Jimmy Carter Essays (306 words) - Jimmy Carter, Free Essays

Jimmy Carter Essays (306 words) - Jimmy Carter, Free Essays Jimmy Carter Jimmy Carter Economy can always make or break a president. President Jimmy Carters was a Democrat whose administration, that lasted from 1977-1981, was burdened with a recessive economy from the beginning. Inflation was rising rapidly due to the worst oil embargo United States history has ever witnessed. All of these factors contributed to the national malaise sweeping over Americans. It was Carters administration that began the process of deregulation and bureaucratic streamlining in hopes of courting moderate factions. He also expressed a desire to move the Democratic Party close to political middle ground to lessen the great divide. President Carter had many failures as well as attributes when it came to foreign policy. On November 4, 1979, in the United States Embassy in Iran, 52 Americans were seized by students who were angry with the Carter administration for allowing Irans deposed shah into the United States to seek medical treatment. Carters failure to negotiate their release and a devastating rescue attempt (in which eight United States Marines died) contributed to the nations waning confidence in him. As well as the Iran hostage crisis, the Soviet invasion of Afghanistan seemed to overwhelm his last two years of his administration, conveying an impression of the United States as weak and feeble. At the cornerstone of his foreign achievements was the accord Carter brokered between Prime Minister Menachem of Israel and President Anwar Sadat, of Egypt, that became known as the Camp David Accords of 1979. Another recognized achievement in foreign affairs was the signing of the Panama Canal Treaty in 1978. Though faced with an unstable economy, Carter succeeded in many other tasks. He managed to become an avid supporter of global peace and human rights. He raised $27 million to build The Carter Center, which envisioned conflict resolution which promoted global peace and human rights.

Art Appreciation- Principles of Design Essay Example | Topics and Well Written Essays - 750 words

Art Appreciation- Principles of Design - Essay Example Constable continued to study and copy the work of his predecessors for as long as he lived, constantly measuring their interpretations of the natural world against his own experience of it. His main interest was scenes from nature, despite earning money painting portraits for the rich. Although largely ignored by the English art community in his lifetime, Wilson (n.d.) reports â€Å" The Hay Wain and View on the Stour near Dedham went to the Parisian dealer Arrowsmith in 1824 and created a lively, if short-lived, interest in France.† Since his death the true value of Constable’s has been recognized by all of the art community. ‘Stoke-by-Nayland’ is a dark figure emerging on a path from a shady forest on the right, with the village of Stoke-by-Nayland located on the right. A partially cloudy sky covers the right sky above the village with the left side having a smaller visible sky in proportion with the whole painting. The scale and proportion used allows Constable to make the forest seem in the forefront and the village farther away. The directional forces pull the eyes toward the figure and forest first. Even the brushstrokes seem to be coming from the right. The emphasis is on the mysterious forest. The subordination is the village in the background. The contrast between the colors is obvious with the white clouds and dark greens of the forest. The two most important principles are scale and proportion and contrasts. These two principles define ‘Stoke-by-Nayland’. Constable uses scale and proportion to create a forefront nature scene with a figure emerging and a background village. Constable often used the technique common at the time of sketching actual nature scenes before going back to the studio to paint (Wilson n.d.). This would entail making the sketch using scale and proportion, and then transferring the scale and proportion onto a larger canvas. However Constable accomplished this, he did an

