Saturday, February 15, 2020

The various nursing intervention approaches to descrease pain among Research Paper

The various nursing intervention approaches to descrease pain among patients with sickle cell disease - Research Paper Example globin chain and is usually found from people of African-American, Middle Eastern, African, Afro-Caribbean, Indian or Mediterranean descent (McMahon, Callaghan, O'Brien, and Smith, 2002, 183) This condition usually results in haemoglobin with increased blood viscosity, dehydration, acidosis, or infection polymerise with less deformable red cells (McMahon et al, 2002). The symptoms of SCD which results to vascular occlusion are painful hand-foot syndromes, cerebrovascular occlusions, chest syndromes, and splenic sequestration resulting to splenic atrophy. It is characterized by the failure of the spleen to function optimally even in the first months of birth that usually leads to overwhelming pneumococcal infection, usually at 20% mortality rate for patients under 5 years old (Overturf, 1999). Since access to health care is seen as one of the main problems for SCD patients (Routhieaux, Sarcone, Stegenga, 2005), it becomes important to identify ways to mitigate its most immediate or im portant effect on patient which is pain described as chronic, acute or both. Pain management is an important element of care for SCD patients and related to pain management are to identify pain treatment, control or reduction. Quality of life is an overarching goal for sick patients even those with genetic disorders such as SCD. Pain reduction is usually related to increased patient satisfaction and improved quality of life even in conditions of disease and chronic pain (Adegbola, 2009). Chronic pain has been reported by people with SCD even when they now have chances of living a longer life (Adegbola, 2009). Use of pain relieving, controlling and treatment method for patients with SCD is then important for the determination of quality delivery of health care services. Various methods are employed in Hospitals settings to treat SCD patients in reducing, controlling, and treating pain. These are influenced by the pain assessor, patient access, affordability, availability, knowledge a nd orientation of administrator, and other factors that may be present during prescription or administration. This research will identify these methods and their frequency of use among patients 18 years old and below. -Purpose of the study The purpose of this study is to identify the pain reduction methods used during in nursing intervention and care for patients with SCD. Through identification of these methods and their result on quality of care, nursing professionals may be provided with a guide which method or methods best suit patients with ages below 18 years old. Sickle cell disease is characterized by painful experiences of patients of all ages. In the United States alone, there are about 75,000 people with SCD and that 1 out of 12 African Americans have the sickle cell trait. While it has been suggested that chronic pain is more prevalent and severe during the earlier years of study about the disease, there still are reported daily experiences of pain by SCD patients in mor e recent cases (Adegbola, 2009). The study will identify and chronicle the methods used in reducing or removing pain among SCD patients below eighteen (18) years old during the period January 2009 to January 2010 at Kendall Regional Hospital in-patient section. The findings will aid nurses whose and care providers to determine which best will fit their requirement or need of their patients aged 18 years old and below as well as inform them of available options and best practices in SCD pain management. -Specific aims The specific aim of this study is

Sunday, February 2, 2020

Reflections on World's Leadership Research Paper - 3

Reflections on World's Leadership - Research Paper Example Prince Alwaleed bin Talal best known as one of the world's value investor. â€Å"Alwaleed’s Kingdom Holding Company, where he posses at least 95%, trading on the famous Saudi stock exchange, in addition he owns stakes in several hotel management companies the famous four Seasons Hotels & Resorts, moreover he has a stake in Savoy Hotel in London† (Lazaridis, 211). â€Å"Kingdom investment has billions of dollars of the U.S. and international equities, as well as shares of News Corp and Citigroup† (Myers, 21). â€Å"During the year 2012 he and the Kingdom investment purchased an approximated 3% stake in the social media Twitter through the secondary market for whopping $400 million. The same year February, Kingdom investments invested around $136 million in fast growing Chinese e-commerce company. In addition to other known investment he Prince posses far-reaching real estate plus other assets exterior of the Kingdom Holding† (Khan, 65). He is perhaps well i dentified internationally as the controlling shareholder of the Kingdom Holdings Company and the chairman, of the world’s most significant investment company. All through Middle East he is renowned as the proprietor of the Rotana, which is the Arab world’s largest leisure company. ... ifically directed towards supporting global cultural understanding, community development projects in Saudi Arabia, all around the world and Lebanon, women empowerment and disaster recovery. Key leadership qualities which drives me into considering him as a good leader in business According to (McGreevy, 209), â€Å"An Interview with HRH, Prince says that A successful businessman has to have an ultimate plan and a well stated objectives, in conjunction to a well defined mission statement†, he goes ahead to say that the leader has to have an audacity to make decisions which most of the time might not be emulated by others in the short run. He goes ahead to say that as a leader and sometimes he made decisions which are may not be appreciated by both young managers and the community. â€Å"Nevertheless, he just has to remain a one-man show. He established these traits at KHC sometimes back† (Myers, 21). Key Leadership Traits That Makes Prince To Stand Out As A Good Leader Has a clear vision; old adage "either stand something, or you might fall for everything." ( Sweeny, 79). Prince practically stood firm when it come to the implementation of the company's policies and procedures. More over as a leader, he has a clear way to communicate his vision and the company’s vision to the people such as his employees. Have passion in his word. He realized that his employees wanted passion; and that his employee would even go to the ends of earth as a result of it, die and live. He also realized that his passion inspired others to conquer new and dangerous challenges. â€Å"Great decision maker. He clearly understood his process for decision making. Take for example he talked to his management team† (McGreevy, 209). In addition to conducting a cost analysis. â€Å"He went ahead to even