Health Promotion Program Proposal On Lyme Disease Prevention

Health Promotion Program Proposal on Lyme disease Prevention My health promotion program will focus on Lyme disease. My state-Maryland is number one in the list of top ten states for Lyme disease in United States. According to Physicians Now (2016), Although there were fewer cases of Lyme disease reported in 2012 than in previous years, the illness is still more common in Maryland than in many other states. There were 1,113 confirmed cases and 538 suspected cases in 2012, according to the Centers for Disease Control and Prevention. Lyme disease is a bacterial infection transmitted through the bite of one of several types of ticks. Borrelia burgdorferi (B burgdorferi) is the bacteria that cause Lyme disease. UMMC (2016) asserted that†¦show more content†¦According to EPA (2011), In order to garner support for local community IPM efforts and to promote prevention, communication and outreach with local citizens is imperative. People are less likely to be interested in preventive measures if they have limited understanding of the problem and risk involved. One question concerning communication and outreach in communities, posed by Karl Malamud-Roam, is who should educate whom? Against this backdrop, program stakeholders were identified by considering group that will be willing to learn, comprehend, and pass on the information on Lyme disease to the grass root level. Also considered are the issues of who is at risk, and community involvement. So stakeholders include Maryland Department of Health, K-8 schoo l children, school teachers, parents, and local community groups. On collaboration strategies, the local health department will provide the school teachers with all the information they need to educate the K-8 school children on Lyme disease prevention. The parents when the children go home will help them get acquainted with the

Beowulf Quote Discussion Essay - 980 Words

Megan Lai English 10H DiSalvo 17th September, 2014 HCTA: Beowulf Theme: Wisdom is a more valuable weapon than physical strength. Quote 1: And that night Grendel came again, so set / On murder that no crime could ever be enough, / No savage assault quench his lust / For evil. Then each warrior tried / To escape him, searched for rest in different / Beds, as far from Herot as they could find, / Seeing how Grendel hunted when they slept. / Distance was safety; the only survivors / Were those who fled him. Hate had triumphed. (Beowulf 49-58) The night after the day of Grendel’s first attack, some of Hrothgar’s warriors fled Herot’s halls. The wisest fled-knowing that if they sought refuge someplace away from Herot,†¦show more content†¦/†¦ Suddenly / The sounds changed, the Danes started / In new terror, cowering in their beds as the terrible / Screams of the Almighty’s enemy sang / In the Darkness, the horrible shrieks of pain / And defeat, the tears torn out of Grendel’s / Taught throat, hell’s captive caught in the arms / Of him who of all the me n on earth / Was the strongest. (Beowulf 273-281, 305-313) In this passage, the story teller employs situational irony and imagery to demonstrate the tables turning on Grendel due to the hands of Beowulf. Had Grendel had the wisdom to actually check upon who was in the hall, he would never have been stuck in this predicament of the hunter becoming the hunted. With the usage of the quote â€Å"Grendel’s one thought was to run†, situational irony is extremely apparent. Grendel is now being hunted by Beowulf, instead of him hunting the inhabitants of Herot. To describe the suffering of Grendel, the author employs the use of various lines with adjectives, such as â€Å"In the darkness, the horrible shrieks of pain†. With the severity of Grendel’s pain having been stressed by imagery, we can now infer that he regrets not having the wisdom to avoid entering the mead hall. The theme of wisdom being a more valuable weapon than strength is not directly, but indire ctly demonstrated by the fact that Grendel could have avoided defeat at the hands of Beowulf if he hadShow MoreRelatedWhat Makes a Hero? Essay1377 Words   |  6 Pagessane individuals in today’s culture, people, even heroes, don’t simply walk into danger, like Beowulf. True, there are people who strive to challenge obstacles in our world. Beowulf does something slightly irregular, however. â€Å"Then the hero, stern under the gleaming helmet, with his stout mail-coat and think-plated shield, strode out to meet his foe.