Shanghai Offers An Eclectic Range Of Scenes - 1563 Words

Shanghai offers an eclectic range of scenes including but not limited to those with large influences from western cultures. The Bund has become the most iconic feature of the city that fits this description and ranks at the around the top of the list for must see places for the whole country. Currently, its peculiar architecture entices tourists from all over the world for sightseeing, shopping, and adventure. In less than a century from the mid 1800’s to the mid 1900s, the area along the Huangpu River has changed in a dramatic but gradual fashion logistically, culturally, economically, and architecturally. What was once just a small-port center soon would transform into a global metropolitan attraction. When the harbor finally opened to international trade in 1843 with the signing of the Treaty of Nanjing, there was no special infrastructure for junks and sampans (the boats used at that time). It was only on the eastern gate was there some kind of embankment for ships; otherw ise the riverbank was just used as it was. This all would soon change, as the foreign enclaves would slowly modernize the Bund. However during the first few decades of Shanghai’s international influence it did not seem like the Bund would turn into a famous international icon anytime soon. In the following paragraphs are small but noteworthy glimpses into each foreign enclave over this time period.In the English Settlement the land regulations that were approved by the Chinese authorities prohibitedShow MoreRelatedFormulating Marketing Strategies Marketing Strategies for New Market Entries Strategies for Growth Markets Brands, Consumer Marketing, Distribution, Entrepreneurial Finance, Market Entry, New Product Marketing, Product Development.2918 Words   |  12 Pagesan entry mode for Icebreaker entering China. Generally, there are server ways to enter a foreign market, exporting, International Licensing, International Franchising, Foreign Direct Investment as well as other special modes. The Dunningà Ã‚ ²Ãƒ Ã¢â‚¬Å¡Ãƒ ¢Ã¢â‚¬Å¾Ã‚ ¢s eclectic theory provides a useful insight into the factors that will influence on choosing the entry mode. According to John Dunning, there are three factors affecting companyà Ã‚ ²Ãƒ Ã¢â‚¬Å¡Ãƒ ¢Ã¢â‚¬Å¾Ã‚ ¢s foreign investment, the ownership advantage, location and InternalizationRead MoreMandarin Oriental Hotel4629 Words   |  19 PagesThailand‟s signature fabric is everywhere adding to the sense of luxury. Fresh fruit and flowers refreshed daily. A personal butler is at your service. Full River/ Main Deluxe Room King/Twin 40/428 Wing 465 Located on higher floors, our Deluxe Rooms offer full river views and sumptuous comfort. The elegant dà ©cor features traditional Thai elements such as genuine teak furniture, beautiful silks, and a daily delivery of fresh exotic fruits and flowers. Guests will also enjoy enhanced bathroom amenitiesRead MoreMandarin Oriental Hotel4620 Words   |  19 PagesThailand‟s signature fabric is everywhere adding to the sense of luxury. Fresh fruit and flowers refreshed daily. A personal butler is at your service. Full River/ Main Deluxe Room King/Twin 40/428 Wing 465 Located on higher floors, our Deluxe Rooms offer full river views and sumptuous comfort. The elegant dà ©cor features traditional Thai elements such as genuine teak furniture, beautiful silks, and a daily delivery of fresh exotic fruits and flowers. Guests will also enjoy enhanced bathroom amenitiesRead MoreCountry Note Book of China17054 Words   |  69 Pagestwo-thirds of the land, higher in the West and lower in the East like a three-step ladder. 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Many of the essayscontain simple anecdotes with routine settings that demonstrate the applicants maturity, aware... ness, and potentiaL Use anecdotes from your life to offer an astute glimpse into your personality, sense of humor, values, thoughtful... ness, and all other attributes that will contribute to your success in life and business. Even the most prestigious accomplishment will be deficient if you do not explainRead MoreCase Study148348 Words   |  594 Pagesorganisation that is well known to many participants. †¢ †¢ 12  © Pearson Education Limited 2011 Johnson, Whittington and Scholes, Exploring Strategy, 9th Edition, Instructor’s Manual 4.3 Planning the topics The text lends itself to a range of different treatments and we encourage teachers to use it in a way which suits their own style and the needs of the participants of course. Some approaches might be as follows: †¢ The most straightforward teaching scheme is one that follows the sequence

Essay on Struggle and Growth in Alice Walkers Color Purple

