Wednesday, August 14, 2019

Case Study of Low Blood Pressure

Case Study of Low Blood Pressure Mr Jones has a BP of 90/60. Please name the appropriate health terminology in relation to his BP. Normal Range = Hypotension Low blood pressure is referred to as hypotension, especially in the arteries of the systemic circulation. Hypotension is generally considered systolic blood pressure less than 90 millimetres of mercury (mmHg) or diastolic less than 60 mmHg. A person’s blood pressure reading appears as two numbers. The first and higher of the two numbers is a measure of â€Å"systolic† pressure or the pressure in the person’s arteries when their heart beats and fills them with blood. The second number measures â€Å"diastolic† pressure or the pressure in the person’s arteries when their heart rests between beats. A desired blood pressure is less than 120/80. In people who are considered to be healthy, low blood pressure without experiencing any symptoms is commonly not a concern and does not need to be treated. Low blood pressure may be a sign of an underlying issue, particularly in the elderly, where it might cause inadequate blood flow to their heart, vital organs, and brain. Fortunately, chronic low blood pressure without symptoms is rarely serious. Health issues may happen, however, when a person’s blood pressure suddenly drops and their brain is deprived of an adequate blood and oxygen supply. The condition may lead to light-headedness or dizziness. A sudden drop in blood pressure usually happens in a person who has risen from a prone or sitting position to a standing one. When this occurs it is referred to as, ‘postural hypotension’ or ‘orthostatic hypotension’. Another type of low blood pressure may happen when a person stands for extended periods of time. This is referred to as, ‘neurally-mediated hypotension’. Postural hypotension is considered to be a failure of a person’s cardiovascular system or nervous system to react appropriately to sud den changes. Usually, when a person stands up, some of their blood pools in their lower extremities. If this remains uncorrected, it would cause the person’s blood pressure to fall or decrease. A person’s body usually compensates by sending messages to their heart to beat faster and to their blood vessels to constrict, offsetting the drop in blood pressure. If this does not happen, or does not happen quickly enough, postural hypotension is the result. Blood Pressure and Aging The risk of low and high blood pressure commonly increases as a person ages due in part to changes during the aging process. The flow of blood to a person’s heart muscle and brain declines as a person ages, many times as a result of plaque build-up in their blood vessels. While the causes of low blood pressure may not always be clear, it might be associated with things such as: Heart arrhythmias Heart failure Heat exhaustion or heat stroke Hormonal issues such as an under-acti ve thyroid, diabetes, or low blood sugar Liver disease Pregnancy Some over-the-counter drugs Some prescription medications Widening of the blood vessels Causes of Sudden Drops in Blood Pressure Sudden drops in a person’s blood pressure may be life-threatening. A number of different things may cause this type of hypotension. The causes of sudden drops in blood pressure may include: A reaction to alcohol or medication Anaphylaxis, a severe allergic reaction Heart muscle disease High body temperature Loss of blood Low body temperature Sepsis Severe dehydration from diarrhoea, vomiting, or fever People at Risk of Postural Hypotension Postural hypotension, or low blood pressure when a person stands up quickly, may happen to anyone for a number of reasons such as lack of food, dehydration, or simply being overly fatigued. It might also be influenced by a person’s genetic make-up, medication, aging, psychological factors, dietary ones, or acute triggers such as allergy or infection. Postural hypotension happens most often in people who are taking medications to control high blood pressure or, ‘hypertension’. It may also be related to strong emotions, pregnancy, diabetes, or hardening of a person’s arteries. Seniors are affected by postural hypotension in particular, especially seniors who experience high blood pressure or autonomic nervous system dysfunction. Hypotension after eating is a common cause of dizziness or even falls. It is most common after large meals containing a lot of carbohydrates. Medical science believes it is caused by blood pooling into a person’s vessels in their stomach and intestines. A number of medications are associated with postural hypotension as well. The medications may be divided into two major categories: Medications used to treat high blood pressure such as beta-blockers, diuretics, calcium-channel blockers, and angiotensin-converting enzyme (ACE) inhibitors Medications that have hypotension as a side effect such as anti-psychotics, neuroleptics, nitrates, anti-anxiety agents, tricyclic antidepressants, sedative-hypnotics, and medications for Parkinson’s disease Some causes of naturally occurring postural hypotension exist. For example, dehydration and electrolyte loss might result from vomiting, diarrhoea, excessive blood loss during menstruation, or other conditions. A person’s age associated decline in blood pressure regulation is another example and is something that might worsen due to certain health conditions or medications. Some diseases may cause postural hypotension as well. Diseases such as Shy-Drager syndrome or, ‘multiple system atrophy,’ nerve issues such as peripheral neuropathy or autonomic neuropathy, cardiovascular disorders, nutritional diseases, or alcoholism may cause postural hypotension. Blood Pressure Ranges Listed below are the ranges for Low ( Table 1 ) Normal ( T able 2 ) and High ( Table 3 ) blood pressure respectively. Systolic pressure (mm Hg) Diastolic pressure (mm Hg) Pressure Range 90 60 Borderline Low blood Pressure 60 40 Too Low Blood Pressure 50 33 Dangerously Low Blood Pressure Table 1 Low Blood Pressure Range Systolic pressure (mm Hg) Diastolic pressure (mm Hg) Pressure Range 130 85 High Normal Blood Pressure 120 80 Normal Blood Pressure 110 75 Low Normal Blood Pressure Table 2 Normal Blood Pressure Range If one or both numbers are usually high, you have high blood pressure (Hypertension). Systolic pressure (mm Hg) Diastolic pressure (mm Hg) Stages of High Blood Pressure 210 120 Stage 4 180 110 Stage 3 160 100 Stage 2 140 90 Sta ge 1 Table 3 High Blood Pressure Range Figure 1Visual representation of Systolic and Diastolic Ranges       Age Systolic BP Diastolic BP 3-6 116 76 7-10 122 78 11-13 126 82 14-16 136 86 17-19 120 85 20-24 120 79 25-29 121 80 30-34 122 81 35-39 123 82 40-44 125 83 45-49 127 84 50-54 129 85 55-59 131 86 60+ 134 87 The average Systolic and Diastolic blood pressure is affected by age, as shown in Age Males (mmHg) Females (mmHg) 1 – 3 80/34 – 120/75 83/38 – 117/76 4 to 6 88/47 – 128/84 88/50 – 122/83 7 – 10 92/53 à ¢â‚¬â€œ 130/90 93/55 – 129/88 Table 4 Average Systolic and Diastolic Ranges of Neonates and Infants Table 5 Average Systolic and Diastolic Ranges of Children and Adults

