Wednesday, February 26, 2020

Deep Vein Thrombosis Essay Example | Topics and Well Written Essays - 2500 words

Deep Vein Thrombosis - Essay Example This condition was chosen because it was interesting that there are so many different ways that DVT can develop. DVT is defined as a blood clot that appears in the thigh or lower leg. (National Health Lung and Blood Institute, 2009). The blood clot goes deep into the body and it is a result of blood thickening and then clumping together. When a blood clot goes deep into a vein, it can break off and move through the individual’s blood stream. Many people have heard about embolisms and this is what the loose clot is called. The blood clot can block blood flow to the lungs and heart at any time When it blocks off blood flow to the lungs, it is called a pulmonary embolism (PE) (National Health Lung and Blood Institute, 2009). PE can become so severe that it can cause damage to other organs and eventually will cause death. There are many situations in which DVT can begin. In some situations, a blood clot can happen after surgery. When an individual leads a very sedentary lifestyle without a lot of movement, the blood flow can become sluggish, which can allow the blood to clot in the veins. Some causes happen because of an inherited condition, hormone therapy, or taking birth control pills (National Health Lung and Blood Institute, 2009). Most doctors and researchers say that there are only a few risk factors that they have been able to find in this situation. Some of the risk factors include injury to a deep vein after surgery, obesity, and having heart problems. Also, when people get older, they have a tendency to be more sedentary and DVT has been shown to happen in people over 60. The signs and symptoms of DVT are very subtle and most people will not know that they are ill. The other challenge is that only about 50% of people have symptoms before something larger begins to happen. Some of the signs and symptoms are: 1. Legs swelling or swelling of a vein in the leg. 2. Pain or tenderness in the leg, especially when standing or walking. 3. The leg feels warmer in one area than in the rest of the leg. 4. A read or discolored area in the skin appears. 5. PE—which can begin with â€Å"coughing up blood, an unexplained shortness of breath, pain when deep breathing or rapid breathing with a fast heart rate†.

Sunday, February 9, 2020

Edgewires Automated Phone System Case Study Example | Topics and Well Written Essays - 2500 words

Edgewires Automated Phone System - Case Study Example They serve a niche market of vacationers who desire adventure in their holidays. Thus, call centre operators became immersed in and learned how to provide adventure seekers satisfying holiday experiences. Not only are such holidays off the beaten path but they typically require special equipment. Edgewire's operators coordinate with suppliers to fulfil all their customers' needs. Satisfaction of thrill-seeking customers is obviously healthy or else Edgewire couldn't have grown into a robust business if its operators delivered inferior adventures. Today's situation is that goals #1 and #2 have evolved into apparent conflict. In the interest of long-term stability, Edgewire's management firmly believe they must install an automated phone answering system. Doing so means replacing call centre operators. Management has calculated the savings by cutting back on labour costs. However, this goal of presumed long-term stability comes at the cost of jobs; yet providing jobs was a goal of the EU regeneration grant. Quite naturally the call centre operators are distressed and disagree. This Social Impact Statement (SIS) examines the issue in-depth. The goal is to find options that perhaps can be smartly used to satisfy all parties that are affected by Edgewire's conversion to an automated phone answering system. ... This SIS comes somewhat late. Edgewire management's decision is almost fait accompli. They are reluctant to discuss the inherent conflict-of-interest or negotiate the core issues. They stalled before acquiescing to the independent evaluation requested by the call centre operators' Trade Union. 1.1 The New System and Its High-Level Benefit - Reduce Costs 2,310,000 Yearly In addition to cost savings, two features of the proposed automated phone answering system are quite attractive. It will be a "decision support system" (DSS) as well as a "knowledge based system" (KBS). DSS tells call centre personnel specific decision information each customer already made about an adventure holiday and left on the automated phone system. KBS is a standardisation of holiday packages for customers who don't need special customising. Management believes these new ways to do business streamline operations and save labour costs, thus better ensuring Edgewire's long-term financial wellbeing and economic stability. Here are supporting data. Staffing Current Staff Current Cost Proposed - New Staffing Level Cost with New System Savings Call Centre operators 200 4 million 50 1.25 million 2.75 million System Update Officers -0- -0- 20 0.5 million -0.5million Line Managers 10 300,000 10 300,000 -0- Drop-in centre 3 60,000 -0- -0- 60,000 Totals 213 4,360,000 80 2,050,000 2,310,000 1.2 Stakeholders Stakeholders have not been apprised or consulted. Until now only Edgewire's management (primary stakeholder) has had input on decision making about the automated phone answering system. Nobody knows with certainty how Edgewire's customer base (another primary) will react. Management lacks 100% unity. Dissention exists. Anxieties are growing