OBJECTIVE data collection of a patient who has Peripheral Vascular Coursework

OBJECTIVE data collection of a patient who has Peripheral Vascular Disease - Coursework Example Therefore, this indicates that she is at a higher risk of getting a peripheral vascular related disease. Her state of health was well until 9pm the night she reported to the hospital. She describes that her pain began on her lower leg when she was moving her furniture in her living room. She took some pain killers but when the pain further persisted, her husband decided to bring her in for a check-up. She denied any form of dizziness, nausea, vomiting and diaphoresis. On her physical examination, her appearance is that of a slightly slim white woman lying on the bed with an indication of severe pain in her toes.She is complaining of havingvery severe leg cramps. Based on the assumptions of the symptoms indicated by the patient, diagnostic procedures for peripheral vascular diseases are carried out. An angiogram is conducted on the veins and arteries in order to detect any form of blockage of the vessels. The Doppler technique is also conducted so as to measure the access of the flow of blood. The final test conducted is that of the treadmill exercise where by the patient is required to walk on the treadmill in order to monitor her pulse rate (Weber, Kelly & Sprengle, 2014). On inspection of the thorax and lungs there is an indication of bibasilar rales. The diaphragm moves slightly well during respiration, percussion there are signs of dullness and no rhonchi, rubs and wheezes. The x-ray taken also shows the effect of the tobacco use that the patient is inhaling into her system as dullness is seen in the chest region. On inspection of the heart and neck vessel, the cardiac examination indicates that there are no hives or thrills. The rhythm is regular with an extra heartbeat. The normal s1/s2 is narrowly split. There is a positive s4 gallop. 2/4 systolic injection murmur is being heard at the left sternal border with no radiation. The pulses can be noted for the sharp carotid upstrokes. The pulmonary vessel in

In management of organisations, why is it important to be clear on how Essay

In management of organisations, why is it important to be clear on how workforce culture is defined; managed and influenced - Essay Example Culture can also been defined as â€Å"the interweaving of the individual into a community and the collective programming of the mind that distinguishes members of one known group from another† (Ogbonna, 1996). Culture acts as glue and binds the culturally diverse workers together removing their differences. It dictates the way things should be done in a particular work environment. Though there are reservations to their view, yet a vast majority of the researchers are of the view that realization of a solid organizational culture is the first and foremost requirement of practical strategic planning and plays a pivotal role in determining the performance of the organization (Brown, 1998 cited in Kemp and Dwyer, 2001, p. 78). Realization of a strong culture favors identification of employees whose performance counts a lot in the achievement of organizational objectives. Managers can indeed, use culture as a tool to achieve unanimity of responses in the employees and incorporate ethics in the work practices. Smooth functioning requires development of a coherent culture in any organization. A coherent organizational culture integrates independent departments within an organization and makes them united. This union earns an organization competitive advantage over others in the market. It is not easy for the competitors to imitate such an organization. Cultural web explains the way a culture modifies human behavior in the context of an organization, and how the change affects the organization itself. The strategies an organization bases its plans upon are conventionally preserved in such organizational documents as annual reports. However, the underlying traits of these strategies that actually shape an organization’s paradigm show up in the interaction of employees working in the organization. Indeed, the assumptions forming the base of strategies are so