Sunday, May 24, 2020

Hitlers Reasoning for his War on Jews Night by Elie Wiesel

Adolf Hitler, most widely known as the orchestrator of the Holocaust during World War II committed genocide across the nation, but his reasons for this mass murdering come down to one point; jealousy. As a young man Hitler had a yearning to succeed at anything he set his mind on, and being rejected by art academy’s and living as a homeless man for a part of his life began his envy for others who had succeeded, unlike himself. While Hitler was volunteering for the German army in World War I, he was temporarily blinded due to a gas attack and during this period he claimed to have received his calling, â€Å"He was to liberate Germany and make it free from what he saw as the ever-present source of decay within German racial purity; the Jew† (Dufner 15). From his point of view Jews were all he could see, and it disgusted him, so in order for him to fulfill what he believed he was meant to do, he must rid of Jews across Germany. The novel Night by Elie Wiesel and Adolf Hitl er are both complex and unimaginable, but they both express belief and their own knowledge of the same situation but from different point of views. Adolf Hitler, urged by his self-hatred began his own plan for the extermination of Jews and even as far as world domination. Like most people, the horrible feeling of failure sparked an urge in Hitler to have great success. For example, when Hitler was young, he aspired to be an artist and auditioned for many academies but was unfortunately denied access to all heShow MoreRelatedGenocide Throughout History Essay2576 Words   |  11 Pagesall time was committed by the Nazis against the Jews during World War II. After the Holocaust occurred, the nations of the world vowed to prevent another genocide. However, ethnic 2 cleansing and genocides still occur today in places like Bosnia and Kosovo. The portrayal of genocide in Elie Wiesels Night demonstrates the Nazis goal of annihilation, which parallels the goal of the Serbs in Kosovo. The Holocaust in Germany during World War II was one of the most horrific moments in humanRead MoreAnalysis Of The Hunger Games 2484 Words   |  10 Pagesthe victim this concept continues to be document in literature and the media. In short summation, The Hunger Games novel is a dystopian themed novel about a country called Panem who rose from the ashes of natural destruction. Cataclysmic events and wars have formed the nation, but these events have sadly birthed a nation at fault. Divided into twelve districts, the Capitol of Panem maintains its hold on these areas by forcing a reaping of one boy and one girl, called Tributes, to compete in a nationallyRead MoreThe World s Most Dangerous Leaders1601 Words   |  7 Pagesafter childhood,but not as a kid.To figure out who is the worst we may go over who does what,when they did that and how. Throughout Adolf,Josef,and Benito’s Lives to become such a person that evil does not just come about or randomly,there has to be reasonings why a human being would be so angry and insane. Well maybe there is,in the beginnings of their early lives in childhood and early adulthood events and happenings that made them grow up to be some of the worst people ever in history. Growing up you

Thursday, May 14, 2020

Effectiveness of Formal Entrepreneurship Education...

Effectiveness of Formal Entrepreneurship Education Programmes in University settings: a Review of selected Literature ................................................................ Rifai A. R. M. John Mc Williams Deakin Business School Deakin University .............................................................. CONTACT: A. R. M. Rifai, PhD Candidate, Deakin Business School, Deakin University Australia. Mob: +61 4 30334388, Email: arif@deakin.edu.au Dr. John Mc Williams, Senior Lecturer, Deakin Business School, Deakin University Australia, 221 Burwood Highway, Burwood, VIC 3125. Tel: +61 3 92445539 Email: john.mcwilliams@deakin.edu.au ABSTRUCT The importance of entrepreneurship education has gained widespread†¦show more content†¦[citing Commonwealth of Australia, 2001, 2004 (Chan 2005)] and a National Innovation Summit called in 2000 for greater amalgamation of entrepreneurial skills development into the education system (Russell, Atchisona et al. 2008). It is identified the proximity of universities and supporting services are two of such stimulating factors to overcome the challenges by using entrepreneurial energy and positive factors that encourage entrepreneurship (Bruno and Tyebjee 1982). However, the first entrepreneurship education at college-level course was offered by Harvard University in 1947; gathered momentum in business schools in the early 1970s and according to the Kauffman Centre for Entrepreneurial Leadership, it begun as a force in 2001 in the US. Entrepreneurship education in colleges and universities has expended over the last twenty years at undergraduate and graduate levels in Canada, Europe (Kuratko 2003) and in Australia (Peterman and Kennedy 2003; Jones and English 2004) where the origins of the Bachelor of Business (Entrepreneurship) date back to the mid 1990s (Chan 2005). Currently, Australian Universities offer more than 50 entrepreneurship courses ranging from units as part of the bachelor or master pro grams and bachelor programs with specialisation/ major/ minor in entrepreneurship to postgraduate programs in entrepreneurship including postgraduate diploma/certificate, masters’Show MoreRelatedEducation And Human Resource Development2895 Words   |  12 Pagesâ€Å"Education and human resource development in post -independent India: An explanatory note.