The Global Initiative For Chronic Obstructive Lung Disease...

Yet another system significantly impacted by COPD is the musculoskeletal system. Especially in patients with COPD and emphysema there is a high risk for osteoporosis. The Global Initiative for Chronic Obstructive Lung Disease (2017) explains osteoporosis can occur for several reasons. For example, individuals with emphysema expend a high amount of energy and calories to breathe; which can lead to weight loss, muscle wasting, and decreased in bone density. Furthermore, individuals who experience a COPD exacerbation are usually treated with systemic corticoid steroids; which greatly increases the likelihood of osteoporosis (p. 117). Despite this concern GOLD does still recommend systemic corticoid steroid use for exacerbations because†¦show more content†¦58-62). Albuterol is a short acting, and intended for use only in acute episodes of breathlessness. Duncan (2015) states â€Å"only 1 in 10 patients with a metered dose inhaler uses the correct technique† (p. 175 ). Therefore, especially with Albuterol HFA, it is important to teach both patients and their support persons the proper technique in using this inhaler with a spacer. Furthermore, it is important this teaching takes place at a time when the patient is not having an acute episode of breathlessness to ensure information is understood. Teach back, where a patient repeats back what they have just learn, is an effective method for ensuring correct inhaler technique. Fluticasone Propionate/Salmeterol Xinafoate (Advair Diskus 250 mcg/50 mcg) is an example of a combination long acting inhaled corticosteroid and a long acting bronchodilator. Turkoski, Lance, and Bonfiglio (2010), state the corticosteroid Fluticasone Propionate promotes â€Å"vasoconstrictive and anti-inflammatory activity [in the lungs]† ( p.799) These authors also explain Salmeterol Xinafoate â€Å"relaxes bronchial smooth muscle by acting on beta2receptors† [in the lungs] (p. 1618). Davis et al. (2017) f ound that patients in their study who did not adhere to long acting inhaled corticosteroid and a long acting bronchodilator therapy had significantly higher rates of COPD exacerbations; and subsequently much higher healthcareShow MoreRelatedChronic Obstructive Pulmonary Disease ( Copd )807 Words   |  4 Pagesrevealed hyperinflated lungs and a flattening of the diaphragm, consistent with COPD. Question: What are the treatment options available to patients with COPD, and how are individualized assessments used to determine the most effective therapy? Generate: Chronic Obstructive Pulmonary Disease (COPD) is a respiratory illness that progressively worsens over time. As seen in Mr. Adam’s case, symptoms include dyspnea, wheezing, and an occasional productive cough,.1 Emphysema and Chronic Bronchitis are theRead MoreChronic Obstructive Pulmonary Disease ( Copd )1730 Words   |  7 PagesOver the years Chronic Obstructive Pulmonary Disease (COPD) has been a vastly under-identified and under-treated, causing the World Health Organization (WHO) to undertake increased worldwide awareness concerning the disease. Thus the Global Initiative for Chronic Obstructive Lung Disease (GOLD) was created in order to educate the world and set standardized practices.1,2 COPD is defined by the chronic obstruction of the airway relating to inflammatory diseases of the bronchial tubes. The restrictiveRead MoreThe Causes Of Non-Communicable Diseases ( NCD )1117 Words   |  5 PagesNon-communicable diseases (NCDs) are diseases that result from a combi nation of physiological, genetic, behavioural or lifestyle and environmental causes (WHO, 2017). 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COPDRead MoreChronic Obstructive Pulmonary Disease ( Copd )1921 Words   |  8 PagesChronic Obstructive Pulmonary Disease (COPD) is progressively common amongst patients within the United States. The disease is more common in patients with a long smoking history. Inflammatory changes are largely responsible for the development and symptoms of COPD. COPD is typically managed according to classification of severity based on the GOLD guidelines. Anoro Ellipta is a new once daily FDA approved drug. It is a combination of a long-acting muscarinic antagonist (LAMA) and a long-acting b2-agonistRead MoreThe Importance Of Patient Reporting For Alternative Interventions751 Words   |  4 Pagesidentified studies. 