Principles of Paediatric Nursing Practice | Case Study

Principles of Paediatric Nursing Practice | Case Study This essay will reflect on the principles of nursing practice in relation to my practice experience. A case study of a child and family I provided with care is presented in this essay and shall discuss how the care provided to the child and his family reflects the three principles of nursing applied during this episode of care. This shall demonstrate my knowledge of the principles of care based on evidence-based literature. In addition, the professional, legal and ethical frameworks that guide nursing will be explored. Furthermore, I will discuss the implications in relation to my future role as a child nurse highlighting my rationale behind the selected child and family. In this essay, I shall maintain confidentiality by using pseudonyms when referring to individuals and organisations involved in accordance with the Nursing and Midwifery code for professional practice (Nursing and Midwifery Council (NMC 2008). I will be using the name Andrew when referring to the patient. Principles of nursing practice involve eight statements published by the Royal College of Nursing (RCN 2012). These principles apply to all nursing staff and tell what the public can expect from nursing practice, whether they are patients, families, friends or carers of patient (Watterson et al 2012). According to RCN (2012) the principles of nursing practice were developed by patients, nurses and others involved in healthcare to put in place values that can be supported by everyone. This was introduced by the RCN incorporation with the NMC, Patient and Service Organisation and the Department of Health (DOH). They were put in place to show service users and their families what they are to expect from nursing practice regardless of whether the provider is a registered nurse, practitioner, nursing student or health care assistant (RCN 2010). The principles of nursing practice consist of eight principles which provide a dominant framework for achieving good quality nursing care and exce llent nursing’s involvement to improve healthcare outcomes and patient experiences (Manley et al 2011). These also explain how nurses must treat their patients with humanity and dignity, be responsible for care provided, manage risks, keep their knowledge and skills up to date, provide person centred care, communicate with their patients and work collaboratively with other health and social care professionals (Calkin 2010). The chief executive and general secretary of RCN highlighted how unique these principles are and how they bring the public together in one place and the expectations of nurses. He also pointed out how the principles have been designed to help patients, carers, nursing staff, organisations and decision-makers to know exactly what quality nursing care should look like (Carter 2010). The NMC Code of Professional Conduct encourages health care professionals to provide high standard care and all care givers are expected to work within its framework and guidelines (Dolan and Bolt 2008). The code of is a set of rules that all nurses and midwives should follow in order to provide good practice and it also reminds them of their professional responsibilities. The code highlights the behaviour, ethics and performance expected from nurses and midwives in United Kingdom. The main purpose of the code is to safeguard the well-being and safety of the public. According to the NMC Code care givers must respect everyone and treat them with dignity. It also encourages nurses to take special care when vulnerable people are concerned (Herman Miller 2012). The code is also used as a tool to see if a nurse or midwife is fit to practise when their fitness to practise is questioned (Goldsmith 2011).The code is used as a guide for daily practice for nurses and midwives. The NMC also has other standard, guidance and advice alongside the code that are used to support professional development. During my practice placement, I provided care to Andrew, a new born baby who was admitted to the ward I was placed. His mother took methadone while she was pregnant. Andrew was brought to the ward because he was presenting with some withdrawal symptoms such as diarrhoea and vomiting, fever, hyperactive reflexes, seizures and blotchy skin colouring. Doctors suspected neonatal abstinence syndrome (NAS) on Andrew. This occurs in newly born babies whose mothers abuse illegal or prescription drugs while pregnant. When the mother takes the drugs, the drugs will get passed through the placenta to the baby, this causes the unborn baby to be addicted to the drugs along with the mother. The baby will still be dependent on drugs whilst in the mother’s womb. After birth the baby will show some withdrawal symptoms because they will no longer be exposed to drugs (Vucinovic et al 2008). Andrew had severe symptoms which means he needed to be constantly monitored. Substance-using pregnant wome n represent a high-risk population; their substance-use has an impact on their own health and wellbeing as well as that of the developing foetus (Oikonen 2012). Babies born to a substance-using pregnant mother have high chances of developing withdrawal conditions in the immediate post-partum period; this is known as neonatal abstinence syndrome (NAS) Part of my role as a nursing student in that unit was to observe the principles of nursing practice to ensure patients and their families are fully informed and provided with help that they needed to make decisions about their children’s care. Andrew’s mother was still using methadone and was known to be very reluctant