Monday, May 25, 2020

Essay On The Black Death - 1909 Words

The Black Death: Accurate or Inaccurate? â€Å"The Black Death† is a pretty historically accurate movie. The costumes in the movie, the plot of the movie, the cause of the Black Death, how the Black Death spread, how to cure the Black Death, what the Black Death looked like, some of the sets in the movie, and the origin of the Black Death were all depicted extremely accurately. However, some of the sets in â€Å"The Black Death† were not completely accurate. The movie â€Å"The Black Death† gives the viewer a great deal of accurate information about the Black Plague; however, there are a few historical inaccuracies as well. The black death was a disease triggered by the bacteria Yersinia pestis. Yersinia pestis is a bacterium transmitted by rodents,†¦show more content†¦A knight, named Ulric, comes to the monastery that Osmund is at, and he is in search of someone to lead him and his group of soldiers, including Wolfstan, Mold, Abbot, Swire, and Dalywag, to a secluded village where everyone has renounced from God. This village was a place that was safe from the plague, and there are speculations that there is a necromancer there that is bringing plague victims back from the dead. Osmond volunteers to lead Ulric and his group to the village in hopes of finding a girl named Averill, who he was secretly dating. One of the monks told Osmund not to go, but he decided that this is what God was calling him to do. Along the way, he discovers that Averill died in the forest. Shortly after Osmund and the group of soldier arrive at the village, Osmund meets a woman, named Langiva, who dresses his wounds. Langiva later tells Osmund that they found Averill in the woods, and then she shows Osmund her body. Afterwards, Langiva brings Averill back to life in front of Osmund. Then, as Langiva is trying to force Osmund to renounce his faith, Osmund kills Averill because he thinks that she a demon brought her back to life, and she deserves to be with God. Later, he finds out that Langiva never brought Averill back to life and that she was never dead. Langiva only drugged Averill and made it appear as though she was dead. When Osmund discovered that he had killed Averill, he became cold-hearted, left the monastery, and became a knight that set outShow MoreRelated Black Death Essays1319 Words   |  6 Pages The Black Death, also known as the Black Plague, or the Bubonic Plague killed one third of the population of Europe during its reign in the 13th and 14th centuries. The arrival of this plague set the scene for years of strife and heroism. Leaving the social and Economic aspect in a standstill. The phantom of death became a subject of art, music and folklore and it influenced the consciousness of the people. The impact of this mass killer caused enormous chaos and havoc to the medieval society becauseRead MoreThe Black Death Essay1018 Words   |  5 PagesThe Black Death took place in Europe during the fourteenth century. To the people of the time, facts about the disease were unknown until people started to notice problems that other people were having. The Black Death or â€Å"plague† that killed thousands in the fourteenth century may have evolved into a more modern version of itself. The â€Å"plague† is known as the â€Å"Yersinia pestis† bacteria, which is a rare zoonotic disease. These diseases are spread from animal to human (Newquist 239, Adamloakun MRead MoreEssay On The Black Death924 Words   |  4 Pagesknow precisely what was causing the Black Death to transpire, they also did not know how to cure it. In â€Å"The Black Death†, many thought that they needed to be sin free or that God needed to forgive them for their sins. This was true for people who resided in England during the time of the Black Death as well. Because they believed that the Black Death was God’s punishment, the only way to cure them of the plague was through God’s forgiveness. The article â€Å"Black Death† states, â€Å"By this logic, the onlyRead MoreEssay On The Black Death901 Words   |  4 PagesIn the middle of the fourteenth century, European experienced a disease called Black Death, which killed millions of people in six years. By spreading quickly, this disease affected not only on people’s lives but also on economic of many countries, especially those countries in Europe. Therefore, people found out some cures to end this nightmare disease. Ole J. Benedictow. â€Å"The Black Death: The Greatest Catastrophe Ever†. Published in History Today Volume 55 Issue 3 March 2005 Read MoreBlack Death Essay779 Words   |  4 PagesThe Black Death of 1347-1350 had one of the most dominate impacts on Latin Christendom and Islamic Worlds. The pandemic would have an economic, political and demographic change of these worlds for the next three centuries. These area’s impacted were already deeming an economic downfall. With the abrupt change of climate, the agricultural revenues were already suffering. The climate change had impacted mostly the poor people of these countries. The Black Death wasn’t having mercy on anyone that wasRead MoreThe Black Death Essay1196 Words   |  5 Pagessong little children sing while holding hands, walking around in a circle and then falling down. The nursery rhyme refers to the Black Death, one of the worst