Nutritional assessment and management of patient with Acute Essay

Nutritional assessment and management of patient with Acute Pancreatitis - Essay Example Both these types may lead to the development of pancreatic cancer. Various factors are attributed to the aetiology of acute pancreatitis. The risk of development of pancreatitis differs with age and sex, and it most commonly occurs among the black population than any other race (Yadav & Lowenfels 2012). The most common cause of acute pancreatitis is gall stones and can be eliminated with the help of early cholecystectomy (Yadav & Lowenfels 2012). Alcoholism and smoking lead to be independent factors in the development of pancreatitis. Acute pancreatitis can occur within hours or 2 days following the consumption of alcohol. Other causes of acute pancreatitis include abdominal trauma, infections, medications, tumours, and genetic abnormalities. The symptoms include upper abdominal pain which may be gradual or sudden followed by consumption of food. The pain may be mild initially and may result in severe form later. Symptoms like nausea, vomiting, fever, rapid pulse may be present. Seve re acute pancreatitis may be fatal to the patient with failures of the kidney, the lungs and the heart. In the following essay, an attempt is made to critically evaluate the clinical condition of Mrs. Barrowman diagnosed with acute pancreatitis and to identify the factors that may affect her nutritional status, and to assess her nutritional risk status using ‘MUST’ (Malnutrition Universal Screening Tool). Mrs. Barrowman, 54 years, got admitted in the ITU with the diagnosis of acute pancreatitis. During admission, the patient was presented with symptoms of severe abdominal pain and vomiting, which are one of the main signs of acute pancreatitis. Physically, height of the patient is 1.78 m and weight 58 kg prior to the period of ill health, and might have possibly lost 1-5 kg during her illness. Third day observation charted the following: BP: 105/75 mm Hg, heart rate: 130 bpm and is presented with sinus tachycardia. She has pitting edema all over the body. Other laboratory

Leadership Essay Example | Topics and Well Written Essays - 1500 words - 5

Leadership - Essay Example In light of this she is still to give recommendations to the senior management on where the ‘additional’ officers will be deployed. Kathy’s team members are aware of this move and as a result they are distressed: an aspect that as earlier stated is affecting their work performance a great deal. The main aim for Kathy is to ensure that the team members’ work performance is within acceptable levels especially during this transition period. This paper will use a leadership approach to come up with how best to solve the dilemma Kathy has. Leaders are supposed to always be able to ensure that things are done through influencing others. For a leadership process to be complete there has to be the leader followed by the task to handle and lastly the ones being led: termed as followers. Â  According to Stojkovic et al. (2008) a leader has to be visionary, good behaviour, be charismatic, have a trait and above all manifest a form of leadership style. Leaders in daily duties are faced with situations that force them to act in a certain manner. Situational variables dictate what to be done and at what time. Some of the situational factors that are of importance to consider are the style the leader opt, followers’ behaviours and capabilities among others. Contingency theories therefore play a key role in guiding leaders on how to lead more so depending on situational analysis. Contingency theories indicate that there is no particular style of leadership that can apply to any given situation. This clearly stipulates th at leaders’ approaches to a demanding situation will depend hugely on the dynamics that the situation poses. The same case applies to leaders themselves whereby if one fails to change with a situation then the chances of success in a volatile environment are slim. Decision making process is complex and can be made simple by a leader’s ability to appreciate change in the environment and by approaching