and disengaged with healthcare resources and needed to be prompted about Andrew’s needs during her presents on the ward. Sometimes she would leave the baby unattended without informing the nursing staff of her whereabouts. There were also some situations whereby Andrew’s mother was kept away from Andrew especially when she is under the influence of drugs. It was our duty to ensure safety is maintained at all times. I am going to be looking at how principles D, E and G were reflected on the care provided to Andrew and his family. Principle D states that nursing staff should provide and promote individualised care that enables patient centred approach. The patient centred approach is about looking at an individual’s personal preferences and concerns. This should include patients, families, service users and their carers and involve them in decisions and help them make informed choices about their treatment and care (National Institute for Health and Care Excellence (NICE 2012). In Andrew’s case family centred care was also provided. Family centred care aims to work with a child’s parents or guardians in order to effectively meet the child’s needs (Bowden el al 2011). According to HM Government (2004) on Every Child Matters, children will have the best outcomes through agencies working in partnership with families. The Children Act (2004) emphasises the need for all chi ldren’s services authorities in England to be aware of the importance of parents and other person’s, caring for children when trying to improve a child’s well-being. The benefit of partnership working needs to be communicated clearly to families and reinforced with positive practitioner’s attitudes, approaches and plans. Andrew’s mother was not always there for him, but the nursing staff made sure that she was regularly updated about Andrew’s condition and the treatment available for him. She was also reassured that there was a good family team which was ready to assist her whenever she needed help. Information concerning her own condition was also provided to her to enable her to get help and support that is tailored made for her. We were able to understand Andrew’s mother as an individual and show compassion and commitment in the provision of care as stated by the Chief Executive General Secretary of the RCN (RCN 2012). A care plan which looked at Andrews care needs was produced by the nurses. This helped all the nurses who cared for Andrew see what his individual needs were. This care plan promoted person centred care because it just looked at Andrew’s condition and what his needs were. NHS Commissioning Board encouraged all staff, nurses and midwives to embrace the values of nursing care and comply with the 6Cs. The 6 Cs where brought about by a strategy called Compassion in Practice introduced by the NHS Commissioning Board and DOH. These include caring, compassion, commitment, courage, competence and communication (Ford 2012). According to Chief Nursing Officer for England, the values are there to make sure nursing staff provide their patients with the best care with compassion and clinical skill (Cummings 2012). As a future child nurse, my first priority was Andrew. According to the safeguarding children, a person working in a sector where there is contact with children and/or their families has a duty to safeguard and promote the welfare of children. I and all the other nursing staff worked closely with each other and all multidisciplinary teams (MDT) involved in Andrew’s care to ensure care and treatment was delivered in high standards, communication was also maintained to allow continuous care across teams. This is stated in Principle G of the principles of nursing practice and in addition to this, the NMC (2008) expect nurses to refer patients to another practitioners when it is in the best interest of someone in their care. Andrew was referred to other professionals such as dietician to meet his nutritional needs, social worker to safeguard him and have access to other agencies that provide services to vulnerable children and physiotherapist. The physiotherapist was there because Andrew had Metatarsus Adductus which is a deformity of the feet. He was demonstrating and educating the mother about exercises she could give Andrew in order to help his feet. He also advised her to keep mobilising Andrew so that he can have the ability to move his limbs. Principle E states that all nurses should be at the centre of all communication. They should assess documents and report on treatment and care. They should sensitively and confidentially handle information, be able to effectively deal with complaints and should always report situations they are concerned about (RCN 2008). Effective communication was very much maintained when Andrew’s care was concerned and throughout the MDT. Andrew’s mother would always be updated when there was any change in Andrew’s health or care. She was informed about Andrew’s treatment and all other information such as referrals to other professionals regarding Andrew’s condition. During these episodes, there were some people visiting and some calling the ward claiming to be Andrew’s close relatives, they also requested some information about Andrew’s condition, but we could not provide them with any medical information because all the nursing staff were aware o f confidential issues. An element of education was also given to his mother because it seemed like she did not know a lot about Andrew’s condition. The nursing staff on the ward also maintained a record of Andrew’s mother’s movements and behaviour for Andrew’s safety. During my stay in this placement area, I had the opportunity