Patient Education Plan

Pamela is 30 years old and a married Filipina with a two-year-old daughter. She was born in the Philippines and came to the United States at age 13. She has a high school diploma and she attended Cal Poly Pomona and received her degree in Electrical Engineering. She works Monday thru Friday at least eight to nine hours a day and still takes work home. When Pamela was 16 years old, she had an appendectomy. She enjoys drinking alcohol every week with her friends during happy hour since she was 21 years old. Otherwise she has no other significant medical istory. Her family history is very significant especially from maternal grandmother and grandfather who passed way with diabetes and paternal grandmother who passed away with lung cancer and paternal grandfather who passed away with brain aneurysm. Her mother currently has high blood pressure and her father has nothing significant going right now. Just about a few days ago Pamela showed symptoms of abdominal pain and projectile vomiting that had her husband worried about her and took her straight to the emergency room. Her pancreatic enzymes were levated, her abdominal ultrasound and CT of the abdomen showed inflammation of her pancreas. She was then admitted for further evaluation. Introduction Pancreatitis is an inflammation of the pancreas. With pancreatitis, the pancreas becomes inflamed, edematous, hemorrhagic, and necrotic. The pancreas is a long, flat gland that is located behind the stomach towards the upper abdomen. The pancreas produces enzymes, which help regulate the way your body digest glucose. Chronic pancreatitis is the progressive destruction of he pancreas as characterized by permanent loss of endocrine and exocrine function. The patient usually has chronic pain. Most studies of the pathophysiology of chronic pancreatitis are performed with patients who drink alcohol as stated by Nair, Lawler & Miller (2007). The signs and symptoms for acute pancreatitis are upper abdominal pain, which could radiate to the back, you would feel worse after eating a meal and there will be nausea and vomiting. There will be tenderness when the abdomen is being touched. The signs and symptoms f chronic pancreatitis is also upper abdominal pain, weight loss, indigestion and oily and foul smelling stool. Complications of pancreatitis include breathing problems that could be due to the oxygen level is low in the blood, diabetes may occur since the pancreas is the organ that produces insulin, infection may occur and have the pancreas be vulnerable of bacteria, acute pancreatitis may lead to kidney failure which could lead to hemodialysis if it is not treated. Malnutrition could be another complication since the pancreas cannot break down the food because a few nzymes are being produced. If the chronic pancreatitis does not get treated and it’s still reoccurring it could lead to pancreatic cancer. Treatment for this disease is hospitalization to stabilize the patient. Having her not consume any food during her stay will help the pancreas recover fully. Once its in control then liquid diet and advancing the diet may be course of treatment. A nutritionist will be involved in her care. IV fluids will help her stay hydrated. Pain is another factor to this disease and pain medications will be prescribed. At discharge some alternative therapy might help alleviate the pain. As mentioned on WebMD Tylenol should be avoided (2011). Exercises, yoga and meditation might be of good help to distract her. It can’t treat what she has but it could keep her comfortable. Age and Development/Educational Need In Erickson’s developmental theory Pamela is a young adult in Erickson’s that is Intimacy and Isolation. As long you have her trust in you, I believe using direct measurement as the approach of her method of learning. Just observing her behavior can help me distinguish hether or not she will be compliant. But during our session I noticed that she is willing and eager to learn and get well soon and she has shown that she is willing to be involved with her treatment. She has verbalized her understanding of what she needs to do once she goes home. Effect on Quality of Life Pamela would have to change her life style as she recovers from being diagnosed with Pancreatitis. She has to realize that whatever she has been doing on a daily basis would have to change. Her drinking of beer during happy hour every week has to stop. She’s not a smoker, hich is great. She has to drink lots of fluids and eat less fat on her diet. She would have to eat more fruits and vegetables, consume more whole grains and water. Perceived Challenges Pamela has always enjoyed her social life in going out with her friends to happy hour every week. Having to let that go might be a little difficult, being that she has always been going out ritually since she was 21 years of age. She is considered to be a very busy person that she uses alcohol to relieve her stress. So having her to give alcohol might be somewhat of a challenge. Eventually, with the support of her family and her husband especially might help her get through this stride. I see a person who is willing and get better not just for herself but for her daughter. Summary Teaching Pamela has been an experience. She showed to be very knowledgeable and very receptive. She asked questions that were relevant to her condition and since she asked shows me that she interested in getting better. She is willing to receive the help that she needs. She has verbalized her understanding and will call her physician if any of the symptoms reoccur.

