city limits of New Orleans, Louisiana, in 2001 were mapped. Buffers around census tracts were generated to simulate 1-mile and 0.5-mile â€Å"shopping areas† around and including each tract, and fast food restaurant density (number of restaurants per square mile) was calculated for each area. Using multiple regression, the geographic association between fast food restaurant density and black and low-income neighborhoods was assessed, while controlling for environmental confounders that might also influence the placement of restaurants (commercial activity, presence of major highways, and median home values). Results In 156 census tracts, a total of 155 fast food restaurants were identified. In the regression analysis that included the environmental confounders, fast-food restaurant density in shopping areas with 1-mile buffers was independently correlated with median household income and percent of black residents in the census tract. Similar results were found for shopping areas with 0.5-mile buffers. Predominantly black neighborhoods have 2.4 fast-food restaurants per square mile compared to 1.5 restaurants in predominantly white neighborhoods. Conclusions The link between fast food restaurants and black and low-income neighborhoods may contribute to the understanding of environmental causes of the obesity epidemic in these populations.

Internship Application Essay Samples Tips

Internship Application Essay Samples Tips A Secret Weapon for Internship Application Essay Samples Unlike the majority of my peers, my goals are set for a short time. The Program contains a wide selection of sponsoring firms involved with real estate related pursuits. Students must consult the enterprise to see what they're permitted to do, the university must verify that requirements are satisfied, and the student should be certain that personal goals are satisfied. Examine the work upon completion. The sole difference between email and paper letters is the way you list the contact details. There are a lot of generic internship templates readily available online that can be customized to suit individual requirements. Additionally, to demonstrate that you're in a position to stick to the directions, you must adhere to the necessary word limit and format. In order to make the ideal application, one ought to remind himself the role of writing it. Interns need to understand exactly the same information that employees do and ought to be held to the very same standards, policies and procedures as other workers. You would like your employees content and wanting to come to get the job done. In the workplace you would like to do what you can to continue to keep employees motivated to run a thriving business. The employees are happy since they earn more money and the employer is happy on account of the company running well due to the tricky work being done. You are likely to love our work. Nobody works nicely with little if any direction. Although, internship is a short-term job, it's nevertheless an important stepping stone to acquiring the job which you really need to have. Internships are an exciting opportunity that everybody should benefit from. An internship will allow you to gain extra wisdom and skillsand you'll also get to understand a good deal of the specifics of your upcoming job. Maybe your next internship is going to be withGoogle! The degree to which the intern and the employer clearly understand that there isn't any expectation of reimbursement. You should remind why you are the ideal candidate. The degree to which the internship's duration is restricted to the period where the internship provides the intern with beneficial learning. The Importance of Internship Application Essay Samples Who knew essay writing might be so tough. As soon as you receive a work done from us you will return again if you need assistance with another one of your essays. Essays aren't generalizations from the usual pitfalls. It's possible to easily buy unique college essays and don't neglect to tell friends and family about it. Today, most college students find it difficult to compose an essay on a specific topic. Statement of your own personal statements. Employers ought to keep in mind the definition of a fantastic internship so as to have the ability to set one up for students working with them over the span of the summertime. Redesigning jobs is one method to motivate people on the job. Internships are huge methods to kick start somebody's profession. Job rotation also provides the employee the chance to create skills and knowledge in different areas within the job. By completing the level, there are respective abilities and competencies that I'll acquire and which will be very useful later on. Offering opportunities for students to take part in fun activities is a remarkable means to produce interns feel like they're a valuable portion of the team. In addition, you don't will need to ponder the way your work will look like, once it's completed. Working at home can be an issue for some because they may be easily distracted by their house life. The Start of Internship Application Essay Samples A true job description can be quite helpful not only defining the internship but also when evaluating performance at the center and end of the real internship. Bringing about the most suitable combination in every intern placement and keeping the ideal learning experience for students during the internship demands significant moment. Make certain that you imply that you've got the abilities and experiences to be in a position to easily adapt to the w ork internship you're applying for. If you're asking for an internship, you will probably have to submit a cover letter as a portion of your application. The CPR for Health Care Provider card must be shown ahead of the beginning of the externship. The company Internship PPT theme is among the most essential tools you need as an internee. Also introduce your Internship Supervisor and provide a succinct background on their experience and position.

Cerebral Palsy - Free Essay Example

Sample details Pages: 30 Words: 9013 Downloads: 9 Date added: 2017/09/21 Category Advertising Essay Type Argumentative essay Tags: Development Essay Did you like this example? I. INTRODUCTION Background and rationale of the study: One of the leading cases of musculoskeletal trauma is fracture. Fractures are any break in the continuity of the bone. It usually occurs when the stress placed on a bone is greater than the bone can absorb. Muscles, blood vessels, nerves, tendons, joints and other organs may be injured when fracture occurs (Nettina, Sandra B. 2006). It can be caused by metabolic bone diseases such as osteoporosis, or as a result of direct force when a moving object strikes the body area over the bone, or it could result from accidental falls. Accidental falls is on top of the list when we talk about fracture causes, and it can happen as a result of lack of balance and poor muscle coordination. It can also happen because of underlying neuromuscular disorders like cerebral palsy. Cerebral palsy includes a wide variety of non-progressive brain disorders that occur during intrauterine life, delivery, or early infancy. It is defined as a sy ndrome of motor disabilities possibly accompanied by mental retardation, seizures, or both. Causes of cerebral palsy are many and include cerebral developmental disorders such as microcephaly, intracranial hemorrhage, cerebral anoxia, and toxins such as excessive bilirubin. Prenatal factors include infection with rubella, nutritional deficiency, and blood factor incompatibility (Bullock and Henze, 2000). One of the most common types of cerebral palsy, that accounts for 50% of all CP cases, is the Spastic cerebral palsy. It has three different subtypes mainly: diplegia, which mostly affects the lower extremities; Quadriplegia, where all four extremities are involved; and lastly Hemiplegia, the most common type of spastic CP and it involves one side of the body. The author of this study chose the above mentioned case because the author would want to make a connection between the two major diseases occurring in one