Changes represented in Sky High

What Is the Secret to Long Life?

What is the key to long life? The key to long life all relies upon how we deal with our own bodies. In the wake of stepping through my examination on Blue zone I saw numerous negative behavior patterns that impeded me living longer. As indicated by Blue zones Vitality test my natural age was two years more seasoned than what I truly was. My future wasn’t as high the same number of different companions of mine that took the test. MY future age was 79. 2. On the off chance that I fix my negative behavior patterns its more probable those 19. 4 years will be added to my future age.My future ages were this low on account of the propensities I have that are bad for my body as I get more established. One major issue that I have is I’m a large portion of my time. Blue zone suggested that I should fight my sentiments of worry by talking it over, working out, eating right and getting enough rest. I additionally discovered that nervousness can in light of the fact that you skin ge ts pale, pulse increment and muscles to worry. At the point when I get a nervousness the most ideal approach to control it is to simply perceive indications of tension and afterward go for a stroll or take in deeply.Another negative behavior pattern is that I don’t eat the same number of vegetables as my body ought to get. Blue zones suggested that on the off chance that I was offered a burger and vegetables, it bodes well to get the vegetables which are better for my eye wellbeing. A logical report was done and reasoned that that individuals who ate the most elevated measure of yellow and dim green, verdant vegetables had a diminished possibility of creating visual deficiency. Then again o additionally needs to appreciate some fruits.In my test it expressed that individuals who have eats less wealthy in products of the soil bring down their danger of Alzheimer and dementia by 30%. Since I’m an understudy I do get a great deal of cheap food. I have to eat more advantag eous and eat food with less calories. It difficult for me to avoid the low quality nourishment since it appears to be so engaging contrasting it with the sound food. Be that as it may, my wellbeing is significant and the most ideal approach to get my body sound is to stay away from nourishments on high fructose syrup and getting mindful of what I put in my body. My body needs work out, more advantageous food and passionate control of uneasiness and outrage.

How Apps Can Be Used for Eating Disorder Recovery

How Apps Can Be Used for Eating Disorder Recovery Eating Disorders Treatment Print How Apps Can Be Used for Eating Disorder Recovery By Lauren Muhlheim, PsyD, CEDS facebook twitter linkedin Lauren Muhlheim, PsyD, is a certified eating disorders expert and clinical psychologist who provides cognitive behavioral psychotherapy. Learn about our editorial policy Lauren Muhlheim, PsyD, CEDS Medically reviewed by Medically reviewed by Steven Gans, MD on February 20, 2016 Steven Gans, MD is board-certified in psychiatry and is an active supervisor, teacher, and mentor at Massachusetts General Hospital. Learn about our Medical Review Board Steven Gans, MD Updated on August 01, 2019 Hero Images, Getty Images More in Eating Disorders Treatment Symptoms Diagnosis Awareness and Prevention New technology in the form of applications (AKA “apps”) offers potential risks and benefits for patients with eating disorders. Dangers of Fitness Trackers for Patients With Eating Disorders Although the impact of fitness trackers on clients with eating disorders has not yet been well studied, anecdotal evidence and some early research suggest these applications may be detrimental. People with eating disorders frequently obsess about the number of calories they are consuming and burning. Many health apps emphasize tracking the ingestion and expenditure of calories. In addition, they encourage the user to reduce intake, increase energy expenditure and set increasingly extreme goals, all behaviors that are consistent with eating disorders. In one study of people with eating disorders, 75% of participants reported using My Fitness Pal, a calorie-counting mobile app that allows users to track and input their daily food intake. Of these users, 73% believed the app had contributed to their eating disorder.   Eating Disorder Recovery Apps On the other hand, there are also several eating disorder recovery apps that may be helpful to people with eating disorders. Some of these applications embody or support principles of evidence-based treatments such as Cognitive Behavioral Therapy (CBT). One particularly important feature that some apps provide is self-monitoring, which is also a hallmark of CBT for many mental disorders. In the treatment of eating disorders, self-monitoring involves recording food consumed along with accompanying thoughts and feelings. App-based self-monitoring offers several advantages over paper monitoring. As most individuals keep their smartphones with them much of the time, using the apps may facilitate more real-time monitoring, providing both greater convenience and accuracy. While fitness apps and eating disorder recovery self-monitoring apps both incorporate tracking, each differs in focus. Fitness apps primarily track numbers and data, such as caloric intake. Eating disorder recovery apps, on the other hand, are concerned more with tracking the thoughts and feelings associated with eating than with the specific amounts. This distinction is significant. Below is information about two of the more popular eating disorder apps that include self-monitoring. Recovery Record A 2014 study by Jurascio and colleagues found Recovery Record to be the most comprehensive eating disorder treatment app on the market. It contains features including self-monitoring, personalized coping strategies, social connections, and a portal to connect with the user’s clinician. It also contains components of cognitive-behavioral based interventions. Users can enter food, thoughts, feelings, and urges to use compensatory behaviors. The app offers assistance with coping