The Metamorphosis By Franz Kafka - 876 Words

Franz Kafka’s †The Metamorphosis† is acknowledged as a literary masterpiece to be read by any literary aficionado. â€Å"The Metamorphosis† has been referenced in many industries far exceeding the English scholarly genre and has crept its way into such studies as the medical and psychology field. Recounted in Psychology journal articles, a portrayal of the agony and sense of loss of self is portrayed so consistently throughout the novel and these feelings are often associated with a number of psychological illnesses. For this reason, â€Å"The Metamorphosis† can be found in psychology articles. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1910630/ The psychology articles take a detailed look at the psychological torment experienced by Gregor and present the literature such that you could almost imagine that Gregor Samsa is a psychiatric case study rather than a fictional character. However, opinions among scholars and literary enthusiasts have contempl ated what it was Kafka was trying to convey when he wrote this piece. Indeed, Kafka suffered from mental issues and the point is often brought to light that Kafka could have been projecting his internal feelings and experiences about growing up onto Gregor Samsa. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2639911/ Franz Kafka also held a strained relationship with his family, particularly his father, and died at a young age from tuberculosis. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2639911/ â€Å"The Metamorphosis† can, and has, beenShow MoreRelatedThe Metamorphosis by Franz Kafka1052 Words   |  4 PagesFranz Kafka wrote one of his most popular books, The Metamorphosis, during the literary period and movement of existentialism. His novella stresses many existential ideals. The most predominant ideal that is seen through Gregor Samsa and his father in The Metamorphosis is that choice is the opportune of the individual. One’s ultimate goal in life is to successfu lly find a balance between work and leisure. It is through the juxtaposition of Gregor Samsa and his father, the conceding tone of the authorRead MoreThe Metamorphosis By Franz Kafka867 Words   |  4 Pagesincluding rapid growth spurts. Metamorphosis is a biological process by which an animal physically develop after birth or hatching. Involving a conspicuous and relatively abrupt changes in the animal’s body structure through cell growth and differentiation. The author Franz Kafka, who relatively wrote little in his short life and who published less has been enormously influential on later writers. He is considered an export of German expressionism. The metamorphosis is Kafka’s longest story and oneRead MoreThe Metamorphosis By Franz Kafka Essay1496 Words   |  6 Pagesâ€Å"The metamorphosis,† is a story by Franz Kafka, published in 1915 is a story divided in three chapters: transformation, acceptance, and the death of the protagonist. There are many inte rpretations that can form this tale as the indifference by the society that is concerned with different individuals, and isolation pushing some cases to the solitude. Some consider The Metamorphosis as an autobiography of the author, which tries to capture the loneliness and isolation that he felt at some pointRead MoreThe Metamorphosis By Franz Kafka1246 Words   |  5 PagesIt can be hard to understand the meaning of the novella â€Å"The Metamorphosis,† written by Franz Kafka, without thinking of the background. Due to the fact that, â€Å"using† and knowing â€Å"[the] background knowledge† of a story is important to read a â€Å"text† (Freebody and Luke). In the novella â€Å"The metamorphosis†, â€Å"Kafka’s personal history† has been â€Å"artfully [expressed]† (Classon 82). The novella was written in 1916, before the World War 1 in German {Research}. When the novella was written, in the EuropeRead MoreThe Metamorphosis By Franz Kafka1380 Words   |  6 Pagesâ€Å"I cannot make anyone understand what is happening inside me. I cannot even explain it to myself†: A Psychoanalysis reading of â€Å"The Metamorphosis† by Kafka The Metamorphosis is known to be one of Franz Kafka’s best works of literature. It demonstrates the interconnection between his personal life and the protagonist, Gregor Samsa, of â€Å"The Metamorphosis.† Franz Kafka was born in 1883 and grew up in a financially stable Jewish family in Prague. He was the only son left after the death of his youngerRead MoreThe Metamorphosis by Franz Kafka656 Words   |  3 PagesMuch of Franz Kafkas story â€Å"The Metamorphosis† spends its time talking about Gregor as he struggles to live his new life as a bug. Gregor tries to find a analytical reason as to why he has taken upon this form but later on finds on that he has to accept the truth. From being an ordinary travel salesman and provider for his family to a abomination, Gregor becomes hopeless as he cant work or provide for his family. His new life as an insect causes a hardship as he is faced with isolation from hisRead MoreThe Metamorphosis By Franz Kafka783 Words    |  4 Pages In the story â€Å"The Metamorphosis†, written by Franz Kafka, Gregor’s family represents the causing factor that prompts Gregor to become a cockroach. Gregor’s family is a symbol of a repressive structure that inhibits Gregor’s every