to witness a MDT meeting. They held a case conference regarding Andrew’s welfare. The meeting was held because Andrew’s mother wanted to be transferred to a hospital closer to Andrew’s father in order to get some support. This meeting involved other professionals and agencies such as nurses, social workers, doctors, police, health visitors and the safeguarding children’s team. The agenda of the meeting was to decide on whether to transfer Andrew and his mother to fulfil her wish and also to share information concerning safeguarding and protecting the welfare of Andrew. Every child matters (2009) expresses how effective information sharing by professionals is essential to protecting and promoting the welfare of children. In this meeting I observed all participants contributing information regarding Andrew’s care. According to the United Nations Children’s Fund (UNICEF 2013), every ch ild in the UK has the right to be healthy. UNICEF works with families, communities and the government to protect the rights of children. It works with the government to ensure that laws and policies work in the best interest of children (UNICEF 2013). In this process Principle G was being applied, which states that all nurses and nursing staff should work collaboratively within their team and hand in hand with other professionals. They should make sure care and treatment provided for patients is co-ordinated and of high standard with the best possible outcome (RCN 2008). Principle G encourages collaborative practice, which is when different health care professionals work alongside each other in order to deliver the best quality of care. It lets health care professionals connect with other professionals who may have the skill achieve goals other professional cannot (World Health Organisation 2010). My rationale for choosing Andrew and his family as the subject of this essay was for me to reflect on his case. It was a very interesting experience which gave me an opportunity to carry out a research on matters of safeguarding children. I have acquired some knowledge and understanding about NAS and the issues around the care of children and the application of the principles of nursing practice. In this episode of care, I have learnt a lesson in situations that staff nurses need to be aware of when planning to deliver and develop patient care. I have also learnt that patient centred care is essential when carrying out my duties in my future role as a child nurse (Dougherty and Lister 2011). As a student nurse I am now aware of the importance of applying principles of nursing practice that help guide nursing staff to deliver good care. I also learnt to be understanding and non judgemental when it comes to patients and their families. Spouse et al (2008) highlighted the requirement of commitment to be an effective tool for nurses, in order to develop effective relationships with patients and their families and also being concerned about their well-being and best interests. She also expressed the importance of nurses’ availability and open to patients and avoiding distancing themselves from patients. This essay has explored three principles of nursing practice in relation to my practice placement experience. A case study of a patient and family provided with care has been discussed and professional, legal and ethical frameworks that underpin nursing practice have been provided. However, nurses should ensure that the principles of nursing practice are always observed in order to allow the delivery quality care. References Bowden V and Greenberg C (2011) Paediatric Nursing Procedures: Principles of Family-centred care Every Child Matters (2009) Change for children available at https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/257876/change-for-children.pdf (accessed on 26 March 2014) Ford S (2012) All NHS staff told to embrace nursing 6Cs (online) at http://www.nursingtimes.net/nursing-practice/clinical-zones/management/all-nhs-staff-told-to-embrace-nursings-6cs (accessed on 20 March 2014) HM Government (2004) Every Child Matters: Change for Children available at http://m.nottinghamcity.gov.uk/CHttpHandler.ashx?id=13383p=0 (accessed on 26 March 2014) Dougherty L and Lister S (2011) The Royal Marsden Hospital Manual of Clinical nursing Procedures 8th edition Wiley-Blackwell Manley K, Watts C, Cunningham G and Davies J (2011) Principles of Nursing Practice: development and implementation Nursing Standard 25 (27): 35-37 Nursing and Midwifery Council (2008) Code of Conduct of Professional Conduct: standards for conduct, performance and ethics NMC Oikonen JM, Montelpare WJ, Bertoldo L, Southon S and Persichino N (2012) The impact of clinical practice guideline on infants with neonatal abstinence syndrome British Journal of Midwifery 20 (7): 493-501 Royal College of Nursing (2012) The Principles Of Nursing Practice (online) at http://www.rcn.org.uk/development/practice/principles (accessed on 20 March 2014) Spouse J Cook M and Cox C (2008) Common Foundation Studies in Nursing 4thedition Churchill Livingstone Vucinovic M, Roje D and Vucinovic Z (2008) Maternal and neonatal effects of substance abuse during pregnancy: our ten year experience. Yonsei Medical Journal 49(5): 705-713. http://www.nice.org.uk/newsroom/pressreleases/PatientExperienceQSAndGuidance.jsp UNICEF (2013) Working for Children worldwide (online) at http://www.unicef.org.uk/ (accessed on 26 March 2014 Nursing Commissioning Board (2012) Compassion in Practice Nursing, Midwifery and Care Staff Our Vision and Strategy, Available at http://www.england.nhs.uk/wp-content/uploads/2012/12/compassion-in-practice.pdf (Accessed 13 March 2014) http://www.ncbi.nlm.nih.gov/pubmed/24435188 http://www.nlm.nih.gov/medlineplus/ency/articlej/007313.htm http://www.ncbi.nlm.nih.gov/pubmed/24435188 http://www.nmc-uk.org/Documents/Guidance/NMC-Guidance-on-professional-conduct-for-nursing-and-midwifery-students.PDF http://www.nursingtimes.net/nursing-practice/clinical-zones/management/new-set-of-principles-for-nursing-care-launched/5022099.article http://www.rcn.org.uk/__data/assets/pdf_file/0007/349549/003875.pdf http://www.rcn.org.uk/development/practice/principles#content http://m.nottinghamcity.gov.uk/CHttpHandler.ashx?id=13383p=0 HMGovernment(2004)Every Child Matters: Change for children.London: Department for Education and Skills, Available at http://www.infed.org/archives/gov_uk/every_child_matters.htm Page 1 of 9

