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Wednesday, September 2, 2020
The Recession And Its Impact On The Economic Essay
The Recession And Its Impact On The Economic - Essay Example The protections later lost worth after the US house air pocket and home loans started to default in installment in 2007. The subprime misfortunes that developed started the emergency, which uncovered other unsafe advances and overrated resources. An expansion in advance misfortunes and the breakdown of the Lehman Brothers in September 2008 acquired a major frenzy the between bank advance market. The shadow banking framework caused significant banks and monetary foundations in Europe and US to fail and endure enormous misfortunes. The emergency was significantly brought about by the rise of shadow banking framework that included speculation banks and non-store money related establishments. The frameworks matched the storehouse framework yet they werenââ¬â¢t exposed to administrative shields (Tett and Gillian 2008). The lodging bubble burst driving t significant misfortunes and default in the home loan installment. The collection of family unit obligation before the emergency brought about accounting report downturn. Customers began to settle obligations which diminished their discretionary cashflow, in this way hindering the economy further. US government arrangements urged home proprietorship even to individuals who couldn ââ¬â¢t manage the cost of it, bringing about careless loaning principles, impractical increments in house costs and obligations. I bolster the methodology which proposes for an easier and littler monetary area in which the size, force, and unpredictability of the money related framework are constrained in significant manners. A littler budgetary division has the qualities of giving more advantages to the economy. These advantages incorporate an increasingly powerful money related and monetary strategy, expanded corporate financing, decrease in showcase dangers and more noteworthy joining. A littler money related part has the quality and the upside of affecting the legislature to create sound and effective financial and monetary approaches.
Saturday, August 22, 2020
Teenage love free essay sample
Do youngsters today have their needs in the right request with regards to dating? Increasingly more regularly, it doesn't appear they do. A few adolescents nowadays invest an excess of energy concentrating on their sentimental connections rather than the things that ought to be progressively significant. Young people who are in genuine connections couldn't care less as much about school, their families, or their occupations. These young people appear to overlook everything that ought to be imperative to them. School ought to be a significant need for young people. In secondary school, instructors attempt to plan youngsters for what lies ahead throughout everyday life. That incorporates heading out to school and entering the working scene. In any case, numerous young people in genuine connections start putting off getting their work done and reading for tests. Their evaluations start to drop, and sooner than they know it, they are bombing their classes. Most occasions when these lovesick adolescents start coming up short, they couldn't care less. We will compose a custom paper test on Adolescent love or on the other hand any comparable theme explicitly for you Don't WasteYour Time Recruit WRITER Just 13.90/page Now and again the young people even drop out. In todays world it is almost impossibleâ â middle of paperâ nship without getting my needs stirred up. So for the individuals who express it is difficult to do these things, I know from individual experience that it isn't. I am not saying that it isn't right to date as an adolescent. Simply recollect what is significant. The young years are to be utilized as an opportunity to develop and encounter new things, yet not to the detriment of what is significant throughout everyday life. Simply keep a level head and don't get excessively associated with that critical other at the present time. It is critical to recollect what it significant throughout everyday life.
