Thursday, February 13, 2020
Topic of your choice Term Paper Example | Topics and Well Written Essays - 2500 words
Topic of your choice - Term Paper Example As a means of understanding human resource management to a more effective degree, the following analysis will engage the reader with an understanding of how motivation takes place. Although it is true that employee/stakeholder motivation only represents one aspect of what a human resources department should be performing, it is one of the most essential elements that allows the firm/organization to engage their stakeholders and seek to promote a definitive level of engagement in one particular direction or another. In such a manner, it is the hope of this author that such a level of discussion will be beneficial for the reader to understand the manner through which motivation is utilized within the field of psychology and human resource management. Although Maslowââ¬â¢s hierarchy of needs has oftentimes been considered on a purely personal psychological level, the reality of the situation is that humans are by very nature social beings. By extension, the workplace is necessarily a realm within which individuals need to interact with one another as well as clients as a means of generating profit and income; both for themselves and for the entity in question. In such a way, Maslowââ¬â¢s hierarchy of needs is perfectly suited to defining and describing the means by which a given firm/organization can seek to maximize the overall level of motivation that is exhibited within its employees. Naturally, it may seem at bit absurd for the firm/entity in question to be able to speak to the needs of breathing, food, water, sex, sleep, homeostasis, and excretion. However, the fact of the matter is that it is incumbent upon the employer to ensure a safe working environment exists whereby none of the basic physiological needs of the in dividual are disrupted. Continuing to move up the list, the reader can note that more or less in each and every substrata of the pyramid, the employer can seek to provide for at least some of these needs. Naturally,
Saturday, February 1, 2020
Emergency Nursing Assessment Framework Assignment
Emergency Nursing Assessment Framework - Assignment Example Within the nursing process, use of the stated framework has been demonstrated to be effective as a contextualised framework relevant to emergency conditions. This framework consists of 5 steps of history taking, potential red flags, clinical examination, investigations, and nursing interventions (Curtis, Murphy, Hoy, & Lewis, 2009). The inspection of his chest revealed intercostal muscle recession, and auscultation revealed diminished air entry at both bases of the lungs with crackles audible in the right base. The respiratory rate was higher than the baseline at 28 per min with deep and laboured breathing. His SpO2 was 89% on Hudson mask at 6 L of oxygen with elevation of PaCO2 to 54. All these information indicate that he was in acute respiratory failure (Delerme & Ray, 2008). The clinical picture indicates that this alteration in respiratory function has occurred over a short period of time. This patient was at baseline hypoxaemic indicated by his need for supplemental oxygen to maintain his oxygen saturations above 95%. Given his age and potential blood loss due to fractured neck of right femur this is expected, although the history does not suggest any chronic respiratory disease at the baseline (Calverley, 2003). This is an important part of history since quite frequently such patients develop acute respiratory failure superimposed on a chronic pulmonary condition such as chronic obstructive pulmonary disease, which is common in elderly men of his age (O'Malley, Marcantonio, Murkofsky, Caudry, & Buchanan, 2007). While initially 3 L of oxygen per min via nasal prongs ensured a 99% of SpO2 of 99%, postoperatively in 2 days' time, his condition deteriorated. The assessment while trying to reach a diagnosis must include an attempt to determine causes for such changes. Although high temperature of 38.5 degrees Celsius may contribute to higher rate of breathing, the laboured breathing and findings at auscultation strongly suggests respiratory failure, which is further confirmed by rise of PaCO2 to above 50 (El Solh & Ramadan, 2006). While a fall of PaO2 to below 50 is expected, given his oxygen supplementation, this may not occur always unless there is severe respiratory failure. As expected the pH is 7.30 which is less than 7.35 indicating respiratory acidosis along with oxygen destaturation indicated by SaO2 of 89%, which is below normal (Antonelli, Pennisi, & Conti, 2003). The X-ray picture confirms right sided basal consolidation and collapse, which may indicate an infective episode, which per haps is the cause of this failure, since the other reason of overuse of PCA can be ruled out through the patient's statement. Q2. The doctor initially prescribed two antibiotics. The later appearance of fever and concomitant respiratory failure due to consolidation and right sided pleural effusion leading to collapse indicated that this infection has been acquired in the hospital.
Subscribe to:
Comments (Atom)