Pressure Ulcers As An Area Of Skin And The Tissues

â€Å"Pressure ulcers are caused when an area of skin and the tissues below are damaged as a result of being placed under pressure sufficient to impair its blood supply.† as defined by the National Institute for Health and Care Excellence (as cited in Payne, 2016, p. 12). I had never really known much about pressure ulcers before nursing. The frequency to which pressure ulcers can occur, and the level of severity they can develop was shocking to me. This is the main reason this topic interested me. The article â€Å"Strategies to support prevention, identification and management of pressure ulcers in the community† by Drew Payne, focuses on community nursing and provides information on how to identify patients at risk, on pressure ulcer†¦show more content†¦These factors include, but are not limited to: patients with prior pressure ulcer history, patients with reduced mobility, patients using wrong clinical equipment, patients with improper furniture, or patie nts living environments. Since community nurses are not with their patients all day, they must consider all risks that could arise throughout the patient’s day. It is important to gather this information in making individually tailored pressure ulcer prevention strategies. Some important areas to consider when creating the prevention measures are: encouraging movement, repositioning, nutrition (underweight patients are more at risk for pressure ulcers), and all external factors that may increase risk such as clinical equipment or even clothing. However, for the patient to truly involve themselves in preventing pressure ulcers, they must receive proper patient education. They must understand what pressure ulcers are, why they should be prevented, and exactly how to prevent them. It is also important to have the family or any other caregivers involved, by giving them all the same information and having them fully engaged with the prevention strategies. Other health care profess ionals involved in the patient’s life, like nutritionists or physiotherapists, should be adequately informed about pressure ulcers to minimize any risks. It is also important to assess the correct equipmentShow MoreRelatedSymptoms And Treatment Of A Pressure Ulcer1552 Words   |  7 PagesA pressure ulcer is defined as â€Å"a localized injury to the skin and/or underlying tissue, usually over a bony prominence, as a result of pressure, or pressure in combination with shear,† according to the National Pressure Ulcer Advisory Panel, abbreviated NPAUP (2007). NPUAP (2007) redefined the definition and classification of a pressure ulcer in 2007. As a result of the modification, stages I-IV, the four original stages, underwent alterations to their existing classifications and definitions. InRead MoreDecubitus Ulcers Essay example638 Words   |  3 Pagesof ongoing abuse and neglect include decubitus ulcers also known as bed sores. These types of sores are created when ex cessive pressure is applied to a certain area. They can range from a mild pink coloration of the skin, which disappears in a few hours after pressure is relieved from the area, to a very deep wound extending to and sometimes through a bone into internal organs. Although these are some of the first signs of nursing home abuse, skin burns are another sign of abuse. A burn is aRead MoreNursing Education is Necessary in the Prevention of Pressure Ulcers1349 Words   |  6 Pagespatient. Pressure ulcers have become a main issue in healthcare in an attempt to lower cost as well as prevent further morbidities and complications for the patient. According to the National Institute of Health (NIH) a pressure ulcer is defined as an area of skin that breaks down when something keeps rubbing or pressing against the skin. An increase in immobile and elderly patients has increased the risk for the development of pressure ulcers. The education and prevention of pressure ulcers shouldRead MoreEs say on Unit 229 Workbook Pressure Sores928 Words   |  4 PagesUnit 4222-229 Undertake agreed pressure area care Unit 4222-229 Undertake agreed pressure area care Outcome 1 Understand the anatomy and physiology of the skin in relation to pressure area care The learner can: 1. describe the anatomy and physiology of the skin in relation to skin breakdown and the development of pressure sores Skin is the largest organ of the body, covering and protecting the entire surface of the body. The total surface area of skin is around 3000 sq inches or roughlyRead MoreRoper-Logan-Tierney Care Plan1646 Words   |  7 PagesA pressure ulcers is ‘ a localised area of cellular damage resulting from direct pressure on the skin causing ischawmia, or from shearing or friction forces causing mechanical stress on the tissues’ (Chapman and Chapman 1981). Common places for pressure ulcers to occur are over bony prominences, such as the sacral area, heels, hip, and elbow. (NICE 2005) Initially to maintain confidentiality the patient will be referred to as Mr Brown. Mr Brown has given permission for his nursing notes andRead MorePressure Ulcers And The Long Term Care1092 Words   |  5 PagesPressure ulcers that occur in the long term care setting are increasing in the number of incidences each year in the United States. Consequences and complications of pressure ulcer