Code of Conduct Essay Example | Topics and Well Written Essays - 1250 words

Code of Conduct - Essay Example Kennedy, Hydon and Lennie (2008) indicate that, a majority of the business leaders are well conversant with the need to put ethics into practice in the organization. In the contemporary business world, most leaders have made numerous attempts to incorporate ethics in the business. This case study shall aim at discussing how the code of conduct within organizations influences or conflict with ethics of today’s leaders. The essay shall also go beyond investigating the implications of business ethics in speeding up the successful operations of business organizations, and also use the example of Professional Code in the educational setting. Incorporation of ethics in the organizations has been credited for its ability to discourage unethical behavior in organizations. For instance, the leaders can be in a better situation to handle tough situations that may force them to breach the terms and conditions of the organizations. Organizations in today’s contemporary world are so undeniable, in such a manner that, leaders’ attention to follow up ethics is almost diminished. With the inclusion of stringent measures on ethics, the organization tends to be in an easier position to evaluate the right and wrong in the organization. ... In this perspective, therefore, the leaders must incorporate ethical behavior in the organization, in an endeavor, to eliminate the chances that, unethical behavior is likely to stamp it implications on the organization. According to Cane and Kritzer (2010), if unethical behaviors are not detected and eliminated with immediate effect, they are likely to derail the progress of an organization. Code of conducts in this case, influence today’s leaders to maintain the ethical behaviors within an organization. The leaders are also influenced to ensure that, they positively impact their organizations on the importance of the employees to follow the codes of conduct. It is important that, according to Cane and Kritzer (2010), organizations make it clear that, organizations to operate within the confines of the codes of conduct. It is, therefore, defensible to argue that, codes of conduct influence leaders to at all times, ensure that constructive and ethical culture thrives in the or ganizations. In the case of the organization, the leaders attest to the fact that, it is unethical to collect bribes whilst on duty. The leaders are influenced by the fact that, the definitions of good and bad are well stipulated in the codes of ethics. Vices such as nepotism, corruption are eliminated by the inclusion of codes of ethics in the organization. A leader, who is of good morals is motivated to ensure that the employees work in tandem with the code of conduct, thus their values of good virtue are boosted. Deckop (2006) indicates that, unethical behavior is the major malady that may impact the organization’s functionality. Code of Professional Practice in the Educational Sector In the educational sector, the Code of Professional Practice applies to all instructors in the confines

How to Choose Perfect Ivory Wedding Shoes Essay Example for Free

How to Choose Perfect Ivory Wedding Shoes Essay Although wedding dresses are the most important part of the wedding, shoes always are also playing a vital role in your wedding dressing. A brilliant pair of ivory wedding shoes cannot only add beauty to the dress, but also improve the delicate taste. Beautiful bride should be perfection from head to toe, in addition to a superb wedding, beautiful makeup, flashing jewelry and charming smile. Key point: The best time to choose shoes is around 3pm to 6pm because feet will swell slightly at this time. If the selected size is not small, it is no problem to wear at any other time. You cannot just try it before the mirror, you should be sure to go back and forth a few steps and carefully feel stability of the shoe with the right size. Second point: About 2/3 of people are not as large as two feet. So just remember which foot is long or short and two feet should to be tried on. You cannot simply choose the sizes to buy shoes. You are sure to personally try on the shoes. ivory wedding shoes Third point: Foot will have expansion and contraction phenomenon with different seasons, so you can buy discounted shoes in winter. However, the exact size you try may be slightly smaller than the summer. Fourth point: Choose ivory wedding shoes according to the color of the wedding dress. Do not choose a quite different color between shoes and dress. It is better to choose a similar color, which is more coordinated. Fifth point: Before the wedding ceremony, youd better wear new wedding shoes for several times to adapt it in the case of feeling frayed at the ceremony. And you can prepare some band-aid in advance.

Connecting The Tempest, Of Cannibals, Eating Gifted Children, and Modest Proposal :: Tempest essays

