Nursing Health Assessment Free Essays

DE LA SALLE HEALTH SCIENCES INSTITUTE COLLEGE OF NURSING AND SCHOOL OF MIDWIFERY CITY OF DASMARINAS, CAVITE NURSING HEALTH ASSESSMENT Submitted by: Andrea Antonette D. Balboa Submitted to: Rowena Cepeda-Laigo, RN, MAEd NURSING HEALTH ASSESSMENT I. Status Post Caesarean Section II. We will write a custom essay sample on Nursing Health Assessment or any similar topic only for you Order Now HEALTH HISTORY AND PHYSICAL EXAMINATION A. Demographic (Biographical Data) Client’s initials: R. R. P. Gender: Female Age, Birthdate and Birthplace: 34, 10/21/1978, Muntinlupa Marital (Civil) Status: Married Nationality: Filipino Religion: Roman Catholic Address and Telephone Number: Blk 5 Lot 54 Greengate Imus Cavite Educational Background: Bachelor’s Degree in Computer Science Occupation (usual and present): Encoder Usual Source of Medical Care: PhilHealth Date of Admission: 01/08/2013 B. Source and Reliability of Information The patient was competent to provide information. She was able to speak clearly; conscious and coherent; oriented to time, place and person. The patient’s chart was also included as a secondary source of information C. Reasons for Seeking Care 1. â€Å"Inadequate size of pelvis† 2. â€Å"Scheduled for caesarean section† D. History of Present Health The expected date of the delivery was January 8, 2013, 8:00AM at St. Paul Hospital. It was a scheduled caesarean section of the patient; not in labor. The patient was calm since it was her second time to deliver a fetus through caesarean section. There were no signs and symptoms of labor happened. The patient foresees to stop adding a family member because they already have a son and a daughter. E. Past Medical History or Past Health a. Pediatric / Childhood / Adult Illnesses The patient did not have any pediatric, childhood or adult illnesses. b. Injuries or Accidents The patient did not have any injuries or accidents. c. Hospitalization and Operations The patient had a caesarean section last 2006, 2007 and 2013. d. Reproductive History The patient had her menarche at the age of 12. Her last menstrual period was April 27, 2012. Her menstrual cycle was 28 days and her menstrual duration was 3 to 4 days. Her obstetric score was G3P2 T2P0A1L2M0. e. Immunization BCG: /? / At Birth /? / School Entrance DPT: /? / 1st Dose /? / 2nd dose /? /3rd dose OPV: /? / 1st Dose /? / 2nd dose /? /3rd dose AMV: /? / TT: /? / 1st Dose /? / 2nd dose /? /3rd dose /? 4th dose /? / 5th dose HBV: /? / 1st Dose /? / 2nd dose /? /3rd dose Others: None f. Allergies /? / Food, (please specify): Shrimp / / Drugs or medications, (please specify): None / / Chemicals, (please specify): None / / Other environmental allergens, (please specify): None The patient has an allergy in shrimps. The patient experiences hives as an allergic reaction and applies an anti-allergy prescribed by her dermatologist to alleviate the manifestation. g. Medications None G. Socio-Economic History FAMILY MEMBER /RELATIONSHIP TOPATIENT| OCCUPATION /SOURCE OF INCOME| MONTHLY INCOME| R. R. P. | Encoder| P22,000. 00| The patient works as an encoder. The monthly income of P22,000. 00 can only support the basic needs of the family but not particularly of members’ health. It will be not enough and budgeted exclusively for the necessities of the family. H. Psychosocial Assessment Patient’s Age: 34 years old Developmental Stage: Young Adulthood Developmental Task: Intimacy vs Isolation Occurring in young adulthood, we begin to share ourselves more intimately with others. We explore relationships leading toward longer term commitments with someone other than a family member. Successful completion can lead to comfortable relationships and a sense of commitment, safety, and care within a relationship. Avoiding intimacy, fearing commitment and relationships can lead to isolation, loneliness, and sometimes depression. Patient met the developmental task of being in an intimate relationship with her partner. They are married and have 2 kids. I. Functional Assessment 1. Health-Perception-Health Management Pattern The patient’s description of her current health was weak and difficult to get pregnant. The activities that the patient does to improve or maintain his health was to not get over time in work. Patient’s knowledge about links between lifestyle choices and health was not answered. The extent of patient’s problem on financing health care was hopefully the budget will fit. Patient has the knowledge of the names of current medications she was taking and their purpose. Activities that the patient does to prevent problems related to allergies was to apply an anti-allergy prescribed from her dermatologist. Patient has the knowledge about medical problems in the family. There were no important illnesses or injuries in the patient’s life. 2. Nutritional-Metabolic Pattern The patient’s nourishment was to eat fruits and vegetable. Patient’s food choices in comparison with recommended food intake were not answered. The patient has no any disease that affects nutritional-metabolic function. 