Riordan Virtual Organization, Concepts in Strategic Management and Essay

Riordan Virtual Organization, Concepts in Strategic Management and Business Policy, and Competitive Advantages Paper - Essay Example The changing and advancing technology compels Riordan Company to adopt  new strategy and business policies. The corporation should adopt a good strategic plan to achieve its goals and long-term performance. The evaluation and adoption of production expertise is a result of technological advancement (Hill & Jones, 2012). The evolving world economic market calls for companies to transform and adapt to the new environment. Strategic planning is necessary in accomplishing new changes. It lays a framework for business success and objectives. Riordan Company should set its priority and values for the company to realize its mission and goals in the industry. It should improve interaction to bring unity and teamwork that is the root of success. In addition, the company should align duties and priorities that can help in decision-making (Lawrie et al., 2005). Strategic plan focuses on making proper decision for the future. To develop a successful business plan, Riordan should have a well-developed strategy for achieving them. It should focus on the formation, implementation, evaluation and control measures. When doing a strategy planning, an environmental scan is essential. Environmental scan concentrates on factors that affect the company performance externally. Riordan Company being a leading producer in plastic manufacturing is facing environmental pressure from other company in China, USA and the global world. Environmental scanning focuses on economic forces, technology drives, change in government policy and socio-cultural force (Hill & Jones, 2012). The company should train its workers to impart in them the necessary practice skills. The move will also ensure that the workers are competent and well motivated. Environmental scanning takes place in the societal surroundings and industrial atmosphere. To compete with the outside environment, Riordan should lower their prices to attract potential

LANDSCAPE REHABILITATION Essay Example | Topics and Well Written Essays - 4000 words

LANDSCAPE REHABILITATION - Essay Example Currently, the area is filled with water and disused from the excavations and the pits. The pits on the site have served as a dumping area for wastes for many decades and would require restoration. The restoration of the site will include removal of the excess water in the pits, filling the pits and planting appropriate plant species to improve the soil stability. The Strategic Context The Formulated Objectives i. To provide of an expert report on the means to rehabilitate Blackpool working area. The plan would provide procedures to realize a full reclamation and maintenance of the region. ii. To explain and the principles behind each technique employed in the process to foster understanding amongst the planets. The explanations would advise on the appropriate criterion by identifying the merits and demerits of each criterion and need for its implementation (Liddle, 1997). iii. To utilize the conventional models of reclamation on degenerated environments. http://www.mindat.org/gphoto s/0357418001078092838.jpg Setting of the Site The Plan Layout Retrieved on April 24th 2012 http://www.epd.gov.hk/eia/register/report/eiareport/eia_0552001/report/vol1/vo_1.htm Site Plan and Design Design Considerations The Landscape Plan Goals To provide a strategic context for the plan would require the inclusion of created and approved objectives. The planners must also consider the incorporation of the local community in the selection of the site to use and the necessary facilities. To provide the feasibility framework for the rehabilitation will demand a plan for the site layout and the approved locations for landscaping, the phases of work and the procedures. The wildlife considerations will target the increment of the plants’ species diversification. The variation will additionally increase the number of the native animals’ populace that the Blackpool mining site can tolerate. Eventually, the other concern worth incorporation is the preference of the users. This consideration will define the entry point of the site and the order of entry and an arbor structure will be located at the entrance (Heywood & Carver, 2006). The Physical Reclamation Design This plan targets the creation of a conducive environment for the public into the Blackpool and creates a woodland feel within the urban setup. Plants should be located and accumulated to direct views and provide avenues in the space between the rehabilitated site and the Clay Works. The plants should be installed in natural arrangements. The plan should avert straightforward rows or formal procedures of planting trees. Limited groupings of similar plant species should offer the reigning pattern (Hawke & Jose, 1995).The planners have to consider reason for rehabilitation to provide a tentative guideline. The need for rehabilitation should direct the rehabilitating team on the areas to emphasize on with respect to the objectives. The availability of resources has to be addressed and considered as one of the critical facets for the success of the rehabilitation process. There has to be adequate finances to fund the process by hiring or purchasing the heavy machinery and tools together with the plant operators employed. The personnel involved in the rehabilitation process have to be competent and conversant with the geological and environmental issues. The ownership of the land is essential for consideration because the ownership

Effects Of Classroom Lighting On Filipino College Students