† ABSTRACT Education in India is matter of prime concern for the government of India. India holds an important place in the global education industry. India has one of the largest higher education systems in the world. However, there is still a lot of potential for further development in the education system. India has become the second largest market for e-learning after the US. The Government of India offeringRead MoreStudent Learning At The University College Institute Of Education Essay2049 Words   |  9 Pages I earned two Bachelor degrees, in Law and Economics Business Administration. I also hold an MBA and a PhD. I am currently studying the Doctorate in Education (EdD) at the University College Institute of Education. I have been working on Business Schools for the last 16 years, and I have been privileged to do it from two sides: the managerial and the academic, with an approximate balance of 80% - 20% as an average during my career. Thanks to this, I have been able to understand in fullRead MoreLeadership Development42674 Words   |  171 PagesContribution to Performance: The evidence, the prospects and the research need John Burgoyne, Wendy Hirsh and Sadie Williams The views expressed in this report are the authors’ and do not necessarily reflect those of the Department for Education and Skills.  © Lancaster University 2004 ISBN 1 84478 286 7 1 ACKNOWLEDGEMENTS This report has been written by John Burgoyne, Wendy Hirsh and Sadie Williams as members of the Management and Leadership Development Research Network. This group consists ofRead MoreInformation and Communication Technology as Bedrock of the Nation13285 Words   |  54 Pagesbeyond the 21st century. This vision policy is therefore designed to underpin the nation’s socio-economic progress and development. It emphasizes the need for a coherent, systematic and comprehensive approach to the determination of technological programmes and their implementation taking into account domestic productions in agriculture and rural development, food security, industrial manufacture, infrastructural services such as information and communications technology (ICT), space exploration andRead MoreChallenges and Opportunities of Rural Micro Enterprise in Malaysia5086 Words   |  21 PagesRURAL ENTREPRENEURSHIP: A CHALLENGES AND OPPORTUNITIES OF RURAL MICRO ENTERPRISE (RME) IN MALAYSIA Musdiana Mohamad Salleh Faculty of Business Management, Universiti Teknologi MARA ( UiTM) Kedah Branch. P.O Box 187 08400, Merbok Kedah, Malaysia e-mail: diana001@kedah.uitm.edu.my Noor Zahirah Mohd Sidek Faculty of Business Management, Universiti Teknologi MARA (UiTM) P.O Box 187, 08400, Merbok, Kedah, Malaysia e-mail: zahira@kedah.uitm.edu.my RURAL ENTREPRENEURSHIP: A CHALLENGES AND OPPORTUNITIESRead MoreThe Role of Adult Education in Womens Empowerment16079 Words   |  65 PagesArt of Adult Learning and Education in Botswana Ministry of Education and Skills Development 2008 1 FOREWORD Honourable Jacob D. Nkate Minister of Education and Skills Development The Fifth International Conference on Adult Learning and Education (CONFINTEA V) has motivated the nation of Botswana to accelerate its effort in the provision of adult learning and education. That kind of action was necessary because we firmly believe that we must provide the best education for all the people of BotswanaRead MoreThe Development, Implementation, Monitoring and Evaluation of a Quality Assurance System Supporting Continuous Improvement of Higher Education in the Eastern Cape Technikon19611 Words   |  79 PagesThe Development, Implementation, Monitoring and Evaluation of a Quality Assurance System Supporting Continuous Improvement of Higher Education in the Eastern Cape Technikon CHAPTER 1 INTRODUCTION AND STATEMENT OF PROBLEM 1. Introduction Eastern Cape Technikon (ECT) was established in 1987 as University of Transkei Technikon, known as UNITRA Technikon. ECT is situated in Butterworth in the old Transkei region and draws its clients predominantly from the mostly rural Eastern Cape Province. ECTRead MoreMarket Research About Scope And Relevance Of Ug Products5777 Words   |  24 PagesMARKETING By ï  ¶Ã¯â‚¬  Dhruv Verma Enrolment No: 1221000643 E-mail: vermadhruv05@gmail.com Under the Guidance of Mr. Devendra Mishra Marketing Manager (Lilac Education Services Pvt.Ltd.) Institute