Friday, August 21, 2020
Introduction to Business Law examples Essay Example | Topics and Well Written Essays - 500 words
Prologue to Business Law models - Essay Example These included subtleties like the loft depiction, installment terms, rent period just as certain limitation or house rules which the two gatherings needed to follow. Fourth, the two gatherings have the ability to go into an agreement given that are both past the period of lion's share, which in many states in the US is set at 18 years of age (Emerson, 2003). Finally, the said agreement was legitimate in light of the fact that it was as per open strategy (Miller and Jentz, 2004), for example we guaranteed that no law was disregarded in connection with our understanding. 2. Compose a short agreement to offer support to somebody. You may demand for fiscal repayment or something different of equivalent incentive from the other party. Verify that your work fulfills the essential prerequisites of a lawful agreement. That Mr/Ms (Your name) ties himself to give grass cutting administrations to Mr/Ms (Your neighbor's name) each Saturday at 8 a.m. at the last's habitation situated at (Your neighbor's location) in light of the month to month administration expense adding up to 200 dollars ($200.00); 3. You welcome a painter over to your home to talk about some work of art that should be finished. You examine what should be painted, the ideal shading plan, and the last cost. Nothing is recorded. You concede to the terms and the painter at that point plays out the work, for which you pay him. Have you gone into an agreement If in this way, what type Given that the two gatherings ha
Monday, June 1, 2020
The ROI On A College Business Major
The ROI On A College Business Major by: Naomi Nishihara on June 27, 2014 | 0 Comments Comments 2,679 Views June 27, 2014Source: U.S. Census Bureau and U.S. Bureau of Labor Statistics, Current Population Survey, March Supplement; U.S. Bureau of Labor Statistics, consumer price index.Tuition costs have been rising, and wages for college-educated workers have been stagnant for over a decade. Butà a recent study by the New York Federal Reserve found that investing in a college degree is still the best thing a high school graduate can do for his or her finances, and majoring in business is one of the surest ways to keep a hefty tuition bill from going to waste.ââ¬Å"Indeed, once the full set of costs and benefits is taken into account, investing in a college education still appears to be a wise economic decision for the average person, conclude authors Jaison R. Abel and Richard Deitz in a paper published on June 24, 2014. Why is this the case? The answer lies in the declining for tunes of those without a college degree.The college wage premium is near an all-time high, largely because wages for those without degrees are falling. The study foundà that college is a good investment across the board, with graduates averaging a 15% return to college regardless of their field. Not surprisingly, rates of return vary considerably amongà majors. Business ranked as the fourth best major to invest in, with a hefty 17% ROI for employed graduates.To put that in perspective, the study compared investing in college to investing in stocks and bonds. Investing in stocks has had an annual return of 7%, and investing in bonds has yielded 3% since 1950. Even the lowest return for a college degree 9% for students who graduate as education majors beats the returns on both stocks and bonds.ENGINEERING MAJORS TOP THE LIST WITH 21% RETURNSThe authors found that in generalà majors providing technical trainingââ¬âan education that focuses on quantitative and analytical ski llsââ¬âearned the highest returns. Engineering, math and computer majors are cases in point, with rates of return of 21% and 18%, respectively. Health majors also earned an above-average return. The growth of this sector in recent years has likely increased the demand for health care workers and consequently boosted their wages, said the Fed authors. Business majors also rank relatively high. à At the other end of the spectrum, those major- ing in the liberal arts, agriculture and natural resources, leisure and hospitality, and education all have below-average returns. For education majors, the relatively low rate of return in part reflects the lower wages of teachers, who typically work less than a full year and receive generous nonwage benefits, such as pensions. Source: U.S. Census Bureau, American Community Survey; U.S. Department of Labor, O*NET; U.S. Department of Education, Digest of Education Statistics 2012; The College Board, Trends in College Pricing 2013 and Trends in Student Aid 2013.One of the largest concerns over tuition costs, however, is that students are not always able to find suitable employment after they graduate. The New York Federal Reserveââ¬â¢s own research suggests that around one-third of those who graduate from collegeà spend much of their careers in jobs that do not require a bachelorââ¬â¢s degree. The study on college