3. Elimination Pattern The patient’s excretory pattern was constipated. The patient has no any disease of the digestive system, urinary system or skin. 4. Activity-Exercise Pattern The patient’s description of his weekly pattern of activities, leisure, exercise and recreation was to eat outside and considers it as a family bonding. The patient has no any disease that affects his cardio-respiratory and/or Muscoskeletal systems. 5. Sleep-Rest Pattern The description of the patient’s sleep-wake cycle was completed of 8 hours. Patient’s physical appearance was relaxed. 6. Cognitive-Perceptual Pattern The patient has sensory deficit of astigmatism and was not corrected. Patient’s has the ability to express herself clearly and logically. Patient’s education was bachelor’s degree of computer science. The patient has no any disease that affects mental or sensory function. Patient’s pain description was of abdominal because of surgical procedure of caesarean section. 7. Self-Perception-Self Concept Pattern There was no unusual about the person’s appearance. The patient was comfortable with her appearance, simple but comfortable. Description of the patient’s feeling state was happy, comfortable because she already has a baby boy and a girl. She was worried about their financial needs because of the added family member. 8. Role Relationship Pattern Patient’s description of his various roles in life was to be a responsible mother. Positive role model of her roles was her mother, to save for family but she is more of disciplinarian than her mother. Important relationships at present were her family. There were no big changes in role or relationship. . Sexuality-Reproductive Pattern Patient’s satisfaction with her situation related to sexuality was good. If both of them were tired, they don’t do sexual intercourse. The patient’s plans and experiences did not matched regarding having children because everything changed and she was more matured than before. 10. Coping-Stress Tolerance Pattern Patient’s means/actions of coping with problems were there must be a goal for her to achieve. Coping actions help even though the goal was partially met as long as it was met. Eat, sleep and hang out were treatments/therapies for emotional distress. 1. Value-Belief Pattern Principles that the patient learned as a child which are still important to her was she does not want shortage, she wants everything to be provided. Patient’s identification with any cultural, ethnic religious or other groups is she is a St. Claire devotee. Support system that the patient finds significant was her family. J. Review of Systems and Physical Examination Date of Examination: January 9, 2013 PHYSICAL SYSTEMS| R. O. S. | P. E. | 1. General Status and Vital Signs| â€Å"Okay naman†| (-) fever(-) tachycardia(-) tachypnea(-) hypertension| 2. Integument (Skin, Hair, and Nails)| â€Å"Okay naman†| (+) pallor(-) skin turgor(-) edema| 3. Head and Neck| â€Å"Okay naman†| | 4. Eyes| â€Å"Okay naman, may astigmatism lang yung left eye ko†| (+) astigmatism| 5. Ears| â€Å"Okay naman†| | 6. Mouth, Throat, Nose and Sinuses| â€Å"Okay naman†| | 7. Thorax and Lungs| â€Å"Okay naman†| | 8. Breast and Lymphatic System| â€Å"Di lang ako makapag-produce ng milk kapag di pa ko kumakain†| (+) inverted nipple (-) breastmilk| 9. Heart and Neck Vessels| â€Å"Nagpapapalpitate ako minsan kapag pagod†| (+) palpitation| 10. Peripheral Vascular System| â€Å"Nagkavaricose veins na ko sa bigat ko, laging nakatayo at nung buntis pa ko ang bigat ng tyan ko†| (+) varicose veins| 11. Abdomen| â€Å"Kumikirot kasi tahi ko†| (+) pain| 12. Genitourinary| â€Å"Nagka-UTI ako nung nagbubuntis pa ko†| (+) rubra lochia(-) urinary tract infection| 13. Anus, Rectum and Prostate| â€Å"Hirap akong tumae†| (+) constipation| 14. Musculoskeletal System| â€Å"Okay naman, ngayon lang ako di makakilos ng maayos dahil masakit tahi pa ko†| (+) limited ROM| 15. Nervous System| â€Å"Okay naman†| (+) conscious| 16. Hematologic| â€Å"Okay naman†| | 17. Endocrine| â€Å"Okay naman†| | 18. Psychiatric| â€Å"Okay naman†| | How to cite Nursing Health Assessment, Papers