plagues of all time (Schladweller). Known as infectious diseases that spread quickly and kill countless people, plagues have had a tremendous affect on people around the world since the beginning of time. Th e Black Death, also known as the bubonic plague, is a contagious bacterial infection that has killed millions of people. With the bubonic plagueRead MoreThe Black Death. Essay936 Words   |  4 Pagesyou to a slow miserable death. In the 1300s people were struck with a great plague, which has now been named â€Å"The Black Death†. The Black Death killed off populations with just one sweep. Historians call this the biggest tragedy of all time. The question is what caused this plague and how does something like this happen? Overtime historians have boiled it down to 2 and some may say 3 explanations, which are religion, science, and humans. With the help of a book The Black Death by Rosemary Horrox I wasRead MoreBlack Death Essay1007 Words   |  5 Pageswas too bright to stand. Within a day or two, the swellings appeared. They were hard, painful, burning lumps on their neck, under their arms, on their inner thighs. Soon they turned black, split open, and began to ooze pus a nd blood. They may have grown to the size of an orange. These are the symptoms of the Black Death, one of the most devastating pandemics in human history, peaking in Europe between 1348 and 1350. It is widely thought to have been an outbreak of bubonic plague, and during thoseRead More Black Death Essay1184 Words   |  5 Pages Black Death, outbreak of bubonic plague that struck Europe and the Mediterranean area from 1347 through 1351. It was the first of a cycle of European plague epidemics that continued until the early 18th century. A cycle of ancient plagues had preceded these plagues between the 6th and 8th centuries AD; another cycle of modern followed them, but less deadly, plagues that began in the late 19th century and continue in the 20th century. The term quot;Black Deathquot; was not used to refer to theRead MoreEssay on The Black Death1474 Words   |  6 PagesThe Black Death was an extensive epidemic that spread across Europe from 1346 to 1353, killing over an est imated one-third of Europe’s entire population (Medieval World 56). Although historians are not entirely sure of its origin, the Black Death spread quickly across both Europe and Asia with a death toll that augmented rapidly. The plague also had unusual and deadly symptoms, causing â€Å"panic everywhere, with men and women knowing no way to stop death except to flee from it† (Kohn 28). The chaos

Thursday, May 14, 2020

Corporation and Equity Participation - Free Essay Example

Sample details Pages: 6 Words: 1775 Downloads: 7 Date added: 2017/09/20 Category Business Essay Type Analytical essay Tags: Communication Essay Did you like this example? (a) â€Å"Nemawashi† is an agricultural metaphor. The idea is that before a farmer plants a seed, he should prepare the roots and the soil, so that the seed has the best chance of survival. It is a political process by which an unofficial understanding is reached before a final decision is made on a particular matter. â€Å"Nemawashi† is Bottom-up style decision making (middle management has the greatest influence on decision making). The Japanese are primarily concerned with harmoniously working out problems without causing interpersonal frictions, such nemawashi is employed as simply informal lobbying to gain consensus before action. A complete consensus is essential and this is achieved by using the process of â€Å"ringi†. Everyone stamped his chop on a piece of paper called â€Å"ringsho†, a formal meeting can be called to discuss the issue very formally. No one usually says anything negative at this meeting. Why? , this is largely due to t he extensive preparation involving a lot of meetings before the final meeting. While vertical US system is top-down decision making, downward communication consists primarily of orders for implementation, and upward communication consist of reports on performance and accomplishment. Top management come up with programmed decisions, employees are to follow through. Nemawashi promotes Democracy for lower levels, encourages greater participation, decisions are met with general acceptance and it reinforces harmony within the company. Because an excessive number of meetings are held, involving an excessive number of people, the process is time consuming and can lead to lost business opportunities. Situation: Company worker identified a potential new client. Process: Important account information and an outline of potential benefit from acquiring the client is composed using a ringsho. This is passed to various departments to determine if the potential client matches each department requirement. For example finance/accounting (for credit worthiness), to distribution (for logical support) and to public relations (for appropriateness of associating with the new client) Situation: A decision concerning financial commitment is needed. Process: A ringisho is composed with various financial alternatives. Based upon the financial requirement, the ringsho is circulated to the appropriate managerial levels. For example Chairman, the president, vice president, senior management group and, to divisional managers. The process