Evidence Based Practice For Treating Hypertension

Evidence-Based Practice for Treating Hypertension Madison Barber, Heather Flowers, Mary Evelyn Lott, and Cynthia Potts Auburn University Abstract Modern medical advancements have significantly decreased the prevalence and severity of infectious disease as well as the treatment of acute, traumatic conditions. Pharmacological research has also gained insight into the management of chronic disease. Still, there is an epidemic of chronic, treatable diseases like stroke, heart disease, and kidney disease. Hypertension proves to be the underlying factor associated with these diseases. Hypertension is often referred to as the silent killer because of its indication in deadly disease, and the importance of monitoring ones blood pressure is vital. Lifestyle, diet, and genetic predisposition are all factors of high blood pressure. Chronic high blood pressure above safe levels, known as hypertension, puts elevated physical stress on the renal and cardiovascular systems. By controlling this factor in patients, healthcare providers can decrease cardiovascular events, improve health outcomes, and decrease overall mortality. Patient educatio n is often overlooked in its role in the control and prevention of high blood pressure. This paper analyzes the causes and physiology behind high blood pressure as they relate to the current nursing interventions. The role of nurses is discussed in relation to patient education regarding high blood pressure, and educational approaches are analyzed.Show MoreRelatedComparison of Hypertension Treatment in the US and Egypt1556 Words   |  6 Pagesï » ¿Hypertension in the U.S. and Egypt Abstract: This writing assignment revolves around the importance of better understanding hypertension so that it can more effectively be treated. 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Introduction Alcohol abuse has becomeRead MoreThe Gap Analysis Of Hypertensive Heart Disease1271 Words   |  6 PagesAccording to a recent Centers for Disease Control and Prevention (CDC) (2016) report, one out of three Americans suffers hypertension (HTN), and that accounts for 75 million or 29% of the adult population in the United States (U.S). All told, hypertension costs America 48.6 billion dollars in health care expenditures, medications, and missed days of work among the American population (CDC, 2016). According to the Texas Health Data (2013), death rate among 26,448,193 residents of Texas, 170.1 deathsRead MoreHypertension In Nursing1340 Words   |  6 Pagescurrent evidence based practices for treating and managing hypertension in comparison with the practice of health promotion and maintenance NCSBN category while addressing a clinical issue of hypertension and also suggesting a solution to the problem. Current evidenced-based practice guidelines for treatment of hypertension was created by a panel of the Eighth Joint National Committee (JNC 8), whom reviewed peer-reviewed research and current practice to create guidelines. A hypertension managementRead MoreHypertension And High Blood Pressure1703 Words   |  7 PagesHypertension Hypertension is referred to as high blood pressure. Hypertension is frequently asymptomatic in the early stages, and the initial signs are often vague and nonspecific. They include fatigue, malaise, and sometimes morning headache. Consistently elevated blood pressure under various conditions is the key sign of hypertension. Because of the insidious onset and mild signs, hypertension is often undiagnosed until complications arise and has been called the â€Å"silent killer.† The complicationsRead MoreMy Clinical Placement For The University Hospital s Internal Medicine Essay1469 Words   |  6 Pagespaper is to explore practice setting of the internal medicine and role of my preceptor. Practice Setting The Internal Medicine providers offer comprehensive diagnostic and primary care services to general population. The providers are involved in treating complex medical problems, the diagnosis and treatment of both acute and chronic illnesses, gynecological care, urgent care, and minor surgery. The staff members, demographics of patient population, payers system, and practice policies of the InternalRead MorePotential Health Risks from Inappropriate Prescription of ACE Inhibitors1186 Words   |  5 Pagesaround the sixth decade.1 One of the most common primary diagnoses in the United States is hypertension.2 The current recommended diagnosis for hypertension is a systolic blood pressure above 140 mmHg or diastolic blood pressure above 90 mmHg.2 Using these guidelines, the overall prevalence of hypertension worldwide is around 20-25%.1 The use of angiotensin-converting enzyme inhibitors (ACEI) in treating cardiac related diseases has been increasing.1 Randomized trials support that ACEI and angiotensinRead MoreOrgan