Lovastatin and Tumor Necrosis Factor

Question: Discuss about the Lovastatin and Tumor Necrosis Factor. Answer: Introduction: Heart diseases are common. According to the University of Minnesota, John Hunter, a great physician in the eighteenth centurypainted the medical image of angina pectoris in order to explainhow suddendeaths occur. The account of coronary disorders, stroke, and sudden death can be traced back to ancient times and how specialists have treated it thoroughly from different disciplines(Means 2012). It is in this light that the following discussion will cover a widely used medicine to prevent heart attacks and diseases known as Lovastatin. Lovastatin is scientifically known as(HMG-CoA) Hydroxymethylglutaryl-coenzyme A.It is a reductase and an enzyme that limits the rate in the cholesterol biosynthetic pathway. It also lowers the cholesterol in the body. This drug was the first HMG-CoA reductaseinhibitor that was used in treating hypercholesterolemia. This is aprescription drug available in the form of an immediate release tablet as well as extended release tablet. Lovastatin prescription is a combination therapy whereby it is accompanied together with weight loss, exercise, and diet, in order to decrease the menace of stroke and heart attack. In addition, it is used to moderate the quantity of cholesterol in the blood by slackening the production of cholesterol to cut a numberoffacts that may accumulate on the arterial walls and block the flow of blood to the heart, brains, and other parts of the body. Primary administration Lovastatin is administered in the evening. The drug is taken orally. This is a tradition that been followed by many physicians. This comes from the fact that cholesterol biosynthesis hepatic HMG-CoA reductase is highest at night and the half-life of statins is usually very short. Lovastatin has half-lives of sixhours or less. For maximum lowering of LDL, lovastatin has to be administered in the evening. This is important to exhibit these enzymes when they are mostly active. After carrying out a study, it was realized that when administering this drug in the evening there were high chances of reducing cholesterol than when compared to administering it during the day(Lewis 2014). Taking of statins in the morning can lead to the rise of cholesterol and low level of lipoprotein. Cholesterol levels are usually very high in the morning and are highest in the afternoon. For a patient who is mostly awake at night, the medication intake of lovastatin is carried after twelve hours of work. The drug should be taken as directed without taking more or less of it or often than the doctors prescription. The tablet should be swallowed whole without splitting, chewing or crushing it and a patient should only stop using the tablet after talking with his/her doctor. Many are times when medicine have allergic reactions on our bodies hence it is crucial to disclose allergies to certain medication or any ingredients in lovastatin. Therefore, it is very important for one to follow instructions when using the drug (Leibowitz 2010).When on lovastatin medication the patient should not tale alcohol , the patient should also avoid taking a lot of grapejuice, this is because the risks of the side effects can be increased. Lovastatin reduces the effects of the following drugs when taken together. These drugs include: ketoconazole, intraconazole, nefazodone, HIV inhibitors, blood thinners, some of cholesterol lowering drugs such as niacin and gemfibrozil. One should inform the doctor on the medication they are on to avoid such risks Lovastatin is hydrolyzed to lactone in vivo. In pharmacokinetics studies, the inhibition of HMG-CoA is usually the basis of this study. After lovastatin was administered orally in a man, .10% of this drug was in urine while 83% was excreted in feces. Excretion in feces indicates that the drug was absorbed and excreted in bile and the presence of theunabsorbed drug. The concentration of plasma of the lovastatin metabolites was high after 2 hours of dosage and declined to 10% after 24hours of dosage. After oral dosage, lovastatin highly selected the liver where it had high concentration than its target tissues. Lovastatin usually undergoes high selectivity of the liver where it was more concentrated than in the target tissues. Extensive first-pass extraction usually happens in the liver. There is also subsequent of the drug equivalent in the bile. Due totheextensive hepatic extraction of this drug, its availability to circulate as active inhibitor is very low. Lovastatin is highly boun d to plasma proteins in humans. This drug crosses the placenta and blood-brain barriers. The most active metabolites in the human plasma are -hydroxyacid of Lovastatin, and two other metabolites(Due and Wroblewski2013). Mechanism of action The liver usually controls hypercholesterolemia and Dyslipidemia. An increase of the LDL receptor can cause the decrease in the levels of cholesterol. Lovastatin is meant to inhibit HMG-CoA reductase.This is the enzymethatchanges HMG-CoA to mevalonic acid. The statin competes withthesubstrate in the