Use of Folley Catheters in Place of Gastric Tubes for Administration Research Paper

Use of Folley Catheters in Place of Gastric Tubes for Administration of Enteral Nutrition - Research Paper Example The nasogastric tube moves through the nose into the buccal cavity to the throat where it routes to the stomach. Another major use for the nasogastric tube is to provide the patient with medicines that the patient could not take otherwise. Nasogastric tubes come in various standard depths that are marked on the tubes. The healthcare must measure the distance from the patient’s nose to the location of the xyphoid process. Gastric tubes are marked at the measured length before insertion to ensure adequate reach without any danger of clogging due to excess tube length. Before insertion, it is common to lubricate the gastric tube at the insertion end using local anesthetics such as 2% xylocaine gel. Other than local anesthetics, nasal vasoconstrictor sprays may be used as well. The nasogastric tube is then inserted into one of the patient’s anterior nares. Care has to be exercised when guiding the tube through the patient’s nasal cavity into the throat region. The tube is directed downwards and backwards as it is inserted. If a patient is wake during the insertion process, they may gag as the gastric tube reaches the oropharynx and then enters the posterior pharyngeal wall. In such a case, the patient is asked to mimic swallowing or is provided with some water to sip. As the patient imitates swallowing, the tube is inserted further. As soon as the tube moves beyond the pharynx and into the esophagus, it slides easily down into the patient’s stomach. ... The removal is done slowly especially if the patient is wake. In case that the patient develops a gag, he is instructed to sip some water or to imitate swallowing to ease the congestion. Once the gastric tube is removed, the site is cleaned using any acceptable anti-bacterial agent such as povidone iodine. After cleaning, the site dries itself in air while the healthcare provider prepares the Foley catheter sized between 14 and 18 fr. The catheter is sterilized before use after which it is inserted into the patient’s system. Before insertion it is ensured that the balloon of the catheter is not leaking through a trial insertion of sterile water. The Foley catheter is inserted into the patient’s system comparable to the gastric tube insertion with little differences in the overall procedure. Once the Foley catheter is in position, the balloon is secured in position by inflating it with 10 to 15 cc of sterile water. Light tugging confirms that the Foley catheter is firmly in position. In case that the catheter is still shifting, more sterile water is added. In case this fails to work, the catheter may need to be replaced due to a leaking balloon. The entry site is dressed once the procedure is complete to discourage infection. Research suggests that the use of Foley catheters is preferable to the use of gastric tubes for enteral nutrition. One primary advantage offered by Foley catheters is their lower cost when compared to gastric tubes. The rate of failure of gastric tubes and Foley catheters is comparable with the rate of failure being slightly higher in gastric tubes (Kadakia, Cassaday, & Shaffer, 1994). Current research also suggests that Foley catheters can be utilized in place of gastric tubes for enteral

DESCRIPTION Essay Example | Topics and Well Written Essays - 750 words

DESCRIPTION - Essay Example As a representation of that faith in mankind and the belief in a higher power the building I have chosen to observe is a church. The church itself is non-denominational and it is called the Christ Fellowship. It is set slightly off the main road which makes it accessible yet offers the peace and quiet which is a requirement for meditation and contemplation. While the typical church may exalt in the beauty of architecture with high roofs, steeples and a narrow structure this building is rather squat since it only has two floors but it looks very modern since it is a beige structure and makes liberal use of glass in its construction. The entrance is covered with an overhang that is supported by four white pillars and which put a person at rest soon as one lays eyes on them. Evenly spaced windows all around the building not only let the sun in they also give a beautiful well-lit outlook from the inside. Looking at it one would think it is a school building or another utilitarian office since there is no stained glass or much Christian imagery around the building. That certainly helps the purpose of the church since it is supposed to be a centre of learning and holds quite a lot of utility for us. While there are a number of trees which run around the building perimeter, there is also a significantly large car park attached to the building which is large enough to hold a hundred cars or more. Behind the building there are several open fields where a person can take a walk or children can use as play grounds. I have been told that once enough funds are generated, the empty space behind the church will be utilized for further development. On a typical Sunday morning you would find the car park almost filled to capacity and people of all races coming into the church. Most of the people who are coming in are in SUVs or family sedans and looking at them you would be able to guess that they are middle class or upper middle class

