Pre-Eclampsia

Nicole McLean RN Understanding Preeclampsia Drexel University Understanding Preeclampsia Preeclampsia is a hypertensive disorder of pregnancy. â€Å"Preeclampsia complicates 3-5% of all pregnancies and continues to be a major cause of morbidity and mortality for both mother and infant† (Pettit & Brown, 2012, p. 6). The exact cause of preeclampsia is unknown. It is usually diagnosed after 20 weeks gestation. A diagnosis is made by elevated blood pressures and with or without proteinuria. The treatment of this disorder is geared towards management of symptoms, preventing seizures and controlling hypertension.I chose this topic because I am a labor and delivery nurse and find this to be a popular disorder of pregnancy. This disorder is very common among the nulliparity (first pregnancy) population. â€Å"Although the exact cause of preeclampsia remains unknown, much research effort has been exerted on the study of pathophysiological mechanisms† (Townsend & Drummond, 2011, p. 245). Pettit & Brown (2012) found that the placenta and the re-modeling of the uterine arteries is a factor in preeclamptic disease.Preeclampsia is usually diagnosed on a routine pre-natal visit during blood pressure checks and urine dips. Urine dips show the presence of protein in the urine. According to ACOG (American College of Obstetricians and Gynecologists) the criteria for diagnosing preeclampsia is a systolic blood pressure > 140mmHg or diastolic blood pressure > 90mmHg that occurs after 20 weeks gestation in a woman with previously normal blood pressure. Also, the presence of proteinuria, which is the urinary excretion of 0. g of protein or higher in a 24 – hour urine specimen (ACOG bulletin 33, 2002, p. 160). The goal of treatment is aimed towards preventing seizures and blood pressure management. â€Å"The long held principle that delivery is the only cure for preeclampsia prevails† (Townsend & Drummond, 2011, p. 299). â€Å"Thus, interventions are curre ntly designed to either deliver the fetus or make sure the mother and fetus are safe to continue the pregnancy while allowing time for fetal lung maturity to occur† (Townsend & Drummond, 2011,p. 299).In my institution, Magnesium sulfate is the gold standard of care for preeclamptic patients. We use this drug to prevent seizures and anti-hypertensives to control blood pressure. Close monitoring of these patients is crucial. Our hospital protocol involves monitoring maternal well being, which includes blood pressure checks hourly, monitoring of liver and kidney function, and obtaining daily weights at the same time each day for evaluation of tissue fluid retention. We also monitor fetal well-being by continuously monitoring the fetal heart rate with an external fetal monitor.It is important to encourage these patients to maintain a nutritious diet with moderate protein intake to compensate for the protein that may be lost in the urine. In conclusion, the most common medical comp lication of pregnancy is hypertension. The main goal is to keep the mother pregnant for as long as possible. Both the mother and baby will be closely monitored, and if the mother is term or if the baby is in distress the doctor may decide to induce labor or perform a cesarean – section.The most important thing is maternal and fetal well being. References American College of Obstetricians and Gynecologists (ACOG) Committee on Obstetric Practice. ACOG Practice Bulletin No. 33: Diagnosis and Management of Preeclampsia and Eclampsia. 99(1): 159 -167, January 2002. Pettit, F. , & Brown, M. A. (2012). The management of pre-eclampsia: What we think we know. European Journal of Obstetrics, Gynecology, and Reproductive Biology, 160(1), 6. doi:10. 1016/j. ejogrb. 2011. 09. 049 Townsend, N. S. , & Drummond, S.B. (2011). Preeclampsia: Pathophysiology and implications for care. The Journal of Perinatal & Neonatal Nursing, 25(3), 245. Intellectual Honesty Certification I certify that this assignment is presented as entirely my own intellectual work. Any words and/or ideas from other sources (e. g. printed publications, Internet sites, electronic media, other individuals, groups, or organizations) have been  properly indicated using the appropriate scholarly citation style required by the department or College.I have not submitted this assignment in its entirety to satisfy the requirements of any other course. Any parts of this assignment from other courses have been discussed thoroughly with the faculty member before this submission so that there is an understanding that I have used some of this work in a prior assignment. Student’s Signature_Nicole McLean Course Submitted_Nursing 324: Online Tools for Success Term Fall 2012 Date   November 25, 2012

