Coca Cola In Egypts Market Marketing Essay

Coca Cola In Egypts Market Marketing Essay The Coca-Cola Company is established in 1886 by the pharmacist Dr. John Pemberton in Atlanta, in the beginning it was sold as a medicine. The Company registered its trade mark in March 27, 1944. Nowadays it is spread in more than 200 countries with over 500 brands and 3,300 beverage products. These products include sparkling beverages and still beverages, such as waters, juice drinks, teas, coffees, sports drinks and energy drinks. The top five NARTD (non alcoholic ready to drink) are: Coca-Cola, Diet Coke, Sprite and Fanta. The number of employees worldwide is 92,400 and headquarter is in Atlanta. The Coca-Cola Company is listed on the New York Stock Exchange under the ticker symbol KO. The Coca-Cola system operates on a local scale in every country where they do business. It does not own or control most of its bottling partners, its compromises the company and the bottling partners. The Company has more than 300 bottlers worldwide. Coca-Cola manufactures and sells concentrates, bev erage bases and syrups through its concentrate plant to bottlers; it does own the brands and is responsible for brand marketing initiatives. The bottling Companies manufacture, package, merchandise and distribute the finished branded beverages to Coca-Cola customers and vending partners, who then sell the products to the consumers.1 This was an overview on the Global Coca-Cola Company. Lets look to Coca-Cola Egypt as the paper is studying the company in Egypt. Coca-Cola exists since 1942 and has two bottlers TCCBCE and El Nile Beverage Company. The bottling operation ownership for The Coca-Cola Bottling Company (TCCBCE) is: 51% TCCBCE and 49% Coca-Cola Company as for El Nile its 100% owned by El Nile. The entire system has 11,494 full time employees. 1-coca-cola annual report The Strategic business units that the company operates in Egypt are carbonated soft drinks, energy drinks and mineral water. The company recorded revenues of $78,526 million during the financial year ended December 2009 with an increase of 15% compared to 2008. The increase of 12% in revenues was coming from CSD (carbonated soft drinks) segment and 3% from the Mineral water segment. However there is a decrease in the CSD growth rate by 3% in 2009 which was 15.6% (FY 07-08) versus 12% (FY 08-09) the decrease is due to change in the consumer life style became healthier conscious. Egypt juice Industry analysis The non carbonated soft drinks are considerate to have a huge potential within the juice sector. Egypt juice industry is a lucrative market with a value of $/$216mm, it is growing from 11-22% over the last eight years. The industry sales are 44 mm unit cases in 2009. The juice segment expected to grow at 11% Compound Annual Growth Rate (CAGR) in 2012 while the Carbonated Soft Drinks (CSD) segment is expected to grow at 4.7% Compound Annual Growth Rate (CAGR) in 2012. Based on retail audits done by the AC Nielsen and Protrac studying the Egyptian beverage market the result shows that the consumer life style is changing and became healthier conscious and they are shifting to the drinks that are healthier. The CSD market is shrinking and other markets are developing. Juice is a lucrative product category that has been growing consistently over the past 8 years. The juice industry depends on farms that cultivate fruits. The different juice type: Fruit-Flavored Drink is a 100% concentrate, Juice Drinks it contain up to 24% Juice, Nectar contains 25% up to 99% juice and product called 100% juice is a product of 100% juice. PESTEL Analysis for Juice in Egyptian market PESTEL analysis is a business measurement tool that helps to understand the external surroundings and market as such the position, potential and direction for a business. PESTEL stands for Political factors e.g. changes in government policies, Economic factors relate to changes in the wider economy such as rises in living standards or the general level of demand, Social factors explain the buying patterns and buying attitude, Technologic factors is the changes in innovation potential, Environmental factors include the weather and climate change and Legal factors major legal changes that have affected firms where they operate. All these factors are used to assess the market. Political factor Egypts political condition is secure and a completely democratic republic is projected within the near future. Egypt was ruled by many countries before establishing freedom and today it is run by a multi-party semi-presidential system where the supervisory power is separated between the president and the prime minister, although in practice the president tends to hold a larger share of the power. Egypts political system presently receives much needed financial support from the US which is helping to develop the country into a new era of optimism. Egypt increased inward investment, creating a rich investment atmosphere. Economic factor The economic environment in Egypt is ready for investment. Egypts economic freedom score is 59.0, making its economy the 94th freest in the 2010 Index. 3.2% increase in gross domestic product (GDP) Per capita to reach $2,161. Per capita consumption of non alcoholic ready to drink (NARTD) will increase by 30% reaching in 2020. Growth is highly driven by stills (juices and water). Juice is the fastest growing category with Compound Annual Growth Rate (CAGR) increase of 11 % driving growth of non alcoholic ready to drink NARTD. Social factor Key factors behind the forecast increase of juice market in Egypt is the new consumer lifestyle preferences for healthier drinks and scare of obesity which resulted a slowing growth rates for sales of carbonated soft drinks (CSD) market. Despite the fact the carbonated soft drinks (CSD) market has remained profitable. One of the main characteristic of Egyptian life style is the importance of family and friendships. Egyptians are enormously socials and one of the importances of their life style is the relaxation time which they spend with friends or families at home, cafà © or restaurants. An important part of Egyptian residents is the eating behavior. The last five years the coffee shops spread very fast in daily life especially in young adults and teen generation. The consumption of juice is correlated to person age. Population is 81 Million out of which 50% are under 20 years. 50% of the population is the prospective juice target (kids and teenagers) because 64% of ready to drink juice volumes comes from 8-29 yr olds skewed towards 8-11 yrs old. Technology factor The juice industry benefits of a huge technology. Its for the sake of both business and the consumer when new technologies guide to better quality products. The industry depends on the quality of fruits that are growing in the country. Juice makers divided their production into two different forms pasteurized and raw juice. Technology helps to retain the properties of fruit the same as its original taste. Juice shelf life is small due to defect that can happen based on environmental climate. To extend the shelf life, juice is pasteurized on the same method as milk which for decades can be considered a middle ground between raw and ultra-pasteurized. The flavor of milk is affected by pasteurization much more strongly than fruit juices tend to be. Ecological factors Juice Industry is depending on agriculture and fruit growth wherever it spread. It is necessary to realize that fruit growing relies on agricultural land, water and suitable climate. Fertilizers used in agriculture can be a source of environmental pollution. Major change in climate occurring due to global warming can impact the farming industry. This leads to a need of integration of farmers into an agro environmental program that needs a support and keeping production procedures in accordance with environmental protection and sustainability of natural process. Legal factors Legal issues involve laws in juice production regulated by Egyptian government which prohibits use of returnable glass bottles. Such regulation negatively affects juice industry as returnable glass bottles are more profitable. Porter