strategies and goal setting in addition to the ability to set reminders. Additional features include meal planning, rewards, affirmations, and the potential to connect with others. The app also allows therapists to monitor their patients use of the app. Although many patients find this feature an added benefit, some may feel its intrusive. Rise Up Recover Rise Up is another popular and well-regarded app. Rise Up has a comparable self-monitoring feature that allows for recording of daily meals and snacks, emotions, and “target behaviors” such as bingeing and purging. The app encourages the use of coping skills during times of distress. Users can share motivational quotes, images, and affirmations. They can access additional information sources such as music, podcasts, articles, and a treatment directory. The app can also export meal data to share with members of the user’s treatment team. What to Look for in an Eating Disorder Recovery App Apps come and go. Depending on when you read this, the suggestions above may no longer be state of the art or available. Finding an app with the right features is more important than any specific title. We offer the following suggestions on what to look for: Self-monitoring of food intake without calorie counting. Self-monitoring is a well-researched and important element of eating disorder treatment. Calorie-counting, however, is not recommended because it may increase obsessive thinking.Fields to log behaviors, thoughts, and feelings. Recovery involves becoming more aware of feelings and thoughts as well as changing behaviors. Thus, an app used for recovery should have fields to log this information.Motivation and/or coping strategies. Apps that incorporate ways to remind you of what you might want to try or already know (but can need a reminder at the moment) can be supportive. A Word From Verywell Remember that an app is not a substitute for treatment. It is always a good idea to discuss the use of an eating-related app with your treatment team.

Abuse Of The Ages Child Abuse - Free Essay Example

Sample details Pages: 2 Words: 651 Downloads: 2 Date added: 2019/04/08 Category Society Essay Level High school Tags: Child Abuse Essay Did you like this example? Over the past 10 years,more than 20,000 American Children are believed to have been killed in their own homes by family members. That is nearly four times the number of US soldiers killed in Iraq and Afghanistan (Michael Petit, Founder of Every Child Matters). Child Abuse by Allison Krumsiek, explains the tragedy and trauma to young lives within the home. It brings a great awareness to the harm children face as a normal lifestyle and brings an awareness to what abuse really is. Child abuse happens to children of all ages. It can be more than just physical damage. It can also be emotional or neglect in failure to meet the needs of the child. When emotionally abused, a childs emotional needs are not met causing them damage psychologically. Insults, put downs, favoritism, and verbal harassment are all forms of emotional abuse. It can be acts that hurt a child that one may not inflict on them physically, such as confining them into an isolated space for long periods of time without food or water. It can also be threatening to hurt or damage something the child cares about such as a pet, parent, or other personal possession. It is stated, Most child abuse experts consider repeated emotional abuse to be far more damaging and far more common than isolated physical abuse (pg 25). Physical damage is harming to the childs body. It can even end in results that are fatal. Malnourishment, neglect, hitting, sexual acts, and putting the child in dangerous or hazardous env ironments are forms of physical abuse. Sometimes malnourishment is unintentional due to the familys financial situation. They may fail in providing to their needs from a lack in money for food and clothes. Not every case of physical abuse is fatal, it depends on how severe the damage is. Little children have more vulnerability to the violence, and the damage could be more effective to their smaller and weaker bodies compared to an older child. Neglect is the last form of abuse. This can be when the guardian does not provide the child with the basic needs for survival. It is a combination of both physical and emotional abuse. Neglect can be not retrieving medical attention for a childs injury, exposing child to illegal drugs (could be during pregnancy), and failure to provide food or shelter. If the caregiver has a psychological disability, they might fail to meet these needs of the child because they mentally are not able to and might not even be able to meet the needs of them self. Don’t waste time! Our writers will create an original "Abuse Of The Ages: Child Abuse" essay for you Create order A topic that I found very interesting were the long-term effects of abuse on a child. Sometimes, the damage they experienced follows with them for the rest of their life. Even if eventually they heal physically, their emotions are forever impacted. One impact are trigger events. These can cause them to lose their control in thinking rationally. What happens is their bodies begin pumping full of adrenaline creating a fight-or-flight response. This adrenaline causes their heart rate to increase and a quicken their breathing pattern. When a traumatized child is in a state of alarm they will be less capable of concentrating, they will be more anxious and they will pay more attention to non-verbal cues such as tone of voice, body posture and facial expressions (pg 78). I did find this book pretty repetitive. It seemed to go over the same information repetitively. Overall, this book was very educating. I was not very aware of abuse and what it could actually do to someone and learned all about it. It is very eye opening to the lifestyles some children actually face and it makes one feel very fortunate to not have that type of situation and empathetic to those poor children. I feel that very few people are educated on this and should read this book to gain a further understanding on the effects of abuse.

