San Diego Zoo Essay Example for Free

San Diego Zoo Essay 1. Do you think the San Diego Zoo’s old appraisal system needed to be changed? I think it needed to be changed because before they weren’t taking it seriously and it was a low priority to them. Now with the new system the employees will get raises depending on their performance which in turn will increase company performance. 2. What do you think are the pros and cons of using a Web-based appraisal system? The pros of using a web-based appraisal system is that it is convenient because a large group of people can be rated in less time and it will control personal bias. The cons of using a web-based appraisal system is that it gives too little attention to the overall performance of workers and in person interviews are more effective in rewarding or pointing out deficiencies in workers. 3. How do you the new appraisal system will affect employees and the types of employees who work at the zoo? The new appraisal system will affect employees positively for those employees that are looking to grow with the company and be a part of the growth. When an employee is given targets and goals to reach, then they know what they are working towards and they are aware that if they reach the targets and goals there is a gain for them at the end. With this set, you will get employees that are willing to do the work and the time to get a job done right.

College Admissions Essay: Learning is What I Do Best :: College Admissions Essays

Learning is What I Do Best I could tell you a heartfelt, sentimental, poignant story about first seeing a Harvard refrigerator magnet and feeling my first deep emotions stirring somewhere inside my spleen. Or I could meticulously paraphrase the numerous brochures and articles about Harvard that I have perused. Yet another option would be to rent a small airplane and skywrite, "I want to go to Harvard," in colorful pollutants. And I probably would resort to one of these strategies, had I not some real incentives to attend Harvard. They are based on what I have learned from research, general knowledge, conversations I have overheard, and other miscellaneous tidbits of information sent to me by friends and relatives. First of all, I must express my admiration to the people who have decided that education is, after all, the purpose and responsibility of a college and established the precedence of academics over sports at Harvard. I'd like to attend a school where I, a debater, will not be viewed as a second-class citizen by football players. Secondly, the notoriety of great educational standards has reached me all the way in Vancouver (OK, so it is only across the river) and enticed, attracted, and urged me to apply to Harvard. Rumors of the "side effects" of avalanches of homework and sleepless nights have crept here, too, but I'm up to the challenge. After two years of juggling high school, college, and extracurricular activities, receiving assignments only at one place just might be paradise. Lastly, Harvard's geographical location is just like pretty wrapping paper and a big red bow on a present that's already great ( forgive the allusions to the Haagen-Dasz commercials). Living in Portland, I would be simultaneously away from my family in Vancouver--and as close as I might need to be! Not only would I have the opportunity to become better acquainted with Portland, but also to judge at debate tournaments for my old high school! The possibilities are mouthwatering.

Geometry in Everyday Life Essay

A solar water heater is the most competitive alternative to conventional water heating methods such as electric geysers and fuel-fed boilers. It makes an attractive and sustainable option, with its global distribution, pollution free nature, virtually inexhaustible supply and near-zero operational cost. Solar water heaters run on a free fuel (i. e. sunshine), thus saving on energy costs that help recover its initial cost in just 2-4 years. Hot water throughout the year: the system works all year round, though you’ll need to heat the water further with a boiler or immersion heater during the winter months. Cut your bills: sunlight is free, so once you’ve paid for the initial installation your hot water costs will be reduced. Cut your carbon footprint: solar hot water is a green, renewable heating system and can reduce your carbon dioxide emissions. Solar water heating systems use solar panels, called collectors, fitted to your roof. These collect heat from the sun and use it to heat up water which is stored in a hot water cylinder. A boiler or immersion heater can be used as a back up to heat the water further to reach the temperature you want. There are two types of solar water heating panels: evacuated tubes (as in the picture above) flat plate collectors, which can be fixed on the roof tiles or integrated into the roof. Larger solar panels can also be arranged to provide some contribution to heating your home as well. However, the amount of heat provided is generally very small and it is not normally considered worth while. Maintenance costs for solar water heating systems are generally very low. Most solar water heating systems come with a five-year or ten-year warranty and require little maintenance. Once fitted your installer should leave written details of any maintenance checks that you can carry out from time to time, ensuring everything is working properly. Perhaps the most important thing you can check for yourself from time to time is whether there are any leaks. If there are any leaks of anti-freeze (even if you can’t see any liquid) this will have a strong smell. If you notice this you should contact your installer. In general you should keep an eye on your system to check that it is doing what it has been designed to do. If you are not getting hot water or the solar pipework is cold (when the pump is running) on warm, sunny days then again you should contact your installer. For peace of mind some installation companies offer an annual service check. You should have your system checked more thoroughly by an accredited installer every 3-7 years, or as specified by your installer. It is likely that after this period of time the anti-freeze that is used to protect your system in the winter months will need to topped up or be replaced as it breaks down over time reducing the performance of your system. Anti-freeze lasts better if the solar water system is used throughout the year and not left unused during the warmest weeks of the year. This cost of replacing the anti-freezer is usually around ? 100. The other thing that your installer should check is the pump. In a well maintained system, pumps can last for ten years plus and usually cost around ? 90 to replace. Solar water heating systems can achieve savings on your energy bills. Based on the results of our recent field trial, typical savings from a well-installed and properly used system are ? 60 per year when replacing gas heating and ? 5 per year when replacing electric immersion heating; however, savings will vary from user to user. Typical carbon savings are around 230kgCO2/year when replacing gas and 500kgCO2/year when replacing electric immersion heating. Spherical reflector type cooker Spherical mirrors are the simplest type of concentrator and are easy to build and use. It is easy to focus sun rays, and if one opts for a moving vessel to meet the focus, cooking can also be done very easily. Such a design was suggested for the first time in the year 1961 by Stam (1961). He suggested a large reflector of 4. m diameter made of local material which could even include mud, and the reflector surface suitably smoothed with fine mud/cement and coated with aluminized polyester. An appropriate technology handbook describes a simple method of construction of the spherical mirror in the ground (a tall tripod with a long string to which a stone is attached at the tip, will act as a guide for excavating a hollow in the ground) and after finishing and stabilizing the interior, the reflector material could be stuck to make it into a spherical mirror. Such a mirror, of about 2. m in diameter, would do useful work for at least five to six hours a day. The cooking vessel could be hung from the tripod or a suitable stand and positioned to meet the focus. Dan Halacy (1974) suggests a similar design. He uses two full and several half cardboard ribs to fabricate the base and attaches mylar film as a reflector. This device was meant mainly for campers. Bamboo and/or other locally available materials could be used to fabricate such hemispherical baskets. Recently Prof. Quintone of the United Kingdom has taken up this design and is trying to popularize it in places likePeru. In his beautifully designed and illustrated site he presents detailed instructions on fabricating the design and using it. The cooker below is a simple steel bowl used for carrying sand, is coated with a reflector foil and a blackened cooking vessel is put in it. The entire assembly is covered over by a flat sheet glass. The design is very similar toSuryakund cited by Kuhnke et al in their book Solar Cookers in the third world. In Suryakund, the vessels are kept in a inverted glass jar. Like Suryakund, this cooker too would suffer from limitation of size. Unfortunately, this simple design has not attracted much attention, but on a very big scale, like in power generation (as in Marseilles, France), such a hemispherical mirror is