Business Accounting (Gbb/Gcb 1013)

Business Accounting (Gbb/Gcb 1013) Semester January 2013 Title:   Lecturer: Hezlina Bt M Hashim Group Members: No. | Name| Student Id| 1| | | 2| | | 3| | | 4| | | 5| | | Date Received: Introduction: Charitable organizations are NGOs whose purpose of existence is to benefit the public. The mission of a charitable non-profit expresses the particular way in which the organization will fulfil its public benefit purpose.The board members of a non-profit organization entrusted with the supervision of the board members who have a legal obligation to ensure that the non-profit organization uses the funds to fulfil its mission. QUESTION: Better Days Ahead, a charitable organization, has a standing agreement with First National Bank. The agreement allows Better Days Ahead to overdraw its cash balance at the bank when donations are running low. In the past, Better Days Ahead managed funds wisely, and rarely used this privilege.Jacob Henson has recently become the president of Better Days. To expand operations, Henson acquired office equipment and spent large amounts on fundraising. During Henson’s presidency, Better Days Ahead has maintained a negative bank balance of approximately $10,000. 1. – What is the ethical issue in the situation? The issue in this situation is the investment policy. Managers of non-profit organizations must ensure that investments are consistent with the values nd principles set to achieve the stated objectives to guide activities, and ethical behaviour of its employees, volunteers and board members. The lack of an ethical base as a result of the lack of creation and monitoring of ethical standards has the potential to lead to a lack of success in the organization. However the fulfilment of the ethical standards of the institution by the leader and employees, since success is reflected in the work to be carried out, ensuring the objectives and goals to reach.Better Days Ahead, as a charitable organization, it is not normal to maintain a negative bank account as it has no benefits arise from its operations, but since the president of the organization is carrying out his work according to the duties of his job and the agreements with the bank, then it is acting properly and not against any ethics or agreements. 2. State why you approve or disapprove of Henson’s management of Better Days Ahead’s funds. I would approve of his management of the fund as he is taking out a loan in order to improve the fundraising ability of his charitable organization.Since any charity relies on fundraising in order to increase their operating funds and potential, the usage of a loan during a â€Å"slow time† in order to increase this fundraising potential of the organization seems to outweigh the impact that the negative bank balance might show due to the loan. Certain company have to do this in order to maintain current condition. What has been done by Better Days Ahead is good to their company and will benefit them more. CONCLUSION As the conclusion, we can see from above statement, there are still many ways to improve the productivity of the company although the company is doing charitable work.As a mana ger or even worker, they have to implement the way of ethics in doing business of work. Some of the company already implement company policy to smoothing the way of work. To disregard company policy is unethical because it has the potential to harm the company and other employees. To me, unethical behaviours can damage a company's credibility, causing the business to lose customers and ultimately shut down. However, business owners and their management teams can work with employees to prevent unethical behaviours. In this case, the situation that they are acing is still ethical as they have to maintain their current status as charitable company. INTRODUCTION There are many different forms of business organizations. They are sole proprietorship, partnership, and corporation. A sole proprietorship consists of one individual doing business. Sole proprietorship are the most numerous form of business organization in Malaysia, however they account for little in the way of aggregate busine ss receipts. There are no forms you need to fill out to start this type of business. This is the easiest form of business to set up, and the easiest to dissolve.The purpose of most organization or business is mainly to earn profit. It is usually called as profit oriented business. So, it is actually a profit business or other organization whose primary goal is making money, as opposed to a non-profit organization which focuses a goal such as helping the community and is concerned with money only as much as necessary to keep the organization operating. This includes anything from retail stores to restaurants to insurance companies to real estate companies. Question: You are opening Quail Creek Pet Kennel.Your purpose is to earn profit and you organize as proprietorship. 