Complex Care Nursing Essay Example | Topics and Well Written Essays - 2500 words - 1

Complex Care Nursing - Essay Example ) Hb Haemoglobin 130g/L. 140-174 g/L WCC White cell count 12.89x 109/L 4-10 X 109/L Table 1 Investigation results of Mr. Smith Chest X-ray showed right middle lobe pneumonia. Being a non-smoker, Mr.Smith had not travelled overseas and had no exotic pets. Clinical assessment Mr Smith had scored 15 on the Glasgow Coma Score (Trauma-org). This indicated that Mr. Smith was having the best score and that he was in a good clinical condition where his neuropsychological status was concerned. This meant that he had his eyes open and they were responding. He was oriented, answering questions and obeying commands. Mildly febrile, he had accompanying tachycardia and his pulse had changed from the normal 72 beats per minute to 98 per minute. This could be partly due to the raised temperature and partly due to the progression to acute pulmonary oedema. The middle lobe had an anatomy which predisposes it to frequent involvement. The narrowness of the lobar bronchus and the acute angle at which it took off made it prone to difficulties of drainage. Pneumonia formed one cause of non-obstructive middle lobe syndrome (Bordow et al, 2005). The isolated position of the middle lobe also produced an impairment of collateral ventilation from the neighbouring lobes. Clearance of secretions was simultaneously defective. Inflammations constituted 47% of middle lobe syndrome in researches (Bordow et al, 2005). The history of symptoms of cough, fever with chills and the expectoration that Mr.Smith presented with correlated to the middle lobe pneumonia. Frontal and lateral chest X-rays provided the best pictures of the middle lobe. The Blood Glucose level was a little raised from the normal. He could be a borderline diabetic who needed to be watched and advised for a sugar-free diet. The stress due to the illness also could raise the glucose level. Investigation at intervals could help in the diagnosis. The electrolyte levels were slightly less than normal. Due to the fever and illness of the past five days, he could have reduced his food intake. Potassium reduction could also have been due to dehydration through excessive sweating following the fever. Serum creatinine was just above normal level. The glomerular filtration rate was however near normal. Repetition of the investigations would help in deciding whether the patient was going in for other complications. Haemoglobin level was slightly less suggesting again that dietary intake could have been less. Caution must be taken to prevent anaemia. The high CRP level at 287 mg/L was indicative of the previous history of MI in Mr.Smith. It could also be an accompaniment of the middle lobe pneumonia, an infectious process. BP was slightly raised. Respiratory rate was 20/min. with shallow breathing. The saturated oxygen level was 98% using a 6-litre Hudson mask and it was the percentage of hemoglobin saturated with oxygen at the time of the measurement. The 98% was a favorable level but the best was the 100% saturation. An indwelling catheter had been inserted. An IV access was also found. Subsequent assessment In the assessment after one hour, the condition of the patient had

LAW AND CONTRACT Essay Example | Topics and Well Written Essays - 2000 words

LAW AND CONTRACT - Essay Example A partnership business is one which is run by two or more people together. An agreement in writing is required that clearly states the terms and conditions on how to run the business without harming the interest of either of the parties. The sharing of the company profits would be either equal distribution or according to the terms that are given in the written legal agreement. Also the liabilities are also shared in the same manner as the profits. With the Limited Liability Partnerships Act, partners can profit from limited liability and reap tax advantages. The liability protection of the corporation is the major advantage of the owners of a Limited Liability company. A limited liability company is a separate entity which is similar to a corporation. The members cannot be in any way held responsible for any sort of liabilities unless they agree upon by signing a personal guarantee. Companies having a limited liability have varied options for distribution of profits. The profit distribution need not be 50-50 like partnership firms. Flexibility in the distribution of profits is higher for limited liability companies. In the United Kingdom, the Companies House is the one that is responsible for the registration of a company. Prior to the formation of a company as a private limited entity, it is compulsory that the firm registers with the Companies House. A) Merits of Purchasing Freehold or Leasehold Property - Leasehold property purchase is believed to be a smart real estate. Leasehold property means the property is owned by the buyer for a set number of years, as specified in the lease agreement. There is always a chance of earning substantial profit in a leasehold deal. In a long-term lease option, there are three profit centers for the investor. They are option money, monthly cash flow and back end profit. The buyer would pay only the ground rent and will enjoy by owning the property and the land on which the property stands outright. B) Usual repair Covenant for Leasehold property - The terms of a lease agreement are generally treated as covenants even where the agreement is not made by deed. Indeed, a lease of duration less than three years need not even be made in writing, and certain covenants will be held to exist. The basic principle is that when a covenant for repair exists and when the same is breached, the offended party has the right to recover damages for their loss, provided it is an actual loss but not a hypothetical one. The following covenants are required by the landlord for any lease, even a weekly tenancy granted