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Business Plan Laundry Essay Sample. The mission of the Davidson College Laundry is to provide laundry services to students, college departments, and private individuals. By doing so in a convenient, timely, personalized and financially responsible manner, the tv addiction College Laundry enables students to spend more time in academic and essay on physics and society, extra-curricular pursuits and effectively supports departmental activity. Services include the care and handling of personal clothing, bed linens, dry cleaning, and catering linens. Core Values. • Integrity Every member of our organization behaves in an ethical manner. We will do the right things for about tv addiction the right reasons. • Customer Service We will act in the best interest of our customers, providing the highest level of customer satisfaction through service, quality and responsiveness. • Collaboration Through collaborative efforts we will foster opportunities for individual and organizational growth. We will treat all employees with dignity and on physics technology and society, respect. Vision Statement. The Lula Bell Houston Laundry continues to provide high quality service to its customers by implementing services and essays tv addiction, programs that provide greater convenience to their lives. The College Laundry has provided broader services and greater accessibility with enhancements like the after hours laundry drop-off, a larger, more accessible self-service washroom with amenities allowing students to study or relax while waiting on their laundry.

Simultaneously the the cask of amontillado essay outline College Laundry has grown its cash business significantly through improved marketing and promotions efforts. S.W.O.T. Analysis. • Provide great laundry service. • Impressive pricing for services. • Quality Dry cleaning. • Getting good feedback from Customers (Gratitude from customers) • Bringing money to the college. • Communication with other department. • Home like atmosphere. • Low exposure to the outside market. • Hours of operation. • An adequate amount of staff. • Not having enough equipment (washer / Dryers and Folding table space) • Trying to keep up with the Joneses when there is about day to day work to get done. • Health issues keeping people out of work. • Taking on too many different jobs, being too diverse. • Becoming so care to the person that we forget about the larger group. • Air Conditioning Now! • Beauty of the campus. • Location of the Laundry. • Sense of essay technology and society, job security. • Growing Student enrollment. • Laundry closed at down times – lose $ • Not having the money or approval to make the necessary changes. • Our own fears of getting so big/diverse that we lose what we’ve had for so long… our sense of family. • The current self-op wash/dry room for student use is very small and students clamor for more such space. The residence hall satellite laundry rooms run the gamut it terms of size of tv addiction, space, condition of equipment, and cleanliness and skills, represent a headache administratively from both the essays about tv addiction Residence Life Office and the Physical Plant. • Keeping up with volume increases on “fixed” revenue is on auschwitz a budgetary challenge, particularly in essays about tv addiction, the area of learning skills essays, labor, our single largest expense item. Essays About Tv Addiction! • “Cash customers” are not cultivated from a marketing or promotional standpoint and skills essays, represent opportunities for new dollars. • Should an expanded self-op program be implemented, current responsibilities and roles at the Laundry do not include its management. About Tv Addiction! • Increase revenue from cash business by developing creative marketing strategies that promote non-student wash-dry-fold business and essays about influences, dry cleaning business from all customers. Utilize web in essays about tv addiction, particular. • Develop a business plan for the establishment of an expanded self-service washroom option within the footprint of the current Laundry facility. Use plan to essays, gain approval and funding for the project. • Advocate for essays about additional work-study students in our labor force to control labor expenses as volume of work increases.

Xpress Laundry Service Business Plan. 1. Executive Summary. Xpress Laundry Service is the cask a laundry service designed to essays about tv addiction, save Xavier University students the one commodity that they can never get more of: time. The average student wastes an average of 1 ? hours in the laundry room either weekly or bi-weekly. This unproductive use of time has created a strong demand among Xavier resident students for marketing a company to take this burden of endlessly washing and folding clothes off of their hands. Xpress Laundry Service seeks to meet this demand by providing a much needed high quality service to these students at a fair and always low price. 2. About! Company Description. Essays Understanding! Xpress Laundry Service is tv addiction a full service laundry service designed with the college student’s budget in mind.

Basically, Xpress picks up the of amontillado essay students’ laundry from their residence hall, washes and folds the laundry using only Tide premium detergents, and essays about, drops the learning skills essays laundry off within 48 hours. This service is provided at the low price of just $8 per wash which is defined by the amount of laundry that the customer can fit into an Xpress Laundry Bag (about 25lbs.) Currently Xpress’ clientele is continuing to grow each week. This growth is due mostly to Xpress’ cheap and tv addiction, aggressive marketing during the past eight weeks. 3. Market Analysis. Concentration Camp! The demand for Xpress’ service at Xavier is great. Tv Addiction! To determine the actual demand for the service a market research survey was conducted in the middle of December 2005. The survey was taken of 102 respondents in Brockman Hall which represents about 30% of the dorms’ total population. In the survey 76% of respondents said that they would be interesting in using the laundry service while 68% responded that they would be interested in purchasing a laundry plan.

Further 80% reported that they personally do their laundry in the laundry room at Brockman and on a scale of 1-10 65% rated Brockman’s laundry facilities between 5 and marketing, 7. Clearly these statistics show that Xavier students have an explicit interest in using such a service. Continually, the survey was only tv addiction, conducted in Brockman Hall because Brockman is serving as a test market this semester. By starting the service only in Brockman, Xpress will better be able to tailor its services to essays about advertising, the entire Xavier campus in the fall of about, 2006 after working out any possible problems. Also, Brockman students serve as an investment for about influences the company as anywhere from 75% to 85% of the residents will live on campus next year whereas many students living in other dorms will move off-campus in the fall. For this reason the majority of the essays about tv addiction marketing budget has been directed at Brockman residents. Essays On Auschwitz Concentration Camp! 4. Marketing Plan and tv addiction, Previous Marketing. Xpress has been and will continue to use cheap and extremely effective marketing tactics. To this point in time, three marketing promotional days have been conducted in Brockman. 1. First a table was set up in technology and society, the lobby where we passed out donuts in the morning along with our Xpress business cards. This proved extremely effective as we found that many students instinctively put the cards in about tv addiction, their pockets, many waving them to us as they passed by our table for about advertising influences the second time.

2. Next, on tv addiction, Valentine’s Day we passed out flyers with heart-shaped Valentine’s Day lollypops taped to them. The flyers had a brief description of the service and had an understanding Xpress contest number individually printed on each one. The flyer instructed the about students to visit our website to see if their contest number was a winning number. Prizes for the event included a $25 Itunes gift card and two prizes for two weeks of essay technology, free laundry service. This also proved extremely effective as we saw traffic to our website ( increase by 82 hits that week. The main goal of the activity had the Rule of 9 in essays, mind which states that a potential customer has to see, hear, or speak the company name approximately 9 times before they will become an actually customer. 3. For our third event a professionally made Xpress Laundry Service banner was purchased and essays, displayed at our table in the lobby of Brockman and we passed out our custom made Xpress Laundry Service pens which list our phone number, website address, and pickup and essays tv addiction, drop-off times. Moreover, I received permission from Dan Yaeger to the cask outline, display triangular flyers on the tables in the Cintas cafeteria.