five forces model for juice sector Porters Five Forces Model was developed by Michael E. Porter in his book Competitive Strategy: Techniques for Analyzing Industries and Competitors in 1980. The famous book he wrote in his thirties became an international best seller, published in nineteen languages and re-printed approaching sixty times. Since that time Porters Model became an important tool help for analyzing an organizations industry structure in strategic processes. Porter has identified five competitive forces that shape every industry and every market. These forces determine the intensity of competition and hence the profitability and attractiveness of an industry and answer the question of What are the key factors that can determine a business success? The five forces are described as follows: Threat of new entrants Bargaining power of customers Competitive rivalry within the industry Bargaining power of suppliers Threat of substitutes Recklies Management Project GmbH www.themanager.org (figure 1) Bargaining Power of Customers Threat of New Entrants Threat of Substitutes Competitive Rivalry between Existing firms In combination with a PESTEL-Analysis, which reveals drivers for change in an industry, Five Forces Analysis can reveal insights about the potential future attractiveness of the industry. Porters Model is useful tools to determine potential changes of competitive forces. Bargaining power of suppliers Bargaining power of suppliers is described by how much power suppliers have on you in a specific industry or market. A business or a producing industry requires inputs to give a final product such as raw materials, labor, component and other supplies. This lead to a relationship between buyer and supplier provide raw materials used in the production. Supplier is called powerful when he has influence on the producing industry. Lets focus on suppliers in Egyptian juice industry and how much they have power influencing the production of the final juice product. Juice industry depends on many suppliers; sugar, material required in packaging, preservative, flavor and a key player in juice industry is the juice concentrate supplier. Juice supply chain starts form farm that depend on fruit seasonality. The crop of any fruit varies from time to time in quantity and quality based on climate changes and natural crises. This is the main reasons that change in juice concentrate availability pric e and quality. Juice concentrate suppliers are divided in three categories. Suppliers that produce concentrate and use them in the production of final juice product, others that produce concentrate and use part of their production to make a final juice product and sell the rest and suppliers that sell all their production of juice concentrate. Its worth to mention that a big part of the juice concentrate is exported outside Egypt to other countries and one of the main countries who import from Egypt are the Gulf countries. Therefore the supplier power is considerate high because the market is dominated by a few large suppliers rather than fragmented source of supply, supplier customer are fragmented, there is a possibility for supplier to increase concentrate juice prices and there is no substitute to the juice concentrate. To reduce supplier power in juice industry it is important to know what is the influence of outside factors to be taken in consideration to find a place in the m arket. Juice producers make a partnership with suppliers that produce juice concentrate to reduce the power of suppliers. Bargaining power of customers Bargaining power of customers is how much negotiation power the customers have and how much power he has over you in a specific industry or market, meaning how much customer can impose pressure in margin and volume. When buyer has a strong economic power the relationship to the producing industry is near to what economist call monopsony, a market where there is many suppliers and one buyer. In such case your ability to capture a high proportion of the value created will decrease, and you will earn lower profit. Having a few large buyers will have a significant leverage to negotiate price and others terms because you will be afraid losing an important buyer and volume which puts you in a weak position. Buyers have also power on you if they can produce the product themselves and they can play suppliers against each others. However there is a few large buyers and they buy in a large quantities. Meanwhile there are many small buyers that you have greater control over them because they buy a small portion of your sales. Bargaining power of consumer in the juice industry, there are three type of buyer which is the direct consumer, the retail outlets and the wholesalers. 75% of direct consumers for juice freshly prepare juice at home or they buy it from a plain juice shops. In this situation the main competition of those buyers is any plain juice shops or fresh fruit that can substitute the juice product. The juice producer can reduce this bargaining by offering a differentiated product and create loyalty to the brand that offers higher value as the juice freshly prepared its shelf life is limited. The Wholesalers are few in number therefore their bargaining power of consumer is significant due to the number of juice product that they do have on the retails shelf and how do they present the product to the consumer. The retails outlets are many in numbers and they do have a big number of products however the bargaining power of wholesalers and retail outlets are not significant if the consumers are loyal to the brand. Generally the juice industry in Egypt, buyers has more power than the entrepreneurs due to the fact that consumer have different option to entertainment, number of retail outlets that have a several product on self. Therefore the differentiation, creating value to the product and loyalty to the brand is very important. Threat of a new entrant Threat of a new entrant is how easy a competitor can enter into your industry or market? New competitors determents changes in the market environment in terms of gain market shares, pressure to reduce the prices which have an impact on profit and impact on customer loyalty at any time. In term of reaction and adjustment the existing players have a pressure on them. Threat of new entrant depends on barrier to enter industry or market and how the existing player will react with a new competitor. New entrant barrier is economies of scale, the experience that the existing players have which lead to cost advantage, high fixed assets cost and strong distribution channel of existing players. The existing of these barriers protects the existing player from the threat of new entrant. In addition the existent players can react by reducing price or forming a partnership to reduce the threat of a new entrant. Threat of new entrant is considerate in Egyptian juice industry due to high capital cost and knowledge required. Based on this usually the threat of new entrant is higher for the companies that are involved in manufacturing then service. Its not always negative that you do have a competition close to you. Some industry encourage a new entrant specially if they do have already experience in a similar field and they do have a big part of their capital already established such as the factory which just need the production line and having their own distribution channel. Threat of a substitutes products Threat of substitutes products, we give term substitutes to a product that a buyer can replace a business product with another one. What products your buyer can replace your product with? It exists when a buyer can replace your product with another product for the same purpose with a lower price. In such case they can attract a significant proportion of the market and have impact on sales and volume of the existing players. The substitutes product also applies on complementary product. The main factors that can affect substitutes product are customer shift to another similar product based on lower price because your product doesnt give different value from the competitors one and customer have a little loyalty to