Struggle and Growth in Alice Walkers The Color Purple The Color Purple depicts the struggle and growth of Celie, an uneducated slave of the South who became a victim of racism, sexual roles, men, and social injustices, in numerous letters that she writes as a diary. Walker uses Celies uneducated grammar to help the reader perceive the pain that she thinks and feels in order to become a mature, twentieth-century woman. As Celie writes to God for guidance and strength asking that she may carry on, her letters subtly shift to be intended for her intensely loved sister, Nettie, whom separated from Celie at an early age. Celie becomes a victim of brutal violence as she refuses to fight back to the injustices that black†¦show more content†¦When Celie shifts the addressing of her letters from God to Nettie, the reader apprehends that faith and religion are almost extinguished in Celies life. Shug questions Celies loss of interest in God: What happen to God? He gave you life, good health, and a good women that love you to death. (119). Celie replies with All my life I never care what people thought bout nothing I did, I say. But deep in my heart I care about God. What he going to think. And come to find out he dont think. Just sit up there glorifying in being deff I reckon. (120). She eventually believes that God has failed her and wont serve as a confidant, therefore, reaches out to Nettie. Celies unwavering love for Nettie provides Celie with some optimism to hold onto, for Netties eventual happiness leads Celie to believe that happiness may also be possible for her in the future. Every letter that Celie writes to Nettie illustrates the strictest confidence she delivers to her sister; most feelings remain trapped inside of Celie except those told to either Nettie or Shug. Celie confides in Nettie her fears, her secrets, her joys and her disappointments: I sit here in this big house by myself trying to sew, but what good is sewing gon do? What good is anything? Being alive begin to seem like a awful strain (262). Well you know wherever there a man there trouble (213). I am so happy. O got love, I got work, I got money, friends and time. And youShow MoreRelatedStruggle And Growth In Alice Walkers The Color Purple867 Words   |  4 PagesStruggle and Growth in Alice Walker s The Color Purple The Color Purple by Alice Walker depicts the struggle and growth of Celie, an uneducated slave of the South who became a victim of racism, men, and social injustices, that we learn through numerous letters that she writes as a diary. Walker uses Celie s uneducated grammar to help the reader perceive the pain that she thinks and feels in order to become a mature, twentieth-century woman.   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   As Celie writes to God for guidance andRead MoreCriticism and Reflection of the Color Purple by Alice Walker1151 Words   |  5 PagesCriticism and Reflection of the Color Purple by Alice Walker Criticized as a novel containing graphic violence, sexuality, sexism, and racism, The Color Purple was banned in several schools across the United States. Crude language and explicit detail chronicle the life of Celie, a young black woman subjected to society’s cruelties. Although immoral, the events and issues discussed in Alice Walker’s The Color Purple are prominent in today’s society, and must be public and conversed ratherRead MoreThe Color Purple by Alice Walker1192 Words   |  5 Pagesas a novel containing graphic violence, sexuality, chauvinism, and racism, The Color Purple was banned in numerous schools across the United States. Crude language, brutality, and explicit detail chronicle the life of Celie, a young black woman exposed to southern society’s harshness. While immoral, the events and issues discussed in Alice Walker’s The Color Purple remain pervasive in today’s society. The Color Purple epitomizes the hardships that Afri can Americans faced at the turn of the centuryRead MoreAlice Walkers Themes of Womanism, Community, and Regeneration1968 Words   |  8 Pages7th February 2011 Alice Walkers Themes of Womanism, Community, and Regeneration Alice Walker is considered one of the most influential African American writers of the 20th century, because of her raw portrayal of African American struggles and the injustices towards black women. She was the first African American female novelist to win both the Pulitzer Prize and the National Book Award for The Color Purple. Her work is appealing and powerful because â€Å"Walkers novels can be read as anRead More Alice Walkers The Color Purple: Celies Struggles Expressed in Letters547 Words   |  3 PagesAlice Walkers The Color Purple: Celies Struggles Expressed in Letters Dear God, Gets me out of here. I needs to love and laugh. I needs to be free of this bastard and these white people. At a very young age, Celie begins writing letters to God. In her letters she explains her fears about her stepfather raping her, her mother and sister being beat, and her fears for her sister, Nettie. This epistolary novel (a novel in which the narrative is carried forward by letters) takes placeRead MoreOvercoming Prejudices and Self Acceptance-the Color Purple1401 Words   |  6 PagesAcceptance Throughout Alice Walker’s novel, The Color Purple, the main character, Celie, reveals all of the hardships she has endured during her life. Celie confides