...At Roger’s follow up he claims that he’s fatigue has improved, but is still having difficulty on hot, humid days. My concern would be that Roger is not receiving enough water and is feeling fatigued, because he is dehydrated. Water is the most essential nutrient to the body and helps with several function such as helping resist change in temperature, cooling off the body, and regulating body fluids, pH levels and chemical reactions. Water makes up 45 to 75 percent of body weight, but is constantly being lost through urine and continuous evaporation from the skin and from the lungs. When Roger is outside working at a high activity level in hot and humid weather, he is going to be sweating more often than he normal does. Anytime you are doing...
Words: 595 - Pages: 3
...Intravenous vitamin C administration reduces fatigue in office workers: a double-blind randomized controlled trial. The occurrence of fatigue in an adult is about 27% and one third of that try to find medical treatment. Research is showing that oral administration of vitamin C is less effective because of low bioavailability of vitamin C in plasma. The lack of randomized controlled experiments to evaluate the usefulness of intravenous vitamin C to reduce fatigue influenced investigators to conduct this experiment. The purpose of the study was to determine the efficacy of an intravenous dose of vitamin C on fatigue in healthy office workers. The independent variable was a high dose of vitamin C (10g) injection, and the dependent variable was fatigue in healthy workers. Researchers...
Words: 742 - Pages: 3
...questions should the nurse ask about the fatigue? The nurse should ask the patient to describe the fatigue, assess the fatigue as it may relate to one’s lifestyle, and assess how it affects her activity of daily living by asking these questions. - Do you get tired easily? - How does it feel? - Are you able to keep up with your family? - Can you explain your sleeping and resting habits? - Can you explain your eating habit and changes in appetite or weight? - How the fatigue affects your activity of daily living and lifestyle? Are you able to get up from bed or cook a meal when you feel fatigue? - How do you feel during and after an exercise? - How does the fatigue affect your sleep quality? - Do you feel depress or anxious? Do...
Words: 872 - Pages: 4
...I. Introduction Global concern with the extent of seafarer fatigue and its potential environmental cost is widely evident across the shipping industry. Maritime regulators, ship owners, trade unions are all alert to the fact that with certain ship types a combination of minimal manning, sequences of rapid port turnarounds, adverse weather conditions and high levels of traffic may find seafarers working long hours and with insufficient recovery rest. (Smith, Allen and Wadsworth, 2006). In these circumstances fatigue and reduced performance may lead to environmental damage, ill-health and reduced life-span among highly skilled seafarers who are in increasingly short supply. A long history of research into working hours and conditions in manufacturing as well as road transport and civil aviation industries has no parallel in commercial shipping. There are huge potential consequences of fatigue at sea in terms of both ship operations (accidents, collision risk, poorer performance, economic cost and environmental damage) and the individual seafarer (injury, poor health and well-being,). Not only has there been relatively little research on seafarers’ fatigue but what there has been has been largely focused on specific jobs (e.g. watch keeping), specific sectors (e.g. the short sea sector) and specific outcomes (e.g. accidents). This reflects general trends in fatigue research where the emphasis has often been on specific groups of workers (e.g. shift workers) and on safety rather...
Words: 2078 - Pages: 9
...Literature Review Exercise induced fatigue forms the basis for this study. We are looking to achieve both physiological and neuromuscular fatigue in our subjects, to simulate in-game conditions in their various sports. By observing their landing kinetics and kinematics, we will find how greatly fatigue can affect them, with regard to landing from a jump. By inducing fatigue in our subjects, observing their landing mechanics and applying the results to the Landing Error Scoring System (LESS) Test we will be able to tell just how much of an effect fatigue can have on the subjects. The implications being that if the results differ significantly an athlete should work on their landing mechanics in order to help prevent a future injury. 1. Fatigue...
