Eh Is a 68-Year-Old Male Who Comes Into the Clinic...

EH is a 68-year-old male who comes into the clinic complaining of a fever with a temperature of 103  °F. He has had a cough for the last three days that is producing some thick green brown mucous. The MD feels he most likely has bacterial pneumonia. He also has a history of having rheumatoid arthritis, and being immune compromised as he is on an immunosuppressant methotrexate. He has noted that over the last year he has lost weight unintentionally and feels he is underweight. 1. Understanding epidemiologic concepts of the chain of transmission of organisms from host to victim, describe how EH could have been infected. * Pneumonia is refers to an infection in the lungs that causes swelling in the lungs tissue and this inflammation†¦show more content†¦His wife can use automated bicep, wrist cuff but I don’t think she can use the scope. KH’s most primary factor risk is an HTN because of his age and also the extra 30Ibs of his DM. but his 30Ibs over is not a sig nificantly bad if KH were health of metabolically but the overweigh can lead to cause of hypertension. 2. What is the rationale for treating KH with an ACE inhibitor? What is the mechanism of action? What part of the blood pressure formula do they affect? The prescribed of medications are also ethnicity needs to take because some of the medications works better some of the groups ethnicity than other people. It is an angiotensin II of vasoconstrictor that elevates of B/P angiotensin II are also formed of angiotensin 1in the bloods enzyme and enzyme can cover ACE and interfere activity of enzyme of ACE because it decreases the angiotensin II. Most of all if he has vasodilation and blood pressure is reduces. 3. KH’s hypertension is not adequately controlled. What other intervention might be considered? The other interventions are if there is no well treatment of couple of things, I think there would be damage to the heart, arteries and that could be a heart attack, heart disease, stroke and more. 4. What tips can you give KH’s wife to improve the accuracy of her blood pressure measurement technique? Used the better way to measure the blood and for the cuff to wrap

Prelude to American Revolution Free Essays

Creating the New Nation The social, political, and economic consequences of the Revolutionary War and the early American Republic have served as a blueprint for global freedom enabling subsequent generations and the nations to secure the blessings of liberty. With the culmination of the French and Indian War, British and American ethos clashed causing the American colonists to create a new nation founded on the principles of self-government and human liberty. The following paragraphs will detail a succinct history of the events that shaped this watershed historical and political movement. We will write a custom essay sample on Prelude to American Revolution or any similar topic only for you Order Now The year is 1754. After years of feeling envious of the Spanish spreading culture around the globe, the British decided to follow in their footsteps, hoping for the same successful results. They set their sights on the New World that promises, â€Å"Land as far as the eye can see† and religious freedom. So they set sail to travel to the Promised Land, only to soon find themselves in a major conflict. It’s not before long that the British are in battle with the current French habitants. Both sides try to receive as much help as possible, by befriending local Native American tribes. This war is now famously known as The French and Indian War. This brutal, exhausting war lasts seven years. In 1763, the Treaty of Paris is signed to finally end the warfare. Taking note of this, the British Parliament issues the Proclamation of 1763, which forbade any British colonists to settle past the Appalachian Mountains. The tired, beaten-up, colonists were outraged. Some refused to comply and moved out west anyways. This is significant because this is the first sign of rebellious acts that the colonists made leading up to the American Revolution. The damage from the French and Indian War was far more devastating than people realized. Britain was severely in debt and stripped of resources. As a result, a few taxes were placed on the colonies. The most important being The Stamp Act of 1765. The idea was for the British to place a tax on all documents produced in the British colonies. This was the main form of communication, so having to pay even more for something they used very often frustrated the colonists to an even greater extent. Many colonists thought it was against their rights to be taxed without their consent. The phrase, â€Å"taxation without representation† became more and more popular within the general public. Some colonists even formed rebellious groups and protested the British Parliament’s taxes. On March 5, 1770, a group of protesters were on King Street in Boston, Massachusetts. They began verbally abusing and harassing eight soldiers stationed in front of a building. Without order, the soldiers fired into the crowd, instantly killing three people and wounding others. This major event is known as the Boston Massacre. After several similar events, significant figures such as Benjamin Franklin, John Hancock, Thomas Jefferson, and many others, signed the Declaration of Independence on July 4th, 1776. This document stated that America is declaring its independence against the British Government. The thirteen colonies considered themselves â€Å"independent†, not knowing the major actions that Britain was going to commence. The American Revolution had officially begun. A disgruntled colonist named Thomas Paine wrote a pamphlet criticizing not only the British, but the colonists also. He thought that no one was actually taking actions in preparations for the war against Britain. He constantly used biblical references to try and influence people to take action. This pamphlet, titled â€Å"Common Sense† is famously known as being the most popular pamphlet in the revolutionary era. In the midst of the Revolutionary War, the young country of America thought they needed some type of constitution; therefore, The Articles of Confederation were established. The A of C