Friday, January 24, 2020

Comparing Edgar Allen Poes The Cask of Amontillado, The Black Cat, and

Comparing Edgar Allen Poe's The Cask of Amontillado, The Black Cat, and The Tell-tale Heart The short stories of Edgar Allen Poe demonstrate the author's ample gifts in the psychology of the mind, regardless of the fact he was decades ahead of Freud.   Poe's short stories are often from the deranged and murderous point-of-view of the narrator, who often illustrates the inner-workings of his own psychology and the disintegration of the self brought about by psychological disorders, aberrations, and other factors (anxiety, substance abuse, etc.).   Perhaps two main factors omnipresent in the Poe psychological realm are substance abuse (i.e. alcoholism) and taphophobia (exaggerated fear of being buried alive). In short stories like The Cask of Amontillado, The Black Cat, and The Tell-tale Heart, Poe constructs a psychological world where alcoholism and the fear of being buried alive are inextricably intertwined.   So, too, the combination of them has an impact on the narrators and characters in his stories.   Poe's own alcoholism and taphophobia are inextricably intertwined in the psyche of his narrators and/or characters. In all three of these short stories, the narrator an... ...xacerbates the psychological symptoms being manifested due to taphophobia.   Yet, these stories amply demonstrate Poe's own preoccupation with alcohol and drinking as well as his neurosis with respect to being buried alive.  Ã‚   References Anonymous.   (2001). Criteria for Substance Dependence Diagnosis.   DSM-II-R, NIDA, Available: http://www.nida.gov/DSR.html, 1-3. Anonymous.   (2001). Let's talk facts about phobias.   APA, Available: http://www.guggenheim.yourmd.com, 1-4. Poe, E. A.   (1966). Complete Stories and Poems of Edgar Allen Poe.   New York, NY: Doubleday & Company, Inc.

Wednesday, January 15, 2020

Identify three (3) risks of the bid strategy Essay

After identifying the customer key evaluation requirements I have identified three risks that may affect our bidding strategy. First, I want to identify why it’s important to know your risks when creating a bid strategy to help you understand why I choose these top three risks. Risk management is the process of identifying risk issues and the options for controlling them, commissioning a risk assessment, reviewing the results and selecting amongst the assessed options to best meet the goals. The purpose of risk analysis is to help managers better understand the risks (and opportunities) they face and to evaluate the options available for their control. (Vose software, 2007) The top risk of the bid strategy for this company would be price. Price was selected as the top risk because although the company would like to win the bid, the price has to be within a range where they could also make money. The second risk selected is Logistics. This risk was selected since the product has to travel overseas. Depending on the time frame and the cost to have the product shipped the product may not make it to the destination in time. It is very important to have the product delivered in a timely manner to satisfy the end user requirements. Thirdly, the last risk selected is Customer Commitment. Our company must follow all the requirements in order to make the end user happy. Since the product is going overseas it will be hard to follow up on maintenance. Without having our own personnel at the end user location or close to the location it will also be a challenge if there are any issues with the product. Based on the three risks of the bid strategies that were selected there are also three opportunities to mitigate each risk. First we have the price, now when negotiating on the rate we will really need to do our research. It’s important to have knowledge of previous pricing and to also include overhead, packaging and transportation. Although, we have to take all these things into consideration we also have to remember we are not the only company bidding on this offer so we must rate acceptable amount. Next, we have logistics. Our company would have to negotiate with a freight forwarder for a reasonable rate to have the freight transported to the final destination. In order to negotiate a reasonable rate we would mention that if the rate offered is good this would be an opportunity for extreme growth. While we are negotiating we would have to make sure the transit times would be guaranteed in order to have freight delivered to the destination on time. Finally, we have customer commitment. This may be the most important opportunity of them all. If our company is able to provide a reliable solution to the end user needs we will gain past performance while making our customer happy. We will provide this service by checking with the customer on a monthly basis and sending an employee over to the end user location every two to three months to check that our products are working correctly. The flip side of risk is opportunity. Every bid carriers with it some opportunities beyond those represented by winning the contract. Potential opportunities include future additions or changes to contract value via market share, maintaining dominance in a particular area, protecting an area or contract from assault by competitors, or using the contract as a gateway to future procurements. Osborne, 2011) In conclusion, by looking into these risks and opportunities we will be able to determine whether we want to bid or no bid. If we cannot provide the end user with the requirements they need in a timely manner at a great cost it will not be beneficial for us to move forward with the bid procedures. As a company we must protect our brand and our products. So, we need to look closely at this conclusion to make our final bid or no bid decision.