BP’s Competitive Advantage

Though the product they are probably most famous for in the minds of consumers, gasoline, is thought of as homogeneous, the success of BP in the companies ability to grow and maintain its standing as a multinational energy superpower lies in its management of human capital. BP’s true competitive advantage is not in the commodities or services it sells, their success stems from the companies ability to manage a less easily duplicated resource: knowledge. Collaboration and knowledge management form the core of the BP value system. As expressed by BP in their own words, they aim â€Å"to engage the creative talents of our employees, and develop and apply leading, cost-effective technology and intellectual creativity to enhance innovation and new ideas† (BP, n. d. ). This paper will address this unique aspect of the BP business model, knowledge management, and how it translates into financial performance. Background BP is a global energy leader, the core components of their business are: oil and gas exploration and production, refining and marketing of petroleum supply products, manufacturing and marketing of chemicals, and the manufacture of Photovoltaic (solar) cells. They are currently in the top three internationally in gas reserves, and are the largest retailer of gas in the US, as well as one of the world’s largest marketers of aviation fuel (Corporate Watch, n. d. ). Founded by William Knox D’Arcy from a significant oil find in Iran, they have expanded through growth and merger, currently operating in over 100 countries, employing 97,600 people with 2007 revenues exceeding $284 billion (BP, n. d. ). Knowledge Management The challenge to an organization the size and scope of BP can often be capturing the wealth of knowledge created by their people, engaged in business, learning best practices, and sharing and storing that information between business units to maximize BP’s potential. BP’s methodology is â€Å"encompassed by a simple framework, which describes a learning cycle – before, during and after any event – which is supported by simple process tools† (Kotelnikov, n. d. ,  ¶ 1). The BP learning method is to treat every process as a closed learning loop; lessons learned from each experience are agreed upon and posted on the company intranet to capture knowledge and experience to be shared by all BP business units. Companies create vast amounts of valuable knowledge through practice of their employees, without a system in place to capture this knowledge; it will often leave with their employees. Further, in a large company like BP, the potential exists for it to operate not as a collaborative unit, but as â€Å"a collection of individual fiefdoms in the form of individual business units† (Quelch & Deshpande, 2004, p. 96). To foster this sense of collaborative behavior, BP created peer review and cross business unit interaction strategies (Quelch & Deshpande). An example of how this has positively impacted the companies profitability, recently due to knowledge sharing between business units of engineers, they achieved a cost savings of $74 million in 1998 to meet their collective goal of reducing retail site construction by 10% (SAIC, n. . ). As management of information systems flourished in the decade of the 1990’s, the success of BP’s competitive advantage in their commitment to managing knowledge will invariably lead to other organizations creating practices and infrastructure to support knowledge management in the future. Knowledge management creates competitive advantage by storing and sharing collective â€Å"on the job† learned experiences and distributing them to present and future generations of an organization that would otherwise be lost. BP has maintained their ability to grow and improve profitability through implementation of knowledge management strategy.

Personal Growth Response Paper Essay Example | Topics and Well Written Essays - 1750 words

Personal Growth Response Paper - Essay Example In lieu of these situations they motivate and develop strategic responses. While being effective leaders the CEOs must actively engage themselves in the realization of action-oriented plans. This meant that leaders are vision oriented whereas the manager is objective oriented. He further emphasized that a leader works under unstructured environment and the manager is facilitated by a semi-structured environment under well-defined policies and guidelines. This lead to an important decision in my life which was a choice between a leader and manager and I came to realize that why should one settle for a manager whose goal is, basically, to maintain the status quo Thus I came to recognize that the true task of a leader is to reinvent strategies so that the organization and every person who works with him continuously become better. A leader should be flexible enough to be associated with the change in structure. To further explain this I would like to quote the example of Z.A. Bhutto explaining that Bhutto's downfall had come as a result of his inability to adapt to the changing political situation in the country. While the military and the U.S. backed out in supporting him, he persisted with his old policy eventually he failed. Therefore a leader needs to change oneself according to the environment and the structure. Sincerity: A leader has to be sincere to all stakeholders on all fronts ranging from