being used (Jet Propulsion Laboratory 1981). Scientists ofAustralia (Anon. 1979) have presented a similar design. Margaret Koshoni developed the Cone Cooker to suit the needs of Nigerian women. Most people live in flats with balconies; the structure of the balconies will shade the CooKit and make a shadow. The Cone Cooker being placed on a stand has the advantage of elevation and the stand can be moved about without disturbing the cooking. Medved et al. , propose an interesting design (1996) called a ‘SOLAR BALL’. It is an inflatable plastic ball with lower part of reflective material. The cooking vessel is kept at the base. It is an interesting variation but there appears to be some serious limitations with reference to size of the ball as well as size and handling of the cooking vessel. Recently, the spherical geometry seems to have made a come back, and we see that at Auroville in India a 15 meter diameter mirror cooks food for over 1500 persons. A similar large solar bowl was built at the University of Mexico. photovoltaic solar cells PV cells are made from layers of semi-conducting material, usually silicon. When light shines on the cell it creates an electric field across the layers. The stronger the sunshine, the more electricity is produced. Groups of cells are mounted together in panels or modules that can be mounted on your roof. The power of a PV cell is measured in kilowatts peak (kWp). That’s the rate at which it generates energy at peak performance in full direct sunlight during the summer. PV cells come in a variety of shapes and sizes. Most PV systems are made up of panels that fit on top of an existing roof, but you can also fit solar tiles. Solar tiles and slates Solar tiles are designed to be used in place of ordinary roof tiles. A system made up of solar tiles will typically cost around twice as much as an equivalent panel system, although you will save the money you would have spent on roof tiles or slates. Solar tile systems are not normally as cost-effective as panel systems, and are usually only considered where panels are not considered appropriate for aesthetic or planning reasons. Solar PV needs little maintenance – you’ll just need to keep the panels relatively clean and make sure trees don’t begin to overshadow them. In the UK panels that are tilted at 15 ° or more have the additional benefit of being cleaned by rainfall to ensure optimal performance. Debris is more likely to accumulate if you have ground mounted panels. If dust, debris, snow or bird droppings are a problem they should be removed with warm water (and perhaps some washing-up liquid or something similar – your installer can advise) and a brush or a high pressure hose (or telescopic cleaning pole) if the panels are difficult to reach. Always be careful if you are working above the ground or near the top of a ladder. Alternatively, there are a number of specialist window cleaning companies who will clean solar PV panels for you at a cost (of around ? 30 based on our research in March 2012) depending on the size of your array and location. Many of these companies use a water fed pole system which does away with the need for a ladder. Once fitted, your installer should leave written details of any maintenance checks that you should carry out from time to time to ensure everything is working properly. This should include details of the main inverter fault signals and key trouble-shooting guidance. Ideally your installer should demonstrate this to you at the point of handover. Keeping a close eye on your system and the amount of electricity it’s generating (alongside the weather conditions) will familiarise you with what to expect and alert you to when something might be wrong. The panels should last 25 years or more, but the inverter is likely to need replacing some time during this period, at a current cost of around ? 1,000. Consult with your installer for exact maintenance requirements before you commit to installing a solar PV system. Photovoltaics is the direct conversion of light into electricity at the atomic level. Some materials exhibit a property known as the photoelectric effect that causes them to absorb photons of light and release electrons. When these free electrons are captured, an electric current results that can be used as electricity. The photoelectric effect was first noted by a French physicist, Edmund Bequerel, in 1839, who found that certain materials would produce small amounts of electric current when exposed to light. In 1905, Albert Einstein described the nature of light and the photoelectric effect on which photovoltaic technology is based, for which he later won a Nobel prize in physics. The first photovoltaic module was built by Bell