† Beowulf appears a madman after examining this quote. We must consider Beowulf’s motive as a result of his apparent audacity. Which is more of aRead MoreBeowulf Reader Response1459 Words   |  6 PagesThe poem begins with a discussion about Shield Sheafson , who was the king of the Thanes. He was a baby whose parents abandoned him and rose to the top. After Sheafson died, his son Beow became king in his place. Once he died, Hrothg ar became the ruler of the Thanes. Hrothgar brought fortune and success to the Thanes and in celebration of it he built a hall called Hereot, where he and his men gathered for festivities. For a good amount of time the Danes enjoyed peace until one Grendel, who was descendantRead MoreGrendel Character Analysis1077 Words   |  5 PagesIdentity in some ways can be achieved by both experiences, but also interact with dominant and impactful characters. The book, Grendel, is based on the tale of Beowulf which is a literary piece depicting the life and involvements of an adolescent beast named Grendel, who acquires hidden guidance. He identifies both with humans and creatures on a rational level ultimately trying to find his place in acceptance in the world. During his exciting journey, Grendel encounters a wise dragon who ultimatelyRead MoreTrace the Development of English Lit During Any One Period...as Part of Your Discussion Highlight How Significant Events in the Influence the Writi ng...Additionally Show How Characteristics of the Genre the Writer Uses3085 Words   |  13 PagesTrace the development of English lit during any one period...As part of your discussion highlight how significant events in the influence the writing...Additionally show how characteristics of the genre the writer uses reflects the period in which it was written. James Arthur Baldwin once stated that: know from whence you came. If you know whence you came, there are absolutely no limitations to where you can go. This quotation may apply to the span of the Anglo-Saxon period because of the coherentRead MoreThe Adventures Of Huckleberry Finn By Samuel Langhorne Clemens1325 Words   |  6 Pagesto understand written history in the context of the time, and not just from one person’s view either. Santosh Kalwar once said that â€Å"Life does not change if you only modify the content, your life will change if you will dare to alter the context.†(Quotes About Context, Goodreads) So therefore, if the skills needed to analyze history in context are not taught in schools, people will be doomed to repeat it. Words shape us everyday, from the smallest hello to the biggest insult, the way people speakRead MoreLiterary Group in British Poetry5631 Words   |  23 Pagespoetry The first page of Beowulf The earliest known English poem is a hymn on the creation; Bede attributes this to Cà ¦dmon (fl. 658–680), who was, according to legend, an illiterate herdsman who produced extemporaneous poetry at a monastery at Whitby.[1] This is generally taken as marking the beginning of Anglo-Saxon poetry. Much of the poetry of the period is difficult to date, or even to arrange chronologically; for example, estimates for the date of the great epic Beowulf range from AD 608 rightRead MoreApa Format3282 Words   |  14 Pages Or â€Å"In many African countries, the local market is an integral part of life and culture of the people† (Gill, Omoigui, Nyawaume, 1993, p. 69). b. Quotation up to or longer than 40 words should be in a free standing-indented format (block quote) without quotation marks. It should start from a new line, indented five spaces from the left margin. Like other parts of the text it should be double spaced. In all cases, page(s) to be included as (p.27) or (pp. 27-28). For instance, FafunwaRead More Symbols and Symbolism in John Steinbecks The Grapes of Wrath2004 Words   |  9 Pagesauthors own vision and experience.   While acknowledging the Judeo-Christian content, these other symbols are just as important, and an exploration into their use in Steinbecks work, reveal their real significance. Much of the existing critical discussion of The Grapes of Wrath has focused on the pervasive Judeo-Christian symbolism of the work, particularly the identification of Jim Casy with Jesus Christ.   Undeniably, Steinbeck intended this association; but to attempt to force the books richRead MoreCourtly Love and Mediieval Romance7340 Words   |  30 Pageskind of love highlighted in many Christian literatures including the Beowulf or the song of the Roland is the religious traditional Agape kind of love-platonic/ Christian love for all humanity, as brothers and sisters of one family. The literature of the church was considered anti-feminists. In fact, in the middle ages the taste makes in feudal societies often said, marry not for love but for real estate and heir, and a common quote was ‘marry a fief and get a wife thrown in with the bargain’. In addition

What do you understand to be the concept of...