New flyers are placed on the tables each week and have generated some 25 phone calls and 7 new customers. The flyers give general information about the service, provide special promotion information, and answer frequently asked questions. Xpress’ marketing future has also been carefully planned. • First, a $150 investment will allow Xpress to put flyers in each one of the 800 Manresa folders for incoming students. • Secondly, a $250 investment will allow Xpress to have a physical presence during move-in day which again draws the essays about tv addiction 800 new students but much more importantly, over 1100 parents and family members. During move-in day laundry plans can be sold and learning skills, the business can be further promoted. As college students are very habitual, move-in day will be crucial to future success by “hooking” the students from the beginning of their college careers. • Cafeteria flyer promotions will also continue weekly and essays about, during the first four weeks of the fall of 2006 promotional days will be held in genocide essays toward understanding, the lobbies of Brockman, Kuhlman, Buenger, and Husman Halls with two promotions being conducted per week. Continual experience in marketing coupled with hard work will undoubtedly lead to future success for Xpress Laundry Service. 5. Operations Plan. Essays About Tv Addiction! Xpress’ operations have been carefully planned and the previous eight weeks have allowed many problems to be addressed and taken care of. First, Xpress will wash all of its laundry at X. While planning the sports research papers service many possibilities for washing the about laundry have been considered. One possible idea was to act as middle man as many college laundry services around the country do, charging $1.20 per pound and paying another service $1.00 per pound to do the laundry for them.

This idea was dismissed after we discovered that the average load of about advertising, laundry is at least 15lbs. which would put the customers’ bill at nearly $20, essentially pricing Xpress out of the market. Instead it will be more profitable for Xpress to adopt a lower price, higher volume business model that also allows for essays about greater profit margins. Essay On Physics And Society! This is achieved by doing the laundry ourselves rather than outsourcing the work. About Tv Addiction! The actual operations will run as follows. 1. First, laundry will be picked up from the students on Monday, Tuesday, or Wednesday between the hours of 2:30 and 6:00pm.

During those hours Xpress will be on call for pickup. Orders can be placed via telephone or by using the online pickup page on our website. 2. Next the laundry will be washed and folded using only Tide premium detergents which allows us to market the service as a “premium service”. 3. About! Also, using brand name detergents only increases our costs by about 10 cents per load and about tv addiction, actually provides better results as evident in Consumer Reports and through personal experience. 4. Learning Essays! The laundry will be put into the machines at 15 minute intervals which will allow adequate time for folding laundry (laundry that sits dormant in essays, a dryer tends to wrinkle horribly). 5. To ensure continued quality Xpress uses a 10 Step Care Process that states that pockets will be checked for pens, clothes will be separated between whites and darks, etc. After the laundry is sports removed from the machines it will be folded and about tv addiction, placed back in the Xpress Laundry Bags horizontally. (The nylon bags measure 26?14’’ and hold approximately 25lbs of on auschwitz concentration camp, laundry. Essays! On the bags ‘Xpress Laundry Service’ is printed along with our phone number, website address, and pickup and drop-off times.

They are also equipped with a drawstring to ensure that no loose garments like socks ever fall out of the bags by accident.) 6. Next the clean clothes will be delivered to on physics technology and society, the students at a time specified at the time of pickup 48 hours after their laundry is picked up. 7. Students are also required to sign the Xpress Laundry Service Terms of Usage agreement which can be found on our website before their first laundry pickup. Essays! The terms give liability restrictions for Xpress and were carefully drafted with the help of a lawyer who is a family friend. Also, Tide Coldwater will be used on all laundry washes as well as Oxiclean. Bounce fabric softeners will be used during the essays toward dryer cycles and Shout stain remover will be used as needed. 6. Financial Plan. Essays Tv Addiction! Currently Xpress thrives on a roughly X% profit margin at essay, our price of $8.

Recently, profit margins have increased by using Tide Coldwater which saves 40 cents per wash as white clothes can now be washed in cheaper cold water rather than warm. Below is our cost function: Cold Water Cycle for about tv addiction Whites: $X. Cold Water Cycle for Colors: $X. Tide for whites: $X. Tide for colors: $X. Oxiclean for whites $X. Oxiclean for learning essays colors $X.

Bounce fabric softener $X. By generating high enough volume Xpress will easily be able to pay for the labor required to do the laundry while maintaining a healthy margin. The cost function of labor is such that a constantly busy worker will generate the most profits for the company while a worker that has less work to do possibly due to a small amount of orders for the day will be less productive. For this reason high volume is essential. To explain the labor function, please consider the following hypothetical situation. Xpress has established that one person can comfortably launder 5 orders per hour.

Over 4 hours the total number of orders would be 20 which would bring in about tv addiction, $160 of revenue (20 orders X $8 per order). Essay And Society! $80 or approximately X% would represent our fixed cost leaving $X of profit. At $X per hour the worker would be paid $X while Xpress would profit the about tv addiction other $X. Xavier students are perfect for this job as many don’t need steady income and the cask of amontillado essay outline, many would also like to earn extra money for about tv addiction the weekend. Flexible scheduling could be arranged and a call list could be established. This way, if Xpress was particularly busy we could call on camp, 3 or 4 of the about tv addiction already trained employees on our list and if some weren’t available we could move down the list until the desired number of workers was reached This relatively low margin (for the essays concentration camp industry) will prove the best strategic move for Xpress by allowing for higher volume. Other laundry services such as Commodore Laundry at Vanderbilt University charge $19.99 for a single laundry pickup and over $18 per pickup after a customer signs onto their semester laundry plan.

However, while they make more money per load it costs them about 17 marketing dollars to get a new customer compared to the $5 that Xpress spends to get a new customer. (This information was derived from the owner during a telephone conversation about Commodore Laundry’s operations.) 7. Conclusion. Xpress Laundry Service is an essays about tv addiction up and coming company with a future that will be supported by the great demand for an on-campus laundry service among Xavier University resident students. Through aggressive marketing Xpress has been able to continue to skills essays, grow its client base week after week without falter. Essays About Tv Addiction! Xpress’ carefully planned operations will allow for terrific growth in the future and the cask essay outline, continue to evolve as the experimental semester continues. In conclusion, through strategic marketing and attention to detail and quality Xpress will be able to achieve success unmatched by any other student run company at essays, Xavier.

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Migraine Headache Causes, Symptoms, and Treatments. Dr. Tv Addiction? Taylor has a passion for treating patients as individuals. Learning? In practice since 1994, she has a wide range of experience in essays about tv addiction, treating patients with many types of concentration camp movement disorders and essays about tv addiction dementias. In addition to patient care, she is actively involved in the training of residents and essays toward understanding medical students, and essays has been both primary and secondary investigator in sports research, numerous research studies through the years. She is a Clinical Assistant Professor at Michigan State University's College of Osteopathic Medicine (Department of Neurology and Ophthalmology). She graduated with a BS degree from Alma College, and an MS (biomechanics) from Michigan State University. She received her medical degree from Michigan State University College of about Osteopathic Medicine. Genocide Essays? Her internship and residency were completed at Botsford General Hospital. Additionally, she completed a fellowship in essays about tv addiction, movement disorders with Dr. Essays About Advertising Influences? Peter LeWitt.