Effects Of Classroom Lighting On Filipino College Students Several studies on the effects of lighting on students academic performance had been done abroad on different social classes and ages of the subjects. These all had the objective of improving the learning process of students during their formative years at school. According to Bukky Akinsanmi, theories on how learning takes place include behaviorism, cognitivism, and constructivism. The behaviorism theory, which was popularized by B.F. Skinner, supports the idea that humans come into this world like a blank slate tabular rasa. Humans learn based on reinforcements. Rewards are given to those whose action reaps positive results. Punishments are given otherwise. The effective transfer of knowledge is the teachers responsibility leaving the student a passive participant. It is teacher-focused, structured, lecture-based, and uses reward and punishment to promote learning. The classrooms provided little room for flexibility. Lapses on behaviorism theory include the eventual possibility of extinction of positive results when rewards are removed and the attitude of just doing things for the sake of rewards. Since the behaviorism theory does not account for all learning, the cognitivism theory came into existence. It says that the mind is a black box that must be opened and understood. It focuses on the study of mental processes. Schools were built in single or two-story buildings connected by walkways housing students according to their grades. Meanwhile, Constructivism theory states that knowledge is constructed and not acquired. The learning process is now the responsibility of the student and not the teacher. It says that humans are like blank slates making meanings from experiences. Unlike the behaviorism design of school environment, this theory supports student-centered, collaborative, cooperative, and experiential learning facilities with teachers serving as facilitators (Akinsanmi, 2008) To enhance students academic performance, the effective coordination of school environment must be studied. The physical characteristics of a school environment directly influences both the teachers way of imparting knowledge on students and a students performance at school. Such characteristics include sounds, temperature levels, and classroom lighting (Tope, 2013). Poor school facilities like inoperative heating system, inadequate ventilation, and poor lighting affect health, learning, and morale of students and staffs. Good overall building condition; including features such as large windows, natural lightings, and well-designed skylights on classroom settings; results to better students academic achievement (Vandiver, 2011). According to Robert Scott McGowen, the illumination of our surrounding environment impacts our reactions, motivations, moods, and sense of well-being. For centuries, this issue of illumination led to evident designs in architecture and natural lighting. Different degrees of illumination can be used to stimulate productive and creativity in offices and schools. Several studies had been done on providing windows or skylights in classrooms resulting to higher standardized tests. However, it does not clearly imply that the improvement in students performance was due to increased light, quality of light, or physiological effect of natural lighting. Windowless spaces contribute to negative attitudes of students as well as their teachers especially when coupled with monotonous tasks. It was shown that natural lighting can improve the quality and quantity of lighting in instructional areas effectively. Daylight has been and is still the standard by which artificial light is measured. Researc h reports indicate a positive correlation between day lighting and academic performance. Good quality of lighting increases comfort and increased comfort contributes to higher scores and academic performance of both teacher and students. The developmental stages of students are also considered when designing lighting systems. It is a physical support on students to help them concentrate on their academic endeavors. Recently, the focus on effective learning environments has shone on healthy physical surroundings (McGowen, 2007). Changing the facilities creates a different learning environment. Creating change has a major impact on students, faculty, and administrators. This change creates the type of learning environment, which is more conducive to learning and performance. (Vandiver, 2011) Two field studies and one experiment were done with Dutch elementary school children to examine the effects of dynamic lighting on concentration done by Sleegers, Moolenar, Galetzka, and Van Der Zanden. In the field studies, the pupils in the experimental conditions were subjected to different lighting settings and conditions during one day for a longer period of time (Study 1) or were constantly exposed to the focus setting for one month (Study 2), while the pupils in the controlled environment were subjected to the same lighting conditions during one morning (Study 3). They focused on pupils concentration performance and evaluated the impact of different lighting conditions and settings on pupils concentration. They also examined the differential effects of classroom lighting conditions on concentration for gender. They evaluated the effects of lighting, conducting analyses of variance, using three samples of data from 181 elementary school children. The results of their field stud ies offer support for the positive influence of classroom lighting conditions on concentration. Although all pupils performed better at the concentration test at the consecutive measurement points, it appeared that the performance of the pupils in the experimental groups improved more than the performance of their peers in the control groups. Furthermore, the findings of the first field study show differences between grades: they found effects of lighting on concentration for pupils from grade 4, but not for pupils from grade 6. These findings suggest that older pupils concentration might be less affected by the lighting conditions used than younger pupils. Hypothesis states that older pupils are more trained to concentrate while performing tests than younger pupils. On the other hand, the findings on the second field show that, on the average, older children perform better on concentration tests than their younger peers, no additional support was found for the role of age in the ef fect of lighting on concentration. Meanwhile, the results of the third study showed no