in her younger sister, Nettie, and God to express the way she feels in certain situations. As the story progresses, Celie eventually finds her voice and breaks away from all the men who oppressed her during her life. For the duration of the novel, prejudice becomes a reoccurring theme. Not only does Celie struggle with the external prejudicesRead MoreAlice Walker And Zora Neale Hurston875 Words   |  4 PagesAlice Walker and Zora Neale Hurston Both Alice Walker and Zora Neale Hurston are similar to having the same concept about black women to have a voice and being perspective. These two authors are phenomenal women who impacted on the southern hospitality roots. Alice Walker and Zora Neale Hurston comment on fear, avenge, and righteousness among African American women that are abuse of their power. Walker and Hurston uses the same theory of feminism to point out the liberation that isRead MoreExamples Of Womanism In The Color Purple1866 Words   |  8 PagesWritten in 1982 by Alice Walker, The Color Purple is a Pulitzer-Prize winning novel about one Southern black woman’s life of abuse and journey of self-discovery in the search to reunite with her sister. With film and Broadway adaptations, the story has reached raving audiences all over the world and has come with a significant amount of both acclaim and criticism. In this essay, I will establish how Alice Walker subverts stereotypes associated with bla ck female sexuality through the relationshipRead MoreComparative Essay; to Kill a Mockingbird and the Colour Purple3841 Words   |  16 PagesOne Will Take What He Is Given The purpose of Alice Walker’s novel The Color Purple and Harper Lee’s To Kill a Mockingbird is to demonstrate the hardships that are met when ignorance and tradition bring about the influence of sexism, racism and genuine prejudice to the general public. Ignorance is the root cause of prejudice as it prevents one to see beauty, so when it comes to dealing with the discriminating behavior held in this social order, the vast majority of people are judged by the labelRead MoreThe Color Purple, by Alice Walker and Push, by Sapphire Essay3208 Words   |  13 Pagesshocked at how unprotected the heroine, Precious, is towards society. She is an African-American teenage girl who struggles with accepting herself and her past, but the cruel â€Å"unwritten laws† of her time constantly prevent her rise until she becomes the part of a community that will empower her to triumph over her barriers. â€Å"The Color Purple† is a Pulitzer Prize winning novel by Alice Walk er which tells the story of a black woman’s, Celie’s, striving for emancipation. (Whitted, 2004) These novels

Marialyn free essay sample

My First week in bank of Makati makes me so tired but still I am grateful because we got the opportunity to have an on-the-job-training with a prestigious kind of bank. I was assigned near the teller’s area. In my first tasked Ma’am Noreen the branch operations head, assigned me to encode the account name and account number of clients exclusive only for the past two years. I was also assigned to stamp the liquidated receipt paid by the bank as their expenses and etc. I also had a time to socialize with some employee. In the following days, my tasked are still the same. I continued to encode the remaining sets of accounts then I stamp customer information forms. I was also assigned by Ma’am Dianne the marketing sales associate to paste the invitation cards and cut designs for the candle holder which will be used for the opening of the new building that the bank of Makati will be moved. Those invitation cards will be given to their selected clients. I was also assigned to arrange receipts according to its serial number. An hour before the duty end the manager treat us a snack for us to relieve our stress. In the second week of our on the job training, during its first day we already moved to the new and better building of Bank of Makati which is located at Quimpo Boulevard, Ecoland Matina Davao City. We have a little celebration together with the manager, employees, visitors and other officers from the main office. When we went back to our work, one of the employee who is assigned in loan operation department told me together with my co-trainees to count the documents by hundred. As I get back to the department where I truly assign, Ma’am Noreen instructed me to arrange the files sealed in the long enveloped and cleaned it. The next day I encode another set of account name and number of clients. After that I was task to arrange again the files sealed in the enveloped the same routine that I made the other day since the branch operation head told the utility man to transfer the drawer’s placed then I take off the envelop and I arrange it back to its original placed. I was also tasked to stamp letters which will be given to the clients and then I make sorting for the serial number of sealed enveloped, it seems that it is confidential I cannot saw what’s inside of it. I also helped my co-trainee to cut the slips in check