Management and Technology (IMT-CDL) My Internship in Lilac Education Services Pvt.Ltd. gave me a privilege to do Market Research in education industry. The objective of Internship was to find the Scope and Relevance of UG Products in Ghaziabad. This survey was conducted with the help ofRead MoreHrm Training and Development15736 Words   |  63 PagesNATURE OF TRAINING AND DEVELOPMENT In simple terms, training and development refers to the imparting of specific skills, abilities and knowledge to an employee. A formal definition of training development is†¦ it is any attempt to improve current or future employee performance by increasing an employee’s ability to perform through learning, usually by changing the employee’s attitude or increasing his or her skills and knowledge. The need for training development is determined by the employee’sRead MoreComparative Annual Report7272 Words   |  30 Pagesbusinesses of DRB-HICOM Berhad are automotive, services and property infrastructure sectors. In the services sector, DRB-HICOM Berhad has provide services which are Rangkai Positive Sdn. Bhd., PUSPAKOM Sdn. Bhd., KL Airport Services Sdn. Bhd., HICOM University College Sdn. Bhd., Bank Muamalat Malaysia Berhad., Alam Flora Sdn. Bhd., and another four subsidiaries. Over 30 years operations, DRB-HICOM Berhad have steadily moved up the value ch ain in each sector without losing sight of their implicit goal

Wednesday, May 6, 2020

Confinement in The Yellow Wallpaper by Charlotte Perkins...

Confinement in The Yellow Wallpaper by Charlotte Perkins Gilman Charlotte Perkins Gilmans The Yellow Wallpaper is a commentary on the male oppression of women in a patriarchal society. However, the story itself presents an interesting look at one womans struggle to deal with both physical and mental confinement. This theme is particularly thought-provoking when read in todays context where individual freedom is one of our most cherished rights. This analysis will focus on two primary issues: 1) the many vivid images Gilman uses to illustrate the physical and symbolic confinement the narrator endures during her illness; and 2) the overall effect of, and her reaction to, this†¦show more content†¦There is a gate at the head of the stairs, presumably to keep the children contained in their play area. Additionally, the bed is immovable as it has been nailed to the floor. It is here that the narrator secretly describes her slow decent into madness. Although the physical confinement drains the narrators strength and will, the mental and emotional confinement symbolized in the story play an important role in her ultimate fall into dementia. By being forced to be her own company, she is confined within her mind. Likewise, part of the narrators mental confinement stems from her recognition of her physical confinement. The depression the narrator has experienced associated with child bearing is mentally confining as well. Specifically, she cannot control her emotions or manage her guilt over her inability to care for her child. These structures of confinement contribute to the rapid degeneration of her faculties. As the wife of a prominent physician in the late nineteenth century, the narrators assumption of the typical female role illustrates one aspect of the symbolic confinement present within both the story and the society. She is subservient and deferential to her husband John who enjoys the power traditionally associated with his sex and additional authority afforded him by his status as a doctor. Jean Kennard notes, By keeping herShow MoreRelatedDon Robertson and Charlotte Perkins Gilman explore the theme of personal identity throughout their1300 Words   |  6 PagesDon Robertson and Charlotte Perkins Gilman explore the theme of personal identity throughout their works, from Robertson’s The Greatest Thing Since Sliced Bread, to Gilman’s The Yellow Wallpaper. Though both Don Robertson and Charlotte Perkins Gilman both illustrate and explore the theme of personal identity in very different ways, there are also many similar ways it is illustrated and explored by both authors as well. Don Robertson shows this theme of personal identity through Morris Bird’s cautiousRead MoreThe Yellow Wallpaper By Charlotte Perkins Gilman1547 Words   |  7 PagesCharlotte Perkins Gilman s career as a leading feminists and social activist translated into her writing as did her personal life. Gilman s treatment for her severe depression and feelings of confinement in her marriage were paralleled by the narrator in her shorty story, The Yellow Wallpaper. Charlotte Perkins Gilman was born in 1860 in Hartford, Connecticut. Her parents, Mary Fitch Perkins and Fredrick Beecher Perkins, divorced in 1869. Her dad, a distinguished librarian and magazine editorRead More The Yellow Wallpaper as an Attack on Radical Feminism1139 Words   |  5 PagesThe Yellow Wallpaper as an Attack on Radical Feminism  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚        Ã‚   â€Å"The Yellow Wallpaper† explores