The Endoscopic Retrograde Cholangiopancreatography Procedure Health And Social Care Essay

Endoscopic retrograde cholangiopancreatography ( ERCP ) is a procedure used to name bilious land parcel and pancreatic pathologic conditions. ERCP is an utile demonstrative technique when the bilious waterways are non widened and when no obstructor exists at the ampulla. ERCP is performed by go throughing a fiberoptic endoscope through the oral pit into the duodenum under fluoroscopic control. To ease progress of the endoscope, the patient and A ; acirc ; ˆâ„ ¢s pharynx is splashed with a neighborhood sedative. Since this causes temporary pharyngeal paresis, supplement and drink are typically disallowed for at any rate 1 hr after the investigation. Food perhaps retained for as long as 10 hours after the procedure to limit disturbance to the belly and little digestive system. After the endoscopes find the hepatopancreatic ampulla ( ampulla of Vater ) a little cannula is gone through the endoscope and coordinated into the ampulla. When the cannula modestly positioned, the differ entiation medium is infused into the basic nerve waterway. The patient so might be moved, fluoroscopy performed and topographic point radiogram taken. Slanted topographic point radiogram might be taken to thwart assembly of regular nerve waterway and the pancreatic trench. Since the infused differentiate stuff should run out from ordinary channels inside around 5 proceedingss, radiogram must be uncovered in a flash. The complexity medium that is utilized relies upon the propensity of the radiotherapist or gastroenterologist. Thick difference specialists opicify little trenches great, yet they may obscure little shakes. On the off chance that little shakes are suspected, utilization of an increasingly weaken differentiate medium is recommended. A past filled with understanding affectability to an iodinated difference medium in another investigation. Does non needfully contraindicate its use for ERCP. Anyway the patient must be observed cautiously for a response to the difference medi um during ERCP. Ercp is much of the time showed when both clinical and radiographic discoveries demonstrate abnormalcies in the bilious framework or pancreases. OCG, ultrasound examination or IVC is regularly performed before ERCP. Ultrasonography of the upper part of the venters before endoscopy is as often as possible prescribed to ensure the specialist that no pseudocyts are available. This measure is of import since differentiate medium infused into pseudocycts may take to redness or break of the pseudocysts. Another procedure that is performed all the more regularly for investigation of the bilious and boss pancreatic trenches is endoscopic retrograde cholangiopancreatography, or ERCP. This examination is completed to indicate the site and reason for bilious dilition. To investigate the diffuse sickness ( sclerosing cholangitis ) , pancreatic malady furthermore post-cholecystectomy syndrome.EndoscopyEndoscopy is audit of any pit of the natural structure by offices of an endoscope, an instrument that permits light by the inward liner of an organ. Arranged fiber-optic endoscopes are accessible for use in examining the inside liner of the belly, duodenum and colon. More seasoned sort of endoscopes take into consideration single sing just through a visual, yet more up to date picture endoscope undertaking the picture onto video delegate for different screening. Other than a specific sort of fiber-optic endoscope, name duodenuscope, is typically utilized for an ERCP test. This instrument, whe n embedded into the duodenum through the oral hole, crevasse and stomach, gives a fisheye side position that Is utile for transform uping and infixing a catheter or cannula into the little hole of hepatopancreatic sphincter, taking from the duodenum into the normal nerve trench a the boss pancreatic canal.DIAGNOSTIC OR THERAPEUTICThe ERCP can be an analytic or a therapeudic procedure. Remedially, ERCP can be performed to mitigate certain unhealthy conditions through the remotion of choleliths or little injuries, or for different expectations, for example, to patch an injury ( contracting or hindrance of a channel or trench ) of the hepatopancreatic sphincter or related ducts* For symptomatic aims, by and large, the ERCP procedure incorporates the endoscopic addition of the catheter or infusion cannula into the regular nerve waterway or boss pancreatic channel under fluoroscopic control, trailed by retrograde infusion ( in reverse or change by inversion path ) of difference medium into the bilious trenches. The procedure regularly is performed by a gastroenterologist who is helped by a crew that involves the designer, at least one medical caretakers, and perhaps a radiotherapistPATHOLOGIC INDICATIONSResidual solidification: Rocks might be situated in at least one developments of the bilious channels ( see Fig. 22-18 ) ; during the ERCP, the gastroenterologist might have the option to take them with a specific catheter. Stenosiss: A piece of the bilious trenches may hold been limited ; this warrants farther probe.ContraindicationPrimary contraindications for ERCP incorporate excessive touchiness to iodinated difference