2.3. Study selection and eligibility criteria Two authors independently determined the eligibility of studies by review of abstracts and, for studies judged potentially relevant on abstract review, through screening of full text articles with a standardized and piloted abstraction form. We resolved disagreement by discussion or through third party adjudication. We included studies that reported patient values and preferences of COPD patients. We set no limits on the type of study designRead MoreGenetically Induced Chronic Obstructive Pulmonary Disease2146 Words   |  9 PagesGenetically Induced Chronic Obstructive Pulmonary Disease Chronic Obstructive pulmonary disease is a disease of the lungs that damages the tubes that allow for respiration, thereby resulting in breathing trouble. This disease has a major effect on smokers. The purpose of the study was to focus not only on the effects smoking has on the prevalence of COPD, but also how it can be genetically induced. About 30 percent of people who are diagnosed with COPD have never even smoked. In this paper, theRead MoreChronic Obstructive Pulmonary Disease3277 Words   |  13 Pageshospital with a chief complaint of difficulty breathing; diagnosis includes congestive heart failure exacerbation (CHF) with pneumonia (PNA). He has a full code status. Past medical history includes congestive heart failure, COPD, peptic ulcer, chronic kidney disease stage 3, anemia, and hypernatremia. Patient is a widower who lives with son and consumes no alcohol or illicit drugs, he has is an ex-smoker with a 70 pack year history. Patient is a retired mechanic with no fam ily medical history on file;Read MoreThe Use of Home Mechanical Ventilation to Manage Chronic Ventilatory Failure 3944 Words   |  16 PagesHome mechanical ventilation (HMV) has been used as long-term ventilation for over 70 years to manage chronic ventilatory failure. In the United States, the first introduce of mechanical ventilation was by the use of the iron lung which used with polio victims (Tobin, 2006). Iron lung was the only way available that time to ventilate Poliomyelitis patients and injured army soldiers (Goldberg, 2002).In 1950s, the use of intermittent positive-pressure ventilation with mouth piece have began ,and inRead MoreChronic Obstructive Pulmonary Disease Case Study1659 Words   |  7 PagesChronic obstructive pulmonary disease (COPD) occurs in the trachea and bronchi of the lungs. In a healthy, immunocompetent patient, flora, including viruses, are not usually present in the lower respiratory tract. However, Streptococcus spp., H. influenzae, Moraxella ca tarrhalis, Corynebacterium spp, Pseudomonas as well as others, can colonise in the lower respiratory tract.1 Gary has a past history of COPD and presented with increased cough and shortness of breath. These symptoms are consistent

Shortcuts to Nursing Entrance Essay Samples That Only the Experts Know About

Shortcuts to Nursing Entrance Essay Samples That Only the Experts Know About The 30-Second Trick for Nursing Entrance Essay Samples It is essential for potential nursing students to know there are important elements required to compose the ideal admission essay to get into nursing school. When you feel as though your nursing essay is what it should be, it's the high time to place it in the necessary shape. Actually, essay writing skills do not have anything to do with nursing skills in any way. The nursing school essay introduction is the most essential part. You may be applying for nursing school with a very low GPA or following you dropped from the very first nursing school just two or three months in. Some applicants would rather have a nursing school since it features a superior nursing program while some have a reason to desire to join a school. When you submit an application for a nursing program, an admission essay is important as a result of it the location where applicants write about themselves and the explanations for eagerness to be a nurse. You shouldn't leave out illustrations of what you've been doing in preparations to join the nursing program. You are able to receive a complete collection of specialist nursing organizations at Nurse.org. Nursing school essay examples are wholly researched and offer you a notion which our services are extremely dependable. In the event the nursing school wants a maximum of 3 pages, write the most of 3 pages. Even in case you don't have an ideal grade track record, it doesn't indicate that you aren't likely to enter the program. The instructors are those which are likely to teach you and they won't be grading you on your healthcare understanding. Lies You've Been Told About Nursing Entrance Essay Samples Mind that nursing school essays are typically required to obey the MLA format. Empathy in nursing is a superb quality to get. If faculty can't understand what you're attempting to say, you won't succeed on the assignments. The research papers handle the outcomes of a particul ar investigation and the findings and could call for intensive dedications and efforts to accomplish the completion stage. The sort of essay you're looking for will be provided to you within the deadline offered to you. Then have a trustworthy friend or colleague read your essay too. The ideal thing about us is that each time you can buy original essay papers for sale. Then the ideal way is set a request I will need to acquire essay papers written. 