individual, since the occurrence of one would not necessarily mea n the presence of the other. Likewise cerebral palsy patient are thought to be somebody that should be given special attention and care because of the affected individuals inability to perform activities of daily living, and to have a CP patient get injured indicates that there must be some negligence on the part of the direct care giver, who is the mother. Moreover cerebral palsy patients have a high seizure tendency and soft brittle bones due to lack of usage of the extremities contributing to the risk of acquiring injuries such as fracture. With the given information above, the researcher would like to know more about the disease condition and to provide important information to the parents of the child to avoid future injuries. Objectives of the study: This study aims to obtain information regarding Cerebral palsy and closed subtrochanteric fracture of the femur. It as well intends to analyze the diagnostic findings of a patient diagnosed with this condition and to identif y medical and surgical interventions appropriate for this disease. Lastly this study aims to provide holistic nursing care to patients diagnosed with this disease. SPECIFIC OBJECTIVES: †¢ To know conditions that can possibly lead into cerebral palsy and fracture of the femur. †¢ To be able to connect cerebral palsy to the development of fracture and their relationship to each other. †¢ To be able to gather information on medical interventions and surgical interventions available to possibly cure this disease condition. †¢ As a nurse, to enumerate the responsibilities specific to this kind of disease in order to render compassionate and holistic nursing care. Significance of the study: As we all know Cerebral palsy is not a common condition. This means hat nit too many in society know about the disease, while fracture on the other hand is very common. Like for example, at the Vicente Sotto Memorial Medical Center Orthopedics ward. 70% of the censuses are diagno sed with fracture while cerebral palsy only accounted for 0. 5% of the total census for the whole week of June. This study provides the readers information regarding fracture and cerebral palsy since the presence of the latter predisposes the occurrence of the former. It informs regarding the possible causes, signs and symptoms, and corresponding management to avoid and treat the condition. People with this condition will benefit from this study through their health care providers who will be educated on the proper interventions to promote their fast recovery of their fractured femur and to prevent the injury from occurring by eliminating risk factors. The health care providers will profit from this study through obtaining past and current interventions to promote fast healing and recovery of fractures. They will also benefit in terms of knowing the right seizure precautions, to avoid such injuries from happening again during the course of the disease or in the future, when fract ure recovery is already obtained. The study will profit the parent of the patient, since the understudy is a seven year old child and can not read or talk, because it will provide them the right information regarding the child’s condition. It will educate them on the proper precaution that has to be observed in order to avoid injuries if ever seizure episodes of their child occur. Methodology: The study was conducted in Vicente Sotto Memorial Medical Center during a week of exposure at Ward VIII (Ortho Ward). A patient with the name of N. F. S. O. was chosen personally by the student nurse under the guidance of his clinical instructor. She was assisted with her physical, emotional and psychological needs within the next 4 days. Within the allotted time, the patient was rendered with holistic nursing care. The first meeting of the student nurse and patient was devoted to establishing therapeutic relationship in order to gain trust, cooperation and participation from the patient during the course of the treatment. In addition, a physical assessment was also done to obtain baseline data and for the purpose of documentation. This was performed with the aid of the Orthopedic physical assessment form. Following the initial observations, nursing problems were identified. To address the problems recognized, nursing care plans were made to guarantee holistic nursing interventions. The implementation of those plans was reserved to the remaining days of the exposure. Likewise, SOAPIE chartings were done to help test the behavioral outcomes or responses of the patient to interventions done. Then with the support from the clinical instructor who also served as the adviser, the student nurse was guided as to her responsibilities to the patient. Overall, this study is more of evidence on what happened with the activities that have been performed to the patient. And together with the efforts of a multidisciplinary collaboration this study was made possible. II. SITUATIONAL APPRAISAL Patient’s profile: †¢ Name: N. F. S. O. †¢ Age: 7 years old †¢ Sex: Female †¢ Civil Status: Child †¢ Nationality: Filipino †¢ Religion: Roman Catholic †¢ Address: Englis V. Rama, Cebu City †¢ Father: E. O. †¢ Mother: E. T. †¢ Admitting Doctor: Dr. Pia Kareena V. Quinones †¢ Admitting Diagnosis: 1. Fracture Left Subtrochanteric Femur 2. Cerebral Palsy †¢ Admission Date and Time: June 20, 2008: 4:00pm †¢ Hospital Number: 716702 †¢ Diet: Diet as Tolerated †¢ Chief complaint: left leg pain Patient’s History: On June 20, 2008 at around 9-10 AM in the morning patient and his younger brother was playing peek-a-boo, while the mother was washing their cloths, when the brother accidentally sat at the patient’s stroller causing the patient to fall on the floor. And since the patient is a quadriplegic cerebral palsy patient, her left leg was severely bruised. Patient kept on crying and crying even with no movement and manipulation. This prompted the parent’s to admit the child to Vicente Sotto Memorial Medical Center at around 4:00PM. During Assessment mother reported that she had a remarkable prenatal history on the patient, and during her delivery child was intubated @ NICU. And since then child can not walk nor talk. Child has started to exhibit seizure episodes at her 2nd year and 8th month and since then child is being maintained with Phenobarbital 1 Grain. Assessment Findings: Musculoskeletal: There is no muscle coordination. With contractures on the four extremities noted. Pain on the left leg, with some scars on the left foot noted. Patient cannot stand up, nor sit down. She also could not talk, but is able to grasp her feeding bottle. Left and right arm are identical in terms of length and measures 28 cm. While there is a slight deviation in her two legs, as the left is slightly shorter than the right. Left measures 57 cm, whi le the right is at 58 cm. HEENT: Patient’s head is normocephalic with irregular skull contours. There was no mass or lesions noted. Hair is oily with some dandruff. Pupils are round and reactive to light and accommodation, 2mm in size with arcus seniles evident around brown iris, ecteric sclerae. Pale palpebral conjunctiva was noted, no eye discharges. Upon palpation, no edema or tenderness over lacrimal gland and also there was no tearing noted. Pinna recoils after being folded and are aligned with the outer canthus of the eyes. No lesions or discoloration were noted on outer ear. Intact nose bridge at the midline, with slight nasal flaring noted, pink mucosa with cilia, with clear nasal discharges. Sinuses are not tender or painful upon palpation. Thyroid gland is nonpalpable as well as cervical lymhpnodes. Trachea is at midline. Respiratory: Patient has a labored expiration and was breathing at a rate of 32 cpm. Upon auscultation, rales are audible on all quadrants, crackles noted. Chest indrawing is visible during inspiration and expiration. Cardiovascular: Patient’s heart rate is 72 bpm. Apical pulse is audible, clear and without murmurs, with regular rhythm noted upon auscultation. No visible palpitations were noted. Jugular vein distention was not evident. Peripheral pulses were bounding