HL1003N Reading Twentieth Century Fiction Essay

HL1003N Reading Twentieth Century Fiction - Essay Example During the course of the evening, Gretta is reminded of a man named Michael Furey, a man who is not her husband, but whom she once loved many years ago. In the first occasion she is reminded of the town of Galway, where she had her relationship with Furey. Second, she listens to a song by Mr. DArcy which is the same song Furey sang on their long walks through the countryside. This too takes her away to different time and place. Gabriel for his part does not pay much attention to his wife. He did not really want to go to the dance and feels alienated from the people there. He doesn’t know how to talk to them and doesn’t really seem to want to talk to them. When he leaves to go back to the hotel with Gretta he thinks, â€Å"they had escaped from their lives and duties† (169). He doesn’t like it there. Only then does he see that Gretta is in a different kind of mood. Not only was she not paying attention to much of the party, but she was lost in the past†”thinking mostly of a dead man who had influenced her life so much. She finally tells Gabriel about how Furey had died as a young man after catching cold while standing outside of her window in the rain shouting up to Gretta that he did not want to live without her. After his wife has gone to bed, Gabriel thinks about his own life and about his wife; he feels like he leads a passionless existence. At first he was angry at Furey, but finally he begins to see that the passion that motivated Furey focused and encouraged a good life. He looks at his sleeping wife: â€Å"He thought of how she who lay beside him had locked in her heart for so many years that image of her lover’s eyes when he had told her that he did not wish to live† (176).   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   The dead are everywhere in this story. They are, for example, the subject of Gabriels speech at the dinner after the

Routines and Capabilities of Walt Disney Essay Example | Topics and Well Written Essays - 1500 words

Routines and Capabilities of Walt Disney - Essay Example The resources of Walt Disney are the firm’s most fundamental characteristics which are their tools and their personality. These are the individual assets of the firm such as items of capital equipment, employee skills, brand names, and the like. The resources are firm-specific assets that are useful for creating a competitive advantage which few competitors can acquire easily. A company that has resources that are valuable, rare, costly to imitate and organized to exploit resources, then the company can sustain its competitive advantage. Organisational resources can be classified into tangible and intangible resources. Tangible resources include cash, financial assets, land and capital equipment. Intangible resources include brand reputation, technology, employee skills and goodwill. Like most firms, Walt Disney recognises the intangible resources as the most valuable and most strategically important items. They invest in training and development of workers, research of new te chnologies, and marketing its brand.

Compare and contrast two artworks Essay Example | Topics and Well Written Essays - 2000 words

Compare and contrast two artworks - Essay Example More than rationale and thought of the artwork, romanticism gives focus and concentration on the storytelling and the mood behind every art piece (Romanticism para 3). Having said these facts, an individual usually and commonly thinks of romanticism as a style having overflowing sensibilities and personalities rather than a style possessing only a distinct taste which could make it a stand-out as compared to other art forms. As matter of fact, artists cultivating the romantic style do not share a special and discrete form of approaches in order to come up with a finished product. What is so special with romantic artists is their excellent use of their individualistic differences and understandings to promote a piece of art. In the minimum, romantic artists are linked by individualism as well as of freedom of expression. These characteristics, in many ways, break the convention set by the contemporary art. On one hand, Venetian Renaissance artworks as compared to romanticist art forms do not even concern feelings and intimacy but are more focused with politics and religion in the entirety. Venetian Renaissance is characterized mainly by rich colors and textures which symbolizes excellent and good changing economic stability and trade. In its deepest meaning, the artworks during the Venetian Renaissance era talks and depicts more about secularization and anti-religiosity. Also, base from a number of reasons which involve wealth, abundance, success, prosperity and affluence, the Venetian art focuses more of its understanding towards earthly pleasures, jovial way of living and myths (Kleiner 485). For this paper, I have decided to look with Jean Auguste Dominique Ingres’ Grand Odalisque painted in 1814 using the romantic art style. Also, I would be examining Titian’s Venus of Urbino painted in 1538 during when the Venetian Renaissance art style flourishes at its finest all throughout Europe. I have decided to examine these two classic works since they both depict and project a seemingly similar understanding and comprehension about women and the characteristics associated with the female race but in a totally different viewpoint and perspective. As can be seen in the Grand Odalisque by Ingres, the woman is depicted and portrayed as a passive element of resistance. As part of the intrigue in the artwork, you can see that there is something passionate and striking about the artwork’s personification and over-all impact. Seeing through the woman’s eyes, you can sense no fear about what is all happening in the background. In fact, the woman is so calm and very comfortable being nude and showing off with no clothes. Having said those facts, I believe that the portrayal and depiction of the whole artwork is so magnificent and extraordinary that it can efficiently talk across with the observer. It is very consistent in the narrative that it wants to translate, this is since it has been very effective in telling a story ab out an odalisque, which in common terms pertain to a concubine or a prostitute, having no choice to become anyone else but to be slaves for manly pleasure and sex. As stated above, the main character is an odalisque. And that fact is so important in order to understand more the nature of the art piece before being able to identify how similar and different it is to other artworks. Why so? Mainly because, the nature of the odalisque says it all what should the