1 component of the nursing course that maynot be overlooked is writing essays. Every achievement is well worth mentioning, however small or irrelevant it may appear to your application's essay, as long as it's work or school related, it should discover a way to your application with fluidity. Highlight the things you wish to have in your essay, summarize your own personal story and incorporate your qualifications. Write about an intriguing issue about your life to coincide with the objective of your admission essay that could be to persuade or inform. You are able to get nursing application essay examples at inexpensive prices from us. The essay isn't only about the content but about other vital components that let the admission board know that students are intent on entering their programs and they will be valuable assets too. The admission essay may also be a narrow focus on a certain place. When you make a nursing application essay, you need to be somewhat convincing and cr eative to be able to impress the admissions committee and become accepted. Now you can get genuine college essay online, one that is going to fit your financial plan and get your work done too. A seasoned professional knows the peculiarities of writing a nursing school application essay and will give the very best high quality piece of writing that meets all the required requirements. Getting a chance to train and make a degree is only one part of the dreams. You are able to easily depend on us to find essay help as we have a tendency to assist and guide the students with the assistance of our professional experts.

Corporate Financial Management Select Harvests Limited

Question: Discuss about theCorporate Financial Management for Select Harvests Limited. Answer: Introduction For this research paper, I would like to choose Select Harvests Limited (SHV) as a research company. The firm is listed on Australian Stock Exchange (ASX). SHV is the biggest nut and health food company of Australia. Along with this, Select Harvests is the third largest almond grower and processor in the world. SHV manages almond orchards in South Australia, Victoria, and New South Wales. The firm also manufactures a large variety of food snacks and muesli (Select Harvests. 2016). In addition to this, Select Harvests is divided into two business sectors: almond business and food business. Moreover, Paul Thompson is the CEO (Chief Executive Officer) of the firm. Paul Chambers is the CFO (Chief Financial Officer) and Company Secretary of Select Harvests. The CEO and CFO of the firm play an important role for the success and growth of the organization. This research paper is helpful to represent the general areas of responsibility for the chief financial officer of the Select Harvests. In addition, the research paper also portrays that the responsibilities of the CFO can influence ultimate objective of the firm. General Areas of Responsibility for Chief Financial Officer The chief financial officer of Select Harvests is responsible to accomplish the financial goals and objectives of the firm. Along with this, the CFO of Select Harvests plays numerous important roles and responsibilities to improve the financial performance, market shares, and market position of the firm (Clark, 2012). Moreover, the major general areas of responsibility for the CFO of Select Harvests are described as below: Financial Planning: The chief financial officer of Select Harvests is fully responsible to do effective financial planning to accomplish the financial goals of the firm in a specified time period. In other words, it also can be said that, financial planning is the major area of responsibility for the CFO of the firm. The CFO of Select Harvests makes effective financial plans for the growth and success of the organization (Lapovsky and McKeown-Moak, 2010). Moreover, with the help of these financial plans, the organization makes effective utilization of its available funds and resources. Along with this, the CFO of the organization manages all the financial activities of the firm in an effective and an appropriate manner. The CFO oversees and controls cash inflows as well as outflows of the firm. The CFO is also mindful to keep up straightforwardness in all the monetary exchanges of the association. In addition to this, the CFO of the firm assumes a critical part to pay charges, obligations, and securitie s to enhance the money related execution of the association. The CFO is mindful to set up successful monetary/bookkeeping strategies and systems; so that every one of the association may play out their budgetary commitments in a proper way (Jennings, 2014). Apart from this, the CFO of the firm is capable to build up viable arrangements keeping in mind the end goal to expand the advantages and finances of the association. To raise the