Tuesday, August 13, 2019

UNIT 5 DISCUSSION BOARD Essay Example | Topics and Well Written Essays - 500 words - 2

UNIT 5 DISCUSSION BOARD - Essay Example Other government funded interests such as education, military and infrastructure will suffer greatly as well. According to the Commerce Department, the yearly payment on this debt, the deficit, reached $725.8 billion. This represents a 17.5 percent increase from 2004 (Armstrong, 2006). These figures are well past most peoples’ comprehension. If, for example, a person were to spend a million dollars a day since the birth of Christ, they would have to continue the spending spree for 700 more years to have spent one trillion dollars. Multiply that amount by eight. That still does not equal the current national debt. Started in 1791, the national debt was, by those days’ standards, an incredible $75 million. Due to President Andrew Jackson’s prudent approach to government spending, the national debt was lowered to, again adjusted to today’s standards, a much lower level – $37 thousand (Suter, 2004). The Reagan/Bush administrations of the 1980’s ran the debt up by historic proportions. When President Clinton took office in 1993, the debt stood at $2.4 tr illion. The massive increase of debt was not used for infrastructure, education, public programs or even to finance a war. As a result of Reagan’s ‘trickle down’ economic theory, the money wound up in the pockets of the rich. In the early 1990’s, Congress adopted a ‘pay-as-you-go’ policy and federal spending cuts which resulted in budget surpluses for four consecutive years. Clinton announced that the nation could pay off the debt by the year 2013 if it stayed on the present course (Schoen, 2006). That optimistic predication has long since been forgotten. Since 2000, the debt has tripled. The ‘pay-as-you-go’ policy expired in 2002 allowing Congress to cut taxes, a politically advantageous move while also increasing spending (Schoen, 2006). The current President Bush administration cut the taxes of the rich while increasing military

Monday, August 12, 2019

Computing globalization Essay Example | Topics and Well Written Essays - 2000 words

