Saturday, February 29, 2020

Care Plan for Neuman

Pt will assist with ADL’s to the highest degree possible over the next 30 days. Ace with bathe and dress self with min-assist/supervision and cues in 90 days. | 1. Encourage patient to be accountable for specific aspects of care (i. e. brush teeth daily)2. Set up grooming items and encourage participation3. Assist with ADL’s if Ace is unable4. Encourage, cue and assist to select clothing and dress appropriately daily5. Ambulate pt with assist (as directed by PT)6. Monitor for c/o discomfort, foul smelling, and discolored urine 7. Assist with and encourage good peri-care with each toileting 8. Educate pt on breaking tasks into small steps. Limit choices to two, and provide reminder and cues during tasks   | 1. Primary2. Secondary4. Primary5. Secondary6. Primary7. Primary8. Teritary |   Risk for impaired skin integrity R/T immobility, mechanical pressure sheer. | Ace will be turned/repositioned Q 2 hrs. with assist of 1-2 people. Ace will complete transfers with min-mod assist of 1 as required. Ace will be out of bed daily, as tolerated, transfers will be with assist of 1-2 staff as required. | 1. While in bed staff with assist Ace to turn/reposition self-using pillows and wedges to maintain position. 2. Place call light w/in easy reach3. PT to educate Ace on assistive devices4. Remind and encourage Ace to call for assistance when needed5. Ace will be out of bed to chair daily as tolerated  | 1. Primary2. Secondary3. Primary4. Secondary5. Teritary|   Impaired physical mobility related to neuromuscular impairment r/t Hypertension, Occlusion within vessels of the brain parenchyma disruption of blood supply in the brain area, tissue and cell necrosis.   Ace will be free of injury for next 30 days. | 1. Change position Q 2 hrs. 2. Teaching related to ambulation and transfers by PT/OT and nursing. 3. Evaluation and education of assistive devices as directed by therapies. 4. Education on diet, nutrition and speech consult 5. Encourage use of non-skid shoes/footwear6. Provides safety measures (side rails up, using pillows to support body part)  | 1. Primary2. Tertiary3. Terti ary4. Primary5. Secondary6. Primary| Care Plan for Neuman Pt will assist with ADL’s to the highest degree possible over the next 30 days. Ace with bathe and dress self with min-assist/supervision and cues in 90 days. | 1. Encourage patient to be accountable for specific aspects of care (i. e. brush teeth daily)2. Set up grooming items and encourage participation3. Assist with ADL’s if Ace is unable4. Encourage, cue and assist to select clothing and dress appropriately daily5. Ambulate pt with assist (as directed by PT)6. Monitor for c/o discomfort, foul smelling, and discolored urine 7. Assist with and encourage good peri-care with each toileting 8. Educate pt on breaking tasks into small steps. Limit choices to two, and provide reminder and cues during tasks   | 1. Primary2. Secondary4. Primary5. Secondary6. Primary7. Primary8. Teritary |   Risk for impaired skin integrity R/T immobility, mechanical pressure sheer. | Ace will be turned/repositioned Q 2 hrs. with assist of 1-2 people. Ace will complete transfers with min-mod assist of 1 as required. Ace will be out of bed daily, as tolerated, transfers will be with assist of 1-2 staff as required. | 1. While in bed staff with assist Ace to turn/reposition self-using pillows and wedges to maintain position. 2. Place call light w/in easy reach3. PT to educate Ace on assistive devices4. Remind and encourage Ace to call for assistance when needed5. Ace will be out of bed to chair daily as tolerated  | 1. Primary2. Secondary3. Primary4. Secondary5. Teritary|   Impaired physical mobility related to neuromuscular impairment r/t Hypertension, Occlusion within vessels of the brain parenchyma disruption of blood supply in the brain area, tissue and cell necrosis.   Ace will be free of injury for next 30 days. | 1. Change position Q 2 hrs. 2. Teaching related to ambulation and transfers by PT/OT and nursing. 3. Evaluation and education of assistive devices as directed by therapies. 4. Education on diet, nutrition and speech consult 5. Encourage use of non-skid shoes/footwear6. Provides safety measures (side rails up, using pillows to support body part)  | 1. Primary2. Tertiary3. Terti ary4. Primary5. Secondary6. Primary|