Connection Between The Tempest, Of Cannibals, Eating Gifted Children, and Modest Proposal There are several, in-depth connections presented in The Tempest by William Shakespeare, "Of Cannibals" by Michel de Montaigne, "How to Raise Your I.Q. by Eating Gifted Children" by Lewis Frumkes, and "A Modest Proposal" by Jonathan Swift. While all these stories feature civilization and the uncivilized coming into contact with one another, perhaps for the first time, they also feature a deeper connection. They feature a connection to each other that strikes to the very heart and structure of our civilizations today-just as it did when these works were written. That connection is the idea that the "noble savage" (if there is such a thing) is appalled at what we call civilization because of how unjust, uncaring, and unkind we are to one another. The works point out how the savage perhaps is just the innocent and we are the ones who ought to be called savages-not because of what our culture does, but what it does not do. We do not care for one another in today's society. The culture we've built ourselves is one where each man strives for his own good. Each person cares and looks out for Number One. In the end, as stated by the "savages" in Montaigne's essay, rich people can live in luxury on the same street where poverty takes lives. In today's society of computerized and/or instant everything, we look about at the social troubles that plague us and seek solutions similar to those we implement for mechanical problems. People who write laws do not care for the people they govern from the heart, but rather from the wallet. We implement measures that are "quick fixes". They fix the immediate problem at hand or in the public's eye because that's what will get the politician re-elected. The very structure of our social care system is a laughable joke. As Lewis Frumkes and Jonathan Swift point out in their respective satires, "How to Raise Your I.Q. by Eating Gifted Children" and "A Modest Proposal", this society is one which looks for "quickie" solutions to every surface problem without actually looking into the causes. What Frumkes and Swift propose are not so far off from the grossness which we ourselves would propose to deal with our social-economic problems. Do we not practice the eating of children for our individual gain in all but the literal sense?