Tuesday, January 7, 2020

Animal Testing And Its Effects On Society - 1393 Words

I. From bench to beside (1) The development of new treatments including medicines are distinguished for being time consuming, costly and complex. However, this timely manner is beneficial for society as it meant to provide an efficient and safe medication. Concerns regarding when animal studies are necessary compared to clinical trials has been a debatable topic among society. For over a decade, animal research has served as a fundamental component in many medical findings. Mousses are commonly used in laboratories, as we as humans share nearly 95% of our genes, making them a useful and efficient model for the assistance of discovering medications used today (Grant, 2017). Bench studies should continue to be practiced by researchers as†¦show more content†¦After all research has been conducted including the testing of all animal and human studies associated, the New Drug application is completed by the drug developer. The results provided are used by the FDA to determine whether the drug is approved o r the recommendation of further testing. Finally phase four is based on the monitoring of the drug’s risks and benefits monitored by various sponsors hired by the FDA. II. Clinical Research Ethics Main ethical violations in clinical research that contribute to the abuse of subjects include paternalism, informed consent, lack of ethical supervision and the avoidance of legislation in relation to the ethics of health care and research. Human rights has been widely violated throughout history as seen in multiple events. As early as the 1930’s, researchers involved in the Tuskegee Syphilis Study, withheld information and treatment from a large group of African American men with syphilis. Following this tragic event, Nazi concentration camps were established. German scientists conducted research with the involvement of the prisoners. Disfigurement, disabilities and death were often the results of the Nazi human experimentation. During the creation of the atomic bomb, the United States government sponsored the research of the involvement of subjects being exposed to radiation without their informed consent. In addition, James Watson and Francis Crick obtained their data of x -rayShow MoreRelatedThe Effects Of Animal Testing On Human Society1591 Words   |  7 PagesThe use of animal testing has been going on for a long time. Although there have been many cases where people try to stop it or try to convince people that it is wrong in today’s society it is still happening all over the world. This research paper will talk about how in today’s society is racing to discover cures for diseases. How humans have made advancements in the world we have also established the scientific evolution. By doing so our ethics and morals have failed to progress. The knowledgeRead MoreAnimal Testing Should Not Be Banned1581 Words   |  7 PagesAnimal testing is being used by different organizations all over the world to prevent specific diseases, especially cancer. Americans see animal testing having a harmful effect but it is one of the main reasons why society has most cures for some illnesses. This topic is important because people need to know what goes on during animal testing and why it is very beneficial. Animal testing needs to be used to find all cures. Some animals such as chimps/ monkeys have 90% of the same DNA humans haveRead MoreHuman Testing On Human Beings1727 Words   |  7 Pagesdetermine what is toxic, and how certain chemicals effect humans and animals? The answer is, we must perform test on something that is similar to the human species. Animals having similar traits and features in the body have often been the experimentation method of choice. By using animals in testing has raised a lot of concern and controversy over the years, but so has testing on human beings. One of the most horrifying examples of human testing was during World War II, the Nazi party in its questRead MoreThe Morality Of Animal Testing And Its Effect On The Biomedical And Consumer World1698 Words   |  7 PagesThe Morality of Animal Testing and its Effect on the Biomedical and Consumer World Animal testing has been a controversial problem in today’s society and it affects people from all over the world1 not just animal activists or scientists. Most of the products and medicines used today have been tested on animals. These animals used in experiments have been thought to only benefit society but morally this hurts our society. This hurts our society because now animal testing has become a social normalityRead MoreAnimal Testing: The Future of Pharmaceuticals Essay1237 Words   |  5 Pagespoisons, through animal testing, they have been donned to be unsafe for people and environment. Without animal testing, the general public would still be using these hazardous chemicals. Many humanitarians may be opposed to testing chemicals on animals, but if scientists didn’t test on animals, individuals would have to test the deadly chemicals or live in a world where people don’t know if the chemicals they are using are poisonous and lethal to the human soci ety. Animal testing may be wrong inRead MoreAnimal Testing Speech Outline965 Words   |  4 PagesAnimal Testing Introduction Attention-getter: Visualize yourself somewhere locked and isolated, whether it is a closet, a cage, or a box. Now visualize yourself being constantly controlled, not being able to choose when to eat, when to drink, or even when to sleep. Thesis: Animal testing is a heavy topic that usually goes unnoticed. To many scientists, animal testing is beneficial and to society it is morally wrong. Credibility: After doing our extensive research, we are knowledgeable about animalRead MoreAnimal Experimentation Should Be Banned1426 Words   |  6 Pagesjudged by the way its animals are treated.† - Mahatma Gandhi. These famous words still ring true in today’s society as we struggle to overcome the scientific experimentation on animals. Animals have acted as the archstone of human civilization since the dawn of man, from a source of food, to companionship. However, in the past century, we have been blurring the line between environmental entitlement and environmental rape. Every member of the human race interacts and depends on animals, and we owe themRead MoreAnimal Testing Essay1194 Words   |  5 PagesUsing helpless animals for the benefit of human beings goes back thousands of years. A common theme has been present: the use of these animals has been necessary for survival. Of late, these essential sacrifices have metamorphosed into yield-less speculations. Anim al testing is wrong based on these premises: there are available alternatives to direct testing on live animals, the results acquired rom the tests are inaccurate and repetitive, and ultimately it is speciesism, which is comparable to racismRead MoreAnimal Testing Should Not Be Banned1578 Words   |  7 PagesEngland Anti-Vivisection Society on their research from Harm and Suffering, â€Å"[e]very year in the U.S., over 25 million animals are used in biomedical experimentation, product and cosmetic testing, and science education.† Animal testing has been traced back to Aristotle and Erasistratus who according to Rachel Hajar from Animal Testing and Medicine, â€Å"[were] [e]arly Greek physician-scientists† that have conducted animal experiments. Another physician who has performed animal experimentations, GalenRead MoreAnimal Testing Is Cruel And Inhumane1229 Words   |  5 Pagesuse of animals to carry out the tests before implementing the solution for human beings. The idea has always served as a disadvantage for the animals citing the pains and strains that they undergo during such processes. After keen observation of the experience of the animals, individuals developed varying opinions of whether to be in support of the practice or against it. Animal testing is cruel and inhumane Animal testing serves in promoting cruelty and inhumanity among the animals. In their