medium, intense disease of the bilious framework, conceivable pseudocyst of the pancreas, or potentially raised creatinine as well as BUN degrees.PATIENT PREPARATIONBefore Quiet preparing for ERCP will change dependent on departmental convention. The procedure ought to be plainly disclosed to the patient, and a cautious clinical history taken. The patient ought to be set in a hospital outfit and ought to be NPO in any event 8 hours preceding the procedure. Verify you tell the doctor in the event that you are pregnant, have lung or chest status, have any susceptible to medication. You other than should express the doctor on the off chance that you have stunning chest valve or you have to take any anti-infection before the careful procedure in light of the fact that in the ERCP procedure, you have to take specific anti-microbial for ERCP. On the off chance that you are diabetic patient, and use insulin you should set the portion of the insulin on the twenty-four hours of the examination. It best for you, to pass on your diabetes medicine so that, you can take after the procedure. You should pass on a mindful individual to connect to you after the procedure. This is on the grounds that ; you ought to non drive or run hardware in any event 8 hours, in light of the fact that the medication can do sluggishness. During Prior to the procedure, quiet should have on a hospital outfit and will be request to take eyes spectacless and dental plates. The doctor will talk with the patient what will continue during the examination and will explain any peril. This is the clasp for the patient to ask if at that spot have any request to the doctor. This procedure is direct by the experience endoscopist for around 1 to 2 hours. A neighborhood sedative ( torment reducing medication ) might be applied to the patient pharynx. The patient will make full unwind and sluggish when given torment substitute and ataractic intravenously in the vena. A mouth piece is put in the oral hole. It will non meddle the patient outside breath. The endoscopist will infix endoscope through the oral depression while the patent lying on the left side during the procedure. The endoscope will going down experience the patient belly into the duodenum. Differentiation stuff is infused simple into the bilious waterway and ten shaft is taken . After After complete the procedure, the patient will stay in the recuperation space for roughly 1 to 2 hours for the perception of any adjustments happen. Patient will encounter temporary delicacy in their pharynx. A mindful individual must join to the patient after the procedure. It is prescribed to that person to stay with the patient for 24 hours after the procedure. At the point when the outcome is prepared, it will be sent to the essential consideration or referencing doctor. They will talk the outcome with you. In the event that the result of the procedure required brief clinical, the fundamental understanding will be made. On the off chance that the patient have extreme stomach harming, febrility, chest harming, disorder and proceeds with hack inside 72 hours after the procedure, called the doctor or travel to the closest exigency room.Major EquipmentFluoroscopy is required during course of action of a catheter into the bilious channels and infusion of differentiation media. Postrad iographic pictures might be taken after the flour process.ACCESSORY EQUIPMENTPanpipes of grouped sizes, syringe arrangers, iodinated, water-dissolvable difference media ( perchance a weakened focus to hinder darkening of little solidification ) , emesis balance, baseball gloves, and unfertile drapes are required.PrecautionI. Since the patient ‘s pharynx is anesthetized during the procedure, the patient should remain NPO for in any event 1 hr ( or more ) after the procedure. This will hinder yearning of supplement or fluid into the lungs. 2. Survey the clinical history of the patient to discover whether the patient has pancreatitis or, explicitly, a pseudocyst of the pancreas. Infusing contrast media into a pseudocyst may take to tear, 3. Guarantee that all people in the fluoroscopy room wear defensive aprons.TechniqueThe throat is anesthetized with 4 % Lidocaine splash and the patient is given diazepam 5 mg mm-1 i.v. until quieted. The patient so lies on the left side and the endoscope is presented. The ampulla of Vater is found and the patient is turned inclined. A polythene catheter prefilled with differentiate medium is embedded into the ampulla, holding guaranteed that all air bubbles are prohibited. A little preliminary infusion of differentiation under fluoroscopic control is made to discover the spot of the cannula. It is of import to keep away from over-filling of the pancreas. In the event that it is attractive to opacify both the bilious tree and pancreatic channel, so the last ought to be cannulated preeminent. An example of nerve ought to be sent for progress and affectability if there is grounds of bilious obstructor.ProcedureERCP use ten bar and is act in a stay with uniquely prepare for ten bar and it is done in the clinic. The patient must stay for the time being if the procedure include the expel of bilestones or topographic point a stent during the preliminary. ERCP is finished by a doctor that specializer train inendoscopy. Ordinarily a doctor who authority in sickness of stomach related framework or t