Understanding the Cuban American Culture - 1652 Words

Miami Florida has the biggest Latin population than any other city in the United States. The majority of Latins being of Cuban descent. Since the Cuban revolution there have been constant waves of immigrating Cubans to Miami. The result has been a Cuban American society that has created culture diversity within. In order to understand the Cuban American culture you must understand its ethnic origin, politics, and the varying times of immigration. CUBAS ETHNIC ROOTS AND ORIGINS The Cuban population consists of a variety of ethnic origins. In the early days before the Spanish inhabited Cuba the population was made up of 90% Taino speaking American Indians ho had displaced even earlier inhabitants. Shortly after came the Spanish conquest.†¦show more content†¦Soviet economic and military support was crucial for Cuba. Soviet movements often aroused strong disagreement from the United States. In 1962 the Soviet Union installed nuclear missile bases in Cuba, the world stood at the brink of nuclear war as the U.S. government set up a naval blockade of the island and demanded they remove the missiles. This was known as The Cuban missile crisis. Cuban-Soviet relations slowly deteriorated as Soviet political, economic, and social policies were liberalized in the late 80s. The Cuban government refused to modify its approach to social and economic policy. In 1991 the Soviet Union dissolved and withdrew its troops and its economic support. The already troubled Cuban economy suffered further from the loss of vital military and economic support. With severe shortages, unrest and dissatisfaction growing, Castro declared a special period in peacetime of food rationing and energy conservation. Shortages of food, fuel, and medical supplies were intensified by the ongoing U.S. trade embargo in Cuba. Aware of Chinas success with a more capitalistic limited market, Castro decided to experiment with capitalism. In 1993, he granted Cubans limited freedom to open small for profit businesses and allow foreign tourism, including U.S dollars. But economic reform bred demand for political reforms. In 2003, Castro jailed many members from the Varela Project. A group who petitioned for political reform,Show MoreRelatedThe Importance Of Verbal And Nonverbal Communication1421 Words   |  6 Pagesrelationships, families, organizations, cultures and nations (Vertino, 2014). A nurse must provide care that treats the whole person, not just the physical body. This concept is known as holistic care (Blair, n.d.). No two people are exactly the same, and for this reason, nurses cannot approach or perform care in a â€Å"one size fits all† method. Communication is comprised of two components, verbal and nonverbal communication. 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This paper will explore the nontraditional beliefs and p ractices among three cultures including, Cuban, Filipino and Haitian, including theRead MoreThe First Name Of The Child1574 Words   |  7 Pages(Name Yvelisse, 2014). In addition to that, â€Å"the child’s middle name is a form of the American name, Jamila which is also heard in Spanish speaking countries but is of Arabic, Spanish, and Swahili origins† (Name Yamile, 2013). Yvelisse’s mother’s last name is Rodriguez while her father’s last name is Garcia de Luz. When her parents got married, her mother dropped her last name. Yvelisse’s race/ethnicity is Cuban as both her parents were born in Cuba. Her father was born in the early 70s in the capitalRead MoreEssay about Education Challenges Facing Hispanics in the United States1413 Words   |  6 Pagesrelate to education: language barriers, poverty, cultural representation, and problem schools. Through an understanding of the Hispanic culture and the motivation behind the Hispanic populati on, the American education system will be able to overcome the natural hindrances of a diverse society. Before examining the educational issues surrounding Hispanics, an understanding is necessary of the population numbers that the United States and public school systems are seeing. AccordingRead MoreA Marvelous Journey of Return in The Kingdom of This World by Alejo Carpentier 1224 Words   |  5 PagesA Marvelous Journey of Return The Kingdom of This World by Alejo Carpentier is the author’s journey of return to his Latin American root. He tries to decipher the myths and complexity of African identity and achieves it by opening up a new realm of interpretation and representation through literature work. In the novel, there are elements that can only come as a result of his experience of observing, questioning and criticizing, among which I think several are very noteworthy. 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Care of the child during the perioperative phase Free Essays