accounts that will be used by the teller. In the following days, I was tasked to cut small pieces of labeled papers which has a content of bank’s name and its new address, it will be used as label to those envelop that will be delivered to the clients. After that I paste those pieces of papers that I cut and I inserted the letters inside of it and then I sealed. I also cut another pieces of papers which has the content for requirements purposes and I arrange it to the small box. At afternoon, I was tasked to put check marks in the customer information forms, specimen signature cards, payroll debit authorization amp; etc. so that it would be easy for the clients to know the things that they only needed to fill up. I also arrange bundles of transmittal form according to its places. It was quit tiring and confusing because after separating the transmittal form according to its places, we’re going to arrange it also by dates in descending order. In my third week, during its first day I continued sorting the transmittal forms which I started last week. I was also instructed to cut pieces of labeled papers that will be used by the teller in wrapping cash such as 500 and 1,000 bills, and then I continue doing it after lunch. I was also tasked by one of the employee assigned in loan operation department to look the certificate of registration of selected clients. After that I was assigned by Ma’am Dianne to fold letters for the clients and sealed it to envelop. The next task was looking for those selected names in a two bundles of sheets. I was also instructed by Ma’am Noreen to her by e-mail the things that I encoded last week. For the following days I was tasked to crash out the wrong information regarding the terms and conditions in time deposit/special savings account in the customer information forms, I think that were about hundred of forms. I was also assigned to stamp bundles of envelop and then I also answered telephone calls and I make sketch lines in log book for clients information purposes. In the next day my tasked are still the same as yesterday which is the crashed out thing in the customer information form but the difference was this time I crashed out the already filled up forms by the clients while yesterday it was the unfilled up ones. The next tasked that was assigned to me was to fold letters and sealed it to an enveloped. After that I continued my tasked which is the crashed out thing again and that was my assigned work for the whole afternoon and a whole day in the next day. In the last of my duty for this week, Ma’am Dianne let me joined with their official business travel or what they called OBT. We went to nearby places in Davao City in which our target market was the regular employees, encouraging them to avail the newly created loan system of the bank of Makati. It was quit tiring but enjoy because I get the chance to observe them the actual way on how to market a loan. For this week, my first tasked was to sort and alphabetized the signature cards, that was my assigned work for the whole day. On the second day, I helped my co-trainees in their assigned department to sort and arranged bundles of files. Then the next day I was tasked to check and arranged the documents in customer information form and after that I go back with my co-trainees and helped them to continued their assigned work since the other day. At afternoon, one of the employees in loan operation department asked me to get inside the vault and look for the registration card of those listed names that she gave to me. Since I was absent last Friday I have to comply it in Saturday and in that day I was tasked to stamp, sort and arranged the signature cards, arranged other files, sorting and arranging receipts. In this week my tasked was to arranged files, I inserted those customer information forms inside the enveloped in alphabetical order. I was also told to make corrections for those unwanted information in customer information forms. In Tuesday I was asked to encode receipts and sort it after. I also cut withdrawal slips that will be used by the teller. In Wednesday, I continued to cut withdrawal slips and that was my work for the entire day. In Thursday I was assigned to cut another sets of slips, after that I was tasked to pull-out certificate of registration’s (CR’s). In the last day of the week I helped my co-trainee in their assigned department in segregating documents namely the Dacion en Pago or Deed of Sale. For this week, I was with my co-trainee in their assigned department. We arranged documents and I was also assigned to pull-out certificate of registrations. The next day I together with my co-trainee was instructed to look for the document of a specific customer. In Thursday, after one amp; a half day of looking for the document in almost a hundred of bundled sheets at last we found it. The next thing we did was to insert those sealed envelops to its original placed. In the last day of ojt for this week I was assigned in the vault’s area, I arranged and sort files. I