Monday, December 30, 2019

Shelf J I School - 2211 Words

As part of the Every Child Matters (ECM) program, Shelf JI School takes a whole school approach in implementing the 5 National Outcomes of this agenda. Its main aims are for every child, whatever their background or circumstances, to have the support they need to: †¢ stay safe †¢ be healthy †¢ enjoy and achieve †¢ make a positive contribution †¢ achieve economic well-being a. Feel safe: Shelf JI School aims to achieve that every child attending the school feels secure and protected in the school setting and staff expect and help children to accomplish high standards of behaviour. Every child has a right to feel safe from bullying and discrimination and any child with a worry or problem is encouraged to talk about it with someone who they†¦show more content†¦Her mother had extreme troubles getting the girl to school in the morning and then, finally (late) arriving at school the girl was in floods of tears and did not want to enter the school any further than the office... it took my colleague sometimes over an hour to reason with the girl to get her to join her class. A few times a classmate was send to the office where the girl was to try and calm her down and help her come to the class, but it was found too distressing for the classmate and also too much time was lost for her. After the girl was eventually settled in though, there were no further problems during the day and she seemed to enjoy herself, have good social contacts and a healthy interest in learning. At the end of the first week the teacher asked for a volunteer to pick up the register from the office on arriving at school and take it back to the office after the register had been taken for the day, and the girl put her hand up. The teacher gave her the responsibility hoping that it would help her overcome her anxiety regarding starting the day if she had a job to focus on. Unfortunately it did not work; the extra responsibility was no help at all. Then the mother started bringing her straight to the class and my colleague would receive her, still the girl was totally unwilling to enter the class. She stood just before the door crying inconsolably resisting any help until she was too tired with crying and eventually, exhausted, would take her

Sunday, December 22, 2019

Is It Possible to Restore a Balance between the...

