Pathophysiology Case Study Essay - 678 Words

Pathophysiology case study 2 K.H. is a 67-year-old African-American man with primary hypertension and diabetes mellitus. He is currently taking an angiotensin-converting enzyme (ACE) inhibitor and following a salt-restricted weight loss diet. He is about 30 pounds over his ideal weight. At his clinic visit his blood pressure is noted to be 135/96. His heart rate is 70 beats/min. He has no complaints. His wife brought a blood pressure cuff and stethoscope with her in the hope of learning to take her husband’s blood pressure at home. What risk factors for primary hypertension are evident from K.H.’s history and physical data? Primary hypertension can be linked to several risk factors, some in which are evident in K.H.’s history and†¦show more content†¦Physical exercise can also help the weight loss process, in turn lowering high blood pressure. Excessive smoking and drinking also leads to hypertension due to hardening of the arteries. Family history and high stress levels should also be determined if present in KH as they play a large role in hypertension as well (Mayo Clinic). What is the rationale for treating K.H. with an ACE inhibitor? What is the mechanism of action? ACE inhibitors are important and useful in the medication and treatment for KH due to their effectiveness in treating hypertension. ACE inhibitors will help treat KH by slowing the angiotensin converting enzyme (ACE). Angiotensin II is produced by the body that can cause vasoconstriction of the blood vessels. Angiotensin II is made from Angiotensin I by the ACE. If the production of Angiotensin II is slowed by the ACE inhibitor, the blood vessels will be able to dilate, and blood pressure is able to be lowered (Copstead and Banasik). Thus, it is important for KH to stay on the ACE inhibitors due to his blood pressure readings. KH’s blood pressure is 135/96. His systolic blood pressure is in the pre-hypertensive range, however, his diastolic blood pressure is in the hypertensive range and therefore, his blood pressure is hypertensive. Since his blood pressure is high, it is important for KH to remain taking theShow MoreRelatedAdvanced Pathophysiology Across Lifesp Case Study805 Words   |  4 PagesAdvanced Pathophysiology Across Lifespan Case Studies 1 and 2 Amani Kappi Case 1: Q1: What is the most likely cause of this patient’s hypocalcemia? Explain your answer? The most cause of hypocalcemia for this patient is osteomalacia for many reasons. First, this patient had a history of Crohn disease and multiple bowel resection surgeries. That effect on the absorption of vitamin D or breaking down food to release vitamin D. 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Analysis Of Frank Mccarthys The Kid - 2471 Words

McCarthy describes the Kid as a savage animal rather than a sympathetic protagonist. Yet instead of representing an ideal hero, the Kid is shown to savage, uncaring, and inhuman. The first description of the Kid as a child and of the night of his birth. He is described as â€Å"incubat[ing] in [his mother’s] bosom†¦who would carry [his mother] off† and that he already has â€Å"a taste for mindless violence† (1). To â€Å"incubate† refers to dormancy, usually applied to viruses developing inside a host. In calling the kid a creature that â€Å"incubates† in the womb portrays him as a virus, an unfeeling entity existing to cause disease regardless of the person. Emphasizing this concept of detachment is the phrase â€Å"carry her off†. The Kid is described to have†¦show more content†¦Sproule’s arm is badly injured and he moves much more slowly across the plains. When they arrive at a deserted town, the Kid says that †Å"we ought to scout the houses† and that â€Å"we need to find†¦a place to sleep† (62). Note that the Kid uses the pronoun â€Å"we† and not ‘I’ or ‘you’. Despite Sproule being injured enough to cause him to be a liability, the Kid still considers them as a group. He acts for the benefit of both of them, as shown in how he discusses their action in terms ‘we’. Even after Sproule tells him to â€Å"go on† and for the kid to â€Å"save [himself]† he stays by Sproule and doesn’t move, choosing to travel with Sproule and share the scarce food supply until the man dies of his injuries (66). The Kid could have easily abandoned Sproule in favor of surviving alone. With the limited supplies they scavenged, the Kid may have fared better alone than sharing with Sproule who had little chance of recovering with no professional medical help nearby. Acting for the sake of a group and watching out for someone el se isn’t an action following the image of the selfish, cruel individual. The novel even appears to echo this misrepresentation of the Kid during the scene where Sproule decries the kid as someone â€Å"wrong all the way through† when he thinks Kid tried to kill him (69). The reality of that situation was that a bat had come and bit Sproule to suck his blood. The Kid had woken up and tried to kill the bat, not Sproule. The Kid appears more well-intentioned than he is

Overview About The Sydney Opera House †Myassignmenthelp.com

