Acute coronary syndrome Essay Example | Topics and Well Written Essays - 2000 words

Acute coronary syndrome - Essay Example tients with ACS is quick and accurate, risk stratification is done and management is commenced as early as possible to achieve good outcomes in the short and long turn (Housholder-Hughes, 2011). The role of nurses in the management of ACS is crucial in all aspects, be it diagnosis and assessment, triage, pharmacotherapy, perioperative management, critical care, postoperative care, discharge and rehabilitation. All nurses should have evidence based knowledge so that they can make informed decisions in the management of an ACS patient. This review aims to describe the pathophysiology, nursing diagnoses and assessment, and nursing interventions of acute coronary syndrome. Current research and articles relevant to the aforementioned topics were reviewed and analyzed in order to provide a base for evidence based practice. The literature was retrieved by performing a MEDLINE and Google/Google Scholar search on the internet combined with a manual search for journals and books pertaining to the above mentioned topics. The keywords and their combinations that were used were acute coronary syndrome, nurse, nurse practitioner, ACS, pathophysiology, diagnosis, pharmacotherapy, unstable angina, STEMI, NSTEMI, myocardial infarction, MI, management, nursing assessment, and nursing interventions. Although, the articles identifying assessment, interventions, and their impact on the management of ACS specifically in the context of nursing are few, the guidelines targeting healthcare practitioners in general have been adapted for nurses by most authors in their recommendations. According to Hansson (2005), deposition of atherosclerotic plaques in walls and lumens of arteries (atherosclerosis) is an inflammatory process resulting from an interaction of immune and metabolic risk factors. Acute coronary syndromes occur when reduced blood flow causes sudden myocardial ischemia. This happens when a thrombus is formed on the surface of the atherosclerotic plaque as a result of plaque

How an Individual goes About Becoming a Franchisee for Subway Assignment

How an Individual goes About Becoming a Franchisee for Subway - Assignment Example This paper outlines that for any individual who is interested in venturing into this business, there are steps to follow, and this essay is a discussion of how an individual goes about becoming a franchisee with subway sandwich chain. To be a franchisee with subway sandwich chain, there are five key steps to follow. These steps include: researching the franchise market, making an online application, investigating about the subway brand, reviewing financial requirements, and joining the subway business. An entrepreneur will be required to research on the market of the recommended location by considering any potential competitor. For instance, the franchisee to be has to evaluate the existence of other fast food restaurants or chains in the area. The entrepreneur should ensure that there is no subway branch or chain in his preferred location of operation. After ensuring all this is favorable, he or she should apply for franchising through online by filling the application form. The for m should only be filled after reading through the binding contract and agreeing to the terms and conditions to avoid future case of disagreements. Interested franchisees are also advised to engage solicitors in their financial discussions. From this paper it is clear that Entrepreneurs must have starting capital, which ranges from 101,000 US dollars to 285,000 US dollars. This is the recommended capital for US dwellers and setting . This capital caters for franchising fee and expenses for operation at least for the first three months. When one is seeking to know about the recommended starting capital, he or she has to be keen on the size of the food chain’s establishment, equipment, location, and the scale of operation. After establishing a subway branch, entrepreneurs are supposed to offer quality services to clients while at the same time minimizing their operations cost.