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Ventilater Associated Pneumonia
i VENTILATOR ASSOCIATED PNEUMONIA: EDUCATION AND PREVENTION A RESEARCH
PAPER SUBMITTED TO THE GRADUATE SCHOOL IN PARTIAL FULFILLMENT OF THE
REQUIREMENTS FOR THE DEGREE MASTER OF SCIENCE BY MEGHAN CROCKETT BSN,
RN, CMSRN DR. NAGIA ALI ADVISOR BALL STATE UNIVERSITY MUNCIE, IN DECEMBER
2011 Table of Contents Table of Contents.......................................................................................i
Abstract................................................................................................iii Chapter
I.................................................................................................1
Introduction...................................................................................1 Background and
Significance...............................................................3 Problem
Statement...........................................................................5
Purpose........................................................................................5 Research
Questions..........................................................................5 Conceptual Theoretical... Show more
content on Helpwriting.net ...
VAP is a growing problem in health care facilities which increases the cost of patient care and
increases patient care time, hospital length of stay, and patient morbidity. Ventilator associated
pneumonia increases healthcare costs by more than $40,000 per hospitalized patient (Lisboa,
Kollef, Rello, 2008). Centers for Medicare and Medicaid Services plan to stop paying hospitals for
necessary care caused by preventable complications including nosocomial infections resulting in
unintended fiscal circumstances (Lisboa et al.). 2 The Centers for Disease Control (CDC)
established recommended guidelines to decrease the risk of VAP. It is these best practice
interventions that nurses should follow when caring for mechanically ventilated patients. The 2003
CDC guidelines reported that 63% of admitted patients in the ICU have oral colonization associated
with a pathogen resulting from VAP (Cason, Tyner, Saunders, Broome, 2007). The CDC provided a
set of seven guidelines to reduce risks related to hand washing, wearing gloves, suctioning, elevated
head of bed (HOB), education, oral hygiene program, and use of antiseptic rinse. Studies suggested
that best practices for reducing VAP were not consistently implemented. According to the Centers for
Disease Control, Pseudomonas aeruginosa and gram positive Staphylococcus aureus were the two
most common bacteria linked to VAP (Babcock et al., 2004). Pseudomonas
Abortion In Beowulf
I sent a message to Tristan at Hargreaves and Thomas on Whitcomb Street, he managed to say in a
wobbly voice. Just imagine, our grandson Sean would have graduated this year from Oxford
University law school. Unfortunately, his diligence at always following the World Governing
Body s initiatives got the better of him on this occasion since he was amongst the first to receive
the Stinguard viral vector in England. As a result, Sean died nearly a week ago along with many
other students who also heeded the call to get the viral vector as soon as possible. However,
fortunately, Tristan and the rest of the family are not at risk since they never found enough time to
get the viral vector. They are alive only by serendipity. Tristan kept crying about the end of the
continuous line of succession at the Hargreaves and Thomas law firm until I told him that was the
least of our worries. Of course, Sean was such a bright lad with his whole life ahead of him, but
Stinguard finished him off. Is... Show more content on Helpwriting.net ...
Indeed, many families on Gnaritus shared the plight of the Hargreaves to greater or lesser degrees.
For example, Bob and Betina Pagett never fully recovered from the sudden loss of their son and
daughter. Miraculously, their young fifteen year old granddaughter, Sophia, narrowly escaped from
the Stinguard viral vector because she had stayed home sick the entire week that her school was
dispensing it. Similarly, Alfonso s paternal uncle and maternal aunt had succumbed to the Stingaurd
viral vector. In contrast, Linda and Giuseppe Cavacecci rejoiced in all their blessings since their
three children had come through unscathed. Fortunately, Francesca s son had also dodged the viral
vector. Many others, such as the Ellisons, no longer kept up with their extended families on Earth.
However, a large segment of the population on Gnaritus, including Surina and Stefan, had no kin left
to worry about on
Ra Essay
Experts aren t quite sure why people develop RA, however Judith Frank, MD claims that years of
research found that susceptible people include those who have a genetic predisposition to RA,
environmental factors, lifestyle factors, experience significant hormonal balance disruption, or
experience intestinal microbial changes. The genetic predisposition to the diseaseis a specific gene,
HLA DR4, which has been found in approximately 65% of Caucasian RA cases. Although the
presence of this genetic marker increases the chance of developing the disease, most doctors don t
order a genetic test because it isn t an accurate diagnostic tool for RA. Medical News Today states
that RA is two to three times more likely to occur in women than men.... Show more content on
Helpwriting.net ...
Although the link between smoking and RA is unknown, Healthline states that smoking triggers
a faulty immune function if a person already has certain genetic factors. The CDC states that
smoking increases a person s risk of RA by 1.3 to 2.4 times, and can also cause one s symptoms to
advance more quickly than someones who does not smoke. In addition to smoking, Healthline
states that those who are overweight are at a higher risk for developing RA. This may be because
individuals who are overweight tend to have a more fatty, unhealthy diet or lack in physical
activity. The Mayo Clinic states that women who have been diagnosed with RA at age 55 of
younger are more likely to have been overweight. With that being said, it is suggested to maintain a
healthy weight in order to help prevent RA. Marc C. Hochberg, co writer of the book Rheumatoid
Arthritis, states that there are suggestions that red meat may cause an increased risk for RA, and that
intake of fruit and oily fish may protect against RA, but all of these reports need confirmation
(Hochberg). There are ongoing studies that strive to find the cause and discover better treatments for
RA. According to the Arthritis Foundation, a new study has been looking at the effects of nerve
stimulation on RA patients, which is believed to help control the inflammation of the disease. Kevin
J. Tracey, Neurosurgeon, discovered that stimulating the vagus nerve, which extends from the
brainstem to the
The Conflict Between Christians And Muslims
Perspective comes from the Latin words per and spectare and literally means: to look through.