Thursday, February 13, 2020

A Report to the ABC Coal Essay Example | Topics and Well Written Essays - 2250 words

A Report to the ABC Coal - Essay Example For this to be met, true partnerships and cooperation have to be created with everyone associated with the industry including the shareholders, employees, customers, and the community at large. ABC Coal’s strategies touch on ensuring safety environment performance and working in partnerships for good produce; creating a sense of value including the reduction of real costs and improving the industry constantly through giving the workforce the right support and encouragement. If all these strategic objectives are met, the industry would be talking of nothing but very minimal problems that will affect the overall performance. However, has the company achieved all of these objectives? If not, is it possible to achieve them? How can they be achieved? Taking consideration on the current workforce in ABC Coal, there are several questions that can be brought up, including how to ensure a balanced workforce with the right number of people in respective job roles to ensure maximum and r eliable produce. How can the industry prevent total absence of people in critical job roles that can affect the overall performance of coal production? ABC Coal anticipates growing and considers expanding the existing operation and developing new mines due to the increases in demand of the produce especially from India and China. This will lead to an increase in the workforce and hence productivity of the industry. The Venus Mine is a major mining field that can produce about 7.8 million tons of coal annually, which is exported to three major countries including Japan, Korea and South Korea. There is also an ongoing project called the Mars Project which is established so as to expand the Venus Mine. One of the key benefits of this project is an increase in job opportunities among income from exporting, revenue and significant royalties and tax from both the government and the state. This has also called upon more workforce to the industry which prompts strategic planning so as to ba lance the increasing workforce with the budget of the industry paying attention to the wages of the employees. Critical Jobs Internal and External Supply The critical job roles are those in which the people involved conduct the core duties of the industry, have a comparative large number of staff, require a long period of training to develop the intended skills, are difficult to fill, and the number of vacancies available for the job roles has been high for the past several months. Two of the most critical job roles in ABC Coal are the geologist and the mining engineer. Both of them take five years of training, which is the longest training period offered to the job roles. In the internal supply, both job roles have had the least number of retirements with no retirement with the mining engineer over the past two years. Looking at the internal supply, the mining engineer has a great demand due to growth of employment for this role. Consequently, the external supply for the geologist is also very high due to the assumption that there are very few geologists that are experienced in the nation. In the current workforce, there are job roles that have no vacancies at all. These are the positions in which the employees are readily available in the market, and they are not critical at all. Most of them fall under the statutory roles, and they include the mine manager, open cut examiners, the supervisor under mining operations and the processing supervisor.

Saturday, February 1, 2020

Vilademir propp and how his functions are related with hitchcocks two Essay

Vilademir propp and how his functions are related with hitchcocks two films that are north by northwest and spellbound - Essay Example He was responsible for multiple changes that have been experienced in literature, and especially in narratives (Hale 2009). Today, Vladimir’s ideas are still used in narrative plots, and most importantly, his ideas are more applicable to narratives. However, these today have been applied in the film and cinema industry. Different film theorists have equally studied on narrative structure and this is in conformity with Propp’s work (Bellour & Penley 2000). In this essay, I will address Propp’s findings in Morphology of Folk Tale, their contribution to the narrative theory of film, and how they relate with Hitchcock’s films â€Å"North by Northwest† and â€Å"Spellbound.† Propp in his Morphology of Folk Tale comes up a total of eight roles of the characters, and thirty-one functions of narratives, also called narratemes, which mainly defined the structure of the narratives. He was convicted that these narrative functions were existent in the classical fairy tale narrative (Hale 2009). The eight character roles, which Propp identified in his book, include The Helper, The Villain, The Donor, The False Hero, The Dispatcher, The Hero, The Princess, and her father. The functions of narratives by Propp exhibit more flexibility than the character roles. Propp made a categorization of these narrative functions to include six major groups, which are in coherence with the flow of the narrative. These include Struggle, Complication, Preparation, Recognition, Transference, and Return. The folk tales of different regions of the world are interconnected in one way or another, bearing a great deal of similarities in their themes. Hence, the Morphology of the folk t ale by Propp is not only applicable in Russian folk tales, but also to the folk tales of other different world regions (Propp 1928). Propp’s work has been credited for