your product therefore, the threat of substitute is considerable. A substitute threat can be reduced by differentiating your product than the other existing in market and create loyalty to the brand through marketing initiative (TV, radio, outdoors advertisingetc). Following the new live styles trend, consumers became healthier conscious make the threat of substitutes products low in juice industry. The consumption of carbonated soft drinks decreased. The substitute product in this industry can be a healthy product such as fruit juice drink, fruit flavored drink, powdered fruit drinks can substitute the juice concentrate drink and it can also be substituted by milk , fruit base yogurt and mineral or bottled water. Variety of substitutes products are available at the market consumer have an open choices which they can choose whatever suits their needs. However they are not real substitutes products because juice is drunk in different time and occasions. Rivalry between existing firms Rivalry is the competition between existing firms in an industry. In certain industry the rivalry is high and has an impact on profit as you cannot set your own price and it can make the profit to zero. This force might be the most important in Poters five forces as it describe the intensity between existing players. The rivalry is called high when the competitors on a same industry have similar products with no differentiation and they compete in term of price. The market players are same in mass with comparable strategies. Having high barrier to exit the market and when the market is increasing slowly or shrinking this makes the rivalry a considerable force. To decrease the rivalry between existing players you should avoid price competition, differentiate your product and strategies, focus on a different sector and avoid high capacity production. The Egyptian juice market is a fragmented market with many players. Four companies have 50% of the market the rest are less than 5% each. The market is not only splited between the players in terms of market share but also shrinked by products. This means that there is a good chance to enter the market. However, PepsiCo the major competitive to Coca-Cola is preparing new juice launch during the current year. PepsiCo made a joint venture with Almarai Company (extremely successful dairy foods company in the Middle East) and have acquired Beyti well known brand name in Egypt. It produces a variety of high-quality dairy and juice. They are big in size with a very strong distribution channel however the consumer has a law loyalty to specific brand. This situation will make rivalry in the near future. Egypt juice market analysis Lets go more deep and look into the market analysis to be able to determine the juice market sucess . The goal is to be able to find out the market attractivness and understand more about the opportunity and threats of the sector. Key success factors Key success factors depend on two questions which need to be analyzed What does the consumer want? (Here we need to analyze the market) How to face the competition? (Competition analysis) In Egypt juice sector to make a success from the consumer point: Egyptians doesnt make a great difference between artificial distilled fruit beverage and fruit juice they are comparing products in terms of price. Therefore you need to have a competitive price or to build a differentiation strategy to enable you to set your price. Innovation is one of key success factors that need to be present to gain consumer. The consumer has a law loyalty to brands this makes the product availability in market very important. The availability plus the innovation in packages and product range that suits the new consumer life styles will help to build loyalty to the brand. For the competition, you need to be different in product image, have a strong distribution channel to be able to position yourself in the market and to start to compete. Demand Analysis Demand characteristic Following the new consumer life style, the juice market has a high demand based on questionnaire done by MEMRB agency to the Coca-Cola Egypt company here is the outcome. Those that consume juice product on monthly bases dont think it is as strong on Thirst quenching, Good for you, Great tasting and refreshing. However, an improvement on all measures for juice, frequent consumption coming from weekly consumers. Consumer that thinks that they are always doing new thinks shows growth from0% to 7% in 2008-2009 while the carbonated soft drinks shows 3% increase in 2009 and the one that things that uice gives energy shows an improvement from 5% to 9% for year 2008-2009 while the carbonated soft drinks shows a decrease from -6% to -11% for year 2008-2009. The market study also shows that the Egyptian consume 60% of juice drink out of home in cafà ©, shops or kiosks this is the opposite of the carbonated soft drinks percentage. 25% are consumed in morning occasions from 9-12am other than breakfast. Snacking the biggest occasion came with 36% it stats from 3-4pm. Bibliographies http://www.wikinvest.com/stock/Coca-Cola_Company_(KO) http://www.thecoca-colacompany.com/ Internal resources from the Coca-cola Egypt http://en.wikipedia.org/wiki/Juice http://www.propertyshowrooms.com/egypt/property/investment/egypt-property-investment-strategies.asp http://www.globalpropertyguide.com/Middle-East/Egypt/gdp-per-capita http://www.dairyengineering.com/applejuice.asp http://www.quickmba.com/strategy/porter.shtml http://www.themanager.org/pdf/p5f.pdf http://www.ces.purdue.edu/extmedia/ec/ec-722.pdf

Devastating Hearing Loss In Soldiers Health And Social Care Essay

For a soldier good hearing is a necessity. You hear the enemy foremost before direct contact. Sounds that can be heard in the darkness or inclement weather semen from all waies. We use hearing to derive and roll up intelligence and 50 to 60 per centum of situational consciousness is hearing. Hearing Loss is the lone hurt that is without symptoms because there are no centripetal nervousnesss in the interior ear ( cochlea ) . Hearing Loss is gradual or sudden and there is no manner to foretell the soldier ‘s susceptibleness to loss. Prevention and instruction are the keys to understanding the menace and utilizing schemes to minimise the menace. The tympanic membrane can be 80 percent blown off and it will frequently spontaneously turn back or can be surgically repaired. The irreparable harm occurs inside the cochlea ( which is encased in bone ) . Noise-induced hearing loss ever starts in the high pitches ( about two-thirds of the manner across the piano, on the right side, where the keys are higher pitched ) . Soldiers lose the ability to hear several address sounds ( e.g. , s, sh, T, K, ch, degree Fahrenheit, H ) that make it easy to understand address when there is background noise ( i.e. , seeking to hear co-ordinates on a wireless ) . Following, localisation is affected ; intending the soldier ‘s ability to observe where the sound is coming from is altered and less accurate. Some soft sounds are truly difficult to hear, like the elusive motions of a concealed enemy or the scraping of a metal arm against the floor ( high pitched ) . Of class these are really of import sounds for the soldier to hear and place on right. It could intend the difference between life/death, accurate enemy fire or friendly fire. The usage of different types of ear plugs/hearing protection with proper instruction will the eliminate spread of hearing loss to the soldiers/civilian. Problem analysis The intent of the Army Hearing Program is to forestall Noise Induced Hearing Loss ( NIHL ) in soldiers and to guarantee their maximal combat effectivity. Hearing is a critical detector used by soldiers that increases their survivability and deadliness. When hearing loss is present, the ability to carry on audile undertakings is greatly diminished. Good hearing is required to execute such undertakings as placing sound, estimating audile distance, placing a sound beginning, and understanding verbal orders and wireless communications. This multidimensional sense provides an indispensable sum of information on the battleground. Good hearing