Traffic Accidents Essay Example for Free

Traffic Accidents Essay Traffic accidents are on the rise these days. Most of the accidents caused injuries or either worse death. Research have found that most of the accidents are caused by inexperienced drivers, for example young drivers. Young drivers tend to be more daring and are unable to avoid a crush when they face one. They tend to be more daring after drinking alcohol at night and this causes them to lose control of the car. Drunk driving will not only risk a person’s own life but may also cause an innivent life to be lost. The government should encourage the driving school to conduct driving lessons foryung drivers for a longer period. This will give them a clear picture about how accidents happen and teach them about the safety of others on the road. Drivers that have been in an accident after drunk driving should be ban from driving for at least two years and be given driving lessons again. However, for the aged drivers, the government should not only lowered the age limit but also check the capability of the aged drivers for instance eyesight, hearing and other related health conditions to ensure safe driving. It does not mean that an aged person are not fit to drive and has a problem with the heart but a young or a middle aged person could also have heart failure these days. To conclude, I feel that to raise the agelimit of young drivers arenot the best solution but to give them more driving lessons about the problems they may encounter on the road and to ban them from driving if they have caused an accident due to carelessness. As for the age drivers, as long as they are capable on the road before a certain age and there are no health issues there shouldn’t be a problem.

Spam: Junk Email Essay -- Research Papers E-mail Essays

Spam: Junk Email The fictional story â€Å"The Case of the Spam Stalker† was based on my research and interest in the topic of junk email or spam. I was able to think of this topic because of the unbelievable amount of junk email that I was receiving at my America Online email account. In fact, I received so much junk mail that I decided to switch to another account with Lycos. Because I was having so much of a problem with unwanted mail, I figured that there were many more people with this problem. Hence, I decided to do my research project on junk email, otherwise known as â€Å"spam†. Similarly, my story involves the main character having to switch her email accounts because of the increasing volume of junk mail that she received. Throughout the story, the character presents situations in which she is able to inform the reader of what spam is, where it comes from, how to get rid of it, and what the laws are concerning spam. In order to start this story, I first had to research. The majority of my research came from internet databases that I found through the James Madison University website. However, I also managed to find one book by Geoff Mulligan on the subject of removing spam. The major areas of my story that feature my research results are, I think, obvious. The first occurrence of my research appearing in the story is when the main character, Dorian, complains to her friend Tony about the amount of spam she gets at her AOL account (Dvorak). When Tony proceeds to explain to Dorian that if she upgrades to AOL version 8 then spam wouldn’t be a huge problem (Business Wire); and when he tells her how spam got into her account through message boards and member directories (Mulligan), are other examples... ...ces Using Filters, Other Tactics To Combat Spam.† Internet World. 19 Oct. 1998. Lexis Nexis Academic. James Madison University, Carrier Library. 1 Apr. 2003. . Hill, Steve. â€Å"Unwanted. Unwelcome. Unstoppable?: Lovely spam, wonderful spam!† Internet Magazine. Dec. 2001. Infotrac. James Madison University, Carrier Library. 1 Apr. 2003. Mulligan, Geoff. Removing the Spam: Email Processing and Filtering. Reading: Addison Wesley, 1999. Warner, Janine. â€Å"How much does spam really cost?† The Miami Herald. 10 Mar. 2003. James Madison University, Carrier Library. 1 Apr. 2003. .