Recently everyone has started hearing the out cry surrounding the problem of the degradationof the worlds ecosystems that have a negative effect on the biodiversity and the livelihoods of people worldwide. People are beginning to realise that that these bio- systems can not be conserved just through the protection of critical areas alone. A new solution whos potential hasn’t been fully taken advantage of until now is ecological restoration which is a process whereby not only the recovery of eco systems that have been degraded damaged or destroyed are looked at but also the human influences that surround them. In order for ecological restoration to be effective it needs to pay attention to four main aspects namely: †¢ Improvement of biodiversity conservation, †¢ Improvement of the livelihoods of people, †¢ The empowerment of the native and local people and †¢ The improvement of the productivity of the ecosystems. The difference between typical conservation where only the environment is considered and ecological restoration is that it has the potential to make opportunities available not only to repair the damage done to the ecosystems but also to improve the condition of the people involved in rescuing it. Because people belive they are helping themselfs ecological restoration has been able to alter the perspective of people in the local community, allowing new economic opportunities to form aswel as the rejuvinaton of traditional cultural practices. In this way it can be seenShow MoreRelatedEffects Of Capitalism On Production And Conservation Of Nature3956 Words   |  16 Pageson Production Conservation of Nature Sankalp Gupta 7th May 2015 ARCH 596: Seminar on the Built Environment II: Landscape and Society Dr. Ross E Adamsâ€Æ' Abstract The report will be primarily focused on the influence of capitalism on production and conservation of nature. From being individuals dependent upon nature humans have become forces which manipulate and effect nature. Besides this, the very fact that we use the term ‘resource’ for nature represents that humans have developedRead MoreChapter 5 8 Essay6131 Words   |  25 Pagesï » ¿Chapter 5 REVIEW QUESTIONS 1. How did the described volcanoes in Iceland and the Philippines change the environment to lesser or greater extents? 2. Name and describe the attributes of the two categories into which all organisms can be divided based on how they obtain nutrition. All organisms can be divided into autothrops, which produce their own food, and heterothrops, which need to get their food from somewhere else. 3. Name and describe the roles of the three main trophic categories that makeRead MoreTragedy of Deforestation Essays2447 Words   |  10 Pagesgoing to try to outline in a simple manner. The deforestation begins on a local level, then to a regional, level and then last the global level. As you will read, the forest is home to people and wildlife, etc. The forest also has many purposes for which we need but â€Å"we† as a whole is a big picture. We can use it but we also abuse it. Every living creature needs the forest for oxygen, that is what the trees are for, but if we keep cutting them for logging, cattle-raising for soy, and many otherRead MoreGrassland Ecosystems13817 Words   |  56 PagesProtecting and Enhancing Resilience to Climate Change Jonathan L. Gelbard, Ph.D. Department of Environmental Science and Policy, University of California, Davis THE STRUCTURE AND FUNCTION OF the world’s grasslands makes them one of the most vulnerable to global climate change of any terrestrial ecosystem (Sala et al., 2000; IPCC, 2001a). The low-stature of vegetation confers high light availability, leaving many grasslands naturally vulnerable to invasive species (Wagner, 1989), especially following disturbanceRead MoreDevelopment vs Environment4686 Words   |  19 PagesDEVELOPMENT VERSUS ENVIRONMENT: THE CLASSIC DILEMMA INTRODUCTION â€Å"For the greenest of environmentalists, humans are of lesser importance than the abundant and diverse flora and fauna of the planet. Humans are defined as a recent addition to the livestock and are considered to have been a wholly disruptive influence on a world which was paradise before their arrival.†[1] The condition of the environment today is well known to all andRead MoreSience23554 Words   |  95 PagesEnvironmental Issues Webquest Global Warming and the Greenhouse Effect Go to http://www.globalissues.org/article/233/climate-change-and-global-warming-introduction and answer the following questions. 1. What is the greenhouse effect? 2. How does it relate to climate change? 3. Draw and label the greenhouse effect. 4. Scroll down to the section â€Å"The Greenhouse Effect is Natural. What do we have to do with it?† What are some ways that humans are thought to be contributingRead MorePakistan in the 21st Century3029 Words   |  13 Pagesprovides an equal opportunity to its citizens To reach their true potential. We plan to meet contemporary and future Challenges by deploying knowledge inputs and developing human capital. This, we believe, is the substance of the Vision in our mind. The Vision document necessarily combines idealism with a sense of the possible. Its goals reflect the aspirations and potential of our people in the Context of a fast-changing world. The Vision 2030 exercise considers a range Of futures with concomitantRead MoreCase Study of Automobile Industry5967 Words   |  24 Pagestranslate into global opportunities that span the planet. Founded in 1908, GM has been the global automotive sales leader since 1931. GM today has manufacturing operations in 32 countries and its vehicles are sold in more than 190 countries. General Motors is involved in Telecommunications, Aerospace, Defense, Financial and Insurance Services, Locomotives, Automotive Systems and Heavy Duty Automatic Transmissions. In all GM does, their philanthropy and commitment to the environment in which theyRead MoreEnvironmental Ethics4554 Words   |  19 PagesINTRODUCTION â€Å"Earth provides enough to satisfy every mans needs, but not every mans greed.† - Mahatma Gandhi The above quote rightly points out the role of environment for the mankind and the responsibility we need to shoulder for its sustenance. Weve come a long way in recognizing that and now almost every business has a statute of doing something good for the environment as part of their CSR initiative. But companies who think of the environment as a social responsibility and not as an imperativeRead MoreSustainable Living3906 Words   |  16 Pagesindividual s or society s use of the earth s natural resources and his/her own resources. Practitioners of susta inable living often attempt to reduce their â€Å"carbon footprint† by altering methods of transportation, energy consumption and diet. Proponents of sustainable living aim to conduct their lives in ways that are consistent with sustainability, in natural balance and respectful of humanity s symbiotic relationship with the earth s natural ecology and cycles. The practice and general philosophy