statistically significant effect of lighting on concentration and so not substantiate the findings of the two field studies in a controlled environment. It might be because of the differences in the designs used. It suggests that the statistically significant differences found in the field of studies might be caused by uncontrolled extraneous influences that might limit or bias observation. It might also be that differences in the way children were exposed to the lighting conditions and settings in the different environments caused the differences between the findings. Although they did not evaluate the dynamic nature of the light system used, their findings seem to suggest that an environment in which different lighting settings and conditions are used to support specific activities and tasks at hand during a longer period of time may be more effective for pupils learning than an environment in w hich pupils are exposed to the same lighting condition for a relatively short period of time. The effect of lighting might be situation, task, and time dependent as previous studies also have indicated. The differences between the findings of the field studies and the third study for the relationship between lighting and concentration may also have to do with seasonal effects. Seasonal effects were also found in a more recent study into the effects of dynamic lighting on student alertness in a lecture room environment. The results of that study showed that in spring no change in alertness could be detected, while in the autumn study the decrease of alertness during lectures was significant. These findings shed light on the effects of exposure to lighting conditions during different seasons and the effect of the dynamic nature of light. As such, attention should be paid to the added value of artificial lighting in combination with exposure to daylight for the improvement of the perfo rmance of students in educational settings. Third, the results of their field studies showed no evidence of differential effects of gender in the relationship between lighting and concentration. Although earlier studies did find effects of lighting on performance and mood differ between men and women, their findings do not indicate gender related effects of lighting on pupils in elementary education. This may be related to the difference between children and adults in effects of lighting, for instance in regard to the development of psychological and affective preferences for the environment in general, and lighting specifically. (Sleegers et. al., 2012) According to Warren Hathaway, a search for ways to improve education is sustained by the general view that the learning environment is an important aspect in the educational process and the specific findings of research into the effects of types of lighting on people. Among the most surprising findings from the research in this field were that those elementary students who received trace amounts of ultraviolet light in their classrooms developed fewer dental carries and had better attendance than students in a comparison group. Sunlight is still the most important source of light and energy for living organisms and it may be experienced as direct light or as skylight. Most people do their works each day under the influence of sunlight. However, as society becomes more urbanized, people spend much less time under sunlight and much more time under artificial lamps. We are surrounded by walls, floors and ceilings covered with colors seldom repeated on the same scale in nature and these colors are usually perceived under lighting systems designed more for efficiency than for their possible physiological or psychological effects on people. Indeed, our artificial lighting systems can only simulate twilight levels of illumination-light levels of 200 to 1500 lux in comparison to light in the natural environment at twilight of 2,800 to 8,200 lux and at noon up to 100,000 lux. There is significance of wide differences in light levels between natural settings and built environments. Corth contended that the natural environment of our earliest ancestors was not the open plains but the forest floor. As a consequence, the habitat noon-time light levels would have been much lower than the 8,200 to 100,000 lux found in open areas. Moreover, he further contended that the spectral quality of the light at the forest floor was greenish-yellow and represented the combined result of the solar radiation spectrum and the filtering effect of the forest canopy. He also progressed the vi ew that our ancestors only later they occupied the forest floor near the equator did they move onto the open plains either north or south of the equator. Thus he concluded that heavy skin pigmentation was a matter of camouflage for survival more than it was a filter against UV light. As humans left the forest cover and moved into the more open country to the end of the equator and away from zones of intense UV light, the pigmentation was reduced as a response to the need for increased vitamin D which is formed by the action of ultraviolet light on the skin. Following Corths logic, one might expect two effects. First, in as much as the light spectrum of cool-white fluorescent lamps approximates that of the greenish-yellow light reaching the forest floor, people may find these lights to be very satisfactory. Second, if skin pigmentation decreases as a response to an increased need for ultraviolet light, highly pigmented people living in northern climates may have greater needs for ult raviolet stimulation than do lightly pigmented people. Sunlight contains all colors in relatively uniform amounts and all colors are equally visible when illuminated by sunlight. For this reason, natural light serves as the reference for comparing the color rendition characteristics of artificial lights, with natural light having the maximum or reference Color Rendition Index (CRI) of 100. The color rendition index is a measure of the way colors look under specific light sources. It is important to note that equivalent CRI indices mean the same thing only when the light sources to which they relate have