Friday, December 27, 2019

The Customers Individual Perception Free Essay Example, 2250 words

The service industry has increasingly focussed on the customer s individual perception as the deciding factor in terms of business. Abrupt usage of such principles had ultimately made the customer the king in the global economy of today. As almost all of the market follows the perfect competition, so the decision precisely depends upon the buyer to choose the services of which company they want to purchase. The measures are taken to have a long and everlasting relationship with the customer, the Lebara Group also has rewarding Switchless Reseller Programmes. The major attributes of the program include that of lower risk without any CAPEX. There are also no carrier contracts without any hassle. The wholesale rates of the company are much lower compared to the industry standards and are highly competitive. With more to offer the company even goes to the extent to advise the individual resellers, the best practices of the industry as part of the consultancy services. In order to have a long-lasting relationship with the esteemed customers, the group has never compromised with the strategic and business partners. Lebara Group has taken an extra load to have the best partner so that the customers of the group gets the benefit of the widest SIM card product and also that of the airtime availability in the countries where the group has its presence. We will write a custom essay sample on The Customers Individual Perception or any topic specifically for you Only $17.96 $11.86/page

Wednesday, December 18, 2019

Assessment of the Patient with Acute Abdominal Pain

earmngzone CONTINUING PROFESSIONAL DEVELOPMENT Because of a printing error this leaming zone article was not printed in full in last weeks issue. I t is reproduced here in full. Please use this version when referencing the article. Page 76 Guidelines on how to write a practice profile Assessment of the patient with acute abdominal pain NS344 Cole E et ai (2006) Assessment of the patient with acute abdominal pain. Nursing Standard. 20, 39,67-75. Date of acceptance: October 10 2005. Summary Abdominal pain has many causes, from simple to complex presentations. Patients with abdominal pain may have a number of physiological and psychological needs. Nurses have a key role to play in patient assessment, history taking and†¦show more content†¦Check in an anatomy and physiology textbook to see if you are correct. Causes of abdominal pain ^ ^ 1 1 Right upper quadrant Right lower quadrant Left upper quadrant Left lower quadrant , ; \ Acute surgical emergencies constitute about 50 per cent of all general surgical admissions. About halfofthese are for abdominal symptoms, predominantly pain, and half of this group resolve withtiut operation, Tbe rest undergo emergency surgery or a scheduled procedure during the same admission (Birkittand Quick 2002), The common causes of abdominal pain are summarised, however, this is not an exhaustive list. Appendicitis Appendicitis is the most common surgical emergency (Longmoreei a/2004). Appendicitis is inflammation ofthe appendix, and as the inà ­Limmatory process begins, there is colicky pain that usually starts around the umbilicus or epigastrium. However, as the inflammation increases and the peritoneum becomes involved, the pain shifts to the right iliac fossa (within the right lower quadrant). Associated symptoms may include loss of appetite, vomiting, constipation and occasional diarrhoea. Biliary colic Biliary colic describes tbe symptoms caused by intermittent cystic d uct or common bile duct obstruction caused by gallstones. Typically patients are female and overweight. Pain is usually colicky and localised in tbe right upper quadrant and in the epigastrium radiating to tbe back. Pain has a sudden onset and isShow MoreRelatedAntepartum/Intrapartum Patient. Student Name: Patricia1607 Words   |  7 PagesAntepartum/Intrapartum Patient Student Name: Patricia Pineda Date: 03/08/2017 Assessment Submitted: 04/27/17 Maternal Initials: L. P Clinical Faculty: Yvette, Rolle, DNP, CNE, OB-RNC Hospital Clinical Site: Texas Children’s Hospital Pavilion for Women NOTE: This care plan follows directly from the Assessment Data you have collected in your Antepartum/Intrapartum Physical Assessment. Assessment forms must be submitted along with this care plan and the grading. Submit your Antepartum/IntrapartumRead MoreCase Study Of Acute Abdomen1716 Words   |  7 PagesUS with operative in acute abdomen. Item Prove Disprove p-value Inflammation †n=88† 70(79.54%) 18(20.45%) P0.001** Abscess †n=22† 19(86.36%) 3(13.63%) P0.000*** Perforation †n=30† 24(80.0%) 6(20.0%) P0.000*** Intestinal obstruction †n=60† 49(81.67%) 11(18.33%) P0.000*** Total †n=200† 162(81.0%) 38(19.0%) P0.000*** The correlation