thought and action. When Gregor gets up in the morning to get ready for work and finds that he has been transformed into a cockroach, he ponders about how maybe he should just go in to work late and get fired, but then realizes that he cannot because â€Å"if [he] were not holdingRead MoreThe Metamorphosis By Franz Kafka947 Words   |  4 PagesThe Metamorphosis is a novella written by German author Franz Kafka which was first published in 1915. The novella tells the story of Gregor Samsa, a traveling salesman who one day awoke to discover he had transformed into an insect like monstrosity. Throughout the story, Gregor struggles with the horrible prospect of coming to terms with his situation, as well as copin g with the effects of his transformation, such as the fact that his family is repelled by his new form, and that he is no longerRead MoreThe Metamorphosis by Franz Kafka1021 Words   |  4 PagesFranz Kafka’s, The Metamorphosis, is a novella about Gregor Samsa, a man who devotes everything to fulfilling the needs of his family. Kafka’s existentialist perspective on the meaning of life is illustrated through the use of the protagonist of Gregor Samsa. Existentialism is a philosophy â€Å"concerned with finding self and the meaning of life through free will, choice, and personal responsibility† (Existentialism). Gregor is unable to fulfill the existentialist view of finding meaning in one’s life;Read MoreThe Metamorphosis By Franz Kafka1050 Words   |  5 PagesOn the surface, â€Å"The Metamorphosis† by Franz Kafka is an evocative story of a man transformed into a â€Å"monstrous vermin†. It seems to focus on the dark transformation of the story’s protagonist, Gregor, but there is an equal and opposing transformation that happens within Gregor’s family. Although Gregor has physically changed at the beginning of the story, he remains relatively unchanged as the novella progresses. The family, on the other hand, is forced to drastically change how they support themselves

Describe the types of dementia and common signs and symptoms

Unit 40 - P1 Describe the types of dementia and common signs and symptoms The term ‘dementia’ describes a set of symptoms which can include loss of memory, mood changes and problems with communication and reasoning. These symptoms occur when the brain is damaged by certain conditions and diseases, including Alzheimer’s disease, vascular dementia and Creutzfeldt-Jakob disease. †¨Age is the greatest risk factor for dementia. Dementia affects one in 14 people over the age of 65 and one in six over the age of 80. However, dementia is not restricted to older people: in the UK, there are over 17,000 people under the age of 65 with dementia, although this figure is likely to be an underestimate. Alzheimer’s Disease Alzheimer’s disease†¦show more content†¦The difference between these types depends on what has caused the damage in the brain and which part of the brain has been damaged.†¨Common signs and symptoms of vascular dementia may include: Problems with speed of thinking, concentration and communication. Depression and anxiety accompanying the dementia. Symptoms of a stroke, such as physical weakness or paralysis. Seizures. Periods of severe confusion. Visual mistakes and misperceptions (for example, seeing a rug as a pond). Changes in behaviour (for example, restlessness). Difficulties with walking and unsteadiness. Hallucinations and delusions. Problems with continence. Psychological symptoms such as becoming more obsessive. Dementia with Lewy Bodies Dementia with Lewy bodies (DLB) is a form of dementia which shares characteristics with both Alzheimer’s and Parkinson’s disease. It accounts for around 10% of all cases of dementia in older people and tends to be under-diagnosed. †¨Named after the doctor who first identified them in 1912, Lewy bodies are tiny, spherical protein deposits found in nerve cells. Their presence in the brain disrupts the brain’s normal functioning, interrupting the action of important chemical messengers. Lewy bodies are also found in the brains of people with Parkinson’s disease, a progressive neurological disease that affects movement. †¨Dementia with Lewy bodies isShow MoreRelatedDem 2011002 Words   |  5 Pages4222-237 Dementia awareness (DEM 201) Outcome 1 Understand what dementia is The learner can: 1. Explain what is meant by the term ‘dementia’ 2. Describe the key functions of the brain that are affected by dementia 3. Explain why depression, delirium and age related memory impairment may be mistaken for dementia. Outcome 2 Understand key features of the theoretical models of dementia The learner can: 1. Outline the medical model of dementia 2. Outline the social model of dementia 3. ExplainRead MoreDementia Awareness1508 Words   |  7 Pages2015 Unit 13 Dementia Awareness 1. Understand what dementia is 1.1 Explain what mean by the term dementia The word dementia describes a set of symptoms that may include memory loss and difficulties with thinking, problem-solving or language. Dementia is caused when the brain is damaged by diseases, such as Alzheimer s disease or a series of strokes. 