Supplier Base Reduction Individual Business Report Essay

Supplier Base Reduction Individual Business Report - Essay Example Organization may decide to reduce its supplier base due to the following problems or issues: First, increase in the price of the raw materials used by the organization. When the prices of raw materials increases the cost of manufacturing the final products of the organization also increases which hence increases the price of the final products. This increase in price of the products reduces the demand for the products, hence low revenue generated by the organization leading into low profit. Therefore, when the prices of raw materials used to manufacture the final product increases then the organization considers it wise to reduce the supplier base so as not to make more losses in the future. Second, increase in business complexity as illustrated by Joseph (2010) is one of the problems that can make an organization reduces its supplier base. When the supplier base increases, the more complex it becomes. This makes it difficult for the firm to handle the large volume of supplies efficiently and effectively. Therefore, due to high complexity in supplier base the organization decides to reduce its supplier base so that it remains with a small consolidated supplier base that it can interact with to enhance the quality of its products. The third factor is the continuous increase in the level of debt in the organization. As the number of suppliers in the organization increases, there is also increase in the amount of debt to these suppliers. These debts have to be kept very low in the organization through controlling them so that it doesn’t drive the organization to bankruptcy. Therefore, one of the issues that the organization looks at is the debt level of the suppliers when it wants to reduce the supplier base. The fourth problem or issue is the continuous changes in the market. This is also a problem or issue that organizations look at when they want to reduce the supplier base. Changes in market such as a decrease in demand of the products may force

Why strong economies should support countries weak economies Essay

Why strong economies should support countries weak economies - Essay Example The paper tells that aiding underdeveloped countries by the industrialized countries is a very noble character since human nature is protecting and helping others. It is therefore worth understanding that helping poor countries is an internationally common practice whose main motive is based on moral obligation. Aiding underdeveloped nations act as an additional resource that empowers countries to develop themselves economically by financing their own projects. A humanitarian concern is the main reason behind helping poor countries. Funds or any aid offered to an underdeveloped country by the industrialized nation may assist in carrying out very important projects and programs such as elimination or reduction of diseases and poverty. This is because most poor countries are not able to raise funds that can help them in undertaking such kind of programs. Aiding is important because ‘It’s a necessity in eradicating third world poverty’. Availability of cheap labor in the Asian and other colonized countries as well as slavery catapulted economic development of the developed countries. Also, for harmony and peaceful coexistence, industrialized nations should act responsibly by helping the poor countries. It should be noted that ‘it is a moral duty to help those less fortunate than you’. Assistance by the rich countries may also be accompanied with technological transfer particularly when the aid is technical in nature and this may be of great help in boosting the economic growth of the underdeveloped countries. Moreover, the aid may come with training and education that may be of great use in promoting various infrastructural and human developments that are useful in propagating economic growth. Indeed ‘aid helps train teachers, buy textbooks for school’. Issuing aids further help in promoting the relationship between the developed and underdeveloped countries. By supporting countries experiencing financial difficulties, the strong economies tend to exercise equality in various sectors such as education, clean water, and healthcare. Supporting education and healthcare programs may boost literacy and health levels thus enhancing harmony in global development and reduces diseases and infections which may perhaps spread to the rich countries if proper treatment is not taken. Even for countries that do not need aid ‘at the end of the day, it is a matter of life and death’. On the other hand, giving an aid may not be the best thing to do to underdeveloped countries because of several negative effects and intentions it has on the underdeveloped nations.

Strategic Assignment Example | Topics and Well Written Essays - 3000 words

Strategic - Assignment Example Currently, the company is the second-largest corporate organization in the world in terms of revenue after Samsung and is one of the most valuable brands having gained consumer loyalty and trust through good business practice over the years. In order to ascertain the degree of globalization within a particular industry, there are four main drivers that need to be analyzed and these include: market drivers, competitive drivers, government drivers and cost drivers. Market drivers seek to demonstrate customer behaviors in relation to company products in the market domain. Consumers are the major players in the industry as they determine the demand for market commodities and influence the decisions of the manufactures. The global consumers’ needs tend to converge at the same point. Cost drivers attributes to the aspects of competition among industry leaders at a regional or national level. The different dynamics that come into play in the course of operation depending on the region of operation. The convergence of consumer needs is one of the most important elements in any business venture. The dynamics of these common tastes and preferences may vary by product from one region to another basing on cultural practices, disposable incomes, and the homogeneity of the target population in reference to a particular product. Apple Inc. as an international organization offers the same product but differentiates it to suit the specific needs and preference of the society under operation. There is need for the product to be modified in a very professional way to maintain its brand identity while at the same time blending with the cultures, tastes and preferences of their specific target market in their various markets across the globe. Apple mobile manufacturing company has been keen in redesigning and customizing their electronic devices to suit the specific needs of its current market.