Computing globalization - Essay Example The argument over globalization is vigorous, often fervent, and has from time to time been aggressive. The issues are decisively significant for the upcoming economic development and interests of all the individuals of the sphere. The proof robustly supports the ending that development requires a policy structure that outstandingly includes a point of reference towards combination into the global financial system. This puts obligations on three sets: those who are most accountable for the procedure of the global economy, mainly the administrations of the developed nations; those who decide the scholarly environment, which incorporates this spectators but also administration and non-government associations and persons; and the administrations of the developing nations who stand the major liability for economic strategy in their nations (Fischer, n.d., p.3). Globalization is a procedure which influences all economies to changeable levels and has had both off-putting and optimistic manipulations on economic development and employment, depending on the financial tendency of a given financial system, mainly in global trade, the set of macroeconomic strategies approved and how they are explained in the overall growth procedure and economic progression. The study is, thus, an endeavor to examine the general impact of globalization and macroeconomic strategies on service and scarcity (Heintz, 2006, p.iii). The study also talks about democratization which has been a main international occurrence during the 20th century (Potter, 1997, p.1). The study discusses the limitations that the sheer existence of systems of social demeanor or environmental principles will not unavoidably in itself develop social situations for the working populace or reduce ecological destruction (Eisenbl'tter, n.d, p.1). Brief Review of Literature: As stated by Cox (1997), the capital products vary in significant ways from the other type of keys acquired by producers. Their occupation, united with labor, is of palpable vital importance to the achievement of a producer's operations (Cox, 1997, p. 49). The kind of advantages and proximity between consumers and manufacturers that is said to make possible the technology attainment procedure, are most probable to be significant when the technology concerned is costly, multifaceted and rapidly mounting (Cox, 1997, p. 50). As assessed by Thai, Rahm and Coggburn (2007), world structure theory views globalization as a procedure through which private enterprise extends

Sunday, August 11, 2019

Is addiction a disease or not Essay Example | Topics and Well Written Essays - 1250 words

Is addiction a disease or not - Essay Example 1). Saah, on the other hand, provided the meaning of the term as â€Å"a personality disorder, (which) may also be seen as a worldwide epidemic with evolutionary genetic, physiological, and environmental influences controlling this behavior† (Saah: Introduction par. 1). The National Institute of Drug Abuse (NIDA) presented its meaning as â€Å"a chronic, relapsing brain disease that is characterized by compulsive drug seeking and use, despite harmful consequences† (NIDA par. 1). These definitions have disparities in terms of identifying addiction as a state of dependence, which is a behavioral or personality condition; as contrasted to it being identified as a disease of the brain. The aim of the current discourse is to determine whether addiction is a disease or just an extreme form of learning. Background and Review of Literature The history of having diagnosed addiction as an abnormal condition was noted to have originated from the 1800s where doctors allegedly worke d with patients, identified to have been diagnosed with alcoholism and drug addiction, as confined in private sanitariums (Origins Recovery Centers). Only in 1934 was it disclosed that a particular doctor, Dr. William D. Silkworth, had apparently revolutionized finding appropriate and effective treatment for addiction through the establishment and close link of working and being supported by a group of committed individuals. As noted, â€Å"it was the doctor’s belief that an addict has both mental and physical abnormalities† (Origins Recovery Centers par. 5). At this stage, addiction has already been identified complex in terms of containing mental, as well as physical abnormalities; components which were separately identified in definitions noted above. From the study written by Sussman and Sussman, the authors explored the various definitions of addiction. Accordingly, the authors included â€Å"elements of addiction derived from a literature search that uncovered 5 2 studies include: (a) engagement in the behavior to achieve appetitive effects, (b) preoccupation with the behavior, (c) temporary satiation, (d) loss of control, and (e) suffering negative consequences† (Sussman and Sussman 4025). The authors have likewise uncovered the date of origin of examining addiction cases to the 1700s from the study written by Meyer entitled â€Å"The disease called addiction: Emerging evidence in a 200-year debate† (Sussman and Sussman 4036). On the contrary, addiction was emphasized that it was not at all a disease but instead, an extreme form of learning. Lewis contended that other emotions, such as love, also alter the brain; yet, not called a disease. He argued that â€Å"physical changes in the brain are its only way to learn, to remember, and to develop. But we wouldn’t want to call learning a disease† (Lewis par. 9). To this, he aptly concluded that â€Å"addiction (whether to drugs, food, gambling, or whatever) doesnâ⠂¬â„¢t fit a specific physiological category. Rather, I see addiction as an extreme form of normality, if one can say such a thing. Perhaps more precisely: an extreme form of learning. No doubt addiction is a frightening, often horrible, state to endure, whether in oneself or in one’s loved ones. But that doesn’t make it a disease† (Lewis par. 11). Analysis of the Definition of Addiction and Confirmation From the definitions that were provided, one affirmed that these

Saturday, August 10, 2019

Real chocolate company Essay Example | Topics and Well Written Essays - 2750 words