Saturday, December 14, 2019

Negotiating a Salary Increase Free Essays

Many factors outside of the employees control determine salary increases. Many reputable companies give employees handbooks that vaguely outline pay increases. In an uncertain economy, salary negotiations require preparation and keeping accurate records on the employee’s part. We will write a custom essay sample on Negotiating a Salary Increase or any similar topic only for you Order Now The key to successful salary increase is to convince the employer that the company cannot afford to do without the services the person who is asking for a pay raise is providing. Remember the person is always replaceable. The services that person provides should not be easily replaceable. The negotiation for a salary increase starts the first day the person starts working the company. Every employee should bring at least one unique contribution to the company that he or she works for. The strategy of these contributions should never be discussed with anyone. Unique contributions always stand out. No one can hide an excellent sales person or customer service representative at any level. Employees who have unique marketable skills cannot be easily copied. Having skills that are an asset to the company eliminates the human resources viable reasons for not giving the employee the salary increase. Appearance plays a big psychological part in negotiating salary increases. Upper management companies always expect their staff to dress professionally. In entry level positions, the employee’s salary can be determined by dressing better then what is expected. If uniforms are required, dressing up will take a little creativity. Ladies can wear extra jewelry. Gentlemen can go through the extra expense of having their uniforms dry cleaned. In business type atmospheres, manicures for both men and women to psychologically give the impression they are valuable to the company.   On the day of salary negotiations and evaluations, dressing better then usual is psychologically effective. Have an exclusive shoe wardrobe. When it gets to salary negotiations, never volunteer your salary requirements (Goodman 2002). When filling out the job application or submitting a resume, the applicant should never list an amount for salary. On the day of salary negotiations, the human resources know what the employee will accept. Salaries are dependent upon the employees past work history. This is all verifiable by social security numbers. It is to the employee’s advantage to do a background check to verify the information in their records is accurate. If the information the applicant is putting in writing conflicts with what is in the databases, he or she will never be told. Even if the information comes out to be inaccurate, the management already formed a permanent opinion. Be selective about the company. The financial investors and presidents are uncertain about the future financial status of the company. Do some research to determine what others are earning (Lloyd, no date given). Doing research will be well worth the time when negotiating salaries. Psychologically, an employee feels much more confident when the day comes to negotiate salaries if they feel they are prepared.   The employee should keep an accurate, detailed list of all the accomplishments that was valuable to the company. Remember that salary negotiations start way before the day the arrangements are made. Keep a professional, formal relationship with the management and co-workers. It is a good policy to never have conversations that includes anyone who is not present. The most successful negotiators will feel a lot more confident if they have a plan to compete with the organization or business if turned down for deserved pay raises. Works Cited: Goodman, P. â€Å"Landing a Plump Package in Tough Times† Business Week, com 4 Feb 2002 Lloyd, J â€Å"How to Negotiate the Salary You Deserve† Labour Protect.com No date given                How to cite Negotiating a Salary Increase, Essay examples