Introduction This assignment will focus on the care of a two year old child throughout his time in the perioperative environment. It will begin with the preoperative assessment and provide any background information and history about this patient. This paper will then go through the theatre experience and what care this child received and why, such as the type of anaesthesia used, their surgery and the recovery of this patient up until they were discharged back to their ward. We will write a custom essay sample on Care of the child during the perioperative phase or any similar topic only for you Order Now This assignment will underpin how a child’s anatomy is different to the adult anatomy and why this affects what care is given to children. This assignment will focus on the role of the operating department practitioner (ODP) and how they assist in providing care for this individual throughout their time in the operating theatre. It will touch on how the parents/guardians can be involved in some stages of this child’s care too. Various pieces of research from current debates, testimonies/policies, journal articles, books and internet sources will be included. Furthermore, references to these sources of research will provide evidence of the decision making process in providing the necessary care for this particular patient. There are many differences between the anatomy of paediatrics and adults such as differences in size, anatomy, physiology, pharmacology and psychology Pescod (2005): Infants have larger heads that need to be stabilised during intubation. Their tongues are larger and their necks shorter, therefore their airways are more prone to obstruction than in adults. Infants and babies mainly breathe through their noses and therefore their nostrils are very small and easily obstructed too. A child’s larynx is located further forward and at a higher level relative to the cervical vertebrae compared to an adult. A child’s epiglottis is longer and U shaped compared the adult’s and also their trachea is quite short. When intubating children it is advised that both lungs be listened to using a stethoscope, this will ensure that the endotracheal tube is not only in one lung (Macfarlane 2006). In pre-pubescent children, the narrowest section of the airway is the cricoid ring and after puberty the narrowest part is then at the same level of the vocal cords. A complication caused by pressure from the endotracheal tube can be the production of a mucosal oedema and post extubation stridor. It is advised that pre-pubescent children should have an un-cuffed endotracheal tube and that the correct sized endotracheal tube is selected (Black 2008). Brown (2000) cited in Clarke (2010) states that infants have a higher metabolic rate and an increased oxygen consumption level compared to adults. De Melo (2001) cited in Clarke (2010) explains that this is why induction and emergence from anaesthesia in children is much quicker. Higher oxygen consumption means that infants will rapidly consume their oxygen reserves and become cyanotic if they are apnoeic. Higher oxygen consumption leads to a higher carbon dioxide production, which requires increased ventilation to remove it (Pescod 2005). Respiratory rates in children are faster due to paediatric lung immaturity and smaller lung volume reserves therefore paediatric breathing equipment is essential. Blood pressure is lower in children than adults because of low peripheral resistance (Krost et al 2006). Children have a relatively small blood volume, for example a 5kg infant will have a blood volume of only 400 ml (Macfarlane 2006). The World Health Organisation (WHO) (2005) states that infants are at a greater risk of cooling when exposed to a cold environment because the ratio of body surface area to body weight is much more than in older patients. Skin and subcutaneous fat is thinner, providing less insulation and greater heat loss. Temperature regulation is immature and infants must be kept warm. The operating theatre should be heated and the infant kept covered and intravenous fluids should be warmed. The differences in physiology of the infant will alter the effect of some drugs. Decreased renal and liver function results in certain drugs being excreted more slowly. The dosing interval should be increased to avoid toxicity (Pescod 2005). The minimum alveolar concentration (MAC) of inhalational agents is greater in the young and decreases with increasing age. There is a smaller margin of safety between adequate anaesthesia and cardiovascular and respiratory depression in infants compared with adults. Both induction and recovery from inhalation agents is more rapid in children than adults (Pescod 2005). Preparation for surgery is paramount and evidence proves that it reduces associated stress and can even promote recovery. As a result of this evidence, many hospitals have a pre-admission preparation programme for patients including children who are due to undergo emergency or elective surgery (Chambers and Jones 2007). Preoperative assessment takes place in an outpatient clinic following with a nurse or a consultant no more than one month before admission to hospital. For emergency cases, the preoperative assessment is carried out shortly before the surgery takes place. In an evaluation on the effectiveness of a pre-assessment clinic for children undergoing day surgery at Oxford Radcliffe children’s hospital, Higson and Finlay (2010) concluded that pre-assessment clinics prove to be very effective. Pre-assessment clinics support surgical planning and aid everybody in preparation for the surgery from medical staff to the child and their family. These clinics also provide paren ts with information about the surgery, gives them a chance to present any fears or questions about the surgery and the well being of their children throughout the whole perioperative