active sites of the enzymes. Lovastatin works by stamping down fatty acids and cholesterol in the body. Reduction of this cholesterol can lead to the prevention of vascular disease, heart failure, and strokes. The statin works in the liver in order so as to prevent or inhibit HMG-CoA reductase. After discharging bad cholesterol from the liver, it is discharged in the blood artery vessels. Therefore, the lovastatin works to lower the cholesterol so that they fats cannot clog up the arteries (Herrick 2012). Lovastatin is used in treating coronary heart diseases.It prevents both secondary and primary effects on the heart. The drug is used in managing cardiovascular risk in individuals with levels of plasma cholesterol that are normal. Lovastatin is also used in treating patients that have progressive renal diseases. Application of lovastatin has proved to slow renal function loss and in the prevention of cretonne clearance decline. Lovastatin is used in treating cancer. In the inhabitation of cell growth, the drug may be independent of Ras function. In the bone fraction treatment, it works by stimulating the formation of bones in vivo and invitro. When administered in long doses it leads to the healing of bone fractures. The drug is used in the inhibition of the nitric oxide (Riekes et al. 2017). Therefore, it is important for patients to use the drug only under the doctors prescription and the patient should stop using the drug incase the above side effect is experienced. Lovastatin as a therapy drug Lovastatin belongs to a therapy class. Lovastatin belongs to a class of therapy known as the statins. Statins are administered so as to reduce cholesterol that is found in the blood .This is done by blocking the enzyme that is required to make cholesterol. It is used in treating heart diseases by lowering the cholesterollevel. It is not an anti-inflammatory drug.It is a therapy drug, which is associated with asymptomatic and mild elevations. These elevations are brought by higher dosage of lovastatin (Liu et al. 2017). Just like most medical drugs, lovastatin has its own side effects, which are grouped into side effects that are common and side effects that are serious. The side effects that are common occur with the use of lovastatin areapain in the abdomen (stomach area), heartburn, nausea, headache, constipation, memory loss, confusion, insomnia, muscle pain and lack of energy in the body (Fye 2014). The serious side effects and their symptoms may include muscle problem where one experiences muscle pain, tenderness, and weakness. In addition, the drug leads to liver problems, which make one pass urine dark in color and yellowing skin, or eyes turn white.It also causes the problem of the central nervous system, which is characterized byalack of energy, weakness, and extreme tiredness. In addition, one may experience flu- like symptoms that are, body aches, fever, tiredness, cough, and hoarseness, also, bleeding problems may be experienced with symptoms like unusual bleeding and bruising (Joseph M ajd2012). Therefore, it is very important for patients using this drug to seek immediate medical attention if the above discussed side effects prolong. References List Joseph, L, Majd, A 2012, 'A brief review: history to understand fundamentals of electrocardiography', Journal Of Community Hospital Internal Medicine Perspectives, Vol 2, Iss 1, Pp 1-5 (2012), viewed 30 March 2017. Retrieved from https://doaj.org/article/34c8a98d7c3e4a51a353c92ee7b31881 Fye, W. B. 2014. A history of the origin, evolution and impact of electrocardiography. The American Journal of Cardiology 73 (13):937-949. Herrick, J. B. 2012. Certain clinical features of sudden obstruction of the coronary arteries. Journal of the American Medical Association 27:100-116. La Due, J. S., and F. Wroblewski. 2013. The significance of serum glutamic oxalacetic transaminase activity following acute myocardial infarction. Circulation 2:871-877. Leibowitz, J. O. 2010. The history of coronary heart disease. Berkeley: University of California Press Lewis, T.2014. Diseases of the heart. 4th ed. London: Macmillan. Means, J. H. 2012. The Association of American Physicians: Its first seventy-five years. New York: McGraw-Hill. Liu, P.C., Lu, G., Deng, Y., Wang, C.D., Su, X.W., Zhou, J.Y., Chan, T.M., Hu, X. and Poon, W.S., 2017. Inhibition of NF-B Pathway and Modulation of MAPK Signaling Pathways in Glioblastoma and Implications for Lovastatin and Tumor Necrosis Factor-Related Apoptosis Inducing Ligand (TRAIL) Combination Therapy.PloS one,12(1), p.e0171157. Riekes, M.K., Dereymaker, A., Berben, P., Augustijns, P., Stulzer, H.K. and Van den Mooter, G., 2017. Development of enteric-coated fixed dose combinations of amorphous solid dispersions of ezetimibe and lovastatin: Investigation of formulation and process parameters.International journal of pharmaceutics,520(1), pp.49-58. Langert, K.A., Goshu, B. and Stubbs, E.B., 2017. Attenuation of experimental autoimmune neuritis with locally administered lovastatin?encapsulating poly (lactic?co?glycolic) acid nanoparticles.Journal of Neurochemistry,140(2), pp.334-346.