Laboratories in 1954. It was billed as a solar battery and was mostly just a curiosity as it was too expensive to gain widespread use. In the 1960s, the space industry began to make the first serious use of the technology to provide power aboard spacecraft. Through the space programs, the technology advanced, its reliability was established, and the cost began to decline. During the energy crisis in the 1970s, photovoltaic technology gained recognition as a source of power for non-space applications. A number of solar cells electrically connected to each other and mounted in a support structure or frame is called a photovoltaic module. Modules are designed to supply electricity at a certain voltage, such as a common 12 volts system. The current produced is directly dependent on how much light strikes the module. Photovoltaic solar plants work like this: As light hits the solar panels, the solar radiation is converted into direct current electricity (DC). The direct current flows from the panels and is converted into alternating current (AC) used by local electric utilities. Finally, the electricity travels through transformers, and the voltage is boosted for delivery onto the transmission lines so local electric utilities can distribute the electricity to homes and businesses. Solar-Thermal plants work like this: Solar collectors capture and concentrate sunlight to heat a synthetic oil called therminol, which then heats water to create steam. The steam is piped to an onsite turbine-generator to produce electricity, which is then transmitted over power lines. On cloudy days, the plant has a supplementary natural gas boiler. The plant can burn natural gas to heat the water, creating steam to generate electricity. Solar power plants use the sun’s rays to produce electricity. Photovoltaic plants and solar thermal systems are the most commonly used solar technologies today. ` Solar cells such as these are used in photovoltaic solar technology There are two types of solar power plants. They are differentiated depending on how the energy from the sun is converted into electricity – either via photovoltaic or â€Å"solar cells,† or via solar thermal power plants. Photovoltaic plants A photovoltaic cell, commonly called a solar cell or PV, is a technology used to convert solar energy directly into electricity. A photovoltaic cell is usually made from silicon alloys. Particles of solar energy, known as photons, strike the surface of a photovoltaic cell between two semiconductors. These semiconductors exhibit a property known as the photoelectric effect, which causes them to absorb the photons and release electrons. The electrons are captured in the form of an electric current – in other words, electricity. Solar thermal power plants A solar thermal plant generates heat and electricity by concentrating the sun’s energy. That in turn builds steam that helps to feed a turbine and generator to produce electricity. There are three types of solar thermal power plants: 1) Parabolic troughs This is the most common type of solar thermal plant. A â€Å"solar field† usually contains many parallel rows of solar parabolic trough collectors. They use parabola-shaped reflectors to focus the sun at 30 to 100 times its normal intensity. The method is used to heat a special type of fluid, which is then collected at a central location to generate high-pressure, superheated steam. 2) Solar power tower This system uses hundreds to thousands of flat sun-tracking mirrors called heliostats to reflect and concentrate the sun’s energy onto a central receiver tower. The energy can be concentrated as much as 1,500 times that of the energy coming in from the sun. A test solar power tower exists in Juelich in the western German state of North-Rhine Westphalia. It is spread over 18,000 square meters (194,000 square feet) and uses more than 2,000 sun-tracking mirrors to reflect and concentrate the sun’s energy onto a 60-meter-high (200 foot high) central receiver tower. The concentrated solar energy is used to heat the air in the tower to up to 700 degrees Celsius (1,300 degrees Fahrenheit). The heat is captured in a boiler and is used to produce electricity with the help of a steam turbine. Solar thermal energy collectors work well even in adverse weather conditions. They’re used in the Mojave Desert in California and have withstood hailstorms and sandstorms. 3) Solar pond This is a pool of saltwater which collects and stores solar thermal energy. It uses so-called salinity-gradient technology. Basically, the bottom layer of the pond is extremely hot – up to 85 degrees Celsius – and acts as a transparent insulator, permitting sunlight to be trapped from which heat may be withdrawn or stored for later use.