was also assigned in loan operation department; I was tasked there to look for the documents listed in a 3 sheets of bond paper. Mission Statement We value our role in economic development We exist to help more people: I. Answer the following questions on a separate sheet. A. Has the practicum/fieldwork experience helped you prepare for a job in the business field? Why or why not? Yes, the practicum experienced helped me prepare for a job in the business field because it gives me learning about the real scenario of how to work in a bank, in which they taught me those duties and responsibilities that I will be used in preparing for a job someday. With that, I could I could say that those learning’s from where I had my practicum motivates me to be ready in the actual world of workplace. B. Which of the courses you have taken were of the most value during the Practicum? Of all the courses that I have taken the most valuable during the practicum was the Total Quality Management (TQM), which talks about on how to manage things in a proper way because in the work that I have undergo I was assigned in encoding, stamping, filing, arranging documents and from those worked that I have encountered I have learned to see to it that everything must be in the proper way. It should be organized and orderly done. C. What could your company/job supervisor have done to improve your practicum/fieldwork experience? My supervisor helped me to become a good listener, alert, and patience in every tasked that she gave to me. She made me become a good listener in the sense that I should see to it that in every words that she says, I must directly and clearly understand it. To be alert that in every assigned work I should have the enthusiasm or willingness to do and lastly she made me become patience, that whatever loaded work that will be given to me I shouldn’t be get mad or be high tempered. D. What could you have done to improve your practicum/fieldwork experience? The thing that I have done to improve my practicum experienced is to gain willingness in every tasked that will be given, because if there’s a willing power of a person there’s a big possibility to make the worked done properly E. What skills/competencies were you required to use in your fieldwork that: . 1. You felt prepared to do: The skills that I have required to used in my fieldwork that I felt prepared to do, are my skills in encoding, sorting, arranging bundles of documents even the ability to make conversations with clients and faced their concerns. 2. You felt unprepared to do: The skill that I felt unprepared to do was to market loans and making business transactions. Because I think I am not yet ready for that, I need to undergo an experienced for me to be ready. F. What other courses or learning experiences would have helped in the Practicum? The other learning experiences that have helped in the practicum was our subject in Marketing Management which tackled about on how to market products or services, reminds me in the official business travel that I have joined together with the selected employees from the bank where I did my on-the-job-training. From which I saw the actual scene on how to market loans. The other subject that helped me in the practicum was our Management 3 which talks about the ethical behavior, helped me to behave in a descent way and treat one another fairly even if a person is lower than your position G. What suggestions can you make to help improve the Practicum Program? I suggests that if

Hospital Two Times On Different Accounts †Myassignmenthelp.Com

Question: Discuss About The Hospital Two Times On Different Accounts? Answer: Introduction This essay discusses the case of Mr. Smith, a 76-year old Caucasian who was admitted in hospital two times on different accounts. During the first admission, the client had complained of bruises around the naval region, but the physicist dismissed the claims saying that the condition was normal for people on Warfarin (anticoagulant or blood thinner). The doctor assumed that the patient had diverticulitis; a condition that occurs when pouches or the diverticula form on the colon walls). A CT scan was done and showed that the patient had abdominal bleeding thus calling for admission. In the following morning, MR. Smith found more bruises around the abdomen extending to his back and was prescribed Heparin to prevent blood clotting. On a different account; that is a week after the first admission, the client was readmitted back in a local hospital on account that he had heart and lung diseases. These conditions manifest in the first admission of the patient where it was noted that he had a history of Asthma and chronic obstructive pulmonary disease (COPD). Following these conditions, a CT imaging was done and showed fluids surrounding the lungs and heart. The previous history revealed that the patient had aortic valve replacement and lung diseases. On the third day, the patient complained of discomfort in the chest and throat, and Troponin levels indicated