Drug-Free Workplace free essay sample

The intent of the bill was to establish the foundation of a drug-free workplace in the areas that the federal government could affect outside the federal government; i. e. , the workplaces of federal grantees and contractors. The Drug-Free Workplace Act of 1988 does not mention drug testing at all. However, many companies have made drug testing a requirement. The Drug-Free Workplace Act of 1988 has 7 compliance requirements. (Miller, 1991) Mechanical MD is the name of the company that I do accounting for. Mechanical MD was started at the end of 2006. As of right now, there are no company polices in place because there are no employees, only the owner and myself. However, we would like to put a drug-free workplace policy into place. The first compliance requirement of the Drug-Free Workplace Act of 1988 states the following: to publish a statement notifying the employees that the unlawful manufactured distribution, dispensing, possession, or use of a controlled substance is prohibited in the workplace and specifying what actions will be taken against employees for violations of the prohibition (Miller, 1991). Our first statement of our new drug-free workplace policy states: Unlawful manufacture, possession use or distribution of illegal drugs while working at Mechanical MD is prohibited. Use of legal prescription drugs in excess or that do not have a prescription will be in violation of this policy in addition to use of alcohol or over the counter drugs in excess to the extent the employees health or safety are in jeopardy. Employees who violate the policy are subject to disciplinary action up to and including termination. (Sample Drug Free Workplace Policy, 2006). The second compliance requirement of the Drug-Free Workplace Act of 1988 states: establish a program to inform employees of the dangers of drug abuse in the workplace and the availability of drug counseling, rehabilitation, and employee assistance programs (Miller, 1991). Mechanical MDs company drug-free policy will state: Substance abuse in the work place affects everyone. When an employee drinks or uses drugs on the job, it not only hurts him/her, but also, threatens public safety; damages job performance; and results in costly expenses both to the company and the employee. Even if drug use is outside the workplace, it can affect job performance. Substance abusers are ten times more likely to miss work, more likely to be involved in on-the-job accidents and are less productive. And while they arent working or carrying their workload, someone else has to pick up the slack. (Sample Drug Free Workplace Policy, 2006). Mechanical MD will also state that the company reserves the right to sanction treatment of convicted persons who wish to continue their employment following a conviction. The third Drug-Free Workplace Act of 1988 compliance requirement states: Provide all employees working under the contract with a copy of the policy statement (Miller, 1991). Mechanical MD will provide a copy of the employee handbook to all employees. When an employee of Mechanical MD receives a copy of the employee handbook, he/she will sign a handbook release form stating that they have received a copy of the handbook. The fourth Drug-Free Workplace Act of 1988 compliance requirement states: notify employees in the policy statement that as a condition of continuing employment, the employee will abide by the statement and notify the employer within 5 days if he or she is convicted of any criminal drug offense occurring in the workplace (Miller, 1991). The Mechanical MD employee drug-free policy will state: Any employee found to be arrested must notify the company within 5 days of the conviction and indicate which law has been violated. (Sample Drug Free Workplace Policy, 2006). If the employee fails to tell the company about the conviction and the company finds out at a later date, the employee will be terminated immediately with no opportunity to receive drug or alcohol rehabilitation. The fifth compliance requirement of the Drug-Free Workplace Act of 1988 states: notify the contracting officer of an employee conviction within 10 days after the contractor learns of the conviction (Miller, 1991). Mechanical MD does not have a contracting officer; therefore, this compliance requirement does not apply. The sixth compliance requirement of the Drug-Free Workplace Act of 1988 states: within 30 days of receiving notice of the conviction, impose a sanction on the convicted employee up to and including termination or require the employee to satisfactorily complete an approved drug rehabilitation program (Miller, 1991). Mechanical MDs policy will state that if the company decides not to terminate the employee, the employee is required find a way to complete the required transportation to and from the required jobs without operating a motor vehicle. The employee of Mechanical MD will also be required to seek a form of drug or alcohol treatment and provide the company with proof of this treatment for at least 90 days. The seventh compliance requirement of the Drug-Free Workplace Act of 1988 states: make a good faith effort to continue to maintain a drug-free workplace by meeting the requirement of the Act (Miller, 1991). Even though the Drug-Free Workplace Act of 1988 does not require drug testing as part of having a drug-free workplace, Mechanical MD will require drug-testing as a part of being hired for to work for the company. Mechanical MD will also state in the company drug-free policy that random drug testing will be done periodically to continue to provide a safe work environment for all employees. The Mechanical MD supervisors will also be required to attend training courses to identify and manage substance abuse issues in the workplace. Mechanical MD will provide the safest possible work environment for all of the companys employees. The company will also abide by all the compliance requirements according to the Drug-Free Workplace Act of 1988.