experience. It also helps them and their children prepare for admission. The National Health Service (NHS) (no date) state in a patient information leaflet that during a pre-assessment appointment, depending on the patient’s age, medical history and the nature of the operation, various routine investigations are performed. These may include blood tests, electrocardiogram’s (ECG’s), blood pressure and pulse monitoring and weight measurements. During the appointment the patient’s medical history and details of any medication being taken is recorded. The patient/family members will then have the opportunity to ask the nurses any questions about their operation and their stay in hospital. In another patient booklet the NHS (2004) state that the main aim of pre-assessment clinics are to assess the patient and ensure that they are fit for surgery. It also gains the patient’s consent for the operation and to confirm that the admission date is acceptable for them. Pre-operative assessment clinics also provide an opportunity to o rganise anaesthetic assessment if required. The child chosen to be studied for this assignment received scalds across his chest from a hot drink which he had accidentally pulled from a shelf at home. This child only received partial thickness burns and suffered pink and red, blistering burns. He received more than 10% burns and therefore was admitted as an in-patient. There was no evidence of respiratory distress. During the pre-operative assessment the parents were told what to expect so that they could prepare themselves and their child for the procedure. Patient history was gathered from the parents; however the child had no previous medical history. Their consent was also given for the child to receive surgery. The reason for the procedure was explained and the anticipated outcome, potential risks and benefits were also explained. It was also ensured that the child was medically fit for the operation. It is widely accepted that the child’s parents/carers be involved in all decisions affecting the treatment and care of the child and in the physical and psychological support of the child too (Chambers and Jones 2007). The surgical care of infants and children can present difficult ethical dilemmas. The nurse’s/ODP’s role involves acting as the child’s advocate and in supporting decision making together with the child and family. Basic ethical principles beneficence, nonmaleficence and justice should be applied. All actions should be of benefit to the child and family and ultimately do the child no harm. All individuals should be treated equally and with fairness and ethical decisions should be made with the involvement of the child and the family (Chambers and Jones 2007). During the pre-operative assessment appointment there was an opportunity for the child to become accustomed to to the environment, play with and become familiar to theatre equipment such as monitoring, stethoscopes and masks. It was checked that the child was in the best nutritional state possible as good nutrition will aid in healing wounds (Pescod 2005). According to WHO (2005) surgery may cause blood loss and the anaesthetic may affect oxygen transport in the blood. This child’s haemoglobin was checked to see if it was normal for the age of the child, it was ensured that the child’s blood was cross matched and that reserve blood transfusions were available in case of situations where anaemia must be corrected quickly. On the day of surgery during the preparation of paediatric airway equipment, it was ensured that the ODP assisting the anaesthetist had appropriate endotracheal tube sizes available, particularly one size smaller and larger than the tube intended for use. Because paediatric patients can deteriorate rapidly, an emergency intubation trolley was available providing a range of different sized paediatric equipment. This included small cannulae, guedel airways, nasal and oropharyngeal airways, bougies and stylets and Magill forceps. There were other various pieces of equipment available from the trolley too such as different sized endotracheal tubes and fibre optic laryngoscopes. It was ensured that all necessary equipment and monitoring were checked and available. Also drugs including emergency drugs were immediately available such as suxamethonium and atropine. Children have much smaller diameter airways than adults and it makes them susceptible to airway obstruction (Clarke 2010). This child was intubated as it helps to protect an airway during surgical procedures. It is recommended to have tubes one size bigger and smaller available. Prior to anaesthetic children may become very distressed and so having a parent or carer in the room is an advantage as it lessens the child’s level of anxiety. On this occasion, the child’s mother came into the anaesthetic room along with a member of staff from the children’s ward. The anaesthetist had already met the child and his mother and had developed a relationship. Communication is also essential between the anaesthetic assistant (or ODP) and the child and his parents to build up a relationship and rapport (Amin et al 2010). The parents were very concerned about the safety of their child so therefore any questions were answered honestly and truthfully with support and reassurance. Once the child had arrived in the anaesthetic room