The Managemetn and Control of Quality Essay Example | Topics and Well Written Essays - 750 words

The Managemetn and Control of Quality - Essay Example A company can improve its cash inflow in the form of profits if Six Sigma is deployed systematically and in right areas. The Six Sigma experts continuously work on reducing the defects in order to reach a situation of zero defects in an organization. Six Sigma is applied in an organization in two methods, the DMAIC (Define, Measure, Analyze, Improve and Control) and the DMADV (Define, Measure, Analyze, Design, Verify) methods. The Six Sigma DMADV approach focuses on the process redesign based on the short falls. The DMADV technique works by developing different alternative models for quality improvement. The DMAIC technique focuses on process improvement in an organization. The DMAIC technique is used in an organization to rejuvenate the least effective process and product. This is focused on improving the future performance on making sufficient improvement in the current activity level. Six Sigma is an approach that is used in all sorts of business and other production areas where q uality improvement is needed. The quality of the Six Sigma approach has made many business entities including GE implement the process. This process includes Define the problem, Measure what you care about, Analyze or Statistically find root causes, Improve or Mobilize change initiatives, and Control or Sustain improvements (DMAIC). In the first phase, teams aim to identify the problems that are related to the business and business satisfaction. Efforts are taken to relate the customer issues with the general business process by the factors of CTQ. In order to get the total result of the process the team establishes project charters, identifies the required resources, and finds the leadership approvals. In the next phase the team identifies the deficiencies of the current process and takes remedial measures. A good understanding of the customer expectations is made possible to establish the out of specification conditions. The characteristic feature of the Six Sigma process of GE is that even the beginners are a ble to meet the challenges of acquiring the concepts and that the time required for complex calculations is made the minimum possible. In the third phase, the root causes of the present defects are identified by the analysis based on which prioritized list of factors influencing the expected result is prepared. For this, various tools like multivariate analysis, test for normality, ANOVA, correlation, and regression etc are made use as the tools. In the next phase, teams seek out best possible solution and build up a plan action to implement the solution. On the basis of the test to confirm the solution, the process is modified and the effect of the result is analyzed. In the final stage, control charting techniques are used in order to improve the current measures. The measures adopted in this stage help to check the possible recurring of the problems. In this stage the approach leads to long term payoffs in quality and monetary terms. The GE employees are trained effectively in th is process and the teams are able to check the business problems applying the concepts of the program to the problem. The competency level that starts from Green Belts is

Religion as a Gothic Element in American Romanticism Essay -- Romantici

Religion as a Gothic Element in American Romanticism American Romanticism can be strongly defined through its use of Gothic elements. Webster’s defines gothic as "of or relating to a style of fiction characterized by the use of desolate or remote settings and macabre, mysterious, or violent incidents" (529). Pre-American Romantic writers, such as Anne Bradstreet and Jonathan Edwards, do not tend towards the gothic in their writings of religion and religious elements. Although God is mysterious to both writers, they maintain certain characteristics and aspects expected of them and their religion. They keep their texts true to their beliefs. However, Mary Rowlandson begins a transition phase for the writers of this period. She begins to view God and religion in a darker and /more mysterious manner. By the time James Fenimore Cooper is writing, he blurs religion between two different religions. The Christian and the Indian God becomes mixed, along with their heaven. Whereas the earlier writers tend to understand and accept their Go d, the writers in the American Romantic period re-create their God adding a gothic twist to their religion and beliefs. Anne Bradstreet believes if she lives her life the way God meant her to live it, things will work out fine for her. She writes, "About 16, the Lord laid His hand sore upon me and smote me with the smallpox. When I was in my affliction, I besought the Lord and confessed my pride and vanity, and He was entreated of me and again restored me" (145). Bradstreet has a traditional view about God. She believes if she lives her life as a good person, she will be rewarded for it. If she lives her life full of pride and vanity, then she will pay the consequences. The good and just are rewarded ... ...us. Cora and Uncas end up together. There is the traditional romantic ending of riding off into the sunset, but into a Heaven which accepts both Indians and whites equally, adding elements of the gothic. Works Cited Bradstreet, Anne. "To My Dear Children." The Norton Anthology of American Literature. Ed. Nina Baym. New York: Norton & Company, 1999. 144-147. Cooper, James Fenimore. The Last of the Mohicans. New York: Viking Penguin Inc, 1986. Edwards, Jonathan. "Sinners in the Hands of an Angry God." The Norton Anthology of American Literature. Ed. Nina Baym. New York: Norton & Company, 1999. 200-211. "Gothic." Webster’s Ninth New Collegiate Dictionary. 1991 ed. Rowlandson, Mary. "A Narrative of the Captivity and Restoration of Mrs. Mary Rowlandson." The Norton Anthology of American Literature. Ed. Nina Baym. New York: Norton & Company, 1999. 148-164.