1.2 Describe the key functions of the brain that are - affected by dementia The main areas of the brain that are affected by dementia in terms ofRead MoreSymptoms And Symptoms Of Dementia935 Words   |  4 Pages47.5 million people have dementia and there are 7.7 million new cases every year† (WHO). Dementia is not a specific disease. Instead, it is a broad term used to describe a wide range of symptoms that impact one’s daily functioning (ALZ). These symptoms are associated with memory, thinking, and social abilities (Mayo Clinic). While signs and symptoms of dementia can differ based on the cause, there are several common cognitive and psychological changes that occur. Common cognitive changes include;Read MoreDementia: Cerebrum and High Blood Pressure953 Words   |  4 PagesDEMENTIA AWARNESS 1.Understand what dementia is 1.1 Explain what is meant by the term dementia A syndrome due to disease of the brain, usually of a chronic progressive nature in which there are multiple disturbances of higher cognitive function. These include impairment of memory, thinking and orientation, learning ability, language and judgement. 1.2 Describe the key functions of the brain that are affected by dementia The key functions of the brain that are affected by dementia are the temporalRead MoreThe Difference Between Dementia And Alzheimer s Disease1523 Words   |  7 Pagesbetween Dementia and Alzheimer s disease. Dementia is not a disease, it is a term used to describe Neurological conditions that involves some form of serious mental disorder such as memory loss, confusion, and impaired judgment. Alzheimer s is an actual disease, which is a form of Dementia and the most common type of Dementia; it is accountable for 60% - 80% of all cases of Dementia. Dementia has been around for many yea rs dating back to the 1900 s. Dementia refers to a group of symptoms that canRead MoreUnderstand the Process and Experience of Dementia Essay1048 Words   |  5 PagesUnderstand the Process and experience of Dementia 1.1 Describe a range of causes of dementia syndrome There are several causes of dementia some of them are; a stroke, brain disease, MS, certain medications, shrinkage of the brain, too many opiates over a long period of time and severe alcoholism 1.2 Describe the types of memory impairment commonly experienced by individuals with dementia Dementia can cause the sufferer to experience loss of mental ability, loss of memory, a reducedRead MoreAlzheimer : A Disease Of The Brain And It Can Cause Dementia1124 Words   |  5 Pagesdiabetes and hypertension. Alzheimer is a disease of the brain and it can cause dementia. Alzheimer is a chronic neurodegenerative diseases that causes different problems with the memory, thinking and behavior. Alzheimer is one of the leading causes of dementia. Alzheimer represent the 60 to 80 percent of dementia cases. Dementia is a term use to describe a group of symptoms called â€Å"senility†. Early symptoms of dementia include loss of memory, and people having problems remembering recent events, butRead MoreIs Dementia A Progressive Brain Dysfunction?1016 Words   |  5 Pagesdiagnosed with dementia, one must suffer a decline in mental ability severe enough to interfere with daily life. While symptoms of dementia can vary greatly, the most common indicators are memory issues, commun ication and language impairment, and the loss of ability to focus and pay attention. Symptoms of dementia often tend to start out slowly and then gradually progress over time. Most of the types of dementia continue to worsen and are usually irreversible. Observable dementia signs may include:Read MoreThe Study Of Barbara Green1644 Words   |  7 Pagesmother and describes instances when Barbara seems to be day dreaming and becomes confused. Sometimes Barbara does not know who Ivy is. That is worrisome. I am going to do some research on Alzheimer s and dementia, and see if Barbara could be developing either or both of these illnesses. I will analyze the symptoms, compare my findings to my patients symptoms, and produce a diagnosis and treatment for my patient. I will start research on dementia before focusing on Alzheimer’s because dementia is a broadRead MoreSchizophrenia Is More Than 100 Years Old Essay1562 Words   |  7 Pages Depression, dementia, and thought disturbances that are found in schizophrenia and are described in the Book of Hearts. The disorder was noticed as symptoms of the heart and the uterus and originating from the blood vessels or from purulence, fecal matter, a poison, demons. The disease was identified as a discrete mental illness by Dr. Emile Kraepelin in 1887. Dr. Emile Kraepelin was a German physician. Dr. Kraepelin used the term â€Å"dementia praecox† for individuals who had symptoms that we now associate

Daewoo Free Essays