equivalent color temperatures. As a consequence, colored objects may appear different when viewed under lights with different color temperatures but equivalent CRI indices. Not all artificial light sources accurately reproduce the full spectrum of sunlight. Incandescent lights are rich in red and yellow light, but radiate relatively little energy in the blue and green region of the s pectrum. Cool-white fluorescent lights emit most of their radiant energy in the green and yellow bands of the spectrum, the range to which eyes are most sensitive. Thorington asserted that it is at the 555 nm that the lumen or the standard unit of light is defined. Full spectrum lights emit a significant portion of their radiant energy in the blue area of the spectrum. A further small percentage of the radiant energy from fluorescent lamps may fall into the ultraviolet range. Rooms lit with full spectrum fluorescent lights may be seen as being somewhat dimly lit since the eye is less sensitive to blue light than to green and yellow light,. Full spectrum lights do, however, have a relatively high Color Rendition Index and this may be very important to vision processes. In this regard, Aston and Bellchainbers compared high efficiency with lamps that provided a spectrum more closely balanced to natural light. In their report they said, The results clearly show that the Kolorite lamps, lamps simulating natural light in spectral distribution, not only provide better color qualities but give a higher degree of visual clarity than do the high efficacy lamps at an equivalent illuminations. Ozaki and Wurmm drew attention to the fact that light from high pressure sodium vapor lamps produced anomalies in the growth and development of animals. They presented evidence to the effect that the exposure of developing rats to high pressure sodium vapor (HPSV) lights caused characteristic changes in growth and development. Downing concluded: There is no area of our mental and bodily functioning that the sun does not influence. Our bodies were designed to receive and use it in a wide range of ways. We were not designed to hide from it in houses, offices, factories and schools. Sunshine, reaching us through our eyes and our skin, exercises a subtle control over us from birth to death, from head to tail. Zamkova and Krivitskaya augmented regular fluorescent light with ultraviolet s untan lamps in a controlled experiment involving school children and they reported that when compared to the control group, students who received exposure to ultraviolet light showed increased levels of working ability and resistance to fatigue, improved academic performance, improved stability of clear vision, and increased weight and growth. Volkova studied the effects of ultraviolet supplements to general lighting in a factory and found that when compared to a control group, an experimental group of adults demonstrated decreased permeability of skin capillaries, increased white cell activity, and reduced catarrhal infections and colds. Richard Wurtman concluded that light has biological effects that are important to health and that some of these effects may be easily reproduced and measured in the experimental laboratory. These effects were of two kinds: those which modify the individuals endocrine, hormone and metabolic state by means of light reaching the retina and those which result from light on the skin. He also linked light entering the eye with responses of the pineal gland and secretion of the hormone melatonin. This hormone in turn influences the functions of other glands, possibly as a result of direct action on specific areas of the brain. Wurtman and Weisel studied the effects of light from cool white lamps and full-spectrum Vita-Lite lamps on a group of rats. Their findings support the argument that environmental lighting has an effect on at least some neuroendocrine functions. Himmelfarb, Scott, and Thayer reported that light from Vita-Lite (full-spectrum) lamps was significantly more effective in killing bacteria than light from standard cool-white lamps. Downing offered evidence that small amounts of ultraviolet radiation destroy bacteria and moulds. Relatively small amounts of ultraviolet light can stimulate calcium absorption among elderly men who have no exposure to sunlight and who eat a diet containing little vitamin D. Mass, Jayson, a nd Kleiber reported that students studying under full-spectrum lights had the smallest decrease over time in critical flicker fusion and an increase in visual acuity. Students studying under cool-white illumination demonstrated greater lethargy than those studying under full-spectrum lights (Hathaway, 1994). Sleegers suggested that future research should, therefore, focus on the interaction between light conditions and settings, specific activities and tasks and duration. This may increase our understanding of the variability of the effect of lighting among classroom environments, school activities, tasks and student performance and the potential effects of dynamic lighting in school settings. More research is needed to test the effects of different lighting conditions and settings on the school performance of different age groups. Future studies should use reliable and repeated measurements of concentration in order to reduce bias, increase the validity of the design used and evaluate the possible long term effects of lighting on school performance of young children in natural school environments. More systematic research is needed on the relation of daytime and artificial light, concentration, and seasonal effects, using objective measures to analyze performance in real life settings a nd with prolonged exposure. By doing this, the findings of these studies may help to increase our understanding of person/environment interaction and its impact on the performance and learning of elementary school children (Sleegers et al, 2012). At the same time, the literature on the non-visual effects of types of lighting on people is constantly expanding and from this there emerges a need to examine a variety of types of lighting for non-visual effects on people (Hathaway, 1994).