can intend the difference between life and decease in combat, every bit good as in preparation. The following challenge was to streamline our maps in one constituent in order to liberate up employees for other services ( i.e. ; Hearing Readiness and Operational Services ) . This was done by seting a few services out at that place at a clip and finding what worked and what did non and how many forces were needed for different maps. Simultaneously, the TRADOC Surgeon was briefed by my adviser sing the combat weaponries earplug preparation. Once the TRADOC Surgeon stated she wanted the preparation to go on, the TRADOC Directorate for BCTs had to be briefed for the POI. Once once more, holding the bid backup of the sawbones enabled the following measure. Once the POI was established, services we had in topographic point could be expanded. It ‘s of import to understand that the ground we did test and mistake BEFORE we established the POI was to do certain we could back up the services we were offering. The mission would hold failed if blessing was given for the CAE POI and so lacked support. Each measure of set uping a plan needs to be preceded by finding support demands and test tallies. That ‘s the key, truly. The other portion of the success is to acquire buy-in, from both the subdivision employees and the cell we were back uping. Research Peoples functioning in the armed forces will at some point be exposed to high strength noise of assorted types. Some may develop hearing loss particularly for high frequence sound of tinnitus ( pealing in the ears ) or both as a consequence of their noise exposure. Hearing loss or tinnitus incurred during military service may measure up for seasoned service and fiscal compensation from the Department of Veterans Affairs ( VA ) . VA reported the 2.5 million veterans having disablement compensation at the terminal of the financial twelvemonth 2003 had about 6.8 million separate disablements related to their military service. Disabilities of the auditory system including tinnitus and hearing loss were the 3rd most common type accounting for approaching 10 per centum of the entire figure of disablements among these veterans. For the approximately 158,000 veterans who began having compensation in 2003, audile disablements were the 2nd most common type of disablement. ( Humes, L. ( 2006 ) Noise and military service: Deductions for hearing loss and tinnitus ) Determining whether hearing loss tinnitus evident at the clip a claim is filed by a veteran is attributable to anterior military service be a job ( challenge ) for VA after the fact, hearing loss or tinnitus incurred as a consequence of military service can non be distinguished with certainty from later noise-induced hearing loss or tinnitus consequence from work in a noisy work topographic point. High frequence hearing losingss are non merely with noise exposure but besides at a older ages ( presbycusis ) , even though the specific forms of loss are by and large distinguishable until 60 -70 of age. Tinnitus could develop in from other factors so noise exposure ( e.g. head hurt, encephalon tumours, in-between ear disease, certain medicine ) and can happen with or without hearing loss. If certification of hearing thresholds or tinnitus during military service is non available, even a elaborate instance history from the veteran may go forth uncertainness about the association between a current hearing loss or tinnitus and anterior service. Tinnitus is the perceptual experience of sound ( e.g, pealing, buzzing, whistling ) that can non be credited to an external sound beginning and heard merely by the one individual who ‘s sing it. The presence of tinnitus is chiefly by self-report, but perceptual steps such as its pitch and volume can be established faithfully under controlled conditions ( psychoacoustic testing ) . The mechanisms implicit in tinnitus are non to the full understood, some people with tinnitus experience serious jobs associated with emotional wellbeing, slumber, hearing and concentration. No current intervention will extinguish tinnitus, but some may cut down its inauspicious impact. Some intervention may include guidance, reding combined with sound therapies, medicines and electrical and magnetic stimulation. The commission ‘s consideration included noise induced hearing loss, which most normally consequences from perennial exposures to risky noise for a period of several old ages, and the phenomenon of acoustic injury which is the sudden loss of hearing following a individual exposure to really risky noise. Hearing loss was assessed chiefly on the footing of informations on hearing thresholds measured in human by pure-tone audiology. Noise-induced hearing loss is frequently describe by â€Å" notch † in the audiogram reflecting worse hearing at frequences between 300 and 6000Hz than lower and higher frequences. The specific form of alterations in pure-tone threshold can differ depending on the type of noise exposure. Hearing loss for older grownups Hearing damage is a major job among older grownups this can impact all sphere of all facets of life, including cognitive, societal, physical, and emotional. Designation and intervention can better overall quality of life every bit good as functional capacity. The primary attention suppliers play a major function placing hearing loss and guaranting that patients are treated suitably. The World Health Organization estimated that 278 million people had a mild to chair hearing damage in 2005. In the United States there are 28-32 million Americans of all ages with some grade of hearing damage. Other study estimation that 25 per centum of people 51-65 old ages of age 10-33 of people 66-75 old ages of age 25-60 per centum of people 76-85 old ages of age and 50-80 per centum of people over 85 old ages of age have hearing damage. ( Weener, D.J. , Zacharek, M.A. , & A ; Malani, P.N. ( 2010 ) . Evaluation and direction of hearing loss in older grownup. Clinical Geriatricss, 18 ( 9 ) , 20-26 ) This makes hearing loss the 3rd most common chronic disease of the aged, following high blood pressure and arthritis as these Numberss demonstrate hearing loss addition with age it is besides associated with the male gender, non-Hispanic with race, lower-level of instruction, lower socioeconomic category, anterior service in military, occupational noise exposure heavy intoxicant usage , baccy usage, diabetes mellitus, and cardiovascular disease. Screening Test In Adults Many simple trials for hearing loss have been used as a everyday portion of a physical scrutiny but they are different to implement in systematic showing plan because they can non be standardized. An illustration is the Whisper voice Test, performed by testers who whisper words from behind the patient in different distances. The grade of hearing loss is reflected by the furthest distance from which patient may still reliably reproduce what is whispered. Attempts to standardise the trial have been made ( e.g. by whispering merely after full termination ) but there is no dependable manner to command the volume of the susurrations and robust descriptions of interobserver variableness and test- retest dependability are missing. Screening with a vibrating tuning fork or sound of an tester ‘s finger friction besides has been proposed. Judgment about hearing loss by and large rely on mensurating the sound can non be heard. Alternatively the hearing threshold of the patient and the tester can be compared by puting the vibrating tuning fork on each individual mastoid procedure ( Schwabach trial ) . Again although sensible trial truth has been reported in little series, what is the nature of the hearing which is the trial of hearing loss. Etiology Hearing loss is by and large divided into three types. Conductive, sensorineural, and assorted understanding the anatomy physiology of the ear are of import when sing causes of hearing loss. The pinnule and external auditory canal are portion of the outer ear. Together they collect sound from the environment and increase the sound degree by 12-15 dBs. The in-between ear comprised of the tympanic membrane, bonelets ( hammer, anvil, and stirrups ) middle