Definition and Examples of Listemes in English

10 Classic Poems on Gardens and Gardening

Article Abstract Assignments Example

Essays on Article Abstract Assignments Article The NCAA Cartel and Competitive Balance in College Football by E. Woodrow Eckard. Research question: Whatimpact does NCAA has in college football? The author is establishing a premise, reliable enough to help in making any inference regarding the role of NCAA in College Football. There is, therefore, the consideration of the period before the NCAA enforcement and during the enforcement of the regulation. Eckard has used both the empirical and theoretical approach of presenting his paper. The Cartel argument presents a theoretical approach, that the NCAA regulations and enforcement hinder improvements on weak teams, as well as protecting competition in strong teams. Additionally, NCAA uses a â€Å"stratification† strategy, â€Å"less churning† over years in national rankings as well as conference standings. The author chooses to refer to the context of football, before and after 1952; the period when NCCA regulations were adopted. The paper reveals of the role of NCAA, through the recruitment process, players’ eligibility, and compensation. Eckard uses empirical data tests to help in testing the reliability of hypotheses. The data is discussed, and eventually there is the presentation of the statistical results preceding the conclusion. Although the establishment of NCAA can be traced as early as in 1906, its enforcement authority was accorded to it following the adoption of the 1948’s Sanity Code (Falla, 1981). However, the enforcement authority proved ineffective, and the Sanity Code was reinstituted in 1951. The establishment of the present NCAA regulatory structure has turned the institution an economic cartel. Essentially, the regulations limit the compensation due to athletes to room and board, tuition, and books in order to the guiding by NCAA, â€Å"Principle of Amateurism† (NCAA Manual, 1993). On the other hand, NCAA ascribes that the economic regulations that it applies help in promoting competitive balance. The overall goal of NCAA is to attain a competitive equity while considering every member school (NCCA Manual, 1993). The additional principles governing the concept of player recruitment and eligibility state, any related regulation should â€Å"promote equity among member institutions†, as well as â€Å"promote competitive equity among member institutions† (NCAA Manual, 1993). However, lack of oversight would give room for a number of schools to dominate through outbidding other institutions concerning top athletes. The main conclusion rests on the enforcement mechanism by NCAA over player eligibility recruiting and compensation introduced in 1952 constitutes most substantial operational shift in the history of college football. Additionally, the results obtained from the results indicate that competitive equity declined following the adoption of cartel enforcement in 1952. The author presents a reliable premise upon which he tests his hypothesis. The art of assessing both the perspectives of economists and NCCA regarding competitive balance helps the reader enlighten over competitive equity. The open TV contract competition over football games, after telecast ban, did not amount to the reduction on competitive balance. This observation indicates a conflict in the NCCA objectives; amateurism principle pursued at the expense of controlled competitive equity. The biggest criticism of the paper covers the regulations limit concerning the compensation due to athletes, in accordance to the guiding by NCAA, â€Å"Principle of Amateurism† (NCAA Manual, 1993). Economists argue that NCAA is a cartel, where members tend to â€Å"collude† in order to exhibit joint monopsony over football’s key input. Football players are less paid, while enriching the institution. There is also a lack of consistency in performance since 1952, following the enforcement mechanism; a fact that constrains college behaviors. There author does not provide any information on how competitive balance could have shifted while excluding the regulation by NCAA. Reference: Eckard, E. Woodrow. (1998). The NCAA Cartel and Competitive Balance in College Football. Kluwer Academic Publishers, Netherlands.

John Wong (Transurethral Resection of the Prostate)