Friday, December 6, 2019

Nursing Family and Children Nursing

Questions: Using the case study assessment template: Identify two immediate and important nursing priorities for every child and infant Provide a rationale for the two nursing priorities for every child and infant Explain the planned nursing interventions for these priorities for every child and infant o Explain planned approaches to nursing care that consider the development of the infants and children .1)patient name ;- Antonio Valencia age ;- 4 month old boy diagnosis ;- viral pneumonia history ;- increasing difficulties of feeding i last 2 days . current observation ;-Heart rate ;- 168 /min , respiration ;- 35/m AND USE OF abdominal muscle T ,;- 38;C , o2 ;- required by hudson mask breast feeding on demand his mother staying in hospital with him Plan ;- continues O2 therapy and observe .2) patient name ;- Simon Green Age ;- 15 month boy brought from emergency after several seizures vomiting periodically not pass urine several hours awake and lethargic PLAN;- observation fluid and review to morrow .3)patient name ;- Alla jones age ;- 5years old girl diagnosis ;- exacerbations asthma heart rate ;- 148/min Respiration ;- 40/m spo2 ;- 95% with 6l of 02 by hudson mask moderate respiratory distress and audible wheeze . she is receiving salbutamol in every 20 min medical review in 1 hours she has got history of head injury .4) patient name ;- Alex Baka age ;-12 yers girl diagnosis ;- suspected appendix earlier today Mild and moderate abdominal pain and low grade fever observation ; heart rate ;- 120/min temperature ;- 37.9;c BP ;- 96/58 mmhg seen by surgical team PLan ;- continue observation currently she is in NPO Answer: Nursing priorities Nursing priorities for Antonio Valencia, a 4month old boy includes: deficit in fluid volume and ineffective clearance of airway. Nursing priorities for Simon Green, a 15th month old boy: prevent seizure activity and maintain respiratory function. Nursing priorities for Alla Jones, a 5years old girl: ineffective pattern of breathing and ineffective airway clearance. Nursing priorities for Alex Baka, a 12years old girl: acute pain and possibility of poor fluid volume. 1st Case Rationales Deficit in fluid volume Associated risk factors: immense loss of fluid (mouth breathing, fever, profuse diaphoresis, vomiting) and reduced oral intake Expected outcome: demonstration of fluid balance supported by clammy mucous membrane, improved skin turgor, steady vital signs and rapid refill of the capillaries Increased temperature and extended fever raises fluid loss and metabolic rate through evaporation. Heart rate increases and elevating tachycardia may specify systematic deficit of fluid (Judd, 2008). Indirect signs of fluid volume adequacy, though mucous membranes of oral region may get dry due to supplemental oxygen and mouth breathing. Presence of the symptoms reduce oral intake Gives instruction regarding fluid volume adequacy and replacement requirements Ineffective clearance of airway Associated risk factors: fatigue, decreased energy, edema formation, raised production of sputum and bronchial inflammation. Evidence by: rate alterations, respirations depth, abnormal sound of breathing, accessory muscle ulitization, cyanosis, dyspnea, ineffective or effective cough along with or without production of sputum. Expected outcome: show behaviors to accomplish clearance of airway and display clear breathing sounds and absence of cyanosis and dyspnea. Shallow respirations, tachypnea and uneven movement of chest are present due to uneasiness of movement of chest wall and fluid inside lungs (da Silva et al., 2008). Reduced flow of air takes place in the areas with accumulated fluid. Breathing sounds can generate in these areas. Crackles and wheezes can be heard during breathing because of fluid accumulation, airway spasms, obstruction and thick secretions. Nursing interventions for fluid volume deficit Evaluation of the alteration of vital indications, for example: prolonged fever, elevated heart rate, increasing temperature, trachycardia, prolonged fever. Assessment of the wetness of mucous membrane and skin turgor. Investigation reports of vomiting and nausea. Monitor output and intake, urine character and color. Calculation of fluid balance. Focus on insensible loss and weigh as recommended. Nursing interventions for inefficient airway clearance Evaluation of respiration depth and rare and movement of chest. Auscultation of lungs, making a note of absent airflow or reduced airflow and wheezes. Developmental nursing care includes weight gain and easing the feeding difficulties. This child should receive adequate