ear pit and Eustachian tubing serves as a transformer that changes sound moving ridge into physical quivers. This procedure is most efficient at frequences 500-4000hertz and the energy is amplified by 25-30 dBs. ( Larry Humes, , Initials. ( 2006, National Academies Press ) . The ellipse window is the connexion between the in-between ear and the interior ear. The egg-shaped window can be stimulated by energy going through the outer and in-between ear or through castanetss of the skull and sets the cochlear fluid in gesture. This force per unit area moving ridge in the cochlea induces a moving ridge of the basilar membrane ( 1 to 2 walls that separate the vestibular canal tympanic canal and cochlear canal ) The basilar membrane has different features at the base ( narrow and stiff ) and apex ( broad and flexible ) that cause different frequences of moving ridges to top out at different locations. The location of the moving ridge extremum determines which nerve fibres are stimulated and as a consequence what pitch is perceived. High frequence tones peak at the base of the cochlea and lower frequences peak at the vertex. Conductive Hearing Loss consequence of sound from the air to the interior ear is prevent, because the interior ear remains integral conductive hearing loss is diagnosed by air-bone spread where the threshold for air conductivity is greater than that for bone conductivity. The size of the air-bone spread indicates the badness of damage: 25 dBs is â€Å" mild † 40 dBs is â€Å" moderate † and 60 dBs is â€Å" terrible † causes of conductive hearing loss include earwaxs impaction, obstructor from foreign organic structure, tympanic membrane perforation, otitis media, in-between ear gush ( with possible obstruction of the Eustachian tubing ) otosclerosis, cholesteatoma, tumour. Paget ‘s disease of the bone, and disarticulation of the ossicular concatenation ( due to trauma or hanker standing infection ) . With progressing age, earwaxs becomes drier and difficult, increasing the hazard for earwaxs impaction ( wax construct up ) 30 % of the aged patient with this after wax removal half of the grownups passed the whispered voice trial foregrounding the importance of rating and intervention of earwaxs impaction. Tympanic membrane perforation can be due to choronic otitis media or trauma including barotrauma, detonations, perforating hurt, or temporal bone break. Sensorineural Hearing loss consequences when the cochlea is unable to transform air or bone quiver into impersonal activity. Both bone conductivity and air conductivity are reduced. Causes of the sensorineural hearing loss include noise injury, ototoxic medicine or occupational chemicals, genetic sciences, vascular disease, diabetes mellitus, coffin nail smoke, autoimmune disease, audile nervus tumours ( e.g. acoustic neuroma ) neural loss Menieres ‘s disease and presbycusis. Evaluation of hearing loss in the primary attention puting Begins with a thorough history and physical scrutiny. The history should separate the start of the hearing loss and its alteration over clip and linked symptom such as tinnitus, aural comprehensiveness, and dizziness, hazard factors for hearing loss such as noise exposure diabetes, smoking household history autoimmune disease and cardiovascular disease ; study for ototoxic medicine usage and inquire about the ear infection, obstructor of the external auditory canal and hemorrhage or drainage. Inspection of the tympanic membrane should include pneumscopy ; opacification of tympanic membrane is usually seen in the ripening. Further rating of the caput and cervix including cranial nervus testing, should besides be performed. Naval Medical Center scientist in San Diego are working on a technique affecting experimental cross-membrane bringing of antioxidants into interior ear fluid via a portable dose control pump and micro catheter. This is an attempt said to be assuring to reconstruct some hearing to patients with noise induced hearing loss perchance prevent it from go oning, besides utilizing different pharmaceuticals the research workers are utilizing this method by experimentation to handle Meniere disease. Effectss of noise on hearing The ear injured by noise in 2 different ways depending on the type of exposure. High degree, High-level short continuance exposures transcending 140dB can stretch the delicate inner ear tissues beyond their elastic bounds, so rake or rupture them apart. This type of harm is acoustic trauma- occurs quickly and ensue in an immediate lasting hearing loss. The organ of Corti becomes detached from the basilar membrane, weaken and is replaced by cicatrix tissue. Because the ear is damaged automatically by unprompted sounds, the maximal sound force per unit area degree ( SPL ) is more of import than the continuance of the exposure. Noises in the environment can really good bring forth acoustic injuries normally come from explosive sounds such as banger exploding near the caput ( 170 dubnium SPL ) , toy cap gun fired near ear ( 155dB ) or changeable gun, high-octane rifle, or handgun shooting ( 160-170dB SPl ) . Exposure to resound between 90 and 140 dB^ ( dB^denotes a decibel step with a filter that adjusts for human audile sensitiveness ) amendss the cochlea metabolically instead than automatically and causes harm related to the degree and continuance exposure. Noise-induced hearing loss, in compared to acoustic injury, develops over clip by exposure on a regular basis transcending a norm of 90 dubnium and returns in 3 phases. In the first phase centripetal cells within the cochlea are killed by inordinate exposure. The cells do non reconstruct they are replaced by cicatrix tissue. In the 2nd phase, after hebdomads to old ages of being exposed to resound, hearing loss can be detected audiometrically Early loss in high frequence scope, around the highest C note played like on a piano. Speech comprehension is non well affected that why people rarely noticed unless the hearing is tested for other grounds. Noise exposure in the workplace has been recognized for centuries to bring forth hearing loss. The US Department of Labor publicized ordinances in the 1970s and 1980s to protect the hearing of 1000000s of Americans working in noisy environments. Current ordinances require workers to be enrolled in a hearing preservation plan if their day-to-day exposure exceeds an mean degree of 85dBA for 8 hr twenty-four hours. Hearing loss in the young person Young person of today participate in a assortment of â€Å" noisy activities † and many accompany their parents or health professionals to loud events. Blair et Al. ( 1996 ) noted that 97 % of 273 3rd graders surveyed had been exposed to risky sound degrees. The World Health Organization ( WHO ) indicated that North American kids â€Å" may have more noise at school than workers from an 8-hour work twenty-four hours at a mill † ( WHO 1997 ) . High sound degrees can be encountered in the place, community, school and work environments. It is estimated that 1.5 million young person age 16-19 old ages are engaged in work with noise-hazardous exposures ( Hager 2006 ) . Many of these occupations are seasonal or informal in nature and may non have the full benefit of one-year wellness and safety plan designed to protect the full-time workers from work topographic point hurts. Niskar et Al. ( 2001 ) provided grounds of audiometric constellations suggestive of noise induced hearing loss in kids aged 6 to 19 old ages. Generalizing their 12.5 % of kids with a â€Å" noise induced threshold displacement or NITS † to 5.2 million kids in the United States, the demand for bar and intercession becomes readily apparent. Niskar et Al. besides noted that the older ( 12-19 old ages ) kids were more likely ( 15.5 % ) to have NITS than the younger ( 6-11 old ages ) group ( 8.5 % ) . Although the literature is Missing in footings of longitudinal surveies, some cross-sectional surveies suggest that the Happening of NIHL among kids is increasing ( Chermak & A ; Peters-McCarthy 1991 ; Montgomery & A ; Fujikawa 1992 ) . Rural young person engaged in farm work may be at twice the hazard compared to those non involved in farm work. It is good to cognize