permits initiative from lower level managers by giving them responsibility for carrying out action. It gives top management control while providing a method for group participation. Drawback may include inadequate overall knowledge of the company by the lower-level manager to make effective decision. The inability to make spontaneous decision can inhibit long-range planning. The organizational culture may compel individual group member to accept t he final decision, even if they disagree. (b) Understanding the difference between the two cultures’ nonverbal communication system is necessary for a successful business transactions. Japanese business meeting etiquette must also be religiously respected. These will go a long way to decrease intercultural communication apprehension on both sides. Several symbols represent words or expressions to the Japanese that must be conveyed verbally in other countries. For Americans or Canadians to be successful with the Japanese, we must learn how to comprehend the significance of important traditions: e. g. Japanese bow, business card exchange, different meaning of eye contact, facial expressions, and typical Japanese body gestures, tactile aspects, and time concepts. Qi Concepts Limited offers cross-cultural communication seminars, one-on one coaching for key executives and business â€Å"hotline† services. At the beginning of the meeting, it is expected that foreigners greet fellow Japanese business people with respect and earnestness. Although the customary greeting in Japan is to bow, some Japanese, especially those with international experience will greet fellow business people with a handshake. If one is greeted with a bow however, they should return the bow, preferably as low as the one they received. How low one bows determines the status of the relationship between the two. Between Japanese, subordinates will bow deeply and their superiors will not to the same extent. Before everyone takes a seat, it is an essential part of Japanese business etiquette to exchange business cards. In Japan, business cards are called ‘meishi’. They are considered not only as serious tools for establishing business contacts, but also as identification of the individual and the company he/she represents. Business cards should be printed with one side in Japanese and one side in the language of the individual’s home country. It is in ones best interest to offer their business card with both hands as this denotes reater respect. Unlike many Western countries where it is acceptable to ‘pocket’ a business card upon receipt, it is considered extremely rude and disrespectful in Japan. In comparison it is expected for the recipient to review and memorize the details printed on the card and then carefully place it in a card holder or pocketbook. As Japanese business meetings are conducted formally, it is unacceptable for members to dress casually. Acceptable attire for men includes conservative suits in a dark color. Women are also expected to dress conservatively and should avoid wearing trousers as Japanese men may take it offensively. In addition both men and women should wear slip on shoes as it is probable that they may frequently have to take off their shoes. The seating arrangement in Japanese business meetings tends to be dependant on the status of the participants; the highest ranking member will be expected to take a seat at the head of the table. The succeeding members of rank will then take their seats starting with the seats closest to the highest ranking member and then gradually move round to the end of the table. At the end of the meeting, one must wait until the highest ranking participant stands before they can. Throughout the business meeting, it is mandatory to behave in the accepted manner. For example, pointing or using large hand gestures should be avoided as it is not usual for Japanese people to gesticulate as they talk and so it may be considered a distraction. In addition, blowing your nose in public is perceived as being disruptive and unhygienic. As a participant, it is also important to look interested for the duration of the business meeting. Consequently, taking notes is highly appreciated. For Japanese business persons, social drinking provides an outlet and is greatly encouraged by the business world. Doing business with the Japanese is a skillfu l art acquired through patience and understanding. One can never hide one’s western culture so attempt to blindly copy Japanese methods are destined to fail. Instead, respect the Japanese system, and business communication is sure to flourish. (c) Representative offices aimed at the collection and provision of information may be freely established without any registration requirements under the Japanese Commercial Code; no notification need be provided to tax offices, as representative offices do not engage in business operations in Japan and hus are not subject to corporate tax. However, representative offices established by foreign banks, insurance companies, securities companies, or other financial institutions are exceptions; prior notification must be provided to the Financial Services Agency for such representative offices (as stipulated in the Banking Law, Securities Exchange Law and other laws). A bank account opened by a