Philosophy of Education Essay example -- Philosophy of Teaching Statem

Philosophy As Abigail Adams once said, â€Å"Learning is not attained by chance, it must be sought for with ardor and attained to with diligence.† Just as students learn with ardor and diligence, teaching is also a profession learned with ardor and diligence to achieve excellence as a teacher in today’s classroom. As I have grown up in a family thriving with teachers, I have seen both lessons taught and lessons learned. Children can offer a unique reward; to see a child learn is an accomplishing and satisfying feeling. To teach is to be an intellectualist, dramatist, psychologist, and many other titles. Only teaching offers this wide range of possibilities—and what exciting possibilities these are! Teaching styles differ among educators, and it should be the goal of aspiring teachers to analyze themselves to become the best teachers as possible. Imagine a patchwork quilt full of variation in size, color, texture, and detail in every different piece. This picture is what surfaces in my mind when I think of the nature of students in today’s world. If the quilt represents a classroom, each piece represents a student with different inter-weavings, but similar ties among themselves. My job, as teacher, is to recognize each piece just as unique and contributing as the one beside it. We must remember that each child is shaped differently, both internally and externally, and affected by circumstances that not all may experience. Their nature should be inquisitive and attentive; however, these qualities are not always the case in students today. It is the teacher’s duty to mold his or her students to be better and reach higher in school. It is the teacher’s duty to understand that each child has a different nature and... ...s public education system requires leaders to take children into the new millennium. This new time period will hold many challenges for our children, and the instruction they will require must be from charismatic and caring teachers. Each philosophy molds the way that teachers feel about teaching and teachers, in turn, must mold their students carefully to face many different challenges. Although I believe in the basic attitude of an essentialist, I also believe that teachers must inspire and arouse curiosity in their students. As Anatole France best describes it, â€Å"The whole art of teaching is only the art of awakening the natural curiosity of young minds for the purpose of satisfying it afterwards.† I hope to be that type of teacher who awakens my students to new ideas and remains in their minds as a great inspirer for not only school, but for life as well.

President Nixon & Jumpology Essay

One of the other novel contributions was the series of jump pictures where his clients, including the likes of President Nixon, Marilyn Monroe, Duke and Duchess of Winsor jumped for him. Halsman always believed that the jumps revealed more realistically the latent idiosyncrasies of the personality of his clients. (Merryman, 2002) The ideation of this particular pictorial genre had, of course, its offshoot in Halsman’s photography of the animated antics of many of the noted comedians like Sid Caesar, Bob Hope, Groucho Marx who were captured in his film. Halsman could readily realize that, contrasted with their more traditional portraits, the characters came out in full life and vigor when they jumped. To quote Halsman â€Å"When you ask a person to jump, his attention is mostly directed toward the act of jumping and the mask falls so that the real person appears. † (Halsman, 1986) Incidentally his published book [1959] titled â€Å"Philippe Halsman Jump book† is replete with 178 photographs of numerous â€Å"celebrities jumpers†, interwoven with hilarious discussion on jumpology. (Halsman, 1986) [linnilabelled. wordpress. com/2007/10/06/philippe-halsman-the-father-of-jumpology/] [http://astadnik. file. wordpress. com/2008/04/bb2. jpg] Halsman’s jumpology created a genre in photography which moved and inspired a lot of people, professional and otherwise. Philippe Halsman – Fritz Gruber (Writer) and the Crew Jumping on Set profile. myspace. com/index. cfm? fuseaction=user†¦ In 1958, to recognise his contribution Halsman was included in Popular Photography’s â€Å"World’s Ten Greatest Photographers† along with Irving Penn, Richard Avedon, Ansel Adams, Henri Cartier-Bresson, Alfred Eisenstaedt, Ernst Haas, Yousuf Karsh, Gjon Mili, and Eugene Smith. American Society of Magazine Photographers gave him the Life Achievement in Photography Award in 1975. Halsman believed that his career matured and his art came to fruition in his adopted country, America. He thus made America, the subject of his works in myriad ways. One review noted Halsman’s â€Å"unsanctimonious and immensely intense portrayal of American bounce. † When we look back in time at the works and contribution of Philippe Halsman, we see the discovery or even invention of a nation as seen by an artist through the lens of his camera which took into account not only imagination but also the psychology of the country and its people. His images form a vivid portrayal of prosperous American of the mid 20th century. In that respect his adopted country became his creation.