Greece and Rome Essay Example | Topics and Well Written Essays - 1000 words

Greece and Rome - Essay Example Commitment made by early Romans were gigantic in number including innovation, religion, workmanship, realm engineering, language, government, law, writing and war also. The historical backdrop of Roman Empire is as yet a wellspring of motivation in numerous pieces of world (Cunningham and Reich, 2005). Greek human progress begins from Greek history. It made due from eighth to sixth Century, after that from 146BC to the authority time of Rome. This progress had the dominance of administering on states. The great phase of Greek culture leaves a noteworthy impact on Roman Empire in numerous viewpoints. Greek progress holds a dream which deciphered to various pieces of Mediterranean Region and Europe also. The premise of western human progress is the significant explanation of rich culture in Classical Grecian individuals. The improvement of Classic Greek human progress was seen somewhere in the range of fourth and fifth century (Cunningham and Reich, 2005). Roman and Greek civic establi shments have a place with Mediterranean Region yet at the same time vary in social perspectives. Human advancements hold diverse folklore and carry on with their life in various way. The exceptional distinction is identified with progress. Romans neglected to gain amazing ground in their period. Greece had started their advancement in fifth century BC. On numerous examples, it is assumed that a significant number of the things used by Romans were beforehand a piece of Greek Civilization and Greek created those things (Freeman, 2004). Human advancement accepted to separate individuals in gatherings. The division of Greek society is sorted in five gatherings. These groups’ are ladies, slaves, surgeons, free men and at long last residents. The situation of ladies in Greeks development was even beneath that of a slave. In Romans the status of ladies is higher when contrasted with Greeks and give them equivalent privileges of residents, yet at the same time didn’t offer the m a chance to cast a ballot or work in workplaces having a place with political segment. The gatherings which were found in Roman culture were Plebeians, Patricians, Free Men and Slaves (Moore, 2006). The two civic establishments were motivated by compositional procedures. Their structure was the example bit of creative engineering. In Greek development, the style of design partitions into three significant gatherings. These gatherings were Doric, Ionic and Corinthian. Romans were roused just as motivated by the engineering of Greek structure. Romans received the engineering style of Greeks; they gave a style of Greek design to their structure structures. Romans included water passages and curves in Greek plans and gave them another look (Moore, 2006). The normal control of Greek was considered as horticulture, this occupation utilized just about three quarter of individuals. Greek cape was rough and sloping region, giving intense time to famers. They neglected to deliver enough whe at. Grapes and olives were found in copious amount. Roman ranchers created what they required like furnishings, devices and attire. After some time they began delivering more than their prerequisite and started sending out (Freeman, 2004). The significant divine beings and goddesses of Greek were Poseidon , Aphrodite, Hera, Hades, Hestia, Apollo, Demeter, Artemis, Hephaestus, Aphrodite, Dionysus and Ares. For the most part, various areas venerated similar divine beings or goddess. The act of Greek religion was extending outside Greece also to Asia Minor to Magna Graecia. ApolloIn Greek folklore, Demeter is the goddess of the collect, who managed

Copywriting Essay Example | Topics and Well Written Essays - 750 words

Copywriting - Essay Example Promoting in the entirety of its structures adds a lot to the nature of the item and the consequence of its creation. Various mediums likewise set unique expectations concerning the structure and substance of the publicizing duplicate. In the accompanying overview three sorts of publicizing materials will be watched. Every one of them have a place with a similar organization, creating on the web, shareware and CD games for PC, PDA and cell phones. These materials are as per the following: a bulletin with the publicizing of another game, a printed ad of another CD discharged and a flag as the example of online advertising.It is important to watch the fundamental tips that a marketing specialist needs to watch while composing either sort of material. The primary thing to be analyzed is a bulletin that is conveyed to the client via mail. The central matters that are to be considered generally concern the type of things to come composing. The heading should be educational and brief. It o ught to contain the data that would catch a client's eye and make him read further. (Hallahan) The best of all is show the advantage which would be accessible for the client with the assistance of the item advertised.Of course, imagination and metaphor are welcome, as they include passionate component. Unquestionably, feature may likewise execute other thought †it might be captivating, yet not dark, or it might contain some fundamental subject, however this ought to be sufficiently clear to be comprehended by any customer.