What do you understand to be the concept of entrepreneurship and why has it become such an important area of focus? Q2) What do you understand to be the concept of entrepreneurship and why has it become such an important area of focus? The concept of entrepreneurship is often viewed as a function, which involves the exploitation of opportunities, which exist within a market. Such exploitation is most commonly associated with the direction and/or combination of productive inputs. Entrepreneurs usually are considered to bear risk while pursuing opportunities, and often are associated with creative and innovative actions. In addition, entrepreneurs undertake a managerial role in their activities, but routine management of an†¦show more content†¦Entrepreneurship is the dynamic process of creating incremental wealth. Individuals who assume the major risks in terms of equity, time and/or career commitment or provide value for some product or service create the wealth. The product or service may or may not be new or unique, but the entrepreneur must somehow infuse value by receiving and locating the necessary skills and resources. Although each of these definitions views entrepreneurs from a slightly different p erspective, they all contain similar notions, such as newness, organizing, creating, wealth, and risk taking. Yet each definition is somewhat restrictive, since entrepreneurs are found in all professions: education, medicine, research, law, architecture, engineering, social work, distribution and government. Entrepreneurship is the process of creating something new with value by devoting the necessary time and effort, assuming the accompanying financial, psychic, and social risks, and receiving the resulting rewards of monetary and personal satisfaction and independence. Four basic aspects of being an entrepreneur regardless of the field: first, entrepreneurship involves the creation process—creatingShow MoreRelatedCreativity And Innovation As The Driving Power Of Entrepreneurship1610 Words   |  7 PagesBusiness management is a continuous process of problem solving, decision making, strategy development, process improvement, etc. Every organization is constantly subject to a number of pressures that force you to react and respond to new developments in dynamic markets like these, in times of uncertainty and globalization Hence the company is unable to change, modify it to adapt to new circumstances present and future risks stagnate or disappear. 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Analysis Of The Oresteia Trilogy By Aeschylus - 879 Words

In a crime, a person is accused and shown as innocent or guilty. In this act, this is the simple ideas of justice, which many feel need to happen to someone who has done something contentious. In the play, â€Å"The Oresteia Trilogy by Aeschylus†, the first play â€Å"Agamemnon† has a female character known as Clytemnestra who causes great debate over her controversial actions that continue through the rest of the plays. In an examination, we will explore Clytemnestra’s case and build against her innocence by going into depth of the killings of Agamemnon, Cassandra, and the expressions. In the first play â€Å"Agamemnon†, Clytemnestra kills her husband Agamemnon. This action happens due to a great deal of anger from Clytemnestra after discovering her†¦show more content†¦The death of both Agamemnon and Cassandra are considered murder because technically killing someone is murder and that is extremely illegal at hand, but in some cases it depends. For instance, the death of Iphigenia by her father Agamemnon. This act of death is symbolized as a sacrifice to the gods and is made completely acceptable. However, the acts of murder placed upon Agamemnon and Cassandra do not have an acceptable excuse other than pure vengeance for a loved one. This excuse is acceptable, but it does not seem compatible with Clytemnestras case due to the fact that Agamemnon is her husband and Cassandra is an innocent bystander are not blood-related to Clytemnestra. The act of killing Cassandra was not a really well-executed plan, but out of pure hatred, I believe she killed Cassandra out of jealousy and the fact that this woman has slept with Agamemnon. So, by having extreme rage or not, she killed Cassandra out of thought before even killing the lady. On the other hand, Agamemnon’s death was extremely well executed and couldn’t have gone any better. Clytemnestra planned his death for over 10 years and this makes her a primary suspect for being guilty. She did not evaluate the states status and effects placed upon them. She expresses a self-evaluating concept that only benefits herself and did not think of her daughtersShow MoreRelatedEssay The Cycle of Vengeance in Aeschylus’s Oresteia2440 Words   |  10 PagesThe Cycle of Vengeance in Aeschylus’s Oresteia    The cyclic thread of vengeance runs like wild fire through the three plays in Aeschylus’s Oresteia. This thread, with its complexity of contemporary and universal implications lends itself quite well to – in fact, almost necessitates – deeply interested study. While a brief summary of the Oresteia will inevitably disregard some if not much of the trilogy’s essence