She has been named a fellow of the essays, American College of Neuropsychiatrists. She is board-certified in neurology by learning, the American Osteopathic Board of Neurology and Psychiatry. She has authored several articles and lectured extensively; she continues to about write questions for two national medical boards. Dr. Taylor is a member of the Medical and on auschwitz camp Scientific Advisory Council (MSAC) of the Alzheimer's Association of Michigan, and is a reviewer for essays about the journal Clinical Neuropharmacology. Dr. Ben Wedro practices emergency medicine at Gundersen Clinic, a regional trauma center in La Crosse, Wisconsin. His background includes undergraduate and medical studies at the University of Alberta, a Family Practice internship at Queen's University in Kingston, Ontario and residency training in Emergency Medicine at the University of skills Oklahoma Health Sciences Center. Melissa Conrad Stöppler, MD, is a U.S. board-certified Anatomic Pathologist with subspecialty training in the fields of Experimental and Molecular Pathology. Dr. Stöppler's educational background includes a BA with Highest Distinction from the University of Virginia and an MD from the essays tv addiction, University of North Carolina.

She completed residency training in Anatomic Pathology at Georgetown University followed by subspecialty fellowship training in molecular diagnostics and experimental pathology. Take the sports research, Migraines Quiz. A Visual Guide to Migraine Headaches Slideshow. Headache and Migraine Triggers Slideshow. Migraine headache definition and facts.

Migraine headache is a result of specific changes within the brain. It causes severe head pain that is often accompanied by sensitivity to light, sound, or smells. Common symptoms include: Eye pain Sensitivity to light or sound Nausea Vomiting Severe pain, usually on one side of the essays, head that some individuals describe as pounding Other types of learning skills essays headaches can also cause severe pain, and about tv addiction not all headaches are migraines. For example, some people describe the essay technology, pain of cluster headaches as the worst pain they have experienced. The exact cause of migraines is not known. Changes in neurotransmitter levels within the brain are thought to play a role. Migraines are diagnosed by the typical clinical signs and symptoms. Migraines can be triggered by many factors, for example: Hormonal changes Stress Strong stimuli like loud noises Certain foods Migraine treatment usually is with over-the-counter (OTC) or prescription drugs. Prescription medications used to relieve the pain of migraine include triptans (a class of drugs), for example: sumatriptan (Imitrex, Alsuma, Imitrex STATdose System, Sumavel DosePro, Zecuity, Treximet) rizatriptan (Maxalt, Maxalt-MLT) eletriptan (Relpax) zolmitriptan (Zomig, Zomig-ZMT) naratriptanAmerge) almotriptan (Axert) frovatriptan (Frova) Lifestyle changes like eating a healthy diet and getting exercise may help reduce the frequency of essays about your attacks. Try to avoid any foods that trigger your migraines. The Cask Essay Outline? It also may reduce the frequency of attacks.

Some people find that exercises, for example yoga, promote muscle relaxation are helpful in managing severe pain. Most people with migraines usually are able to manage their condition with a combination of medications and lifestyle changes. Some people may need prescription medications to decrease the frequency of essays tv addiction headaches. Although many people use the term migraine to describe any severe headache, a migraine headache is the result of specific physiologic changes that occur within the brain and lead to the characteristic pain and associated symptoms of a migraine. Migraine headaches usually are associated with sensitivity to sound, light, and smells.

Some people have symptoms of nausea or vomiting. This type of headache often involves only one side of the head, but in some cases, patients may experience pain bilaterally or on both sides. The pain of a migraine is on physics and society, often described as throbbing or pounding and it may be made worse with physical exertion. Not all headaches represent migraines, and migraine is not the about tv addiction, only condition that can cause severe and debilitating headaches. For example, cluster headaches are very severe headaches that affect one side of the head in a recurrent manner (occurring in a cluster over time). The pain is sometimes described as drilling, and can be worse than migraine pain in some cases. Essays About Advertising Influences? Cluster headaches are less common than migraine. Tension headaches are a more common cause of headache. These occur due to contraction of the muscles of the scalp, face, and neck.

Quick Guide Migraine or Headache? Migraine Symptoms, Triggers, Treatment. There are many treatment options if you have migraine headaches. Drugs are used, but some remedies and essays about tv addiction therapies don't use medication. Technology And Society? Therapies include ice to essays about tv addiction the head, biofeedback, adequate sleep, smoking cessation, and avoiding any food and genocide toward understanding environmental triggers (for example, stress, flashing lights, and drinking red wine). Other recommendations include natural remedies like herbs, acupressure, aromatherapy, group therapy, and many others.

In some cases, patients with migraines experience specific warning symptoms, or an aura, prior to the onset of essays about their headache. These warning symptoms can range from flashing lights or a blind spot in one eye to numbness or weakness involving one side of the body. The aura may last for several minutes, and then resolves as the essays influences, head pain begins or may last until the essays, headache resolves. For patients who have never experienced an aura, the symptoms can be frightening and can mimic the symptoms of a stroke. Many factors have been identified as migraine triggers. The normal hormone fluctuations which occur with regular menstrual cycles may predispose some women to experience migraine headaches. Some types of oral contraceptives (birth control pills) can trigger migraines. Various foods such as: Red wines Aged cheeses Preservatives used in smoked meats (nitrates) Monosodium glutamate Artificial sweeteners Chocolate Dairy products Oversleeping Alcohol beverages Stress Exposure to strong stimuli such as bright lights, loud noises, or strong smells.

Changes in essays about, barometric pressure have been described as leading to migraine headaches. Not every individual who has migraines will experience a headache when exposed to these triggers. If a person is unsure what his or her specific triggers might be, maintaining a headache diary can be beneficial to identify those individual factors which lead to migraine. Severe, often pounding, pain, usually on tv addiction, one side of the head Nausea and/or vomiting Sensitivity to light Sensitivity to sound Eye pain. The International Headache Society defines episodic migraine as being unilateral, pulsing discomfort of essays about advertising moderate-to-severe intensity, which is aggravated by physical activity and associated with nausea and/or vomiting as well as photophobia and/or phonophobia (sensitivity to light and sound).

Many patients describe their headache as a one-sided, pounding type of tv addiction pain, with symptoms of nausea and sensitivity to light, sound, or smells (known as photophobia, phonophobia, and essays concentration camp osmophobia). In some cases, the discomfort may be bilateral. The pain of a migraine is often graded as moderate to severe in intensity. Physical activity or exertion (walking up stairs, rushing to catch a bus or train) will worsen the symptoms. Up to one-third of patients with migraines experience an aura, or a specific neurologic symptom, before their headache begins. Essays Tv Addiction? Frequently, the aura is advertising influences, a visual disturbance described as a temporary blind spot which obscures part of the visual field. Flashing lights in one or both eyes, sometimes surrounding a blind spot, have also been described.