1. Make a detailed of 5 factors you must consider to establish the business. There are many factors that must be considered in order to start a business. Five of them are listed below: Types of business and a proper p lan The first thing to be always decided upon is the type of business we want to do. Before selecting on any type, we should always do a thorough background check on the idea, such as the current trends. For example, people in Malaysia like to take cats and kittens as their own pet. It has even become a trend.After that is done, a proper road-map should be planned for the road ahead detailing the various costs involved, growth plans, and operating ratio. A thought out plan should also enable us to get a start-up loan from the bank quickly if we want to get capital from bank. Capital The next factor that we need to consider is the money or capital. Usually, small businesses starts with small amount of capital which means only small amount of profit will be earned. While arranging the capital, we should always keep a little margin for the initial running cost and the loan repayment interest.The latter can be avoided, if you can arrange the capital from the family or friends. We can al so obtain capital by taking a loan from banks. But, as our business has unlimited liability it is too risky if the business failed. Pet kennel or care taking business doesn’t usually need much capital. Marketing Another of the many factors to consider when starting the business is the market you enter and how to reach out and inform people about our business. We also need to segment the market in order to satisfy everyone. For example, Malays usually keep cats as their pet and Chinese or Indians usually take care of dogs.We can give pamphlets and distribute it from house to house. The pamphlets should contain the details and information. This doesn’t cost much as it’s just photocopy. Besides that, we should be very friendly while interacting with customers to maintain our pubic relation. If we have workers, they should be trained to be persuasive and friendly or maybe talkative. Equipment needed In order to start this kind of business, we need to determine what equipment we need. Firstly, we may need cat cages, dog kennels, cat and dog food, and other things.We also need to decide from where we can get these things and decide which supplier to get these things. The prices of these equipments also need to be considered. Cheap price usually means low quality products and expensive products usually are more quality. Location The next important factor that we need to consider is the location of the business. It is appropriate for us to locate our business near neighborhoods where many people live. We can buy or rent a shop lot or even an empty house and it must be located where people can see and know about it.We shouldn’t choose a place far away from people’s houses. But renting a house can annoy or disturb the next door neighbors with the smell of animals and their noises. This is unethical and can ruin our reputation as a business. So it is better if we rent a shop lot in areas where as we can’t afford to buy it. 2. Ide ntify 5 or more transactions that your business will undertake to open and operate the Kennel. a) Debit cash credit capital. * This is important to open the business where the owner puts the capital in the business.This can be said as the initial capital to open and help the owner to operate the business. b) Debit purchases cash credit. * The owner uses some cash to buy equipments from the suppliers as the stocks for his pet kennel business. c) Debit accounts receivables credit service revenue. * The customer now is paying on credit for the service. d) Debit maintenance expense credit cash * The owner spends some cash to repair the broken dog kennel. e) Credit accounts receivables debit cash * The customer on credit pays the remaining balances owed. f) Debit medication expense credit cash While taking care of the dogs, one of them was injured and need to be treated in the animal clinic. 3. income statement The Quail Pet Kenner income statement, statement of owner’s equity, an d balance sheet at the end of the first month of operation. Quail Creek Pet Kennel Income Statement For the Month Ended January 31,2013 Revenue : Service3000 Expenses: Maintenance200 Medication430 Rent1700 Advertising 560 2890 Net Income 110 Quail Creek Pet Kennel Statement of Owner’s Equity For the Month Ended January 31,2013 Quail Creek Pet Kennel, capital, January 1,2013 30000Add : Investment by owner 0 Net Income 110 Subtotal30110 Less: Withdrawal by owner 750 Quail Creek Pet Kennel, capital, January 31,201329360 Quail Creek Pet Kennel Balance Sheet January 31,2013 AssetsLiabilities Cash21360Account Payable 9800 Furniture 9800Owner Equity Equipment 8000Capital 29360 Total Assets39160Total Liabilities and Equity 39160 Evaluation of Business Since the business has just started up on its first month of operations, the figures of our accounts have shown good progress and shows that the business might be a success is the coming years.However, we have to determine whether or no t to continue the business with a few calculations that could be done for the business. First of all, we use the current ratio of the business where the we divide the Current Asset of the business with the current liabilities. This is to measure the business’s current ability to pay off all the liabilities of the business where the higher the ratio, the higher the probability of the business to have enough sufficiency to maintain its business operations. The calculations are as follows: Current Assets = 21360Current Liabilities 9800 = 2. 