General Musharraf and Engineered Democracy essays

General Musharraf and Engineered Democracy essays President Musharraf and Engineered Democracy "To announce that there must be no criticism of the president, or that we are to stand by the president right or wrong, is not only unpatriotic and servile, but is morally treasonable to the American public." The period of the Musharraf regime in terms of the political scenario was clearly articulated by The International Crisis Group (ICG) that said that President Pervez Musharraf has been unilaterally instituting political and constitutional changes intended to ensure that generals retain the real power after the Oct 10 elections. In a latest report titled "Pakistan: Democracy needed not more military rule", the highly-reputed international group has noted that the Musharraf government is following the pattern of the country's previous military rulers of carrying out constitutional changes intended to ensure that "the generals retain the real power and any democratic transition falters before it begins." I believe that to get things going their way, the Musharraf government had started playing its cards from the very beginning. Probably, they realized that the international community was not going to stand a military regime in a country of geo-strategic importance for an extended period of time. Musharraf had to plan early, plan well and in the process stay well ahead of his adversaries. After the military coup, General Musharraf sent out a clear message to all by proclaiming himself as the Chief Executive of the Islamic Republic of Pakistan that he was clearly in control, and was here to stay. He started with suspending the 1973 constitution and promulgating the PCO. The judiciary was made to re-take the oath under the PCO, and Justice Irshad Hassan Khan was made the Chief Justice of the Supreme Court of Pakistan, following the refusal of the senior judges of the Supreme Court, including Chief Justice Ajmal Mian, to retake the oath under the PCO. By installing the Chief Justic...

Creative Writing 5 Tips for Writing a Novel

Creative Writing 5 Tips for Writing a Novel Creative Writing: 5 Tips for Writing a Novel Even though creative writing gives you much more freedom than academic writing, it takes a lot of time, effort, and dedication to master. Luckily, if you are writing a novel, there are a few things you can do to make sure you end up with something you can be proud of. 1. Start Small One mistake aspiring novelists make is leaping right into writing a full-length novel. If you’ve not written fiction before, consider starting with a few short stories. This will let you hone your creative writing skills before you set to work on your seven-volume masterpiece! Not exactly what we had in mind, but sure.(Photo: kelly taylor/flickr) 2. Where to Begin? Speaking of starting points, coming up with an idea for your story is one of the trickiest parts of writing a novel. The old adage of â€Å"write what you know† applies here, so one option is to base a story on something in your life or something you’ve observed. Another top tip is starting with a character. Who is your story going to be about? What is their background? Where do they live? What challenges do they face? If you can answer these questions, the rest of your story should start falling into place. 3. Have a Plan Once you have a basic idea for your story, you should take some time to make a plan before you begin writing. Try to consider what the major plot points will be, who the main characters are, and what the end point will be. You might need a bit more detail than this. You don’t have to stick to this rigidly once you get going, but it should give you a basic structure you can use to guide your writing. 4. Give Yourself a Quota Every author has days when they don’t feel like they can get anything done or when the words seem to come out wrong. But don’t let this put you off! Give yourself a quota of words to write each day. This doesn’t have to be much (even a few hundred or a thousand words a day will add up eventually). They don’t even have to be perfect (you can edit later, so resist the urge to hit â€Å"delete†). The important thing is to keep going. 5. Edit Ruthlessly! Once you have a first draft, take some time away (have someone else read it and give you feedback if you can). But when you do come back to your manuscript, be brutal! Editing your own work can be painful, but it has to be done. Make your story as streamlined as possible. This means making small cuts where redundant words and phrases appear. But it can also mean cutting sections that aren’t essential to the plot, such as unnecessary scene-setting. Red pen optional.(Photo: Nic McPhee/flickr) If you can do this, you should end up with a much better novel as a result!