(Hallahan) The pamphlet we watch begins with the feature Air pocket Obsession walks into fight. It might appear to be muddled and silly from the start sight, yet some explanation will be useful. This pamphlet is conveyed to the current customers of the organization, not to the potential clients to connect with them to purchase another rendition of an old item, an Air pocket Shooter game, so they recognize what it is going about and they are getting educated th at the accompanying content will enlighten them concerning new highlights of an old item. In the event that this content is seen by an individual who didn't see the past discharge, he is probably going to be captivated and to continue perusing. The other rule advices to identify the most exceptional highlights of the item, and put them as a rundown of be clear and brief focuses, as, for example the point client profiles with photographs of every player in the letter we watch. The just one comment that can be alluded to the fact of the matter is that it is progressively desirable over depict an element from the perspective of the advantage the client would pick up, instead of the component of the item. (Hallahan) So, the point refered to from the letter is to seem like you may now make and spare your profile with photograph. Most definitely, it ought to be separated into a few entries, every one of them depicting the highlights that are recorded previously. Here is the example entry: Your entire family makes certain to get required into unlimited long periods of playing. Because of the chance of making player profiles, everybody's down and settings are spared independently. Here you may make your profile with the photograph, your own one or one of those included into the game. The other vital point to be followed alludes to the style of the composition. It ought to be written in short sentences, with simple words. Dynamic voice and current state are likewise best. Obviously, it is important to watch accentuation and punctuation. (Hallahan) Those prerequisites are satisfied in the composition: Adaptable 3D graphical impacts make the game truly live and relaxing. You may modify the impacts completely to your taste and PC. The subsequent duplicate to be inspected is printed publicizing. Printed advertisement ought to contain feature, caption, body, signature, obligatory, delineation. Caption explains the feature, giving more data, signature contains the name or logo of the organization, compulsory incorporates terms and conditions and outline may contain designs. (Marcus) This duplicate contains these components. Here is the case of the caption: Our organization wishes you and your families Merry Christmas and Happy occasions! We present to you our Christmas present -

Main Character Marjane in Persepolis by Marjane Satrapi - Free Essay Example

In Persepolis by Marjane Satrapi, the main character, Marjane, develops a dynamic character. A dynamic character is one that changes, grows, or learns a lesson at some point during the narrative. Marjane develops and changes throughout the book through her eye size as well as the cigarette. These two symbols are crucial in understanding how Marjane unfolds into a dynamic character throughout the book. In the chapter titled the Cigarette, the reader is introduced to the cigarette. The cigarette symbolizes the insubordination of Marjane towards her mother at a young age. This rebellious behaviour is illustrated in the book on page 117, As for me, I sealed my act of rebellion against my mothers dictatorship by smoking the cigarette Id stolen from my uncle two weeks earlier. (Satrapi, 117) This quote really demonstrates how Marjanes mother seems like a dictator to her during her childhood and with the cigarette she ended her childhood and begins to advance to adulthood. This can also be related to the Iranian revolution which is occuring in their country right now. The dictator of Iran, Reza Shah Pahlavi, looks over the revolution and explains how to act and strictly controls the country. Similarly, Marjanes mother strictly watches over her and enforces what she can and cannot do. This is illustrated on page 38, When I finally understood the reasons for the revolution I made my decis ion. Tomorrow we are going to demonstrate.(Satrapi, 38) This act of going to the demonstration reinforces Marjanes rebellious behaviors. On the next page, her parents found out that Mehri and Marjane went to the demonstration even though her parents strictly explain that it is simply too dangerous for the two of them to attend the demonstrations against the revolution. These two acts confirms that Marjanes mother was similar to a dictator through Marjanes perspective. Also, both acts confirm that Marjane is beginning to act like a rebellious person and is developing that dynamic character. Throughout the book, Satrapi uses the characters eye size to symbolize their open mindedness and innocence. The eye size of various characters changes throughout the book as they begin to develop and move on to different stages of their life. One way that this is illustrated is from the first page where we are introduced to young Marjane as well as a controversial symbol of the revolution. On page three we can make an observation that Marjanes eye size at that time was large. On that same page we can also see her innocence through, We didnt really like to wear the veil especially since we didnt understand why we had to.