Questions: Case Study John Wong is an 80 year old male of Chinese origin. Johns medical history includes hypothyroidism and osteoporosis and he smokes 10 cigarettes per day. His gait has recently been increasingly unstable and he has difficulty with simple tasks, such as getting up his house stairs and getting up from chairs. In the last 4 weeks, he has noticed that he has been having difficulty passing urine and some abdominal discomfort. His GP referred him to a urologist and a prostate biopsy was taken. This showed BPH (benign prostate hyperplasia) and it was recommended that he undergo a Transurethral Resection of the Prostate (TURP). While conducting Johns pre-admission assessment it is noted that John is slightly hypertensive and is fidgeting and moving around the waiting room. After some education John states that he is pleased to have the surgery as he hopes it will relieve some of the discomfort he has been experiencing. John tells the nurse that he currently lives alone. Johns surgery is unevent ful during the intra-operative stage. On arrival to PACU John is placed in a supine position. He is drowsy and restless and oxygenated through a facemask on 02 at 5l/min. A wheeze and non-productive cough is noted. John has an IDC insitu with continuous bladder irrigation with output noted to be a reddish pink. A number of blankets are placed on top of him as he is shivering. His observations are T 36.5c, HR 90, RR 30, BP 150/90 and SpO2 91%. John is transferred to the surgical ward after a 65 minute stay in PACU. John remains drowsy but easily rousable. He is oxygenated via intra-nasal cannulae at 2l/min and he states his pain is 3/10. He has 0.9% sodium chloride infusion running at 125ml/hr. Postoperative orders include IVF, analgesia (PRN Endone, 5mg 6hrly and Paracetamol, 1g 4-6hourly), strict FBC and continuous bladder irrigation for 24 hours, with an aim of rose urine output. Four hours after Johns return to the ward he is observed to be in pain and distressed. He is diaphoret ic and restless and states that his bladder feels full and he feels the urge to urinate. At this time, vital signs are noted to be: T 36.9c, HR 91, RR 28, BP 146/91 SPO2 98%. On review of his documentation it is found that his fluid status has a positive 500ml balance and his urine is of red colour. There are blood clots in his urine. Please refer to the rubric on page 14 on the Unit Outline for full marking criteria 1. In relation to your chosen patient, discuss the pathophysiology of their condition and using evidence based practice explore current treatment options for your patients condition, include any pharmacological and nonpharmacological considerations. 2. Critically discuss four (4) components of the PACU discharge criteria outlined in the Aldrete Scale. Utilize the scale provided on LEO as a resource in your case study. 3. Develop a discharge plan to support your patient on discharge. Include any education you deem relevant, any referrals to allied health professional/s required, and discuss your rationale? Answers: 1: As referred to in the case study, the old man named John Wong has been suffering from hypothyroidism and osteoporosis previously. Now that he is diagnosed with benign prostrate hyperplasia. The disorder of hypothyroidism refers to a condition that is caused due to deficient formation of thyroid hormone from the thyroid gland. The hypothalamic-pituitary-thyroid axis is said to administer the secreting of thyroid hormone(Menon, 2014). The disorder of osteoporosis is referred to as a progressive disease of bone whereby the bone density as well as mass declines to a great level resulting in an elevated possibility of fracture. The problem of benign prostate hyperplasia refers to the condition of increasing size of prostate. This involves hyperplasia of epithelial as well as stromal cells that give rise to large discrete nodule development in the transitional portion of prostate. When the nodules grow adequately big, these start affecting the urethra as well as restrict flow of urine f rom bladder (Petkov, Saltirov Petkova, 2011). Both grandular as well as stromal epithelial cells including that of muscular fibers pass through the phase of hyperplasia into benign prostate hyperplasia. Various evidences support the matter that from two various tissues, the one named stromal cell hyperplasia exists; however exact ratio still lacks. This problem disorder is associated strongly with prostate transitional area as well as posterior urethral glands. Symptoms of this disorder at the initial stage arise amidst 30 and 50 years of age within the prostate glands which exist next to the proximal urethra. Here, the growth is said to occur mostly during the transitional zone. Besides the recognized areas, another zone named peripheral zone is also engaged in the condition to a small level. Prostate cancer starts at the peripheral area (Shigemi, Yoshida, Tanaka Suzuki, 2012). For ruling out the chances of cancer, specifically the nodules that are formed within the transitional zone are to be biopsied. It has been stated by the American Urological Association that this disorder of benign prostate hyperplasia is incurable, and so due treatment must be laid upon reducing the indications. Process