that he had a heart attack but no heart damage. Ultimately, he was recommended other medication such as Frusemide and Cephaxelin to eliminate the fluid build up in the lungs and heart. Specifically, this essay will focus on the use of multiple medications for patients with heart and lung diseases and abdominal bleeding. It will also focus on parameters for med ication and tests dosage for different medications, their side effects, precautions and diagnostics. Bruises around the Naval Region Bruises are discolouration or tenderness of the skin due to blood leakage as a result of blood vessel injury (Garfinkel and Mangin, 2010). They are prevalent among the adults since their skin, and blood vessels tend to become thinner with ageing and also due to increased use of medications that affect the blood clotting agents. The use of asthma medications can lead to increased bruising. According to Khan et al., (2012) anticoagulants or blood thinners, particularly Warfarin and heparin can cause severe bruising. Bruising around the abdomen can be an indication of internal bleeding. Although bruising is a minor issue that does not call for a formal medical diagnosis, bruises in some parts of the body would require a number of blood tests or a computed tomography (CT) scan if the region of the bruise is hard (Khan et al., 2012). Eventually, the doctor dismisses Mr. Smiths complain of bruises around the naval region on the account that he is on Warfarin medication. The formal results then showed that the patient had abdominal bleeding. Lawrence et al., (2010) asserts that internal bleeding can cause shock, organ failure or death. In cases where there is uncontrolled bleeding in the abdomen, the body may lose a lot of RBCs thus hindering supply of oxygen in the body. Diagnosis of Abdominal Bleeding Diagnosis can be done by a gastroenterologist, a primary care officer or an emergency room physician (Ng et al., 2013). If the abdominal bleeding is suspected, a doctor can conduct a blood test or CT imaging to confirm the diagnosis. Laboratory tests are commonly used in diagnosing internal bleeding. As Ng et al., (2013) asserts, a blood test is done to confirm infection or blood count, where the test showing a high white blood cell count is an indication of infection. The tests can also reveal the presence of anaemia or inflammation. A CT scan is another commonly used method to diagnose abdominal bleeding. According to the World Gastroenterology Organisation (WGO), the tomography scan offers benefits of evaluating bowel and mesentery with a sensitivity of 67% to 97% and specificity of 76% to 100%. Computed tomography findings show bowel wall thickening, periodic fat stranding, free fluid and an abscess (Robertson et al., 2014). Moreover, an inflamed pouch can show overhead sign where an iodinated contrast represents an overhead configuration at the foot of the inflamed pouch. The primary reason why the scan will show a thick bowel wall is that when inflammation occurs, free air, as well as abscess formation will be present. However, correct diagnosis of the bleeding ranges from 60 to 97% as per the facility evaluated. As of late, a vast number of physicians order a CT scan over Barium enema, which is usually ordered when the diagnosis from the CT scan is not conclusive (Walker and Harris et al., 2017). After perf orming an abdominal CT scan from the patient, the result showed that Mr. Smith had an internal bleeding and needed to be admitted. Earlier on, the doctor had suspected diverticulosis and prescribed three medications; Amoxicillin 500mg, Movical to help with constipation, and Endone 2.5 mg to relieve pain. Medications for internal bleeding Amoxicillin This is an antibiotic used to treat bacterial infections. Doctors prescribe amoxicillin to treat different infections such as urinary tract infection, lungs, stomach and skin infections. It is important to finish a prescribed medication even if a person feels better in the course of taking the drug. Although amoxicillin could interfere with some birth control pills for the women, elderly adults like the case of Mr. Smith needs to take a lower dosage of the drug. Also using the drug can be risky for certain conditions such diarrhoea and asthma. Although it is not mentioned whether the patient is allergic to penicillin, it is vital to note that existing use of asthma medications could control symptoms in asthmatic patients, and over continued use of antibiotics like amoxicillin can lead to more problems with the development of drug-resistance bacteria (Vonbach et al., 2007). Antibiotics like amoxicillin can cause signs such as loose stools and frequent bowel movements. For the case of Mr. Smith, this condition is likely to prevail not only because of diverticulitis but also due to continued use of asthmatic drugs like prednisone. Dosage; A dose of amoxicillin depends on two things; how severe the infection is and the type of disease a patient is having. The drug comes in tablets and capsules form. For the adults, they should take