(Satrapi, 3) This statement alone really demonstrates Marjanes lack of understanding about the war and how she was kind of open to the veil at first and how she wasnt rebelling as much. At this young of an age she really had no option. Another similar example to this is on page 90 where Marjanes parents friends house was bombed and they had to stay with her family for a place to stay. They had two children and their eye size is quite large. On page 92, the children appear to show innocence and they are naive, I want that! I want that!. Whats flatulence? (Satrapi 92) On this page, Marjane and her parents went with their two very young children to stock up on some food while their town, Tehran, was getting bombed. Their children were being very naive and wanted to get things that they didnt need. This shows that they dont know the severity of the revolution. Also, they were making immature jokes in the store when everyone is expressing sorrow and more focused on the revolution. An example where the different characters eyes were getting smaller was when they were chasing Marjanes classmate, Ramin, with nails between her fingers with the intent to harm him because of his fathers beliefs. On page 45 satrapi illustrates the lack of innocence,My idea was to put nails between our fingers like American brass knuckles and to attack Ramin. (Satrapi, 45) On this panel the eyes appeared to be so small that they were almost closed. Satrapi was using this to show the wrongdoings of Marjane and her friends. The eye size demonstrates Marjane becoming a more dynamic character as it symbolized the stage of her life she is in and how she changes throughout the book. All in all, it can be concluded that Satrapi illustrates that Marjane is a dynamic character through many symbols. Eye size and the cigarette strictly show how Marjane develops in the book both as a character and how her Ideologies change.

Essay on Madness in King Lear Act 4 - 848 Words

Madness in King Lear: Act 4 In Shakespeares play King Lear, Shakespeare introduces many themes. The most important theme shown in King Lear is the theme of madness. During the course of this play madness is shown in the tragic hero, King Lear. King Lear develops madness right in the beginning of the play but he actually shows it in Act 4. In this act, King Lear is not only at the peak of madness but it is also shown him coming out of his madness as well. This act is likely to be the most important act because it shows the phases King Lear goes through, from complete madness to him coming out of his madness and realizing his mistake, the point of tragic vision. The theme of madness in King Lear is first shown in the act through Cordelias†¦show more content†¦King Lear is shown completely insane, through his garments and his speeches to Gloucester and Edgar. In one of his speeches, King Lear makes comments about a mouse and a bird that are not present. quot;..Look look, a mouse! Peace, peace; this piece of toasted cheese will do it†¦O, well flown, bird!quot; [iv, vi, 88-91]. This statement was the first sign of him being mad. At the beginning of Act 4, it was just mentioned that King Lear was gone mad, this was the first sign of proof that he was indeed mad. Although King Lear shows signs of being mad, he also shows signs of being sane. This is shown through him knowing the cause of him being mad. If King Lear was completely mad he would not be able to justify the reason for his madness. In [iv, vi, 96-105] he states that his daughters’ have done him wrong and shows signs of insanity when he calls Gloucester Goneril. quot;Ha! Goneril with a white beard? They flattered me like a dog, and told me I had white hairs in my beard ere the black ones were there. To say ‘Ay’ and ‘no’ too was no good divinity†¦Go to, they are not men o’ their words! They told me I was everything. ‘Tis a lie- I am not ague-proof.quot; This quote shows Lear’s sanity. Lear may have qualities in him to make him seem mad but he possess sanity, enough to know the cause of his madness. This possession of sanity soon brings King Lear to his moment of tragic vision. King Lear’s moment of tragic vision comes when he isShow MoreRelatedThe Theme Of Madness In Shakespeare, By William Shakespeare927 Words   |  4 PagesMadness can be defined as the state of mental delusion/ mentally ill or showing extremely foolish/eccentric behavior which begins with anger. The incorporation of madness in literature has been a long-standing tradition and can be encountered in these three works: King Lear by William Shakespeare where he tells the story about King Lear whose madness has been promoted by his two daughters, Regan and Goneril, â€Å"Daddy† by Sylvia Plath, where she reveals her anguish at her father’s death, she also disclosesRead More Essay on Edgars role in King Lear, Act 3, Scene 4806 Words   |  4 Pages Edgars role in King Lear, Act 3, Scene 4 In Act 3, Scene 4, Edgar takes on the roles of a madman, and a spirit. In counterfeiting madness, he not only hides from an unjust death, but also serves as a character that resembles King Lear: (1) Both are deceived by family; (2) Both are outcasts of Gloucesters castle; (3) Both are threatened with death; and (4) Both enter into a form of madness. But, whereas King Lear actually becomes mad, Edgar only feigns madness. 