Allocation Case Study : Correctional Healthcare1147 Words   |  5 PagesViral cardiomyopathy is an infection that causes acute inflammation of the heart muscle (Merck, 2017). Mr. Rodriquez’s health history is limited to hypertension. The second candidate, Mr. Smith, is an uninsured 59-year-old on disability who has severe ischemic cardiomyopathy (causing systemic failure). His other medical history includes hypertension, renal insufficiency, alcohol abuse, and coronary artery disease that caused two previous myocardial infarctions. A person’s age and their lifestyleRead MoreOrgan Donation Case Study Essay967 Words   |  4 PagesViral cardiomyopathy is an infection that causes acute inflammation of the heart muscle (Merck, 2017). Mr. Rodriquez’s health history is limited to hypertension. The second candidate, Mr. Smith, is an uninsured 59-year-old on disability who has severe ischemic cardiomyopathy (causing systemic failure). His other medical history includes hypertension, renal insufficiency, alcohol abuse, and coronary artery disease that caused two previous myocardial infarctions. A person’s age and their lifestyle

Walmart Management - 1714 Words

Management Paper on Walmart Wal-Mart Stores: Managing Diverse Organizations By Angela L. Farrish Webster University Ms. Amy Thenor December 2011 Wal-Mart In 1970, Sam Walton the founder of Wal-Mart implemented an extremely significant warehouse distribution system. This new system evolved into Wal-Mart Stores Inc. and in that same year the company was publicly traded on the New York Stock Exchange. The company began to expand extremely rapidly throughout the 70’s. During this period Wal-Mart started incorporating pharmacies and auto service centers into its stores which incited even more growth. By 1979, there were 276 Wal-Mart stores in 11 states. During the early 1980’s Wal-Mart’s†¦show more content†¦This motivational strategy allows employees to benefit from their performance which will in turn make the company’s overall performance better. Home office management associates are eligible to receive additional compensation through stock options. Associates can become shareholders through the Associate Stock Ownership Plan. Wal-Mart also contributes 15% each year toward associate sto ck purchases. This contribution is capped at $1,800 each year. Since the typical Wal-Mart employee only makes between $6 and $7.50 per hour, most are unable to afford the stock options and only one in fifty associates participate in the program. Wal-Mart associates also receive 10% off selected store merchandise and are offered discounted child care through four national providers (Peterson Coleman). These benefits help Wal-Mart keep its best and brightest employees. Diversity Challenges Problems in businesses conducted across cultures often arise when individuals from one culture are not able to understand culturally determined differences. The most common difference is the language barrier if individuals are not fluent in the language. With individuals, who don’t speak the same language, the use of nonverbal cues can explain what is trying to be communicated. Nonverbal cues and behaviors vary from one culture to another. For example, people from the U.S. are taught to use direct eye contact when communicating; in manyShow MoreRelatedWalmart Organizational Management3452 Words   |  14 PagesWalmart Organizational Management Name Institution Affiliation Organizational Context Wal-Mart Stores Inc. or Walmart is a multinational retail organization that has numerous chains of large discount warehouse and general stores. The company was formed in 1962 by Sam Walton as a family-owned business. It was incorporated in 1969 and traded on the Stock Exchange of New York publicly in 1972. Since then this organization has grown strength to strength winning various accolades. In 1988, itRead MoreWalmart s History And Management2059 Words   |  9 PagesWalmart’s History and Management Walmart is an American multinational retail corporation that operates a chain of hypermarkets, discount department stores and grocery stores. Wal-Mart controls over 11,500 stores in 28 countries around the world. It was founded in 1962 by Sam Walton. Walmart’s CEO is Doug McMillon and the Chairperson of Board of Directors is Greg Penner. Walmart as we know it today evolved from Sam Walton’s goals for great value and great customer service. He believed in leadershipRead MoreWalmart : Supply Chain Management1334 Words   |  6 Pageschain management is Walmart. In 1962, the first Walmart was open, so was Target and Kmart. Sam Walton was the founder of Walmart. Mr. Walton was known for his ways of being cheap in business and in his personal life. Walmart was mainly a success because of Mr. Walton’s wanted to keep costs low and then use the cost advantage to lower down prices even more than they