mental illness and, through this exploration, presents a critique of the place of women in a patriarchal society. Interestingly, Charlotte Perkins Gilman never intended the latter. The primary intent of her short story is to criticize of a physician prescribed treatment called rest cure. The treatment, which she underwent, required female patients to â€Å"’live as domestic a life as possible’† (Gilman)Read MoreThe Yellow Wallpaper913 Words   |  4 Pagesâ€Å"The Yellow Wallpaper† For quite a long time before the past century, the female gender had been a race characterized by limited opportunity and the widespread belief of inferiority to the male gender. It was not until the women’s rights movement took off in the 1920’s that women began to enjoy having the same opportunities as men and playing an active role in society. Before that time, women were perceived as being inferior to their male counterparts and received less respect than men. This resultedRead MoreThe Yellow Wallpaper, By Harriet Beecher Stowe1603 Words   |  7 PagesThe Yellow Wallpaper is a feminist piece of literature that analyzed women’s struggle in the 1900s, such as medical diagnosis and women’s roles. Over the years, women struggled to attain independence and freedom. In order to achieve these liberties, they were females who paved the way and spoke out about these issues to secure equal rights for women. In addition, these powerful females used their vulner ability to challenge the male domination through their literary work. The Yellow Wallpaper is aRead MoreYellow Wallpaper1095 Words   |  5 Pagesreinforcing the prevailing, male-dominant gender roles through the subversion, manipulation and degrading of female experience through the use of medical treatments and power structures. Charlotte Perkins Gilman’s â€Å" The Yellow Wallpaper† is a perfect example of these themes. In writing this story, Charlotte Perkins Gilman drew upon her own personal experiences with hysteria. The adoption of the sick-role was a product of-and a reaction against gender norms and all of the pressures and tensions that theirRead MoreConcentrated Analysis of the Yellow Wallpaper by Charlotte Perkins Gilman in Light of the Critical Theory Infection in the Sentence: the Woman Writer and the Anxiety of Authorship Written by Gilbert and Gubar.1126 Words   |  5 PagesThis paper will involve concentrated analysis of The Yellow Wallpaper by Cha rlotte Perkins Gilman in light of the critical theory Infection in the Sentence: The Woman Writer and the Anxiety of Authorship written by Gilbert and Gubar. The theory provided in Infection in the Sentence: The Woman Writer and the Anxiety of Authorship will be briefly discussed in relation to The Yellow Wallpaper’s main heroine character and functionality of a madwoman in the fiction. This critical theory provides a perfectRead MoreThe Yellow Wallpaper961 Words   |  4 Pages The Yellow Paper is a symbolic story written by Charlotte Perkins Gilman. It is a disheartening tale of a woman struggling to free herself from postpartum depression. This story gives an account of an emotionally and intellectual deteriorated woman who is a wife and a mother who is struggling to break free from her metal prison and find peace. The post-partum depression forced her to look for a neurologist doctor who gives a rest cure. She was supposed to have a strict bed rest. The woman livedRead MoreThe Yellow Wallpaper By Charlotte Perkins Gilman1704 Words   |  7 PagesIllness and Confinement in the 19th Century: Escaping The Yellow Wallpaper Charlotte Perkins Gilman (1860-1935) whom is most acclaimed for her short story The Yellow Wallpaper (1891) was a women’s author that was relatively revolutionary. Gilman makes an appalling picture of captivity and confinement in the short story, outlining a semi-personal photo of a young lady experiencing the rest cure treatment by her spouse, whom in addition to being her husband was also her therapist. Gilman misused theRead MoreLiterary Analysis of The Yellow Wallpaper860 Words   |  4 Pagesfigures. Charlotte Gilman, wrote The Yellow Wallpaper, showing her disagreement with the limitations that society placed on women during the nineteenth century. According to Edsitement, the story is based on an event in Gilman’s life. Gilman suffered from depression, and she went to see a physician name, Silas Weir Mitchell. He prescribed the rest cure, which then drove her into insanity. She then rebelled against his advice, and moved to California to continue writing. She th en wrote â€Å"The Yellow Wallpaper

Tuesday, May 5, 2020

Nursing Clinical Case Report Health Assessment

