Care given to a 15 day old baby with breathing difficulties Essay

Care given to a 15 day old baby with breathing difficulties - Essay Example Moreover, the paper will include efforts to understand the foetal circulation in relation to a neonate circulation along with an explanation of provision of the most appropriate treatment and care to Flora, as well as to her family members. Lastly, the researcher will endeavor to provide a clarification of ways that a children’s nurse can take to make a respiratory assessment of a child of Flora’s age, as well as assessments of older children. Discussion On arrival at The Royal Manchester Children’s Hospital, the team took Flora to the resuscitation room where they noticed her having breathing difficulties and a high pulse rate. Results of the initial assessment indicated her to be at a high risk; however, it was usual as infants often confront respiratory distress and similar signs and symptoms due to undiagnosed cardiac problems (Fergusson, 2008, 23-39). Subsequently, Professor Carley evaluated Flora’s physical condition and her behaviour using observati onal assessment of her airway, breathing, and circulation (Resuscitation Council UK, 2006, 1-10). It was noticeable that Flora was able to move all of her limbs with vigour, and there was no evidence of pallor that could indicate hypoxia (Fergusson, 2008, 35-40). In addition, the team noticed signs of efforts for breathing and visual signs of recession while observing Flora’s chest (Nursing and Midwifery Council, 2010, 29). The team also listened to the sound of Flora’s breathing, and luckily, both nasal flaring and chest recession were evident. Vital signs such as, temperature, blood pressure, pulse rate, respiration rate, and oxygen saturation were intact and functioning (Federspiel, 2010, 135). Furthermore, the team took blood samples for testing, which revealed that her kidneys were working in satisfactory condition and she was not anaemic, and additionally, Flora’s iron levels in her blood were normal as well. The hemoglobin levels in her blood were good, o xygenated cells were in high enough numbers within the blood to deliver oxygen to all tissues around the body that was another good sign. In addition, the team carried out blood tests to check PH imbalance and white cell count, as when in high numbers, they could indicate infection (Harrison, 2008, 56-67). After evaluating all these tests, Professor Carley reassured Flora’s parents by using the word ‘safe’ while explaining her immediate condition. In particular, Flora was at an age when cardiac abnormalities are often usual. One of the reasons is that in utero, the foetus obtains oxygenated blood, and nutrients from the placenta via the umbilical vein as defined by Chamley et al (2005, 11-26), and the lungs are not functional at this stage. At birth, important changes occurred to turn the foetal circulation into that of a neonatal circulation and before a baby can take in oxygen; her heart had to connect with the lungs (Holmes, 2010, 12), and this transition enab led Flora’s body to take over and begin to work independently (Glasper et al., 2007, 30-55). In particular, with every baby’s first breathe, the airways open and the drop-in pressure causes blood to rush to the lungs to receive oxygen, this oxygen reaches blood, and subsequently,

Contrast leadership and power Essay Example | Topics and Well Written Essays - 500 words

Contrast leadership and power - Essay Example owerful person rewards or pays the cooperative followers, he/she encourages goal-directed behavior and when such rewards are withdrawn or threats and intimidations are issued, the unwanted behaviors are discouraged while the desirable ones are encouraged. (Nye, 2-3) The powerful are influential over their powerless dependants and the greater the follower’s dependency, the greater the power of the powerful. Dependency rises with the rise of the scarcity, importance and the non-substitutability of the resources that the powerful controls. In contrast, leadership is mutual and aims at everyone’s autonomy as opposed to dependency. (Prentice Hall inc, 2-5) Leadership can be defined as the ability to influence and motivate followers towards achievement of a common goal or purpose. Leaders are people of integrity, visions and charisma – they inspire and not coerce. Unlike power that operates from being in control over valued resources, leadership motivates without necessarily being in control of resources. Leadership is set on a common goal and requires the compatibility of the goal with the followers for common good. Power on the other hand is a means of achieving personal goals and requires the followers to be dependent thus to work in compliance with their leaders. Power is therefore egocentric while leadership is exercised to the benefit of all. A leader puts others first before self while the vice versa is true with the powerful (Prentice Hall inc, 5 and Ciulla, et al, 285) Leadership influences intrinsically as opposed to power that is used to attain lateral and extrinsic influence. Power uses rewards and punishment which makes followers feel that their behavior is externally demanded i.e. extrinsic motivation. When such rewards are absent, the powerful looses control and direction of behavior. This is contrary to leadership that transforms the feelings and thoughts persuasively and intrinsically devoid of rewards, promises or threats and intimidations.