Nursing Care of a Patient Diagnosed with Pneumonia Essay

Patient Description Patient is a Caucasian 83 year old female that came into the emergency department from Wynwood assisted living facility with an increase of fatigue, worsening confusion and a 1 day history of a fever. Patient weighs approximately 90 pounds upon admission with a height of 64 inches. Patient has known COPD and is a former heavy smoker that also has a history of pneumonia, hypertension, atrial fibrillation, and dementia. Upon presentation to the emergency department patient has had increased nasal drainage and cough. Patient came into the hospital about a year and a half ago with a diagnosis of right lower lobe pneumonia. Patient was arousable, alert and pleasant, but not a good historian and appears to be quite emaciated. Patient at first had a non productive cough and was put on anti-biotics and began to have a productive cough 2 days post admission. Patient had dyspnea, increase respiration rate, difficulty talking, coarse lungs, and had decreased SpO2 with activity. Patient lived in Wynwood assisted living facility where she lived almost independently. Patient was able to get around her apartment with a front wheel walker and provided her own care of activities of daily living. With this admission, hospital staff did not recommend patient going back to assisted living as she would not be able to take care of her self until her mobility is back to her normal limits and the dyspnea is decreased. Nursing Diagnosis Ineffective airway clearance r/t bronchospasm, excessive mucous production, tenacious secretions, fatigue AMB dyspnea, increase RR (28), difficulty talking, inability to raise secretions, ineffective cough, adventitious breath sounds. Goals A. Pt will demonstrate effective coughing and clear breath sounds by end of shift 5/15/10 (3 days) and until discharge. B. Pt will continue to have cyanotic free skin by end of shift on 5/14/10 (2 days) and until discharge. C. Pt will maintain a patent airway at all times by end of shift 5/15/10 (3 days) and until discharge. D. Pt will relate methods to enhance secretion removal (drinking warm fluids) by end of shift 5/15/10 (3 days) and until discharge. E. Pt will relate the significance of changes in sputum to include color, character, amount and odor by end of shift 5/15/10 (3 days) until discharge. Interventions| Rationale| 1. RN will auscultate breath sounds Q4 hrs and PRN until discharge. 2. RN and CNA will monitor respiratory patterns, including rate, depth, and effort Q4 hr and PRN until discharge. 3. RN will monitor blood gas values as available and pulse oxygen saturation levels Q8 hr and PRN until discharge. 4. RN and CNA will position the client to optimize respiration (HOB elevated 45 degrees and repositioned every 2 hrs) and PRN until discharge. 5. RN and CNA will help the pt deep breathe and perform controlled coughing Q2hrs until discharge. 6. RN will help the pt use the forced expiratory technique, the â€Å"huff cough†. The pt does a series of coughs while saying the word huff q4hr and PRN until discharge. 7. RN or CNA will assist with clearing secretions from pharynx by offering tissues and gentle suction of the oral pharynx if necessary Q4 hr and PRN until discharge. 8. RN will observe sputum, noting color, odor and volume PRN until discharge.9. RN and CNA will encourage activity and ambulation as tolerated TID and PRN until discharge. 10. RN and CNA will encourage fluid intake of up to 2500 mL/day within cardiac or renal reserve Q2 hrs and PRN until discharge. 11. RN will administer oxygen as ordered until discharge12. RN or RT will administer medications such as bronchodilators or inhaled steroids as ordered until discharged. 13. RN and CNA will monitor the patient’s behavior and mental status for the onset of restlessness, agitation, confusion and extreme lethargy twice a shift and PRN until discharge date. 14. RN and CNA will observe for cyanosis of the skin twice a shift and PRN until discharge. 15. RN or CNA will position patient over bedside table for acute dyspnea PRN until discharge. 16. RN & CNA will help pt eat frequent small meals and  use dietary supplements PRN until discharge. 17. RN will teach pt energy conservation techniques and the importance of alternating rest periods with activity by end of shift tomorrow and PRN until discharge.