string(63) " gained during the launch stage will help to retain customers\." 1. Introduction The aim of this report is to critically evaluate the Daewoo’s 1995 UK automotive market entrance. After entering the highly competitive British car industry, Daewoo managed to achieve a competitive advantage by focusing on delivering effective customer service. We will write a custom essay sample on Daewoo or any similar topic only for you Order Now We seek to understand why established car firms did not respond to customer needs prior Daewoo’s entrance and what strategies they could possibly adopt to outperform Daewoo presently. The report also takes a look at the innovations associated with the UK entry of the Korean car manufacturer and how they could sustain these innovations to retain and build on their existing market share. Possible brand extension strategies will be suggested for Daewoo to follow subsequent to the successful launch of the car. We finally assess other sectors where firms could achieve a competitive advantage by applying a customer-centred strategy. 2. Analysis of the Case 2.1 Dilemma facing the car industry The industry is faced with two main choices when responding to Daewoo’s challenge. The first of which is to save resources and not respond based on the belief that Daewoo’s competitive advantage is not sustainable. Daewoo’s direct distribution strategy will incur increased customer service and logistics costs (Doyle and Stern, 2007) and the firm’s current aggressive promotional strategy will also affect their bottom line. Furthermore, the ‘post modern’ criticism of delivering such high service levels is that it is unsustainable due to the fact that the customer will simply increase their expectations in line with improved offerings (Kotler et al, 2007). However, such a strategy would involve a high level of risk. The second option for responding to Daewoo’s challenge is to adopt defence strategies (Lambin, 2007). We feel that it is important to establish that there is no universal strategy and individual players would be advised to review whether the threat of Daewoo is relevant to their target market. For example, high end car manufacturers such as Audi and Mercedes are highly unlikely to suffer any repercussions as they do not target the same price sensitive market. Companies that do target price sensitive customers (such as Ford, Fiat and Renault) would be advised to take a much more direct approach however. The most appropriate mode of doing this would be through a combination of ‘position’, ‘flank’ and ‘pre-emptive’ defences (Lambin, 2007). Firstly, through a ‘position defence’, it would be recommended that manufacturers utilize their existing brand equities and customer base. Daewoo do not benefit from a long standing presence in the UK market and, as a result, protecting existing customer databases is a crucial element in defending market share. A combination of ‘Flank’ and ‘Pre-emptive’ defences would be recommended to address the threat brought about by Daewoo’s distribution strategy. An obvious way of doing this would be to imitate the strategy and meet or even exceed the standards set by Daewoo. However, this would be a costly and difficult process to implement due to the high exit barriers caused by existing distribution agreements. Therefore, to pre-empt the next move in Daewoo’s strategy would be a more viable solution and could give the competition a first mover advantage. The growth of e-commerce and internet usage in 1998-2000 was unprecedented (BBC, 2010) and developing an online platform represents an opportunity to create an interactive and cost effective distribution strategy. Adoption of such a solution would allow manufacturers to lead digital convergence and offer further decreases in stress and intrusion into the customer’s decision making process. 2.3 Customer-focused approach According to the pre-launch research conducted by Daewoo, the overall standard of customer service in the UK car market was low. The majority of consumers suffered from unpleasant buying experiences due to apathy from dealers, inconsistent pricing and poor after-sales service. This provided Daewoo a competitive advantage by operating as a customer-focused brand. The Korean conglomerate focused on optimizing their customer services, including an exceptional showroom atmosphere (Rodgers, 1995). Despite of this example, the industry had failed to innovate in a customer-focused manner. The fundamental reason is that as the UK car industry structure had remained unchanged for one hundred years. Conventional innovation approaches include building high quality cars (Volkswagen and Toyota) or offering low prices as (Lada). However, they did not break the tradition by investing in an innovative, customer-focused strategy. An additional cause could be that UK automobile manufacturers were highly conservative. According to Whittington (2010) customer centric strategies are so complex that requires the company not only analyse the problem from the market researches, but also develop an objective view to consider financial and operational issues. We feel that, that on consideration of the financial and operational investment required, manufacturers denoted the risk of following such a strategy was too high risk. The last possibility is that the market did not believe this kind of customer-focused innovation was feasible and underestimated the importance of after-sales services and the ever-changing customer trends. The opportunity was clearly shown through market research data, however we feel it was ignored and the market change adverse. Ironically, they failed to anticipate a market entrant could identify and achieve a competitive advantage through customer-focused innovation. Daewoo’s successful launch strategy taught the market a bitter lesson. 