that the noise-related harm and tinnitus is preventable. Hearing loss bar stuffs and plans are available. The Dangerous Decibels plan is public wellness partnership affecting hearing scientist, audiologist, doctor, instructors, museum exhibit interior decorators and builders, instruction outreach specializers, wellness communicating and public wellness experts and many others with the end of cut downing the incidence of noise induced hearing loss and related tinnitus ( Martin 200 ; Martin et Al. 2006 ) . Partnership seems to be the key to success of any public wellness enterprise. The challenges include struggle in civilization, work form, nomenclature, precedences, institutional dockets, personalities, and clip tabular arraies. The wagess of partnering include the ability to do a original, expansive and effectual wellness publicity plan in ways that go beyond the ability of any subscriber. Research is presently in development on using these tools in specific communities sing noise exposure. One partnership is between the Dangerous Decibels group and the Northwest Portland Area Indian Health Board, stand foring the 43 Native American folks and states in the Pacific Northwest. Other inaugural with Hispanic/Latino population in the Northwest are being developed. A childs ability to hear influences to hear could be the development of communicating and behavioural accomplishment that affect educational experience and relationship with other people. Public wellness showing and intercession play a of import function in bettering the wellness including hearing position and good being of the kid. Children are most frequently administered audometric rating at address frequences as portion of everyday scrutiny or in school scene. The bulk of conductive hearing loss affects the low frequences, while the bulk or sensorineural hearing loss affects the high frequences. Impacted earwaxs a foreign organic structure, hydrops of the audile canal, and ititis media are merely a few of the many possible causes of conductive hearing loss among kids. Noise, medicine, meningitis, and congenital, poxs are possible causes of sensorineural hearing loss in kids. Surveies have shown that high-frequency hearing loss from noise exposure during childhood can take to farther hearing loss from ague or chronic noise exposure at older age. The effects of noise in the environment on hearing degree has brought much attending in the United States few surveies have included a scope of high frequence audiology ( & gt ; or, =3Hz ) from which hearing loss prevalence estimations can be derived for kids. Recent information from the Third National Health and Nutrition Examination Survey ( NHANESIII ) conducted from 1988 to 1994 by the National Center of Health Statistics of the Center for Disease Control and Prevention offers the chance to analyze both low and high audiometric and to measure the presence of hearing loss by sociodemographic features in national sample of kids age 6 to 19 old ages of age. Military Hearing Conservation Program Data analyzed by the commission led to the decision that military hearing preservation plans dating from the 1970s were non deficient to protect the hearing of service members. The commission concluded that hearing preservation activities from World War II through 1970s would hold been even less equal to protect the hearing of the service member than the plan in topographic point since the late seventiess because merely early hearing protection device of limited effectivity were available and compulsory hearing preservation steps were in topographic point merely in the Air Force. Given that technology steps to cut down noise degrees and administrative steps to cut down noise exposures may non be compatible with demands for military operations, usage of hearing protection devices is frequently the primary defence against noise induced hearing loss for military forces. The effectivity of these devices depends in big step, on how good and how frequently they are used. Datas on the usage of hearing protection by military forces are limited, but a smattering of studies over the past 30 old ages suggest that in some topographic points merely about half of those who should hold been utilizing hearing protection device were making so. The services of Hearing Conservation plans require one-year audiometric proving for forces enrolled in the plan. The per centum of service members tested each twelvemonth who have important displacement in hearing thresholds presently ranges from about 10 per centum to 18 per centum which is two to five times higher than rates considered right in industrial hearing preservation plans. Testing will non forestall noise-induced hearing loss but it can indicate out the hearing loss to do the service member aware of the loss. Preventing NIHL It has been suggested that bar of noise exposure would be easy done if the ear were to demo its hurt by shed blooding after significantly detrimental events. Alternatively but by that clip hearing damage is detected, hurt to the auditory system is normally at an advanced phase, the key to bar is instruction. Many organisations have provided educational course of study to science or wellness instructors to promote healthy hearing wonts for immature ears Axelsson and Clark have suggested that schools invite hearing professionals who can associate existent life experiences that will assist present the message to kids. Doctors can assist patients at hazard for hearing loss by learning them to avoid exposure to unwanted noise and become cautious of loud sounds. Example doctor can urge that patients avoid other noisy activities on the twenty-four hours of a stone concert. Research has shown that remainder periods interspersed with an otherwise risky exposure can cut down audile harm. Besides physicians can promote patients to take events that are most gratifying to them and so rede them to see predating other noisy activities. Noise-induced hearing loss is normally undetected until harm to interior ear has already been done few attempts have been made to cut down noise at their beginning, to protect hearing in noisy environment, and educate persons on the importance of protecting hearing into old age. Treatment of hearing loss Referrals for Hearing loss are best directed to the audiologist, otolarynologist, or both. Audiologist have expertise in hearing trial, usage of assistive hearing device ( e.g. telephone amplifier, infrared system, pocket speaker, and visual/tactile qui vive for the buzzer, telephone and fume dismay ) . And the choice and adjustment of hearing AIDSs. Ent mans have forte preparation in a scope of upsets in the caput and cervix, which include the medical and surgical intervention of otologic jobs. The audiometric trial are performed in a sound protected environment consisting of pure-tone audiology that assesses the patient ‘s threshold of hearing for tones from low frequence ( 250Hz ) to high frequence ( 8KHz ) ; word acknowledgment trial that measures the per centum of mono-syllabic words that a patient can reiterate ( favoritism tonss ) ; the address response threshold that step the lowest strength degree at which a patient can reiterate 50 % of spondaic words ( i.e. 2 syllable words with equal accent on each syllable like baseball, cowpuncher, and battercake ) ; and cram conductivity testing, acoustic physiological reactions, and tympanometry, which chiefly targets the presence or absence of specific upset such as otosclerosis, acoustic nueuromas or ottis media. Solution Get downing a Hearing Conservation Program Wayss to forestall Hearing Loss include T CAPS, Peltors Noise Muff, QuietPro, and COMBAT ARMS Earplugs with proper instruction. T Caps are electronic devices that actively cut down noise and better hearing and communicating by increasing ear degree mike sensitiveness and interfacing with wireless equipment. The devices at the same time protect hearing. Soldiers utilizing TCAPS have a advantage on the battleground, as they recover their hearing instantly after detonation or arm fire instead than transport out mission with a impermanent or lasting threshold displacement. Hearing recovery is of