Federalism As a System of Government Essay Example | Topics and Well Written Essays - 1000 words

Federalism As a System of Government - Essay Example The present research has identified that federalism promotes diversity in the system by allowing states and provinces to devise their own policies in matters related to public welfare such as education, health, and agriculture whereas at the same time it also ensures the unity among the various units of the states by giving the national responsibilities like currency, foreign affairs and defense to the central government. Federalism creates a very healthy political environment in the country which ensures political activity at the grass root level as well because the system of provincial and the system of local governments directly involve people in political activity. In this way people get to know about correct policy making and various policies can be tested in the country at the same time; better political grooming ensures better political leaders as well. Due to the disintegration of powers to various systems of governments reaching the grass root level through local and provinc ial governments, federalism provides a system in which good governance can be ensured. Each government has its own responsibility, federal government is responsible for the security of the country, provincial governments are responsible for the welfare of the public whereas local governments are responsible for providing services to the public; in this way the duties are divided and governments can work with greater efficiency and their performance is greatly enhanced. ... Federalism has turned out to be a very successful system of government however it has certain disadvantages as well. It allows certain disorderly members of the society to manipulate laws of taxation on various different commodities by purchasing and using them in different states because the government cannot impose tax or duty on interprovincial transfer of goods. The diversity in other laws which include laws related to criminal offense also allows the wrongdoers to escape punishment by moving to another state where the offense is not punishable under law. The laws related to social contract like marriage and inheritance are also exploited by people due to diversity among them in provinces and states. In certain situations the system of federal government allows interstate conflict to occur because certain projects related to natural resources and infrastructure which are beneficial for one state can affect people and the interests of any other state, in such a situation a riv alry between the states is promoted and thus the spirit of nationalism is greatly damaged. Federalism very often leads to disputes between states over the division of resources and responsibilities among the states. The federal system of government with its all system of governments is economically very costly to support because there is a large number of elected representatives and officials in the government which are salaried by tax money (Freely and Rubin). The presence of three parallel systems of government also creates complexity in the governance. The federal government is always biased towards one or another province because of the inherent attachment with a political party and thus in certain areas of governance where the provinces and

Marketing Essay Example | Topics and Well Written Essays - 500 words - 59

Marketing - Essay Example This was a great experience because I was able to master my customers and the products they preferred best and disliked most. Marketing intermediary refers to the involvement of a retailer or a wholesaler in the flow of goods to the consumer. This is the marketing channel that I have been involved in whereby I am a distributor of mineral water for a certain company in our local state (McCalley pp.6-92). Marketing channels solve logistical problems in availing goods to the consumer. This is because they facilitate physical distribution and sorting of goods. Moreover, they also offer facilitative advantages in that they may source of vital information relevant to a business about competition, channel members and customers. . It is also a great experience to research how customers respond to a new product in the distribution business and the grocery shop currently run by mum. These channels are of great benefit to intermediaries in terms of finance since goods can be sold and purchased on credit and financed as they are being sold. In my distributorship business I always encountered financial problems, but courtesy of receiving goods with a 30 days credit payment terms I remained in business Moreover they are opportunities for business to promote their products and companies by offering discounts, advertisement, gifts and after sale services. In several occasions I had to provide discounts to my customers and I realized that with that customers always bought more because products were a little bit cheaper. Most businesses do make profits through giving rewards to their customers as they gain competitive advantage. Marketing channels offers a chance for organization to contact and understand their customers’ needs which goes a long way in facilitating matching supply and demand. Matching the demand and the supply of products leads to efficiency and effectiveness of