his details were checked and the consent was clarified with his parents. It was also confirmed that the child had an empty stomach prior to receiving a general anaesthetic and all allergies were noted (Pirotte and Veyckemans 2004). All of the pre-op checks were recorded on a theatre care plan which was devised to enable the correct recording and documentation of the care received by the child whist in theatre. It was compatible with the care plans used on the children’s ward so that continuity of care could be maintained (Pirie S 2011). Care plans are also a useful tool in recovery for use at handover to ensure that everything is communicated to the ward staff (Chambers and Jones 2007). Routine monitoring was attached and this gave an opportunity to play games with the child to ease tension whilst he became familiar with his surroundings. ECG was attached and a pulse oximetre placed on the child’s foot. The blood pressure was attached once the child was asleep. While the child remained seated on his mother’s lap and continued to play games he was anaesthetised by inhaling sevoflurane, a volatile anaesthetic agent together with nitrous oxide and oxygen through a mask which was held nearby to his face. Inhalational induction is an excellent technique for young children and/or children who fear needles (Macfarlane 2006). Once the child had lost consciousness, the parents returned back to the ward with the ward nurse. The ODP or anaesthetic assistant assisted in airway maintenance and ventilation whilst the anaesthetic cannulated the child. Once cannulation was achieved the child was given propofol intravenously and the child was intubated. Because children have an increased metabolic rate compared to adults, it was paramount that there was plenty of intravenous fluid available. Due to an interruption of normal fluid intake, replacement fluids were determined hourly, based on the child’s weight to provide maintenance fluid and to cover ongoing losses. Hartmann’s compound sodium lactate solution was selected instead of saline. It was ensured that too much intravenous fluid was not given through the use of a burette. Fluids were also heated through a warming device to a body temperature. Children lose heat more rapidly than adults because they have a greater relative surface area and are poorly insulated. This is important as hypothermia can affect drug metabolism, anaesthesia, and blood coagulation. Hypothermia was prevented ensuring that the air conditioning was switched off and the room was at the correct temperature of more than 28?C particularly for a child with burns. It was also important that there were not many or no exposed parts of the child. A heating blanket was used to cover the lower body of the patient and the child’s temperature was monitored throughout the operation via a nasal temperature probe. Throughout the surgery the child was continually examined and reviewed. His responses to pain medication, boluses of IV fluids, oxygen, and IV transfusions, where appropriate were monitored. A catheter was not inserted on this occasion due to the length of the operation. IV fluids given intravenously were closely monitored because of the risk of flui d overload leading to heart failure or cerebral oedema. Prior to the child entering the theatre it was paramount that the operating theatre was correctly prepared. Children are susceptible to pressure ulcers and prevention is essential. Chambers and Jones (2007) have clearly states that infants should be lying with their limbs in a neutral position so that nerves are not damaged during surgery. All monitoring leads and intravenous lines were not underneath or on top of the patient where they could cause damage, instead they were positioned alongside him and the breathing circuit was secured by a tube holder A team meeting was carried out where the anaesthetic team shared information about the patient such as his allergies and what the operation was about to entail. Prior to the commencement of surgery, the scrub nurse/ODP checked the consent form against the child’s name band with a circulating nurse. It was the scrub nurse’s/ODP’s duty to ensure that the child was not at any risk of harm from the weight of the drapes or surgical instrumentation being applied incorrectly or placed on top of the patient. It was also their duty to make sure all equipment such as instrument sets and dressings were available for this operation. The burnt skin was carefully cleaned; debrided and the blisters were pricked and dead skin removed. A thin layer of biobrane film was also applied and held in place with skin glue. Biobrane is a biosynthetic wound dressing constructed of a silicone film with a nylon fabric partially imbedded into the film (Smith and Nephew no date). It is a temporary skin covering which is used to aid the healing of superficial/partial thickness burn or scald injuries (Latenser and Kowal-Vern 2002). Biobrane acts as a temporary dressing that remains in place for up to two weeks or until the wound underneath has healed. Biobrane helps to reduce levels of pain and discomfort for the patient, the need for painful dressing changes and may also lead to a reduction in scarring for the patient (NHS 2010) (Mandal 2007). In a randomised controlled trial by Kumar et al (2004) it was concluded that biobrane significantly reduces