returns, however, showed that underemployed college graduates still see a 12% ROI. Additionally, underemployed graduates with business degrees actually see a 14% ROI. ââ¬Å"While people in these non-college jobs receive lower returns than their counterparts working in jobs that require a bachelorââ¬â¢s degree, they still tend to earn a relatively high positive return,â⬠Abel and Deitz wrote.In calculating the benefits of a degree for underemployed workers, the study measured the extra wages earned beyond the wages of a high school graduate, and simulated lifetime earnings for the average work er who remains underemployed for his or her entire career. As most underemployed graduates will work their way up into college-level jobs, one can assume that the return to college for the underemployed may be more optimistic than reported.The study concludes by summing up the good and the bad news that the return to college remains high for all graduates, and that it is not necessarily high because graduates earn a lot, because they would earn significantly less without their degrees. ââ¬Å"Investing in a college degree may be more important than ever before because those who fail to do so are falling further and further behind,â⬠they said. Page 1 of 11
Saturday, May 16, 2020
Ch 1 Financial Acc. Theory and Analysis - 6038 Words
Example Test Questions Chapter 1 Multiple Choice: 1. Which of the following bodies has the ultimate authority to issue accounting pronouncements in the United States? a. Securities and Exchange Commission b. Financial Accounting Standards Board c. International Accounting Standards Committee d. Internal Revenue Service Answer a 2. What historical evidence of the business operations of the private estate of Apollonius was discovered early inthe20th century? a. The Iliad b. Plato s Republic c. The Zenon papyri d. Pacioliââ¬Å¸s work, Summa de Arithmetica Geometria Proportioni et Proportionalita, Answer c 3. Who has been given credit or developing the double-entry system of bookkeeping? a. Francis Wheat b. Fra Luca Pacioli c.â⬠¦show more contentâ⬠¦Standard setting as apolitical process b. Standards overload c. Economic consequences d. The role of ethics in accounting Answer c 14. Considering and understanding how business decisions affect the financial statements is a. The sole responsibility of the Securities and Exchange Commission. b. Provided in the auditorââ¬Å¸s report. c. Referred to as an economic consequence perspective. d. Interpreted strictly by the companyââ¬Å¸s suppliers. Answer c 15. Which of the following is a source of nonauthoritative accounting guidance and literature? a. Financial Accounting Standards Board Statements b. Financial Accounting Standards Board Interpretations c. Financial Accounting Standards Board Technical Bulletins d. Practices that are widely recognized and prevalent either generally or in the industry Answer d 16. Which of the following companies was involved in an accounting failure that caused the public accounting firm Arthur Andersen to gout of business? a. Goldman Sachs b. Wachovia c. Enron d. AIG Answer c Essay 1. What is the difference between normative and positive theory? Normative theories explain what should be, whereas positive theories explain what is. Ideally, there should be no such distinction, because a well-developed and complete theory encompasses both what should be and what is. 2. Why is the development of a general theory of accounting important TheShow MoreRelatedDoes Sustainability Reporting Improve Corporate Behaviour?: Wrong Question? Right Time?14566 Words à |à 59 Pagesextent to which such reporting should be governed by financial market principles and exigencies. The relationship(s) between social, environmental and financial performance and reporting are of increasing significance in this context and this significance is reflected in considerable growing interest in the business, accounting and political communities. At the heart of the matter, there is the tantalising suggestion that social responsibility, financial performance and voluntary sustainability reporting
Wednesday, May 6, 2020
Social Emotional Development Erik Erikson s...
Key concepts in Unit 2 Social Emotional Development Erik Erikson s Psychosocial Development: 8 stages 1. Trust vs. Mistrust: Trust: When parents provide everything the child needs, the child would believe that the world is reliable. Mistrust: When parents do not provide everything the child need, the child would believe that the world is dangerous, and undependable. 2. Autonomy vs. Shame: Autonomy: when parents give their toddlers encouragements and are patient with them, the kids would be able to manipulate different problems by themselves. Shame: when parents demand their toddler to do difficult things early the child will develop insecurity, they feel that they canââ¬â¢t do it and feel ashamed of themselves. 3. Initiative vs. Guilt: Initiative: when parents encourage kids to do bigger thing, kids tend to develop courage and independence. Guilt: when parents teach their kids to give up, and stop trying when things turn hard, their child develop guilt because they feel that they canââ¬â¢t do anything. 