were. After he did this he could then turn around and increase his volume in a product. It went round and round and now, Walmart standsRead MoreOperations Management Analysis For Walmart2766 Words   |  12 PagesOperations Management Analysis for Walmart I. Introduction Walmart is a multinational retail store based in the US. According to the Fortune Global 500 in 2015, it is the world’s largest public corporation. Its operations are organized into three divisions: Walmart Stores US, Sam’s Club, and Walmart International. The company has nine different retail formats, including supercenter, food and drugs, and membership stores. According to Yahoo Finance, Walmart is in the industry called â€Å"Discount,Read MoreWalmart Management Structure, Help Or Hindrance2847 Words   |  12 Pages Walmart Management Structure, Help or Hindrance Kristine Ehlebracht kbethwill@aol.com MGMT 591- Leadership and Organizational Behavior Prof. Van Apeldoorn August 5, 2014 Table of Contents Introduction Pg. 3 Problem Statement Pg. 4 Literature Review Pg. 5 Analysis Pg. 7 Solutions Pg. 9 Reflection Pg. 11 References Pg. 13 Introduction The company I am reviewing for this research paper is Walmart. Walmart is a global company that originated in the 1960’s byRead MoreWalmart: Organizing Funtion of Management1007 Words   |  5 PagesOrganizing Function of Management Organizing is defined as the assembly and coordination of the human, financial, physical, informational, and other resources needed to achieve goals. (Bateman Snell, 2009, pg. 20) This function is also referred to as the function used to build a dynamic organization. (Bateman Snell, 2009, pg. 20) When looking at the organization process Sam Walton the founder of Wal-Mart made sure from the very beginning to keep up with his competitors. In 1972 Kmart expandedRead MoreWalmart Information Management System773 Words   |  4 PagesWalmart Information Management System (IMS) Walmart is a retail giant that just about everyone in America has purchased something from them. It is a one stop shop for anything that a person could ever need. Walmart stores can be found anywhere in fact most people are less than an hour drive away from a Walmart store. Walmart’s success has put many companies out of business. The chains success is primarily from low prices and using an information technology system to meet customer demands givingRead MoreWalmart And Supply Chain Management Essay881 Words   |  4 Pagessupply chain management is Walmart. In 1962, the first Walmart was open, so was Target and Kmart. Sam Walton was the founder of Walmart. Mr. Walton was known for his ways of being cheap in business and in his personal life. Walmart was mainly a success because of Mr. Walton’s wanted to keep costs low and then use cost advantage to lower down prices to increase volume. It went round and round and now, Walmart stands as one of the largest retail s tores globally. Within the last ten years, Walmart has becomeRead MoreEssay on Walmart- Functions of Management2070 Words   |  9 PagesFunctions of Management Wal-Mart has several internal factors that affect the four functions of management. Two of these factors are diversity and ethics. Wal-Mart is a strong believer in diversity. â€Å"We make diversity part of our business plan, ensuring we can continue to be a global leader in all aspects of Diversity and Inclusion† (Diversity, para 1). Wal-Mart uses diversity at all levels of employment. Through diversity, Wal-Mart can use the four functions of management to achieve theirRead MoreCase Study : Walmart s Operations Management1202 Words   |  5 Pagescorporation. Since it is a big corporation I was mostly interested in learning more about the Walmart Corporation. Walmart’s operations management covers a mixture of concepts that focus on managing the supply chain and inventory, as well as sales performance2. The company has become successful because it follows an effective performance in operations management2. This paper will be giving some information about Wa lmart and how it came to be. Also, there will be an analysis of the different business operations

Business Plan for a Real Estate Business in Bangladesh free essay sample