Question: Write an overview about The Sydney Opera House. Answer: The Sydney Opera House is officially named as the green building in Australia. The building has been named as one of the sustainable buildings in Australia and has been give top green rating since it has been able to effectively handle the environmental problems and effectively sustain in this high environmental pressure. The building now finds itself beside the State Empire building New York in the very short list of world heritage sites that have received green certification in the world. The Sydney Opera House is one of the significant edifices in Australia in fact to say in the world and receives huge number of tourism footfalls. Hence it was important for the building to have a clear sustainable plan which would help to lead from the front in terms of sustainability and also made implementation to benchmark its movements to achieve sustainability. The Sydney Opera House had sustainability plans till 2009 but slowly and steadily the organisation understood the problem of working according to the plan and hence it had to make implementations to set benchmarks to achieve them and record their progress effectively. In the recent past the organisation was able to achieve that green rating as it has been able to maneuver certain aspects of sustainability plans (Newton et al., 2009). Identify and describe the outcomes of sustainability plan and their implementation and key stakeholders The Sydney Opera House is one of the most beautiful buildings in Australia and has recently received Green certification. The main focus of the building is to treasure the building for the future generation and exhibit the best possible of sustainability effectively through their works that conforms with the social contract of the society. Everything they will do is for the betterment of the society and inspires people through its excellence. The building was announced as a sustainable masterpiece as the UNESCO world heritage listing and then the organisation was thinking about effective development of the building that will ensure sustainability. In 2009 the sustainability plan came out with different outcomes which opened up new avenues for the organisation. It is important to mention that the organisation has so far focused on the different sustainable movements to keep the place pollution free and environmentally sustainable. The outcomes of the sustainable plan led to the develo pment of the creation of Green Team which has helped the organisation to create environmental awareness and for the organisation the outcomes resulted to sustainable target lighting, sustainable air conditioning system, Waste Audit, sustainable usage of office equipments are some of the important aspects that came out of the 2009 plan (Araoz, 2011). It made the organisation implement effective knowledge which will help to develop the design principles of the building, as well as use natural resources for all kinds of internal and external works et cetera. The seawater air conditioning system is the result of this plan. The key stakeholders of the Sydney Opera House are the government, The visitors, the big multinational companies and private individuals who have constantly supported this not for profit organisation. For instance Samsung one of the major partners of SOH has entered its third year which has helped to discover new digital experience and virtual reality. The NSW government has paid around 14million dollars which would help the organisation to run smoothly. On the other hand the enthusiastic visitors who love to see art and craft and have other abstract interest inspire this organisation to grow and develop (Thompson Maginn, 2012). The environmental sustainability commitments The main environment sustainability commitment made by the organisation is towards the economy, culture and community. The organisation strives to take different actions for the sustainable development of the environment and the community. As discussed earlier there are several environmental sustainability commitments that have been made by Sydney Opera House. In the 2009 sustainable plan the company took the responsibility of going green in its design and also using the natural resources for the overall operation of the building which would help to reduce waste and will be less harsh on the environment. The commitments that the organisation emphasises on are: Set, communicate and implement sustainability commitments. Managing stakeholders and involving them in the overall plan. Review performances of the each of the sections of SOH in terms of sustainability. Develop and frame new ideas in order to emphasise on sustainability and commit towards achieving them. Reducing waste and usage of natural renewable resources for any kind of work within the organisation (Woo et al., 2010). Describe those involved in implementing the policy and outcomes expected and responsibilities assigned There are many different people and bodies involved in ensuring that sustainability policy is effectively implemented in the building. The building strived to achieve green rating and it was the focus all the way for the organisation. The organisation has emphasised on different aspects of sustainability which are auto cooling system with the help of seawater, applying good design principles, recycling and waste management is also a huge aspect which