the drug as prescribed by their doctor. A common dose of the drug for adults with mild to moderate infection is 500mg/12hours or 250mg/8 hours until a prescription is completed. For severe infections, a dose of 875mg/12 hours is recommended or 500mg/8hours. Mr. Smith had been recommended an amoxicillin dosage of 500mg for five days Side effects; According to Tolosana et al., (2009), some of the common side effects of amoxicillin include diarrhoea, vomiting and stomach upset. Other side effects are chest pain, difficulty in breathing, unusual bruising /bleeding, severe or bloody diarrhoea, severe rash e.t.c. Mr Smith had a history of COPD, and Asthma which causes breathlessness and bleeding/bruises hence this drug would have adverse effect on his condition. Movicol This is a laxative medication used to treat constipation in adults and the elderly (Yachimski and Friedman, 2008). It is not recommended for persons under the age of 12 years. The drug should not be taken by people with a blockage in the intestine, serious bowel inflammatory diseases and perforated gut wall. When taking the medication, it is recommended to take plenty of fluids. It is also important for the patient to inform a doctor of other medications he might be using since not all drugs work effectively with Movicol. Dosage; The drug can be taken anytime with/without food. The content of the sachet is dissolved in 125 ml of fluid like water. For constipation, the medication is one to three times a day depending on the severity of constipation. A dose of eight sachets of Movicol a day is the recommended dose for treatment of faecal impaction. The sachets (each 13.8g) should be taken within six hours up to three days if necessary. For the case heart condition, do not exceed two sachets in one hour. This is witnessed in the case of Mr. Smith who is having heart attack hence; he should stick to the recommended dose by the doctor. Side effects; Allergic reactions that cause breathlessness and swelling of the throat face and lips are common side effects of Movicol. Other allergic reactions may include mild diarrhoea at the start of the dose, reddening of the skin, soreness of the anus and stomach ache. These conditions get better when the amount of Movicol intake is reduced. Endone According to Skandarajah (2005), endone is a medication used to relieve pain. It is prescribed by a pharmacologist or a doctor for long term or short term and in the case of Mr. Smith, it is used to reduce the abdominal pain. Special care needs to be taken when on Endone prescription because it is known to interact with ojther medications such as Movicol (for bowel disorder), warfarin and Heparin (anticoagulants) and asthma/ COPD medications. The client goes through a vast number of these conditions hence it would be advisable to inform the doctor of current medications Dosage; A pharmacology or doctor will recommend the right dose depending on nature as well as the extent of the pain. The drug is taken orally where each tablet contains 5mg of oxycodone hydrochloride, an ingredient used to relieve pain. The usual dose of Endone is 4 to 6 hours after meals. Robertson et al., (2014) holds that a doctor can adjust the dose depending on the severity and nature of the pain as well as effectiveness of the drug. The drug takes up to 15 minutes to start working and can be effective for up to six hours. To relieve abdominal pain, Mr. Smith is recommended 2.5 mg of Endone every 6 to 24 hours Side effects; Endone has common and uncommon side effects. Some of the common side effects include constipation (for the case of the client), urinary retention, dry mouth and unusual tiredness or weakness. Other uncommon side effects of Endone include breathlessness, restlessness, mood changes and muscle rigidity to mention just a few (Robertson etal., 2014). Although the patient feels weak, breathlessness is common since he suffers from chronic obstructive pulmonary disease Medications for Abdominal Bleeding, Heart and Lung Diseases After a CT scan of the abdomen was conducted, the results showed that Mr. Smith had internal bleeding. A CT of the abdomen is a diagnostic imaging test used to detect diseases of the large intestine, small bowel as well as other internal organs (Vonbach et al., 2007). The following morning the client found that the bruises had extended to the back and the doctor concluded that the INR was 5 despite the fact that he was on warfarin. Warfarin is an anticoagulant that decreases the bodys ability to form clotting factors via blocking the formation of vitamin k-dependent clotting factor (Vonbach et al., 2007). People on warfarin should have a basic international normalised ratio (INR) of 2 to 3. Since the INR for the client was 5 which is very high, the doctor reversed the warfarin with vitamin K injection to clot the blood since the patient was bleeding excessively. Since it is hard to maintain a balance between the bleeding and clotting, heparin was introduced and then Warfarin reintrod uced back on different doses until the