It will make good quality flats for clients to live and enjoy lot more exclusive facilities. All these will be available at a very reasonable price. Since we believe in economies of scale. Slogan: â€Å"feel like living on heaven in every moment† Financing: To start up the business, Tk. 20 crores will be required, some additional needs to be financed by the bank. The loan will be repaid by five years. Confidentiality: This Business Plan is strictly confidential and is the property of the co-owners mentioned above. Any reproduction of the material inside will result is strictly prohibited. There has always been a good demand in the real estate market, and as the income level of the people of Bangladesh grows, that demand is surging even further. People want to buy unique, good-looking and attractive flats, but they want a good value for their money as well. That’s where we come in. We offer excellent quality flats, at reasonable prices. Another uniqueness of our business is that we have a separate line of apartments for office/bank use only. There is currently no such real estate companies in Bangladesh that offers an exclusive line of apartments. Therefore, in this segment, we can enjoy the benefits of being an oligopolist. On the other hand, we have the business-to-business prospect. Due to good economic growth, apartments are on the rise.Raihan with share of profit and loss according to ratio of equity invested. Together, we have gathered the necessary expertise required to run a real estate business. Initially, we will of course incur losses, but we plan to make profits in the fourth or fifth year. Real Estate Industry Analysis Industry Analysis: Real estate is a fixed, tangible and immovable asset in form of houses or commercial property. Real estate market involves developing, renting, selling/purchasing and renovating of these assets (houses). Market participants includes o Developers (contractors, engineers, and so on), o Facilitators (mortgage companies, real estate brokers, banks, anagement agents and so on), owners, renters (leasers) Each product (house) is unique in terms of buildings, location, and financing thus market has heterogeneous products. Transaction costs are high and the process is usually long. Though there are mobile homes, but the land underneath is till immobile, real estate is an immovable asset. Market Segmentations: The main factor that affects demand in real estate industry is demographic features. The demographic variables include population size and growth, cultural background, beliefs. However, other factors like income, price of housing, cost and availability of funds, consumer preference, supplier’s preference, price of substitutes and compliments.Future Outlook: One of the most startling statistics regarding real estate in this country, and a fact few people even realize, is that big portion of land in the Bangladesh is held either by the Government or is being used for agricultural purposes. The total farm area comprises about 62% of the total geographical area, forest area accounts for 15%, Perennial water 11% and urban area only 01%. The physical landscape is characterized by small arable fields. There are over 11 million farm holdings with more than 65 million fragments. The pattern of land ownership is highly skewed. 5% for the families having land above 7. 2 acres own 26% of the land and 70% of the families having land below 2. 5 acres own only 29% of the land.The per capita availability of crop land is at present only 0. 24 acre. Land utilization statistics indicate that 54% of the net cropped area is single cropped and area under double and triple cropping account for 72% of the gross cropped area. 20% of the total cropped areas have irrigation facilities. Yield is low i. e. rice -0. 703 metric ton per acre. Annual food deficit ranges between 1. 5 2. 0 million metric tons. Frequent natural calamities like cyclone, flood, drought, tidal bore etc. add to the shortfall of crops and livestock. What this means is that only few portion of the country is available to support all residential and commercial uses.This equates to nearly 1800 people per square mile of land by 2020. Despite the mortgage crisis and resulting financial meltdown of the last several years, these statistics seem to indicate that owning real estate in Bangladesh will continue to be a wise investment. In the very basic economic sense, there is no more land being created (limited supply) and more population density every day (increased demand). ? Economy: Growth in FY2010 was better than expected in April 2010 in Bangladesh, as a pickup in domestic demand neutralized the impact of weak expansion in exports. Inflation came in below the April projection, and the current account surplus was higher.For FY2011, this Update retains the outlook of a moderate uptick in growth, but with a slightly lower forecast for inflation and a larger fall in the current account surplus. To raise growth prospects, power and gas shortages need to be eliminated and reforms accelerated. More fundamentally, political stability will be critical to boosting growth. The bank’s Monetary Policy Statement (MPS), issued in July 2010, indicated that there may have been some diversion of private credit into consumer spending and into speculative investments in the stock market and real estate. . So we are expecting that, the economic condition in Bangladesh will be much better for business. If we also consider the given figures the scenario will be clear more.