development include pain, sepsis, cellulitis, bone, and joint infections. Pressure ulcers are also associated with an increased morbidity and mortality rate, negative emotional and physical effects on patients and caregivers, and are the second leading cause of litigation in long term care facilities. The cost of treatmentRead MoreAnalysis Of The Shear And Frictional Properties Of 5 Sacral Dressings1721 Words   |  7 Pagesdevelopment of sacral pressure ulcers is a serious and common occurrence during long term wound care. They are costly and debilitating chronic wounds [1], and ultimately inh ibit the quality of life and level of treatment experienced by the patient at a health care center. In order to effectively prevent and treat pressure ulcers, it is important to understand the circumstances in which they occur and how specific factors may significantly increase the risk of developing a pressure ulcer. One of the largestRead MorePromoting Healthy Aging : The Role Of The Nurse1287 Words   |  6 Pageswithin institutions, are pressure ulcers. A pressure ulcer is defined as a localized injury to the skin or underlying tissue that occurs when something keeps rubbing or pressing against the skin. Pressure on the skin causes a decrease of blood flow to that area and as a result, an ulcer may form because of the skin dying due to the lack of blood in that region. They generally occur over bony prominences such as, the buttock, elbow, hip, heel, back of the head and ankles. An ulcer has a greater chanceRead MoreNvq3 Unit 4222 Essays1007 Words   |  5 PagesUndertake agre ed pressure area care Outcome 1: Understand the anatomy and physiology of the skin in relation to pressure area care 1. Pressure ulcers, also known as bed sores or pressure sores are injuries of the skin and underlying tissue. They appear when the affected area of skin is under too much pressure. Due to the pressure the blood flow is disrupted, the area does not irrigate, therefore nutrients and oxygen do not reach the skin cells. The skin then breaks and pressure ulcers form Read MoreImproving Patient Outcomes And Promote Higher Hospital Satisfaction1677 Words   |  7 Pagesfound in the medical field that, in turn, cause the lack of reimbursement to a hospital. Through thorough research and evidence based practice, hospitals are able to follow guidelines to prevent issues such as: patient falls, hospital acquired pressure ulcers, catheter associated urinary tract infections, ventilator-associated pneumonia, and many more. As prevention for multiple poor patient outcomes, quality improvement studies can be implemented to promote the wellbeing of the patient during the

Financial Ratio Analysis Victoria s Secret - 1706 Words

Financial Ratio Analysis In review of Victoria’s Secret’s financial ratios, it can be concluded that they are capable of fulfilling consumer demands and maintain financial stability. Liquidity Measures ratios advocates that Victoria’s Secret is also capable of sufficiently paying for its liabilities as well as invest assets in a tactical way. Net Working Capital to Total Assets show that Victoria’s Secret is able to turn assets and cover their short term liabilities efficiently. Fixed Asset Turnover for Victoria Secret indicates that they know how to use their fixed assets effectively towards its sales revenues. They have the capability to generate $4 to $5 of sales for every $1 that is invested into the fixed assets. Debt/ leverage†¦show more content†¦Furthermore, market segmentation is an extension of market research for the purposes of identifying targeted groups of consumers in order to tailor products and branding in a way that it is attrac tive to that group. There are three general criteria used to identify different market segments: homogeneity, distinction and reaction (Investopedia, n.d). Victoria’s Secret have focused on important segmentations such as women from the ages of 18-34 yrs. who are looking to feel confident and sexy and men who shop for their wife or girlfriend in hopes to promote confidence and fun fantasy as the market segments for lingerie and undergarments would be the best to effectively target the ideal consumer for this product. Noting that the average age of consumers is between the ages of 18 – 34 yrs. among middle class women. Industry information gathered also revealed that 61% of consumers are female and 39% are male who generate 46% of sales in bras and 22% in panties. Financial Analysis 8 Segments that are vital to Victoria’s Secret success are the VS stores and direct sales which includes the online Victoria’s Secret website. Research found on Victoria’s Secret net sales worldwide in both segments from 2011 to 2015 shows steady growth over time with both global net sales and direct segment totaling nearly $1.5 billion in US dollars. The Statistics PortalShow MoreRelatedFinal Analysis of Victoria Secret1755 Words   |  8 PagesFinancial Analysis of Victoria Secret 7 Final Analysis of Victoria Secret Karissa Keller Colorado Technical University Financial Statement Analysis Professor Alan Fowler September 18, 2014 INITIAL ASSESSMENT INCOME STATEMENT ANALYSIS Victoria Secret appears to be a profitable company. Victoria Secret is part of L Brands whose operating income was at $ 211 million, up by $24 million from the last quarter. 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Global Crisis, Recession Uneven Recovery Free Essays

