1. Please explain the five causes of POVL (postoperative vision loss) during prone surgery. POVL is not a common complication of nonopthalmic surgery but it can occur in one or both eyes. Vision loss after nonopthalmic surgery is generally related to five causes: Ischemic optic neuropathy (ION), central retinal artery occlusion (CRAO), central retinal vein occlusion, cortical blindness, and glycine toxicity. Nagelhout (2014) further indicates that ION accounts for 89% of POVL after prone spinal procedures. Several devices are available to prevent POVL in the prone position to keep the head in the neutral position including three-point skull fixation, the horseshoe headrest, and foam cushions allow the head to be placed in a neutral position while the eyes are kept free of pressure. However, POVL has occurred despite the utilization of these devices (Nagelhout & Plaus, 2014). Reference: …show more content…
(2014). Nurse Anesthesia (5th ed.). St. Louis, Missouri: Saunders. 2. Please explain the physiologic concepts surrounding composition of alveolar versus atmospheric gas. The composition of atmospheric gas includes almost all N2 and O2 which is different than alveolar gas. Alveolar gas includes more CO2 and H2O, and less O2. The physiologic concepts that explain this difference is because of: a. Humidification of air by conducting passages b. Gas exchanges between pulmonary blood and alveoli c. The mixing of alveolar gas that occurs with each breath i. Alveolar gas is a mixture of: 1. Newly inspired gases and 2. Gases remaining in the respiratory passages between
- If all of the options were explored, and patient is given antibiotics and is treated without any pain or suffering than the treatment identifies with the ethnical principles of autonomy, non-maleficence, and veracity. In turn, Mrs. Dawson will be happy with the outcome of the procedure.
The diagnosis of bipolar I disorder with acute manic phase is made for Ms. IC after rule out medical condition and substance abuse.
Current Social/ Emotional Elements: Lawrence described his social life as being selective with which he considers as “friends”. He feels he has a lot of acquaintances that he is friendly and cordial with, but only has a very small inner circle that he trusts. No he doesn’t consider himself to be a lonely person. Lawrence’s major interests, activities, and hobbies include playing basketball, recreationally playing football, and he doesn’t have any current hobbies. Lawrence considers that he is generally considered as a well-known person, whether do to playing a sport or for his friendly personality. Typically he is regarded to be popular, but he does not consider himself as a popular person he just enjoys communication with his
In examining the military history, one can easily find out that the main role of military leaders in the field is to decrease confusion and to guide units to achieve the desired end state. In accomplishing these tasks, Situational Understanding and Visualization have become necessary steps especially in today’s complex environment. This importance legitimates the question about their relationship between these two steps and the challenges facing leaders to achieve situational understanding and visualization. Commander’s visualization depends on Situational understanding. Leader’s success in these two phases remains conditioned by overcoming some challenges related to his bias, time and the efficiency of his staff.
This is a very rare complication wherein you may have loss of vision due to surgical complications.
Nearly every aspect of law enforcement has a court decision that governs criteria. Most court rulings are the result of civil lawsuit towards a police officer and agency. However, currently, there is no law that mandates law enforcement driver training. When it comes to firearms, negligence by officers has resulted in a multitude of court rulings. Popow v. City of Margate, 1979, is a particularly interesting case that outlines failed firearms training by an agency. In this case, an officer chasing a suspect during a foot pursuit fired at the suspect, striking and killing an innocent bystander (Justia.com, 2017). The court ruled that the agency was “grossly negligent” of “failure to train” (Justia.com, 2017). As a result, nearly every agency requires annual firearms training and has written policy concerning the same. Officers must show proficiency in firearms use every year to maintain their certification. Many states even impose fines on officers for
The ethical discernment model described by Slosar (2004) and developed for use at Ascension Health will assist us as we analyze this case. It reminds us that discernment engages our spirituality, intellect, imagination, intuition, and beliefs. It is decision-making that reaches into the heart of our beliefs about God, creation, others, and ourselves. It therefore requires structured time for reflection and prayer from the beginning and throughout the process.