1786 Since the Current ratio is above 1, the business could have a higher possibility of continuing running with lower risk of failing in the business line. This shows that the business can continue to run and succeed in the future as the business holds a small amount of risk. Another way of determining whether or not the business the business is by the Acid-Test ratio which determines the ability of the business to pay all current liabilitie s if they came due immediately. The calculation is as follows:Cash + Short term investment + Net current receivables = 21360 Current liabilities 9800 = 2. 1786 Again, the Acid-test ratio indicates that the ratio of the business is above 1. This shows that the business does have the ability to pay all current liabilities if they came due immediately. This also shows that the business can run very smoothly and efficiently in the coming months and years to come and could be a good business to continue on investing and serving.The final way to determine whether or not the business should continue its operations after evaluating its first month of operation is by using the Debt Ratio. This calculation is done to determine the financial risk of the business. The calculation of the Debt Ratio is as follows: Total liabilities = 9800 Total Assets 21360 = 0. 459 Since the Debt Ratio is below 1, the business shows a good ratio and record that if the business continues its operations, it has a low financial risk and can be a very good business to invest into.In conclusion, after analyzing all of the probabilities, and calculating all of the results of the business’s first month operations, we can conclude that the business of the Quail Creek Pet Kennel should be continued and can be a success in the future as all the facts shows a positive outcome for the business. Conclusion From the first question, we can conclude that there are still many ways to improve the companies productivity even though the company is doing charitable work. As either a manager or an employee, the way of ethics have o be implemented in doing business of any sorts. A few of other companies or businesses have started to implement company policies of work ethics in order to improve the quality and efficiency as well as effectiveness of the work. To disregard company policy is unethical because it has the potential to harm the company and other employees of the company. An unethical behavior of an employee can ruin a company’s reputation as well as credibility in the eyes of the stakeholders as well as potential investors, which could cause the company to stop operations.The business owners as well as their management teams can find a way to prevent their employees from making unethical decisions or behaviors in the company. From the final question, we can conclude that Quail Creek Pet Kennel has a higher possibility of continuing its operations. This is based on a thorough calculation of assets and liabilities of the business which has only been operating for 1 month and the results of the calculations done have shown positive outcomes for the business.This has made us conclude that the business has a very good potential of expanding in the future, and has a probability of opening more branches nationwide and can project a very high success rate if the business continues its operations for the years to come. In conclusion, ethics for a business is not something th at has to be put aside in any kind of business that we are operating. This also implies to charity work. Finally, a a charity-based business is not an excuse to not succeed in the business world as any kind of business can prove to be a success if we run it efficiently and effectively.

MLE Assignment Essay

1. Ethically, is brain death not as final as cardiac death? Why or why not? Brain death is final. There is no coming back from it, ever. Neurons die, and the brain ceases to function. Permanently. With cardiac death, we can sometimes use medication or electricity to resume heart function. A systole (no electrical activity in the heart) can sometimes be reversed if the underlying cause of the problem can be treated (such as severe electrolyte abnormalities, or severe hypothermia). 2. How does the Prudent Person Rule apply in this case? The prudent rule or â€Å"reasonable man† law dictates that a person act in a manner that is consistent with the skills, logic, resources, and knowledge that an average lay-person may have. In medicine, it would apply to a patient in that they are required to take all steps that are reasonable and prudent to affect a positive outcome in their treatment. In other words, you would be expected to follow doctor’s orders, do all routine follow up and home therapy, use reasonable judgments and so on. So the answer here is, yes – this does apply to the case because this young girl came into the hospital for a simple surgery removing her tonsils, adenoids, and extra sinus tissues. And was shortly determined brain dead after beginning to bleed profusely, and went through cardiac arrest, meaning the serious dysfunction of an organ. 3. In your opinion, could this tragedy have been prevented? If so, how? In this case I really don’t know the specifics of this particular case, because there are so many missing pieces between the pre-op and post-op that I’m unsure of how this actually happened to determine if this tragedy could have been prevented. In some cases the parents have to be completely informed as to the ramifications of a situation before making a final decision.

Molecular Formulas for Common Chemicals