Dealing with Annular Pressure Build Up

Treatment of a pressure ulcer costs the NHS more than £3.8 million, despite the progress and management of pressure ulcers 700,000 people are still affected this remains to be a significant problem for health care professionals (NHS Improvement, 2016). Therefore, this case study will enumerate the cause, treatment, prevention and risk factors of a pressure ulcer in relation to a patient who is suffering from a grade three-pressure ulcer to his sacrum and therefore requires long-term care from the district nurses. Pressure ulcers can occur more commonly on the sacrum or heels in any health care settings (Clarkson, 2007). Although more prevalent in the elderly, people of all ages are at risk of developing a pressure ulcer

Outcome 1 understand the anatomy and physiology of the skin in relation to pressure area care

Pressure ulcers are one of the most common problems health care facilities often face which causes pain and discomfort for the patient, cost effective to manage and impacts negatively on the hospital (Pieper, Langemo, & Cuddigan, 2009; Padula et al., 2011). The development of pressure ulcers occur when there is injury to the skin or tissue usually over bony prominences such as the coccyx, sacrum or heels from the increase of pressure and shear. This injury will compromise blood flow and result in ischemia due to lack of oxygen being delivered (Gyawali et al., 2011). Patients such as those who are critically ill or bed bounded are at high risk of developing pressure ulcers (O'Brien et

Pressure ulcers are a serious health care problem and it is crucial to assess how patients acquire pressure areas after admission to the perioperative environment (Walton-Geer, 2009). In the operating room factors related to positioning, anaesthesia and the durations of surgeries along with individual patient related factors can all contribute to pressure ulcer development. This essay aims to review current standards of recommended practice regarding pressure ulcer prevention efforts for the surgical patient.

The skin is the largest organ of the body and it acts as a waterproof protector for all of the internal organs, it is comprised of several layers including the Epidermis which is the outer layer and is a protective multi-layered self renewing structure which varies in thickness depending on which part of the body it covers. Under this is the Dermis, this is a layer of connective tissue which provides the skins elasticity and strength, it also contains sensory nerve endings, blood and lymph vessels, sebaceous and sweat glands. Under this layer is the Subcutaneous fat layer, this layer separates the skin from the underlying bone and muscle with a rich blood supply it also serves as an insulator and energy store. Pressure ulcers develop

With the age of constant industrial and technological growth has come the necessity for not only cost effective and efficient methods for industry, but also the need for obtaining fuel for the machines that make the modern world possible. Oil has become as precious a commodity as gold, if not more so; its attainments constantly driving the world's largest businesses and governments across the world into action. Naturally, a "quick-fix" solution to this problem is constantly sought after by oil companies wishing to provide oil on a massive scale. One of these drilling methods is known as induced hydraulic fracturing (also known as fracking).

Hydraulic fracturing is a process of collecting natural gas by pressurizing shale beds. Fracking consists of two components: a drill and fracturing fluids [4]. Well shafts are drilled into a bed of shale less than two thousand feet deep to form a horizontal fracture because less force is required to make the rock strata buckle perpendicularly to the drill [2]. After the primary shaft has been drilled, cement is poured into the surrounding area to keep the fracturing fluids from backtracking up the shaft [2]. Once the drill is placed into the pay zone, where the reservoir of oil is located, fracturing fluids are forced into the surrounding

pressure medication all of these treatment cost money (Parks, 2016). In simpler terms the hospital wants sick patients to continue coming to the hospital and paying their bills to stay opened and to pay employees. All the incentives are simply in the wrong places. The only measures that a hospital will take to help people take preventative measures are flu vaccines and some health fairs that are provided, and annual doctors visits(Sanders, 2016). In all reality the preventative healthcare measures are so minimal and the hospital target typically infants for preventative measures by providing vaccines and trying to avoid small children with fragile immune systems to be compromised by getting sick(Sanders, 2016).

In today’s society the issues of producing energy is becoming more and more scare which, constantly posses the question, “How will energy be obtained in order to sustain future generations?” Hydraulic fracturing, informally known as fracking is believed to be an effective alternative to provide us with the energy we need to fuel tomorrow. Hydraulic fracking was first used at Texas Stanolind Oil and Gas Cooperations in 1947. However, it was not until 1949 that The Halliburton Oil Well Cementing Cooperation was given a licensee to use hydraulic fracturing. Since then a combination of two advanced methods have been introduced and incorporated (4). These methods are slick-water hydraulic fracturing and precision drilling of wells. Nevertheless,

Unlike straight drilling for oil or gas, that uses little space, hydraulic fracturing is drilled vertically

According to the textbook, nurses in various settings are adopting a research-based (or evidence-based) practice that incorporates research findings into their decisions and interaction with clients. How do you see this being applied in your workplace?

The issue of whether offshore oil drilling is a safe operation or not has been arguing for a long time in the United States. ( SPE International, N.D.) Drilling on water started in early 1930s in Louisiana by shallow-draft barges. Nevertheless, the first oil well on water was drilled in 9th of September, 1947 by Kerr-McGee’s unit Tender Assist Drilling (TAD) in the Gulf of Mexico (SPE International, N.D.). A year after year, oil companies used more and more sophisticated equipment to drill on water, but the number of spilled accidents has been rising since 1964 (Ivanovich, and Hays, 2008). After all, while

When steam is injected to the formation a steam chamber around the well is created [3]. The pressure of the steam should be lower than the fracture pressure of the rock mass to prevent the deflection of the rock [4]. Steam injection will go on for months during which the steam chamber expands and the viscosity of the bitumen decreases. This will cause the bitumen to flow down under gravity towards the production well. The produced oil is then pumped to the surface. Surface facilities are then used to separate the water

If the solution contains only sucrose then the osmotic pressure will increase substantially. This would represent a hypotonic solution because more water molecules are entering the cell meaning the solution contains no invertase. If the osmotic pressure has a slight increase than the solution contains sucrose and invertase due to the rate of the sucrose being broken down, however the cell will overtime begin to shrink. If the osmotic pressure remains close to the same than the solution contains no sucrose, containing only water and invertase. We predicted that because the height of the fluid in the osmometer tubing was increasing only a little bit our blue solution was hypertonic and contained invertase and sucrose. The invertase was able to break down sucrose into glucose and fructose which were small enough to be able to leave the cell membrane. This would reflect a hypertonic solution. We predicted this would cause the cell to shrink in size and the height of the fluid would never increase.

For the past few years, I directed my research towered development of mechanical systems and devices for oil and gas industries. The research involve modeling the downhole assembly and fabricating systems/setups and mechanisms to imitate deep drilling (high temperature and high pressure drilling