string(65) " architecture comprising of the World Bank, the IMF and the WTO\." Global Crisis, Recession and Uneven Recovery by Y. V. Reddy Book Review by Nidhi Choudhari There is enough on this earth to meet the needs of all, but not the greed of all. We will write a custom essay sample on Global Crisis, Recession Uneven Recovery or any similar topic only for you Order Now Mahatma Gandhi Why I picked up Y. V. Reddy’s Book There have been a large number of books published on current global financial crisis therefore; selection of this particular book on the subject requires some reasoning. First, there are not many books written by central bankers on the topic. Central banks have been central in the management of the crisis and therefore, Dr Reddy’s book provides a central banker’s assessment of the crisis and its impact. Second, on personal level, I have worked in RBI between September 2006 and December 2011 and was witness to the measures taken by Reserve Bank before and during the crisis under the able leadership of Dr Y. V. Reddy, the Governor, Reserve Bank of India (2003-2008). Having worked under his visionary leadership, I opted to take his book, â€Å"Global Crisis, Recession and Uneven Recovery† for review. Third, Dr Reddy led the course of financial pragmatism in times of relentless deregulation and ensured that Indian financial system does not fall into the blind race to bottom in regulation. Finally, having read Dr Reddy’s previous book on the topic viz. â€Å"India and the Global Financial Crisis: Managing Money and Finance†, I was very keen on reading its sequel viz. â€Å"Global Crisis, Recession and Uneven Recovery†. For all these reasons, I selected this book and am thankful to Madam Nidhi Sharma for approving this book for review. The reviewed book is a collection of 27 speeches (given in the form of 27 chapters in 5 parts), Dr Reddy delivered at different points of time during and after the crisis. These chapters give a deeper insight into the actions taken by the RBI to mitigate the impact of the crisis in India and how India remained largely unaffected due to adequate regulatory mechanisms. Dr Reddy has also been a member of the Commission of Experts of The President of the UN General Assembly on Reforms of The International Monetary and Financial System popularly known as Stiglitz Commission after its chairman Joseph Stiglitz. He has given several references about the recommendations of this UN Commission in the book. The 19th Chapter in the book is about the UN Commission recommendations about global crisis. Hence, the reader of the book gets an understanding of the global thinking on the crisis and its after effects. What’s there in the Book Economists have compared the current global financial crisis to that of the Great Recession of 1930s. The current crisis has in fact, affected all countries across the world in different degrees and that way, it was truly a global recession. Today, the crisis is over however the recovery has started at different paces in different places. Dr Reddy is of the view that the recovery from the global crisis is going to be prolonged and uneven. The book â€Å"Global Crisis, Recession and Uneven Recovery† provides an experienced policymaker’s understanding of the genesis, progression and impact of the financial crisis, and of the lessons it offered. It is written at a time when Indian economy is facing several challenges in terms of slowdown in growth rate, inflation, ballooning fiscal and current account deficit etc. The book contains Dr Reddy’s perspective and analysis of the crisis, recession and recovery in a simple, lucid and non-technical manner which appeals the reader. There are five sections in the book containing 27 chapters in all. The five sections relate to the global financial crisis and its aftermath, financial sector: retrospect and prospects, public policy: challenges and responses, global financial architecture: the debates and India: performance and prospects respectively. The first section of the book gives a lucid account of the financial crisis and its consequences in six chapters. In the first chapter, Dr Reddy talks about the role played by central banks before, during and after the crisis. He writes that the accountability in regard to management of the crisis of the crisis will have to be shared between the central bank, the Ministry of Finance and, to some extent, the government as a whole. The author writes about the consequences of the crisis viz. rebalancing of power between the regulator and the regulated, shift in balance of in favour of Asia, rise of G-20 on the global platform and a cautious approach towards self-correcting efficiency of markets etc. Explanations with regard to the causes of the global financial crisis and an overview of the prolonged extensive excesses that acted synchronically to cause the global crisis are discussed in detail. The second section of the book focuses on the future of the financial sector with some cautious remarks about uncertain recovery and prospects for the futures. The author highlights the role of financial regulation in developing countries. Dr Reddy writes that â€Å"the causes and crossborder transmission of the crisis may