loosely linked the 13 states mainly to deal with foreign affairs. It didn’t create an executive branch. Each state had a single vote and 9 of the 13 states had to vote for a bill before it passed. The main problem with this was that Rhode Island had the same amount of power as Virginia, which had three times Rhode Island’s population. Also, The A of C did not provide the government power to tax, raise an army or navy, and regulate commerce for national interests. States, however, could enforce taxes. Frustration continued throughout the American states for years. A farmer named Daniel Shay, led a small army and tried to revolt against the government. Shay’s Rebellion was stopped, but exposed several major problems. First, there was not standing army to stop a rebellion. Second, many people, including Thomas Jefferson, agreed with Shay. Jefferson stated, â€Å"The tree of liberty has to be watered with the blood of patriots and tyrants from time to time. It is as natural as manure. † And thirdly, the A of C were not working AT ALL. In 1787, a quorum of 55 emissaries from 12 states gathered in Philadelphia. Thomas Jefferson called this a â€Å"Convention of Demigods†, but it was formally known as the Constitutional Convention. They issued many major compromises. One being the CT Plan/Great compromise. This set a standard to how many representatives in each state could be in Senate (equal) and the House of Representatives (based on population). Another compromise they established was the 3/5 compromise. This stated that slaves were to be counted as 3/5 of person. This greatly impacted when bills or policies were in the voting stages. Lastly, The Electoral College was created. The idea of this was to be used for future presidential elections. They were to use the number of congressional electors from each state to determine the president based on the state’s power. For example, California would have more Electoral College votes than Oklahoma because it has a higher population. Realizing that the A of C has led to be a string of failures, George Washington appointed James Madison to construct the U. S. Constitution. Many Anti-Federalists sharply criticized the Constitution because it did not recognize many civil rights. The first 10 amendments of the Constitution, commonly known as the Bill of Rights, is a necessity to the most precious of our rights. It prohibits too much intrusion by the government. In other words, it greatly limits the government’s power. As the country became more and more in debt, Alexander Hamilton argued that Assumption was the right way to go because the debts were caused by the shared goal of Independence. In addition, it put the states under more power by the federal government. Thomas Jefferson and James Madison met with Alexander Hamilton for dinner in Philadelphia one greatly historic weekend. They made a deal: Jefferson would support Assumption and Hamilton would support moving the Nation’s capital to the Chesapeake area. This is why the capital is in the South and called Washington D. C. Once George Washington left office, John Adams took his place as President. Adams was not going to take any negativity for the way he ran things. So the Adams’ Administration established the Alien and Sedition Act which enforced arrest on any people who criticized the government. Thomas despised the way Adams took things during his presidency. So Jefferson runs against him and sabotages Adams’ presidency and wins the Election of 1800, aka The Revolution of 1800. Immediately, Jefferson with the help of James Madison tried to thwart the federal government’s power. In conclusion, Early America, despite all the rebellious acts and criticism, served as a blueprint for global freedom enabling subsequent generations and nations to secure the blessings of liberty. Thanks to many great leaders such as George Washington, Thomas Jefferson, James Madison, Alexander Hamilton and many more, there is a standard set in the country that the Government must abide by. The impact of events such as the American Revolution, Boston Massacre, Constitutional Convention, etc. , the country has grown stronger and more knowledgeable about foreign affairs and globalization. Although America is still considered to be a young country, the history within this great nation is one of the richest in the world. 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Criticism on Green Washing

Question: Discuss about the Criticism on Green Washing. Answer: Introduction: Corporate Social Responsibility (CSR) is a concern of the company towards the social responsibility. It is more of a movement that promotes companies to be aware of the influence, which are created around the society. In another word, CSR is a business approach, which contributes to sustainable growth by delivering social, economic and environmental profits of all the stakeholders. This broad concept is practiced with several definitions and deals with various topics, such as, corporate governance, environmental effects, health and safety, working conditions and input to economic growth (Schuetze and Chelleri 2015). However, the major purpose of CSR is to change towards sustainability. On the other hand, Green-washing is a concept, which states that the companies try to be more compassionate towards the environment than they actually are. It also includes misleading the consumers about the environmental benefits of a certain product, with the help of ambiguous advertisements and unpr oven claims (Bosun, Teodorescu and Teodorescu 2014). Social Security uses several strategies, which includes the implementation of the business policies without damaging the environment and the economy, while the companys reputation stays as it is and the healthy competition remains in the market. If an organization is seen to be damaging the environment, it is to be seen as a socially irresponsible one, and it would risk the partnership with all the stakeholders. The loyalty between the consumer and the brand entirely depends on the relation between the consumer and the product. The social security strategies make new business policies to come up with new products using the natural resources in a cost-effective way (Blome, Foerstl and Schleper 