and intent, on the positive side it will establish a platform of characters, eventsRead MoreThe Moral And Ethical Dilemmas Facing The Lawyer And The Philosopher s Search For Truth2469 Words   |  10 Pagesphilosophy, truth is considered to be a fundamental concern. However, philosophers have considered its meaning to be an indefinable concept. In contrast, the lawyer’s understanding of truth may be disordered. There is a lack of definition, critique and analysis of truth within the law in comparison to other matters, such as philosophy, religion and social science. Within law, there are long held views that truth is subservient to justice. Further, it is widely accepted that truth is not the major concernRead MoreEssay on Analysis of Aeschylus Agamemnon4499 Words   |  18 PagesAnalysis of Aeschylus Agamemnon Characters- The Watchman Clytaemnestra The Herald Agamemnon Cassandra Aegisthus The Chorus 1). The Watchman: †¢ The watchman sets the time and place for the play (Agamemnon’s palace in Argos, the house of Atreus); he describes the many miserable nights he has spent on the rooftop of the palace watching for the signal fires that will herald the fall of Troy. †¢ The watchman is one Aeschylus’s small characters, but like the herald he serves anRead Moretheme of alienation n no where man by kamala markandeya23279 Words   |  94 Pagesthe audience here experiences the same â€Å"calm of mind, all passions spent.† Author Information Life of Sophocles (circa 496-406 B.C.) Sophocles was chronologically the second of the trinity of great Greek tragedians, the other two being Aeschylus and Euripides. He was born at Colonus, a pleasant rural suburb of Athens, (probably in 496 B.C.) and died there, ninety years later. His father, Sophilius, manufactured armor for a living. As a boy, Sophocles won prizes for both wrestling and

Overview of Community Corrections in USA - 1191 Words

Community Corrections Community Corrections are the non-prison penalties that are enforced on convicted, sentenced or arrested adults (i.e. 18 or above) for making crimes. Community corrections are basically planned for the crimes that are petty as compared to the serious offences that are murder, kidnapping or so on. The crimes that are supposed to receive less severe punishment are given in charge of community corrections. These programs focus on non-violent offenders and punish them with probation, house arrest, victim integrated rehabilitation or release them on bail and thus saving them from sentencing of getting in prison. (Bureau of Justice Statistics, 2012) The aim behind these community corrections programs is to give a second chance to the petty offenders and help them becoming the productive citizen of the country. Since, most of the people in the community start treating the people who once been prisoned as like an alien; they are not chosen for the jobs they deserve nor given the respect. Such behavior worsens the attitude of these people. Moreover, most of the people become psychological patients after coming out of the jail. The community corrections programs aims at providing non-violent offenders a favorable environment to build their confidence. They are saved from prison and given a chance to live a normal life. Since, the environment of jail is tormenting and instead of becoming a better person, the people with minor offences become more negative.Show MoreRelatedImpact of the Usa Patriot Act2309 Words   |  10 PagesAbstract The primary concern of this paper is to establish the impact of the USA Patriot Act on local law enforcement and its potential for net widening. This paper will cover three primary areas to provide a proper public safety case analysis. 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The Writers at Woody Point Festival free essay sample

PROBLEM STATEMENT Writers at Woody Point Inc. need to make important decisions for the growth and sustainability of the festival. Stephen Brunt wants to ameliorate the economic development of the festival and nearby communities. The business needs to find new sources of revenue and develop an effective marketing strategy; they need to decide the best product, price, promotion, place, distribution and segmentation for the woody point festival. ANALYSIS The Writers at Woody Point Festival has a potential to generate more revenue because many people have been found interested in the literature. The festival has even experienced growth and attracted more number of people. With its tickets sold out in hours, the festival is becoming popular. However, previously, there had been no source of marketing or advertising the festival. Thus, the business needs to have a marketing plan and sponsors. Anyhow, the attracted people are generally of older age. The young and juvenile people find the writing and literary stuff less attractive. We will write a custom essay sample on The Writers at Woody Point Festival or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page Nonetheless, the side events attract the youngsters too. The business should perhaps reconsider the pricing strategy because of the instant sales of tickets. For further understanding, SWOT analysis have been done below which would help us