Other symptoms, including numbness or weakness along one side, or speech disturbances, occur rarely. About Tv Addiction? Some people describe their visual symptoms of loss of marketing papers vision, which lasts for less than an hour, and may or may not be associated with head pain once the vision returns, as an ocular migraine. These symptoms are also known as retinal migraine, and may be associated with symptoms similar to those described as an aura, such as blind spots, complete loss of vision in one eye, or flashing lights. Essays About? If a patient experiences these symptoms regularly, evaluation to exclude a primary retinal problem is needed. Eye pain which is different from sensitivity to light is not a common component of migraine. If eye pain is a persistent symptom, or if eye pain is present and accompanied by blurred vision or loss of vision, then prompt evaluation is recommended. Migraine vs. Essays About Advertising Influences? tension headache: What's the difference?

A tension headache is described as being bilateral and tv addiction the pain is toward, not pulsating, but feels like pressure or tightness. While severity can be mild-to-moderate, the headache is essays about tv addiction, not disabling and there is no worsening of the pain with routine physical activity; additionally, there is no associated nausea, vomiting, photophobia, or phonophobia. A migraine headache typically lasts for several hours up to several days. The specific cause of about advertising influences migraines is not known, but there may be fluctuations in essays tv addiction, certain neurotransmitters, chemicals that send messages between brain cells. These changes may predispose some people to develop migraine headaches. Up to 25% of people experience a migraine headache at some point in their life. Sports Papers? Most migraine sufferers are female. It is estimated that after adolescence, the essays about tv addiction, ratio of female to male patients who experience migraines is about 3:1. There seems to be a genetic predisposition to on auschwitz concentration migraine, as there is often a strong family history of migraine in essays about, patients with this disorder.

How can I tell if it's a migraine or a different type of headache? No specific physical findings are found when patients are experiencing a routine migraine headache. If an abnormality is identified on physical examination, there should be suspicion of another cause for marketing the headache. According to the International Classification of Headache Disorders 3 (ICHD) criteria for essays migraine without aura, a patient must have had at essay technology, least five headache attacks fulfilling the following criteria: Headache attacks lasting 4 to about 72 hours (untreated or unsuccessfully treated) The headache has at least two of the following characteristics: Unilateral location Pulsating quality Moderate or severe pain intensity Aggravation by or causing avoidance of on physics routine physical activity (for example, walking or climbing stairs) During the headache, at essays about tv addiction, least one of the following characteristics: Nausea and/or vomiting Photophobia and/or phonophobia The headache cannot be attributed to another disorder. Imaging the brain with an MRI and the cask of amontillado essay CT scans or performing a brain wave test (electroencephalogram [EEG]) is not necessary if the patient's physical examination is essays, normal. What are the treatments for the cask of amontillado essay migraine headaches? The treatment for tv addiction migraines depends upon on how frequently the headaches occur and about how long the headaches last.

The treatment of an acute migraine headache may vary from over-the-counter medicines (OTC), like acetaminophen (Tylenol and tv addiction others), ibuprofen (Advil, Motrin, etc.), naproxen sodium (Aleve) to prescription medications. Triptans (sumatriptan, rizatriptan, eletriptan, zolmitriptan, naratriptan, almotriptan, and essays camp frovatriptan), may be extremely effective in treating migraines and may be prescribed to help the patient treat their migraine at home. A combination of essays about tv addiction naproxen and sumatriptan is now available. Additionally, sumatriptan is now available as a patch which delivers the on physics, medication though the tv addiction, skin. Research? Not every patient can take these medications, and there are specific limitations regarding how often these medications can be used.

Other medication regimens may also be used to control migraine headache. Some medications are appropriate for home use and others require a visit to about the health-care professional's office or emergency department. Dihydroergotamine (DHE 45) can be administered intravenously or by essay on physics technology and society, nasal spray; this medication cannot be used if a triptan has been used within the preceding 24 hours. Diclofenac potassium for oral solution (Cambia) is about tv addiction, a potent nonsteroidal anti-inflammatory medication approved for treatment of migraine. Advertising Influences? Antiemetic medications, including intravenous (IV) metoclopramide, and tv addiction IV or intramuscular (IM) chlorpromazine and prochlorperazine can be used both to essays on auschwitz concentration camp relieve nausea and vomiting and migraine pain. Narcotic pain medications are not necessarily appropriate for the treatment of migraine headaches and are associated with the phenomenon of rebound headache, where the headache returns -- sometimes more intensely -- when the narcotics wear off. In all cases of migraine, the about, use of acute pain therapies must be watched closely so that a patient does not develop medication overuse headache. Overuse of many of the medications used to treat migraine headache can lead to increased headache frequency, or even daily headaches. This type of on auschwitz camp headache phenomenon is known as medication overuse headache.

If an individual experiences frequent headaches, or if the headaches routinely last for several days, then preventive medications may be indicated. These may be prescribed on a daily basis in an effort to decrease the frequency, severity, and duration of migraine headaches. There are many different medications which have been shown to be effective in this role, including: The specific medication which is selected for a patient is dependent on many other factors, including age, sex, blood pressure, and essays about tv addiction other pre-existing medical conditions. Some patients who experience more than 15 headache days every month might benefit from Botox injections. Quick Guide Migraine or Headache? Migraine Symptoms, Triggers, Treatment. What remedies and essay technology and society lifestyle changes help manage and essays decrease the technology, frequency of migraines? Individuals who experience migraines can play a significant role in managing their headache frequency and severity. Keep track of when migraines occur by using a paper or digital headache diary or log to track pain levels, triggers, and symptoms.

This can help identify patterns which precede a migraine, as well as help identify factors which contribute to the development of the headache. Essays Tv Addiction? Once these contributing factors are known, lifestyle modifications can lessen their impact. These modifications may include: Maintain a regular schedule for eating and sleeping Avoid certain foods that might trigger a migraine Keep well hydrated since dehydration has been identified as a migraine trigger for some people Exercise regularly. Relaxation strategies and skills meditation also have been recognized as effective strategies to prevent migraines and essays about decrease headache severity. Some people find that exercises that promote muscle relaxation can help manage the pain of migraines. Examples of types of advertising influences mind-body exercises that can help encourage relaxation are: There is essays about tv addiction, no specific diet for people with migraine that helps with symptom relief. However, as mentioned previously, certain foods can be triggers for essay on physics technology migraines in susceptible people. These foods include: red wines, aged cheeses, preservatives used in smoked meats (nitrates), monosodium glutamate, artificial sweeteners, chocolate, and dairy products.

Alcoholic beverages can also trigger migraine in some people. Understanding the particular triggers of your migraines and essays avoiding these dietary triggers may help some sufferers decrease the frequency of attacks. How are migraines managed during pregnancy? Many women find that their headaches stabilize or even resolve during pregnancy. This may be related to more consistent hormone levels that occur during pregnancy. To decrease the learning essays, risk of birth defects, certain medications used to tv addiction prevent migraines may need to be discontinued prior to a pregnancy. There are limited studies of drugs that are used to treat migraines during pregnancy. Acetaminophen is relatively safe when used in recommended doses. If a you are pregnant and are experiencing frequent headaches, there are some treatment alternatives that may be provided by your doctor or other health care professional. Many migraine medications, including the triptans, are not well studied in pregnancy so the potential benefits to the patient need to be weighed against essay and society, the risks to the fetus before these medications are prescribed. How are migraines managed in about, children?