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Each character in the play experience s one or the other throughout the progression of the plot, it is evident that through compositional features such as these, the play write is trying to convey this meaning. Through methods such as intense imagery, motifs, repetition of words and rhyming the play write has given intensity to certainRead MoreWilliam Shakespeare s King Lear1470 Words   |  6 PagesShakespeare’s tragedies accentuate the qualities of human behavior and interactions with others when faced with adversity where the emotions of greed, ambition and madness are strongly expressed. Insight into the character’s psyche and moral values is explored to give understanding of the logic and reasoning behind the ways humans act. Harboring a universal and timeless quality, Shakespeare’s plays have the ability to exceed the restraints of the cultural values during the Elizabethan era, making

Reflective Reflection - 938 Words

Within this essay I will be concentrating on explaining how an individual can implement reflection in their learning experiences. Applying skills of reflection to a particular learning experience such as induction week will be the main focus of this essay as it will convey the importance of reflecting upon the experience of working with other students. During the induction week for the foundation degree students, our tutors thoroughly explained the details about this health and social care course to us and then introduced a communication activity to the whole class which beheld the purpose of us getting to know each other. Our aim was to turn around to a person that was sitting next to us and find out three facts about them. When I heard†¦show more content†¦Additionally to this, communication is the mechanism and a tool that pulls people together, making them understand their emotions, values and beliefs. Strong communication skills can really improve one’s leadership abilities, including motivating subordinates at work or family members at home (Sheppard, 2011). Through this experience I have learnt that not all stress is bad. Stress can have a strong impact on our nervous system which can help the performance of the physical and mental aspects of the body. It increases in blood flow to the brain and peripheral body can increase mental and physical functioning of the whole body (Hussar, 2012). I learnt that communication is a skill that is valuable to everyone in whatever environment or/and profession they are in. That through communication with one another we learn about other individuals such as learning facts about them just like I did in the ‘getting to know each other’ activity. Looking outside this ongoing programme, I know that this experience has given me practice in how to effectively let the conversation flow which will be something that I will be using throughout my whole life. For example, when going into a health and social care profession I will be meeting different kinds of people in different kinds of situations and it will be my priority and responsibility to deliver the best quality of help and support for those that are in care. There will be new clients coming in that are in need of support and in thisShow MoreRelatedReflective Reflection On Reflective Practice2289 Words   |  10 PagesReflection is considered as a state of mind which is a continuous practice (Fanghanel, 2004, p. 576). It yields confidential and safe ways to demonstrate personal experiences as well as continuously challenging perceptions, illusions and biases that can be damaging to cultures and society. 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One of these reflective models will be used to provide a critical analysis of my experience on the Study Skills and Employability module. Critical reflection will be included on how I felt during the module and what I have learnt from the module as well as what I would do next time if I was to repeat the module again. Reflection/ Reflective practice Reflection involves looking back on an experienceRead MoreReflective Reflection895 Words   |  4 PagesI do not recall learning about reflective practice in my undergraduate studies. Reflective practice according to Barbour (2013), â€Å"is the cyclic process of internally examining and exploring an issue of concern, triggered by an experience, which creates and clarifies meaning in terms of self, existing knowledge, and experience; resulting in a changed conceptual perceptive and practice† (p. 7). According to Barbour (2013), reflective process has many positive outcomes to help guide the nurse to becomeRead