capital of the firm, the CFO makes concession on the acquirement of obligation and value capital and keeps up the budgetary courses of action of the business viably. The CFO of firm develops long tern money related arrangements to persuade the employees to achieve budgetary targets that are inborn in these monetary arrangements (Sebastian, 2011). For that reason, it can be said that, the CFO of Select Harvests is completely at risk to deal with all the money related exercises of the business. Accounting Financial Functions: The chief financial officer of Select Harvests is also responsible to develop accounting financial function to improve the financial performance and effectiveness of the organization. The development of the accounting financial functions is also considered as the major area of responsibility for the CFO of the firm. The CFO of Select Harvests creates accounting financial functions to enhance the general monetary and also hierarchical viability of the firm in an effective way (Kaplan and Norton, 2008). In addition to this, the CFO builds up a continuous arrangement of enhancements within the money elements of the firm; so that everyone can play out every monetary capacity in a precise way. Moreover, the CFO is also responsible to use significant monetary techniques for case adjusted scorecard, proportion investigation, dashboards, and so forth keeping in mind the end goal to enhance the anticipated and genuine money related execution of the business. Along with this, the CFO of Sel ect Harvests makes successful correspondence with its shareholders, monetary experts, brokers, and financial specialists to build up a solid notoriety of the firm in their eyes. The CFO appreciates the plan of action of enterprise to make client esteem and to execute all the budgetary capacities in a successful and a precise way (Roehl-Anderson, 2013). On the other hand, the CFO assumes a huge part to adjust the staff into a gathering; so they can play out all the accounting financial functions to enhance the general hierarchical execution of the firm. The CFO of Select Harvests deals with the staff and creates viable strategies, approaches, rules and techniques to play out all the money related elements of the business. Along with this, the CFO is responsible to oversee precision and genuineness in the execution of the bookkeeping and budgetary elements of the firm (Hope, 2013). For that reason, it can be said that, the CFO Select Harvests is fully responsible to create, oversee and plays out all the accounting financial functions of the firm in a viable and an exact way. Financial Risk: The chief financial officer of Select Harvests is also responsible to know the financial risk that may harmful for the financial growth of the organization. In other words, it can be said that, the CFO of Select Harvests is completely dependable to acknowledge and gather money related risks to enhance the monetary execution of the association (Moran and Kral, 2013). Along with this, the CFO is also responsible to have complete learning of all the bookkeeping financial frameworks that are utilized by the firm. The primary purpose for it is that, with the assistance of top to bottom information, the CFO would have the capacity to discover any risk that may occur in the money related zones of the business. Moreover, the CFO of Select Harvests is mindful to create risk mitigation methodologies to enhance the monetary capability of the firm. On the other hand, it should also be noted down that, the CFO of Select Harvests is capable to alleviate various sorts of budgetary dangers that may hazardous for the general execution of the association (Sottini, 2009). For instance, the CFO assumes a noteworthy part to reduce foreign exchange risk in a successful way. The CFO chooses the levels of foreign exchanging, perceives the forthcoming misfortunes and executes supporting techniques so as to lessen outside trade hazard in a suitable way. In addition to this, the CFO assumes an imperative part to lessen the danger identified with the progressions of item costs. Additionally, so as to deal with the item costs' progressions, the CFO makes long haul settled value concurrences with its counterparties. The CFO makes utilization of cost slicing strategies to alleviate the danger in a successful way (Finn, 2016). As a result, it can be said that, the CFO of Select Harvests plays a major role to lessen monetary dangers to enhance the money related execution of the firm. CEOs Responsibilities can Affect the Ultimate Objective of the Organization The CEOs responsibilities can affect the ultimate objective of the organization in both positive and negative way. For case, the CFO assumes a critical part to oversee and control the assets and money streams of the firm in a successful way (Hommel, Fabich, Schellenberg and Firnkorn, 2011). In addition, the