Holistic Care Nurse Essay

The name and other identifying information about the patient included within this piece of work have been changed to protect confidentiality, as required by The Code of Professional Conduct (Nursing and Midwifery Council, 2008). For this reason, the patient included in this case study will be given the pseudonym of Sam Jones.The purpose of this assignment is to identify one client problem and provide an evidence-based plan of care for the individual. The purpose of care planning is to show a logical and systematic flow of ideas through from the initial assessment to the final evaluation (Mooney and O’Brien, 2006).The nursing model that will be incorporated in this care plan will be the Roper, Logan and Tierney’s model (2000). This model was chosen because is it extremely prevalent in the United Kingdom and is the most widely used model familiar to nurses. The model of nursing specifies 12 activities of daily living which are related to basic human needs and incorporates five dimensions of holistic care, physiological, psychological, sociocultural, politicoeconomical and environmental (Roper, Logan and Tierney’s model, 2000).Care plans are based on evidence-based practice, allowing the nurse to determine the best possible care and rationale for the chosen nursing interventions (Roper, Logan and Tierney, 2000). They take into account the psychological, biological and sociological needs of the person and therefore provide a holistic approach to care (Roper, Logan and Tierney, 2000). The main activity of living that will be affected within this care plan will be maintaining a safe environment as Mr. Jones may have a potential problem of death, due to hypovolemic and/or metabolic shock caused by ketoacidosis.Diabetic ketoacidosis (DKA) usually occurs in people with type 1 diabetes mellitus, but diabetic ketoacidosis can develop in any person with diabetes (Diabetes UK, 2013). DKA results from dehydration during a state of relative insulin defici ency, associated with high blood levels of sugar level and ketones (Diabetes UK, 2013). This happens because there is not enough insulin to allow glucose to enter the cells where it can be used as energy so the body begins to use stores of fat as an alternative source of energy, and this in turn produces an acidic by-product known as ketones (Diabetes UK, 2013). It is evident that DKA is associated with significant disturbances of the body's chemistry, which should resolve with appropriate  therapy (Diabetes UK, 2013).Severe metabolic acidosis can lead to shock or death (Dugdale, 2011). The specific problem was chosen because there are measures that can significantly reduce the risk of metabolic and hypovolemic shock which can be caused by severe metabolic acidosis (Dugdale, 2011). Within the care plan relevant care interventions will be identified to prevent the possible development of shock for Mr. Jones. In practice the interventions would happen contemporaneously.The intervent ions involve identifying the potential risk factors for the development of shock by using specific assessments. This will be done by following an assessment which includes planning, assessing, implementing and evaluating the care that will be provided to Mr Jones and to evaluate its effectiveness (Mooney & O’Brien, 2006).Once the diagnosis was made, specific, achievable, measurable, realistic and time limited goals of care for Mr. Jones were made. The NHS foundation trust specific guidelines for adult diabetic ketoacidosis suggest a series of immediate actions and assessments for suspected DKA which will allow for appropriate interventions to be made and will provide a baseline which will provide a measure of the effectiveness of the treatment (The Joint British Diabetes Societies Inpatient Care Group, [JBDS], 2012).Mr Jones will need fluid and electrolyte management to clear ketones and correct electrolyte imbalance (Nazario, 2011). He will also require pharmacological invol vement which will include administrating medication that is needed to reverse the acidosis, raised blood glucose and pH levels (Nazario, 2011).Psychological intervention is also necessary to reduce his anxiety and therefore reduce potential shock (Nazario, 2011). The goal of treatment for Mr Jones is to lower his high blood sugar level with insulin an hour after the insulin infusion is administrated with the expected outcome of maintaining a blood glucose level in the range of 8.3mmol/l – 10.0mmol/l within 72 hours (JBDS, 2012). Due to this it is vital that Mr Jones’s blood sugar is monitored and regulated frequently (JBDS, 2012).Another goal is to replace his lost body fluids; intravenous fluids will be given to treat dehydration and dehydration status will be assessed every hour by monitoring intake and output, skin turgor and vital signs (JBDS, 2012). Mr. Jones will be able to understand the care that is being given and why it is being given within 30 minutes of dia gnosis and he will also be able to express his fears and discuss his needs with nursing staff, which  combined with improvements in his blood sugar levels will reduce his anxiety.Intervention one: Fluid and Electrolyte ManagementAccording to The Joint British Diabetes Society (2012) the usual cause of shock in DKA is severe fluid depletion secondary to osmotic diuresis leading to intravascular volume depletion. Diabetes Daily (2013) justify this by stating that dehydration can become severe enough to cause shock. So once a diagnosis of DKA has been established, fluid replacement should be commenced immediately (Park, 2006).According to Oaks and Cole (2007) the development of total body dehydration and sodium depletion is the result of increased urinary output and electrolyte losses. They state that insulin deficiency can also contribute to renal losses of water and electrolytes (Oaks and Cole, 2007). The Joint British Diabetes Society (2012) suggests that the most important initia l therapeutic intervention when treating a patient with DKA is fluid replacement followed by insulin initiation. They also state an adult weighing 70kg or above presenting with DKA may be up to 7 litres in fluid deficit with associated electrolyte disturbances (JBDS, 2012).Rhoda, Porter and Quintini (2011) propose that a fluid and electrolyte management plan developed by a multidisciplinary team is advantageous in promoting continuity of care and producing safe outcomes. The development of a plan for managing fluid and electrolyte abnormalities should start with correcting the underlying condition (Rhoda, Porter and Quintini, 2011).In most cases, this is