INR became stable and the bleeding stopped. Warfarin and Heparin Warfarin is an oral anticoagulant which reduces the formation of blood clots in the arteries or veins while Heparin is an alternative for warfarin only that it is administered intravenously in dilution form (Garfinkel and Mangin, 2010). Since the patient had a history of aortic valve replacement, it can be suggested that aorta had ruptured hence the need for an anticoagulant. Warfarin should be taken by people with the bleeding disorder, blood in the stool, stomach bleeding or infection in the stomach lining (Garfinkel and Mangin, 2010). This is evident in the case where the patients had chest pain. Most importantly, the drug increases the chances of blood clotting; hence it would be advisable not to take the medication for a person who has a bleeding disorder, infections on the lining of the heart, stomach/intestinal bleeding. These are some of the signs Mr. Smith had hence the reason the bleeding cloud not stop. Since Warfin was not effective for the blood clot, the doctor opted fo r heparin and then reintroduced warfarin back in different portions thus balancing the bleeding and formation of blood clot. According to research, warfarin/Heparin can make a person bleed more especially if he/she has bleeding disorders, severe heart disease, history of internal bleeding and for people aged 65 years and over. (Lawrence et al., 2010) This shows that Mr. Smith was vulnerable of the bleeding. Dosage; Warfarin should be taken as prescribed by the doctor. While taking the medication, it is nice to have INR tests taken to measure how long the blood takes to clot. This will help a doctor prescribe the best dose. The initial dose for adults is 2 to 5 mg once a day and then adjusts the dose as per the results of the INR. The doctor should dictate the dosage. On the other hand, heparin is introduced intravenously after dilution. The dosage of heparin needs to be adjusted following the patient INR results (Ng et al., 2013). The dosage is considered adequate when the activated partial thromboplastin time is either 1.5 or 2.0 times normal. Side effects; the most severe side effects of warfarin are bleeding. Signs and symptoms of bleeding include bruising, trouble breathing, blood in the spit and abdominal or stomach pain. According to research, such medication can affect a persons clotting factors hence the risk of continued bleeding. Haemorrhage is a complication that can result from heparin infusion. Hypersensitivity accompanied by fever and chills is another heparin side effect that might manifest over the continued use of heparin (Ng et al., 2013). Clexane 40mg sub cut injections; this is an anticoagulant made to prevent blood clot especially in the legs. It goes hand in hand with warfarin to prevent blood clots. Some of the common side effects of clexane injections include back pain, fast heart beat, bleeding at the injections sites and dizziness to mention just a few. For the dosage, Mr. Smith was receiving clexane sub cut injections twice a week following the discharge from hospital. Another drug that was prescribed to the patient is aspirin. This is a drug used to reduce fever /inflammation and treat pain. At times, it can be used to prevent cardiac arrest, angina and strokes. Some of the side effects of include mild headache, drowsiness and heartburn. The patient was prescribed this medication to prevent such complications. On the second admission in a local hospital, Mr. Smith complained of difficulties in breathing and Felt weak. It should be noted that the client had a previous history of lung diseases (COPD and asthma) and aortic valve replacement. After a CT scan, it was found that fluid was surrounding his lungs and heart and prescribed Frusemide. After the client was admitted to a coronary care unit, no signs of heart damage were found hence more emphasis was put on the lungs. Frusemide was prescribed to treat fluid build up in the lungs and cephalexin for infections. Frusemide or Furosemide is a diuretic drug that can be used to treat different conditions such as hypertension, Edema (build up of fluids in the lungs) and kidney diseases (Lawrence et al., 2013). The drug causes severe effects such as diarrhoea, constipation, vertigo and blurred vision. The dosage of the medication ranges from 10mg to 80mg three times a day. The dosage is dependent on the severity of the disease. From the case stud y, the patient is prescribed 40gm to treat edema. Ultimately, the patient was prescribed cephalexin to help fight bacteria in the body, and after adhering to the prescribed medication, the patients condition started to improve, and on the 13th day after the second admission, the patient was discharged from the hospital. Conclusion Abdominal bleeding is a condition that calls for quick and thorough medication. Although the condition has adverse complications which may call for surgery, it is advisable to adhere to a prescribed dosage for quick treatment. 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