2016) On the contrary, green washing has several sins. The most common one is the sin of Hidden Trade Off, which says the product is green and is made of recycled plastic or paper. Originally, the product might be harming the environment, but this single feature makes the product accessible in the market. The second most common sin of green washing is the sin of no proof, where the company claims the product to be green, or made from recycled goods, but they do not provide any proof of that. Mostly toilet tissues or the facial tissue companies claim their products to be made from recycled goods without providing any evidence. Another sin of green washing is that, when another company with limited workforce reviews the products. The goods come in a mass volume, maybe with a single feature of CSR, but it gets through only because of the disregard by the third company (Onkila 2015). Another form of sin is, the exact percentage of the recycled products are not mentioned, but stated in a vague manner. The toxicity level might be high during the recycling process, but only some amount of the percentage is declared on the label or sometimes at the back of the product. The other sin is called fibbing, where the company uses false posters or already marketed ones on the product, but the consumers have no clue about it. They are not even aware of the fact that the brand has tricked them and making them use a product, which is harmful to the environment. The other two sins include lesser of two evils and the sin of irrelevance, where in the former one, the company claims to true to the product type, but it distracts the consumer from the bigger harm to the society. Most of the organic cigarette companies do this trick with the customers. The other one includes the environmental declaration that might be truthful but insignificant for the consumers seeking green products. The companies commit these sins very often and the products are very much accessible in the open market (Fla mmer 2013). Conventionally, the Corporate Social Security refers to the responsibility of the company to act fairly and ethically and their consideration of the impacts on the society at a large, but does not include sustainability essentially. Sustainability, on the contrary, is concerned with the preservation of the resources and dealing in a manner that is conductive to long term business. But the underlying arguments of sustainability are often hidden and the corporate houses indulge in the practice, which causes long term harm to the environment (Walker and Wan 2012). The basic truth is, companies do not portray the exact truth about the products to the consumers. They claim to be green but they do not act green at all, because most of the corporate organizations have some amount of evil impact on the environment, depending on the state of the company (McMichael 2012). In the current scenario, Green washing is being used by most of the companies, against their rivals in the market. Most of the corporate houses do not reveal their secret of green washing in the severe competitive market; they try to put eyewash in front of the consumers in order to be labelled as a socially responsible company. If the companies do not keep their green schemes to themselves, they might be accused of being green washed by their rivals without difficulty (Tsagas 2012). However, (Tsagas 2012) stated that in recent times, several companies are going for the green business, and the numbers are rising day by day. When the annual report of any company gets published, they keep a section, which mentions the CSR activities, taken on account. As the socially responsible companies and the green consumptions are increasing, green advertising has increased in last 20 years (Crane, Matten and Spence 2013). The scenario demands a little transparency about the green business from the corporate houses. If there were any doubt about the fact, that whether CSR is a little more than the green washing, it would be a false claim. The corporate houses do not declare their secrets about the CSR activities or the green business openly, as they are very much cautious about their rivals, pointing out the mistakes about the CSR activities. However, transparency and the well establishment within the financial scheme is the key to maintain the CSR activities. Most of the times, companies make mistakes on this account intentionally or maybe unintentionally. If a corporate house is dealing with the green washing, some actions should be taken on the company. Reference List Blome, C., Foerstl, K. and Schleper, M.C., 2016. Antecedents of green supplier championing and greenwashing: an empirical study on leadership and ethical incentives. Bosun, P., Teodorescu, M. and Teodorescu, B., 2014. Corporate Social ResponsibilityCollaborating for the Future.International Journal of Education and Research,2(3). Crane, A., Matten, D. and Spence, L.J., 2013. Corporate social responsibility in a global context.Chapter in: Crane, A., Matten, D., and Spence, LJ,'Corporate Social Responsibility: Readings and Cases in a Global Context,2, pp.3-26. Flammer, C., 2013. Corporate social responsibility and shareholder reaction: The environmental awareness of investors.Academy of Management Journal,56(3), pp.758-781. McMichael, P., 2012. The land grab and corporate food regime restructuring.Journal of Peasant Studies,39(3-4), pp.681-701. Onkila, T., 2015. Pride or embarrassment? Employees emotions and corporate social responsibility.Corporate Social Responsibility and Environmental Management,22(4), pp.222-236. Schuetze, T. and Chelleri, L., 2015. Urban Sustainability Versus Green-WashingFallacy and Reality of Urban Regeneration in Downtown Seoul.Sustainability,8(1), p.33. Tsagas, G., 2012. Reflecting on the value of socially responsible practices post takeover of Cadburys PLC by Kraft foods inc: implications for the revision of the EU takeover directive.European Company Law, Kluwer Law International, Special Issue on CSR and SRI,9(2), pp.70-80. Walker, K. and Wan, F., 2012. The harm of symbolic actions and green-washing: Corporate actions and communications on environmental performance and their financial implications.Journal of business ethics,109(2), pp.227-242.