followed by an assessment of fluid balance with the goal of achieving euvolemia (state of normal body fluid volume) (Rhoda, Porter and Quintini, 2011). The Joint British Diabetes Society (2012) propose the main aims for the first few litres of fluid replacement are to clear ketones and correct electrolyte imbalance.The Joint British Diabetes Society (2012) has issued guidelines on the management of adults with DKA to each NHS foundation trust. The guidelines state that intravenous fluids should be commenced via an intravenous cannula (JBDS, 2012). It is recommended that 9% Sodium chloride 1000mls should be infused initially over one hour (JBDS, 2012).Park (2006) clarifies this by stating that slower rates have been associated with a more rapid correction of plasma bicarbonate and it is recommended that 1000mls is to be infused in the first hour. Rhoda, Porter and Quintini (2011) propose that after fluid status is corrected,  electrolyte imbalances are simplified.To correct dehydration and achieve the goal of rehydrating Mr Jones, several assessments will need to be completed. Rhoda, Porter and Quintini (2011) suggest that after a plan is developed, frequent monitoring is vital to regain homeostasis. Mr Jones’s urine output, heart rate, blood pressure, respiratory rate and pulse oximetry will be monito red hourly to ensure the treatment being given is working effectively (JBDS, 2012).Also, to assess the degree of dehydration a variety of specific observations will need to be carried out including observing neck veins, skin turgor, mucous membranes, tachycardia, hypotension, capillary refill and urine output (JBDS, 2012). A strict fluid balance chart will need to be in place to monitor input and output (Mooney, 2007).To continue with gradual rehydration and restoration of depleted electrolytes after the first 1000ml bag of 0.9% sodium chloride has been administered to Mr Jones over one hour a second 1000ml bag of 0.9% sodium chloride will be commenced over two hours and a third bag will then follow over another two hours (JBDS, 2012) . Following these two hourly bags of fluid another two bags of sodium chloride will follow at a rate of four hours and then another two bags will be commenced over six hours consecutively to ensure complete rehydration (JBDS, 2012).Pharmacology Interve ntionThe medication that was needed to resolve Mr. Jones’s acidosis and to prevent metabolic shock will be discussed in this intervention. A fixed rate intravenous insulin infusion is recommended by The Joint British Diabetes Society (2012) and stated on the NHS foundation trust DKA guidelines to reverse DKA.An intravenous insulin infusion via a pump should contain 50 units of actrapid insulin in 50mls 0.9% sodium chloride at a continuous fixed rate of 0.1 units/kg/hour (JBDS, 2012). If you are unable to weigh the patient an estimated weight will need to be made to calculate the units per kg per hour (JBDS, 2012).Whilst the infusion is running ketones and capillary blood glucose will be monitored hourly to screen for improvement (JBDS, 2012). Preedy (2010) and guidelines to DKA both state that if the patient normally takes long acting insulin (e.g. Lantus, Levemir) this should be continued at their usual dose and time. According to The Joint British Diabetes Society (2012) it is no longer advised to administer a  bolus dose of insulin at the time of diagnosis of DKA to allow rapid correction of blood sugar. Intravenous fluid resuscitation alone will reduce plasma glucose levels by two methods: it will dilute the blood glucose and also the levels of counter-regulatory hormones (JBDS, 2012).If the blood glucose falls too slowly, the insulin rate should be doubled every hour until the target decrease is met (JBDS, 2012). If the blood glucose falls too quickly, the insulin rate can be halved to 0.05unit/kg/hour, but for a short time only, as a rate of 0.1 units/kg/hour is needed to switch off ketone production (JBDS, 2012).If hypoglycaemia occurs prior to complete resolution of DKA, the insulin infusion should not be stopped, but extra glucose should be added to the IV fluids instead (JBDS, 2012). Diabetes Daily (2013) explain that if necessary, potassium should be administered to correct for hypokalemia (low blood potassium concentration), and sodium bic arbonate to correct for metabolic acidosis, if the pH is less than 7.0.For Mr. Jones neither of these was needed to correct his acidosis. JBDS (2012) can justify this as they clarify that intravenous bicarbonate is very rarely necessary. Similarly, Diabetes Care (2004) proposes the use of bicarbonate in DKA remains controversial. At a pH >7.0, insulin activity blocks lipolysis and resolves ketoacidosis without any added bicarbonate. Potassium is often high on admission but falls precipitously upon treatment with insulin (JBDS, 2012).Potassium levels can fluctuate severely during the treatment of DKA, because insulin decreases potassium levels in the blood by redistributing it into cells (JBDS, 2012). A large part of the shifted extracellular potassium would have been lost in Mr. Jones’s urine because of osmotic diuresis (Dugdale, 2012). Hypokalemia increases the risk of dangerous irregularities in the heart rate (Dugdale, 2012).Therefore, continuous observation of the heart r ate is recommended as well as repeated measurement of Mr. Jones’s potassium levels and addition of potassium to the intravenous fluids once levels fall below 5.3 mmol/l (JBDS, 2012). By 24 hours Mr. Jones had improved and was able to eat and drink. The guidelines state that by 24 hours the ketonaemia and acidosis should have resolved but you should continue intravenous fluids if the patient is not yet drinking as per clinical judgement (JBDS, 2012).The guidelines also suggest if blood glucose becomes lower than 14 mmol/L then 10% glucose should be prescribed to run alongside the sodium chloride (JBDS, 2012). Also, if Mr Jones’s  potassium had of dropped below 3.5mmol/L in the first 24 hours of treatment then additional potassium would have needed to be given (JBDS, 2012).Psychological InterventionA third intervention would be communication needs to reduce patient anxiety and keep the patient feeling secure. Communication plays an important part in the holistic care p lan and biopsychosocial approach to care. Anxiety can be a barrier to communication; therefore, it is important to communicate with Mr. Jones clearly and supportively in order to make him feel free to discuss his fears and to allow him to participate in the decisions made in his care. According to Sarafino (2008) anxiety appears to be caused by an