Nursing Diagnosis

Cues| Nursing Diagnosis| Scientific Explanation| Objectives/Plan of Care| Nursing Interventions| Rationale| Evaluation| S> â€Å" Hindi pa masyado magaling ang sugat ko† as verbalized by the patientO> S/P Appendectomy>with surgical incision at right lower abdominal area>with dry intact dressing on the surgical site| Impaired Skin Integrity related to skin/tissue trauma| Inflammation of the appendixvAcute AppendicitisvAppendectomyvDissection if right lower abdominal tissuesvDisruption of skin surface and destruction of skin layersvImpaired skin/tissue integrity|Within 8 hours of nursing intervention the pt will be able to manifest the following:a. ) intact suturesb. ) dry and intact wound dressingc. ) participation in passive ROM exercises| >Assess operative site for redness, swelling, loose sutures, or soaked dressing>Monitor Vital Signs>Assist in passive movements(while 8hrs. lat on bed) such as bed turning and passive ROM exercise and active exercise the reafter movements such as bed position, sitting, standing, walking> Support incision as in splinting when coughing and during movement>Encourage pt to verbalized his for any untoward feelings especially pain, discomfort as well as changes noted on operative site>Encourage pt to engage early ambulation and have SO’s assist him in such activities>Instruct pt and SO’s to immediately report when dressing are soaked>Instruct pt and SO’s to refrain from touching/scratching operative site>Provide regular dressing care>Administer Chlorampenicol Sodium(antibiotic) as ordered| >to check skin integrity, monitor progress of healing and identify need for further> Serve as baseline data>to promote circulation to the surgical site for timely healing>to reduce pressure on the operative site>to allow continuous monitoring and assessment of pt. ondition>to promote circulation to the surgical site for timely healing>to promote circulation to the surgical site for timely healing>for immediate replacement to prevent skin breakdown and contamination of operative site>to avoid accumulation of moisture at the operative sitewhich may lead to skin breakdown>to prevent bacteria harbor in operative site|Within 8 hours of nursing intervention the pt be able manifest the following:a. ) intact suturesb. ) dry and intact wound dressingc. ) participation in passive ROM exercises>Evaluation was not carried out due to time constraints. Pt was endorsed to succeeding members of the health team for further management and evaluation| Cues| Nursing Diagnosis| Scientific Explanation| Objectives/Plan of Care| Nursing Interventions| Rationale| Evaluation| S>†Hindi namn ako nilalagnat† verbalized by the patientO> v/s taken as follow:BP:110/80 mmHgRR:22 cpmPR:68 bpmT: 37. C> S/P Appendectomy>with dry intact dressing on the surgical site| Risk for infection related to tissue trauma| Inflammation of the appen dixvAcute AppendicitisvAppendectomyvTissue trauma on RLQ abdomenMay provide portal of entry for pathogens through:>unnecessary exposure of surgical site>inadequate aseptic techniques especially in wound dressing>contract with pt’s, SO’s and visitors hands or other partsvMay result to infection| Within 8 hours of nursing intervention the pt will be able verbalize ways in preventing infection/contamination specifically proper hand washing, and proper wound care as evidenced by:>maintain stable v/s>good skin integrity>absence of swelling redness and pain on operative site | >Monitor v/s and record>assess operative site for signs of infection>change linens as necessary>Provide regular dressing care>Instruct pt and SO’s to refrain from touching/scratching operative site>Encourage pt to verbalized any changes noted on operative site such as redness, swelling and unusual/odorous drainage >Encourage pt to engage early ambulation an d have SO’s assist him in such activities>Administer Penicillin G Sodium(antibiotic) as ordered| >Elevation in rates may signal infection>to provide baseline data for comparison and identify need for further management>to prevent growth of microorganisms on linens and beds> to prevent unnecessary exposure and contamination of operative sitewhich may delay wound healing>for immediate replacement to prevent skin breakdown and contamination of operative site>to allow continuous monitoring and assessment of pt. condition>to promote circulation to the surgical site for timely healing>serve as prophylactic treatment and prevent bacteria to harbor on operative site|Within 8 hours of nursing intervention the pt will be able verbalize ways in reventing infection/contamination specifically proper hand washing, and proper wound care as evidenced by:>maintain stable v/s>good skin integrity>absence of swelling redness and pain on operative site>Evalu ation was not carried out due to time constraints. Pt was endorsed to succeeding members of the health team for further management and evaluation| Kenneth Antonio B. Bacani, SN Group 1 Nursing Care Plan Callang General Hospital, Santiago City Cues| Nursing Diagnosis| Scientific Explanation| Objectives/Plan of Care| Nursing Interventions| Rationale| Evaluation| S> â€Å"Masakit ditto sa baba†, while pointing at RLQ of abdomen. >rated pain as 5 on a scale of 10, where 1 as the lowest and 10 as the