2.4 Sustainable competitive advantage Daewoo has achieved its aim of gaining circa 1% share of the UK new car market. A challenge the company now faces is to sustain this position and improve it further in the future. As highlighted in 2.1, it can be argued that Daewoo’s competitive advantage is not sustainable. It could, therefore, be easily imitated by competitors, substituted by rivals’ offerings and as a result lose their rarity and be less valued by customers in the longer-term (Barney, 1991; Srivastava et al, 2001; Kotler et al, 2009). In order to avoid such a fate, the company should undertake a number of steps. Firstly, it should improve the quality of cars to be able to compete more effectively with competitors when they inevitably counter act Daewoo’s strategy. High quality cars combined with the brand’s positive image and reputation gained during the launch stage will help to retain customers. You read "Daewoo" in category "Essay examples" Secondly, it should conduct market research regularly to collect information about customers’ needs. This will ensure the company will continue tailoring its products and services to meet these needs better than competitors. Moreover, the company should continue innovating customer services to endure a competitive advantage. It should constantly seek new ways for the whole experience of buying a car, so that it can offer something else when competitors copy its current innovations. For example, Daewoo might launch a website where customers are given an option to co-create a car by adding features or add/exclude services. Finally, the company has been emphasising weaknesses of other car makers in its advertising efforts so far. It should start to focus more on its own strengths communicate them in an effective manner. It will be problematic and expensive to attract customers and raise awareness with the current advertising when competitors improve their services. It is important to bear in mind that it will take some time for competitors to match Daewoo’s critical success factors as they might need to go through cultural, structural and operational changes (Woodruff, 1997). Daewoo has an invaluable opportunity now to build further on its existing capabilities to sustain its market position and become a stronger competitor in the future. 2.5 Other sector options  Customers today are strongly value oriented. Knowing where value resides from the standpoint of the customer has become extremely critical for managers, because greater levels of customer satisfaction lead to greater levels of customer loyalty and retention, positive word-of-mouth, a stronger competitive position and ultimately, higher market share (Kotler et al, 2009). Daewoo attacked an industry as competitive as the car sector through a value and customer service strategy. Successful companies manage to invert the traditional organisation chart by placing customers at the top of the pyramid as opposed to managers who believe that the customer is the company’s only true profit centre (Kotler et al, 2009). Customer-centred companies such as Amazon.com are in a strong position to identify new opportunities and set a course that promises to deliver long term profits due to its customer orientation (Kotler et al, 2009). A firm can achieve competitive advantage in other industries such as travel, banking, insurance, airlines, retail and fast moving consumer goods by employing a customer-focused strategy. The illustration of how Southwest Airlines achieved a distinct advantage in an extremely competitive industry such as the airline industry by focusing on delivering higher customer value bears testimony to this. Customers place high value on Southwest’s frequent departures, on-time service, friendly employees and very low fares (Heskett et al, 1994). However, it is imperative to understand the fact that not all firms are able to achieve a competitive advantage through superior customer service (Lambin, 2007). A company should have the internal capabilities and resources to adapt to ever changing customer needs. The service level provided must also be appropriate to the target market in order to exceed customer expectations. 2.6 Brand extension Marketers must judge each potential brand extension by how effectively it leverages and contributes to brand equity. With the right product ‘fit’, the customer’s perception of the parent brand can reduce perceived risk within numerous consumer or B2B decision making processes (Kotler, 2009, Webster, 1991). The Daewoo brand has become synonymous with exceeding customer expectations. This creates numerous brand extension opportunities. As in 2.5, Daewoo should however ensure that this is related to their core competencies to maximize the likelihood of success. We feel that an ideal opportunity comes in the form of extending the Daewoo brand to the commercial vehicle segment. This would not require the company to re-plan their entire marketing strategy as this would hold true for targeting small to medium business (SMB’s) markets as well as consumer. Furthermore, Daewoo would be able to leverage their partnership with GM to reduce research and development costs by re-branding other Vauxhall/Opel models such as the ‘Corsa’ van. An increasingly diversified, yet viable option would be to extend the Daewoo brand to motorcycles. This would again enable the company to leverage its brand equity and distribution