Lab Report Essay Example for Free

Lab Report Essay As part of my module Nip1002 I was required to perform a set of observational skills which included; pulse, blood pressure, respirations, hand washing and urinalysis and then compare them to previous results. In this lab report I am going to discuss blood pressure in detail. Procedure * Explain the procedure to the patient and gain consent * Wash hands thoroughly following the hand wash technique to prevent the transfer of bacteria * Clean equipment e.g. blood pressure cuff and stethoscope using antibacterial wipes * Ensure the patient is comfortable and has been resting for 10 minutes * Remove tight clothing and support the arm at heart level, overestimation or underestimation can occur if it is not at the appropriate level * Ensure you have the correct cuff size for the patient or this could give an inaccurate reading * Locate the brachial artery and apply the cuff * Estimate the systolic pressure by using the radial pulse and inflate the cuff until the pulse cannot be felt. This is important to provide an estimation and avoids error in reading. * To take the patient’s blood pressure use a stethoscope and place on the brachial artery pulse and inflate 20-30 mmHg higher than the estimated systolic pulse * Immediately release the pressure using the thumb valve at approximately 2mmHg per second. If it is deflated too rapidly you may not hear the sounds accurately * The systolic pressure is the level when clear tapping sounds first appear and the diastolic pressure is the level when the sounds disappear * Record the measurements on an observation chart and compare the previous results as this will allow changes in the patient’s condition to be monitored appropriately (see appendix 3) * Remove the cuff and explain the reading to the patient * Clean all equipment and wash hands again to prevent cross infection (Glasper, Richardson; McEwing, 2009, p.168 169) Discussion The heart is located in the centre of the chest and is protected by the rib cage. The heart receives oxygenated blood from the lungs through the pulmonary veins. It then goes to the left atrium, to the left ventricle, to the ascending aorta and is pumped around the body. The superior and inferior vena cava delivers de-oxygenated blood to the right atrium from the body. (See appendix 1) It then goes to the right ventricle, pumps through to the pulmonary trunk to the right and left arteries and then to the lungs. (Tortora and Derrickson, 2011, Chapter20) Blood pressure is the force exerted by the blood on the walls of blood vessels and this should be at a certain level to ensure that the body is functioning correctly. Blood pressure varies from person to person but the normal reading for a healthy adult is around 120/80. (BPA 2008) The top number is called systolic blood pressure and is the highest pressure attained in arteries during systole. The bottom number is called diastolic blood pressure and is the lowest arterial pressure attained during diastole. (Tortora and Derrickson, 2011, p.814) The blood pressure reading that I got on my patient was 120/90 this was slightly higher from the previous readings which were 90/50 and 90/60. Although this reading is slightly high I would not consider it to be a case of hypertension. Hypertension is when your blood pressure readings consistently show readings of 140/90 mmHg. (NHS, 2010) A persons chances of having hypertension are raised due to a number of factors; age, weight, family history and diet. Hypertension creates a higher risk of heart attacks and strokes. ((Glasper, Richardson; McEwing, 2009, p.170) Reflection I am going to use Gibbs (Glasper; Richardson, 2011, p.xix) reflective cycle (see appendix 2) to analyse my reflection. I did a set of observations which included; pulse, respirations, blood pressure, hand washing and urinalysis. When I was doing the observations I was very nervous and I was aware that I was being evaluated which made me feel stressed. Overall I think I did well in the exam because I remembered all the steps and got it done in the time limit. I felt I could have done better if I wasn’t as nervous, as I feel this affected my skills technique. Looking back on the exam I think I was lacking in communication skills as I did not talk to the patient enough. In conclusion it is important that all vital signs are monitored as this can be one of the first indications that a patient is deteriorating. Blood pressure is one of the most important physiological measurements used to diagnose a patient’s condition. References BPA (2008) what is normal blood pressure? [online]. BPA. Available from: http://www.bloodpressureuk.org/BloodPressureandyou/Thebasics/Whatisnormal [Accessed 27th July 2012] Glasper, A. Mcewing, G. and Richardson, J., (2009). ‘Introduction’ in Glasper, A, Mcewing G, and Richardson., Foundation studies for caring. Palgrave McMillan, pxix Glasper, A. Mcewing, G. and Richardson, J., (2009). ‘skills for physiological assessment’ in Glasper, A, Mcewing G, and Richardson., Foundation skills for caring. Palgrave McMillan, p168 p169 Glasper, A. Mcewing, G. and Richardson, J., (2009). ‘skills for physiological assessment’ in Glasper, A, Mcewing G, and Richardson., Foundation skills for caring. Palgrave McMillan, p170 NHS (2011) High blood pressure: hypertension. [online]. NHS. Available from: http://www.nhs.uk/conditions/Blood-pressure-(high)/Pages/Introduction.aspx [Accessed 5th of August 2012) Tortora, G, and Derrickson, B,. (2011). ‘The cardiova scular system: Blood vessels and hemodynamics’. In Tortora, G and Derrickson, B., Principles of Anatomy and Physiology: Maintenance and continuity of the human body’ (13th edit) Wiley. p814. Tortora, G, and Derrickson, B,. (2011). ‘The cardiovascular system: The Heart’. In Tortora, G and Derrickson, B., Principles of Anatomy and Physiology: Maintenance and continuity of the human body’ (13th edit) Wiley. Chapter 20. Appendix 1

Link these jobs with these jobs skills & qualities needed :: Business and Management Studies