MoreReflective Reflection819 Words   |  4 PagesThis reflective essay will be adopted from Rolfe, Freshwater and Jasper’s (2001) reflection model. This reflection is based on a case study that I have read and will be based on the intervention I have chosen to treat the patient. Mr. Castello was admitted to the ward for observation after a fight and sustainin g a laceration to his right forehead from a beer bottle and extensive bruising and scratches to his left arm. Mr. Castello had a pre-existing chest infection, Type 1 Diabetes Mellitus (DM)Read MoreReflective Reflection : Reflective Learning913 Words   |  4 PagesReflective learning leads to the growth of an individual both in the personal and professional life supporting him morally, emotionally and psychologically. Reflection learning can help us better understand our strengths and weakness. It also helps us identify our questions values and beliefs. It encourages acknowledging and challenging possible assumptions on which our feelings, ideas actions and reactions are based. We can identify the areas of discrimination and acknowledge our fears. Also, itRead MoreReflective Reflection On Reflective Practice1474 Words   |  6 PagesReflection is a form of personal response to experiences, situations and events. Reflective practice therefore is based on experience and instinctive learning that one may not aware of it until responded to the situation. It demonstrates how to combine with ones qualities and clinical knowledge and skills in order to .deliver safe and effective patient care. (Jones, 2016).Individuals reflects because issues arise that needs to be considered both before and after one performs. The piece of reflectionRead MoreReflective Reflection On Reflective Practice1332 Words   |  6 Pages Reflective Practice in Special Education Using Action Research Sunny Suzanne West St. Joseph’s University Course Title â€Æ' Abstract: Reflective Practices in Special Education Using Action Research Title and Link to Study: Promoting Reflective Practices in Special Education through Action Research: Recommendations from Pre-service Teachers; Paula Wenner Conroy http://journals.library.wisc.edu/index.php/networks Research Problem and Purpose of the Study: What is reflective

Business Sustainability Report

Question: Discuss about the Business Sustainability Report. Answer: Introduction: The company Eagle Valley Health Foods deals in the production of health oriented snack bars. Since there is a growing inclination of public towards healthy consumption, so the company has recently incurred considerable amount of profit (Zaharia,and Zaharia 2013). The company CEO Mr. Martin Clifton wants to improve sustainability aspect of the company, as he believes that would be improving the performance of the company and improve reputation. Considering the limited budget of the company, the CEO has been inclined to hire a CSR consultant who would help in implementation of the best CSR initiative in the organization. This report will help in producing the possible suggestions for sustainability. Findings Discussions The Eagle Valley Health Foods carries out its operation on the eastern outskirts of the Perth City. The production is carried out in the two story warehouse where in there is both factory area and company office. Corrugated iron structure became hot in the summer and cold in the winter so electricity bills escalated as it was used for heating and cooling. The use of electricity is likely to create a harmful environment and increases the health risk of people working in that environment. This is the reason why there is a need for the CSR in the actions. There are six core characteristics of CSR. Firstly, there are voluntary activities that are seen to go beyond the law. There are companies that tend to seek outside that of the legal compliance. Secondly, it is important to manage the externalities as the cost would be then be borne by local communities (berseder, Schlegelmilch and Murphy 2013). CSR would help in creating a voluntary approach in managing the externalities. Thirdly, the re are ranges of interest included among the stakeholders along with that of the shareholders (Amaladoss and Manohar 2013). Fourthly, the firms derive some economic benefits when it follows the social responsibility in business (Rahim 2015). Fifthly, the practices and strategies that are followed by the company Eagle Valley Health Foods should be dealing with a social issue but there are circumstances when consumers tend to ask for more. Finally, it is seen that real CSR is beyond just philanthropy rather it is all about the business function affecting the society (Richards et al. 2015). All these aspects will help in maintaining the main thrust of CSR in the organization. Findings Discussions The company Eagle Valley Health Foods is a small private enterprise operating in Western Australia. The main venue of CSR includes the business world. In case of such a small firm, the formalization of CSR for the small firms is informal. The main actors in CSR for a small private firm like Eagle Valley Health Foods are the employees and the owner managers. The main motive of the company is to build trust, networks and personal relations (Rahim 