analyze the situation and propose better alternatives. SWOT ANALYSIS STRENGTHS The Writers at Woody Point Festival takes place at Gros Morne National Park (GMNP) which is known for its breath-taking scenery and extraordinary landscapes. This helps to attract more number of people who enjoy the natural places. Besides the literary stuff, artists and music stuff provide a source of entertainment to people. The collaboration with other Gros Morne festivals i.e. Gros Morne Summer Music program attracts the youngsters as well to the Writers at Woody Point Festival. The festival obtains the support from nearby communities as the festival provides them with intangible benefits. The festival has also been able to get sponsorships and donations from several sources successfully. The festival does not bear costs of management as some volunteers from close at hand communities help in making festival successful. The Writers at Woody Point Festival is also famous and its tickets get sold only in few hours. WEAKNESSES One of the most prominent weaknesses of the Writers at Woody Point Festival is that it has great demand than the supply; the festival is not able to fulfill the wish of every people to be a part of festival. The tickets are limited in number and they get sold down too early. Moreover, due to lack of paid staff, the volunteers come up and manage the festival. The volunteers also become scare at times and affect the festival. Another thing is that several book sellers place their stalls on the festival; however, the business does not get any transaction fees from them. Most importantly, the people coming from far off places are not able to enjoy the whole festival due to lack of residential places. Some motels and residential areas are almost 60 km away from them Woody point and thus take too much time. The Writers at Woody Point Festival needs to arrange living staying facilities too. OPPORTUNITIES The event has been becoming more and more successful in the past few years; thus, there is a lot of potential for the festival to grow and sustain success in future. In this regard, the festival can find a permanent reputable sponsor which would guide the festival towards more and more success. The festival previously attracts mostly the people aged above 40; however, youngsters should also be invited and provided with suitable entertainment. By raising ticket prices and extending the event to some other areas can also help the business grow. THREAT The biggest threat for the Woody Point festival is the threat of competition. The current rivalry in the market is relatively high and the environment contains the strong sense of competition. It has been observed that the number of attendees for the literary shows and festivals have been increasing for past few years. Moreover, the threat is intensified by the variety of shows presented by each competitor. Some shows are even free and others are paid so there is a high probability that customers might get attracted to the free shows. DECISION CRITERIA The business needs to decide the new marketing strategy and marketing plan on the basis of its effectiveness and outcomes. After analyzing the whole scenario and observing the does and don’ts of the several competitors, it is evident that the business would need to sustain success in future. Hence, the best alternative would be the one which would attract more number of people, increase the revenue stream with alternative ways, provide greater revenue with lesser costs, and increase the awareness throughout the locality. In summary, we will select the alternative which would increase revenue, number of attendees and the awareness about the festival. ALTERNATIVES EVALUATION By analyzing different facts and information from the case, I have presented three potential alternatives below. These three alternatives have been evaluated on the basis of decision and criteria and are supposed to meet the requirements of the current situation. From these three alternatives, one best alternative would be chosen and the success and future of Writers at Woody Point festival will rely on that for the next few years. Let us take a look on the alternatives: ALTERNATIVE 1 The first viable alternative for the resolution of current issues is to get a reputable and financially strong sponsor. The festival had been getting aids and donations from some sources but they are not suitable to be relied on. With a permanent and strong sponsor, the festival would receive higher revenues and would be able to offer more shows and entertainment for the adults and youngsters. More entertainment would increase the number of attendees and also spread the word of mouth across the country. However, this alternative has a limited impact as it would increase the revenue but not affect the other things severely. The sponsors can also help resolve the issue of residence or staying for the attendees of the festival. ALTERNATIVE 2 The second option for the festival is to increase the ticket prices. It has been observed that the tickets for Writers at Woody Point festival get sold out within hours due to its attraction. Hence, the business can increase the ticket prices for the customers. In this