One topic or theme that compares and contrasts traditional and more Essay - 1

One topic or theme that compares and contrasts traditional and more recent innovations in our understanding of equality and diversity - Essay Example abilities approach in managing diversity revolves around the ability to measure people’s abilities and what they can achieve as well as what they can become, in order to allocate the right amount and the right kind of resources in their development or welfare (Comim, et al, 2008, p.84). Capabilities are seen as opportunities for well being and therefore, justice is seen in terms of how an individual will achieve his well being (Kaufman, 2006 p.2). According to Hernandez and O’Connor (2009, p.165), the HR department has a lot of power in determining which titles will be given to who and who will get how much in their pay and this means that the HR department has a strong rein on how people develop in the organization. Managing diversity in the workplace is one of the biggest challenges and yet exciting processes in the workplace. Managing diversity is essential in meeting organizations goals and implementing its strategy (Wilkinson, 2009, p.232). According to Cornelius (2002, p.153), having workforce that is entirely diverse starts at recruitment and the HR department should and must have the right strategy for achieving this. With this regard, there are both traditional and modern approaches to managing diversity. Traditional methods of managing diversity were mostly from the US and were focused on creating a work environment that took care of ethnic differences. Managing diversity has, however, changed and today, not only it is a global management issue but it has taken a new route. Modern diversity management focuses on managing talent and making sure that people abilities are given equal opportunity without regard to their race, health or cultures. The difference between traditional strategies in managing diversity and the current approach is that the current methodology does not give minority groups in the work place more opportunity just because they are a minority. For instance, in the older strategies for managing diversities in the workplace, a

Critical care nursing Essay Example | Topics and Well Written Essays - 1500 words

Critical care nursing - Essay Example The drugs prescribed demonstrate that the endeavor was to keep her blood pressure within normal limits, to keep her cholesterol levels in check and prevent any further cardiovascular complications, primarily as a measure to reduce the risk of a heart attack (NIH). The prescribed drugs are standard regimen to keep the blood thin, control blood pressure and reduce hyperlipidemia. However, 5 days post-discharge, the woman was presented again at the emergency department with the primary complaint being that of sudden onset of breathing difficulty. According to her husband’s statement, the woman had probably forgotten to take some of the prescribed medication, had undergone stress due to current heat wave, and had exerted herself while making preparations for the ensuing Christmas celebrations. Vital signs as registered on arrival at the emergency facility included a respiratory rate of 28, heart rate of 130 suggestive of rhythm sinus tachycardia, a B.P. of 140/100, oxygen saturati on of 94% on 6 litre oxygen via facemask and a capillary refill value greater than 3 seconds. On palpation her skin felt cold as well as clammy. Upon lung auscultation, bilateral fine crackles were discernible. Immediate treatment recommended and provided at this stage was in the form of GTN (Nitroglycerine) infusion and an IV diuretic, frusemide at a dose of 40 mg after which she was shifted to the ICU. In the ICU, sinus tachycardia was observed along with a HR (Heart Rate) of 133. ECG (electrocardiograph) revealed resolving acute anterior septal myocardial infarction with present Q wave. She had marked hypotension with a value of 85/70 and JVP was estimated at 6 cms above the sternal angle. Echocardiography revealed an ejection fraction of 50% with poor diastolic filling. Respiration was shallow and tachypnoeic with a RR of 35. Despite a supplement of 10L/Nonbreathing mask oxygen therapy, she continued to maintain poor oxygen saturation at 80-90%. Her pain score was determined as 5/10 and the urine output was 200mls. GTN infusion was discontinued and she was put on dobutamine at a dose rate of 500 mg/100 mls in 5% dextrose titrated to a MAP of 70 mm Hg. Mask CPAP was initiated. The woman’s age, BMI and the clinical symptoms presented clearly show that she is at a clear risk of a sudden onset heart attack which has occurred according to her presented symptoms on admission at the emergency facility. Such acute heart failure syndromes (AHFS) are a recognized reason for the high rise of cases needing hospitalization over the last few decades due to rising incidence of lifestyle diseases (Coons et al, 2009). The risk of mortality is high in such cases and therapy has to be instituted immediately. The above patient’s history, signs and investigative laboratory scores clearly show that she is suffering from acute onset heart failure. Her low BP (85/70), evidence of sinus tachycardia (HR 133), poor diastolic filling suggestive of reduced left ventricul ar ejection fraction (LVEF), low RR (35) and poor oxygen saturation despite artificial support are clear markers for her diagnosis (Coons et al, 2009). Although the above signs are sufficient for establishing diagnosis of AHFS, it has been suggested that newer diagnostic markers such as cardiac troponin and B-type natriuretic peptide levels can assist in establishing a positive diagnosis and should be employed (Pulkki et al,