Words: 1177 - Pages: 5
...Research of Literature for Case Study #5 Primary Hyperparathyroidism Carrie Virgil Gillette College Case Study #5 Primary Hyperparathyroidism Introduction Hyperparathyroidism is an endocrine disorder involving the parathyroid glands. According to Timby and Smith (2010), Hyperparathyroidism occurs when the parathyroid gland dysfunctions. Primary hyperparathyroidism and secondary hyperparathyroidism are two disorders that occur when the parathyroid gland dysfunctions (Timby and Smith, 2010). This case study will focus on primary hyperparathyroidism. Timby and Smith (2010) report that primary hyperparathyroidism occurs when excess parathormone is secreted from an enlarged parathyroid gland. Mayo Clinic (2011) notes the excess hormone results in increased phosphorus released in the urine and an excessive loss of calcium from the bones. According to Mayo Clinic (2010), the excess calcium in the blood stream causes hypercalcemia, which can cause a variety of health problems. Timby and Smith (2010) confirm that hypercalcemia can depress the responsiveness of the peripheral nerves, which can result in fatigue and muscle weakness. Fuleihan and Silverberg (2012) report severe bone loss and kidney stones are major clinical manifestations of hyperparathyroidism. Primary hyperparathyroidism is diagnosed by an elevated PTH concentration or by a normal PTH concentration with an elevated serum calcium concentration (Fuleihan and Silverburg, 2012). Timby and Smith (2010) state a 24 hour urine...
Words: 1460 - Pages: 6
...2.4 Organizational Factors Several studies and case reviews have found that organizational factors may be the most critical in considering human factors contributions to oil spills. At the organizational level, various factors may contribute to an increase in incidents and accidents, including cost-cutting programs and the level of communication between work-sites (Gordon, 1998). Pate-Cornell and Murphy (1996) studied organizational factors across several industries and found that operators are generally predictable and well intentioned, and that often “errors” were caused not by lapsed judgment or operator error, but because of their work environment, incentives system, or information availability. Pate-Cornell and Murphy noted a common lack...
Words: 1389 - Pages: 6
...COMPASSION FATIGUE AMONG HEALTHCARE WORKERS A PROPOSAL PRESENTED TO THE FACULTY OF THE GRADUATE SCHOOL OF UNIVERSITY OF THE VISAYAS CEBU CITY, PHILIPPINES IN PARTIAL FULFILLMENT OF THE REQUIREMENTS FOR THE DEGREE OF MASTER OF ARTS IN NURSING MAJOR IN NURSING MANAGEMENT BY: CONCHITA BRANZUELA BERGADO CHAPTER I THE PROBLEM INTRODUCTION: Quality of life among healthcare providers will matter on the quality and safety of patient care. Today the proportion of acute patients entering the health care system through emergency departments continues to grow and the number of patients in the Intensive care unit also increasing. In emergency room department, the Emergency medical services (EMS) workers are primary providers of pre-hospital emergency medical care and integral components of disaster response. The potentially hazardous job duties of EMS workers include lifting patients and equipment, treating acute injuries or life-threatening illnesses, handling hazardous chemical and body substances, and participating in the emergency transport of patients in ground and air vehicles. These duties create an inherent risk for EMS worker occupational injuries and illnesses. Healthcare workers in the Emergency medicine has evolved to treat conditions that pose a threat to life and have a significant risk of morbidity. Work-related stressors in which Emergency Department nurses encounter are numerous as a result of the...
Words: 9128 - Pages: 37
...Monitor Study Summary Issue All users have been provided with one 19” extended width monitor. The system provides the ability to view multiple documents at once (side by side) for comparison purposes, however this feature is not used very often because the screen size limits the display to only small fonts, the entire document is not visible all at once, and the dual display is too complicated to set-up. Additionally, the quality of the scan in many cases is not as clear as an original typed document (such as this document), requiring the font to be displayed larger than normal size in order for it to be legible. Tasks performed by our users require them to be constantly comparing documents. In order to compare documents, users usually switch back and forth between screens or print the documents. Our system does not provide the ability to simultaneously view a document while creating new forms, so users are required to switch back and forth. Currently, the our users are required to access several systems to obtain all of the necessary information, resulting in having several systems open simultaneously. Goal of Study The goal of the monitor study was to determine if an increase in the amount of screen surface would provide significant benefits such as improved efficiency, reduced print volume, increased accuracy, and reduced physical stress. If the increased screen space provided significant benefit, then the second goal of the study was to determine the best set-up...