Therefore, perspective, in its most rudimentary definition, means the way one looks at things. This
definition can be elaborated upon and become synonymous with belief. A perspective can be open
or limited, abstract or logical, optimistic or pessimistic. With these opposites, it can be difficult to
blend one s views with another s. People are fascinated with perspectives. Humans love the conflict
that comes with opposing opinions. Consequently, arguments are always blown out of proportion.
For instance, take the popularity of legal dramas, the feud between Christians and Muslims, or the
pro and anti homosexuality rallies. Some of the most famous works of literature are about changing
perspectives such as Harper Lee s To Kill a Mockingbird, a story about strong prejudices being
exercised in a small town. Articles have been written concerning changing perspectives for example,
David Dobb s writing Beautiful Brains , a study looking into the minds of teenagers and explaining
their set apart behaviors. Both of these pieces tell about the transition from child to adult and the
perspectives that come with this growth. Coming of age involves recognizing different perspectives.
In Harper Lee s To Kill a Mockingbird Jem is an example of a character whose coming of age
process involves gaining a new perspective. Jem is told that he must read to his mean neighbor Mrs.
Dubose after tearing up
Essay On The Role Of Coach Winning In Sports
What drives a coach winning or the development of players? We as coaches have taken on a role
of responsibility that means a lot to athletes, families and communities. Playing athletics of any sort
will teach you many life lessons. But within any work force, you have to produce or make some
form of progress. With that being said a major factor when it comes to coachingis, what do you
value more? The development of your players or winning games to look good or satisfy some
internal drive? Since I have been enrolled in graduate school and taking classes on how to become a
better coach. The first step a coach should take to prepare themselves is developing a coaching
philosophy. A coaching philosophy will help put ideas and thoughts... Show more content on
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This is an ideal topic when talking about coaching and what is valued more
In the clash of coaching philosophies in youth soccer winning vs development they talk about how
the majority of the time the pressure to win comes from the parents and coaches that have limited
knowledge. They stated that focusing too much on winning will hurt younger athletes as they get
older. In our culture today they will praise the winners and no one remembers the losers. The article
ultimately sums up that the coach s main goal should be the development of their players and
winning later.
After reading this article I find it very helpful on how it pertains to the topic of this paper. The
point of this research is to find the drive that a coach has. This article mainly pointed out younger
children in the sport of soccer and the concepts could clearly be used for any sport.
As time has progressed the legal and ethical responsibilities of a coach can be tied into their title
and how it affects their position. Rich Engelhorn of Iowa State University touched on many ideas
that a coach has to take into consideration. He states a coach s legal duties are being knowledgeable,
providing a safe environment, adequate supervision of athletes, etc. The ethical responsibilities of
coach are but not limited to, encouraging development, participation, and most importantly; the goal
is to win, but to win the correct way. Never sacrifice character for the win.
He then goes on to say A program should
Essay about Quest for Identity in The Life of Galileo by...
Quest for Identity in The Life of Galileo by Brecht
Throughout the course of history, from era to era, mankind has been on a continuous attempt to
perpetuate what they perceive as the truth; and in doing so, embark on a quest to find their true
identity and place in life. One must realize that the common theme in all literature is the search for
identity and belonging. Bertolt Brecht, author of The Life of Galileo, effectively uses the developing
character Galileo Galilei to portray a strong message; a message which five hundred years after the
fact has still not been completely comprehended. Through Galileo s continuous battle with the
Church in prevailing his work, Brecht is telling the readers that in any one man s attempt ... Show
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Development and change are issues which the church fears due to the fact that advancement
undermine the strength of the chruch when changes are brought to religion. The church s opinion
and attitude towards Galileo s discoveries are clearly outlined by Sagredo on Pg. 23 as he states:
Do you think the Popes will hear your truth and say Wonderful, I m wrong. Do you think he ll even
listen to you? ...When I saw you just now, at the telescope, looking at your new stars I saw you
standing on burning logs. When I heard you say I believe in reason I smelt burnt flesh. (Brecht 23)
What Brecht is telling us through the use of Galileo and his stubborn and persistent need to present
his findings, is that even though one is presented with adversities, in Galileo s case, the church, one
must continue to use reason to spread the truth. In any case, Galileo believes that religion does not
necessarily have to be sacrificed in order to advance a society in terms of technology. At this point
in the play, he believes that the use of reason can overcome any obstacle in the attempt to prevail the
truth; in a sense, what Brecht is telling the readers through Galileo s stance against the church is that
the ability to think, innovate, and propagate the truth are the key requirments that will enhance our
society. In this case, Galileo is faced time and time again with adversaries that tell him to stop what
he is
Anne Frank And The Seven Other People
Imagine yourself in a small room, no bigger than the size of common living rooms of a single family
home. You don t have enough food, and you share this space with seven other people. Furthermore,
also think that you cannot make any noise for the majority of the day, and when you do, you only
have limited amounts of entertainment. These are the conditions that Anne Frankand the seven other
people living in the Annex endured throughout two years after facing adversity from Hitler and his
Nazis. The Annex had essentially been an asylum for these Jews as they tried to refrain from going
to concentration camps. In the Annex, there had been eight people; Anne, Peter, Margot, Mrs. Frank,
Mr. Frank, Mrs. Van Daan, Mr. Van Daan, and Mr. Dussel who... Show more content on
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They could no longer go outside and enjoy the once beautiful world around them, or live in the
comfort of their own home. Also, they could not talk or make any other noises during the day
owing to the fact that it may have notified the people working downstairs that there were people in
hiding in the upper levels. Another reason is that they never had enough food, and always seemed to
be hungry. As you can see, moving to the Annex would have been hard for the people hiding