CEO is obligated to keep up openness and simplicity in all the money related exchanges of the firm. The CFO makes viable money related wanting to deal with the assets and to keep up honesty in a proper way. Along with this, the CFO creates hazard alleviate techniques to enhance the general money related execution of the business. These all the responsibilities performed by the CFO of firm affect the objective the firm. For case, if the CFO of the firm is capable to play out his duties and responsibilities then the firm would have the capacity to achieve its objectives and targets in an effective way. In opposite to this, if the CFO is unable to perform compelling budgetary arrangi ng, create accounting financial functions, and create hazard moderation techniques then it will impact ultimate objective of the firm contrarily (Nolop, 2012). In this circumstance; the firm would not have the capacity to make powerful uses of accessible assets, oversee and control money streams, relieve budgetary dangers, and perform monetary capacities in a compelling and a fitting way. This will be perilous for the overall growth of the organization. Conclusion On the basis of the above converse, it can be accepted that, the CFO of an association assumes various vital duties and responsibilities to enhance the general hierarchical execution of the firm. Moreover, it can also be said that, the CEOs responsibilities have an effect on the ultimate objective of the organization. In recent times, all the business associations concentrate on the efficient markets hypothesis keeping in mind the end goal to settle on their budgetary choices in a compelling and an exact way. Along with this, it should also be noted down that, nowadays, the efficient markets hypothesis has turned into the most vital source that give all the precise budgetary data of business firms to their financial specialists (Graham and Dodd, 2008). In addition to this, the efficient markets hypothesis depicts that the expenses of securities assume a noteworthy part keeping in mind the end goal to uncover all the accessible money related data of business firms. The efficient markets hypothesis is important to affirm that the money related markets for instance the U.S. security, securities exchange, and so on are equipped or not. On the other hand, the pension fund manager should not choose a portfolio with a pin, if the efficient markets hypothesis is valid. The principle explanation for it is that a portfolio with a pin would be able to offer fulfillment to the clients. At the end of the day, it also can be said that, a portfolio with a pin would not work in the support of clients or speculators. In addition to this, the pension fund manager must choose a portfolio at what time the proficient business sector theory is exact and securities are very much valued. In this circumstance, the pension fund manager may pick a portfolio at the precise danger level for the financial specialists (Tyson, 2016). Along with this, the efficient markets hypothesis does not intend to pick a portfolio with a pin. The pension fund manager should not just consider the effective markets theory keeping in mind the end goal to pick a portfolio. The fundamental explanation for it is that distinctive supplies of the closely resembli ng industry are not broadened in a viable and proper way. Apart from this, it ought to be noted down that, an all around broadened portfolio assumes a critical part keeping in mind the end goal to moderate hazard and to amplify returns on the financial specialists' ventures. On the other hand, the pension fund manager ought to pick a portfolio on the premise of the level of danger and return. The portfolio that is not so much dangerous but rather more practical would have the capacity to enhance the fulfillment level of the financial specialists. In addition, the pension fund manager must pick a portfolio on the premise of pre-decided rules and techniques. As indicated by these rules, the chief must pick a portfolio that is all around broadened. The supervisor must take mind that the danger level of the chose portfolio is fitting for the clients. The pension fund manager ought to take mind that a substantial number of stocks might be deficient to guarantee expansion of a portfolio. These rules and methodology would be useful to make powerful determination of the portfolio (Brealey, Myers, Allen and Mohanty, 2012). For that reason, it can be said that the pension fund manager must pick a portfolio on the premise of the level of risk and return in preferen ce to the efficient markets hypothesis. References Brealey, R.A., Myers, S.C., Allen, F. and Mohanty, P. (2012). Principles of Corporate Finance. NY: Tata McGraw-Hill Companies Inc. Clark, R.M. (2012). Intelligence Analysis: A Target-Centric Approach. Australia: CQ Press. Finn, A. (2016). MBA In A Week: All The Insights