Words: 1221 - Pages: 5
...Patient Services/Intensive Care Nurses/Compassion Fatigue Intervention/BESt 173 Best Evidence Statement (BESt) Date: July 17, 2013 Title: Decreasing Compassion Fatigue* among Pediatric Intensive Care Nurses Using Self-Care Skills* and Compassion Fatigue Training* Clinical Question: P (Population/Problem) I (Intervention) C (Comparison) O (Outcome) Among pediatric intensive care nurses does functional knowledge of compassion fatigue and the practice of self-care skills, compared to not, demonstrate less compassion fatigue? Definitions for terms marked with * may be found in the Supporting Information section. Target Population for the Recommendation: Nurses working in pediatric intensive care settings who provide direct patient care Recommendation: It is recommended that nurses working in pediatric intensive care settings receive training that includes compassion fatigue awareness, coping strategies, stress management, relaxation techniques and self-care interventions to decrease the level of compassion fatigue experienced in the work environment (Marine, Ruotsalainen, Serra, & Verbeek (2009) [1a]; Gunusen, & Ustun (2010) [2a]; Kravits, McAllister-Black, Grant, & Kirk (2010) [4a]; Meadors & Lamson (2008) [4a]). Discussion/Synthesis of Evidence related to the recommendation: The evidence referred to a variety of concepts related to the manifestation of compassion fatigue, including burnout, emotional exhaustion, and workplace stress. The concepts...
Words: 2454 - Pages: 10
...Journal of Ell viron mental Psychology (1995) 15, 169-182 © 1995 Academic Press Limited 0272-4944/95/030169+ 14$12.0010 ~ ENVIRONMENTAL ~ P~Y~HOLOGY THE RESTORATIVE BENEFITS OF NATURE: TOWARD AN INTEGRATIVE FRAM~WORK STEPHEN KAPLAN Department ofPsychology, University of Michigan, Ann Arbor, !ll148109-1109, U.$.A. Abstract Directed attention plays an important role in human information processing; its fatigue, in turn, has far reaching consequences. Attention Restoration Theory provides an analysis of the kinds of experiences that lead to recovery from such fatigue. Natural environments turn out to be particularly rich in the character istics necessary for restorative experiences. An integrative framework is proposed that places both directed attention and stress in the larger context of human-environment relationships. © 1995 Academic Press Limited Introduction Evidence pointing to the psychological benefits of nature has accumulated at a remarkable rate in a relatively short period of time. Whether a theoreti cal understanding of these restorative influences has kept pace with the empirical work is, however, less clear. As Hartig and Evans (1993) have pointed out, theory in' this area has been dominated by con flicting positions, one enlphasizing stress reduction (Ulrich, 1983) and the other concerned with recov ery of the capacity to focus attention (Kaplan & Talbot, 1983; Kaplan & Kaplan, 1989). While it might be argued that...
Words: 6063 - Pages: 25
...management theorists and is widely acclaimed as the ‘father of scientific management’. According to Northcraft and Neale (1990, p.41), “Scientific management took its name from the careful and systematic observational techniques it used to design jobs and arrange work for the rank-and-file factory worker”. Principles of Scientific Management The techniques, contributions and general principles of Scientific Management Theory are as follows:- 1. Performance Standards F.W. Taylor found out that there were no scientific performance standards. No one knew exactly how much work a worker should do in one hour or in one day. The work was fixed assuming rule of thumb or the amount of work done by an average worker. Taylor introduced Time and Motion Studies to fix performance standards. He fixed performance standards for time, cost, and quality of work, which lead to uniformity of work. As a result, the efficiency of the workers could be compared with each other. 2. Differential Piece Rate System Taylor observed that workers did as little work as possible. He felt that under existing wage system, an efficient worker gained nothing extra. So, Taylor used the differential piece (unit) rate system. Under differential piece rate system, a standard output was first fixed. Then...