highest>characterized pain as pricking>reported that pain occurs everytime when pt moves or movedO> v/s taken as followsT: 37. CRR: 21 cpmPR: 64 bpmBP: 120/70 mmHg> S/PAppendectomy>with dry intact dressing on the surgical site>with guarding behavior over the site>facial grimacing| Acute pain related to tissue damage 2nd to post appendectomy| Inflammation of the appendixvAcute AppendicitisvAppendectomyvDissection if right lower abdominal tissuesvDisruption of skin surface and destruction of skin layersvActivation of nociceptors in dermis and tissuesvReceptors send impulses to CNS for interpretationvPain PerceptionvAcute Pain| Within 6-8 hours of nursing intervention, the pt will be able to manifest ability to cope with incompletely relieved pain as evidenced bya. ) verbalization of decrease pain form 5/10 to 2/10b. engagement in diversional activities such as socialization, watching TV, and listening mellow music| >Monitor V/S and record>Assess pain characteristics including location, intensity, and frequency>Assess surgical site for swelling, redness or loose sutures>Promote adequate rest periods by temporarily limiting activity>Encourage pt to verbalize pain perception>Provide pt with diversional activities such as socialization, watching TV, and listening mellow music>Encourage SO’s to continue provision of diversional activities and a quiet environment >Administer Toradol (analgesic)as ordered | >El evation in rates suggest increased pain intensity and frequency>Elevation in intensity and frequency may indicate worsening condition>Swelling, redness , and loose sutures may contribute to the pain felt by pt. nd are indicative of further management>to lessen pain felt aggravated by movements>to allow further assessment of pain characteristics and evaluation of treatment / intervention>to help pt divert his attention to other matters than pain felt>to allow pt continue divert his attention>to relieved or lessen pain by inhibiting prostaglandin synthesis| Within 6-8 hours of nursing intervention, the pt will be able to manifest ability to cope with incompletely relieved pain as evidenced bya. ) verbalization of decrease pain form 5/10 to 0/10b. ) engagement in diversional activities such as socialization, watching TV, and listening mellow music>verbal report that pain is completely releived>absence of facial grimacing upon performance of activities such as changing position, sitting ,standing and walking> absence of guarding behavior over surgical site>Evaluation was not carried out due to time constraints. Pt was endorsed to succeeding members of the health team for further management and evaluation| Nursing Diagnosis Cues| Nursing Diagnosis| Scientific Explanation| Objectives/Plan of Care| Nursing Interventions| Rationale| Evaluation| S> â€Å" Hindi pa masyado magaling ang sugat ko† as verbalized by the patientO> S/P Appendectomy>with surgical incision at right lower abdominal area>with dry intact dressing on the surgical site| Impaired Skin Integrity related to skin/tissue trauma| Inflammation of the appendixvAcute AppendicitisvAppendectomyvDissection if right lower abdominal tissuesvDisruption of skin surface and destruction of skin layersvImpaired skin/tissue integrity|Within 8 hours of nursing intervention the pt will be able to manifest the following:a. ) intact suturesb. ) dry and intact wound dressingc. ) participation in passive ROM exercises| >Assess operative site for redness, swelling, loose sutures, or soaked dressing>Monitor Vital Signs>Assist in passive movements(while 8hrs. lat on bed) such as bed turning and passive ROM exercise and active exercise the reafter movements such as bed position, sitting, standing, walking> Support incision as in splinting when coughing and during movement>Encourage pt to verbalized his for any untoward feelings especially pain, discomfort as well as changes noted on operative site>Encourage pt to engage early ambulation and have SO’s assist him in such activities>Instruct pt and SO’s to immediately report when dressing are soaked>Instruct pt and SO’s to refrain from touching/scratching operative site>Provide regular dressing care>Administer Chlorampenicol Sodium(antibiotic) as ordered| >to check skin integrity, monitor progress of healing and identify need for further> Serve as baseline data>to promote circulation to the surgical site for timely healing>to reduce pressure on the operative site>to allow continuous monitoring and assessment of pt. ondition>to promote circulation to the surgical site for timely healing>to promote circulation to the surgical site for timely healing>for immediate replacement to prevent skin breakdown and contamination of operative site>to avoid accumulation of moisture at the operative sitewhich may lead to skin breakdown>to prevent bacteria harbor in operative site|Within 8 hours of nursing intervention the pt be able manifest the following:a. ) intact suturesb. ) dry and intact wound dressingc. ) participation in passive ROM exercises>Evaluation was not carried out due to time constraints. Pt was endorsed to succeeding members of the health team for further management and evaluation| Cues| Nursing Diagnosis| Scientific Explanation| Objectives/Plan of Care| Nursing Interventions| Rationale| Evaluation| S>†Hindi