Migraine headaches may occur in children. Treatment is similar to the treatment of migraines in adults, but drug dosages may need to be adjusted because of the smaller size of the patients. Acetaminophen and about advertising ibuprofen are often quite effect in controlling acute headaches. For more severe or refractory headaches, some of the triptans have been identified as being beneficial. If headaches occur frequently, daily medication may be warranted for tv addiction prevention.

Diet, regular sleep patterns, routine exercise, and biofeedback, are all potentially beneficial in decreasing the frequency and severity of essays migraines in children. Essays Tv Addiction? Identification and avoidance of research papers triggers through the use of a headache diary is a helpful tool. What is the prognosis for a person with migraines? Most people who have migraines find that their headaches may be controlled with the about tv addiction, preventive medications and lifestyle changes. Those with a diagnosis of genocide essays toward migraine need to be aware of how their lifestyle may directly impact the frequency and severity of their headache. Controlling migraine triggers may provide substantial benefit. Essays About Tv Addiction? It has been identified that as patients get older, there may be a decrease in the frequency of this type of headache and they may disappear after a number of learning years.

Can the frequency of headaches be prevented? If you are susceptible to essays about tv addiction migraine headaches you will always have some component of risk, but daily use of medications and avoiding triggers often are effective in preventing migraines. Subscribe to MedicineNet's General Health Newsletter. By clicking Submit, I agree to the MedicineNet's Terms Conditions Privacy Policy and understand that I may opt out of MedicineNet's subscriptions at any time. Migraine or Headache? Migraine Symptoms, Triggers, Treatment. What does a migraine feel like? Learn to essays about spot migraine symptoms early, how to identify your triggers, and get more information on essays tv addiction, migraine medications and on auschwitz treatments. Read more: Migraine or Headache?

Migraine Symptoms, Triggers, Treatment. What are your migraine headache triggers? What migraine headache symptoms do you experience? What kind of treatment do you get for your migraines? Does it help? Do self-care measures give you relief from your migraine headaches? What do you do? Discuss the triggers for essays tv addiction your migraine headaches. Protect Your Eyesight Warning Signs of Common Eye Conditions.

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The fact is, the web is filled with so many fantastic and tv addiction creative template designs that there is undoubtedly something for you out there. We are proud of the designs we’ve created, and have seen that they are effective at landing interviews. Essays About? But we’re not finished yet — we’ll be adding template designs to this page extensively in the near future. If you feel like creating your own, that’s fine too. Readability is essays tv addiction, king when creating a good template — it is the most important factor, followed by how the resume itself is essays, structured to about showcase your best experiences and conceal your negative ones. You may have read on the Internet that it’s inappropriate to use a resume template.

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Good luck on the job hunt! Good luck on tv addiction, the job hunt! If the jobs are relevant to the ones you are applying for, then you can go as far back as you like. With regards to your military experience, check out our military to civilian resume guide: Any of the essays concentration templates in library 2 would be suitable for essays tv addiction manufacturing careers. Best of essay on physics technology, luck! I’ve worked in the same industry for the past 13 years.

Multiple employers with jobs lasting two to three years each. The jobs have been similar, so the about tv addiction experience looks a bit repetitive. I need to find a template that highlights my experience without getting bogged down in the chronology, Any suggestions? It provides ample space for your professional experience, while also highlighting your top qualifications. Good luck on the job hunt!

hi resume genius.. Technology? i need template resume that suitable for trainer and coach.. can u suggest to me with template is suitable.. #128578; I had a job for 7 years and during that time I wore many hats, Executive Admin, Purchasing, Vendor Management, Project Coordination, etc. How would I write that on my resume? Perhaps the Company name and then all the about tv addiction related roles under that and the times I did those jobs? I was always the Executive Admin, but I did other jobs during that period. Yes, your suggestion is correct. Start with the company name and included the related jobs with their own bullet points underneath. Good luck! Consider trying the ‘Job Hopper’ or the marketing papers ‘Executive.’ They should able to fit all your jobs nicely. Ive never had a job so what should I use? Most of the templates above would suit your situation, but we suggest trying the Career Changer template because it emphasizes skills over the dates of your professional experience. ( Best of about tv addiction, luck!

We suggest using the ‘Gatsby’ Template. Good luck with grad school! As far as style, we suggest our ‘Professional’ template. In terms of influences, format, if you want to include your restaurant experience, then you might want to consider using a functional format: Hope this helps! We suggest using our ‘Entry-Level’ template. Essays About? Good luck with the internship!

Good Day Resume Genius.I’m a midwife by profession an the cask, has worked in a military hospital for 16 years in KSA. I’m trying to essays tv addiction apply as a home based ESL educator and genocide toward an email respondent . Since I’m from the about medical profession, I’m having difficulty in choosing the learning skills perfect resume.The skill I know is more on the medical.,clerical which involes data entry for appointments and essays about tv addiction summary, interpreter and genocide essays toward my part time informal english lessons to native speaking arabs. What template should I use? Try the ‘Murray’ template. Good luck!

Hello. Which is good for cabin crew applicant? I have no many work experience in service. About? So i want to the cask essay outline highlight the other things. Thanks #128578; Take a look at our Flight Attendant resume sample: You can download it and input your own information. Which template would you recommend for a career in education? Check out our teacher resume samples: You can download them and input your own experience. Try using the tv addiction ‘Freeman’ template. The Cask Outline? Best of luck on the promotion!

Hi! What resume template would you recommend for a college freshman trying to apply for a competitive summer program with the tv addiction USDA and South Dakota State University? Sound like the ‘Entry-Level’ template would be a good fit for what you’re trying to do. Good luck with the on auschwitz concentration summer program. Hi! Which resume template would you recommend for essays someone trying to tap into the finance and accounting market.

Looking for an entry-level position. You should go with the genocide ‘Entry-Level’ template. Good luck with the about tv addiction job hunt. I have worked 32+ years as a nurse, the sports marketing last 4 years taking care of my elderly father and online work. Now seeking to essays tv addiction get back into the job market for extra income, not necessarily in sports, the health field, just to earn some income and essays about socialize. What resume do you suggest? Try the essays about advertising ‘Job Hopper’ template. About Tv Addiction? Good luck with your job search! Hi! What resume template would you recommend for a 9th grader trying to apply for a doctor (any)?? Apparently, resume making and essay on physics and society interviewing is our project for the fourth quarter this year.

I couldn’t find any clear examples on the web, and essays about tv addiction I was hoping you could help me out with what template I should use.. Try using the essay on physics ‘Elegant 2.0’ template. Good luck on your project. Yes, if you click the View all Resume Designs button and click the essays tv addiction download link for the template pack of your choice. If you’ve never written a resume before, I’d recommend checking out our “How to Write a Resume” guide to get a clearer idea (it’s much more comprehensive than any answer I can give here). Learning? Hit us up with any follow-up questions after giving that a read we’ll see if we can help further!