interaction of biopsychosocial factors, including vulnerability, which interact with situations, stress, or trauma to produce added anxieties for the patient.The nurse should take a step by step approach to build a plan of care and voice the plan of care to Mr. Jones so he does not become overwhelmed by the extensiveness of the treatment (Sarafino, 2008). Communication is identified as one of the essential skills that health care professionals must acquire (NMC, 2010). The Nursing and Midwifery Council (2010) stipulate that, within the domain for communication and interpersonal skills, all nurses must do the following: communicate safely a nd effectively, build therapeutic relationships and take individual differences, capabilities, and needs into account, be able to engage in, maintain, and disengage from therapeutic relationships, use a range of communication skills and technologies, use verbal, non-verbal, and written communication, address communication in diversity, promote well-being and personal safety, and identify ways to communicate.Communicating with Mr. Jones relatives is also important so that they develop an understanding of his condition and the care he is receiving (Webb, 2011) According to Webb (2011) health professionals who can communicate at an emotional level are seen as warm, caring, and empathetic, and engender trust in their patients, which encourages disclosure of worries and concerns that patients might otherwise not reveal. Additionally, informative and useful communication between the practitioner and the patient is shown to encourage patients to take more interest in their condition, ask q uestions, and develop greater understanding and self-care (Webb, 2011).Webb (2011) explains that this is  particularly so when the patient is given time and encouragement to ask questions and be involved in their treatment decisions. By using the Roper, Logan and Tierney’s nursing model (2000) a holistic approach to care was able to be implemented for Mr. Jones by taking into account his biological, psychological and social needs. By establishing a holistic care plan three interventions were identified that were equally vital in treating Mr. Jones’s DKA to prevent hypovolemic and metabolic shock caused by his acidosis.The first intervention was the management of fluid and electrolytes put in place to achieve the goal of rehydrating Mr. Jones in aim to correct his electrolyte imbalance and clear ketones to prevent hypovolemic and metabolic shock caused by his DKA. The second intervention included pharmacological input which included the administration of relevant medi cation to achieve the goal of reversing Mr. Jones’s raised blood glucose and acidosis. Lastly the third intervention within the holistic care plan addressed Mr. Jones psychological needs by resolving his anxiety by utilising effective communication and interpersonal skills.It can be concluded that the care plan and treatment for Mr. Jones was successful therefore he did not require escalation to the high dependency unit and additional treatment was not necessary. Therefore it is evident from the success of Mr Jones care; care planning provides a structured and holistic method which in turn addresses all elements of an individual’s health and well being.AppendixThe individual chosen for this care plan is Mr. Sam Jones (a pseudonym, as explained in the confidentiality statement). This gentleman was chosen for the care plan as caring for diabetic individuals is becoming a more common activity within health care today. Mr. Jones is a 58-year-old builder who was admitted af ter being found collapsed at his home by his brother.He is 5ft 9† tall and weighs 88 kilogram’s. Mr. Jones lives alone in a centrally heated two bedroom semi detached house; he sleeps on the upper floor and is very independent and does not require a package of care. He has a daughter aged 22 who has two small children and also has a brother aged 64 who lives nearby with his wife.Mr. Jones has been diagnosed with type 1 diabetes since the age of 18 and has struggled with the management of his condition  resulting in numerous hospital admissions. Mr Jones stated he did not smoke but admitted to having an increased intake of alcohol. On arrival blood monitoring was performed which revealed un-recordable blood sugar levels which gave the clerking impression of diabetic ketoacidosis.The health care team then had the problem of potential death due to hypovolemic and metabolic shock caused by ketoacidosis. On admission to the medical assessment unit (MAU) numerous assessment s needed to be completed to discover the extensiveness of the condition and to provide baseline levels.Firstly, rapid ABC was performed with measurement of pulse, blood pressure, Glasgow coma scale, respiratory rate and pulse oximetry. Urinalysis was performed which indicated the presence of ketones, and glucose and samples were sent for microscopy, culture and sensitivity. The patients’ full blood count was taken as part of the ‘septic screen'.The patients’ capillary blood glucose was taken and venous blood samples were be sent to the lab for U&Es which is essential in order to assess the baseline potassium as well as giving a biochemical indication of dehydration and renal function. Laboratory glucose is also an essential baseline investigation to identify glucose and evaluate blood sugar concentrations (Association for Clinical Chemistry, 2011).A baseline ECG is a mandatory investigation for a patient with DKA (Turner 2012). Blood gas measurements were used to evaluate Mr. Jones’s oxygenation and acid/base status and from the blood gas a pH result was obtained as well as a bicarbonate levels and PC02 (the amount of carbon dioxide released into the blood) levels (ACC, 2011).The results of the numerous tests confirmed the diagnosis of metabolic acidosis. Metabolic acidosis is characterised by a lower pH and decreased bicarbonate, the blood is too acidic on a metabolic/kidney level. A pH less than 7.4, low bicarbonate and low PC02 will indicate metabolic shock and DKA (ACC, 2011). The assessments that were undertaken on Mr Jones revealed that he fitted the criteria for diagnosis of diabetic ketoacidosis.According to The Joint British Diabetes Society (2012) to diagnose DKA the three of the following must be present: blood glucose over 11mmol/l or known diabetic, blood ketones above 3mmol/l or urine ketone ++ or more and venous pH less than 7.3 and/or bicarbonate below 15mmol/l. Once the diagnosis was made, specific, achievable, measu rable, realistic and time limited goals of care for Mr. Jones were made.