Gather Ye Rosebuds Essay Example For Students

Gather Ye Rosebuds Essay It is a blessing to those who live today that over the years men and women have written poetry. In some poetry have been words reminding those who read it of the wonderful world in which they breathe and the necessity to live life. One of the writers of such poetry was Robert Herrick. Herrick used a lyrical style, unappreciated in his day, to write poetry that captured the very essence of carpe diem-to seize the day. Many of his poems were published in a volume entitled Hesperides. The most famous of those poems, is To the Virgins, to make much of Time. By examining the work of Herrick-To the Virgins in particular, his life, and the times he lived in its possible to gain a greater appreciation and understanding of what he was writing about. Specifically the purpose is to examine how Herricks use of imagery with his words contributes to the lyricism of the poems. And this same flower that smiles todayThe glorious lamp of heaven, the sun,That age is best which is the first,But being spent, the worse, and worstFor, having lost but once your prime,To the Virgins, to make much of Time is a poem decidedly representative of the poetry of Herrick. In particular, notice the use of nouns heavy on imagery. Such as rosebud, a-flying, lamp of heaven, and setting sun. Each of these words and phrases bring to mind specific images. This poem was one of the 1,130 in the collection that Herrick had published as part of Hesperides in 1648. To the Virgins is representative of many of Herricks best poetry. It uses extensive imagery, especially with flowers. What it is most representative of it is how it is lyrical. There is ample evidence that Herrick intended many of his poems to be set to music including To the Virgins. A. E. Gilmore wrote an essay on Herrick and the lyricism in his poetry. He points out, To the Virgins is written entirely in ballad form. One can attest to this virtue by singing To the Virgins or To Anthea to the tune of (Ben) Johnsons Drinke to me, onely, since that most popular of all seventeenth-century songs is also written in ballad measure.(68) I sing of Times trans-shifting, and I writeHow Roses first came Red, and Lillies White. The first poem in Hesperides is The Argument of his Book. This poem shows what Herrick is able to do with the imagery. With his words he is able to write about the idea of death. T.G.S. Cain points this out in the following quote taken from an essay he wrote dealing exclusively with the way Herrick continually brings the passage of time up in his poems. Of all the subjects to which he draws attention in the introductory poem to Hesperides, The Argument of his Book, none so dominates Herricks work as the one which he calls there Times trans-shifting. It is a subject to which he returns again and again in his attempt to come to terms with the inevitability of human transience and death.(103)Again both of the poems-To the Virgins and The Argument of his Book-contain two common characteristics. They both use visual imagery in a way that references the idea of carpe diem, and are written in a lyrical form. That is to say that both of his poems-and most of the rest of poems in Hesperides-c ould be put to music and sung aloud. By writing about a subject of such importance-the passage of time, and doing so in a way that is both pleasing to a reader or a listener Herrick makes a significant contribution to the world of poetry.An easy reaction to reading Herricks poetry is that it is short. Short being a relative term, but for the most part this is an accurate statement. Most likely this is the result of the ability to say a great deal-even about complex subjects-using powerful words that are strong in imagery. The brevity makes possible the lyricism since the words have to be put in a way that can be set to music. .ubac630d2ea08fd00dd19ad84aaa8614c , .ubac630d2ea08fd00dd19ad84aaa8614c .postImageUrl , .ubac630d2ea08fd00dd19ad84aaa8614c .centered-text-area { min-height: 80px; position: relative; } .ubac630d2ea08fd00dd19ad84aaa8614c , .ubac630d2ea08fd00dd19ad84aaa8614c:hover , .ubac630d2ea08fd00dd19ad84aaa8614c:visited , .ubac630d2ea08fd00dd19ad84aaa8614c:active { border:0!important; } .ubac630d2ea08fd00dd19ad84aaa8614c .clearfix:after { content: ""; display: table; clear: both; } .ubac630d2ea08fd00dd19ad84aaa8614c { display: block; transition: background-color 250ms; webkit-transition: background-color 250ms; width: 100%; opacity: 