the time taken for partial thickness burns to heal. After the biobrane had been app lied, a dressing was placed over the top to protect the biobrane and to help prevent any infections. Once the surgical operation had been completed, the child was transported to recovery. Children are generally recovered in a child friendly environment preferably away from adult patients. The recovery used for this child in the burns unit only contained one recovery bay and so there were no adult patients close by. Also the recovery staff trained in recovering paediatrics had notification of the child’s arrival and therefore all the specific paediatric equipment was prepared. This included paediatric breathing systems, non-invasive blood pressure cuffs, small face masks and airways. There was clear communication with the ward staff and family about the outcome of the operation, problems encountered during the procedure, and the expected postoperative course. The parents were notified of their child’s progress and encouraged to be with their child in recovery. This helps minimise any emotional trauma as soon as they are fully awake and suitably recovered. All vital sign s were monitored, the respiratory rate, pulse and a one off blood pressure was taken too, ensuring there were no abnormal readings (Fisher 2011). The Australian and New Zealand College of Anaesthetists (ANZCA) (2005) cited in Baulch I (2010) explain that indicators of infants in pain can be observed in their behaviour and may include crying, and altered facial expressions and body movement. Infants may also display individual reactions such as withdrawal or fighting to alleviate their pain. Physiological changes may also be observed, with increases in blood pressure, heart and respiratory rate, and sweating. This child arrived into recovery having already received a lot of analgesic and so did not show any signs that he was experiencing pain. Once he had fully recovered from the anaesthesia the child was discharged back to the children’s ward with his parents. The ODP acts as an integral part of the team in the operating department working with surgeons, anaesthetists and theatre nurses to help ensure every operation is as safe and effective as possible. ODPs provide high standards of patient care and skilled support alongside medical and nursing colleagues during perioperative care. The care of children with burns requires a multidisciplinary team approach (Williams 2011). The best possible care of a child in the operating theatre requires psychological preparation, planning for each individual’s specific needs, and good communication between the child, family, the ward staff and the theatre nurses, with all the potential risks to the child being safely managed. Effective collaboration between families and the multidisciplinary team is imperative to the long term success of any surgery. The child and parent should always be kept well informed of the care plan and treatment at each stage. Families should be given a clear forecast of the outcome of the surgery, ensuring that expectations are realistic (Chambers and Jones 2007). References Amin A, Oragui E, Khan W and Puri A (2010) Psychosocial considerations of perioperative care in children, with a focus on effective management strategies. Journal of Perioperative Practice. 20 (6), pages 198 – 202 Baulch I (2010) Assessment and management of pain in the paediatric patient. Nursing Standard. 25 (10), pages 35 – 40 Black A (2008) Laryngospasm in paediatric practice. Paediatric Anaesthesia. 18 (4), pages 279 – 280 Chambers M and Jones S (2007) Surgical Nursing of Children. London: Elsevier Butterworth-Heinemann. Clarke S (2010) The differences of anaesthetic care in paediatrics compared to adults. Journal of Perioperative Practice. 20 (9), pages 334-338 Fisher S (2000) Postoperative pain management in paediatrics. British Journal of Perioperative Nursing. 10 (2), pages 80 – 84 Higson J and Finlay T (2010) Pre-assessment for children scheduled for day surgery. Nurse management. 17 (8), pages 32 – 38 Krost W, Mistovich J and Limmer D (2011) Beyond the basics: paediatric assessment. Available at: http://www.emsworld.com/print/EMS-World/Beyond-the-Basics–Pediatric-Assessment/1$3346 Accessed on 23/04/11 Kumar R, Kimble R, Boots R and Pegg S (2004) Treatment of partial-thickness burns: A prospective, randomised trial using Transcyte. Australian and New Zealand (ANZ) Journal of Surgery. 74, pages 622 – 626 Latenser B and Kowal-Vern A (2002) Paediatric burn rehabilitation. Paediatric rehabilitation. 5 (1), pages 3 – 10 Macfarlane F (2006) Paediatric anatomy and physiology and the basics of paediatric anaesthesia. Available at: http://www.anaesthesiauk.com/documents/paedsphysiol.pdf Accessed on 21/04/11 Mandal A (2007) Paediatric partial-thickness scald burns – is Biobrane the best treatment availableInternational Wound Journal. 4 (1), pages 15 – 19 North Bristol NHS Trust (2010) Your child’s biobrane. Bristol: North Bristol NHS Trust Northern Devon Healthcare NHS Trust (no date) About Surgical Pre-assessment Clinic. Devon: Northern Devon Healthcare NHS Trust Northern Lincolnshire and Goole Hospitals NHS Trust (2004) Welcome to the Pre-Assessment Unit: Department of Surgery. Northern Lincolnshire: Northern Lincolnshire and Goole Hospitals NHS Trust Pescod D (2005) Paediatric anatomy and physiology and pharmacology. Available at: http://www.developinganaesthesia.org/index2.php?option=com_contentdo_pdf=1id=48 Accessed on 21/04/11 Pirie S (2011) Documentation and record keeping. Journal of Perioperative Practice. 