of US findings with surgical findings in this study showed high US diagnostic performance markers in most of the cases of non traumatic acute abdomen. All the diseaseRead MoreSymptoms And Symptoms Of Acute Pancreatitis1037 Words   |  5 PagesCanadian who came to emergency with complains of vomiting and severe abdominal pain. He stated that he finished a heavy meal accompanied with 3-4 glasses of wine when his pain began. He usually consumes 2-3 cans of beer per day. Based on clinical findings and tests, he was diagnosed with acute pancreatitis and admitted to the medical-surgical unit. I was assigned to care for Mr. P. M. during the day shift following his admission. Acute pancreatitis is a rapid inflammatory process when the tissue of pancreasRead MoreSymptoms And Symptoms Of Acute Pancreatitis1031 Words   |  5 PagesCanadian who came to emergency with complains of vomiting and severe abdominal pain. He stated that he finished a heavy meal accompanied with 3-4 glasses of wine when his pain began. He usually consumes 2-3 cans of beer per day. Based on clinical findings and tests, he was diagnosed with acute pancreatitis and admitted to the medical-surgical unit. I was assigned to care for Mr. P. M. during day shift following his admission. Acute pancreatitis is a rapid inflammatory process when the tissue of pancreasRead MoreCase Analysis For Pancreatitis And Pancreatitis1086 Words   |  5 Pagestypes acute or chronic . bile does not enter the pancreas ; if it does , the pancreas may become acutely inflamed. this process of pancreatitis destroys pancreatic tissue and leads to hemorrhage , edema , steatorrhea , and severe pain . pancreatic enzymes are being secreted directly into the pancreas rather than into the duodenum , also cause pancreatitis . Another cause is gallstone that travelled backward in the duct. Pancreatitis sign and symptoms include intractable pain in theRead MoreConcept Map Nursing1369 Words   |  6 PagesConcept Map West Coast University B.S. is an 81 year old Caucasian female presenting with abdominal pain, diarrhea, nausea and vomiting in the emergency room on February 3, 2013. B.S. has a history of glaucoma, hypothyroidism, degenerative arthritis and diverticulosis. She has allergies to iodine and vicodin. B.S. is admitted for diverticulitis with possible partial bowel obstruction and hydronephrosis. B.S. was admitted on February 3, 2013 here at Verdugo Hills Hospital. Pathophysiology:Read MoreClinical And Holistic Personal Health Factors Within An Emergency Nursing Framework3362 Words   |  14 Pagesstudy examines a recent presentation by a 36 year old woman with acute abdominal pain requiring emergency assessment, and the subsequent diagnosis of acute appendicitis leading to surgical intervention. The aim of this paper is to explore the patient’s relevant presentation, clinical and holistic personal health factors within an emergency nursing framework. Two key areas of care will be identified to critique and examine in detail: acute appendicitis as an immediate concern, and long-term use of non-steroidalRead MorePain Management Is Recognized As An Essential Aspect Of Patient Care1346 Words   |  6 PagesPain management is recognized as an essential aspect of patient care by The Joint Commission and the World Health Organization along with other national professional organizations and health agencies. The International Association for the Study of Pain (IASP) has the best known and accepted pain definition: Pain is an unpleasant sensory and emotional/affective and cognitive experience that is associated with actual or potential tissue damage or is described in terms of such damage. (Society, n.dRead MoreCholecystitis and Perioperative Care Essay1118 Words   |  5 PagesResearch indicates that gallstone disease is the most common abdominal reason for hospital admission. Risk factors that are known to increase gallstone formation include: being female, rapid weight-loss and fasting, diabetes and certain medications. Medications such as oral contraceptives and cholesterol-lowering drugs. It is imperative that â€Å"nurses have a great understanding of cholecystitis and the surgical procedure, to ensure that patients are cared for not only empathetically but also safely andRead MoreEssay on Reflective Nursing Case Study708 Words   |  3 Pagesreflection to write a personal accoun t of an abdominal examination carried out in general practice under the supervision of my mentor, utilising the skills taught during the module thus far. What happened During morning routine sick parade I was presented with a 21 year old male soldier experiencing severe acute, non specific, abdominal pain. Under the supervision of the medical officer (MO) I proceeded to carry out a full assessment and abdominal examination, using Byrne and Long’s (1976) model