Question: Discuss about the Nursing Clinical Case Report for Health Assessment. Answer: Introduction Mr. Smith as I name my patient to encode confidentiality is a 73 years old man who lives alone, he gets support from a lodge, the general support being showering, meals, and cleaning. When his presentation to the ED is finally in a position he is the diagnosis shows that there is the increase in shortness of breaths as per the outcome from the background server of COPD. As per the results the condition is constant at homes at 2.5 O2 at home, while the initial OBS is at the position of HR 85, GCS 15, also in inclusion Sats 100% holding with 2.5 L O2. The general implications show that he is Afebrile but tachypnoeic which is the reason for the rapid abnormal breathing.This paper will tackle the clinical case of Mr. Smith also exhausting diagnostic tests and general results. It is an aim of the provision of patient education, discharge planning summary to be in the description. Case management discussion Patients medical condition When an ECG diagnosis is made the outcome in HDU comes out clearly as that the p mitral and the general sinus tachycardia in conjunction with the serial cardiac troponins are in the estimate levels of 38 and 37. (Frick et.al 2014). The overall measure of a troponin test will measure the levels of troponin T or rather it is the troponin I proteins which are in the blood. (Brown et.al, 2012). When the proteins are facing release them, the heart muscle also seems to receive the impact and are at the risk of suffering damage. Social, economic background On the outlook to provide a relevant report of the patient, the need for having their social and general economic environment will act as a guide to being able to find reasons behind the controlling the infection. At a different situation, the condition can be preventable but due to the difference in social, economic levels; this can be difficult. Mr. Smith is working as a farmer for the last 25 years before the disease. (Yourngstorm et.al, 2015). In the incident where the wife dies, thus now faces life in the act of receiving the life in the home. He lives alone, and he is receiving an extension of services from a nearby lodge which he finds refuge in for the time of his illness before he faces admission. As part of his medication, he is under the management ADLs, which he successfully manages them while his is under a correct supervision. (MacPherson et.al, 2016). It is the mobilized and also the short distance travel which sees him receiving it due to the continuous oxygen therapy that becomes part of him in the condition. At a later date, he comes to have a transfer from his first place to a second place where he lives for some time. It is then in a description that the son has one adopted grand-daughter. Most of the time he is socializing with the family through the phone. In a critical medical condition, he receives a transfer to a medical ward where he is going for an Acute Care. Current medical diagnosis Acute Exacerbation of the COPD In this instance, our patient is in a diagnosis, and the outcome results are that he is in infection of dyspnea, which as a result at a different instance increasing in a cough as part of the result, the resulting there is an increasing sputum production as it came out in the diagnosis. (Forbes et.al, 2014). In addition to that, there is hypoxic and emphysema with an inclusion of a wheeze. From his aspect, it is found that he denies chest pain during a session with the medical officers. Also, he is in an opposing state of other conditions like hemoptysis and fevers which are chills. Mr. Smith's situation to have other conditions like gastrointestinal and urinary symptoms are not in acceptation. As a conclusion, the nursing departments are trying to find other possible causes for it is difficult to conclude from the data in a collection from him. (Bass et.al 2015). The condition known as Hypoxemia is a condition which happens when there is an impairing of a gas exchange in the lungs; this has an effect of causing a very low level of oxygen in the lung of the patient in a subject. Thus the general effect is in transmission to the blood streams which now carries low oxygen content in the blood. Pneumonia In consideration, pneumonia is an infection which affects the bottom part of the respiratory tract which as a result has the causative agents to be bacteria, fungi, and viruses, at other instances protozoa and parasites, have been found to be causative agents of the illness. The inflammation which is, as a result, is what causes the infection of the lungs. (Patney and Wartson, 2015). When Mr. Smith our confidential patient is in a diagnosis and is a fund with bacterial pneumonia, the general causative agent for this is the Pseudomonas microbes which will affect the bronchioles also the alveoli of the individual. Background Following closely to the medical history of the patient it is clear that he is in a critical condition, and the relevant measures are taken to control the situation. The first medical history is found to be hypertension which is seen to be consistent with a resting BP of estimation accuracy of 140/90 mmHg and is in consideration to go higher. (Gacono, 2015). It is due to go at critical levels because of the excessive smoking habits which are found to be the causative agent