HEALTH EDUCATION ON THE BENEFITS OF ANTIDEPRESSANTS Research Paper

HEALTH EDUCATION ON THE BENEFITS OF ANTIDEPRESSANTS - Research Paper Example They may also show signs of withdrawal. This may be followed by overeating or loss of appetite, suicidal thoughts, lack of concentration and difficulties in making decisions which previously they could handle with ease. Depression can be treated by use of antidepressants. These drugs are not only effective in treating depression but also a host of other disorders. A study has suggested that antidepressants are effective in curing individuals with severe depression. In the study, 35 clinical trials were conducted to investigate the effectiveness of antidepressants on patients. Some of the antidepressants used in the trial include venlafaxine, nefadozone, fluoxetine and paroxetine (Reinberg 23). This study found that patients who were severely depressed greatly improved on taking the antidepressant drugs. According to the authors, the antidepressants seemed to benefit more those who had severe depression. The study concludes that there is need to try more than one depressant on a patie nt in order to find out the antidepressant that works best. However, the study emphasizes that treatment of depression using antidepressants is only effective when it is focused on a particular patient, and involving multiple approaches. This approach also requires that follow-ups on patients’ recovery are regularly conducted (Reinberg 24). The study found that once an antidepressant is matched to a patient, then it will work best in curing depression. Current research is aimed at matching antidepressant drugs to patients. This means that patients will soon be receiving antidepressants that will work on them quickly (Reinberg 24). Another study was aimed at evaluating the efficacy of using antidepressants in treating depression among adults, youths and geriatric populations. The participants included 4 geriatric patients, 12 adults and 4 youths on randomized clinical trials (RCTs) (Gibbons et al. 572). These were to be examined using the antidepressant fluoxetine. In addition , 21 adults were examined using venlafaxine. The results of the study showed that patients responded far better compared to placebo controls introduced into the study. Adults recorded an improvement rate of over 35% compared to the placebo controls (Gibbons et al. 573).Youths in the study recorded the highest treatment rates in comparison to the control. This study concluded that antidepressant drugs are effective in treating major depression, contrary to earlier suggestions that they were only effective in treating severe depression. However, the study concluded that antidepressants were more effective in youths and adult patients compared to elder patients. This study was conducted over a 6 weeks period. The study reports that 55.1% of adults treated with fluoxetine showed a positive response (Gibbons et al. 573). In controls, only a paltry 33.7% showed response. In addition to these figures, 45.8% of the patients showed subsidence in the depression levels. However, only 30.2% of the controls showed subsidence in depression levels. The drugs venlafaxine and fluoxetine produced similar results (Gibbons et al. 575).The study shows that antidepressants are effective in treating depression. Critics have raised a number of concerns about the effectiveness of antidepressants over placebos. However, more research continues to back antidepressants i

Self-Sacrifice in O.Henry's Gift of the magi and Rabindranath Tagore's Essay

Self-Sacrifice in O.Henry's Gift of the magi and Rabindranath Tagore's The Cabuliwallah - Essay Example O’Henry was praised as a valued US Southern writer who recorded the reality of the south of his time in his stories. His personal history is almost as interesting as those of his characters, and nearly as ironic, While many know his real name, few know his real history, since fact and fiction have become totally entwined, and the "legendary O. Henry †¦ is very different from the real William Sydney Porter. In his bit of autobiographica, which he published in the New York Times, April 4, 1909, Porter himself contributed to this legend." (Paine 351) Writing was probably a very good career for OHenry at that time, because he spent more than three years in prison for a crime he did not commit, and he was reclusive type in any case. It is not that he never went out, but he seldom revealed anything terribly personal about himself("Federico and the Magis Gift." 70-70). He is known for the interesting twists in his stories, the most famous of which is probably The Gift of the Magi. In the story a young couple were very poor each sacrifices their most precious possession in order to buy a beautiful gift for the other. The poignant irony is that each gift it is bought to accompany the precious thing that the other sacrificed. In the wifes case she had her long hair cut in order to buy a beautiful platinum watch fob for her husbands gold watch. The husband, in his turn, sold his gold watch to buy her some very expensive combs for her hair. I was found it rather sad that he actually sold the watch. I wouldve preferred that he pointed, since it was a family heirloom. Her hair will grow back, and they pawned watch could be redeemed. Rabindranath Tagore was born into a privileged family in 1871 and died in 1941 before the final split up of India. He was a fierce nationalilst, but was known to criticize Gandhi for being a bit too extreme. He did not