Link these jobs with these jobs skills & qualities needed Personal Qualities While certain jobs will require specific skills, there are a number of personal qualities that must employer look for in an employee regardless of job role. These skills are:  · Communication Skills  · Manual Skills  · Using Initiative  · Flexibility  · Reliability  · Enthusiasm  · Problem Solving  · Motivation  · Intelligence  · Honesty  · Time Management  · Team Working Skills  · Dependability  · I.C.T Skills Communication Skills Ability in the areas of language understanding, communicating expressively, and practical language skills is needed in most basic job role. Communication is the art of successfully sharing meaningful information with people by means of an interchange of experience. E.g. Coaches wish to motivate the athletes they work with and to provide them with information that will allow them to train effectively and improve performance. Communication from the coach to athlete will initiate appropriate actions. Manual Skills Many employers will look for employees who have some basic manual skills. Manual skills workers should be able to lift boxes, carry large packages, mop the floor, and climb steps and ladders to reach files or products. E.g. A shop assistant should be manually skilled so that when customers ask for products that are on the top shelves he/she can get it. Using Initiative Employers want staffs that get on with their work happily without complaining. The employees should use their own brain power. E.g. If an employee keep on asking his/her senior about everything on the work she/he is doing that means she/he is not using their initiative. Honesty Employees should be honest to their employers instead of lying to and not coming to work. Making excuses not to come to work saying that I fell off sick, I had to go to an appointment. Even if an employee takes money out from the organisation without asking the employer that is not honest. E.g. an employee in the HSBC bank took out money from the bank without asking. Efficiency Efficient employees have to work at a high standard as possible and

Autobiography of a Coin

I was born in mines. My body is made of various metals. Thus I have no fixed race. I am a hybrid. I remember the day when I was put into a furnace. The whole of my body was burning red hot. Finally, I remember vaguely to have melted. I was put into mcould and given a new shape. When I regained consciousness, I found that I had completely changed. My body was shining brightly. When I had put on my new shape, beautiful designs were put upon both sides of me. I began to smile with joy. After the pains of fires, I had become a personage with some status. I remained at the mint for a few days with a number of brothers and sisters.We were lending a happy life full of golden dreams about our future lives and careers. It was a red letter day in the history of my life, when I was put into a huge bag along with all my brothers and sisters and placed in a bus. We knew we would see the light of the day. Our grand careers were going to commence. We were on the threshold on a new life. Of course, for some time it was suffocating. But we did not mind. We knew our troubles were short lived and would come to an end very soon. We therefore suffered patiently ‘the mild yoke of God’. We were taken down at a majestic building.My friends told me we had reached ‘The State Bank’. I heaved a sigh of relief but my troubles were yet not over. I was closed in a safe. It was rigorous imprisonment. It was rumored that armed constabulary guarded the doors of our prison. We were sad at heart. We had run from frying pan to the fire. All our hopes were on the point of being shuttered. We prayed to god and one day he did listen to our prayers. A gentleman came to my rescue. He took me and some of my brother home and put me in a chest. The next day he gave me to his child, who was very pleased to see my glittering appearance.I was also glad to have obtained this young friend. I had thought that I shall get an oopportunity of enjoying the company of my friend for a long t ime. But alas! He went straight to a sweet-seller and threw me at his shop. The sweet-seller knocked my head against the ground. I had learnt the lesson that life is not a bed of roses. It is really full of dangers, difficulties and disappointments. To cut a long story short, I have been leading a free, vagrant life. I have been with old and young, rich and poor, men, women and children. I have been with doctors and cobblers, cycle-merchants and lawyers, sstudents and company managers.It is impossible to recount all the adventures. I have had all the ups and downs. Now I am old and weak. Time was, when I was young, fresh, energetic and fiery. Now I am mere ashes. I am worn-out and weather-beaten and my heart is as grey as my head. I only console myself with the thought that I have always received love and affection in my life. Everybody has taken great care of me and kept me as best he could. For this all generosity, I thank everybody with all my heart. I have no ambition. I am only waiting for the day, when I shall go back into the lap of my creator (the in charge of mint).

Fear in Salem, Massachusetts and The Crucible Essay

What do you fear in our twenty-first century society? Terrorism, inequality, losing your home, or injustice? Salem, Massachusetts during the seventeenth century feared injustices among the government. Individuals hid and lied to keep safe from being condemned as witches. This era of history is known as the Salem Witch Trials. Arthur Miller’s The Crucible explores the Salem Witch Trials while following the lives of several individuals. The fear and mistrust among the seventeenth century Salem society can be directly related to today’s twenty-first century society. Americans have lost hope and belief in their government creating individuals who are scared to stand up for what is right. Glancing into our twenty-first century world comparisons†¦show more content†¦These individuals may or may not have been witches, yet the jury many times chose to hang any accused individuals with or without reasonable cause. Today, much like during the Witch Trials, people are sen t to prison for crimes they didn’t commit. Of course, many guilty people are sent to prison and rightfully so, but sometimes good lawyers are able to convince the jury unjustly sending innocent individuals to a life in prison. Though, Americans are not scared of being sent to jail for witchery, they are scared of being in the wrong place at the wrong time due to the fear of governmental polices. Due to fear of being wrongly accused during the Salem Witch Trials erratic and chaotic behaviors stemmed across the town. People feared being called witches so they hid, lied, cheated, and wrongfully blamed their friends and family. Chaos grew across the town and more and more people were hung. In comparison, during 9/11 in the United States citizens across the nations hid, cried, and hurt due to the destruction occurring on the home front. 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