and easily located at dorsalis pedis and carpal areas. Gastrointestinal: Patient has pinkish dry lips without cracks, and white residues in the tongue were noted. Oral mucosa is pinkish, smooth and moist with saliva. She has a total of 24 permanent teeth with visible dental caries. Tongue is pinkish and can move freely, no palpable mass or nodules on surface. Normal bowel sounds, adequately audible on all quadrants with 17 bowel sounds heard in a minute upon auscultation. Upon palpation there is no tenderness or rigidity of the abdomen. Tympani over stomach and bowels, dull sound noted over liver upon percussion. Urinary: Bladder not distended, without pain, urgency and frequency in urination, no flank pain noted. Patient is on diapers. Reproductive: Immature breast noted with no nipple protrusion. Both breasts are equal. Areola is round and darker in color. Nipples are round, and equal in size, no discharges were noted, no cracks. Skin is intact without lesions, masses, striaes and dimpling in both breasts. Labia majora and minora are intact. No discharges and swelling noted. OB- Gyne history: Patient has not had her menarche yet. Neurologic: CN 1: anosmia noted. Patient can not identify odor. CN 2: Patient can not read. CN 3: pupils equally round and reactive to light and accommodation CN 4: there is some unequal movement in both eyes. More like of a strabismus, but it is not that profound. CN 5: equal face sensation, no facial palsy, able to move upper and lower jaw CN 6: patient is unable to move her eyes from one side to the other. CN 7: able to frown, able to smile, able to raise and lower eyebrows, able to close eyelids, able to taste sweet, sour, salty and bitter. CN 8: Patient can not stand up nor sit down, and can not hear voice, at a normal rate, within 5 feet distance. CN 9: Able to taste sweet, sour, salty an bitter, Gag reflex intact as evidenced by ability to swallow CN 10: When patient said â€Å"ah†, upward and downward movement of the palate and oropharynx was noted CN 11: able to flex head but patient was having a hard time shrugging her shoulders due to the present of contractures in both upper extremities. CN 12: Able to stick out tongue to the midline, tongue freely moves inside the oral cavity Patient was unable to perform finger to nose test with difficulty of speech and articulation, with a 0 grade patellar reflexes on lower extremities and 0-grade also for triceps and biceps reflexes on both upper extremities. Psychological: Patient can not talk, stand and sit. Exhibits a blank stare often times, and cries whenever she has problem breathing and when she does not like the food or when she is hungry or feels humid and sleepy. Anatomy and Physiology The femur , the longest and strongest bone in the skeleton, is almost perfectly cylindrical in the greater part of its extent. The femur, like other long bones, is divisible into a body and two extremities [pic] Figure 1-Anterior View of the Femur Upper Extremity (proximal extremity) The upper extremity presents for examination a head, a neck, a greater and a lesser trochanter. The Head (caput femoris) Its surface is smooth, coated with cartilage in the fresh state, except over an ovoid depression, the fovea capitis femoris, which is situated a little below and behind the center of the head, and gives attachment to the ligamentum teres. The cartilage provides smooth articulation. The Neck (collum femoris). The neck is a flattened pyramidal process of bone, connecting the head with the body. The Trochanters. The trochanters are prominent processes which afford leverage to the muscles that rotate the thigh on its axis. They are two in number, the greater and the lesser. The Greater Trochanter (trochanter major; great trochanter) is a large, irregular, quadrilateral eminence, situated at the junction of the neck with the upper part of the body. Tubercle of the femur; it is the point of meeting of five muscles: the Glut? us minimus laterally, the Vastus lateralis below, and the tendon of the Obturator internus and two Gemelli above The Lesser Trochanter (trochanter minor; small trochanter) is a conical eminence; it projects from the lower and back part of the base of the neck. Point of attachment for Psoa’s major. Body or Shaft (corpus femoris). The body, almost cylindrical in form, is a little broader above than in the center, broadest and somewhat flattened from before backward below. [pic] Figure 2- Posterior view of the femur B. The Lower Extremity (distal extremity) The lower extremity, larger than the upper, is somewhat cuboid in form, but its transvers e diameter is greater than its antero-posterior; it consists of two oblong eminences known as the condyles. These condyles at the distal end of the femur articulate with the tibia. Epicondyles, located medial and lateral to the condyles are points of ligament attachment. The patella or knee cap, is located within the major tendon of the anterior thigh muscles and enables the tendon to turn the corner over the knee. [pic] Figure 3- Parasympathetic and Sympathetic Nervous System The Brain Three cavities, called the primary brain vesicles, form during the early embryonic development of the brain. These are the forebrain (prosencephalon), the midbrain (mesencephalon), and the hindbrain (rhombencephalon). During subsequent development, the three primary brain vesicles develop into five secondary brain vesicles. †¢ The telencephalon generates the cerebrum (which contains the cerebral cortex, white matter, and basal ganglia). †¢ The diencephalon generates the thalamus, hypo thalamus, and pineal gland. †¢ The mesencephalon generates the midbrain portion of the brain stem. †¢ The metencephalon generates the pons portion of the brain stem and the cerebellum. †¢ The myelencephalon generates the medulla oblongata portion of the brain stem A second method for classifying brain regions is by their organization in the adult brain. The following four divisions are recognized. [pic] Figure 4- Lobes of the Cerebrum, Sagittal Section of the Brain, and Ventricles of the Brain The cerebrum consists of two cerebral hemispheres connected by a bundle of nerve fibers, the corpus callosum. The largest and most visible part of the brain, the cerebrum, appears as folded ridges and grooves, called convolutions. The following terms are used to describe the convolutions: †¢ A gyrus (plural, gyri) is an elevated ridge among the convolutions. †¢ A sulcus (plural, sulci) is a shallow groove among the convolutions. A fissure is a deep groove among the convolutions. †¢ The deeper fissures divide the cerebrum into five lobes (most named after bordering skull bones)—the frontal lobe, the parietal love, the temporal lobe, the occipital lobe, and the insula. All but the insula are visible from the outside surface of the brain. †¢ A cross section of the cerebrum shows three distinct layers of nervous tissue: †¢ The cerebral cortex is a thin outer layer of gray matter. Such activities as speech, evaluation of stimuli, conscious thinking, and control of skeletal muscles occur here. These activities are grouped into motor areas, sensory areas, and association areas. [pic] Figure 5-The human central Nervous System †¢ The cerebral white matter underlies the cerebral cortex. It contains mostly myelinated axons that connect cerebral hemispheres (association fibers), connect gyri within hemispheres (commissural fibers), or connect the cerebrum to the spinal cord (projection fibers). The corpus callosum is a major assemblage of association fibers that forms a nerve tract that connects the two cerebral hemispheres. Basal ganglia (basal nuclei) are several pockets of gray matter located deep inside the cerebral white matter. The major regions in the basal ganglia—the caudate nuclei, the putamen, and the globus pallidus—are involved in relaying and modifying nerve impulses passing from the cerebral cortex to the spinal cord. Arm swinging while walking, for example, is controlled here Pathophysiology Etiology: †¢ Trauma †¢ Stress and fatigue †¢ Direct or indirect force †¢ Falls †¢ Cerebral anoxia Risk factors: †¢ Metabolic bone diseases, such as osteoporosis Neoplasm †¢ Osteogensis imperfecta †¢ Osteopenia †¢ Postmenopausal estrogen loss †¢ Protein malnutrition †¢ Seizure tendencies Patient’s etiology: Cerebral Palsy and Trauma Cerebral Anoxia v Spastic cerebral palsy v Quadriplegic type static cerebral palsy v Soft and b rittle bones v Trauma v Stress placed on bone exceeds the bone’s ability to absorb it v Break in the continuity of the bone v Muscles attached to the bone are disrupted v Muscles undergo spasm and pull fracture fragments out of position v Distal portion of the femur is displaced v Periosteum and blood vessels in the cortex and marrow of the fractured bone are disrupted v Soft tissue damage v Bleeding occurs from both the soft tissue and from the damage ends of the bone v Signs and symptoms: †¢ pain, †¢ edema, †¢ tenderness of fractured site †¢ abnormal movement and crepitus †¢ loss of function †¢ ecchymoses †¢ visible deformity, †¢ shortening of affected limb †¢ paresthesias †¢ All four extremities are involved. †¢ The individual is non-ambulatory and is not able to acquire speech and no sphincter control. †¢ Contractures on all four limbs III. SUMMARY OF MEDICAL AND SURGICAL MANAGEMENT Diagnostic studies: For fracture and cerebral palsy A. ACTUAL Radiography (X-RAY) is the most widely used non-invasive musculoskeletal diagnostic procedure. X-ray examinations are used to do the following: †¢ Establish the presence of a musculoskeletal problem †¢ Follow its progress †¢ Evaluate the effectiveness of the treatment A palin film is obtained, usually an anteroposterior or lateral view, possibly both. Patient’s X-ray result: The radiograph study was taken last June 20, 2008 to help diagnose the patient’s skeletal condition. The results showed that there was a fracture on the patient’s left subtrochanteric region of the femur. Complete blood count (CBC) Table 1- Complete Blood Count |HEMATOLOGY | |Blood components |Results |Normal value |Unit |Interpretation | |WBC |12. 7 |4. 8 – 10. 8 |10^9/L |Increased | |RBC |4. 2 |4. 2 – 5. 4 |10^12/L |Within normal limits | |Hemoglobin |12. 4 |F= 12. 6 – 16. 0 |g/L |Slightly decreased | |Hematocrit |0. 373 |F=0. 370 – 0. 470 |l/L |Within normal limits | |MCV |87 |81 – 99 |fl |Within normal limits | |MCH |28 |27. – 31. 0 |pg |Within normal limits | |Platelet |302 |150 – 450 |10^9/L |Within normal limits | |Neutrophils |63. 4 |40. 0 – 74. 0 |% |Within normal limits | |Lymphocytes |20. 6 |19. 0 – 48. 0 |% |Within normal limits | |Monocytes |7. |3. 4 – 9. 0 |% |Within normal limits | |Eosinophils |2. 1 |0. 00 – 7. 0 |% |Within normal limits | |Basophils |0. 8 |0. 0 – 1. 5 |% |Slightly increased | This laboratory results on the blood components were obtained last June 20, 2008 as part of the diagnostic exams that the patient has to undergo. All the components’ results were within normal limits, except for the WBC, Hemoglobin, and Basophils. He increased white blood cell (WBC) component signifies that there is a possible infection. While the slightly decreased Hemoglobin may indicated low oxygen supply in the blood due to hypoxia. And lastly, the slight increase in the basophile content is a result of the inflammatory process that the patient is undergoing due to fracture. B. IDEAL Arthroscopy- used to detect if the injury has any joint involvement. A fiberoptic arthroscope allows endoscopic examination of various joints (hip, knee, shoulder, elbow, and wrist) without making a large incision. Arthroscopy can be used for 1) Obtaining a biopsy specimen, 2) assessing articular cartilage, 3) removing loose bodies, and 4) trimming cartilage. It is usually an out-patient procedure performed with the use of local anesthesia. The client recovers more quickly that after an arthrotomy (opening of the joint). Computed tomography (CT) assists in determining the extent of bony destruction, and in better delineating bony architecture. CT will also help in better understanding intralesional calcifications. As with plain radiographs, disappearance or change in the nature of calcifications with re peat scanning can be suggestive of malignancy. Magnetic Resonance Imaging (MRI) – Facilitates the early diagnosis of many conditions that affect tendons, ligaments, cartilage and bone marrow. This is also important in assessing the integrity of the bone. MRI is also indicated and used for cerebral palsy patients since can help identify lesions that may be the cause of seizure for CP patients. Electromyogram is used to assess such problems as muscle weakness, altered gait, and lower motor neuron lesions. It measures and documents electrical currents produced by skeletal muscles, called muscle action potentials. Small-needle electrodes are inserted into muscles. The electrical potentials of each muscle are amplified, transmitted to an oscilloscope, and displayed on a screen. The recording can be made audible and documented on paper. Electroencephalogram (EEG) – is a measurement of the electrical activity of the superficial layers of the cerebral cortex. The electr ical potentials from neuron activity within the brain are recorded in the form of wave patterns. It is helpful in lcating epileptic episodes, spread, intensity, and duration; It can also help classify seizure type since one of the major manifestation of cerebral palsy is seizure. Blood tests are generally not helpful in making the diagnosis, although they can be used to make sure that there is no other process going on, such as infection or any bone malignancy. Source: Black and Hawks. 2005. Medical-Surgical Nursing. Clinical Management for Positive Outcome. Volume 1. 7th edition. Singapore Elsevier. Medical Management ACTUAL Table 2- Drug Summary of Tramadol Hydrochloride |Name of |Classifications |Mechanism |Patient’s |Contraindications |Side | |Drug | |of Action |Indication | |Effects | Nursing Responsibilities: Before: ? Baseline vital signs were taken prior to the giving of tramadol. ? Assessed the type, location and intensity of pain ? Assessed patient’s bo wel function routinely ? Checked patient’s history of hypersensitivity to tramadol. ? Observed aseptic technique in drug preparation ? Checked doctor’s order before administration of tramadol During: ? Observed the RIGHTS in drug administration ? Maintained aseptic technique in drug administration ? Tramadol was administered every 6 hours as prescribed. ? May be administered without regards to meals ? Tramadol 15mg was given via IVTT every 6 hours to relieve pain After: ? Instructed patient’s S. O. n how and when to ask for pain medication ? Cautioned patient’s S. O to avoid from activities that require attentiveness until response to medication is known ? Advised patient’s S. O. to change patient’s position slowly, to minimize orthostatic hypotension ? Cautioned patient’s S. O. to avoid concurrent use of alcohol and other CNS depressants with this medication ? Encouraged patient’s S. O. to turn, cough and let patient breathe d eeply q 2hrs to prevent atelectasis Table 3- Drug summary of Acetaminophen Name of |Classifications |Mechanism |Patient’s |Contraindications |Side | |Drug | |of Action |Indication | |Effects | Nursing responsibilities: Before: ? Assessed vital signs especially temperature ? Assessed fever: note presence of associated signs (diaphoresis, tachycardia, and malaise) ? Monitored patient’s serum bilirubin, LDH, AST, ALT and prothrombin time ? Kept acetylcysteine at bedside ? Explained drug therapy to patient’s S. O. During: ? Administered paracetamol with a full glass of water (for PO use) ? Drug may be taken with food or an empty stomach ? Evaluated patient’s hematologic and hepatic function ? Cautioned patient’s S. O. to avoid patient from taking more on product containing acetaminophen. ? Reassessed vital signs especially temperature After: ? Advised patient’s S. O. to let patient take drug as directed ? Advised patient’s S. O. to avo id patient from intake of alcohol ? Advised patient’s S. O. to consult physician if discomfort or if fever is not relieved ? Instructed patient’s S. O. to inform physician before taking OTC meds Table 4- Drug Summary of Phenobarbital |Name of |Classifications |Mechanism |Patient’s |Contraindications |Side | |Drug | |of Action |Indication | |Effects | Nursing responsibilities: Before: †¢ Assessed patient’s history for hypersensitivity to drugs †¢ Equipment for resuscitation and artificial ventilation are made readily available. Assessed location, and characteristic of seizure activity †¢ Obtained patient’s history before initiating drug therapy †¢ Explained drug therapy to patient’s S. O During: ? Assessed for pain. Drug may increase sensitivity to pain ? Evaluated patent’s hepatic and renal function periodically ? Injections should be given deep into the gluteal muscle ? Tablets were crushed and mixed with food for my patient, since she has difficulty swallowing ? Symptoms of drug toxicity: confusion, drowsiness, dyspnea, slurred speech, and staggering were closely monitored After: Prevented risk for Injury by creating an improvised safety measurements like placing pillow at the side of the bed ? Instituted seizure precaution ? Gradually decreased dose while concurrently increasing dose of replacement drug to maintain anticonvulsant effect ? Advised patient’s S. O. not to discontinue medication without consulting physician ? Advised patient’s S. O. to take medication as prescribed ? Cautioned patient’s S. O. to avoid intake of alcoholic beverages ? Cautioned patient’s S. O. to avoid activities requiring focus. Table 5- Drug Summary of Amoxicillin Trihydrate Name of |Classifications |Mechanism |Patient’s |Contraindications |Side | |Drug | |of Action |Indication | |Effects | Nursing responsibilities: Before: ? Assessed for infection (vital signs, wound appe arance, sputum, urine, stool and WBC’s) ? Assessed patient for hypersensitivity to Amoxicillin ? Obtained patient’s medication history, before initiating therapy ? Specimens for culture and sensitivity were obtained. ? Explained drug therapy to patient’s S. O. During: ? Observed for signs and symptoms of anaphylaxis. ? Kept epinephrine, antihistamine, and resuscitation equipment at bedside. ? Monitored hgb, hct, RBC, WBC, neutrophils, and lymphocytes. ? Added mineral water for oral suspension to each 50mg/ml bottle. ? Administered only clear solutions. After: ? Advised patient’s S. O. to report signs of superinfection and allergy. ? Instructed patient’s S. O. to comply with drug regimen. ? Instructed patient’s S. O. o report immediately to physician if diarrhea and fever occurs. ? Instructed patient’s S. O. to notify physician if symptoms do not improve ? Checked and assessed patient’s vital signs after drug administration. IDEAL Therapeutic Interventions 1. Emergency management includes splinting fracture above and below site of injury, applying cold, and elevating limb to reduce edema and pain 2. Control bleeding and provide fluid replacement to prevent shock, if necessary 3. Traction used for long bones 4. Skin traction force applied to the skin using foam, rubber, tapes, and so forth 5. Skeletal traction – force applied to the bony skeleton directly, using wires, pins, or tongs placed into or through the bone 6. External Fixation to stabilize complex and open fracture with use of a metal frame and pin system. Source: https://www. wheelessonline. com/ortho/femoral_shaft_fracture. Management of Femoral Fractures. Accessed last September 25, 2008. Pharmacological Interventions: 1. Local anesthetics, opioid analgesics, muscle relaxant, or sedative is given to assist the patient during closed reduction procedure 2. Closed reduction may also be done with general anesthesia 3. Analgesics are given as directed to control pain postoperatively Source: https://www. wheelessonline. com/ortho/femoral_shaft_fracture. Management of Fractures. Accessed last September 25, 2008 Surgical Management: IDEAL Open reduction and Internal Fixation (ORIF) – To perform open reduction, the surgeon makes an incision and realigns the fracture fragments under direct visualization. Open reduction is usually performed in combination with internal fixation for femoral and joint fractures. Screws, pins, plates, wires, or nails may be used to maintain alignment of fracture fragments. After wound closure, splints or casts may be used for additional stabilization and support. External Fixation – Depending on the client’s condition and the physician’s judgment, external fixation devices may be used for fracture fragment immobilization. Source: Black and Hawks. 2005. Medical-Surgical Nursing. Clinical Management for Positive Outcome. Volume 1. 7th edition. Singapore Else vier. ACTUAL No actual surgical interventions done. IV. PROBLEM ANALYSIS 1. Impaired Physical Mobility related to musculoskeletal impairment secondary to left subtrochanteric fracture of the femur. The patient can not stand, walk, and even sit down without assistance. She can not move her left leg because of fracture. †¢ Impaired physical mobility is defined as a limitation in independent, purposeful, physical movement of the body or of one or more extremities (Doenges, et. al. 333). 2. Risk for injury related to uncoordinated large and small muscle contraction secondary to permanent physical disability, cerebral palsy. †¢ The patient has cerebral palsy with seizure tendencies. Patients with seizure tendencies are always at risk for injury. Just like how the patient got her fracture. At risk of injury as a result of environmental conditions interacting with the individual’s adaptive and defensive resources ( Doenges, et. al. 312). †¢ A Seizure is a sudden, abno rmal electrical discharge from the brain that results in changes in sensation, behavior, movements, perception or consciousness (Black Hawks. 2077). 3. Risk for impaired skin integrity related to immobility of left leg secondary to left subtrochanteric fracture of the femur. †¢ The patient had been confined to bed rest for almost 2 weeks already, and because oh her inability to move and turn from one side to the other. She is placed on a great risk of developing bed sores or skin ulcers. †¢ Risk for skin integrity is someone at risk for skin being adversely altered ( Doenges, et. al. 417). 4. Health seeking behavior: proper care of a cerebral palsy patient related to lack of experience. †¢ The patient’s S. O. made herself available for help through health teaching regarding the proper care for her daughter with cerebral palsy and fracture. †¢ Health seeking behavior is defined as active seeking of ways to alter personal health habits and/or the environ ment to move toward a higher level of health (Doenges, et. al. 278). 5. Self-care deficit: bathing and hygiene related to physical immobility secondary to quadriplegic cerebral palsy. †¢ The patients is suffering from quadriplegia or loss of muscle coordination in all four limbs of the body, thus preventing the patient from performing body hygiene activities such as bathing and brushing the teeth. †¢ Self-care deficit, hygiene, is the impaired ability to perform feeding, bathing, dressing, and grooming or, toileting activities for oneself. Self-care may also be expanded o include the practices used by the client to promote health, the individual responsibility for self-care, a way of thinking (Doenges, et. l. 268). V. DECISIONAL ANALYSIS: NCP 1 Nursing Diagnosis: Impaired physical mobility related to musculoskeletal impairment secondary to left subtrochanteric fracture of the femur. Subjective Cues: No verbal cues noted Objective Cues: †¢ Without IVF †¢ With t he ff. Vital signs: T= 37. 2 Celsius; P= 118 bpm; R= 24 cpm †¢ Physical immobility noted †¢ With balance traction †¢ Humming noted Laboratory: †¢ Radiograph results show a break in the subtrochanteric region of the left femur. †¢ Ideal: results of arthroscopy and X-ray Theoretical Basis: Impaired physical mobility is defined as a limitation in independent, purposeful, physical movement of the body or of one or more extremities (Doenges, 333). †¢ Manifestations of fracture include pain at site of injury, swelling tenderness, false motion and crepitus (grating sensation), deformity, loss of function, ecchymosis, and paresthesia (Nettina, Sandra M. 2006. p. 1079). †¢ A radiograph may confirm the bone injury, but it does not show evidence of the torn muscle or ligaments, severed nerves, or ruptured blood vessels that can complicate the client’s recovery (Nettina, Sandra M. 006. p. 1079). Expected Outcome: †¢ Short term goal: After 8 hours o f nursing intervention patient’s S. O. will be able to verbalize understanding of the situation/ risk factors and individual treatment regimen and safety measures. †¢ Long term goal: After 40 hours of nursing interventions patient’s S. O. will be able to maintain the patient’s position of function and skin integrity as evidenced by absence of decubitus ulcers and foot drops. Intervention and rationale: A. Independent 1. Determine diagnosis that contributes to immobility R: to identify causative factors (Doenges, et. al. 335). 