namn ako nilalagnat† verbalized by the patientO> v/s taken as follow:BP:110/80 mmHgRR:22 cpmPR:68 bpmT: 37. C> S/P Appendectomy>with dry intact dressing on the surgical site| Risk for infection related to tissue trauma| Inflammation of the appen dixvAcute AppendicitisvAppendectomyvTissue trauma on RLQ abdomenMay provide portal of entry for pathogens through:>unnecessary exposure of surgical site>inadequate aseptic techniques especially in wound dressing>contract with pt’s, SO’s and visitors hands or other partsvMay result to infection| Within 8 hours of nursing intervention the pt will be able verbalize ways in preventing infection/contamination specifically proper hand washing, and proper wound care as evidenced by:>maintain stable v/s>good skin integrity>absence of swelling redness and pain on operative site | >Monitor v/s and record>assess operative site for signs of infection>change linens as necessary>Provide regular dressing care>Instruct pt and SO’s to refrain from touching/scratching operative site>Encourage pt to verbalized any changes noted on operative site such as redness, swelling and unusual/odorous drainage >Encourage pt to engage early ambulation an d have SO’s assist him in such activities>Administer Penicillin G Sodium(antibiotic) as ordered| >Elevation in rates may signal infection>to provide baseline data for comparison and identify need for further management>to prevent growth of microorganisms on linens and beds> to prevent unnecessary exposure and contamination of operative sitewhich may delay wound healing>for immediate replacement to prevent skin breakdown and contamination of operative site>to allow continuous monitoring and assessment of pt. condition>to promote circulation to the surgical site for timely healing>serve as prophylactic treatment and prevent bacteria to harbor on operative site|Within 8 hours of nursing intervention the pt will be able verbalize ways in reventing infection/contamination specifically proper hand washing, and proper wound care as evidenced by:>maintain stable v/s>good skin integrity>absence of swelling redness and pain on operative site>Evalu ation was not carried out due to time constraints. Pt was endorsed to succeeding members of the health team for further management and evaluation| Kenneth Antonio B. Bacani, SN Group 1 Nursing Care Plan Callang General Hospital, Santiago City Cues| Nursing Diagnosis| Scientific Explanation| Objectives/Plan of Care| Nursing Interventions| Rationale| Evaluation| S> â€Å"Masakit ditto sa baba†, while pointing at RLQ of abdomen. >rated pain as 5 on a scale of 10, where 1 as the lowest and 10 as the highest>characterized pain as pricking>reported that pain occurs everytime when pt moves or movedO> v/s taken as followsT: 37. CRR: 21 cpmPR: 64 bpmBP: 120/70 mmHg> S/PAppendectomy>with dry intact dressing on the surgical site>with guarding behavior over the site>facial grimacing| Acute pain related to tissue damage 2nd to post appendectomy| Inflammation of the appendixvAcute AppendicitisvAppendectomyvDissection if right lower abdominal tissuesvDisruption of skin surface and destruction of skin layersvActivation of nociceptors in dermis and tissuesvReceptors send impulses to CNS for interpretationvPain PerceptionvAcute Pain| Within 6-8 hours of nursing intervention, the pt will be able to manifest ability to cope with incompletely relieved pain as evidenced bya. ) verbalization of decrease pain form 5/10 to 2/10b. engagement in diversional activities such as socialization, watching TV, and listening mellow music| >Monitor V/S and record>Assess pain characteristics including location, intensity, and frequency>Assess surgical site for swelling, redness or loose sutures>Promote adequate rest periods by temporarily limiting activity>Encourage pt to verbalize pain perception>Provide pt with diversional activities such as socialization, watching TV, and listening mellow music>Encourage SO’s to continue provision of diversional activities and a quiet environment >Administer Toradol (analgesic)as ordered | >El evation in rates suggest increased pain intensity and frequency>Elevation in intensity and frequency may indicate worsening condition>Swelling, redness , and loose sutures may contribute to the pain felt by pt. nd are indicative of further management>to lessen pain felt aggravated by movements>to allow further assessment of pain characteristics and evaluation of treatment / intervention>to help pt divert his attention to other matters than pain felt>to allow pt continue divert his attention>to relieved or lessen pain by inhibiting prostaglandin synthesis| Within 6-8 hours of nursing intervention, the pt will be able to manifest ability to cope with incompletely relieved pain as evidenced bya. ) verbalization of decrease pain form 5/10 to 0/10b. ) engagement in diversional activities such as socialization, watching TV, and listening mellow music>verbal report that pain is completely releived>absence of facial grimacing upon performance of activities such as changing position, sitting ,standing and walking> absence of guarding behavior over surgical site>Evaluation was not carried out due to time constraints. Pt was endorsed to succeeding members of the health team for further management and evaluation|