Tuesday, December 10, 2019

An Artists Life Essay Example For Students

An Artists Life Essay Much of the art of the Renaissance was extremely religious in its nature. The paintings from this time are almost entirely scenes from the Bible including: the enunciation of the Virgin Mary, depictions of the infant Jesus Christ, the crucifixion of Christ, and numerous other examples of Christian iconography. One would imagine that virtuous, upstanding artists would have created such angelic works of art. The stunning displays of morality, as seen in the works of many Renaissance painters, are not always a reflection of the artists lifestyle. Two examples of artists whose paintings did not reflect their lifestyles were Michelangelo Merisi de Caravaggio and Fra Filippo Lippi. Both of these artists created works that portrayed Christian iconography with great aesthetic expertise. Among these works are Caravaggios The Inspiration of Matthew and Lippis Madonna with the Child and two Angels. Fra Angelico was another artist from this same time period. He is quite a contradiction compared to his contemporaries. Angelico led a very pure life following the Christian morals of the time, unlike his peers. Caravaggio, while a great artist, had a stormy personal history. Very little is known about his life until it began to be documented in the criminal courts. His teens and early twenties were scattered with bouts of abject poverty, until he became renowned as an artist. From this point on, his name appears every few months on the police blotter. He became well known for picking fights, threatening people with swords and being arrested for such deeds. He was sued for libel and built up enemies to the point where his murder was attempted. He was found in bed with wounds around his neck and left ear. Because of this event, Caravaggio was jailed in his house for an entire month. He was forbidden to leave without written permission from the governor of Rome. However, it seemed nothing could keep Caravaggio out of trouble. In the month of May 1606, he killed a man who had won a bet over a ball game that afternoon. After this event, he was left wounded himself. He fled Rome, going to a patrons house and eventually moved on to Naples. At the age of thirty-five, he left Naples and went to Malta, where he was well received for this renowned artwork. However, this situation did not last long. He got in a fight and was imprisoned. Shortly after arrest, he escaped and finally returned to Rome, where his reputation was still well known. His enemies had not forgotten him and he was nearly killed several times. He had been allowed hardly more than a decade of maturity as an artist, but he had established himself in history a position among the handful of painters whose originality made them genius. Caravaggios rebellious life seems quite different from the moral stories his paintings portray. The artwork called The Inspiration of Matthew is a prime example of how his life is not part of his art. This painting originally showed Matthew as a laborer. His face and garments were of a common man and his bare feet were dirty as that of the worker Matthew really was. Because of his plain appearance church officials rejected this work. To replace this painting, Matthew was painted again but in the usual saintly robe. This compromise to the church is just one example of his emotional detachment from the making of his works. This painting has a great amount of Christian imagery involved in it. The most obvious is the fact the painting contains an apostle and an angel in it. This type of work was created for the specific purpose of promoting the church. Meanwhile, Caravaggio, even though he was a great artist and designed religious paintings specifically for the church, led a life not suitable to the religious practice he chose. Another painter who seemed to be quite a hypocrite in his painting was Fra Filippo Lippi. He was orphaned as a child and put under the care of Carmelite monks. He took the vows of the order at the age of fifteen, and at the age of fifty eloped with a young nun and raised a family. .ufa1201e76ebe19cf1749a1864efa5d0a , .ufa1201e76ebe19cf1749a1864efa5d0a .postImageUrl , .ufa1201e76ebe19cf1749a1864efa5d0a .centered-text-area { min-height: 80px; position: relative; } .ufa1201e76ebe19cf1749a1864efa5d0a , .ufa1201e76ebe19cf1749a1864efa5d0a:hover , .ufa1201e76ebe19cf1749a1864efa5d0a:visited , .ufa1201e76ebe19cf1749a1864efa5d0a:active { border:0!important; } .ufa1201e76ebe19cf1749a1864efa5d0a .clearfix:after { content: ""; display: table; clear: both; } .ufa1201e76ebe19cf1749a1864efa5d0a { display: block; transition: background-color 250ms; webkit-transition: background-color 250ms; width: 100%; opacity: 1; transition: opacity 250ms; webkit-transition: opacity 250ms; background-color: #95A5A6; } .ufa1201e76ebe19cf1749a1864efa5d0a:active , .ufa1201e76ebe19cf1749a1864efa5d0a:hover { opacity: 1; transition: opacity 250ms; webkit-transition: opacity 250ms; background-color: #2C3E50; } .ufa1201e76ebe19cf1749a1864efa5d0a .centered-text-area { width: 100%; position: relative ; } .ufa1201e76ebe19cf1749a1864efa5d0a .ctaText { border-bottom: 0 solid #fff; color: #2980B9; font-size: 16px; font-weight: bold; margin: 0; padding: 0; text-decoration: underline; } .ufa1201e76ebe19cf1749a1864efa5d0a .postTitle { color: #FFFFFF; font-size: 16px; font-weight: 600; margin: 0; padding: 0; width: 100%; } .ufa1201e76ebe19cf1749a1864efa5d0a .ctaButton { background-color: #7F8C8D!important; color: #2980B9; border: none; border-radius: 3px; box-shadow: none; font-size: 14px; font-weight: bold; line-height: 26px; moz-border-radius: 3px; text-align: center; text-decoration: none; text-shadow: none; width: 80px; min-height: 80px; background: url(https://artscolumbia.org/wp-content/plugins/intelly-related-posts/assets/images/simple-arrow.png)no-repeat; position: absolute; right: 0; top: 0; } .ufa1201e76ebe19cf1749a1864efa5d0a:hover .ctaButton { background-color: #34495E!important; } .ufa1201e76ebe19cf1749a1864efa5d0a .centered-text { display: table; height: 80px; padding-left : 18px; top: 0; } .ufa1201e76ebe19cf1749a1864efa5d0a .ufa1201e76ebe19cf1749a1864efa5d0a-content { display: table-cell; margin: 0; padding: 0; padding-right: 108px; position: relative; vertical-align: middle; width: 100%; } .ufa1201e76ebe19cf1749a1864efa5d0a:after { content: ""; display: block; clear: both; } READ: The Last Hung: Joop's Mid-Life Crisis EssayMuch took place in these thirty-five years, including numerous transfers between Catholic institutions. Lippi was appointed head of several convents and was quickly removed from office because of his sexual appetite within the nunnery. When it came about that he finally eloped, he had convinced at least five nuns to run away with him. He lived with two of them and was accused of immoral behavior by the church of Florence. Through out all of this activity, Lippi never lost any support from his patronage and still maintained his fame as an extraordinary artist. Fra Filippo Lippi never allowed his adulterous life as a monk affect the content of his work. Nor did fifteenth-century Italy make any kind of connection between his creative achievement and his personal life. Lippis artwork was heavily religious in nature. It is possible to say that the gentle Madonnas he painted greatly influenced Leonardos sibylline females. This can be seen in the painting Madonna and Child. Lippi remains most famous for his Madonnas, which makes one wonder, when considering his personal life, if he preferred to paint women in bible scenes. One could speculate that he liked this best because of his same love of women over the church in personal life. Lippi is yet another painter whose content is not a reflection of his personal life. Not every painters life is as detached from their work as Caravaggios and Lippis. Another Italian monk, named Fra Angelico did not follow the same path as these two artists. Fra Angelicos life was the epitome of purity, according to historical record. He was ordained as a monk around twenty-five years of age. Fra Angelicos life was one of the utmost Christian morality. He lived life as a monk and did not have the tendencies of Lippi and Caravaggio for women and violence. He exemplified what a monk was expected to be. Fra Angelicos life, by every evidence, ran its course without a question, in uninterrupted service to God. The nickname Angelico was given to him after his death and could not be more appropriate, since many would say no one has created art so angel-like and pure. One of the most common figures in his art were angels. Fra Angelicos angels sing the praises of the Lord as if there were no Satan. His paintings of virgins are seen with the dignity of women, but with the innocence of young girls. Fra Angelicos purity in life is most definitely seen in his artwork. He truly had the brush stroke of God. The artwork of the church was created by a large number of painters with extremely varied lives and morals. Every painter of this time can be said to portray Gods creation as it was intended, but few can it be said allowed their own lives to effect their artwork. While the majesty of God can be seen in all of their works, few could say that each artists life and values are shown.