2. Perform physical assessment while doing tepid sponge bath. R: doing sponge bath is the best way to assess your patient (Kozier ,et. al. 706). 3. Assess patient’s physical and mental status. R: To determine patient’s level of consciousness (Kozier, et. al. 528). 4. Note emotional / behavioral responses to problems of immobility. R: Feelings of powerlessness/frustrations may impede attainment of goals (Doenges, et. al . 335). 5. Instruct patient’s S. O. in use of side rails, overhead trapeze, and roller pads. R: For position changes and transfers (Doenges, et. Al. 335). 6. Support affected body part using pillows and foot supports R: To maintain position of function and reduce risk of pressure ulcers (Doenges, 335). 7. Encourage adequate intake of fluids about 8 -10 glasses per day, and eat nutritious foods. R: Promotes well-being and maximizes energy production. Reduce risk for renal calculi formation and constipation (Doenges, 335). 8. Raise side rails up. R: Proper techniques prevent further injury and promote seizure precautions (Doenges, et. al. 335). B. Dependent/Collaborative . Administer pain medications as indicated. R: To relieve pain (Doenges, et. al. 335). 2. Elevate head of bed. R: To promote maximum comfort and resting satisfaction on the child (Black Hawks. 604). 3. Administer anti seizure and anti-convulsant drugs, as prescribed. R: To prevent and avoid seizures and dec reasing the risk for further damage and injury on the child (Black Hawks. 2018). At the end of the shift, the patient’s was noted for compliance of the medications. She verbalized willingness to participate in activities that will prevent the complications stated above. She was seen placing pillows on the patient’s side and verbalized that she religiously gave Phenobarbital to her daughter before going into bed, of course with the supervision of the nurse on duty. NCP 2 Nursing Diagnosis: Risk for injury related to uncoordinated large and small muscle contractions, secondary to cerebral palsy. Subjective cues: no verbal cues noted. Objective cues: †¢ Without IVF †¢ With balance traction †¢ No side rails noted †¢ Seizure episodes and tendencies reported by the S. O. †¢ Inability to talk observed †¢ Drooling eyes noted. Laboratory: †¢ NO significant laboratory result Ideal: EEG, MRI and Ct scans to confirm the cause of seizure episo des Theoretical basis: †¢ At risk of injury as a result of environmental conditions interacting with the individuals adaptive and defensive resources (Doenges, et. al. 314). †¢ A seizure is a sudden, abnormal electrical discharge from the brain that results in changes in sensation, behavior, movements, perception or consciousness. A seizure may occur in isolation or with some acute problem within the central nervous system, such as low blood glucose level, drug or alcohol withdrawal, or traumatic brain injury (Black and Hawks. 077). †¢ The goals of management of client’s with seizures and epilepsy are to prevent injury during seizures, to eliminate factors that precipitate seizures, to diagnose and treat the cause of the seizures, and to control seizures to allow a desired lifestyle (Black and Hawks. 2077). Expected Outcome Criteria: †¢ Short term goal: After 8 hours of nursing intervention the patient’s S. O will verbalize understanding of individu al factors that contribute to possibility of injury and take steps to correct situation. †¢ Long term goal: After 2 days of nursing intervention the patient’s S. O. ill be able to free the patient from any injury. Intervention and Rationale: A. Independent 1. Assess patient’s physical and mental status. R: It shouldn’t only the physical aspects are assess, but also the intellectual and mental state (Doenges, et. al. , 332). 2. Not age and sex. R: Children, young adults, elderly persons and men are at greater risk (Doenges, et. al. 311). 3. Assess mood, coping abilities, personality changes. R: May result in carelessness without consideration of consequences (Doenges, et. al. 311). 4. Provide information regarding disease condition that may result in increased risk of injury. R: Giving information increases knowledge about a topic or let the client know what to expect and to prevent injury (Kozier, et. al. 277). 5. Raise side rails up or put a pillow on t he side of the bed. R: To prevent the patient from falling out of her bed (Doenges, et. al. 311). 6. Stay at patient’s bedside. R: To note and observe possible signs of an upcoming seizure episode (Black and Hawks. 499). 7. Teach patient’s S. O. on the possible signs and manifestations that may prelude to a seizure attack. R: To promote awareness when the nurse is not around (Black Hawks. 1477). 8. Provide bibliotherapy and written resources R: For later review and self-paced learning (Doenges, et. al. 312). B. Dependent/Collaborative: 1. Administer drugs as prescribed, such as Phenobarbital. R: Phenobarbital inhibits and helps prevent convulsion from happening (Black Hawks. 2077). 2. Place all sharp objects away from patient’s bedside. R: To avoid accidental injuries if ever seizure occurs (Doenges, et. al. 473). 3. Place patient in a supine position with bed lowered down. R: Supine position is the ideal position for patient’s risk for seizure attac ks (Black Hawks. 2079). At the end of the shift patient’s S. O. placed patient in supine position, and stayed at bedside. She also placed a pillow at the side of the bed and freed the bedside table from any sharp objects, including fork and knife. Patient took Phenobarbital before bedtime. And lastly the patient was free fro injury. DISCHARGE PLANNING: Probable date: August 8, 2008 Destination: Englis V. Rama, Cebu City Transportation: Taxi or public utility vehicle/ jeepney Agencies and equipment involved: †¢ Vicente Sotto Memorial Medical Center Ward VIII †¢ All equipments used in the diagnostics Diet: †¢ a low salt low fat diet yet high in carbohydrates, proteins, vitamins and minerals in order to sustain the patient’s metabolic needs. High in calcium to promote fast recovery and bone healing. Medications: 1. Continue medications as prescribed by the physician; 2. Emphasize the importance of strict medication compliance, especially Phenobarbital. Persons responsible for patient: 1. Dr. Pia Kareena V. Quinones – the physician in charge should give the patient final instructions before leaving the hospital, especially regarding the patient’s seizure tendencies and fracture 2. Staff nurses – help in facilitating the patient’s discharge slip and also give some health teachings that are useful when the patient is at home 3. Family members – to receive the patient and take her home. They will also be listening to health teachings to assist in the needs of the client in the absence of the doctors or the nurses Family conference: 1. Encourage family members to assist client in her needs 2. Emphasize that patient will require more rest than before and caution family members to provide added caution in preventing injury, like never leave the patient alone with her siblings. 3. Advise to provide patient lifestyle modifications and avoid excessive environmental stimulation. Also advise family member s to provide adequate nutrition and rest to avoid exacerbation. . Inform that their presence and unconditional support will be of great help to the patient especially during the recovery of the patient’s injury. 