| 1. â€Å"The presence of coarse crackles during late inspiration indicates fluid in the airway; wheezing indicates a narrowed airway† (Simpson, 2006, p. 487).2. â€Å"A normal respiratory rate for an adult without dyspnea is 12-16. With secretions in the airway, the respiratory rate will increase† (Simpson, 2006, p. 486). 3. â€Å"An oxygen saturation of less than 90% or a partial pressure of oxygen of less than 80 indicates significant oxygenation problems† (Sanford & Jacobs, 2008, p. 125).4. â€Å"An upright position allows for maximal lung expansion; lying flat cause abdominal organs to shift toward the chest, which crowds the lungs and makes it more difficult to breathe† (Sanford & Jacobs, 2008, p. 125).5. â€Å"This technique can help increase sputum clearance and decrease cough spasms. Controlled coughing was the diaphragmatic muscles, making the cough more forceful and effective† (Sanford & Jacobs, 2008, p. 125).6. â€Å"This technique prevents the glottis from closing during the cough and is effective in clearing secretions in the central airways† (Sanford & Jacobs, 2008, p. 126).7. â€Å"In the debilitated client, gentle suctioning of the posterior pharynx may stimulate coughing and removing secretions† (Sanford & Jacobs, 2008, p. 126).8. â€Å"Normal sputu m is clear or gray and minimal; abnormal sputum is green, yellow, or bloody; malodorous; and often copious† (Sanford & Jacobs, 2008, p. 126). 9. â€Å"Body movements helps mobilize secretions and can be a powerful means to maintain lung health† (Sanford & Jacobs, 2008, p. 126).10. â€Å"Fluids help minimize mucosal drying and maximize ciliary action to move secretions. Some pts cannot tolerate increased fluids because of underlying disease† (Sanford & Jacobs, 2008, p. 126).11. â€Å"Oxygen has been shown to correct hypoxia, which can be caused by retained respiratory secretions† (Sanford & Jacobs, 2008, p. 126).12. â€Å"Bronchodilators decrease airway resistance secondary to broncho-constriction† (Sanford & Jacobs, 2008, p. 126).13. â€Å"Changes in behavior and mental status can be early signs of impaired gas exchange. In the late stages the patient becomes lethargic and somnolent† (Sanford & Jacobs, 2008, p. 388).14. â€Å"Central cyanosis of the tongue and oral mucosa is indicative of serious hypoxia and is a medical emergency. Peripheral cyanosis in the extremities may or may not be serious†Ã‚  (Sanford & Jacobs, 2008, p. 388). 15. â€Å"Leaning forward can help decrease dyspnea, possibly because gastric pressure allows better contraction of the diaphragm. This is called the tripod position and is used during times of distress† (Sanford & Jacobs, 2008, p. 388).16. â€Å"Improved nutrition can help increase muscle aerobic capacity and exercise tolerance. Nutritional problems in clients with COPD can be visual; early identification of clients at risk is essential to maintaining BMI† (Sanford & Jacobs, 2008, p. 389).17. â€Å"Fatigue is a common symptom of COPD and needs to be assessed and managed† (Sanford & Jacobs, 2008, p. 390).| Article Summary In the Article, â€Å"Respiratory Assessment,† by Heidi Simpson, intends for the audience to be nurses already working in the field. This article gives an order of a respiratory assessment that works for any nurse, whether they are a new graduating nurse or a nurse who has been working for years. This journal article gives all the required elements in order to do a full respiratory assessment which includes the â€Å"initial assessment, history taking, inspection, palpitation, percussion, auscultation, and further investigations† (Simpson, 2006, p. 484). This article is a general information article that focuses towards all and any patient population as all of our patients need to have a respiratory assessment done. This article gives a good breakdown of a respiratory assessment in which I currently use in practice. The article can be a good reminder of how an accurate respiratory assessment should be done and how to get good results in the technique a nurse may use. References Sanford, J.T. & Jacobs, M. (2008). Impaired gas exchange. In B.J. Ackley & G.B. Ladwig (Eds.) Nursing diagnosis handbook: An evidence-based guide to planning care (8th ed., pp. 388-390). St Louis, MO: Elsevier. Sanford, J.T. & Jacobs, M. (2008). Ineffective airway clearance. In B.J. Ackley & G.B. Ladwig (Eds.) Nursing diagnosis handbook: An evidence-based guide to planning care (8th ed., pp. 124-129). St Louis, MO: Elsevier. Simpson, H. (2006). Respiratory assessment. British Journal of Nursing (BJN), 15(9), 484-488. Retrieved from CINAHL with full text database.