import because those with a threshold displacement study trouble understanding the difference between words such as â€Å" onslaught † and â€Å" acquire back † . Using TCAPS enhances communicating with fellow squad members on assorted floors in a edifice, even leting soldiers to keep silence during a operation. Proper hearing protection besides helps soldier widen their callings. In the yesteryear, senior combat weaponries leaders in the foot, field heavy weapon, and armor- soldier whose experience is most needed in combat. Peltors Noise Muff $ 56.10-79.97 Comfortable, effectual, easy-to-use and noise reactive, the Peltor line of hearing protection equipment is unambiguously suited for terrible and unpredictable noise dangers you encounter during preparation and combat, including gunshot, detonation, aircraft and armoured vehicles. With cutting border electronics, design comfort, and engineered compatibility with helmet and other combat wear. Quietpro $ 1300-1700 The Quietpro is hearing protection and communicating device. It provides high quality hearing protection for the foot soldier when acting mounted and dismounted operations. The upgraded QUIETPRO + incorporates a figure of functional betterment gained through the experience of the 50,000 user that faithfully use the QUIETPRO in day-to-day combat operations. Combat ARMS Earplug 3 69.77 two-base hit ended ( 7.40 a brace ) or 349.77 ( 3.50 a brace ) The COMBATARMS Earplug allows it to be used in two different manners. In combat manner, this earplug allows wearers to hear low-level sounds critical mission safety, such as conversation, footfalls, rifle bolts. When needed, the stopper ‘s filter reacts to supply instant protection from high-ranking noise like arms fire and detonations. The Department ( Workplace ) Hearing Conservation Basic Training Soldiers merely come ining the military the Fiscal Year of 2009 At Fort Jackson 52,626 at the rate of each ( $ 7.40 a Pair ) Combat Arms = $ 389,432.40 52,626 at the rate of each ( $ 56.10 a set ) Peltor Noise Muff = $ 2,952,318.6 52,626 at the rate each ( $ 1300 a set ) QuietPro = $ 6, 8413,800 To be cost effectual Basic Training Soldiers will be provided Combat Arms Ear Plugs Costing the Army 389,432.40 for the Fiscal Year Education on the proper manner to have on the Combat Arms Earplug without proper instruction have oning the Ear stoppers would be pointless. This would be a good start making the pattern of have oning earplugs. The usage of the Peltors Noise Muff, and QuietoPro would be sold to the Soldier at a Military Rate giving the soldier every chance to protect their hearing. Fort Jackson Audiogram Reports H2 and H3 Profile financial twelvemonth 2009 Every soldier/civilian at Ft Jackson is required to take a one-year hearing trial for the consciousness some people are non cognizant they have a hearing loss once this is found we take the proper stairss and acquire soldier taken attention, or give instruction before their hearing gets any worst. In this section every soldier/civilian come ining Fort Jackson will be seen by the staff of 5 workers at Hearing Conservation. H1 = Good Hearing H2= Moderate Hearing H3=Poor Hearing FT Jackson: H2 =1034 H3= 419 soldiers/civilians Permanent hearing loss is preventable with the continued usage of proper hearing protection and decrease of workplace noise degrees to below 85 dBs. This will profit non merely employees who can listen and pass on good throughout there life-times, but besides helps the employer in footings of decreased exposure to hearing loss compensation claims and a possible for increased general safety and occupation public presentation. Occupational noise can do hearing loss, and increase the worker ‘s susceptibleness to other workplace jobs including physical and psychological upsets, intervention with address and communicating, and break of occupation public presentation associated with inordinate noise strengths. This exposure to resound green goodss hearing loss of a nervous type affecting hurt to the interior ear hair cells. The loss of hearing may be impermanent or lasting. Brief exposure causes a impermanent loss. Repeated exposure to high noise degrees will do a lasting loss, illustration being out at the scope measure uping with arms twenty-four hours in and twenty-four hours out. With proper instruction these Numberss could be cut down at a dismaying rate, COMBAT ARMS Ear plugs being offered free to the soldier/civilian. Concluding solution At Fort Jackson the chief aim of working at Hearing Conservation is finally teaching and teaching the Protection/Conservation of Hearing the vision of Hearing Loss Program will be to alter the H2=1034, and H3=419 Numberss of the financial twelvemonth to a bare lower limit if non zero for the following Fiscal twelvemonth and to make this at Fort Jackson to forestall Hearing Loss staff will supply COMBAT ARMs hearing protection to all soldiers/civilian. The Combat Arms earplug steady province mode provides protection against changeless noise ( aircraft, armored, vehicles, etc. ) without hear-through. Other advantages include Patent double protection design, Low-level sounds heard clearly, high-impulse noise block immediately, Pre-molded ternary rim design to suit most ear canals, comfy and reclaimable, and no batteries or traveling and to be cost effectual Basic Training Soldiers will be provided Combat Arms Ear Plugs.

Nicu Nursing Care Plan

A  Neonatal Intensive Care Unit  (NICU) is an  intensive care unit  specializing in the care of ill or  premature  newborn  infants. Neonates who need to go to the unit are often admitted within the first 24 hours after birth. Newborns may be sent to the NICU if: †¢ they're born  prematurely †¢ difficulties occur during their delivery †¢ they show signs of a problem in the first few days of life (sepsis/infection, congenital defects, cardiac / respiratory abnormalities, low birth weight) NICU EQUIPMENT: †¢ BLOOD PRESSURE MONITOR  may be a smaller version of the blood pressure cuff used  on older children and adults.Or  an  ARTERIAL CATHETER  (tiny tube inserted in an artery) may be used to monitor blood pressure. †¢ CARDIORESPIRATORY MONITOR  keeps track of the baby’s heartbeat and breathing †¢ CPAP (continuous positive airway pressure) machine  delivers air or oxygen through tubes in the nostrils. It uses low, contin uous pressure to keep the lungs inflated. †¢ ENDOTRACHEAL TUBE (ETT)   used with a respirator or ventilator to send air directly to the lungs. †¢ FEEDING TUBE (ALSO CALLED A GAVAGE TUBE) †¢ INCUBATOR used when newborn is relatively stable but still premature or requiring intravenous fluids or other special attention.The incubator keeps the newborn warm with moistened air in a clean environment, and helps to protect the baby from noise, drafts, infection, and excess handling †¢ INTRAVENOUS LINE (IV) †¢ PERIPHERALLY INSERTED CENTRAL CATHETER (PICC) OR A PERCUTANEOUS CENTRAL VENOUS CATHETER (PCVC)  may be inserted in a central (large) vein. This catheter is used to give the fluids, nutrition, and medication. †¢ PHOTOTHERAPY LIGHTS, OR â€Å"BILI LIGHTS,† are used when neonates have jaundice †¢ PULSE OXIMETER  measures the level of oxygen in the baby’s blood.It’s attached to the skin with a sensor taped to the baby’s h and or foot. It works by shining a light through the baby’s hand or foot RADIANT WARMERS used for very unstable or extremely premature newborns †¢ RESPIRATOR OR VENTILATOR   used to help the baby breathe. These machines are attached to an ETT. †¢ TEMPERATURE PROBE †¢ UMBILICAL ARTERIAL CATHETER (UAC) OR UMBILICAL VENOUS CATHETER (UVC)- catheter is placed in the artery or vein at the stump of the umbilical cord. It’s used to give the medications, fluids, and nutrition. It’s also used to draw blood for lab tests. WEIGHING SCALE COMMON NICU TESTS: †¢ help determine the neonate’s problems and how they should be treated †¢ monitor newborn’s progress. If the neonate needs a major test, the doctor will ask the parents or legal guardian to sign a consent form before the test is done. BLOOD TESTS-provide crucial information on the potential and present problems of the neonate †¢ Bilirubin levels, blood sugar, blood