Good luck! Hey there Margaret, In order to best understand which template works, it’s a good idea to check out which resume format fits your particular needs; then you can take it from there. Essays? All of the templates were created by professional resume writers, so it’s hard to go wrong with any of them — it just depends on your preference. Good luck! It really depends on what job you’re applying for.

Since you have substantial work experience, try quantifying that in your resume (think: any numbers that a hiring manager can look at and better understand what you accomplished during your time working there). Check out this page and essay choose the one you find most fitting, that should be a good start: Good luck on the job hunt! Hey there hbil036, This way, you can focus on essays, your skills qualifications critical to the job application.

As an aside, you may want to about advertising look into about, whether you’re qualified to get back into accounting after that many years outside of the field. I understand that some regulations and rules change over the cask of amontillado outline, the years — it may just be a matter of taking a test or updating your certifications, but I’m not certain. Tv Addiction? If that doesn’t seem to advertising be a problem then go with the functional resume for sure. Good luck on the job hunt! If you are lacking in about, major experience, I’d recommend using a reverse chronological format for your resume. Our “Classic” template on skills essays, this page should do the trick: Good luck at the job fair! I recommend you first check out essays our internship resume sample page:

Afterwards, feel free to choose any format – just use a comprehensive education section instead of essays understanding, a professional experience section, and you should be good. Good luck landing that internship! Share Free Downloadable Resume Templates Our code geeks and about HR experts are proud to introduce our new Free Resume Builder software to help you land more interviews in sports papers, today’s competitive job market. We provide HR-approved resume templates, built-in job description bullet point phrases to choose from, and easy export to MS Word and PDF. Get awesome job opportunities sent directly to your inbox. By clicking Send Me Job Alerts, I agree to essays about the Resume Genius Terms of Use and Privacy Policy. Play the One-Minute Game That’ll Show You How to Improve Your Resume. Think you can judge the quality of on auschwitz concentration, a resume within 6 seconds? The answer may surprise you.

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Her expertise with the SAMS-E helped identify and solve software errors which would have crippled motor pool operations and the mission. Lead the field in unit maintenance reporting to learning higher headquarters and maintained a 97% FMC reportable rate. LOGISTICS EXPERT. As NCO of the S4 Department, he provided in depth training and supervisory mentorship to six subordinate Army/Navy personnel operating in an Army working environment. He executed over 800 supply transactions at the Bagram Supply Support Activity (SSA), valued at over $3,000,000 in order to essays receive and essay, ship crucial supplies forward to about his unit at essays on auschwitz concentration FOB XXX in support of ongoing combat operations in XXX Province. During OEF XI / XII while assigned as a 92A Sarss Clerk, SPC Jane Fonda crossed trained 6 Civilians Dyn Corp employee's in the proper usage of the essays about SARSS System. On Physics. SPC Jane Fonda also ensured that each civilian thoroughly understood their responsibility as a Automated Logistic Specialist. SPC Jane Fonda's knowledge, patients and essays tv addiction, dedication to detail in essays about advertising training the about Civilians is in keeping with the Army's standard. o ordered over $1,400,000.00 of materiel which maintained Team Renegade maintenance, readiness and mission success. o lead the field in unit maintenance reporting to higher headquarters and essays on auschwitz concentration camp, maintained a 97% FMC reportable. o expertise and knowledge of the SAMS-E identified and solved software errors which impaired operations and mission execution.

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TV Addiction essays

essay on essays about vital signs Content and Photographs by Charlie Goldberg, M.D., UCSD School of Medicine and VA Medical Center, San Diego, California 92093-0611. The daVinci Anatomy Icon denotes a link to related gross anatomy pictures. Getting Started: The examination room should be quiet, warm and well lit. After you have finished interviewing the patient, provide them with a gown (a.k.a.

Johnny) and leave the room (or draw a separating curtain) while they change. Instruct them to remove all of their clothing (except for briefs) and put on the gown so that the opening is in the rear. Occasionally, patient's will end up using them as ponchos, capes or in other creative ways. While this may make for the cask of amontillado outline, a more attractive ensemble it will also, unfortunately, interfere with your ability to essays about perform an examination! Prior to technology and society measuring vital signs, the patient should have had the opportunity to sit for approximately five minutes so that the essays about tv addiction values are not affected by the exertion required to on auschwitz camp walk to the exam room. All measurements are made while the patient is seated. Observation: Before diving in, take a minute or so to look at the patient in their entirety, making your observations, if possible, from an out-of-the way perch. Does the patient seem anxious, in pain, upset? What about essays about their dress and hygiene?

Remember, the exam begins as soon as you lay eyes on the patient. Temperature: This is of amontillado essay outline, generally obtained using an oral thermometer that provides a digital reading when the sensor is placed under the patient's tongue. As most exam rooms do not have thermometers, it is not necessary to repeat this measurement unless, of course, the recorded value seems discordant with the patient's clinical condition (e.g. they feel hot but reportedly have no fever or vice versa). Depending on the bias of a particular institution, temperature is essays, measured in either Celcius or Farenheit, with a fever defined as greater than 38-38.5 C or 101-101.5 F. The Cask Essay Outline? Rectal temperatures, which most closely reflect internal or core values, are approximately 1 degree F higher than those obtained orally. Respiratory Rate: Respirations are recorded as breaths per minute. Essays? They should be counted for at essays about influences, least 30 seconds as the total number of breaths in a 15 second period is rather small and any miscounting can result in rather large errors when multiplied by 4. Try to do this as surreptitiously as possible so that the patient does not consciously alter their rate of about tv addiction breathing.

This can be done by observing the rise and fall of the patient's hospital gown while you appear to be taking their pulse. Normal is between 12 and 20. In general, this measurement offers no relevant information for the routine examination. However, particularly in the setting of cardio-pulmonary illness, it can be a very reliable marker of disease activity. Pulse: This can be measured at any place where there is a large artery (e.g. carotid, femoral, or simply by listening over the heart), though for the sake of convenience it is generally done by palpating the radial impulse. You may find it helpful to feel both radial arteries simultaneously, doubling the sensory input and helping to insure the accuracy of your measurements. Place the essays concentration tips of your index and middle fingers just proximal to the patients wrist on essays the thumb side, orienting them so that they are both over the length of the essays camp vessel.

Technique for Measuring the essays about Radial Pulse. The pictures below demonstrate the location of the radial artery (surface anatomy on the left, gross anatomy on skills the right). Frequently, you can see transmitted pulsations on careful visual inspection of this region, which may help in locating this artery. Upper extremity peripheral vascular disease is relatively uncommon, so the radial artery should be readily palpable in most patients. Push lightly at first, adding pressure if there is a lot of subcutaneous fat or you are unable to about tv addiction detect a pulse.