representative office will ordinarily be regis tered jointly in the name of the office and an individual representative, as in (name of representative), Japan Representative Office, (name of company). The documentation generally required for a representative office to open a bank account is as follows: * Passport of representative * Certificate of alien registration of representative * Company brochure * Leasing agreement * Bank seal Foreign companies generally engage in business operations by establishing a branch office, subsidiary company, or limited liability partnership, and the legal differences between each of these are summarized in the following table. Table 1-1| | Branch office| Subsidiary company| Limited liability partnership (LLP)| | | Kabushiki-Kaisha (joint-stock corporation)| Godo-Kaisha limited liability company (LLC))| | Restrictions on equity participation| Notification must be filed with the Bank of Japan| Notification must be filed with the Bank of Japan| Notification must be filed with the Bank of Japan| No tification need not be filed with the Bank of Japan| Capital| No capital| 1 yen or more(*1)| 1 yen or more(*1)| 2 yen or more (if 2 partners)| Number of investors| -| 1 or more| 1 or more| 2 or more(*3)| Liability of equity participants/parent company toward creditors| Unlimited| Limited to amount of equity participation| Limited to amount of equity participation| Limited to amount of equity participation| Transfer of equity participation share| No equity participation share| May be transferred freely in principle. May be stipulated in articles of incorporation that approval of Board of Directors is needed for transfer of shares. Unanimous approval of equity participants (members) required| Unanimous approval of partners required| Number of executives required| Representative in Japan. 1 or more(*2)| See Tables 1-2, 1-3| No legally stipulated minimum. In principle, all members are executive officers, but a representative member may be appointed(*2). | No legally stipulated minimu m. All partners are executive officers(*3). | Legally stipulated term of office for executives| No legally stipulated term| See Tables 1-2, 1-3| No legally stipulated term| No legally stipulated term| Regular general meeting of shareholders (members)| Not required| In principle, must be held every year| Not required| Not required| Possibility of public offer of stock (equity participation share)| No equity participation share| Possible| Not possible| Not possible| Possibility of reorganization into joint-stock corporation| Not possible. Need to separately close branch office and establish joint-stock corporation(*4)| -| Possible| Not possible. Need to separately dissolve partnership and establish joint-stock corporation(*5)| Distribution of profits and losses| -| Allocated according to equity participation ratio| May be allocated at a different rate from equity participation rate if specified in articles of association| May be freely allocated with the unanimous approval of pa rtners| Taxation of profits| Income arising within Japan is in principle taxed| Taxed according to profits of joint-stock corporation and profits allocated to shareholders| Taxed according to profits of Godo Kaisha and profits allocated to participants| No taxation of partnerships themselves. Taxation of profits allocated to partners| (*1) Although establishment with capital of zero yen is theoretically possible, approval is granted ex post facto, and it is not in practice possible to incorporate a company without paying in capital. (*2) At least one representative must have an address in and be resident in Japan. (*3) One or more partner must be an individual who has an address in and is resident in Japan for more than 1 year, or a Japanese corporation. *4) See 1. 6. 1 Closure of branch offices. (*5) See 1. 6. 3 Dissolution and liquidation of limited liability partnerships. https://internationalbusiness. wikia. com/wiki/Japanese_Business_Meeting_Etiquette www. jetro. go. jp/en/i nvest/setting_up/laws/section1/ https://www. allbusiness. com/human-resources/employee-development-problem-solving/393248-1. html www. cognos. com/SPSS www. japanese123. com/ .† www. basis. ie/servlet/blobservlet/japan. pdf Don’t waste time! Our writers will create an original "Corporation and Equity Participation" essay for you Create order

Wednesday, May 6, 2020

Social Workers And The Social Worker Client Relationship

Today’s social workers are surrounded by technology, which changes the way social workers and clinicians practice. Technology helps social workers and clinicians work more efficiently and effective, as it improves greater productivity, less paperwork, ultimately allowing more time for clients. With the increase of use in technology, the current NASW Code of Ethics (2008), has created new standards specifically related to electronic communications, such as email, fax machines, computers, and electronic records. According to, Getz (2012), â€Å"research and experience thus far indicates that mobile application technology has the capability to support the social worker-client relationship†. With the increase in technological advances, social workers have the ability to utilize technological assessment tools in order to assist veterans with psychological