regard, the festival can offer tier based pricing i.e. selling exclusive tickets at higher prices. The exclusive ticket holders can enjoy all events including writers contest, musical performances and art exhibitions. Nonetheless, this alternative is not as viable as the previous one because high price might detract the customers. ALTERNATIVE 3 The third viable alternative for the festival is to use the market penetration strategy. It has been observed that a lot of people have been unable to attend the festival because of out-of-reach places and scarcity of tickets. Thus, if the festival is arranged at several locations, there would be higher chances for everyone to enjoy the event. The revenue streams would increase in this way also; however, to organize the festival at different locations, the business would need to have more sponsors. RECOMMENDATION From the above given three viable alternatives, I would turn down the second alternative because it might detract the customers due to higher prices. In my view, the most viable alternative is the third one; however, the first alternative can’t be left alone anyway. To increase the offerings of festival in different areas, the availability of sponsors is a must. PLAN OF ACTION PRODUCT The festival would continue offering the main writers contest. However, few changes would need to be made; the writing contest should also be arranged for youngsters and children. Furthermore, the music programs and concerts should be extended to several areas to attract more youngsters to the event. The people interested in literary activities should be offered a lunch or dinner with the famous writers who have come to the event. PRICE Previously, the festival has not been charging any fee to the booksellers for placing their stalls in the festival. Now, the festival will ask for the fees or donations from the booksellers who have placed their stalls in the zone. Moreover, exclusive prices should be set for the offering of lunch or dinner with famous writers. The writing contest for youngster and children should be low priced. PLACE As it is previously decided that the Writer a Woody Point festival will be extended to adjoining areas too; the places of offerings would increase. Moreover and most importantly, the issue of stay or residence for the visitors should be resolved. In this regard, the festival management should ask the sponsors for providing either a building or arrange camping. PROMOTION The festival had not promotional activity in the past and relied only on word of mouth marketing and print ads in the newspapers. However, now the event should be advertised by the help on sponsors on a larger scale. The festival would be promoted online through direct marketing. Moreover, the important and entertaining moments of the event should be uploaded on the YouTube and the social networks like Facebook and Twitter.

Diagnosis and Management of Community †MyAssignmenthelp.com

Question: Discuss about the Diagnosis and Management of Community. Answer: Introduction: The case study under review is for patient John aged 20 years, with clinical presentation of pneumonia. Physical exams reveal the patient is dry and pale, signs of dehydration. The origin background of the patient is that she is Chinese female student. Studying at the university of Tasmania, Sydney, a second year student and lives in Inverk apartments. Her original home is Shanghai China. She apparently arrived in Sydney few days ago before developing the medical condition symptoms that are currently facing her. Upon admission she was complaining of having chest pain, cough and the feeling of tiredness, (Son , Yoo Kim, 2014). The patient has a history of hypertension for a period of 2 years and he is undergoing medication. Current drugs for hypertension are aspirin. The pressure measurement upon arrival are at 140/80mmHg. Her symptoms reveal that she has episodes of vomiting and shaking chills during the night time. Upon admission at the hospital emergency unit, her vitals measurements reveals that her pressure is at 130/80mmHg. Her pulse rate 110 beats / minute. Her temperature 39 oc respiration rate is at 24 beats per minute, barely 2 hours later her vitals are; blood pressure is at 140/70 mmHg, pulse rate is at 70 beats / minute and her temperature level s at 70 beats/ minute. Pneumonia is often an infection of those results from the inflammation of sacs of air in the lungs. The sacs may be filled with fluid, causing cough, caused by bacteria, viruses and fungi, (Eccles, Pincus, Higgins Woodhead, 2014). The changes in the vitals signs is an indicative of pneumonia, blood pressure are usually low with high pulse rate as seen from the impression observed from the assessment of the vitals and is usually accompanied by low oxygen saturation,(Nair, 2011). There is higher respiratory rate above the normal levels seen earlier on before manifestation of other clinical symptoms, (Postma et al., 2015). Chest exam exams show normal however there is little expansion on the left side. Breathing sounds may be harsh due to the cough and the larger air ways that is transported via the larger inflamed lung and can be physically distinguished through