Why is there a glamorization of serial killers Free Essay Example, 1250 words

Media Glamorization of Serial Killers Acts of violence and murder are constantly condemned by the society. Serial killers are among the criminals that are highly despised by the society, people even think of them as animals and demons and threats them that way (Roy 16). Serial Killers are usually motivated in four ways, namely: visionary, mission-oriented, hedonistic, and power of control (24). These different categories will help develop a clear understanding of the psychological condition of the killers. Several recursive cases of murder that happened in the United States were done by serial killers, some of them already caught by the authorities and a few were still out in open and free to do whatever they want. The irony becomes evident when the responses of society are examined regarding criminals that commit serial murders. People deem these criminals as bad individual that deserves to be punished yet people tend to have more interest with the serial killer and cannot even rec ognize their victims (16). The main reason for this is because serial killers are glamorized by the media, which develops interest among people that make people more concerned about the identity and background of the criminal rather than taking time in knowing the victims that have suffered in the arms of those killers. We will write a custom essay sample on Why is there a glamorization of serial killers or any topic specifically for you Only $17.96 $11.86/pageorder now This paper explores five articles that depict how the media plays a role in the glamorization of serial killers. The articles that will be featured in the paper will present several views that will provide a broader understanding of the glamorization of serial killers. Jennifer Copley (2008) had written an article entitled â€Å"Media Glamorization of the Psychopath† this focuses on the premise that movies, games, other forms of media support a sociopathic hero. The article tackles on the subject that North American media glamorizes the psychopath as a â€Å"brave war hero, fearless police officer, the dynamic villain, or the misunderstood hero† (Copley 1). The article on â€Å"Sex Workers in the Shadows† by Allison Burch (2002) basically describes the scenario among sex workers or prostitutes. These sex workers are often maltreated by their clients and abused, with high vulnerability to attacks from serial killers as well as from law enforcement officers. Two articles were also chosen that contains various inputs on how the movies have been used to glamorize the serial killers. Georgia Custer (2008), wrote about the TV series Dexter, entitled â€Å"CBS shouldn’t Glamorize serial killer on Dexter† where the article focuses mainly on the effect of the series among children and teenagers.

Gangs Of New York - Free Essay Example

Sample details Pages: 1 Words: 334 Downloads: 8 Date added: 2019/04/04 Category Society Essay Level High school Topics: Gang Violence Essay Did you like this example? Upon watching The Gangs of New York I observed that people of different races and ethnicities were treated differently in the film. Which is similar to real life. The main conflict was between people of color and white people. Its a neverending cycle that americans have not gotten better with. I also noticed that certain groups are treated worse than others. African-Americans were treated the harshest simply because they were black. They were harrased, assaulted, raped, and murdered all for the color of their skin. This treatment is considered illegal it has not completely stopped. Asian-Americans were treated badly as well. They were harrrased and assualted for being asian, for some it worse because they didnt speak english. Now they are treated much better but they still face the constant stereotypes which become a setback. Irish-Americans were treated harshly as well. They were harrased for taking other amercians jobs like many other immigrants. Don’t waste time! Our writers will create an original "Gangs Of New York" essay for you Create order The treatment of Irish-Americans is much better. Infact theyre treated the same as any other white american. I feel that everyone is treated differently because of race and ethincity. I also believe that for most part our country hasnt changed. I feel that racism and discrimination hasnt gotten better the only difference between now and then is that now everythingis recorded. What makes this ultimately worse is that peole have video proof and still arent held accountable. We can finally resolve relationships between people of different races and ethnicites if we finally realize that we have in common than we care to admit. Industrialzation I believe got better when more immigrants came to this country. Bussinesses needed more people to work and when immigrants came over they had more people. They had people willing to work long hours with no benefits and very little pay. For this they could afford to hire more workers and get things done faster. This caused businesses to thrive and this was a great thing. So industrailzation thrived due to immigrants, not in spite of them.