in the study discussion. GORD, which is the Gastro-Oesophageal Reflux Disorder, in return it also found in the medical history of the patient in an address. In August 2014 he was reported to have in possession of Echocardiogram which it is in the left ventricle hypertrophy. Also, hypokinesis is found, and it is the realization that there is a mild elevation of RSVP this is the abbreviation of the Right Ventricular systolic pressure.In a general description of an echocardiogram which is a test is a general test which uses the sound waves to make or in a provision of images. It is of the heart with the sound waves acquired. The administration of IHD which it is now a drug eluding stent is to give to the patient. The CAD this is the coronary artery disease occurs when his arteries which are responsible for supplying blood to the heart is experiencing the hardening and thus end up having a narrow path. The drug eluding is in use it is a peripheral or rather a coronary stent which is now in possession of the narrow road hence it slowly takes the initiative of releasing the drugs into the proliferation of the cells previously were impermeable. A diagnosis done below the knee DVT has an indication of warfarin, but this later ceases when the patients were in admission. It is in the doing in August in the year 2014. (Brayde and Raby 2015). The impact of the verge of 2015 yet another infection known as the cellulitis is in recognition. In an accompanying statement, this is on the note than the other accompanying distress which the eruption of the erythematous and the edematous counterpart dorsal is a finding on his feet. The condition undergoes treatment, and this is in a doing with oral flucloxacillin with the subsequent improvement in the verge of experiencing subsequent improvement in that situation. As a short description, cellulitis is known to be an infection which causes inflammation of the connective tissues preferably the one in a location of the legs. The causative agent is bacteria; this presents itself a painful area which is inflamed and has its location on the surface of the skin. Another important discovery is to come, and the development of the spontaneous L, which is a pneumothorax at the basal L of the lung comes out vividly, and this is to be for completion in 2014 as part of the medical history. In details, pneumothorax has its definition as the air in the pleural space of the thoracic cavity; it is the general causative communication to the accumulation of the air in the pleural membrane in the patient's chest cavity. In a different perception, it may be open or rather in a final aspect. The verge of a closed pneumothorax is a found to have the association with the external wound. It is the most of the standard form will show up as a spontaneous accumulation of air in the general pleural cavity which results to have no future antecedent event. The causative agent for this is the rapture of the small blisters found on the visceral pleural spaces. In general, the condition occurs preferably and is also common in male individuals who are underweight and at a greater range they are cigarette smokers. To be precise, the age is a factor, and it has an estimation of between the ages of 20 to 40 years. A different diagnosis in the aspect, aspergillosis which it is a condition which is preferably an association of infection to the tissues and mostly common to the lungs. In his history in an interview with the medical officers. It is a realization that he has a nil known condition to be allergic to all the drugs containing the compound. (MIMS, 2014). In a deep interception to his smoking habits, it is found to be an ex-smoker with a very long history of the same. The general outcome is that he started to advance and smoke one carton of cigarettes in a week the character became a forgotten case in 2010. He manages to emerge NIL in the history of ETOH which is the alcohol history. Anatomy of the Respiratory System A closer look of the cardiovascular system helps us get to provide a lasting solution to the problem. The cardiovascular system and the general respiratory system thy have a mutual relationship which is that they work together. The general steps are that by providing gaseous exchange which is that CO2 comes out during exhalation and O2 is taken in during inhalation, this comprises of the pulmonary system. (Arkowitz et.al, 2015). It also has the function of transporting gasses throughout the body which is the general composition of the cardiovascular system. The primary units being the alveoli is the proving aspect to the responsibility for the removal of O2, which goes into the blood while CO2 comes out. A summary of the process can be an initiation of ventilation which is the movement of air into the lungs and out. Diffusion is the actual flow of the respiratory gasses between air spaces in the lungs and the overall system of the blood stream. (Carr et.al, 2016). Perfusion on the ot her end will take the definition