Of A Master Of Business Administration Degree In Seven Simple Steps. UK: Hachette UK. Graham, B. and Dodd, D.L.F. (2008). Security Analysis (6th ed.). USA: Tata McGraw-Hill Companies Inc. Hommel, U., Fabich, M., Schellenberg, E. and Firnkorn, L. (2011). The Strategic CFO: Creating Value in a Dynamic Market Environment. USA: Springer Science Business Media. Hope, J. (2013). Reinventing the CFO: How Financial Managers Can Transform Their Roles And Add Greater Value. Australia: Harvard Business Press. Jennings, M.M. (2014). Business Ethics: Case Studies and Selected Readings. Australia: Cengage Learning. Kaplan, R.S. and Norton, D.P. (2008). The Execution Premium: Linking Strategy to Operations for Competitive Advantage. Australia: Harvard Business Press. Lapovsky, L. and McKeown-Moak, M.P. (2010). Roles and Responsibilities of the Chief Financial Officer: New Directions for Higher Education, Number 107. Australia: John Wiley Sons. Moran, S. and Kral, R. (2013).The Board of Directors and Audit Committee Guide to Fiduciary Responsibilities: Ten Critical Steps to Protecting Yourself and Your Organization. US: AMACOM Div American Mgmt Assn. Nolop, B.P. (2012). The Essential CFO: A Corporate Finance Playbook.UK: John Wiley Sons. Roehl-Anderson, J.M. (2013). MA Information Technology Best Practices. UK: John Wiley Sons. Sebastian, S.J. (2011). Internal Revenue Service: Status of GAO Financial Audit and Related Financial Management Report Recommendations. USA: DIANE Publishing. Select Harvests. (2016). About Us. Available At: https://www.selectharvests.com.au/ [Accessed on: 15th September 2016] Sottini, M. (2009). IT Financial Management. USA: Van Haren. Tyson, E. (2016). Investing For Dummies. John Wiley Sons.

Running Essays - RTT, Physical Exercise, Physical Fitness

Running In this study, I investigate the affects that running has on reducing the risk of some health problems. I am doing this because I run about 40 to 60 miles per week, and my family has a history of health problems. For instance, my grandfather suffered a heart attack, and he also had cancer when he was about the age of 50. Furthermore, my grandfather, on my dad's side of the family, has also had triple bi-pass heart surgery from a heart attack he has had recently. Here, I present information from some sources that talk about the affects that running has on reducing health risks. My sources agree that running, and some other aerobic exercises, reduce the risk of: Diabetes, diverticular disease, heart decease, several types of cancer, and even common sicknesses like a cold. One source agrees that running reduces the risk of diabetes. Jim Harmon writes, in Sports Illustrated, about Bruce Leonard, a marathoner with a masters degree in public health. Bruce Leonard went to study the Zuni Indian tribe. This tribe has had a bad history of diabetes until they started to run. Leonard said, After the Zuni tribe started running, ?many Zuni were able to reduce or eliminate their diabetes medication.?(5) My research also reveled that diverticular disease can be reduced in men that run. For instance, Marty Munson and Teresa Yeykal writes in the article ?Outrun trouble? which says, ?guys who racked up the most ours doing vigorous exercise reduced their risks of diverticular decease by a third.?(38) They also say ?it's good advice to make your lifestyle to consume high fiber.?(38) I found that running can also reduce the risk of heart disease. The article ?Run for your life? talks about Mitchell H. Whaley, the director of adult physical fitness program at Ball State University. He analyzed data collected from a group of men, which included runners. Mitchell Whaley found that ?individuals with low aerobic capacity have a higher risk of developing premature coronary artery decease that those who were more fit.?(47) The article also talks about Martha L. Slattery, Ph.D., from the University of Utah Medical School. Maria Slattery also found that running is a good preventive measure for heart disease. She says, ?The greatest increase in protection was between those men who were sedentary and those who had some activity.?(48) Another source I found says that running can help prevent many types of cancer. In the article ?Running for your life?, Doctor Leonard Cohen talks about how running helps reduce colon, breast, cervical, uterine, and ovarian cancer. Cohen says ?A growing body of evidence suggest that physical activity reduces the risk of cancer, particularly colon and breast cancer.?(23) Overall, my sources state that even though running isn't a cure, it is definitely a preventive measure for many health problems. They all agree that running can do no harm, and there are many positive aspects. After doing this research, I am going to continue running or at least some king of aerobic exercise, hoping that it will prevent me from following in my grandparents footsteps.