The American Civil War Essay - 662 Words

The Civil War was a war between the North and the South after several states in the south seceded after Lincolns Presidency. The war first started off as states rights but as the war went on and progressed the war was fighting to end slavery. African Americans had an important impact on the Civil War. There was individual African Americans who made an important impact in the civil war. For example Frederick Douglass he was known for being a escape slave and a good public speaker for his efforts to end slavery. But he was also well known for his efforts in the civil war for being a â€Å"Consultant to President Abraham Lincoln and helped convince him that slaves should serve in the Union forces and that the abolition of slavery should be a†¦show more content†¦On July 17, 1862 African american soldiers made a huge impact in the war. By the end of the war 179,000 served in the Union army and 19,000 served in the Navy.There were a lot of African american soldiers that made an impact on the war. For example Alexander T. Augusta was the first african american that was head of hospital and first professor but he mostly known for being the highest rank African American officer in the Civil War. As a major in the Union army he was appointed to the 7th U.S colored infantry. With his good work in the army in 1865 Augusta was promoted to lieutenant colonel at the time the highest rank for a African American officer. Another African American soldier with a big impact was Christian Fleetwood, he was one of twenty five African American men that won a medal of honor in the Civil War. Also â€Å"Fleetwood and his regiment fought in the Battle of Chaffins Farm on the outskirts of Richmond. The 4th Regiment was ordered to charge the Confederate fortifications, with Fleetwood leading the left flank.† (Christian Fleetwood Sergeant Major). http://www.civilwar.org/ (5/26/14). The next important impact is William Matthews he was born into slavery but he escaped to the underground railroad nut in February 27, 1862 he volunteered for the Union army. Also â€Å"Between August 17 and November 25, 1862, Matthews recruited a company of 81 men for the 1st Kansas Colored Volunteer Infantry.† ( African Americans in the War).Show MoreRelatedAmerican War And The Ameri can Civil War1551 Words   |  7 Pageswhich then caused the Southern states of America to decide to leave the American Union and create their own Southern Confederacy. This tore our nation apart. The American Civil War had begun and the very people that were once neighbors had each other’s blood on their hands. Many American lives had been lost. The American lives lost in the Civil War even exceeded the number of American lives lost during World War I and World War II. We were divided. The North wanted to reunite with the southern statesRead MoreThe War Of The American Civil War1376 Words   |  6 PagesThe American Civil War was arguably the most important war in the history of the country. The War of Independence may have allowed American to become its’ own country, but the Civil War resulted in something even more important than that, the end of slavery in the southern states. All of the issues that caused the Civil war were based around slavery, such as statesâ €™ rights that involved how slavery would be handled in each state, and trying to preserve the Union since the south seceded from the northRead MoreThe American Civil War1296 Words   |  6 Pages The American Civil War, also known as the State’s War, was a conflict that arose mostly from the issue of slavery, but deep down was due to economic differences between the North and the South. The South seceded from the North and created their own self-government due to their belief in the lack of state’s rights versus the federal government and what they saw as a weakness in the Articles of Confederation. While the Confederacy of the United States depended on slave labor for their economy in regardsRead MoreThe War Of The American Civil War1618 Words   |  7 Pages A Civil War is a battle between the same citizens in a country. The American Civil War was fought from 1861 to 1865 to determine the independence for the Confederacy or the survival of the Union. By the t ime Abraham Lincoln was elected president in 1861, in the mist of 34 states, the constant disagreement caused seven Southern slave states to their independence from the United States and formed the Confederate States of America. The Confederacy, generally known as the South, grew to include elevenRead MoreThe American Civil War1418 Words   |  6 PagesGuns fired, smoke lingering in the air, people dying. The American Civil War had a huge impact on the United States. Two compromises took place before the start of the Civil War. These compromises include the Missouri Compromise and the Compromise of 1850. The Missouri Compromise dealt with the crisis in 1819 over Missouri entering the Union as a slave state. The compromise was â€Å"the first major crisis over slavery, and it shattered a tacit agreement between the two regions that had been in placeRead MoreThe War Of The American Civil War1324 Words   |  6 PagesThere were many events that led to the cause of one of Americaâ₠¬â„¢s most devastating war, the American Civil War. The American Civil War was an unfortunate war that cost more than the lives of six hundred thousand people. Events such as the Missouri Compromise, Kansas Nebraska Act, Dred Scott Decision, and the Election of Abraham Lincoln resulted in the four yearlong battles between the Northern and Southern states due to social and economic differences on the idea of slavery. In the 19th century,Read MoreThe War Of The American Civil War Essay1472 Words   |  6 PagesThe American Civil War lasted from April 12, 1861 to May 9, 1865. It was the bloodiest war in American history, killing approximately 620,000 soldiers in total. The War was fought and won by the North, ensuring that all the United States would stay united and slavery would be illegal in The United States. However, history is one of the most complicated things in the world. It’s also one of the most important things in the world because history is what made the present possible. Historians have debatedRead MoreThe War Of The American Civil War960 Words   |  4 Pagesslavery even if it meant war caused peace in this nation. Slavery was the vital cause of the American Civil War. The north and the south both had their differences on how to run the country. People in the North believed in unity and that slavery should not exist because â€Å"all men are created equally.† On the o ther hand, the South believed in continuing slavery. People tried to talk it out and come to a middle ground after both sides compromising, however that didn’t work and caused war. Ideological differencesRead MoreThe War Of The American Civil War856 Words   |  4 PagesSlavery may have been established as the catalyst of the American Civil War, but the beginning of the dispute began in the time of the Revolution with a weak decentralized government under the Articles of Confederation. Later gained momentum as territorial expansion set Americans against each other on debating whether the new states should be slave states or free states, it questioned the power of the Federal government regarding state rights, and brought about instability in the unity of the UnitedRead MoreThe War Of The American Civil War1439 Words   |  6 PagesWhen the American Civil War began in the spring of 1861, those flocking to enlistment stations in states both north and south chiefly defined the ir cause as one of preservation. From Maine to Minnesota, young men joined up to preserve the Union. From Virginia to Texas, their future foes on the battlefield enlisted to preserve a social order, a social order at its core built on the institution of slavery and racial superiority . Secession had not been framed by prominent Southerners like Robert Toombs