is implemented and the last but not the least is creating green awareness campaign which would help to create awareness in the society about sustainable environment. There has been different implementation by the Sydney Opera House which would help to increase the awareness of the society against the sustainability of the environment. It is important to mention that the organisation focuses on having sustainability within the realm and the ecosystem. There are different responsibilities assigned to people to ensure that sustainability po licy is effectively implemented. In the 2009 sustainability plan the organisation stressed on creating Green Team who will ensure sustainable environment and educating the staffs of the house about sustainability effectively so that the environment of the house is sustainable. The stakeholders like employees, upper management, visitors and corporate partners all contribute effectively for the implementation of the sustainability policy (Cooperrider, 2010). The employees are effectively involved in continuously assuring that the operations of the maintenance of the opera house are done effectively. Overall it could be said that with these sustainability policies implemented the organisation is expecting favorable outcomes. Procedures to communicate to stakeholders There are different ways to communicate with the stakeholders effectively. The different stakeholders involved with the house have been discussed in the past sections. It is extremely important for the house to communicate with the stakeholders and help them understand the agenda of the house. There are several ways to communicate with the stakeholders for instance meetings, verbal communications, conferences, Project communication et cetera. Its important to say that communicating with the stakeholders is an important aspect as this helps to develop good understanding with the stakeholders and implement the same policies on them. For example the buildup of the green team has helped to educate the employees about sustainable environment and this has helped them to work towards achieving a sustainable environment in the house (Kivits Ferneaux, 2013). New sustainability initiatives in the revised policy documents The Sydney Opera House has been given the new sustainability leadership award given its huge contribution to the sustainable society in Australia. It could be said that the organisation has been successful in its mission due to its effective sustainable initiatives which are constantly looked after and constantly revised. In the latest revision of the sustainability initiatives the organisation has taken interest in green star rating which has helped the organisation to make the overall system green. The organisation has emphasised on responsible and sustainable usage of resources by the management as well as focuses to minimise. The organisation has also focused on investing in clean energy technology which contributes to lowering environmental pollution. The principle design of the house is also taken as an initiative and its cleaning system have been changed (Lawson, 2010). Energy management systems implemented by Sydney Opera House The energy management system at Sydney Opera House focuses on to answer the questions about when, where and why energy has been used and how it could be regulated effectively for the reduction in the energy usage. The Sydney Opera House has started using EMS which helps in the management of energy and water costs reduction as well as devise swift responses to waste management. The organisation has replaced its older lighting system and it has switched to LEDs which has reduced a huge amount of energy consumption and at the same time the organisation has been able to reduce around 16% of energy consumption and $400,000 of energy costs. The natural Air Conditioning system using seawater has been very effective in handling energy and has reduced its cost as well. The system Vivid Live has helped the organisation to reduce its electricity consumption as it uses 100% green power from renewable sources of energy and has also facilitated the organisation to reduce carbon (Fayek Hampson, 20 10). Sustainability or environmental targets for the use of resources in the organisation The organisation focuses on using its resources effectively so that environmental targets and sustainability could be achieved. The organisation Sydney Opera House has focused on using less energy and electricity which they have been able to do to a large extent and still some objectives are need to be met. Even though it uses less water but it has not yet been able to meet the target of low water use in the financial year of 2016. It is important to mention that the organisation uses low energy and power which has helped to achieve that green certification. The company aims to reduce its energy consumption significantly as time passes by (Timothy, 2011). Potential shortfall of the plan and implantation strategies for improvement of resource efficiency The potential shortfalls of the plan are it involves huge fund usage. Fund is an extremely important aspect for an organisation and hence it is important that they get constant funds for the improvement of resource efficiency. Software