2015). The general trend that is noticed in the SMEs include that they do not try to communicate about the activities of CSR. The main reason for this is many, there is no formulated structure and there is no need for bureaucracy as there is an advantage of small size and proximity to that of the stakeholders and partners. There is no structured and codified approach followed rather there is informal approach. Eagle Valley Health Foods being a small private firm is not visible or pronounced like that of the large corporations so the major rela tionship is quite important between the managers or the owners with that of the suppliers , employees, customers or the neighbours. The personal relationship for the small private firm is very important which is typically identified as CSR and that which is targeted to the building of the trust, networks and good personal relations (Galbreath and Shum 2012). There is no control or ownership right unlike that of the large firms. In such a case, the managers they tend to maximise their return on investment. There is an autonomy that is enjoyed by the firm and most of the time is devoted in seeking to maximise the profit (Crane, Matten and Spence 2013).There is a serious problem as there is huge consumption of water for the production of the health bars in Eagle Valley Health Foods. As a CSR aspect, there is a need for utilising the water resources in the most judicious manner as water is a non-renewable resource and availability of it is very limited (Bevan and Yung 2015). Conclusion Recommendations: The CSR of the small private firms in the parts of Australasia has a tendency to address the social issues through the collective actions and the policies of the government. In South Africa and Australia, there is higher degree of expectation that is directed towards companies so that rights of the aboriginal and black people are upheld. This will help in getting them with good employment opportunities. In case of the company, Eagle Valley Health Foods as CSR consultant it is recommended to reduce the electricity bill so that it helps in reducing cost. This could possibly be reduced when the company invests more into solar panels as this is a cheaper source of electricity generation. To reach the sustainability in the water consumption the cost can be reduce when dry machining are installed in the process of production. There will be a need for very less amount of water. In place of the use of corrugated iron in building the factory the factory needs to be renovated through the use o f wood in place of iron. There is a need for renovation as the there has been no renovation since 1960s. The use of cross ventilation is another solution there is a need for the air to circulate freely. Wood will be able to tolerate all sorts of temperatures. Since the small private company is located in the outskirt area of Perth, so the cost of transportation needs is high, as the raw material needs to be fetched from far off location. This needs to be reduced by getting local or regional produce as source of raw material. It is recommended that for expanding globally there is an option for the company to acquire, merger or follow the joint venture as a market entry strategy. The CSR related concerns will be going to be address when the company build a relationship with the stakeholder. The above sustainable approaches will help the Company Eagle Valley Health Foods to get more revenue and help in enhancing the reputation of the company. Reference: Zaharia, C. and Zaharia, I., 2013. The Impact Of CSR On Consumers'attitude And Behavior.Economics, Management and Financial Markets,8(1), p.118. Amaladoss, M.X. and Manohar, H.L., 2013. Communicating corporate social responsibilityA case of CSR communication in emerging economies.Corporate Social Responsibility and Environmental Management,20(2), pp.65-80. berseder, M., Schlegelmilch, B. B., and Murphy, P. E. (2013). CSR practices and consumer perceptions.Journal of Business Research,66(10), 1839-1851. Rahim, M.M., 2015. Regulating Quality in CSR Reporting in Australia.Rahim, Mia Mahmudur, Vicario, Victor (2015)'Regulating Quality in CSR Reporting in Australia', New Zealand University Law Review. Richards, Z., Thomas, S.L., Randle, M. and Pettigrew, S., 2015. Corporate Social Responsibility programs of Big Food in Australia: a content analysis of industry documents.Australian and New Zealand journal of public health,39(6), pp.550-556. Bevan, E.A. and Yung, P., 2015. Implementation of corporate social responsibility in Australian construction SMEs.Engineering, Construction and Architectural Management,22(3), pp.295-311. Crane, A., Matten, D. and Spence, L.J., 2013. Corporate social responsibility in a global context.Chapter in: Crane, A., Matten, D., and Spence, LJ,'Corporate Social Responsibility: Readings and Cases in a Global Context,2, pp.3-26. Galbreath, J. and Shum, P., 2012. Do customer satisfaction and reputation mediate the CSRFP link? Evidence from Australia.Australian Journal of Management,37(2), pp.211-229. Rahim, M.M., 2015. Regulating Quality in CSR Reporting in Australia.Rahim, Mia Mahmudur, Vicario, Victor (2015)'Regulating Quality in CSR Reporting in Australia', New Zealand