Types Of Driver By Age Free Essays

There are many types of drivers that we all encounter on the road, and they are often classified by age. While the term â€Å" driver † can be applied to just about anyone behind the wheel, the way a person drives often changes with age. You can expect to find these drivers on the road near to you: teenage drivers, middle-aged drivers, and slow but steady elderly drivers. We will write a custom essay sample on Types Of Driver By Age or any similar topic only for you Order Now At the age of 16-20 years old, teens are more concerned with looking cool than with driving responsibly. Teenage drivers have lack of driving experience, and a distraction of using electronics. They want to be seen driving while on their cell phones and have the loudest stereos. Teenage tend to use electronics while driving, and they do no know that it is a huge distraction. They impress each other by driving recklessly and being faster than their friends. Therefore, teenagers are very dangerous on the road when they are driving. The second type of driver by age is the middle-aged driver. They tend to tailgate your car and also have a super speeding that will result in accidents. These drivers have the uncanny ability to squeeze through the smallest openings as they weave through every car that gets in their path. They always seem to be in the biggest hurry as they drive waiting for the opportunity to pass your car. They also have The third type of driver is the elderly or old age driver. Older drivers are more like to cause traffic citations and get into accidents as their driving abilities changes with age. They have also slower reflexes and poorer vision. Their reflexes are slower, thence, is very difficult to them to react quickly if they have to avoid any accident. Older drivers can also have any eye condition that can interfere with their ability to drive. In conclusion, drivers come in many different forms and each carry their own characteristics no matter how old they are. Therefore, each person must be responsible and careful when driving, regardless of the type of driver who is. How to cite Types Of Driver By Age, Papers