4. Industry(competence) vs. Inferiority: Industry: when you always encourage your kids and reward them for the things they do, children exhibit industry. Inferiority: When you often punish kids every time they try to accomplish new tasks, they feel that they are not capable and often feel inferior. 5. Ego identity Vs. Role Confusion: Identity: At this stage adolescents establish their sexual identity, and their desire to be part of a society and fit in. Role Confusion: At thisShow MoreRelatedEriksonââ¬â¢S Contributions To Human Development. Erik Erikson1033 Words à |à 5 PagesEriksonââ¬â¢s Contributions to Human Development Erik Erikson was a man whose interests varied widely. He studied art and a variety of languages during his schooling. He did not prefer the atmosphere of formal schooling and decided to travel around Europe instead of going to college (ââ¬Å"Erik Eriksonâ⬠, 1997). He then returned to Germany for art school and later on taught to children who had come for Freudian training. He became Bostonââ¬â¢s first child analyst and obtained a position at Harvard Medical SchoolRead MoreErik Erikson s Stages Of Development1608 Words à |à 7 Pages The Psychosocial Development The View on Erik H. Erikson s Stages of Development Frank Phan Cosumnes River College Psychology 300 Abstract This paper will touch over the aspects of Erik H Erickson s eight stages and how they affect everyday lives from infancy to adulthood. The paper will go over the approximate ages and the psychosocial crisis that they will eventually come to. Neglecting a child can lead to a cause of mental negligence in the form of Arrested Development. Within differentRead MoreSigmund Freud And Erik Erikson1110 Words à |à 5 PagesThe psychoanalytic perspective was predominantly attained by parents of children with emotional problems 70- 80 decades ago. The discontinuous psychosexual and psychosocial theory takes place in stages in one course moving through drives that are biological along with societal expectations (Berk, 2013). The contributions to this perspective include both Sigmund Freud and Erik Erikson. Freud examined psychosexual theory and how those first childhood years of drives shape the personality. Thus, suchRead MoreDevelopmental Psychologist Erik Erikson s Stages Of Psychosocial Development1729 Words à |à 7 PagesDevelopmental psychologist Erik Erikson changed the way that people viewed the psychosocial development in humans throughout their lifespan. Using the foundation provided by Freudââ¬â¢s psychosexual stages, he modified the concepts to where they demonstrated external impacts on development as well as making it more about emotional conflicts than necessarily physical drives. This eight-stage theory is sequential, and requires the person to overcome conflicts in each stage to become a productive memberRead MoreErik Erikson s Psychosocial Theory On Child Development1388 Words à |à 6 PagesErik Eriksonââ¬â¢s Psychosocial Theory on Child Development Erik Erikson, a well known developmental theorist, developed his theory about stages of human development from birth to death by using Freud s work as a starting point. According to Erikson, personality develops in a series of stages. Erikson found out that children experience conflicts which affect their development. He described the internal conflict which children go through in developmental stages using the term ââ¬Ëcrisisââ¬â¢ and are based onRead MoreApplication Of The Personality Theories Developed By Erik Erikson And Raymond Cattell1724 Words à |à 7 PagesApplication of the Personality Theories Developed by Erik Erikson and Raymond Cattell ââ¬Å"Personality is made up of the characteristic patterns of thoughts, feelings, and behaviors that make a person unique. It arises from within the individual and remains fairly consistent throughout lifeâ⬠(Cherry, 2014). My personality is influenced from my specific circumstances, my upbringing, and it is represented best through the theorists of Erik Erikson and Raymond Cattell. In specific circumstances my behaviorRead MoreTheory Description Of The Theory Essay1403 Words à |à 6 PagesTheorist Theory Description Characteristics of the Theory Process Application of Learning Mechanisms of Change Reaction when theory is applied Basic Observation Outcomes Bandura (1977) Social Learning Theory: Albert Bandura s Social Learning Theory believes that learning occurs in a social context through observation, imitation, and direct instruction. It comprises of attention, retention, reproduction, and motivation. *Attention *Retention *Reproduction *Motivation *Attention ââ¬â this impliesRead MoreErik Erikson s Theory Of Psychosocial Development Essay1366 Words à |à 6 PagesAbstract Erik Erikson (1902-1994) provided a new perspective of psychosocial behavior and development while expanding on the works of other theorists. Erikson believed there to be eight stages of psychosocial development which a person transitions