5. Anticipated problems: 6. Instruct to watch out for signs and symptoms of infection such as increase temperature, weakness, malaise, rapid respiration and pulse rate. If noted inform them to bring patient immediately to the nearest health agency 7. If bone pain occurs or other unusual signs will be observed refer promptly to the hospital. 8. Instruct patient to always practice minimizing environmental stimulation protocol at all times. To decrease the risk of seizure occurrence. . Emphasize regular follow up examination to monitor progress of disease. Home visit: †¢ Check on patient’s health status once every week especially after cast is removed from the fractured leg. (If patient is undergoing one). †¢ Provide ample assistance and support SOAPIE C HARTING: SOAPIE 1 Subjective cue: No verbal cues noted. Objective cues: o Received on bed, awake, conscious and coherent o Without IVF o With balance traction on left leg o Guarded movements noted o Unable to move left leg Assessment: Impaired Physical mobility related to musculoskeletal impairment secondary to fracture on the subtrochanter of the left femur. Plan: After 8 hours of nursing interventions patient’s S. O. will be able to verbalize understanding of situation, risk factors and individual treatment regimen and safety measures. Interventions: o Established rapport o Assessed skin color, integrity and temperature of the affected leg o Provided tepid sponge and bath o Did physical assessment o Provided with adequate rest periods o Supported affected body part using pillows o Instructed patient’s S. O regarding the use of side rails, overhead trapeze, and roller pads o Emphasized strict medication compliance o Encouraged S. O. to increase patient’s flu id intake Provided seizure precautions o Vital signs taken and charted o Environmental care done Evaluation: â€Å"Salamat dong, kahibaw nako unsaun pag atiman ako anak†, as verbalized by S. O. SOAPIE 2 Subjective Cue: No verbal cues noted Objective Cues: o Received on bed lying awake, conscious and coherent o Without IVF o With balance traction on left leg o No side-rails noted o Seizure tendencies noted o Blank stare observed o Inability to talk observed o Drooling eyes noted Assessment: Risk for injury related to uncoordinated large and small muscle contractions, secondary to cerebral palsy. Plan: After 8 hours of nursing interventions patient’s S. O. will be able to verbalize understanding of individual factors that contribute to possibility of injury and take steps t correct situations. Interventions: o Assessed physical and emotional status o Instructed Patients S. O. to provide aspiration precaution especially when feeding the patient o Entertained clarificat ions and questions bout seizure precautions o Encouraged S. O. to religiously give Phenobarbital, an anti-seizure drug o Advised increase in fluid intake o Minimized environmental stimulation o Placed pillow at patient’s side Removed all sharp objects from patient’s bedside table o Stayed at patient’s bedside o Place patient in supine position o Taught S. O. on the possible signs that may prelude to a seizure attack o Provided tepid sponge bath o Vital signs taken and recorded o Bed side care done o Environmental care done Evaluation: â€Å"Anaun ra day dong paglikay and digrasya, labi na sa pareha sa akong anak na mukalit lang ug convulsion† as verbalized by S. O. o Pillow at patient’s side o S. O. at patient’s bedside o No sharp objects at bedside table o Patient in supine position SOAPIE 3 Subjective Cue: No verbal cues noted Objective Cues: o Received on bed lying awake, conscious and coherent o Without IVF o With balance traction on left leg o With the following vital signs: T=37. 2 C; R= 24 cpm; P= 118 bpm o Physical immobility noted o Drooping eyes noted o Dirty hands noted o inability to turn from side to side observed Assessment: Risk for impaired skin integrity related to prolonged bed mobility secondary to fracture on the subtrochanter of the left femur Plan: After 8 hours of nursing interventions patient’s S. O. will be verbalize understanding of treatment and regimen therapy. Interventions: Assessed patient’s physical and mental status o Massaged bony prominence gently to avoid friction when moving client o Changed positions bed on a regular schedule o Provided S. O. a turning schedule for the patient o Encouraged S. O. to follow the turning schedule religiously. o Provided pads, pillows, and foam mattresses o Inspected the skin surfaces and pressure points routinely o Administer pain medications o Emphasized to S. O strict medication compliance is very important o Assisted in changing pos itions o Provided adequate rest periods to prevent fatigue o Vital signs taken and recorded Bed side care done o Environmental care done Evaluation: â€Å"Kinahanglan gyud day to nako kay mao man to ang saktong paagi para maayo si inday ug dili masamad ang yang panit† as verbalized by S. O. DISCHARGE SUMMARY A case of N. F. S. O. , 5 years old, female, single, a Roman Catholic from Englis, V. Rama Cebu City was admitted at Vicente Sotto Memorial Medical Center with the chief complaint of left leg pain. Subjective cue: â€Å"Maka-uli na gyud intawn mi pero unsaun man nako pag-atiman si inday para dili mugrabe, ug d I na mausab ang nahitabu† as verbalized by S. O. Objective Cues: Received in bed lying awake, conscious, and coherent o seen SO packing their things o beddings are arranged o bedside table cleaned o frequent asking of questions from S. O. noted o attentiveness noted o eye to eye contact with the S. O. observed Assessment: Health-Seeking Behaviors: request for information regarding proper care of fracture with cerebral palsy related to unfamiliarity with the situation and lack of experience. Plan: After 30 minutes of nursing care patient’s S. O. will be able to verbalize the proper way to care for a patient with cerebral palsy and is rehabilitating from a fractured left leg. Interventions: o Emphasized strict compliance to medications as ordered. Phenobarbital before going to bed o Encourage passive range of motions on unaffected extremities during the same time of the day, preferably in the morning o Taught S. O. how aid patient in perform isometric exercises to enhance muscle strength and prevent wasting o Informed of the available treatment for fracture o Taught S. O. to check cast from time to time, and avoid cast from getting wet. o Referred to community resources o Advised S. O. to provide bed bath everyday o Taught S. O. o provide lifestyle modifications for the patient o Instructed S. O. not to leave the patient alone w ith her younger sister o Instructed to watch out for signs and symptoms of infection such as fever, increase respiratory rate, and heart rate and report immediately to physician if observed o Emphasize the importance of check-ups regularly to monitor health status o Encouraged a well-balanced diet to foster to energy and metabolic requirements o Advised to pray everyday and ask for guidance and good health and to never lose hope. o Emphasized to the S. O. ever ever to forget to thank God for all the graces they have received from him. Evalution: â€Å" Ako gung ampingan mau si inday nurse ug akong ihatag akong best na dili na mausab ang nahitabu para napud maayu ug dali akong anak â€Å" as verbalized by S. O. VI. CONSLUSION AND RECOMMENDATION Conclusion Encountering a patient diagnosed with fracture and cerebral palsy at the same time could be very intriguing, especially if the one diagnosed can not even pronounce the word mama and papa. It is a very sad situation for someone wit h cerebral palsy, a disease condition that should be given extra care and attention, confined in an Orthopedics ward. This phenomenon could actually make anybody an instant agent, trying to dig dipper to the case, Instead of just focusing on the patient’s diagnosis. The patient is diagnosed with a fractured left subtrochanter femur, and cerebral palsy at the same time. This actually resulted when she fell off her crib, and since she has problems with balance it immediately resulted into fracture. Fracture is very common and very curable, given the right treatment, the patient’s normal functioning can return to its normal state. A lot of bone reconstructing surgeries are available; including Open Reduction with