Tuesday, December 3, 2019

Reviving Youth free essay sample

The distant whines and murmurs from toddlers wanting to leave in the back rows were ignored as I intently watched the scene that would determine the fate of some of the most beloved characters I had grown up with. As the brave souls joined hands as they reached the end, I sat cringing in the crevice of my seat waiting for the suspense to die- in hopes that they would not. I didn’t want to lose another piece of my youth even if they were just animations. Seeing Buzz Light-year and Woody, everyone’s childhood friends from the world of Toy Story, reunited and protecting one another, I reflected on why this was so important to me. Three years earlier my childhood friend had passed away. Bryn and I had met as toddlers and our companionship stayed strong as we enjoyed imagining our lives as Disney movies, keeping every moment blissful. We will write a custom essay sample on Reviving Youth or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page When she broke the news of her departure for another school I was devastated to lose my best friend. But still, I kept optimistic and told her she would always be the Buzz to my Woody. Eventually I lost that sense of elation of being a child and wanted nothing more than to grow up. Slowly we drifted apart while Bryn was stuck in the middle of her Disney movie, and I was just waiting for the credits to roll. And sadly, after several years, our communication was diminished to â€Å"How are you?† and â€Å"Good† being the only words exchanged. While I am sure that her response, â€Å"Good,† was true most of the time, Bryn’s health would have said otherwise. On that summer day three years ago, my parents received a call letting us know that Bryn had once again been hospitalized and a few hours later her passing was announced. I promise I wanted to cry, I really did, but she represented the part of me that I so badly wanted to be rid of. I admit I was an awful person for having such thoughts and for not shedding one tear, but I wasn’t heartless; I was just scared. Still I went to the funeral to give my condolences to her family, and as I approached them, I noticed out of the corner of my eye pictures of the past, and half of them were of me. When I saw our two cheery faces squished together in moments of delight, tears uncontrollably streamed down my face as I reminisced all of the enjoyable times we shared together and how important we were to each other. It was that moment that started the floods of tears that washed away the previous drought my eyes had experienced. I remembered what a free spirit she had been and when I was with her anything was possible when we lived young. She could find the easiest ways of escaping- even just for a moment- from her illnesses or family problems. Right then, I made a vow to Bryn and myself that I would no longer try to be someone I am not, that I would not lose friends just because I find slight differences with them, and I would no longer want to runaway from being a child. As Toy Story ended and Andy had to give up Woody I cried, realizing what it symbolized. All he had to do was let go of a toy, but that toy had been his friend, just as Bryn had been mine. They each represented a part of my past and who I was and who I still am. She had taught me to be a dreamer, and that is who I continue to be. Though Bryn is no longer with me, I keep those memories dear to my heart as I fill out applications for college and get ready to graduate, preparing for a new part of my life. The realization of adulthood is coming upon me but the feeling of being young and innocent will always stay in my heart.