networks; however the product and market is outside their existing knowledge base. In order to overcome this lack of knowledge and competence, we would recommend that Daewoo follow a similar alliance strategy that they previously adopted with GM with a leading motorcycle manufacturer. Although this is likely to ensure that the core product will be of a high quality, Daewoo must be mindful of the fact that their existing staff will require extensive product training maintain service levels. The final and most diversified brand extension would to utilize Daewoo’s brand equity within the Financial Services sector (motor insurance). As with the motorcycle market however, Daewoo do not currently have the knowledge or resources to compete in the market. In this instance, we would recommend Daewoo to operate a franchise partnership with a suitable insurance provider. As stated above, it is however imperative that Daewoo ensure that both the core and augmented product fit with their brand. 3. Conclusions  Concluding on our evaluation of the 1995 launch of the Daewoo automotive brand into the UK market, it is clear that it was a success. The company capitalized on a weakness in the market by leveraging their knowledge base and extensive resources to provide exceptional customer service. Sceptical views of the strategies longevity are however justified. The innovative distribution strategy adopted requires additional expenditure and the company’s aggressive marketing activity will again affect the bottom line. It is clear that in order to remain stable in the market and maintain a sustainable competitive advantage, the company must continue to understand and satisfy the needs and wants of the customer. Although brand extensions offer a lucrative growth opportunity, the company must not allow this to detract from their main competency- customer satisfaction. With regards to the market environment, Daewoo’s competitors have no one to blame but themselves. Regardless of this, they must adopt effective defence strategies to match and exceed Daewoo’s market offering in order to protect their market share from further depletion. Furthermore, to pre-empt and lead the next major development in customer satisfaction will be imperative to long term success. How to cite Daewoo, Essay examples

Mrs. Mavis Jones Case Study

Question: Discuss about the Case Study for Mrs. Mavis Jones Case. Answer: Introduction I will start the process of completing this case study by undertaking a consideration of Mrs. Mavis Jones situation, collect cues, process them and subsequently present associated health information. I will then identify and prioritize three nursing problems anchored on the Mrs. Mavis assessment data and establish goals for priority of nursing care based on the three issues. I will then discuss Mrs. Mavis Jones nursing care linking it to the assessment data and history. Finally, I will undertake an evaluation of my nursing care strategies for justifying the nursing care delivered to Mrs. Mavis and reflect on her outcome. Levett-Jones clinical reasoning cycle will be helpful in this completing this case study especially in planning and evaluating person-centred care by giving effective framework for the clinical decision making regarding Mrs. Mavis Jones shortness of breath condition (Levett, 2013). Problems Based on a clinical reasoning cycle, I have identified and prioritized three health problem faced by Mrs. Mavis. The first priority is temperature due to infection in Mrs. Mavis (Kushimoto et al., 2014). My goal is temperature control. I will focus on giving Mrs Mavis drugs that will bring down her temperature to the right level. I will provide antibiotics such as acetaminophen or ibuprofen and aspirin. This will help her get reprieve since it is inappropriate to start any intervention with this high temperature. By controlling her temperature back to the required level, it will give me an opportunity to attend effectively to Mrs Mavis (Kushimoto et al., 2014). I will give Mrs Mavis sedative agents and neuromuscular blocking agents to control the temperature. I will also give antipyretic medication such as paracetamol and non-steroidal anti-inflammatory drugs (Rowe Fletcher, 2008). The paracetamol will be effective since it acts by selective inhibition of the COX-3 enzyme resulting into decreased production of fever-producing prostaglandins (Rowe Fletcher, 2008). Research has shown effectiveness of paracetamol in critical ill patients and hence its usefulness in this case (Rowe Fletcher, 2008). Based on these studies, I will ensure that next time I give paracetamol to my patients to control temperature. However, in the future, I will also use other physical methods of cooling such as uncovering the patient whilst preserving her dignity as well as using cold towels placed across the patient or in axillae ((Kushimoto et al., 2014)). The second priority is Shortness of breath due to difficulty to breathe properly as this patient is CO2 retainer so supplement oxygen cannot be given more than 2l via NP (Nasal Prongs) ((Kushimoto et al., 2014).This is my second priority since it facilitates the the management of SOB which may point to Mavis being asthmatic since it was detected during the handover that she had a pre-existing history of