through. These stages start at birth and end with old age/death. Eriksonââ¬â¢s work is used throughout many outlets of social work. Social workers use this information to help them figure out what is going on with clients and how best to help them. Erikson providesRead MoreErik Erikson s Psychosocial Theory Essay1641 Words à |à 7 PagesErik Eriksonââ¬â¢s psychosocial theory states that we go through 8 developmental stages in life. Erikson states that these stages are necessary in the progression and development of human growth from infancy into adulthood. Each developmental stage presents a crisis that must be resolved during that stage for a healthy development. Erik Eriksonââ¬â¢s psychosocial theory outlines that we develop in psychoso cial stages instead of psychosexual ones. I agree with Erikson because one might not get through theRead MoreHas Anyone Put Any Psychological Thought Into How They1483 Words à |à 6 Pagespsychologists, Erik Erikson and Jean Piaget, dedicated their lives to this type of development. Erikson theorists would take a social influence stance, and Piagetian theorists focus on oneââ¬â¢s cognition. So, who is right? More knowledge has been obtained to know that human behavior should be social and the need to socialize with other people. Erikson believes this whereas Piaget thought of qualitative thinking that shapes a child. Erikson is more influential about identity development because he explains
Tuesday, May 5, 2020
Fundamental Nursing Care Samples for Students â⬠MyAssignmenthelp.com
Question: Discuss about the Exmples Of Fundamental Nursing Care. Answer: Introduction The prime aim of thefundamental nursing care is to ensure patient safety and care. This is directly connected to the nursing education, their communication and their adherence to the values and knowledge they acquire during their nursing education. Such nursing education teach them the basic values and principles of the nursing. As future healthcare providers, they get to learn all the nuances with chosen patients and provide them with wide-ranging nursing care. It is important as the quality of care provided to the patient determines the duration of his stay in the healthcare setting and the pace of his recovery as well (Darbyshire and McKenna 2013). This assignment is going to discuss about the four aspects of the fundamental nursing care as observed on placement in the cardiac and Geriatric Evaluation Management ward. Further, these four aspects will be critically supported with recent researches. First aspect will be wound care in the cardiac ward and a discussion will be done on every aspect of it, and then will move to the oxygen therapy. Furthermore, neurovascular evaluation of a patient of Geriatric Evaluation Management ward and medication management will be discussed. Wound care Wound care is the prime component of the wound management process, where the data about the patient and his/her wound is been collected before recommending a treatment plan for it. The steps of wound care includes observation, collecting data from the patient and identifying clinical data from the physical examination of the patient and his/her health history (Dorai 2012). The wounds that are generally observed in the cardiac wards are generally of three types, type 1, type 2 and type 3. Type 1 infection is the wound within the first month of the operation. This is very crucial as the patient has chances to acquire infection in his/her wound. Therefore, wound management has to be precise and effective. There are different steps to assess the wound. These are- sizes of the wound, depth, surrounding skin of the wound, Edge of the wound, presence of exudate and pain score. After completion of the pain assessment through these steps, medication plan will be provided to the patient to tre at his/her wound (Hosseinrezaei, Rafiei and Amiri 2012). While assessing the wound of the patient, it is also important to maintain aseptic environment in the ward so that the open wound is not infected with the bacteria or virus present in the environment. According to Daeschlein (2013), the maximum number of wound infections are acquired from the nosocomial infection present in the environment of the hospitals. Therefore, the cardiac ward should be free from any microorganism and steps need to be taken to kill or remove microorganisms from different objects and hands of the staff, patient and all the people who enters the ward. Secondly, all the instruments present in the ward should be sterile and free from infections. Finally, to reduce the patients risk of exposure to different microorganisms, limited people should be allowed to enter the ward. Nurses should also follow the aseptic techniques prior and after the wound analysis and treatment. the aseptic technique procedure include hand wash, surgical scrub, using personal protective e quipment, patient prep, maintaining sterile and safe environment within the ward and applying safe operative technique (Kubota et al. 2013). The third point that should be in the focus of wound