Information security in wireless local area networks Essay

Information security in wireless local area networks - Essay Example Man in the Middle (MitM) is a real information security concern for the Wireless Local Area Networks. In the MitM attack, address of the proxy server changes with any fake address and hacks the wireless network in the form of traffic tunnelling, proxy attack, DNS poisoning, and rout mangling. This paper also outlined the solution of the major information security issues through the development of the techniques and protocols. Alloy model is the core focus in this paper, which contains the written code. Execution of this code is verified whether it met the expected function. Development of these techniques and protocols is aimed to ensure the data integrity and security. C# is the core programming language for the client side and PHP programming is used for the server side. Model checking involved the testing of the written features of the application in terms of verification of the descriptions. Static analysis, deductive verification, dynamic analysis and software model checking are the best examples of technology, which use the theorem proving for the validity of verification. Information Security in Wireless Local Area Networks Summary and Conclusion Introductory chapter of thesis narrates the aims and objectives of the work, and describes the structure of the thesis. This early chapter is focused on the Wireless Local Area Networks (WLAN), which is the biggest segment in the Wireless products’ market. Wireless Local Area Networks facilitates the communication and computing in spatial domains including the enterprises, hospitals, offices and campuses. In these environments, WLAN expands and complements the coverage in the existing networks. There are three main objectives behind the information security for the wireless networks such as the data integrity, confidentiality, and availability. Data Integrity; It is ensured that no data or information has been modified. Confidentiality; It is ensured that nobody other than receiver can see or read the inf ormation. Availability; It ensures the availability of information needed at any time. The second chapter of this thesis work has been on the history and background of the study. This chapter describes the ways of the wireless detection using when data packets pass through the Network Interface Card (NIC). Managed and â€Å"rfmon† modes of data transferring through NIC are stated. The function of the Kismet has been specified when data packets pass through the NIC and saved in the file named as â€Å"pcap†. Beacon frame is most wanted for the sniffer that contains the information about sniffing operation. Data sending and receiving over the WLANs need the connection with Access Points. The requirements of the encryption protocol for the data encryption of the beacon frame are also realized in this part of the thesis. A hacker attacks the wireless network and selects a wireless channel from where it attacks the network. Hacker uses the two probing techniques such as act ive and passive. NetStumbler tools works as active probing and receives the Service Set Identifies (SSID) and host information. An active probe detects the access points in scope of hackers’ transmission. Passive Probing technique is used to drop the data packets over a channel and neither data receiver nor the data sender can detect the attacker’s presence. Surveillance is a passive technique that a hacker uses to capture the data traffic over a

Enterprise Info Security Essay Example | Topics and Well Written Essays - 1250 words

Enterprise Info Security - Essay Example This may result in erratic program behavior, including memory access errors, incorrect results, a crash, or a breach of system security. They are thus the basis of many software vulnerabilities and can be maliciously exploited Understanding the difference between data and programs is a very important element of avoiding various overflow attacks. When one understands that data is just computer information while a program is the software screen, he or she can be able to apply new defense systems. It’s easy for someone to understand how to use the modern security features like Data Execution Prevention (DEP) can be applied in modern operating system like Mac OSX, Linus and Microsoft Windows. For example DEP works in two different ways; either its hardware encoded or software encoded. Software-encoded DEP do not protect data pages from execution of codes, but from another type of attack. Knowledge about this security features and operating systems is very important when one is loo king for the best defense against overflow attacks. Question 4.2 Consider a system that writes event numbers to its audit log and uses a table to translate these numbers into messages. What is the potential advantage of using this level of indirection in log file entries? What are the potential dangers? This system is the Computer Aided Dispatch System (CAD System). Potential advantage CAD system is a greater boost to public communication. These include providing instant and reliable communication through alarm connections, mobile data systems, and time and records management systems. Potential Dangers The design, development, purchase, and installation of CAD systems can be a complicated for both a medium or large-size public safety agency. It involves not only the installation of computers and the CAD software, but usually connection to a wide variety of other systems: alarm inputs, mobile data systems, time synchronization sources, records management systems. This process is ther efore very expensive and complicated to handle (Computer-Aided Dispatch Software Resource, Para 2). Question 4.3 How spoofing can be performed When a particular machine claims to own a particular IP address and the first machine sends all its messages to that machine. Using this attack, a machine can listen to all the traffic that a machine wants to send out. This happens when two machines are on the same network. Normally one machine sends a packet to the other machine IP address and the network routes back to its destination. This kind of attack is called ARP spoofing. RP doesn't have any way to check if a particular responding machine does in fact own a particular IP address. This can be exploited by having other machines claim to be certain IP addresses. Defenses against spoofing Some of the defense mechanism against spoofing includes; Guarding algorithm for ARP spoofing Updating ARP cache method Checking the ARP cache each and every time Information encryption Controlling by th e use of switching equipments Configuration of static ARP cache (Li, B., Dong, K., Dong, L. & Yang L.) Question 5.1 Explain the concept of dual signature used in SET (Secure Electronic Transfer) Protocol and its Components. Secure Electronic Transaction (SET) is system of protecting electronic transaction using credit cards online. This process uses the concept of dual signature. Dual signature concept operates in the following procedure; The owner of the card will take the cards payment information