inadequacy and limitations are another limitation to the plan. The plan involves huge amount of investment which affects the progress of the plan effectively. The potential shortfall of the plan involves high usage of the energy which has to reduce effectively. For the improvement of the resource efficiency the energy management system will have to be effectively implemented. The use of LEDs and usage of seawater for air conditioning will have to be used implemented (Rauscher Momtaz, 2015). Individual and team responsibilities in the sustainable plan The different teams and individuals are allotted responsibilities. The technical teams and individuals involved in this understand their roles effectively. The different teams allotted do their jobs successfully. For instance the Green Team allotted is focused on creating effective awareness about environment among the employees. The sustainable plan will be effectively implemented if the teams perform well. The administration, the operations do have an effective role to play in the team (Beatley Newmann, 2010). Suggestion to track development and improve the plan For continuous tracking of the sustainable plan it is important to mention that constant monitoring is effective. To track the development a committee could be developed in order to constantly track the improvement of the plan. On the other hand in order to improve the plan implementation of software and availability of funds will help the organisation to improve the sustainable plan (Mindrup, 2015). Possible outcomes and shortfalls of the implementation process Implementation of the sustainable plan has visibly developed energy efficiency and has helped to develop the relationship between the communities. The implementation of the sustainable plan has visibly helped SOH to become a green certified building. Even through the entire implementation has been done well but still technical implementation could be done well. In the recent past SOH has tried to develop different technical tools which would help to run the process smoothly (Lord et al., 2012). Audit process to identify further action areas The overall audit of the SOH has highlighted that the organisation does lack technical development. The technical development of the organisation is required. An audit done through a step by step process discusses the loopholes of the operation of the organisation. Out of the audit it is clear that certain areas of the organisation could be integrated with technological intelligence (Freestone, 2010). Plan to address identified areas Since the only identified area is technology. An overall evaluation has stated that the security system could be developed with the help of technology. The android system could be implemented in security which will help to strengthen the entire system of the organisation (Stannard, 2012). Successful implementation of security system The android system with the RFID technology has been implemented in the system and it is backed by effective 24/7 CCTV surveillance which has helped the management to reduce threats for the organisation. In the recent past there have been small incidents which could be maneuvered by this implementation (Carbonari Jones, 2014). References Araoz, G. F. (2011). Preserving heritage places under a new paradigm.Journal of cultural heritage management and sustainable development,1(1), 55-60. Beatley, T., Newman, P. (2012).Green urbanism down under: Learning from sustainable communities in Australia. Island Press. Carbonari, G., Jones, K. G. (2014). Sustainable facilities management through building information modelling.International Journal of Facilities Management (EuroFM Journal). Cooperrider, D. L., Fry, R. (2010). Design-inspired corporate citizenship.Journal of Corporate Citizenship,37, 3-6. Fayek, A. R., Hampson, K. (2009). Innovation and sustainability.LEVERAGING INNOVATION FOR SUSTAINABLE CONSTRUCTION, 1. Freestone, R. (2010).Urban nation: Australia's planning heritage. Csiro Publishing. Kivits, R. A., Furneaux, C. (2013). BIM: enabling sustainability and asset management through knowledge management.The Scientific World Journal,2013. Lawson, B. (2010). Healing architecture.Arts Health,2(2), 95-108. Lord, B., Lord, G. D., Martin, L. (Eds.). (2012).Manual of museum planning: sustainable space, facilities, and operations. Rowman Altamira. Mindrup, M. (Ed.). (2015).The Material Imagination: Reveries on Architecture and Matter. Ashgate Publishing, Ltd.. Newton, P., Hampson, K., Drogemuller, R. (Eds.). (2009).Technology, design and process innovation in the built environment(Vol. 10). Routledge. Rauscher, R., Momtaz, S. (2015).Sustainable Neighbourhoods in Australia: City of Sydney Urban Planning. Springer. Stannard, P. (2012). From Greenfields to Edge Urban: Cultural Policy and Suburbanisation in Campbelltown, Sydney.Spaces Flows: An International Journal of Urban Extra Urban Studies,2(3). Thompson, S., Maginn, P. (2012).Planning Australia: an overview of urban and regional planning. Cambridge University Press. Timothy, D. J. (2011).Cultural heritage and tourism. Channel View Publications. Woo, J., Wilsmann, J., Kang, D. (2010). Use of as-built building information modeling. InConstruction Research Congress(Vol. 1, pp. 538-547).