management is dressing techniques and factors that increases or decreases the pace of wound healing procedure. There are different type of wound dressing techniques such as hydrocolloid, hydrogel, alginate, collagen, foam, transparent and cloth dressing technique. However, the cardiac surgery wound surface is generally bigger, the dressing should be impermeable to bacteria, and viruses so that infection can be avoided (Anjum et al. 2016). Hence, hydrocolloid dressing will be used as it helps to keep the wound clean and protects from environmental infections. At the time of dressing, it is important to provide the patient with analgesia to manage the pain. Further, several other factors contribute in the pace of healing of the wound such as the age, nutritional preference, diabetic and level of infection of the patient. Depending on these, the healthcare experts will be able to calculate the time needed for the healing of the wound (Thu, Zulfakar and NG 2012). During the placement in the cardiac ward, different techniques to assess the wound was observed. Knowledge about the state of the wound was perceived and different measures that need to be recorded, such as secretion of pus, exudates, any odour and appearance was noted. The nursing assistance in that ward helped to observe the procedures and showed the process of cotton swab technique. They all were following ethical ways to complete the wound assessment and were maintaining sterile condition in the ward so that infection did not occur. However, in the presence of any infection, the wound swab process was applied to collect the infectious fluid from the wound. overall there were so many things to learn from a practical experience and all the nursing staff helped to perceive those knowledge. Oxygen therapy Oxygen therapy is a process, which is applied by physicians to deliver the extra demand of oxygen of the patient. Several health disorders in which, people need oxygen therapy to survive, such as Chronic Obstructive Pulmonary Disease (COPD), pneumonia, cystic fibrosis, asthma and so on. This section will discuss the oxygen therapy for patients suffering from COPD as placement was in Cardiac ward. As the patient observation policy, each patient admitted in the cardiac ward need to be assessed and analyzed thrice per day for vital signs and symptoms (McDonald 2014). Signs and symptoms of the first analysis will be considered as the baseline analysis and further signs will be recorded and evaluated based on that. The frequency of the assessment depends on the vitality of the patient situation. After collecting the vital signs and symptoms, the SpO2 level is determined. SpO2 is the peripheral Capillary Oxygen Saturation level that estimates the amount of oxygen present in the blood. It i s basically the ratio between Oxygenated haemoglobin and total oxygen present in the body. Good level of SpO2 in the blood helps to energize the muscles and keeps the cells fresh and active whereas, lower level of oxygen creates situations like hypoxia. Hence, the level of SpO2 is very important to be analyzed (Vestbo et al. 2013). Respiratory rate is also an important factor to determine the care for a patient suffering from COPD. Respiratory rate is termed as the rate of breathe per minute. The normal rate of respiration is 12 to 18 breathes per minute, however, due to COPD and reactive airway disease, people feels air trapping and cannot empty their lungs. Therefore the respiratory rate becomes 20 to 25 breathes per minute. Hence, detection of the respiratory rate can be helpful to identify the vitality of COPD. The patient should be assessed every now and then, as the risk of being unconscious is very high in case of chronic obstructive pulmonary disorder. As pain is one of the prime symptom of the COPD, characterization of pain is very important to analyze and provide care to the patient. As per the Australian statistical data, 45 percent of people affected with COPD suffers from severe pain (Lenglet et al. 2012). The prime reason behind the pain is associated with the blown up lungs. In such condition, lu ngs puts pressure on chest wall, diaphragm and the spine. Another reason can be Osteoporosis, as 20 percent of people affected with COPD, suffers from thinning of bones or osteoporosis. During placement in the ward, different procedures for assessment was observed including a number of procedures, tests and questionnaires for research and clinical purposes. Each nursing staff were following the procedure as proper assessment is necessary as it helps to make accurate diagnosis, provides information about prognosis and helps to apply appropriate therapeutic intervention. Oxygen therapy is an integral part of this intervention. The nursing staff were checking the state of the patient four-times a day to observe his condition and were implementing the oxygen therapy according to his need. The knowledge acquired was long term oxygen therapy can harm the patient hence short-term therapy was applied. Neurovascular observations While working in the