of treatment relies upon the severity of symptoms. Often a surgeon may recommend any patient for a surgery for instance, transurethral resection of prostate, transurethral needle ablation or transurethral microwave therapy. Normally BPH affects quality of life of a patient. Hence, adequate nursing care is a must besides pharmacological care. A nurse is supposed to convey the advice to the patient to rush to the washroom for urination(Tsukamoto, Masumori, Rahman Crane, 2007). This would make him feel relaxed. He is required to distribute properly his intake of fluid throughout the day. Considerations regarding pharmacology include applying of drugs such as alpha blockers, phytotherapeutics, 5-alpha reductase inhibitors, and anticholinergics. All these drugs are meant to prevent complication as well as changing disease progression that are related to BPH. Also, it is important to consider non-pharmacological treatment as well where patients need to administer self-treatment as well in order to recover soon. 2: Patients generally recover at the post anesthetic care unit (PACU). However, it requires appropriate airway management as well as exact monitoring to avoid difficulties in the process. The Aldrete scale is referred to as a scale that measures recovery used after anaesthesia. This scale involves estimation of consciousness, blood pressure, respiration, and activity. Within the care unit just after anaesthesia, the anesthesiologist, nurse anesthesia, and nurse anesthetist includes patient condition, performed surgery; forms of given anesthesia, fluid input, blood loss and excretion of urine during the time of surgery (Tsukamoto, Masumori, Rahman Crane, 2007).. The nurse engaged at the PACU unit must note the presence of any sort of complications, including variance in stability in blood circulation. Evaluating airway openness of patients, level of consciousness, important signs are regarded as the basic priorities after admission in the care unit. Besides that, few different other categories include body temperature, surgical site, rate of intravenous fluids, drainage tube patency, extreme sensation post surgery, status of vomiting pain, and level of sensation post local anesthesia (Baniahmad, 2012). Assessing surgical site involves proper dressings with no sign of bleeding. Assessing patency of drainage tube refers to the proper check for tube opening.it may be decided to admit him to the intensive care unit or at the general surgical ward. A patient is normally discharged from the care unit once he or she is perfectly fine and meets every criteria of discharge as indicated in the Aldrete scale (Shigemi, Yoshida, Tanaka Suzuki, 2012). The scale is used for scoring respiratory status of patients, their mobility, consciousness, circulation, and pulse oximetry. Depending upon types f surgery as well as that of conditions of patients, post anesthesia, patient often remains in a sedative state, and so safety of patient is an essential goal. Often patients are shifted from intense care unit to that of general ward or even home after urination, moving out of bed and when the patient is capable of taking oral intakes. In the given case scenario, it has been observed that once arrived to the intense care unit, John has been kept in a supine posture. It is an effective approach for ensuring that he is under proper airway management. Airway management refers to a medical process for ensuring existence of an open passageway amidst outside world as well as patient lungs with lowering risk of aspiration. John has been observed to be quite restless, drowsy, and so he had been oxygenated by a facemask. This oxygenated mask happens to be a process that assists easy passage of air. It would enable John to ignore condition of hypoxaemia or that of low level of oxygen within blood (Cohen, 2010). He has normal body temoperature but still he shivered. That might be due to the surgical pain. So, monitoring his body constantly is quite essential. At the time of pre-admission, it was identified that John suffers from hypertension. His blod pressure is quite high far beyond normal standard. Increased blood pressure may worsen his condition and complications. Already it has been mentioned that he is drowsy post surgery. Hence, grading consciousness is essential through Glasgow Coma Scale. This is a scale used in the neurology that refers to a reliable way to document conscious status of a patient to conduct primary as well as henceforth assessment (Ehab, 2009). A patient is usually evaluated against criteria in the given scale along with the result that varies between 3 and 15. The scale is used to determine level of consciousness post head injury and also for monitoring chronic patients within intensive unit. Thus, in case of John it would be