differ significantly between the advanced as well as between the developing economies. There is a detailed chapter on countercyclical policies adopted by the RBI in the financial sector and also on the proposals for financial sector regulatory reforms from the perspective of developing countries. He discusses the future of globalisation of finance and the global regulation of the financial sector. The last chapter of this section provides a broad framework for global financial regulation. The third section deals with the public policy challenges and responses that emerged during the current global crisis. He has discussed the feasibility of Tobin Tax and Financial Sector Taxation in light of current crisis. Dr Reddy has also thrown light on the developmental dimension of the financial sector, fiscal implications of the global crisis and macroeconomic frameworks that are emerging for ensuring overall global financial stability. The forth section raises a very important concern of modern times i. e. reform of global financial architecture comprising of the World Bank, the IMF and the WTO. You read "Global Crisis, Recession Uneven Recovery" in category "Papers" In this section, Dr Reddy has discussed the recommendations of the UN Commission on the global crisis. He has also analysed the G-20 framework and its future prospects. Finally the book focuses on India’s performance and prospects; India’s experience in regulating the financial sector; and the need for reform in India’s financial sector. The author also compares Indian situation with that of Asia and the global economy in terms of resilience and recovery after the crisis. The last chapter in concluding section draws attention to the exit strategies being considered at the global as well as national level by the authorities to revert back to normality. Take Away from the Book As the book is entitled â€Å"Global Crisis, Recession and Uneven Recovery†, the biggest take away after reading of the book would be a clear and better understanding of these three terms viz. (1) Global Crisis, (2) Recession and (3) Uneven Recovery. I personally would like to share my understanding of these three aspects in greater detail with the help of excerpts from the book in the following points: Global Crisis: Reasons, Consequences and Lessons Learnt Several reasons have been cited for the recent crisis viz. ailure of state, market, governance, intellect and morality. Dr Reddy writes, â€Å"The current global crisis originated in multiple causes that reinforced each other. Extensive excesses on several fronts, which occurred in a synchronised fashion, precipitated the crisis. These excesses were observed in liquidity, macroeconomic imbalances, focus on inflation, inequalities, financialisation, leverage, risk-taking, deregulation, financial inn ovation, networking, greed, globalisation and concentration. 1 While discussing the moral aspect of global crisis, Dr Reddy writes, â€Å"†¦ the large sections of society favoured individualism, narrowly emphasising value for money as consumers and returns on money as investors over other aspects of social behaviour, such as being good citizen or extending corporate loyalty to the institution. †2 Dr Reddy discusses the race to bottom in regulation of financial sector as one of the most crucial reason for the global financial crisis. He writes, â€Å"†¦the excesses in financial sector occurred under a benign public policy that believed the costs of regulation to be greater than its benefits†¦ Even the existing regulation was stymied by excessive innovations in finance that aimed to avoid the prescribed regulatory capital, and injected complexity to undermine the rules of transparency prescribed by regulators. †3 As far as consequences of the crisis are concerned, Dr Reddy is of the view that the current crisis will result in rebalancing of ideological, institutional and operational functioning of states and 1 2 Page 46, Chapter 3 Page 43, Chapter 2 3 Page 59, Chapter 4 markets. He writes, â€Å"â€Å"In recent years, there has been an almost irrefutable presumption in favour of markets and this may be replaced with a refutable presumption in favour of the markets. †4 As a result of the crisis, the irrefutable support for unfettered markets stands discredited and so also the belief that the growth of the financial sector leads to economic development. Also, the crisis has added to the objectives of central banks an additional responsibility i. e. inancial stability. The RBI has also taken it to its objectives alongwith growth and price stability. The author calls for redefining the core banking and recommends treatment of commercial banking as a public utility. He writes, â€Å"†¦universal banking will be de-emphasised and narrow banking, in the sense of banks concentrating on core commercial banking or deposits and lending will be emphasised†¦ In brief, commercial banking is likely to be closer to a public utility than before, and hence subject to regulations akin to public utilities. 