This case involved Allison Cantalupo being a danger to herself and others. Cantalupo was transported to the Huntington Memorial Hospital Emergency Room where she was placed on a WIC 5585 hold-Mental Health Hold.
Miley is a young female client and she is 16, she was referred for counseling by her father after Miley’s basketball coach informed the father that he has noticed that Miley appears distracted and has become aggressive toward her team members. Her coach is considerably worried about Miley’s aggression and how Miley has withdrawn from both her friends and her Dad. As Miley reported that she feels like her basketball coach is the only person who really understands what it has been like to be the “perfect child.” She told the therapist that she wishes her coach could take her shopping because he so understands. Miley told the therapist that her father had a relationship
The patient, LL, is a twenty four year old female who was diagnosed with obsessive-compulsive disorder five years ago. Around the ago of eighteen, LL started to experience many symptoms of obsessive-compulsive disorder. She had just started her freshman year at a local college and moved into the dorms with a random roommate. LL was constantly washing her hands and grossed out by the germs, so she came to realize she had a phobia of germs. She would begin sweating and having major anxiety when people went to shake her hand or her roommate would touch her food or any of her things. LL started skipping class and isolating herself in her room in order to avoid contact with other people. When her grades dramatically declined,
A study area is expected to capture the complexity of a single case, and the methodology which enables this has developed within the social sciences. Such methodology is applied not only in the social sciences, such as psychology, sociology, anthropology, and economics, but also in practice-oriented fields such as environmental studies, social work, education and business studies. In the research will try to capture the essence of case study methodology : firstly, by discussing the notions of “case study” and “case”. Secondly, by tracing its history; and finally, by making explicit its most characteristic features. The notions of “case study” and “case”. There are different ideas about what case study is. If try to find a common denominator that case study researchers (Yin 1994; Merriam 1994; Stake 1995,1998; Miles and Huberman 1994; Gillham 2001) might agree on, it would be something along the following lines: The study should have a “case” which is the object to study. The “case” should, be a complex functioning unit, be investigated in its natural context wit a multitude of methods, and must be contemporary.
Point of view is an essential element to a reader's comprehension of a story. The point of view shows how the narrator thinks, speaks, and feels about any particular situation. In Toni Cade Bambara's "The Lesson," the events are told through the eyes of a young, mischievous girl named Sylvia who lives in a lower class neighborhood. The reader gets a limited point of view of view because the events are told strictly by Sylvia. This fact can influence the reader to see things just as she does. The strong language gives an unfamiliar reader an illustration of how people in the city speak. Bambara does this to show the reader that kids from lower class neighborhoods are affected by their environment due to lack of education and discipline, that how different one part of society is from another, and that kids learn from experience. We also get an insight of Sylvia’s feisty, rebellious nature and her lack of respect towards people with an education.
The Client, Asha Jones is 17 years old. She has just completed CAPE and is expected to be promoted to upper six where she will be able to complete the second part of CAPE. She is currently four months pregnant and is expected to give birth something in November. Asha lives with her mother, father and two siblings. Her parents are supporting her and are looking forward to her going back to school.
In order to earn profits the business needs to have right people at the right place at the right time. For this purpose to be fulfileld Human Resource Management is essential. That is why Philip Morris Pakistan pays huge emphasis on HRM as they want to hire competent, confident, and fearless people that can play a positive role towards the fulfillment of corporate goals and objectives. PEL’s HR department was established in 2006. The major objective of HRM is to increase and improve the productive contribution of personnel to the organization in a more ethical, social and administratively responsible way. It had four main divisions namely RMS- recruitment management system, learning and development, performance development and employee
In general, I consider my greatest strength in the case study tutorials to be a confidence and willingness to contribute, which is certainly something I have struggled with in the past (during A levels, etc.). Having gained experience in group work and in leading a group project in my foundation year at Keele, I now find it far easier to speak up in these situations. I consider myself to generally be a very quiet person, so it has taken a lot of development to get to the point where I am able to speak out loudly and clearly. I am pleased with what I have achieved in this regard.