Real chocolate company - Essay Example The company sells its products through retail stores both company owned and franchised. It produces wide variety of chocolates (that caters to the different tastes of the customers) at the company owned factory and delivers the same, to stores in a cost effective manner. The products such as fudges and caramel apples are made within the store in order to maintain the freshness. The convenience and the suitable tastes of the products are directly correlated with the number of foot-falls in the stores and overall sales. The key stakeholders of the company include all franchisees, employees, company owners and customers. With the company deriving a 72 percent of revenues by selling the products to franchisees, the satisfaction of the franchisees stands crucial for the company in order to keep the sales growth intact in future years. Also, keeping abreast of the changing consumer preferences is becoming a must. While the company sales growth and financials appear sound, many smaller and similar sized companies having variety of product offerings, fast changing consumer eating habits with rising income levels, aggressive marketing strategies of market leaders, maturing and fragmented nature of the industry is posing challenges for the company to maintain its current growth. This report evaluates the various external and internal factors related to the company’s business, and presents a strategic solution for the current problem faced by the company. The analysis of the five competitive forces (suggested by Michael porter), viz. threat of new entrants, threat of substitution, bargaining power of buyers, bargaining power of suppliers, and rivalry among the existing companies, better explains the nature of confectionery industry and provides the basic road map to develop a competitive strategy for The Real Chocolate Company (Porter, 1998). The factors like, lack of

Friday, August 9, 2019

Apitalism, globalization and fundamentalism Essay

Apitalism, globalization and fundamentalism - Essay Example Weber explains different aspects of capitalism. He discussed how capitalists helped in the economic development of America and how the spirit of capitalism fought its supremacy against a whole world of hostile forces. Globalization is termed as a worldwide integration of humanity and the compression of both temporal and spatial dimensions of planet wide human interaction. The whole world is changing very fast and every country is in the road of development. Modernization is the present trend and globalization is a part of it. Globalization narrowed the gap between different cultures and cultural pluralism is gaining more importance. Because of globalization intercultural education is increasing. The best example is number of students from different parts of the world are coming to US to pursue their higher studies. Multiculturalism became possible due to globalization. We can see different cultures existing in one roof in US. Internet, which became popular at the end of the 20th century helped in narrowing the gap between different parts of the world. Now information is being shared at the speed of light. With the help of Internet the whole world became global village. Internet has opened the gates for globalization. It created many possibilities for human interaction and business transaction. Capitalism is defined as economic an... Capitalism is defined as economic and social system in which means of production are privately owned. Individuals, companies or corporations make investments and share profits or losses. Capitalists help in the improvement of a country's economy. He/she is the persons who ventures in the investment area. Because of the efforts of capitalists the US economy has vastly improved. Religion is one the important factors of a society. There are many religions that exist in the present world. Every religion preaches to believe and keep faith in god. It preaches deism. Fundamentalism has become a thorn in every religion. It is slowly taking the form extremism. Fundamentalism is the belief in absolute religious authority and the demand that this religious authority be legally enforced.Religious Fundamentalism exists in Christians, Jewish, Muslims, Hindus, etc. This way of making the people to follow a religion is creating more problems. The Jews were never allowed to use things that were offered to other religious gods and it's a big sin and severely punishable if any does use. In Muslim dominated countries the existence of fundamentalism and extremism could be easily seen. Most of the Islamic nations follow Shariat law and in any way a person breaks this law is strictly punished. According to this law no one is above the god and religion. Women should not come out of their houses. They always should remain indoors. They should not show their face or any other part to other men except to her husband and family members. She should always be in veil. A man can marry any number of times and women should marry only once in their lifetime. Women in western countries are more liberal

Strategic Management (H) Essay Example | Topics and Well Written Essays - 1500 words

Strategic Management (H) - Essay Example A market analysis of various players in the industry has also been carried out. The global automobile industry is one of the leading industries in the world today. This industry has its roots in Europe and the USA where it started in the late second half of the 19th century. It started expanding to the rest of the world in the early 20th century. The global automobile car manufacturing industry deals with the assembly of passenger cars, Sports Utility Vehicles, vans and some light duty motor vehicles (Sturgeon, Biesebroeck and Gereffi, 2008). The world-wide car manufacturing industry is run mostly by large multi-national corporations that also engage in the production of other types of automobiles and automotive parts. The industry market has an oligopolistic structure, which is controlled by the big market players in the industry. The best investment in this industry can be done in an untapped market since getting into established markets is quit hard (PWC, 2009). At present, the critical success factors include: quality, image, cost control, meeting energy standards. A lot of attention is being paid to the quality of the different brands of cars being manufactured for specific markets. Competition arising from a high level of mergers in the industry is pushing manufacturers to enhance their image through production of quality cars. Cost control is also a major critical success factor as manufacturers look for ways to counter financial constraints caused by the global economic crisis. Many of these companies have developed cost-effective production of high quality cars. The high cost of fuel and other environmental factors have also led to manufacturers producing cars that meet the highest standards as pertaining to energy consumption (Ralf, 2001). The future critical success factors are likely to be pegged on the manufacturers’ image through brand management. Aspects of image such as design, service strategies, brand experience as well