Degrees of Homicide Assignment Example | Topics and Well Written Essays - 250 words

Degrees of Homicide - Assignment Example dad saw the kidnapper the next day in an interview and in sudden rage, the dad grabbed a revolver from a nearby officer and killed the kidnapper (â€Å"Manslaughter†). Another example is when Dan comes home to find his wife in bed with Victor. In the heat of the moment, Dan picks up a golf club from next to the bed and strikes Victor in the head, killing him instantly (â€Å"Manslaughter: Voluntary†). Involuntary manslaughter involves the death of a human being, but without the intent required for murder, comprising elements such as (1) the killing of another human being was unintentional; (2) the death occurred either during the commission of an unlawful act not amounting to a felony or as the result of criminal negligence; and (3) the defendant’s unlawful act or negligence caused the death (Wallace 8). For instance: two kids were street-racing, one lost control and hit a crowd of spectators. Two of the spectators were killed. The one who lost control was charged with involuntary manslaughter (â€Å"Manslaughter†). Another picture is when a driver is running a red light and then crashing into another car, which kills the other driver (â€Å"When†). Negligent manslaughter is a new type of homicide that the Model Penal Code developed in response to the fact that the voluntary and involuntary manslaughter are difficult to apply in certain situations. It is the unintentional killing of another human being caused by the negligence of the defendant including elements that (1) the killing of another human being was unintentional; (2) the death resulted from a negligent act by the defendant; and (3) the defendant’s negligence caused the death (Wallace 8). A case of negligent manslaughter is: D, an anaesthetist, failed to observe during an eye operation that the tube inserted in V’s mouth had become detached from the ventilator, causing V to suffer a cardiac arrest and eventually die (â€Å"Cases†). A different circumstance is when D pointed a gun at V, without

Managing Employee Relations Essay Example | Topics and Well Written Essays - 3500 words

Managing Employee Relations - Essay Example Within the practice and study of business and management, Human Resource Management has emerged as the arena for discourse on employee relations and optimal human resource management trends and paradigms. As with any other discipline and field of practice, it has undergone several changes over the past decades and is engaged in a multitude of debates. These changes have been imposed upon it by shifting ideologies, on the one hand, and by the mercurial nature of the international political economy, hence, global business, on the other. The debates have been instigated by these same forces, amongst others. Among the more important of these debates is that which pertains to the relevancy of the pluralist ER ideology within the context of a globalised business environment. Through an exploration of the ways and means by which globalisation has impacted employer-employee/employee-organisation relations and a critical analysis of the more dominant of the ER theoretical frameworks, this res earch will argue in favour of the argument which disputes the relevancy of pluralism to current business realities. In other words, the research will provide evidentiary support for the assertion that the pluralist ideology is troublesome, archaic and serves no purpose in today's global economy. 2 Globalisation Globalisation has impacted firms on two levels. In the first place, it has internationalised the domestic consumer and labour markets. According to Tayeb (2000) this means that firms' internal and external environments have globalised whereby, not only do firms serve an international customer base and have to contend with international competition but their workforce is increasingly diverse and multicultural. In the second place, globalisation has impacted firms in that it has forced many to internationalise. Again, as Tayeb (2000) explains, globalisation has prompted numerous firms to engage in foreign direct investment and to adopt a multinational corporate structure. The implication, thus, is that globalisation has influenced a change in both the structure of corporations and in the way they approach their consumers and marketplace. Needless to say, the mentioned has necessitated a reworking, or reconsideration, of dominant ER paradigms. These changes are perceptible on both the d omestic and international levels. 2.1 Domestic Employee-Employer Relationships So as not to digress from the principle topic, the changes which globalisation has induced upon domestic employee-employer relationships will be summarised through a brief reference to diversity. As Dreachslin (2007) explains, changing demographic realities, compounded with globalisation, have forced UK firms to hire an increasingly multicultural and diverse