issues. Currently, there are many different websites that social workers or clinicians could use in order to better serve and assess veterans. One online website that is beneficial for social workers to use is the U.S Department of Veteran Affairs, PTSD Assessment. This website assists social workers by giving information on a variety of measures assessing trauma and PTSD in Veterans, such as assessment basics, training and tools, and veteran specific information (2015). This website provides facts about PTSD, as well as a practical guide to assessing PTSD. I would use this tool as a resource for working with a veteran with PTSDShow MoreRelatedSetting Boundaries And Ethical Considerations With Clients Essay1590 Words   |  7 PagesBoundaries and Ethical Considerations with Clients in Treatment Groups As a social worker and facilitator of a treatment group, you off-handedly remarked that you were going to give away a bunch of clothes that you have had stored and haven’t worn. A treatment group member hears this and asks that you give the clothes to him or her. Do you give them to her or him? Why or why not? Which NASW Code of Ethics does this situation relate to? If the client is in need of the clothes then I do not thinkRead MoreReflection On Social Work1737 Words   |  7 PagesFor clients to feel empowered, they need to feel a sense of inclusion and social justice. Social justice is defined as fair and social privileges (Farrell, 2016). This means that people have the same rights regardless of their social status, their wealth, or other factors. Inclusion is also incredibly important. Because we as human beings are naturally drawn to relationships, feeling a sense of inclusion within our social groups allows us to be empowered. Unfortunately, not everyone feels that senseRead MoreThe Core Value Of Social Work1025 Words   |  5 PagesThe first core value of social work is service. The purpose of service is to simply help those in need. It is our duty to find the help and support that individuals need in order to function properly, both individually and socially. Social workers have the ability to see potential in individuals and it is our job to help individuals find that potential. It is also our duty to address social issues. In order to do provide the services needed for individuals, social workers must use their own sourceRead MoreSetting Clear Boundaries in the Social Work Field1231 Words   |  5 PagesClear Boundaries In Social Work Many individuals opt for the field of social work so that others may grow and improve their way of life and have a stable living style. However, while providing this sort of help to the clients, it is important that social workers are aware of their ethical boundaries and have communicated this to their clients as well. Setting and maintain clear boundaries is a very important part of every profession. As far as social work is concerned where the worker directly influencesRead MoreThe Core Value Of Social Justice Essay1704 Words   |  7 Pages Social Justice Similarly, the core value of social justice is defined in the context of ethical principles as that of social workers challenging social injustices. In working with a client like Vivi, a moral dilemma would arise which would have the potential to affect society as a whole by depriving others of the peace, equality, and treatment deserved by all human beings. Also, as a federally mandated reporter, a workers professional ethics and an individual’s personal set of standards can becomeRead MoreChronic Mental Illness 719 Words   |  3 PagesJeanne is a social worker employed by a community behavioral health center where she provides clinical services to the persons who are suffering from chronic mental illness. Two days prior, one of her clients, Jessica, committed suicide. According to the social worker, for many years Jessica had been struggled with depression and cocaine addiction. Right after the suicide, Jessica’s parents who had participated in her treatment at nume rous times, in the context of family counseling contacted JeanneRead MoreInterventions And Strategies That Can Help The Supervisee s Recognize And Manage Dual Relationships When They Arise1350 Words   |  6 PagesInterventions and strategies that I would be use for preventing dual relationships in supervisory would be to implement a policy that abides by the NASW Code of Ethic, providing training, having mandatory meeting, and continuing educations for the supervisees. The training should consist risk management skills, how to maintain a healthy relationships with supervisees and clients, how to handle boundary violations, and how to make ethical decisions. The clinical should implement a conceptual frameworkRead More1.Specific Values. A.Dignity And Human Worth Of The Person.1030 Words   |  5 Pagesperson †¢ â€Å"Social workers seek to enhance client’s capacity and opportunity to change and to address their own needs† code of ethics of the NASW. †¢ It is this social worker’s job to make sure the client understands that it is their job to help them. By pointing out your concerns you are doing your job. B. Integrity †¢ â€Å"Social workers behave in a trustworthy manner† code of ethics of the NASW. †¢ This social work was behaving in a trustworthy manner, but did not draw a line when the