Words: 2719 - Pages: 11
...Final Exam: Endocrine system case studies UNIT XI: Endocrine Function, Metabolism, and Nutrition Case Studies Case 1 B.J. is a 54-year-old attorney who for several months has been experiencing generalized headaches that have responded poorly to nonnarcotic analgesics. He is also experiencing visual disturbances including blurred vision and double vision. On questioning, B.J. reports that he has gained 20 pounds over 2 years despite no change in activity or eating patterns. About his weight gain, B.J. jokes, “I guess it’s all in my feet. I had to buy new shoes, and my shoe size went from a size 10 to a size 12.” It was determined that B.J. should have a CT scan of his head to assess for a pituitary adenoma resulting in the hypersecretion of growth hormone. Discussion Questions 1. What information from the above scenario would support this possible etiology? The headaches is a possible symptom leading to the pituitary adenoma as this could be putting intracranial pressure on the brain. With also what it appears to be edema in the limbs is another indicator of the hypersecretion. With the use of nonnarcotic analgesics indicates that it has not improved the condition. 2. What other signs or symptoms might be apparent if B.J. does indeed have a pituitary adenoma? Another sign that could indicate the pituitary adenoma is the blurred and double vision. This means that it could possibly be compression on the optic nerve that is causing the altered vision. There could...
Words: 1282 - Pages: 6
...of a chronic condition such as multiple sclerosis (MS). While these challenges may often seem insurmountable, there are many strategies that make it possible for people with MS-related mobility problems to participate in, and gain significant benefit from, a carefully designed and customized program of regular exercise. THE IMPACT OF MULTIPLE SCLEROSIS Multiple sclerosis is an auto-immune disease of the central nervous system. It degrades the myelin sheath that covers and protects axons or nerve tissue in the body. There is also evidence that the disease damages nerve tissue itself. MS can compromise the ability of nerves to function normally, which can also affect mobility, feeling, and sensory perception. It may also cause fatigue and a loss of muscle mass due to the inability of the patients to exercise adequately. A critical element of treatment is the need to watch for signs of progression of the disease. Multiple sclerosis progression is most commonly measured through a scale called the Expanded Disability Status Scale (EDSS), which focuses largely on a person's ambulatory ability.(n1) Many doctors also use a measurement called the Multiple Sclerosis Functional Composite (MSFC), which is a three-part composite assessment that uses a wide variety of individual measures of function including: Timed 25-Foot Walk; 9-Hole Peg Test; and Paced Auditory Serial Addition Test (PASAT).(n4) These measurement tools include a strong focus on mobility, which is a primary...
Words: 2636 - Pages: 11
...Advanced Pathophysiology Case Study 6 Case Study 6 Scenario: John is a 4 year-old boy who was admitted for chemotherapy following diagnosis of acute lymphoblastic leukemia (ALL). He had a white blood cell count of 250,000. Clinical presentation included loss of appetite, easily bruised, gum bleeding, and fatigue. Physical examination revealed marked splenomegaly, pale skin color, temperature of 102°F, and upper abdomen tenderness along with nonspecific arthralgia. Pathophysiology signs and symptoms The primary pathophysiological etiology for signs, symptoms and laboratory findings in 4 year-old John’s case study are secondary splenomegaly as a result of primary Acute Lymphoblastic Leukemia (ALL). Because of its proximity to the diaphragm, splenomegaly results in pain or fullness in the left upper abdomen (subsequent tenderness and loss of appetite) that may spread to the left shoulder (non-specific arthralgia). Splenomegaly may result in anemia (bruising, bleeding gums, decrease in pallor) fatigue and frequent infections (4 year old John’s WBC 250, 000 count and fever 102°F). However, in John’s case, some of the symptoms related to splenomegaly can also overlap with those of his diagnosis of ALL such as fever and abdominal distention. Additionally, anorexia, headache, seizures, lethargy, arthralgia, infection, and bruising are also potential side effects (Ghazi et al., 2010). Pathophysiology of acute lymphoblastic leukemia-AML comparison According to Gedaly...
Words: 1252 - Pages: 6