21 (1), pages 22 – 27 Pirotte T and Veyckemans F (2004) Preparation of the paediatric patient. Acta anaesthesiologica Belgica. 55, pages 1 – 6 Smith and Nephew (no date) Biobrane: Biosynthetic wound dressing. Available at: http://wound.smith-nephew.com/uk/node.asp?NodeId=3562 Accessed on 18/04/11 Williams C (2011) Assessment and management of paediatric burn injuries. Nursing Standard. 25 (25), pages 60 – 68 World Health Organisation (2005) Pocket book of Hospital care for children: Guidelines for the management of common illnesses with limited resources (1st edition). WHO Press: Hong Kong How to cite Care of the child during the perioperative phase, Essay examples

Microsoft Search Engine

Introduction The rise in the use of the internet has created the need to use search engines. This has led to a development of new products such as Bing, Yahoo, and Google search engines to suit the growing demand. The profitability of the search engine market has greatly increased to a tune of more than $40 billion.Advertising We will write a custom essay sample on Microsoft Search Engine specifically for you for only $16.05 $11/page Learn More The search engine market is highly dominated by three players. As at 2012, the search engine market was dominated by Google at 85.2% of the global market share, Yahoo had 6.2% while Bing for Microsoft had 5.2%. Pie chart one illustrates the proportion of market share occupied by the various companies. In as much as Microsoft Corporation has been successful in the hardware and software industry, Bing has faced a number of problems in gaining market share as a new product in the search engine market. This can be maj orly attributed to aggressive competition from Google. This treatise discusses whether on not Microsoft should stay in the search market. Pie chart one – illustration of market share Arguments for Introduction of a new product in a market which seems over dominated by a single player can be challenging. Porters five forces explains the attractiveness and the concentration of competition in a market.Advertising Looking for essay on business economics? Let's see if we can help you! Get your first paper with 15% OFF Learn More Based on the five forces, the bargaining power of the customer is of most importance since it can help a company decide on whether to stay in the market or not (Roy 24) In the search engine market, a substantial amount of revenue is generated from the advertisement. Microsoft has been able to attract a large number of customers by trying to allure small companies through free advertisements. This project has been fruitful especially in attr acting small companies. Therefore, Microsoft should remain in the business to as to grow with the customers and increase further the market share. Arguments against The financial statements reveal that the Bing has been reporting losses since its formation in 2009. The company has not been able to recover the cost of developing and maintaining the product. The cost of running the search engine exceeds the revenue earned. Thus, the fact that the product cannot recover the cost of operation gives a reason why it should be withdrawn from the market. Besides, the losses earned from Bing reduces the profits attributed to shareholder and the value of the company. Thus, bing should be removed from the market. Further, based on the Porter’s five forces, the intensity of the competition may not allow Bing to penetrate and gain a profitable market share in the search engine industry (Roy 25). Further, since the product replaced Microsoft search network, there has been growth in the per formance of the product. It is noticeable that the market share of the product has been declining at a high rate. Another, reason why Bing cannot survive in the search engine market is that the main competitor offers high quality services with a large number of add on to the customers. This creates a slim chance for Bing to attract new customer to switch from their competitors’ products. Thus, the buyers propensity to substitute is negligible (The New York Times Company 2011).Advertising We will write a custom essay sample on Microsoft Search Engine specifically for you for only $16.05 $11/page Learn More Conclusion In summary, the discussions above show that the reasons against outweighs the reasons that support the stay of the product in the market. The main tool for analysis is the Porter’s five forces. Thus, the management should consider selling the product at a profit. Works Cited Roy, Daniel. Strategic Foresight and Porter’s Five Forces: Towards a Synthesis, GRIN Verlag: Germany, 2011. Print. The New York Times Company 2011, Can Microsoft Make You ‘Bing’? 04 Mar. 2013. https://www.nytimes.com/2011/07/31/technology/with-the-bing-search-engine-microsoft-plays-the-underdog.html?pagewanted=all_r=0. This essay on Microsoft Search Engine was written and submitted by user Juliette Munoz to help you with your own studies. You are free to use it for research and reference purposes in order to write your own paper; however, you must cite it accordingly. You can donate your paper here.