of the movement of blood into and out of the beds of the capillary of the respiratory organs which are the lungs and the tissues. Thus respiratory failure occurs when the general levels if the carbon dioxide, and oxygen have no evident change. Pathogenesis of the COPD The primary causative substance is cigarette smoke which both activate the impact from both passive and active smokers. The increase of antioxidants caused by the smoke is the toxic sting aspect in the process. (Lewis et.al 2014). The inhibition of the activity by of the anti-protease will result in an inflammation of the respiratory epithelium leading to an infection. The existence of chronic bronchitis and the emphysema is a contributing factor to the problem. Emphysema will begin to have effect with a destruction of alveolar septa that is the point of interception of the increasing portion of the pulmonary capillary beds will be experiencing an increase in volume with the air being part of the acinus. The last step will be the destruction of the alveolar walls which eventually loses the elasticity. Nursing Management In the first aspect of the nursing management ways, the establishment of the ineffective airway to be about the obstruction of an unproductive cough. As per the general assessment findings are as follows, BP 152/80 mm Hg while the heart rate is 71 beats/minute. (Smeltzer et.al 2014). The oxygen saturation is in the estimation of 2.5 L oxygen to the nasal spec is the percentage of 98 this implies that it is a rate of 20 breaths per minute. The overall auscultating his chest will be the reason for the wheezing sound of the patient. Recommendation As part of the proposal the administration of cough enhancement which was encouraged to escalate his sitting position slightly flexible, to allow the adequate chest expansion. (Tollefson, 2015).Also, he is given bronchodilators to curb the problem of calibration and to retain secretion and increase the ease of breathing. In the situation where he is seen to have an impairment which is related to SaO2, which is 90%. The patient is dragonized for it at 83% with the use of RA. (Mindell and Owens 2015). The intervention of nurses comes in, and he is recommended to monitor the respiratory and oxygenation status, in general, to be able to assess the essential need for intervention. The pharmacological nursing management. To acquire his exacerbation of the resulting OCPD, he then is receiving a treatment of an oral glucocorticoid. Prednisolone, which in estimation is to give at 25mg oral per day, is in use to severe conditions of exacerbations to be able to reduce the airway inflammation by establishing a preventing mechanism from the release from the mast cells. In turn, the bronchodilators will be in a position to promote the synthesis of bronchial beta2 receptors which will see the increase of the effectiveness of the receptors. The other aspect of inclusion of fluticasone or the salmeterol which is to give the recommendation of 250/25 2 puffs in a day given twice. (Porth and Martfin, 2009). With this, it will be long acting more sympathomimetic beta2 agonists, which will be in moving part like the adrenergic receptors in the smooth muscle of the lung. IT will activate the suppression of histamine which will release and help the elevation of the ciliary muscles contraction in the lungs of the pati ent. As part of the management of his pneumonia, the recommendation for the use of a daily dose of 1gm of IV cephalosporin which will reduce the infection of the other drugs which might have an effect on the lungs. The relevant diagnostic tests and the overall results. Chest X-ray as at 13/06/16, was found to be a hyper-expanded lung representing the scarring confluent and the consolidation of the collapsing lungs.Cardiac troponin, his levels are sought to be at 37 and 38 this purely indicates that there is myocardial damage thus the patient is under the suspicion of having an acute coronary syndrome. (Brown et.al, 2012). The biochemistry of his blood is at the rates of lower hemoglobin as 127g/L while the lower M.C.H is 26.1 pg. The general result is used to give proper medication to the patient. Summary and conclusion In summary and conclusion of the report in general, the patient though he has in the receiver of the treatment it is an essential aspect that he will need some help which is inclusive of the support services at his will. (Lehne, 2015). A follow-up activity for the monitoring of the changes should be done every time at least in once a week to be able to establish a practical consideration of the COPD. Also being able to refer the patient to an occupational therapist for an arrangement to shower a chair even for a minute will be a satisfying condition to garner the courage to help the patient. References Brown, D Edwards, H 2012, Lewis's Medical-surgical Nursing: assessment and management of clinical problems, 3rd Edition, Elsevier Australia, NSW. 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