Post operative care Essay

Whilst the patient is in PACU, identify and discuss airway management (and rationales) as related to the case study (400 words) The post-operative patient is at risk for respiratory problems due to ineffective airway clearance related to changes in pulmonary physiology and function caused by anaesthetics, narcotics, mechanical ventilation, hypothermia and surgery. With increased tracheobronchial secretions secondary to the effects of anaesthesia, combined with ineffective coughing, and decreased functions of the mucociliary clearance mechanism. (Monahan, Neighbors, & Green, 2011) Oxygen is commonly in place as it supports the elimination of anaesthetic gases and helps meet the increased metabolic demand for oxygen caused by the surgery (deWit, 2009). The sedation and muscle relaxation drugs used often cause the tongue to occlude the airway and for that reason endotracheal tubes or artificial airways are not removed until clients are awake and able to maintain their own airway (Berman & et.al, 2012). During the immediate post anaesthetic stage an unconscious client is positioned on the side, with the face slightly down, without the support of a pillow. In this position gravity keeps the tongue forward, preventing obstruction of the pharynx and allows the drainage of any mucous or vomitus out of the mouth rather than down the respiratory tract (Berman & et.al, 2012). Suction should always be readily available to clear secretions. Alternatively if the patient cannot be positioned on their sides the airway can be opened by moving the jaw forward (the nurse’s fingers are placed behind the angle of the jaw, lifting it forward. As the Jaw moves, the tongue comes forward, opening the airway. (deWit, 2009) An artificial airway is maintained in place and the client is suctioned as needed until cough and swallowing reflexes have returned. Generally the client will spit out the oropharyngeal airway when coughing returns and the swallowing or gag reflex it intact (Berman & et.al, 2012) Auscultate the lungs carefully for abnormal sounds as this can indicate retained secretions. Encourage deep breathing and coughing every 2 hours or more for the first 72 hours post operatively. (Monahan, Neighbors, & Green, 2011) Assess the rate and depth of respirations as Hypostatic pneumonia occurs when lack of movement causes stasis of secretions encouraging bacteria  growth. Be certain to turn the patient every 2 hours as this changes the distribution of gas and blood flow in the lungs and helps move secretions. (deWit, 2009) Facilitate deep breathing and coughing by demonstrating how to splint abdominal and thoracic incisions with hands or a pillow. If indicated medicate  ½ hour before deep breathing, coughing or ambulation to promote adherence (Monahan, Neighbors, & Green, 2011) In order of priority, using evidence based literature, identify and discuss the nursing interventions (and rationales) required to care for the chosen patient in the first 24 hours upon returning to the ward. Nursing intervention/care presented needs to be accurate, relevant and Specific to the chosen case study. During the initial hours after returning to the ward the primary concerns for the nursing staff are that the patient has adequate ventilation, haemodynamic stability, no incisional pain, surgical site integrity, Post anaesthesia nausea and vomiting are under control, stable neurological status and that the patient is spontaneously voiding. (Smeltzer & Bare, 2011) Pulse rate, blood pressure and respiratory rates are recorded at least every 15 minutes for the first hour and then every 30 minutes for the next 2 hours. Temperature is monitored every 4 hours for the following 24 hours (Smeltzer & Bare, 2011). Assessments of the patient are to be done at frequent intervals during the first 24 hours postoperatively looking for indications of internal haemorrhage and impending shock. This includes pallor, diaphoresis, cool extremities, delayed capillary refill, restlessness, agitation, mental status changes and disorientations or an impending sense of doom (Monahan, Neighbors, & Green, 2011) . During the initial postoperative period it is important to orientate and reorientate the patient to person, place and time. Informing the client that the surgery is over and that everything went well. Repeating this information until the patient is fully awake and orientated helps to reduce anxiety and confusion (Monahan, Neighbors, & Green, 2011) Margaret is placed in a semi Fowlers position after she recovers from anaesthesia. Aside from being more  comfortable and having less strain on the sutures, the patient will also be able to take deep breaths and cough more easily in this position. (deWit , 2009) Pain assessments should be conducted during each observation for behavioural and physiologic indicators such as facial tension, grimacing, moaning, diaphoresis, increased BP, increased pulse and respiratory rates. (Monahan, Neighbors, & Green, 2011) Use any PRN doses of pain relief medications before pain becomes severe as well as before painful procedures, ambulation and bedtime ask the patient to describe the pain including description, location, and intensity and aggravating and alleviating factors (Monahan, Neighbors, & Green, 2011) Administer pain relief according to the World Health Organisations three step analgesic ladder. If the patient is still in pain some non-pharmacological pain control such as heat or cold packs, tens machines, massage, or distraction techniques may be helpful (Monahan, Neighbors, & Green, 2011) An assessment of the abdomen every 4-8 hours by inspection, auscultation, palpation and percussion for looking for any indications of distention and listening for signs of bowel sounds in all 4 quadrants of the abdomen (Berman & et.al, 2012). Monitor vital signs every 4-8 hours be alert to changes consistent with dehydration including decreasing blood pressure, increasing heart rate and slightly increased body temperature, dry skin and mucous membranes, skin turgor, diminished intensity of peripheral pulses and any alterations in mental status. Monitor the patients urine