5 He further stresses, â€Å"It should be recognised that there will be no banks if there are no depositors. †6 As regards lessons from the crisis, Dr Reddy suggests that â€Å"†¦improving transparency and regulatory oversight of hedge funds, credit rating agencies and over-the-counter (OTC) derivatives should become a priority in the light of the experience from the crisis. †7 Interestingly, the author suggests in the light of observations of the Warwick Commission Report that the scope for and desirability of an ‘unlevelled’ playing field as an instrument of financial sector regulation ought to be explored. As a thinker and an oracle who sees the future of financial sector with great precision, he writes, â€Å"†¦the crisis is global; actions are national; benefits could be selective or universal; but burdens in the future may ha ve to be largely borne by the masses who bear no responsibility for the crisis, and those who did not benefit materially from the events that led the crisis. †9 Recession In Chapter 6, the author discusses the Great Recession of 2009 in detail and thereafter as per the demand of the subject. He clarifies the concepts of depression, recession and slowdown. A slowdown is a clear fall in the growth of an economy. It is usually a short-term phenomenon lasting say a quarter or a year. The author defines slowdown as a drop in the growth rate by one percentage point. To him, recession refers to a sustained decline in the overall economic activity for a period of more than one year. Depression lasts longer than recession and refers to a longer and larger decline in business activity, mainly reflected in huge drop in output and unemployment. 4 5 Page 28, Chapter 1 Page 78, Chapter 5 6 Page 217, Chapter 14 7 Page 172, Chapter 12 8 Page 157, Chapter 10 9 Page 63, Chapter 4 Uneven Recovery If the Great Recession was uneven, so is the recovery. 10 Dr Reddy discusses several responses to the crisis at different points in several chapters. He writes in Chapter 4, â€Å"Initially, the response of monetary authorities, followed by fiscal measures, was confined to the US, UK, Switzerland, other European countries, and Japan, but it was soon realised that it was necessary to involve other countries as well in globally coordinated actions. The author has discussed five possible patterns that could be followed by the countries in their course of recovery. The highly resilient economies may observe rapid recovery from the crisis while less resilient economies would require a longer time to adjust to the new realities and ensure real recovery. Some economies may suffer from double dip recession before complete recovery while some other c ountries may prefer taking structural measures over a prolonged period thereby opting for a slow but positive recovery after recession. Some countries may register a low level of economic activity for a prolonged period and therefore suffer from recession for a much longer period than the rest of the world. Critique of the Book I consider myself too small to write a critique of the book written by Y. V. Reddy; however, as a reader of global crisis literature I have observed a few points which I will share with the readers of this book review. This book being written by a Central Banker is largely concerned with central bank’s role in dealing with such crisis and redefining of the role of central banks in the wake of need for financial stability. In this pursuit, the role of government in dealing with such crisis has been ignored to some extent. Similarly, the book was published in the year 2011 when a number of countries in Europe were facing sovereign debt crisis however, only a passing reference is made to such an important global event which has pushed many countries in double dip recession. Apart from this, the book is worth reading by all economics lovers and also all policy makers as it gives a deeper insight into the global crisis, recession and recovery. To sum up, I would prefer to quote Sir Howard Davies, Director London School of Economics who applauds the book in the following words, â€Å"Dr Reddy’s (book) fills an important gap†¦ He has lived at the heart of financial system and understands its strengths and weaknesses†¦ His analysis of the problems of the global financial architecture is particularly acute. † 10 Page 93, Chapter 6 How to cite Global Crisis, Recession Uneven Recovery, Papers

Women in Architecture free essay sample

A look at womens position in this industry. This paper presents a detailed examination of women in the field of architecture. The writer uses history and current events to depict the trends of females in architecture and looks at various aspects including promotion, acceptance and growth for women in the field. From the paper: A young woman is interested in architecture. She has heard things about architecture that makes it seem like it is a perfect career for her. But others say, Women are too pretty. They just cant grasp the bigger picture. Theyre fine for other professions, but not for architecture This has been the attitude among males in the profession for the past thirty years. The overwhelmingly male profession was and is still not making women feel wanted, welcome, or even competent. If men have the qualifications of which architects are made, then women have it too. We will write a custom essay sample on Women in Architecture or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page There are many fine male architects, but there are also some mediocre ones. Women have the right and now have the opportunities to get the education, and succeed in this profession.