justified to use such a scale. It mainly shows the status of central nervous system of a patient. This scale is also referred to as the key human system which receives various signals, coo rdinates them and also affects activities of various parts of human system. So, it is increasingly important to check the status of central nervous system in case of consciousness as well as activity level (Okeke, George, Ogunbiyi Wachtel, 2012). John has been provided with an indwelling catheter with continuous bladder irrigation. Since his urine has been observed to be pinkish in color, PACU nurse must check if that is due to infection that he has recently undergone. The heart rate of John is 90 and this may exhibit his painful situation post surgery. 3: Process discharge planning forms an important part of health care process of a patient to bring about quality care at home for avoiding readmission to health care center. In case of John, an effective discharge plan is required. The plan is described as below (Kim, Lee, Paick Lho, 2006). The nurse at PACU must make patient understand properly about the details his discharge plan. Since John is an aged man he may forget several things at this age about his health status. So, the health care unit must give efforts to arrange someone who may stay beside him constantly, provide information about his health to medical professionals whom John is admitted under, and also deliver care at his home. It has been stated that John resides alone and so a nurse staying by his side is very essential(Martino Strejilevich, 2015). He must be referred to a physician as well as a dietician since he has recently undergone a surgery and that he needs to maintain his health post surgery. He also has feeble gait due to osteoporosis. Post surgery for improving his movement slight aerobic exercises may be beneficial for John. This can include exercises of legs for some period of time every hour. With effective nursing care, through intervention as well as discharge plan, medical professionals may accomplish their objectives of healthcare and thus may enhance the quality of patient life as well as their wellbeing. Discharge Plan Name: John Wong Age: 80 Sex: Male Religion: Chinese origin Diagnosis: Benign Prostate Hyperplasia Surgery: Transurethral Resection of the Prostate Hospital: The CB Hospital Ward no. : 5 Physician: Ms. Amelia A. Objectives: pain management, lung congestion prevention and blood clot prevention. B. 1. Medications: analgesics 2 Exercise: light aerobic exercise, walking for 10-15minutes 3. Treatment: prescribed medicines as scheduled 4. Health teachings: Clinical follow-ups () Use of alternative drugs () Understanding what to do in case of drug side effects () Lab report follow-ups () Relapse prevention () Others () 5. a. Observed indications that required reporting: presence of blood clot in urine b. Interventions: 6. Diet: increasing fluid intake, fibrous diet to avoid constipation. 7. Psychological and spiritual needs: Spiritual counseling () Family therapy () Supportive counseling () Anger management () Discharge details Date and time of discharge: 10am. 13th March, 2015. Accompanied by: nurse aide Transportation mode: hospital vehicle Signature of patient: Signature of nurse: Clinical instructor: References Cohen, P. (2010). From benign prostatic hyperplasia to benign chronic prostatopathy.Medical Hypotheses,74(4), 760. doi:10.1016/j.mehy.2009.04.033 Ehab, R. (2009). Transurethral Electrovaporization of the Prostate as an Alternative to Transurethral Resection: A Five-Year Follow-up.Urotoday International Journal,02(06). doi:10.3834/uij.1944-5784.2009.12.12.ref1 Kim, H., Lee, B., Paick, S., Lho, Y. (2006). Efficacy of Bipolar Transurethral Resection of the Prostate: Comparison with Standard Monopolar Transurethral Resection of the Prostate.Korean Journal Of Urology,47(4), 377. doi:10.4111/kju.2006.47.4.377 Martino, D., Strejilevich, S. (2015). Subclinical hypothyroidism and neurocognitive functioning in bipolar disorder.Journal Of Psychiatric Research,61, 166-167. doi:10.1016/j.jpsychires.2014.12.016 Menon, B. (2014). Hypothyroidism and bipolar affective disorder: Is there a connection?.Indian J Psychol Med,36(2), 125. doi:10.4103/0253-7176.130966 Petkov, T., Saltirov, I., Petkova, K. (2011). S27 TRANSURETHRAL RESECTION OF PROSTATE IN SALINE (TURIS) VERSUS STANDARD MONOPOLAR TRANSURETHRAL RESECTION OF PROSTATE.European Urology Supplements,10(9), 583. doi:10.1016/s1569-9056(11)61468-1 Shigemi, H., Yoshida, Y., Tanaka, K., Suzuki, M. (2012). Hoarseness, Articulation Disorder and Hearing Impairment in Subjects with Hypothyroidism.Pract.Otol. (Kyoto),105(2), 159-165. doi:10.5631/jibirin.105.159 Tsukamoto, T., Masumori, N., Rahman, M., Crane, M. (2007). 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