Asthma. She had even been admitted into the Intensive Care Unit five years prior without being intubated. My goal here is to maintain breathing pattern effectively through SOB management. I will give Mrs Mavis oxygen 2I via NP (Kushimoto et al., 2014). As a result of dyspnoea, Mrs. Mavis is experiencing respiratory distressed, cyanosis symptoms. I will focus on treating Asthma which has affected Mrs. Mavis for a long period of time. I will take Mrs. Mavis through intubation which has never been done to Mrs. Mavis despite a pre-existing history of Asthma (Heidenreich, 2013). This will be helping and I will closely follow her progress while in the ICU to note every change and call for any action that might be necessary. I will also seek to ensure that Mrs. Mavis respiratory distress is curtailed within the shortest time possible to speed up her recovery. It would be counteractive when she continues to have such a distress. This will help Mrs. Mavis since it will improve her oxygen supply by eliminating the saturation of 85% thereby getting reprieve (Lunenburg, 2013). I intend to undertake intubation in the next one hour so as to examine her reaction to the intervention ((Kushimoto et al., 2014)) Mrs. Mavis asthmatic situation has improved following the intubation. The shortness breath has improved she is currently breathing normally (Lapinsky, 2012). Certain studies have shown that oxygen has caused severe problems for people. From these studies (Lapinsky, 2012). I have subsequently acknowledged the significance of oxygen and hence next time I would ensure that I give oxygen for my patient in time to manage SOB (Lapinsky, 2012) However; I will continue to keep a close eye on her since it might another intubation in the future. My third priority is Anxiety due to discomfort, SOB and respiratory distress manage. It has been shown that Mrs Mavis is has peripherally cyanosed with slight diaphoretic. It was also indicated that she had oxygen saturation of 85% on room air. The triage nurse even triaged Mrs, Mavis as a category 2 resulting from her respiratory distress. My goal will be to provide comfort, reassurance and change position. To do this, I will subject Mrs. Mavis to antiperspirant that has mostly been used on a daily basis to control sweating. The antiperspirant has aluminium salts which when rolled in the skin will form a plug which blocks perspiration. I will also give the patient medical treatment such as Iontophoresis where she will sit with her hands, feet or both in a shallow tray of water for about 20 minutes allowing a low electrical current to pass through water. I will immediately identify and correct the underlying cause of cyanosis and restoring the oxygenated blood flow to the affected pa rts of Mrs. Mavis body. I will do the oxygenation as a treatment for cyanosis by doing the initial stabilization which requires oxygenation after checking the airway or the wind pipe clarity or oxygenation. I will remove any obstruction or difficulties through endotracheal tube insertion to enable me administer oxygen. I will also administer drugs to treat cyanosis to reduce the accumulation of fluids to enable the heart to pump harder. I will also warm the affected areas due to peripheral cyanosis through symptomatic treatment using gentle warming of the toes and fingers. Conclusion My intervention for Mrs. Mavis proved effective based on the outcomes I noted. Mrs. Mavis temperature conditions improved within a short period of time. My decision to give Mrs. Mavis paracetamol was effective as her body temperature restored shortly after the administration. Also by giving oxygen to manage SOB was satisfactory, Mrs. Mavis Shortness of breath became under control effectively. She reacted well when I gave her oxygen leading to restoration of her respiratory distress. However, from the outcomes, I have learned that I could have given more emphasis on Mrs. Mavis use of accessory muscle. I realized that this is a severe challenge that affects the Asthmatic patients based on how I witnessed it from Mrs. Mavis experience. Subsequently, when faced with this particular situation, I will ensure that I involve my fellow colleagues into the decision-making process so as to make more fruitful clinical judgment. I now understand the effectiveness of intubation and the importance of knowing the medical history of a patient (Lunenburg, 2012). Knowing that she had been taken into ICU five years prior without intubation helped me make quick decision to intubate her which greatly helped me address her severe asthmatic situation. I have also realized that I should have continued to keep an eye on Mrs. Mavis situation especially on the part of her use of accessory muscle (Thompson, 2012). I learnt that this was a severe problem that needed input of my co-workers so that we could have reach amicable and fast solution. References Ballin, I. I., Jose, R. (2015). Implementation of a Patient Satisfaction Survey in a Federally Qualified Health Center. Dreachslin, J. L., Gilbert, M. J., Malone, B. (2013). Diversity and cultural competence in health care: A systems approach. San Francisco, CA: Jossey-Bass. Heidenreich, P. A. (2013). Time for a thorough evaluation of patient-centered care. 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