chemistry, electrolytes, CBC, blood C/S, blood gas COMPUTED TOMOGRAPHY (CAT OR CT SCAN)-produce a more precise image of tissue than an X-ray or ultrasound examination.ECHOCARDIOGRAM- detects structural problems (heart defects) and problems with how the heart works. HEARING TEST-A tiny earphone will be placed in her ear to deliver sound. Small sensors, which are taped to the baby's head, will relay information to a machine that measures the electrical activity in her brain in response to sound. MAGNETIC RESONANCE IMAGING (MRI)-The MRI gives a more detailed view than a CT scan NEWBORN SCREENING TEST- tests babies for serious hereditary disorders.RETINOPATHY OF PREMATURITY (ROP) EXAMINATION-This test usually is done for newborns born at or before 28 weeks of gestation or weighing less than 1,500 grams (3 1/3 pounds). The test is generally performed about 4 to 6 weeks after birth, or when your newborn reaches 31 to 33 weeks gestational age (weeks since the mother's last menstrual period). ULTRASO UND-routine test to diagnose bleeding in the brain. URINE TESTS- determine how well the kidneys are functioning, and whether neonate has an infection.WEIGHING-routine exam, especially for premature and low birth weight newborns X-RAYS- provide pictures of neonate’s lungs and other internal organs. NURSING CARE PLAN: 1. Hyperthermia NDx:  Hyperthermia related to inflammatory process/ hypermetabolic state as evidenced by an increase in body temperature, warm skin and tachycardia 2. Fluid Volume Deficit NDx:  Fluid volume deficit related to failure of regulatory mechanism |Bucayu, Michael | |Cabulay, Lei-Ann Jessica | |Rodriguez, Kristel Angela | |Talosig, Janica Marie | Nicu Nursing Care Plan A  Neonatal Intensive Care Unit  (NICU) is an  intensive care unit  specializing in the care of ill or  premature  newborn  infants. Neonates who need to go to the unit are often admitted within the first 24 hours after birth. Newborns may be sent to the NICU if: †¢ they're born  prematurely †¢ difficulties occur during their delivery †¢ they show signs of a problem in the first few days of life (sepsis/infection, congenital defects, cardiac / respiratory abnormalities, low birth weight) NICU EQUIPMENT: †¢ BLOOD PRESSURE MONITOR  may be a smaller version of the blood pressure cuff used  on older children and adults.Or  an  ARTERIAL CATHETER  (tiny tube inserted in an artery) may be used to monitor blood pressure. †¢ CARDIORESPIRATORY MONITOR  keeps track of the baby’s heartbeat and breathing †¢ CPAP (continuous positive airway pressure) machine  delivers air or oxygen through tubes in the nostrils. It uses low, contin uous pressure to keep the lungs inflated. †¢ ENDOTRACHEAL TUBE (ETT)   used with a respirator or ventilator to send air directly to the lungs. †¢ FEEDING TUBE (ALSO CALLED A GAVAGE TUBE) †¢ INCUBATOR used when newborn is relatively stable but still premature or requiring intravenous fluids or other special attention.The incubator keeps the newborn warm with moistened air in a clean environment, and helps to protect the baby from noise, drafts, infection, and excess handling †¢ INTRAVENOUS LINE (IV) †¢ PERIPHERALLY INSERTED CENTRAL CATHETER (PICC) OR A PERCUTANEOUS CENTRAL VENOUS CATHETER (PCVC)  may be inserted in a central (large) vein. This catheter is used to give the fluids, nutrition, and medication. †¢ PHOTOTHERAPY LIGHTS, OR â€Å"BILI LIGHTS,† are used when neonates have jaundice †¢ PULSE OXIMETER  measures the level of oxygen in the baby’s blood.It’s attached to the skin with a sensor taped to the baby’s h and or foot. It works by shining a light through the baby’s hand or foot RADIANT WARMERS used for very unstable or extremely premature newborns †¢ RESPIRATOR OR VENTILATOR   used to help the baby breathe. These machines are attached to an ETT. †¢ TEMPERATURE PROBE †¢ UMBILICAL ARTERIAL CATHETER (UAC) OR UMBILICAL VENOUS CATHETER (UVC)- catheter is placed in the artery or vein at the stump of the umbilical cord. It’s used to give the medications, fluids, and nutrition. It’s also used to draw blood for lab tests. WEIGHING SCALE COMMON NICU TESTS: †¢ help determine the neonate’s problems and how they should be treated †¢ monitor newborn’s progress. If the neonate needs a major test, the doctor will ask the parents or legal guardian to sign a consent form before the test is done. BLOOD TESTS-provide crucial information on the potential and present problems of the neonate †¢ Bilirubin levels, blood sugar, blood chemistry, electrolytes, CBC, blood C/S, blood gas COMPUTED TOMOGRAPHY (CAT OR CT SCAN)-produce a more precise image of tissue than an X-ray or ultrasound examination.ECHOCARDIOGRAM- detects structural problems (heart defects) and problems with how the heart works. HEARING TEST-A tiny earphone will be placed in her ear to deliver sound. Small sensors, which are taped to the baby's head, will relay information to a machine that measures the electrical activity in her brain in response to sound. MAGNETIC RESONANCE IMAGING (MRI)-The MRI gives a more detailed view than a CT scan NEWBORN SCREENING TEST- tests babies for serious hereditary disorders.RETINOPATHY OF PREMATURITY (ROP) EXAMINATION-This test usually is done for newborns born at or before 28 weeks of gestation or weighing less than 1,500 grams (3 1/3 pounds). The test is generally performed about 4 to 6 weeks after birth, or when your newborn reaches 31 to 33 weeks gestational age (weeks since the mother's last menstrual period). ULTRASO UND-routine test to diagnose bleeding in the brain. URINE TESTS- determine how well the kidneys are functioning, and whether neonate has an infection.WEIGHING-routine exam, especially for premature and low birth weight newborns X-RAYS- provide pictures of neonate’s lungs and other internal organs. NURSING CARE PLAN: 1. Hyperthermia NDx:  Hyperthermia related to inflammatory process/ hypermetabolic state as evidenced by an increase in body temperature, warm skin and tachycardia 2. Fluid Volume Deficit NDx:  Fluid volume deficit related to failure of regulatory mechanism |Bucayu, Michael | |Cabulay, Lei-Ann Jessica | |Rodriguez, Kristel Angela | |Talosig, Janica Marie |

What Was Christopher Columbus Speak Of The Island Of...

1. What did Christopher Columbus speak of upon his return in 1494 that evoked a mood that has remained strong in American writing ever since? When Christopher Columbus’ returned in 1494 he spoke about the beautiful land he had seen in the Americas, which in turn evoked the sense of wonder American writing has had ever since 2. From 1492 on, why did Native peoples begin to die in large numbers? From 1492 on the Native peoples began to die in large numbers because of disease, enslavement, and the harsh treatment the Natives received from the Europeans. 3. What was the original population of the island of Hispaniola? The original population of the island of Hispaniola was estimated to be between one hundred thousand to eight million people. 4. In what year did Spain begin to introduce African slavery onto the Hispaniola? Why? In 1501 Spain began to introduce African Slavery into Hispaniola because the number of Native peoples were rapidly declining and slave labor was needed. 5. In what ways is it inaccurate to picture Indians as merely victims suffering decline? How did Native peoples make use of the European presence in America? It is inaccurate to picture the Indians as merely victims suffering a decline because the Native Americans didn’t take European presence to their full advantage to further their goals. Native Americans made alliances with Europeans and traded goods to purchase European arms. 6. By 1492, what type of culture was Europe on its way toShow MoreRelatedChristopher Columbus, Mariner, by Samuel Eliot Morison Essay1628 Words   |  7 PagesChristopher Columbus was born in the port city of Genoa, Italy in 1451. His father was a wool weaver named Domenico Columbo. As a boy, Christopher had no schooling. He and his younger brother Bartholomew helped their father by carding raw wool. Christopher grew up to be a tall, red-haired, quiet and deeply religious man. He worked for his father until he was 22. 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