Founding Brothers Essay Example for Free

Founding Brothers Essay The novel, Founding Brothers, written by Joseph Ellis is a thought provoking novel on the intertwined lives of George Washington, Thomas Jefferson, James Madison, John Adams, Alexander Hamilton, Aaron Burr and Ben Franklin. Ellis calls the 1790’s the most decisive decade in our country. The author exemplifies three major points in our nation’s history: George Washington and his prominent legacy; the collaborative yet antagonistic relationship between Thomas Jefferson and John Adams; and the many problems of the young union during its revolutionary era. George Washington was a monumental character and played a vital role in the molding of our country. Although, his reputation was nearly impeccable, he was great in stature, standing at six foot four. The farewell address was a key element to Washington’s legacy. In this he displayed how grateful he was to have such a remarkable opportunity to serve his country, although this only was the beginning part of his speech. Secondly he decided to stress the importance of the union. But it started in 1776 when Washington was being described as â€Å"Father of our Country† prematurely. Even Ben Franklin acknowledged Washington’s supremacy. In the 1790’s Washington was well known, he was the presiding officer at the Constitutional Convention and the chief executive of the federal government. â€Å"Washington was the core of gravity that prevented the American Revolution from flying off into random orbits, the stable center around which the revolutionary energies formed† (Ellis 121). He impacted the government tremendously with his way of thinking and his attitude toward the need for national unity. He talked about independence from foreign nations; he devoted several paragraphs to this in his in his address. Washington always made the well- being of the country first. For example, when Continental Congress wanted help the French with an invasion of Canada, Washington opposed. He feared that that putting the France in possession of that capital that they would become greedy, and doubted that they would withdraw once they were ensconced in Canada. I think that he may have felt that also, America was young and still growing as a country. He was criticized for this decision. In closing on Washington’s legacy, I feel that there were many reasons why he retired. In short, he was just getting old and probably couldn’t take the political pressure. He was also going through a physical decline. Washington intended for his farewell address to be advice to his countrymen. He wanted them to sustain without, and without a king. Adams and Jefferson were indeed friends but had different agendas on how the country should be run. Their relationship was unique; they were great friends but even better competitors. The presidency drove them apart. Adams was a federalist, and Jefferson was a democratic republican so to speak. Through the Continental congress and diplomatic missions they became close friends. As they worked more together Adams developed more respect Jefferson, although he was less effusive. The low point of their relationship was definitely after the election in 1800. After this their relationship became more antagonistic. As politicians and colleagues they went through many phases. After the election they did not speak for a long 12 years. Adams felt that Jefferson had betrayed their friendship. After the death of Jefferson daughter, Abigail Adams began to exchange letters of condolences. Jefferson confused it as an invitation to reconcile with Adams family. The two disputed briefly, John didn’t find out until several months later. Finally in January of 1812, Adams sent a letter from Quincy to Monticello. â€Å"Why then, did Adams take the fateful step, which led to a fourteen year exchange of 158 letters, a correspondence that is generally regarded as the intellectual capstone to the revolutionary generation and the most impressive correspondence between prominent states in all of American history† (Ellis 223)? For the last 15 years of their lives they contacted each other through letters and rebuilt their friendship. On the 50th Anniversary of the signing of the Declaration of the Independence, both Thomas Jefferson and John Adams died within hours of each other. They will never be forgotten for the inevitable and timely contributions to our young country. In the introduction Ellis describes the American Revolution perfectly with the statement â€Å"No event in American history which was so improbable at the time has seemed as inevitable in retrospect as the American Revolution†. America’s victory seemed beyond improbable seeing as how England had the greatest army of the Revolutionary era. The young colonists chose to seek out alliances with the French, Dutch, and Spanish due to their lack of monetary resources, experience or even the pure man power. British beforehand, even tried attacking the colonists politically which had their in leading to an inevitable rebellion. They initiated taxes, and other events such as the Boston Massacre took place that ignited the young colonists to take stand against Great Britain. Though faith, inspiration and prosperity the Americans shocked the world, defeated the odds and took the victory in 1783, securing their new independent world. This victory inspired countries worldwide to rebel against the tyrannical empires that were controlling them. This victory is evident in today’s society as America thrives as country that influences others and still is, independent. Founding Brothers truly exposes a much more personal point of view of our founding fathers and their irrefutable destiny. Joseph Ellis targets critical elements of their and what they thought was best for the young country of America. They molded something bigger than themselves during this revolutionary era. The author really brings to life the intricate detail of Washington’s legacy and the partnership between two great leaders Thomas Jefferson and John Adams. Joseph Ellis’ statement was more than valid; it justifies American in a few short words.