output and concentration. Checking the NPO status and in the absence of post anaesthesia nausea or vomiting introduce oral foods and fluids cautiously (Monahan, Neighbors, & Green, 2011) As Margaret has a BMI of 30 she is considered obese. Obesity is known to increase morbidity and mortality in the general population and thus is perceived as a risk factor contributing to postoperative complications such as pneumonia, wound infections and wound separations. (Doyle, Lysaght, & Reynolds, 2009) From a surgical perspective, obesity has long been considered a risk factor for adverse post- surgical outcomes as it is associated with pulmonary disorders including obesity hypoventilation syndrome, atelectasis and pulmonary embolism, as well as a possibility of cardiovascular, and wound healing complications. (Doyle, Lysaght, & Reynolds, 2009) Overweight patients are  also vulnerable to pressure ulcer formation due to positioning required for surgery therefore the perioperative nurse must provide adequate padding and other measures to protect the client’s skin. (Berman & et.al, 2012). Obesity can increase the risk of wound dehiscence both directly by increasing tension on the fascial edges at the time of wound closure, a nd indirectly, by increasing the risk of wound infection which is also a risk factor for wound break downs. (Doyle, Lysaght, & Reynolds, 2009) Margaret is placed in a semi Fowlers position after she recovers from anaesthesia. Aside from being more comfortable and having less strain on the sutures, the patient will also be able to take deep breaths and cough more easily in this position. (deWit, 2009) The use of incentive spirometer and other respiratory devices (Monahan, Neighbors, & Green, 2011) can also help to reduce the incidences of respiratory issues. Drainage must be checked frequently for signs of fresh bleeding, the drain is left in place as long as necessary and is then removed by the surgeon (deWit, 2009) The nurse needs to determine the colour, consistency and amount of drainage for all tubes and document accordingly (Berman & et.al, 2012). Evaluate patency of all surgically placed tubes or drains. Monitor insertion sites for indications of infection. Warmth, swelling, tenderness and unusual drainage. (Monahan, Neighbors, & Green, 2011). The wearing of compression bandages and the promotion of calf pumping, ankle circling, and foot board- pressing exercises to encourage circulation and prevent thrombophlebitis in the lower extremities (Monahan, Neighbors, & Green, 2011) Constipation can all be related to immobility, the use of opioid analgesics, dehydration and disruption of abdominal musculature. Auscultate each abdominal quadrant for at least 1 minute to determine presence of bowel sounds. Treatment is usually through stool softeners, high fibre diets and hydration (Monahan, Neighbors, & Green, 2011). Encouraging early and frequent ambulation can also help to improve gastrointestinal motility and to reduce abdominal distention by the accumulation of gases. (Monahan, Neighbors, & Green, 2011) As part of your role as a primary nurse for your patient, you are required to initiate discharge planning. Identify the allied health professional/s you would refer your case study patient to and discuss the rationale behind your referral, what treatment may this health professional/s provide. (300 Words) For Margaret’s discharge I would refer her to the following allied health professionals. Dietician- Would work with Margaret with the intention to assist her to reach optimal health and weight loss through food and nutrition. Providing expert nutritional advice for people of all ages and can prescribe dietary treatments for conditions such as obesity, diabetes and gastrointestinal diseases (Nutrition Australia, 2014) Post-acute care- Is a program that ensures a safe discharge for hospital by providing people with community based supports to help them recover in their home or community and to reduce the risk of readmission to hospital. Assessments of the persons needs are performed and includes the person’s healthcare and psychological needs. It includes community nursing, personal care, home care and allied health such as physiotherapy. (Monash Health, 2014) Wound care nurses or District nurses to help with: Client education for self-care †¢ Appropriate dressings/bandaging based on diagnosis and patient lifestyle preferences †¢ Cleansing and debridement of wound †¢ Hygiene (cleansing self and wound waterproofing as required) †¢ Diet (the importance of essential vitamins and minerals as required) †¢ Signs and symptoms of complications †¢ Bandaging/dressing techniques †¢ Exercise regimes †¢ Lifestyle factors/changes †¢ Disease process and health maintenance †¢ Prevention of recurrence (Fremantle Hospital and Health Service, 2012) †¢ Pain management †¢ Medications †¢ Analgesics †¢ Topical antimicrobials/antifungals †¢ Local anaesthetics †¢ Topical corticosteroids †¢ Oral antibiotics Follow up GP appoint to discuss any further issues and to remove any sutures if not done by the district nurses. References Berman, & et.al. (2012). Kozier and Erbs Fundamentals of Nursing. Frenchs Forest: Pearson. deWit, S. C. (2009). Medical- Surgical Nursing Concepts and Practice. Missouri: Saunders Elsevier. Doyle, S. L., Lysaght, J., & Reynolds, J. V. (2009). Diagonositc in Obesity and Complications. Obesity and post- operative complication undergoing non-bariatric surgery. Obesity Reviews, 875-886. Fremantle Hospital and Health Service. (2012). Nurse Practitioner Wound Management- Clinical Protocol Minor Surgical Procedures. Fremantle: Department of Health. Monahan, F. D., Neighbors, M., & Green, C. J. (2011). Swearingen’s Manual of Medical-Surgical Nursing: A Care Planning Resource. Maryland Heights: Elesevier Mosby. Monash Health. (2014). A world of healthcare. Retrieved August 29, 2014, from Monash Health: https://www.monashhealth.org/page/Services/Services_O_-_Z/Post_acute_care/ Smeltzer, S. C., & Bare, B. G. (2011). Textbook of Medical-Surgical Nursing (2nd Australian And New Zealand ed. ed.). (M. Farrell, & J. Dempsey, Eds.) Sydney: Lippincott Williams & Wilkins Pty Ltd.