If you push too hard, you might occlude the essays vessel and mistake your own pulse for that of the patient. Tv Addiction? During palpation, note the papers following: Quantity: Measure the rate of the pulse (recorded in beats per minute). Count for 30 seconds and multiply by 2 (or 15 seconds x 4). If the rate is particularly slow or fast, it is essays about, probably best to measure for a full 60 seconds in order to minimize the impact of essays any error in essays, recording over concentration camp shorter periods of time. Normal is between 60 and 100. Regularity: Is the time between beats constant? In the normal setting, the heart rate should appear metronomic. Irregular rhythms, however, are quite common. If the pattern is entirely chaotic with no discernable pattern, it is referred to as irregularly irregular and likely represents atrial fibrillation.

Extra beats can also be added into the normal pattern, in which case the rhythm is described as regularly irregular. This may occur, for example, when impulses originating from the tv addiction ventricle are interposed at regular junctures on the normal rhythm. If the pulse is irregular, it's a good idea to verify the rate by concentration, listening over the heart (see cardiac exam section). This is because certain rhythm disturbances do not allow adequate ventricular filling with each beat. The resultant systole may generate a rather small stroke volume whose impulse is not palpable in the periphery. Volume: Does the pulse volume (i.e. the about subjective sense of fullness) feel normal? This reflects changes in and society, stroke volume. Tv Addiction? In the setting of hypovolemia, for example, the pulse volume is relatively low (aka weak or thready). Essays Camp? There may even be beat to beat variation in essays tv addiction, the volume, occurring occasionally with systolic heart failure. Blood Pressure: Blood pressure (BP) is measured using mercury based manometers, with readings reported in millimeters of mercury (mm Hg).

The size of the BP cuff will affect the accuracy of essay outline these readings. The inflatable bladder, which can be felt through the vinyl covering of the cuff, should reach roughly 80% around the circumference of the about tv addiction arm while its width should cover roughly 40%. If it is learning, too small, the readings will be artificially elevated. The opposite occurs if the cuff is too large. Clinics should have at least 2 cuff sizes available, normal and large. About Tv Addiction? Try to influences use the one that is tv addiction, most appropriate, recognizing that there will rarely be a perfect fit.

Blood Pressure Cuffs. In order to measure the BP, proceed as follows: Wrap the cuff around the patient's upper arm so that the line marked artery is roughly over the brachial artery, located towards the medial aspect of the antecubital fossa (i.e. the crook on the inside of their elbow). The placement does not have to be exact nor do you actually need to identify this artery by palpation. The pictures below demonstrate the antecubital fossa anatomy (surface anatomy on the left, gross anatomy on the right). Put on your stethescope so that the ear pieces are angled away from your head. Twist the advertising influences head piece so that the bell is engaged. This can be verified by gently tapping on the end, which should produce a sound. Essays About Tv Addiction? With your left hand, place the bell over the area of the brachial artery.

While most practitioners use the diaphragm of the stethescope, the bell is actually be superior for picking up the low pitched sounds used for measuring BP. It's worth mentioning that a number of sports marketing different models of stethescops are available on the market, each with its own variation on the structure of the diaphragm and bell. Read the essays about instruction manual accompanying your stethoscope in order to determine how your device works. Grasp the patient's right elbow with your right hand and on auschwitz concentration raise their arm so that the brachial artery is essays tv addiction, roughly at skills, the same height as the heart. The arm should remain somewhat bent and completely relaxed. You can provide additional support by gently trapping their hand and forearm between your body and right elbow. About? If the arm is held too high, the on physics technology reading will be artifactually lowered, and vice versa. Turn the essays valve on the pumping bulb clockwise (may be counter clockwise in some cuffs) until it no longer moves.

This is the position which allows air to enter and remain in the bladder. The Cask Essay Outline? Hold the bell in place with your left hand. Use your right hand to pump the bulb until you have generated 150 mmHg on the manometer. This is a bit above the top end of essays tv addiction normal for systolic blood pressure (SBP). Then listen. If you immediately hear sound, you have underestimated the SBP. Genocide Toward Understanding? Pump up an additional 20 mmHg and repeat. Now slowly deflate the blood pressure cuff (i.e. a few mm Hg per second) by turning the about valve in genocide essays understanding, a counter-clockwise direction while listening over the brachial artery and watching the pressure gauge.

The first sound that you hear reflects the flow of blood through the no longer completely occluded brachial artery. Essays About Tv Addiction? The value on the manometer at this moment is the SBP. Note that although the the cask essay needle may oscillate prior to this time, it is the sound of blood flow that indicates the SBP. Continue listening while you slowly deflate the cuff. The diastolic blood pressure (DBP) is measured when the sound completely disappears. This is the about tv addiction point when the pressure within the vessel is skills, greater then that supplied by the cuff, allowing the essays tv addiction free flow of blood without turbulence and thus no audible sound. These are known as the Sounds of Korotkoff. Technique for Measuring Blood Pressure.

Repeat the measurement on essays advertising the patient's other arm, reversing the position of your hands. The two readings should be within 10-15 mm Hg of each other. Differences greater than this imply that there is differential blood flow to essays about each arm, which most frequently occurs in the setting of genocide essays understanding subclavian artery atherosclerosis. Tv Addiction? Occasionally you will be unsure as to the point where systole or diastole occurred and wish to repeat the measurement. Ideally, you should allow the essay on physics technology and society cuff to completely deflate, permit any venous congestion in the arm to resolve (which otherwise may lead to inaccurate measurements), and then repeat a minute or so later. Furthermore, while no one has ever lost a limb secondary to BP cuff induced ischemia, repeated measurement can be uncomfortable for the patient, another good reason for giving the arm a break. Avoid moving your hands or the head of the stethescope while you are taking readings as this may produce noise that can obscure the Sounds of Koratkoff.

You can verify the SBP by palpation. To do this, position the patient's right arm as described above. Place the index and middle fingers of your right hand over the radial artery. Inflate the cuff until you can no longer feel the pulse, or simply to a value 10 points above the SBP as determined by auscultation. Slowly deflate the cuff until you can again detect a radial pulse and note the reading on the manometer. This is the SBP and should be the same as the value determined with the use of your stethescope. Normal is between 100/60 and 140/90. About? Hypertension is thus defined as either SBP greater then 140 or DBP greater than 90. It is important to recognize that blood pressure is rarely elevated to a level that causes acute symptoms. That is, while hypertension in marketing research, general is common, emergencies resulting from extremely high values and subsequent acute end organ dysfunction are quite rare. Rather, it is the chronically elevated values which lead to essays about tv addiction target organ damage, though in a slow and relatively silent fashion.

At the other end of the spectrum, the marketing papers minimal SBP required to maintain perfusion varies with the individual. Therefore, interpretation of low values must take into account the clinical situation. Those with poorly functioning hearts, for example, can adjust to a chronically low SBP (e.g. Essays About Tv Addiction? 80-90) and the cask of amontillado essay outline live without symptoms of hypoperfusion. However others, used to higher baseline values, might become quite ill if their SBPs were suddenly decreased to about these same levels. Many things can alter the accuracy of your readings. In order to limit their impact, remember the following: Do not place the blood pressure cuff over a patients clothing or roll a tight fitting sleeve above their biceps when determining blood pressure as either can cause elevated readings. Make sure the patient has had an genocide toward understanding, opportunity to rest before measuring their BP.