auscultation with the use of stethoscope, (Murray Nabel, 2010). When coughing crackles may be evident. There is the occurre nce of percussion in the lungs. The change in the voice is a clear indication for distinction between pneumonia and pleural effusion. Processing the information The pneumonia disease is can portray fatal conditions which is characterised by infection and inflammation in the lungs and the lower respiratory tract, it can be caused by bacteria and viruses, usually streptococcus or pneumonia, (Huijskens et al., 2014). The disease is frequently characterised by high fever which is associated with shortness of breath,. With rapid breathing, chest pains which are sharp and cough characterised with phlegm. Pneumonia that arises from outside the hospital like for this case is referred to as community acquired pneumonia, (Wyrwich et al., 2013). Pneumonia develops within 48 hours or later after admission to the hospital. The goal of treatment is to cure the infection of the diseases. The patient is having symptoms which are the clinical symptoms are persist not dry cough which the patient is having is like however the low grade fever her displayed, the patient is having high temperature. Fatigue and tiredness and the chest pains and the cough she is experiencing often characterised loss of appetite. For this case the pneumonia displayed is high. The occurrence of difficulty in breathing, exercise sweating and rapid breathing with increased rapid rate of the heart as displayed from the vital signs. The temperature values are high than normal typical of high fever for these diseases. The blood pressure is high above the normal values. This is observed form the high rate of respiration and heart beats. My assessment with the patient is that she is feeling weak on and the vitals keep changing on time basis, there is need for close monitoring of the patient. And to manage clinically the symptom she is facing. My assessment interaction with patient is that, measuring her vitals was paramount; getting the confidence and experience to do so is courage of good act which must be utilised effectively. The patient is so much worried on the progress of her diseases which she seems to deteriorate so much. In my measuring her vitals , the usage of the equipment are useful in the assessment, as poor use leads to lack of valid results test which reflect eventually on diagnosis as demonstrated by Shepherd , (2006). One thing which I didnt not manage effectively to do is the measurement of the pulse rate and respiration rates, having gotten the necessary theoretical procedure of doing it, it was not significant to be helpful in delivering the right results for the patient which are important in the assessment. The theoretical aspect in my class learning activities received in class were not application of knowledge to effectively handle the assessment effectively .If given the results nest time the approach will be to effectively get the basic concepts of relaxing the patient so as to get the ample time to measure. Also I will conduct the assessment in the morning just after the patient wakes up and before going out of bed for resting pulse assessment. The right procedure learnt in class will be applicable in this case, which is counting the beats in a set period of 20 seconds and multiplying the number to get the number in beats per minute. Thus in my future assessments I will be keen to manage external factors which influence my patient assessment effectively and take into consideration as valid results are obtained when done validly. References Eccles, S., Pincus, C., Higgins, B. and Woodhead, M., 2014. Diagnosis and management of community and hospital acquired pneumonia in adults: summary of NICE guidance. BMJ: British Medical Journal, 349. Huijskens, E.G., Koopmans, M., Palmen, F.M., van Erkel, A.J., Mulder, P.G. and Rossen, J.W., 2014. The value of signs and symptoms in differentiating between bacterial, viral and mixed aetiology in patients with community-acquired pneumonia. Journal of medical microbiology, 63(3), pp.441-452. Nair, GB; Niederman, MS (November 2011). "Community-acquired pneumonia: an unfinished battle". The Medical clinics of North America. 95 (6): 114361. doi:10.1016/j.mcna.2011.08.007. PMID22032432. Postma, D.F., Van Werkhoven, C.H., Van Elden, L.J., Thijsen, S.F., Hoepelman, A.I., Kluytmans, J.A., Boersma, W.G., Compaijen, C.J., Van Der Wall, E., Prins, J.M. and Oosterheert, J.J., 2015. Antibiotic treatment strategies for community-acquired pneumonia in adults. New England Journal of Medicine, 372(14), pp.1312-1323. Shepherd, C., 2006. Reflection on a patients airway management during a ward?based resuscitation. Nursing in critical care, 11(5), pp.218-223. Son, J.S., Oh, J.H., Yoo, J.H. and Kim, J.B., 2014. Acute Respiratory Distress during Impression Taking in a TMJ Dislocation Patient with Pneumonia. Journal of the Korean Dental Society of Anesthesiology, 14(2), pp.119-126. Wyrwich, K.W., Yu, H., Sato, R., Strutton, D. and Powers, J.H., 2013. Community-acquired pneumonia: symptoms and burden of illness at diagnosis among US adults aged 50 years and older. The Patient-Patient-Centered Outcomes Research, 6(2), pp.125-134.