relationship continuedRead MoreHuman Rights Is A Global Issue Essay1622 Words   |  7 Pagessocially accepted. I can look around and see a flawed humanity. Nothing else should define us; not ethnicity, mobility, religion, or sexual orientation. We as a community should come together as one to help each other and make the world a better place. Social justice should implement policies that reflect the goal of economic justice. It might involve eliminating discriminatory hiring practices and permitting people to work freely where their business skills are qualified. Agencies tend to highlight theyRead MoreThe Video Cases : Anthony, Session 3, The Third Session Between Anthony And His Social Worker896 Words   |  4 Pagessession between Anthony and his social worker, James. Discuss the following issues. Where in the helping relationship with Anthony should James have first introduced the prospect of termination, and why? â€Å"Termination is the final phase of the helping process, and how the social worker concludes the client-social worker relationship will influence the extent to which clients may be able to maintain the progress they have achieved. Ending the client-social worker relationship in a planned and sensitive

Tuesday, May 5, 2020

Concept Map and Guided Question Response-Samples for Students

Questions: 1.Explain the Pathogenesis causing the clinical Manifestations with which Mrs Brown presented. 2.Discuss two high priority nursing strategies to manage Mrs Brown and provide evidence-based rationales for these strategies. 3.Discuss the mechanism of action of these two drugs, and relate to the underlying Pathogenesis of an acute exacerbation of chronic left-sided heart failure. Answers: 1.The case study provided informs that the clinical manifestation in Mrs. Brown was tachycardia, tachypnoea, dyspnoea, hypertension, and decreased level of oxygen saturation. The other things that caused concern in the patient were the lung auscultation reports that showed bilateral basal crackles. By performing the electrocardiogram test, the patients condition was diagnosed as chronic left-sided heart failure. Arterial fibrillation was evident from the electrocardiogram tests performed. Systolic and Diastolic dysfunction The pathogenesis of this clinical condition can be explained on the basis of this manifestation. According to Dupuis, and Guazzi (2015) systolic dysfunction is the main cause of left-sided heart failure. It is known to be the main etiological factor. Systolic dysfunction is the condition characterized by poor capacity to pump out blood. It relates to the poor ventricular contraction. The causative factor underlying this phenomenon may be the impaired functioning of myocytes or fibrosis. When the blood flow is resisted to a level above the threshold, creating afterload and consequently systolic dysfunction. The cumulative effect of this processes is the overstretching of the left ventricle and impaired myocardial contractility. In short, systolic dysfunction is significantly responsible for the heart failure. The onset of heart failure is also initiated by the Diastolic dysfunction to some extent. The hindrance to the ventricular relaxation and filling causes diastolic dysfunction. It is evident from the stiffness of the wall, during this condition. In the patients with the left-sided heart failure, ventricular contractility is impaired. It give rises to the condition like myocardial infarction or ischemic heart (Kraigher-Krainer et al., 2014). During systolic dysfunction and impaired ventricular contractility, the patients also exhibit dilated cardiomyopathy. It is the another feature of left-sided heart failure. The overload can also be contributed by the aortic regurgitation. Overload in this patients causes uncontrolled Systemic hypertension. This may occur together with the aortic stenosis (Craft et al., 2015). Homeostasis In addition to the systemic factors, the deleterious consequences of the left-sided heart failure is also linked to the mechanism that maintains homeostasis in our body. Based on the various clinical examinations it was found that the left-sided heart failure is the outcome of the cascade of events (Adeniran et al., 2015). The factors that are involved in this process are- Continuous sympathetic activation accentuated heart rate increased circulating volume preload in conjunction with increased total peripheral resistance chronic elevation of angiotensin II enzyme aldosterone hormone In the given vase study, the two main symptoms of the diagnosed left-sided heart failure manifested will be focused for understanding the pathophysiology. Shortness of breath The shortness of breath experienced by Mrs. Brown may have occurred because of the pulmonary oncotic pressure. left-sided regurgitation contributes to decreased pulmonary compliance. It occurs because of the extravasation of fluid into the pulmonary interstitium. The increased airway resistance also reflects it. The process leading to the bilateral basal crackles ca ne explained by the worsening pulmonary edema. The lung bases have greater hydrostatic forces and before inspiration, closure of small airways occurs due to interstitial edema. If this condition is serious, crackles are represented by higher lung regions (Rosenkranz et al., 2015). 