geriatric management ward, it was observed that people who are suffering from multiple complex disorders are admitted in the geriatric ward of the hospital. As they have multidimensional needs, for their cognitive, medical and functional requirement, carers are appointed in the geriatric management ward. In the hospitals geriatric ward, a 92-year-old woman has been admitted after a fall. As per her medical history, she has a history of epilepsy, which is a neurological disorder and associated with abnormal electrical activity in the brain. She also had a fracture in her left medial malleolus. She is been unresponsive after the fall hence, code blue was applied to perform resuscitation efforts as her heart was stopped beating. Several members of the code blue responded quickly to manage the situation in which code team leader, primary RN, respiratory therapist, critical care physician nursing supervisor and nursing assistant was there (Boddaert et al. 2014). They help to detect the problem and revived the patient from the unresponsive state. After that, they stabilized her, and assessed her condition to provide her interventions. Critical care physician then asked to conduct some of the tests such as CT scan and ECG to understand the reason behind the unresponsiveness. Primary intervention that was applied to the woman was blood donation and application of knee slab below her left leg to support her past injury. CT scan done will help to understand the electrical imbalance of her brain and the reason for her epilepsy related disorder (Claassen et al. 2013). Her history of fracture and casting of her medial malleolus has increased the level of neurovascular problems in her body. Hence, the five Ps of the neurovascular assessment will be applied in her assessment. The first P is Pain, for the assessment of pain the patient will be asked to describe the severity. The pain can be aching or dull however, manipulating, or helping the patient to reduce the pain can weaken the patients and affect her tolerance power. The second P is Pallor, in which, the nurses need to observe the color of the tissue distal to the cast. different color determines different level of pain, such as pink color determines arterial pressure is normal hence, blood blow is normal. Whereas, whitish color determines reduced arterial pressure or the blood is flowing with less pressure within the artery. however, the concern is blue or violet color of the skin distal to cast, which determines that the arteries are static and blood is not been able to flow from it. The thir d P is Pulselessness. It can be assessed by checking capillary fill. For that, the toe finger need to be pressed and the time needed to refill the finger and make the finger pink is the pace of the capillary blood. Weakness in pulse can lead to slower blood flow within capillaries which is a serious concern for the patient who are recovering form fall in geriatric ward. The fourth P is Paresthesia, which is associated with assessment of numbness, tingling and different abnormal sensation in the place of casting. Presence of such sensation in the place of cast can be sign of nerve damage development of compartment syndrome; hence, it is important to check the presence of such sensation. Finally, the last P, which is Paraplegia need to be checked for assessment of motion. During placement in the geriatric ward, it was observed that, nurses were focusing on the issue according to the priority of the patient. Pain management was their first priority. After that, nurses focused on the epilepsy and other severe conditions. The most important experience was Code blue operation that was to revive the patient after she was unresponsive. This experience will help to overcome the forthcoming challenges in nursing life. Patients drug dose Phenytoin for her epilepsy syndrome was reduced to half to understand the abnormality of her brain. this is important as, it enhanced the skills to understand about the disease. my overall experience in this ward was exceptional. Medication management Medication management therapy or MTM is known as a treatment system used by doctors and pharmacists to ensure that the patients are having optimal profits of the medication. It covers a broad array of professional activities that includes patient assessment, formulating long-term and short-term medication care, assessing the efficacy and safety of the drug provided and patient education. This processes help to manage a proper communication and documentation to maintain a higher standard of care between medical professionals (Johnson, Lehmann and Council on Clinical Information Technology, 2013). There are eight rights of medication administration. All these right protects the patient to have quality healthcare, quality medication through correct route as these aspects can enhance his/her chances of recovery (Marcum, Zachary and Sevick 2013). The first right is Right Dose, which is done by checking the order and then checking the dose against the drug reference standards. Further to c