Essay on King Lear and a Brave New World Similar Themes...

In Aldous Huxley’s Brave New world and William Shakespeares King Lear, the reader will find that both works use similar motifs that mirror each other to increase further the similarities and significance of the works. The Brave new world tries to destroy any of human emotion, which is why Huxley has chooses Shakespeare as the basis of Johns system of beliefs involved in personal connection. Although the story lines in both of the publications are quite different from one another, there is no doubt that there are themes that allow one to create a comparison between the two books. The most evident motifs in both novels are madness, nonacceptance and the concept of betrayal. that create an exciting plot and unite the general†¦show more content†¦Bernard Marx has always been considered different from everyone, because of his small size, unfortunately for him largeness in the new world, and smallness is travestied. Resulting him to face an inferiority complex, which leads him to pose behind a superior air,and as a result, he does not fit in well others and not popular. It seems as of Bernard was not condition correctly as he we see he is individualistic enough to defy some of the rules. The Director of the Hatcheries knowing the infractions, threatens to send Bernard to Iceland . Edmund the illegitimate son of Gloucester faces the same conflict of being an out cast because of his background. This is when Gloucester introduces Edmund to a friend:though this knave came something saucily into the world before he was called for, yet was his mother fair; there was good sport at his making, and the whoreson must be acknowledged.† (act 1 scene 1). Gloucester smiles and abuses his son, and Edmund smiles right back at him, showing that this is something normal, but this is Shakespeare, and Edmund being a villain plans to settle the score between his father and his legitimate brother Edgar. The actions Edmund takes are cruel, but its not hard to see where the impulse comes from, Shakespeare has really gone out of his way to construct the reason for EdmundsShow MoreRelatedNegative Effects of Technology in Brave New World2663 Words   |  11 Pagesâ€Å"Brave New World† Essay Technology has been used negatively in Brave New World to create a future where individuals are incapable of producing or affecting change. Discuss this statement and show HOW Huxley has demonstrated this idea to his readers. Aldous Huxley’s â€Å"Brave New World† explores the extreme impact of science and technology on an unreal world. The novel fits the science-fiction genre as a dystopia to the reader. Huxley wrote the novel in1932 and presented his thoughtsRead MoreMacbeth9435 Words   |  38 Pages  Macbeth  most clearly reflects the playwright’s relationship with the sovereign. Macbeth  is Shakespeare’s shortest tragedy, and tells the story of a brave Scottish general named  Macbeth  who receives a prophecy from a trio of witches that one day he will become King of Scotland. Consumed by ambition and spurred to action by his wife, Macbeth murders King Duncan and takes the throne for himself. He is then wracked with guilt and paranoia, and he soon becomes a tyrannical ruler as he is forced to commitRead MoreWho Goes with Fergus11452 Words   |  46 Pageslevel shore because of it. The deep woods woven shade = the unknown. And in response to the previous comment, in my opinion I think that brazen cars is in reference to battle/warfare. Summary The poet asks who will follow King Fergus example and leave the cares of the world to know the wisdom of nature. He exhorts young men and women alike to leave off brooding over loves bitter mystery and to turn instead to the mysterious order of nature, over which Fergus rules. Analysis This short poem