Strategic Analysis of Lush Cosmetics UK Subsidiary Term Paper - 1

Strategic Analysis of Lush Cosmetics UK Subsidiary - Term Paper Example VRIO analysis is one of such tools that help any organization to analyze their core competencies (Wiklund and Shepherd, 2003). The tangible resources of Lush Cosmetics include their employees, production laboratories, and product packaging ingredients. The employees of the organization are well trained and highly efficient to produce innovative products as per the requirement of the market. Their technologically developed production laboratories give them a competitive advantage. Lush Cosmetic is following green policy in their product packaging procedure by using recycled and environmentally friendly products. Their intangible resources are the innovative product formulas and brand recognition (Marketline, 2008). The products of the organization follow a unique and innovative formulation that helps them to stand out in the market. The uniqueness of their products has earned customer loyalty and positive market reputation for their brands. The ability to recognize consumer preference over the freshness of product and recognize the limitations of natural products in the earth can be counted as their core capa bilities (Ku, 2014). These resources and capabilities provide help to identify their core competencies which include innovative products, environment-friendly business approach, and trustworthiness. The organization has utilized their unique product formulas and the state of the art production facilities to develop natural personal care products for health conscious customers.

A crisis during a The Cold War Research Paper Example | Topics and Well Written Essays - 750 words

A crisis during a The Cold War - Research Paper Example The â€Å"cold† part of the nomenclature is a reference to the fact that there was no direct warfare between the two primary sides (the US and allies and the various segments of the Soviet Union) during the time period specified (Gaddis, 2005) The â€Å"war† part of the name comes from the conflicts expressed through arms races, sports rivalry, military coalitions, espionage and propaganda. The end date of The Cold War, 1991, refers to the end of the Soviet Union, rather than any particular end of this quasi-stalemate warfare (Maus, 2003). This paper will illustrate the crisis during The Cold War by exploring the viewpoints of the United States (and allies) and the Soviet Union, and discussing some key events and powerful figures of The Cold War. There was no clear start to the situation - tensions began between the USA and the Soviet Union long before 1947. The Bolshevik revolution in the early part of the 20th century ensured that the Soviet Union found itself isolate d from international diplomacy, and this was compounded by the rule of Stalin, who considered the union as a ‘socialist island’ (Gaddis, 2005) The Bolsheviks completely opposed capitalism which the United States was seen as exemplifying – this distress was only compounded by the Western support of the White movement (an anti-Bolshevik movement). These tensions were exacerbated by several more actions on both sides, but a semi-permanent alliance was formed between Western powers and the Soviet Union during the Second World War. ... The railway blockade was formed by the Soviets who believed that having complete economic control over the city by preventing any Allied forces delivering supplies to Berlin would result in Germany becoming part of the USSR. The crisis was solved with an airlift by British air forces (Miller, 2000). The Korean War occurred between 25th June 1950 and 27th July 1953, and was the first proxy war held as part of the Cold War. The Korean War was another example of a communist/capitalist conflict, with the two sides being North Korea (backed by China) and a UN-supported Republic of Korea. President Truman was an influential figure in the war, stating that the Republic of Korea required US help via a police action. The Berlin Crisis occurred within a few months in 1961, and refers to another conflict about the status of Germany within Europe. Both Allied and Soviet forces were still present in the city, and in 1958 Khrushchev (the leader of the USSR at the time) gave an order that Berlin wa s to be a city free of military occupation and required that all Allied forces remove themselves from the city within a few months. When this did not occur, several events led to the building of the Berlin Wall, splitting Berlin between a Soviet controlled East Germany and a Western controlled West Germany. The Vietnam War, another proxy war, took place between 1955 and 1975 and again was a conflict between a North and South controlled by two separate political ideologies, communism and capitalism. President Kennedy was a major player particularly during the initial part of the Vietnam War, having several disagreements with Khrushchev about the country. Like Germany, Vietnam was a country split into halves by separate political ideologies (Murray, 2005). One of the later