Internal Fixation, and Open Reduction with External Fixation. There are also non-surgical treatments including the closed reduction methods such as leg casts and skeletal and skin tractions. But cerebral palsy is totally the opposite when it comes to curabi lity. Cerebral palsy is a very rare condition. It is a series of non-progressive brain disorders in the intrauterine life, delivery or early infancy that is characterize by motor disabilities accompanied by mental retardation and seizure disorders. In my patient’s case it is the spastic type, more specifically the spastic quadriplegia. Meaning all four limbs is greatly affected. Patient with this disorder is unable to acquire speech, and balance, which means they need special treatment and care. And for a 5 year old cerebral palsy patient admitted in the Orthopedics ward of Vicente Sotto Memorial Medical Center due to fracture, primary health care giver should undergo a lot of counseling regarding proper care of their CP child. Health care providers, such as nurses and doctors, goal is to promote the fast recovery from injury and to avoid further accidents by ensuring proper seizure precautions is observed. Since patients with cerebral palsy have a very high seizure ten dency. Proper health education to the parents and family members is very crucial. And the nurse carries the pressure in assuring that the right information regarding the patients treatment is relayed to the family. Therefore prenatal check-ups and right nutrition during pregnancy should be given a high priority. As we can see, the occurrence of one condition was a result of the other. The patient’s disorder could have been prevented if strict prenatal compliance was just observed, and her injury could not have happened if not for her disorder. And lastly she could have been running around, playing with her friends while shouting the name of her mom and dad if not for her condition. Let’s not take cerebral palsy patient for granted. Let’s take care of them and give the treatment they truly deserve. Recommendation To the nursing students: It is already given that nurses are full of energy and optimism; therefore it is only empirical that they hold the responsib ility of injecting vigor to the patients. They should always keep in mind that their main goal is to facilitate recovery and promote wellness. Encouraging these patients to stay positive is very important, considering the kind of trauma and emotional meltdown these patients undergo during the course of the disease. Help them to remain optimistic by cheering them up, and acknowledging every progress they make in their condition. Lastly, as much as possible use the time wisely and exhaust every resource that will be of assistance to these patients. And remember always that honesty is still the best policy. Be honest to yourself, to God, and to your job. To family and relatives: It is important for them to show their support and empathy to the patient. It is a reality that some patients react to their disease condition outrageously. Family members should understand that this reaction is only normal and that they should continue to show their love and support to the patient. Moreo ver the family’s presence alone is already enough to assure the patient that he is not alone in facing the problems that his disease may bring. To the government: Health is wealth and for whatever reasons the health of the Filipino people should not be the least priority. A patient with such disease confined at Vicente Sotto Memorial Medical Center, a public hospital, needs extra attention and care. Just by considering the fact that the hospital lacks the medical equipments and has shortage of manpower, it could not be deny that there is a very big possibility that the patients condition will worsen during the course of treatment. This is a health issue that the government can not afford to ignore. They should address this problem immediately, or else cases of nosocomial infection and other hospital facility related problems will go up. To the patient: It is important for her to follow religiously the instructions of the doctor regarding the patients care. She needs to remember that all the health care professionals’ efforts of helping them will be of no use if they will not cooperate and comply with the treatment. And lastly it is vital for her to always keep in mind that she is still young and that all of these are only trials of life and it is up to her now how she will take it. But of course, rest assured she won’t be alone in facing these hardships. BIBLIOGRAPHY: BOOK SOURCES: †¢ Black and Hawks. 2005. Medical-Surgical Nursing. Clinical Management for Positive Outcome. Volume 1. 7th edition. Singapore Elsevier. †¢ Bullock Henze. 2000. Focus on Pathophysiology. Philadelphia. Lippincott Williams Wilkins. †¢ Doenges et. Al. 2002. Nursing Care Plans. Guidelines for Individualizing Patient Care. 6th Edition. Thailand. F. A. Davis Company. †¢ Doenges et. Al. 2004. Nurses Pocket Guide. Diagnoses, Interventions, Rationales. Thailand. F. A. Davis Company. †¢ Venzon, Lydia M. 2006. Introduction to Nursing Re search: Quest for quality Nursing. 1st edition. Quezon City, Philippines. C E Publishing, Inc. Kozier et. Al. 2004. Fundamentals of Nursing. Concepts, Processes Beliefs. California. Prentice Hall. †¢ Marieb, E. M. 2003. Essentials of Human Anatomy Physiology. 7th edition. California. Pearson Education. †¢ Nettina B. Sandra. 2006. Lippincott Manual of Nursing Practice. Volume 1. 8th edition. Philadelphia. Lippincott Williams Wilkins. †¢ Speer, K. M. 1999. Pediatric Care Planning. Now W/ Clinical Pathways. 3rd edition. Pennsylvania. Springhouse Corporation. INTERNET SOURCES: †¢ https://en. wikipedia. org/wiki/Femur. Femur. Accessed last September 15, 2008 †¢ https://en. ikipedia. org/wiki/Human_brain. Human Brain. Accessed last October 9, 2008 †¢ https://www. wheelessonline. com/ortho/femoral_shaft_fracture. Management of Femoral Fracture. Accessed last September 25, 2008 APPENDICES CURRICULUM VITAE PERSONAL PROFILE Name: Wrygg Blyken Bauer R. Timbal Address: 414 Upper Lipata Minglanilla, Cebu Age: 20 Sex: Male Status: single Nationality: Filipino Birth date: January 5, 1988 Birthplace: Sacred Heart Hospital, Cebu City EDUCATIONAL BACKGROUND: Elementary: Year: Immaculate Heart of Mary Academy Minglanilla, Cebu1995-1998 Intermedaite: Don Bosco Technology Center Punta Princesa, Cebu City1998-2001 Secondary: Don Bosco Technology Center Punta Princesa, Cebu City2001-2005 Tertiary: Cebu Normal University Osmena Blvd. , Cebu City2005-present ACHIEVEMENTS Elementary: Grade 6 †¢ Graduated as Student with Distinction Honors. Ranked 8 of the whole batch. †¢ Member of the basketball team that won the Jubilee League Championship in 2001. 1st time for Don Bosco since 1994. Secondary: Academics †¢ Graduated as a Student with Distinction Honors in Don Bosco Technology Center for the academic year 2004-2005. Sports: BASKETBALL: 2001-2002: †¢ Member, Midgets Division, 1st Runner-up, 1st Boscolympics held @ Don Bosco Technical Institute, Makati City, Philippines. 2002-2003: †¢ Finals MVP, Champion, Math Week 3 on 3 street ball challenge. 2003-2004: †¢ Member, Champion, 1st ML KWARTA PADALA, Interschool Championship; Cebu City †¢ Mythical team member, 2nd runner-up, 3rd Boscolympics held @ Don Bosco Technical Institute, Makati City, Philippines. 2004-2005: †¢ Member, 1st Runner-up, secondary division in basketball, 4th Cebu Schools and Athletics Foundation Incorporation (CESAFI). Member, Champion, secondary division in basketball, 2004-2005 Cebu City Olympics, Cebu City Sports complex. †¢ Member, Champion, secondary division in basketball, 4th Boscolympics held @ Don Bosco Technology Center, Punta Princesa, Cebu City. †¢ Member of Team Cebu City, Champion, secondary division in basketball, Central Visayas Regional Athletic Association, held @ Dumanjug, Cebu. †¢ Member of Team Region 7, 1st Runner-up, secondary division in basketball, Palarong Pambansa held @ Il o-ilo Sports Center, Ilo-ilo City, Philippines. [pic] Don’t waste time! Our writers will create an original "Cerebral Palsy" essay for you Create order