hydration and nutrition to support positive weight gain. 2nd Case Rationales Prevent seizure activity Minimize chances of injury during seizures, when patient is placed in bed. Patient can feel restless and should be ambulated, thus unintentionally moving patient from secure set up and trouble-free observation (Ashley, 2011). Maintain respiratory function Reduced the possibility of aspiration or lodging of foreign bodies inside pharynx. Helps draining secretions and prevents the tongue from hampering airway (Schmlzer, 2012). Nursing interventions for prevention of seizure activity Use side rails with bed in low position, keep bed up next to wall and if rails are not available floor need to be cushioned. Maintain strict bed rest if aura experienced and illustrate the significance for the actions. Nursing interventions for maintaining respiratory function Make sure patient to clear mouth if aura takes place and avoid sucking lozenges in case of seizures. Maintain straight lying position of the patient, flat surface and side turn of head during seizure. Developmental nursing care includes understanding the psychosocial needs of this child. Hospitalization may restrict the childs independence and regular routine. A developmental nursing care, for example: loss of control could be a nursing strategy that allows Simon Green to choose when to play and what foods to have. 3rd Case Rationales Ineffective breathing pattern Rise in the rate of respiration can worsen patients condition To minimize breathing difficulty To increase expectoration effort Ineffective airway clearance Systemic hydration maintains moist secretion and easy expectoration Techniques improve ventilation, secretion mobilization with no fatigue and breathlessness (Urso, 2014). Bronchial irritants give rise to bronchoconstriction and raised production of mucus that interferes with the clearance of airway. Nursing interventions for ineffective breathing pattern Record and monitor vital signs. Elevated bed head and alter the patient position in every 2hours (Busse, 2004). Encourage coughing exercise and deep breathing. Nursing interventions for ineffective airway clearance Keep patient properly hydrated Encourage and teach application of couching exercise ad diaphragmatic breathing Instruct patient to become cautious from bronchial irritants like: fumes, extreme temperatures. It is said to be the middle stage for preschoolers and school age. This is the case of a 5years old girl, who is suffering from Asthma. So, nursing plan should include training of proper inhaler management, along with toilet training that supports their self-esteem. 4th Case Rationales Acute pain Helpful in evaluating medication effectiveness and healing progression; alteration in characteristic features associated with pain indicates abscess development or peritonitis, which require rapid medical intervention and evaluation. Poor fluid volume Differences help pointing out varying intravascular volumes. Indicators of cellular hydration and peripheral circulation adequacy. Nursing interventions for acute pain Evaluate pain, recording characteristic features, location and severity by using pain rating scale. Examine and report alterations in pain. Nursing interventions for poor fluid volume Monitor pulse and blood pulse (Wasnik et al., 2015). Examine mucous membranes, assess capillary refill and skin turgor. Developmental nursing care should include knowledge enhancement. This means a 12 years child will be much interested to understand his/her condition. So, in this case, nurse might inform her about her health condition as a visual presentation and definitely inform her that she will become physically fit soon and can play like children if she follows prescribed medications and rules properly. References Ashley, M. (2011).Seizures. Leicester: Matador. Busse, W. (2004). Management of asthma exacerbations.Thorax, 59(7), pp.545-546. da Silva, V., de Oliveira Lopes, M., de Araujo, T., Ciol, M. and de Carvalho, E. (2008). Clinical indicators of ineffective airway clearance in children with congenital heart disease.Journal of Clinical Nursing. Judd, S. (2008).Respiratory disorders sourcebook. Detroit, MI: Omnigraphics. Schmlzer, G. (2012). Respiratory function monitor guidance during respiratory support in the delivery room.Resuscitation, 83, p.e82. Urso, D. (2014). Acute asthma exacerbations: an overview.RHC, 5(3). Wasnik, N., Agrawal, V., Yede, J., Gupta, A. and Soitkar, S. (2015). Role of supplemental oxygen in reducing surgical site infection in acute appendicities: Our experience of sixty four cases.International Journal of Biomedical and Advance Research, 6(2), p.124.