Strategic Planning Jet Blue Airways - 1353 Words

Strategic Planning: Jet Blue Airways Gregory James Professor John Mitchell BUS 599 Strategic Management April 24, 2011 Abstract This report has been produced to determine if the strategic planning in which new of Jet Blue Airways CEO David Barger has created, will help to ensure the company long term success. Addressed in this report will be the following topics: (1) What are the trends in the U.S. airline industry? How might these trends impact a company’s strategy? , (2) What is Jet Blue’s strategic intent? , (3) What are Jet Blue’s financial objectives? Has the company has been successful in achieving their objective? , (4) What are Jet Blue’s strategic elements of cost, organizational culture, and human resource†¦show more content†¦In response JetBlue expanded and offered flights from slighter congested airports within and surrounding the New York City metropolitan area. During JetBlue’s second year in business, it added additional destinations. (Thompson, Strickland, amp; Gamble, 2010). In the third year the company began to offer public stock and acquired i ts satellite television system, LiveTV, LLC. The company also again expanded to more destinations and offered additional weekly flights to destinations such as Las Vegas. Between the years of 2003 to 2007, JetBlue acquired more airplanes, offered flights to the Caribbean, Mexico, and Puerto Rico and more amenities and services while in flight (Thompson, Strickland, amp; Gamble, 2010). What are Jet Blue’s strategic elements of cost, organizational culture, and human resource practices? Does each of these elements provide the organization with a competitive advantage? JetBlue’s elements of cost exercised the company’s strategies of offering services as a discount airline. The company offered passengers low fares; operated point to point systems; used two types of aircraft; served only snacks; and maintained quick turnaround times at airports. 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