2.The prevailing condition of Mrs. Brown can be treated by evidence based nursing strategies. The patients health condition is deteriorating with increased respiratory rate and low level of oxygen saturation. In this situation, oxygen therapy is the effective way to prevent the pulmonary congestion and hypoxia (Miguel-Montanes et al., 2015). It will improve the oxygen saturation. Nurses must monitor the patent under this action plan to ascertain the intervention. The nurse must ensure adequate ventilation by using the nasal cannula. The oxygen mask may create temporary suffocation must be mitigated by the nurses. Nurse actions under this strategy involves taking preventive steps fr probable occurrence of emphysema and hyperinflation of the lungs (McMurray et al., 2012). Mrs. Browns heart rate was elevated above the normal limit. It is necessary in this stage to maintain the satisfactory cardiovascular functioning. Under the supervision of the physician, nurse can administer Digoxine as prescribed. Thus medication improves the contraction and rhythmicity of the heart. It improves the cardiac output by enhancing the myocardial contractility. It will lead to stabilization of the heart rhythms (Ambrosy et al., 2014). The role of the nurse is to monitor and report to the physician in case of contraindications or adverse outcomes. In addition to the pharmacological intervention, the non-pharmacological interventions for the nurses can be emphasizing on self-care programs for the patient. The urinary output can be measured as part of the diuretic therapy (Lilley et al., 2014). Mechanism of action of IV furosemide and sublingual glyceryl trinitrate This section deals with the mechanism of the drugs and relation to the acute exacerbation of the chronic condition. IV furosemide: This drug is diuretic and functions to block the reabsorption of sodium, chloride, and water from kidney. It is effective to treat oedema as it eliminated fluid from the body by increasing urine output. Oedema is decreased by diuresis and pleural effusions, thereby lowering the blood pressure. It is usually administered for the management of left-sided heart failure (davisplus.fadavis.com., 2017). Sublingual glyceryl trinitrate: Thus drug is used for prophylactic management of angina pectoris. It is also used in acute conditions. It is known as adjunct therapy to treat heart failure. This drug acts to dilate the coronary arteries. It improves the collateral flow to ischemic regions. Upon administration of this drug the coronary blood flow increases. This drug decreases the myocardial oxygen consumption. Thus, it is administered to relive the symptoms of heart failure by reducing the blood pressure and increasing cardiac output (davisplus.fadavis.com., 2017). Nursing implication of the drugs administered Nurse must report the physician in case of adverse outcomes. Timely assessment of fluid status is necessary in addition to regular check of vital signs and location of edema, lung sounds, skin turgor, and mucous membrane. Fall risk assessment should be conducted as Mrs Brown is an elderly patient. The patient must be educated about the fall prevention strategies, and the side effects of IV furosemide. It includes dzziness, nausea, muscle cramps, and abdominal pain. Increased heartbeat, allergic reactions and tongue ulcers are the side effects of sublingual glyceryl trinitrate. Nurses must carry out evaluation of the contributing factors of angina pain in Mrs Brown. The patient must be checked for three level of consciousness (Aitken et al., 2016). References Adeniran, I., MacIver, D. H., Hancox, J. C., Zhang, H. (2015). Abnormal calcium homeostasis in heart failure with preserved ejection fraction is related to both reduced contractile function and incomplete relaxation: an electromechanically detailed biophysical modeling study.Frontiers in physiology,6. Aitken, L., Marshall, A., Chaboyer, W. (2016).Acccn's Critical Care Nursing. Elsevier Health Sciences. Craft, J., Gordon, C., Huether, S. E., McCance, K. L., Brashers, V. L. (2015).Understanding pathophysiology-ANZ adaptation. Elsevier Health Sciences. Dupuis, J., Guazzi, M. (2015). Pathophysiology and clinical relevance of pulmonary remodelling in pulmonary hypertension due to left heart diseases.Canadian Journal of Cardiology,31(4), 416-429. Furosemide. (2017).davisplus.fadavis.com. Retrieved 12 August 2017, from https://davisplus.fadavis.com/3976/meddeck/pdf/furosemide.pdf. Kraigher-Krainer, E., Shah, A. M., Gupta, D. K., Santos, A., Claggett, B., Pieske, B., ... McMurray, J. J. (2014). Impaired systolic function by strain imaging in heart failure with preserved ejection fraction.Journal of the American College of Cardiology,63(5), 447-456. Lilley, L. L., Collins, S. R., Snyder, J. S. (2014).Pharmacology and the Nursing Process-E-Book. Elsevier Health Sciences. McMurray, J. J., Adamopoulos, S., Anker, S. D., Auricchio, A., Bhm, M., Dickstein, K., ... Jaarsma, T. (2012). ESC Guidelines for the diagnosis and treatment of acute and chronic heart failure 2012.European journal of heart failure,14(8), 803-869. Rosenkranz, S., Gibbs, J. S. R., Wachter, R., De Marco, T., Vonk-Noordegraaf, A., Vachiry, J. L. (2015). Left ventricular heart failure and pulmonary hypertension.European heart journal,37(12), 942-954.