Try the following experiment to assess the impact that this can have. Take a patient's BP after they've rested. Essays? Then repeat after they've walked briskly in essays about influences, place for several minutes. Patients who are not too physically active (i.e. relatively deconditioned) will develop an essays about tv addiction, elevation in both their SBP and DBP. Also, see what effect raising or lowering the arm, and thus the understanding position of the brachial artery relative to the heart, has on BP. If you have a chance, obtain measurements on the same patient with both a large and small cuff. Essays? These exercises should give you an sports marketing, appreciation for the magnitude of error that can be introduced when improper technique is essays about, utilized. Genocide Understanding? If the reading is surprisingly high or low, repeat the measurement towards the about tv addiction end of your exam.

Instruct your patients to avoid coffee, smoking or any other unprescribed drug with sympathomimetic activity on the day of the measurement. Orthostatic (a.k.a. postural) measurements of pulse and the cask of amontillado essay outline blood pressure are part of the assessment for hypovolemia. This requires first measuring these values when the patient is essays about, supine and then repeating them after they have stood for 2 minutes, which allows for equilibration. Normally, SBP does not vary by more then 20 points when a patient moves from lying to standing. In the setting of significant volume depletion, a greater then 20 point drop may be seen. Changes of lesser magnitude occur when moving from lying to sitting or sitting to about advertising influences standing. This is about, frequently associated with symptoms of cerebral hypoperfusion (e.g.. light headedness). Advertising Influences? Heart rate should increase by not more than 20 points in a normal physiologic attempt to augment cardiac output by providing chronotropic compensation. In the setting of GI bleeding, for example, a drop in blood pressure and/or rise in heart rate after this maneuver is a marker of significant blood loss and about tv addiction has important prognostic implications. Orthostatic measurements may also be used to determine if postural dizziness, a common complaint with multiple possible explanations, is the result of a fall in blood pressure. For example, patients who suffer from essays toward understanding, diabetes frequently have autonomic nervous system dysfunction and about cannot generate appropriate arteriolar vaosconstriction when changing positions.

This results in postural vital sign changes and symptoms. The 20 point value is a rough guideline. In general, the greater the genocide essays understanding change, the more likely it is to cause symptoms and be of clinical relevance. If possible, measure the blood pressure of a patient who has an essays about tv addiction, indwelling arterial catheter (these patients can be found in the ICU with the help of on physics and society a preceptor). Arterial transducers are an extremely accurate tool for about, assessing blood pressure and therefore provide a method for essays on auschwitz concentration, checking your non-invasive technique. A few clinically relevant thoughts about about high blood pressure: Hypertension is very common disease ( 25% in US affected) defined on basis of severity: Pre-hypertension : Systolic BP 120-140 or diastolic BP 80-90. Learning? Stage I hypertension: Systolic BP 140-160 or diastolic BP 90-100. Essays About Tv Addiction? Stage II: Systolic BP 160 or diastolic BP 100. Ideally, several measures on different occasions should verify the finding.

One time measures 160/100 also confirms the diagnosis. It's worth mentioning that normal is influences, 110s/70s, and cardiovascular risk rises w/any values above these points. Hypertension (HTN) causes accelerates the progression of: Renal dysfunction, coronary artery disease, systolic diastolic heart, left ventricular hypertrophy, peripheral arterial disease, stroke, and retinopathy. The risk of essays about HTN induced damage correlates both w/height of essays understanding BP and essays tv addiction chronicity of elevation (ie longer and higher =s worse). The treatment of HTN prior to the development of Target Organ Damage (aka TOD) is referred to as primary prevention; while treatment to prevent /or slow progression once disease has already been established is genocide understanding, called secondary prevention. Evaluation of patients w/HTN requires careful history, exam, labs, other studies to search for co-morbid problems (diabetes, sleep apnea, etc) /or occult TOD. Most patients w/HTN are asymptomatic, at least until they develop target organ damage, which can take years to occur. The majority of patients w/HTN ( 60%) will require at least 2 meds for treatment. For a BP between 140-160/80-100, best initial drug treatment is typically with hydrochlorthiazide, a very mild diuretic w/potent anti-hypertensive properties. For those w/starting values 160/100, it's best to start w/2 meds simultaneously.

A few more thoughts: Where you start isn't where you end - so expect to reassess BP in a short time (several weeks) and make adjustments as necessary Most drugs w/in the same class (e.g. any of the 8 or so ACE-Inhibitors) work equally well. Effective treatment requires continual reassessment of medication adherence - a major reason for lack of response to Rx. It helps to know the common side effects for each medication, as these can affect adherence (e.g. ACE-I →cough; HCTZ→ mild increase in urination, erectile dysfunction; all anti-htn meds→ hypotension) HTN is directly related to essays about weight, inactivity, ETOH consumption, salt intake. As such, life style interventions are absolutely worth addressing, though they are relatively ineffective as sole treatments (due to the inability of patients clinicians to achieve sustained and meaningful changes).

That said, you'll never know the impact until you try to address - and readdress - and readdress @ each visit. Essay On Physics And Society? HTN swims in the same vascular risk factor soup as diabetes, hyperlipidemia, and smoking. These other areas must also be addressed. Treatment goals vary a bit from patient to patient - those with established vascular disease are treated w/goal of reaching BP 120s/70s. Tv Addiction? Those in primary prevention group w/o diabetes, target BP 140/90. Most patients have primary hypertension (ie the essay on physics and society elevation in essays about tv addiction, BP is the primary disorder). Secondary HTN (elevation in BP secondary to another, treatable condition) is sports marketing research papers, rather uncommon - though worth thinking about in the right situation. Secondary causes include: pheochromocytoma, excess cortisol production, hyper adlosteronism, hypo/hyper-thyroidism, renal artery stenosis, chronic kidney disease. Certain conditions favor particular meds - for example: Diabetes → ACE-I or Angiotensin Receptor Blockers (ARBs); Coronary artery disease → B blockers. The use of 3 or more meds for refractory HTN isn't uncommon - in particular w/very obese patients.

Acute interventions to immediately lower BP are largely reserved for those times when there is clear evidence of acute symptoms from acute TOD (e.g. CHF, coronary ischemia, increased intra-cranial pressure) secondary to essays tv addiction very high values. JNC 7 Express -- Summary of Guidelines for treatment HTN. Oxygen Saturation: Over the past decade, this non-invasive measurement of gas exchange and red blood cell oxygen carrying capacity has become available in all hospitals and sports many clinics. While imperfect, it can provide important information about cardio-pulmonary dysfunction and is considered by many to be a fifth vital sign. In particular, for essays tv addiction, those suffering from either acute or chronic cardio-pulmonary disorders, it can help quantify the degree of impairment.

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