rosscheck the dose, one more nurse need to be employed to calculate the dose for a specific patient. The second right is Right Route in which the assigned nurse checks the order given by the doctor to confirm the route of drug administration. However, the patients ability to take the drug from that route is analyzed. Right Time is the third right which determines the frequency of the drug. The nurses need to be alert at the time of administration as right timing can enhance the chances of survival. Sixth and seventh rights are right documentation and right reason. Documentation of drug administration is very important as it may help the physician or other nurses to understand the last given medicine, route, dose and timing. Vital signs prior or after the drug administration should also be recorded in the medication chart. On the other hand, right reason provides the rationale of the medication applied for the patient regarding his medical history, current health status and signs sym ptoms. This portion is necessary, as long-term medication needs the medication history to assess the duration of care and medication needed. Right response is the eighth right that talk about right response. In this section, the healthcare expert or nurses need to record the after effect of drug administration. Nurses need to record the blood pressure change; pulse and other positive effects are assessed in this case (Kim and Bates 2013). Other than oral medication, there are two different route of medication, intramuscular and subcutaneous. These routes of medication are applied when the patient is unable to take the medication from oral route. Subcutaneous medication is administered inside the cutaneous layer of the skin, whereas in intramuscular medication, the medicine is administered in the deep muscles of the destined area (Jin et al. 2015). However, on appointment in the cardiac ward, the observed scenario was subtle different from what actually needed to be flowed. Few of the nurses were unaware of the 8 rights of the drug administration and they were just following the prescribing route. Some of the staff were not following the hand hygiene practice before administrating the drug. However, some of the veteran nurses were following all the regulations that is inspirational for the future nurses to understand the workflow in the cardiac ward. Conclusion During the placement in the geriatric ward and cardiac ward, different observation was made that helped to understand the fundamental nursing care of a patient. Wound management of a patient recovering from cardiac surgery helped to understand the different aspects needed for assessing the type, depth and level of wound. Further, the dressing technique of the wound was discussed with other important factors that are necessary to calculate the healing time of the wound. The second thing discussed was oxygen therapy, in which, need of the therapy for a patient suffering from COPD was discussed. Third aspect was observed while placement in geriatric ward, where a 92 year old patient was going through cold process. The five Ps of the neurovascular assessment was observed. Finally, the medication management was observed and the eight rights of the medication administration was discussed with relation to the patient observed in the wards. As there are a number of flaws in the practice of t hese fundamental care processes are observed, a continuous updates to practical practice are required and strengthening is essential to confirm that nursing care is not negotiated by risky or out of date practice. References Anjum, S., Arora, A., Alam, M.S. and Gupta, B., 2016. Development of antimicrobial and scar preventive chitosan hydrogel wound dressings.International journal of pharmaceutics,508(1), pp.92-101. Boddaert, J., Raux, M., Khiami, F. and Riou, B., 2014. Perioperative management of elderly patients with hip fracture.The Journal of the American Society of Anesthesiologists,121(6), pp.1336-1341. Claassen, J., Perotte, A., Albers, D., Kleinberg, S., Schmidt, J.M., Tu, B., Badjatia, N., Lantigua, H., Hirsch, L.J., Mayer, S.A. and Connolly, E.S., 2013. Nonconvulsive seizures after subarachnoid hemorrhage: multimodal detection and outcomes.Annals of neurology,74(1), pp.53-64. Daeschlein, G., 2013. Antimicrobial and antiseptic strategies in wound management.International wound journal,10(s1), pp.9-14. Darbyshire, P. and McKenna, L., 2013. Nursing's crisis of care: what part does nursing education own?.Nurse education today,33(4), pp.305-307. Dorai, A.A., 2012. Wound care with traditional, complementary and alternative medicine.Indian journal of plastic surgery: official publication of the Association of Plastic Surgeons of India,45(2), p.418. Hosseinrezaei, H., Rafiei, H. and Amiri, M., 2012. Incidence and risk factors of sternal wound infection at site of incision after open-heart surgery.journal of wound care,21(8). Jin, J.F., Zhu, L.L., Chen, M., Xu, H.M., Wang, H.F., Feng, X.Q., Zhu, X.P. and Zhou, Q., 2015. 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