1; transition: opacity 250ms; webkit-transition: opacity 250ms; background-color: #95A5A6; } .ubac630d2ea08fd00dd19ad84aaa8614c:active , .ubac630d2ea08fd00dd19ad84aaa8614c:hover { opacity: 1; transition: opacity 250ms; webkit-transition: opacity 250ms; background-color: #2C3E50; } .ubac630d2ea08fd00dd19ad84aaa8614c .centered-text-area { width: 100%; position: relative ; } .ubac630d2ea08fd00dd19ad84aaa8614c .ctaText { border-bottom: 0 solid #fff; color: #2980B9; font-size: 16px; font-weight: bold; margin: 0; padding: 0; text-decoration: underline; } .ubac630d2ea08fd00dd19ad84aaa8614c .postTitle { color: #FFFFFF; font-size: 16px; font-weight: 600; margin: 0; padding: 0; width: 100%; } .ubac630d2ea08fd00dd19ad84aaa8614c .ctaButton { background-color: #7F8C8D!important; color: #2980B9; border: none; border-radius: 3px; box-shadow: none; font-size: 14px; font-weight: bold; line-height: 26px; moz-border-radius: 3px; text-align: center; text-decoration: none; text-shadow: none; width: 80px; min-height: 80px; background: url(https://artscolumbia.org/wp-content/plugins/intelly-related-posts/assets/images/simple-arrow.png)no-repeat; position: absolute; right: 0; top: 0; } .ubac630d2ea08fd00dd19ad84aaa8614c:hover .ctaButton { background-color: #34495E!important; } .ubac630d2ea08fd00dd19ad84aaa8614c .centered-text { display: table; height: 80px; padding-left : 18px; top: 0; } .ubac630d2ea08fd00dd19ad84aaa8614c .ubac630d2ea08fd00dd19ad84aaa8614c-content { display: table-cell; margin: 0; padding: 0; padding-right: 108px; position: relative; vertical-align: middle; width: 100%; } .ubac630d2ea08fd00dd19ad84aaa8614c:after { content: ""; display: block; clear: both; } READ: Physics IA critical angle of glass EssayIt is worth noting that even in a poem the length of To the Virgins that each of the stanzas could legitimately hold up as individual poems. It is no surprise that comparisons are made between the short verse that Herrick uses and the short poems that Japanese writers use in writing haiku. While having few words can be taken by some as lacking substance, the Japanese have always appreciated being able to use a few strong words to say a great deal. Shonosuke Ishii wrote an essay comparing Herricks poetry to that of Japanese haiku. Ishii says, Herricks fewer words are often more pleasing to the Japanese sensibility than other poets eloquence or verbosity. Although even Herrick is considerably more loquacious than those Japanese poets who work with only seventeen or thirty-one syllables, to the Japanese he does seem to appreciate the virtues of modesty and restraint.(193-194) This can only be accomplished through selective word choice. Good examples in the poems previously mentioned are: times trans-shifting, and Old time still a-flying. Herricks choice to write poems that could also be songs might have been a result of his life as a minister. He attended St. Johns College for boys where he was required to sing hymns daily. The choice of subject matter in the poems would be the result of the life experiences Herrick had growing up. According to the research of Sir Edmund Gosse, Herrick spent his early life by the river-side, going to bath in the summer with crowds of other youths and soft-smoothed virgins, up as far as Richmond.(Gosse 127). In 1607 Herrick was apprenticing as a goldsmith before going to St. Johnss. He was very poor and had to make requests of his rich uncle in order to pay for his books. His past is worth looking at because of the possibility of understanding where the words he uses are coming from. That is to say what the images are that he is writing about. The imagery of virgins bathing as seen by a young boy might be different than merely a random narrative voice. J.B. Broadbent wrote in an essay for the Times Literary Supplement, the world of poetry can never forget the work of (Robert) Herrick. His use of visual imagery, in connection with ballads so central to his work, make him a figure of utmost importance.(p. 836). If the idea of less is more is correct then the numerous short poems of Herrick remain a significant contribution to everyone who reads poetry. In his words are the reminders to seize the day and to notice the beauty in life-such as the flowers and the colors. By using a style of lyricism made potent by sharp visual imagery, Herrick was able to say a great deal about the wonderful world in which he lived and breathed. Bibliography:Times trans-shifting:Herrick in Meditation by T.G.S. Cain