1. Weight Of 40 Pounds 2. Lack Of Concentration 3. Loss Of Energy 4. Pneumonia Vaccine 5. Cerebrovascular Stroke 6. Congestive History Of Heart Failure
7. Appendectomy 8. Cholecystectomy 9. Shallow Left Parasag 10. Flurbiprofen 100mg 11. Klonopin 0.5 Mg 12. Therapeutic Intervention 13. Phlebotomist 14. Blood Gas 15. Screening And Blood Tests
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Admissions Officer Kingsville Hospital 150 Bridge Road Richmond, Victoria 3121
27/03/2024
Dear Sir/Madam, Re: Mrs Mary White
I am writing to refer Mrs. White, a resident of Kingsville Retirement Village, for urgent hospitalisation and treatment at your facility. Mrs. White was found unconscious and unable to mobilise in her room today at 7 pm.
Mrs. White was found by her visiting daughter lying face down on the floor. She is exhibiting slow and difficult breathing, and can only be roused to pain. Upon examination, it is noted that she has a dusky purple coloration to her face, satisfactory capillary refill in her fingers, and a slow but strong pulse. Despite having flaccid muscles in her musculoskeletal system, she was able to be repositioned onto her side in the Recovery position. Her vital signs include a pulse rate of 58, blood pressure of 150/90, and blood sugar level of 6.5mmol/l.
Mrs. White has a medical history of hypertension, bilateral cataracts requiring surgery, a history of four vaginal births, and urinary incontinence. Additionally, she has cardiac arrhythmias and is currently on Digoxin. She is a window.
Considering Mrs. White’s critical condition and medical history, prompt attention and comprehensive care are necessary for her recovery. Her medication pack is sent along with her. If you require any further information or have any queries, please do not hesitate to contact me.
TASK 40Mary White– resident at Kingsville Retirement Village You are a registered nurse employed by the Kingsville Retirement Village. It is your duty to attend to call outs from the residents in the Independent Living Units as well as assisting the staff in the Low Level Care unit. It is 7 pm (19:00 hours) and you receive a call from the daughter of one of the residents. She has just visited her mother and found that she cannot rouse her. You go to the unit, open the door with your key and find the lady unconscious, face down on the floor. The daughter telephones the Ambulance Service. You examine the lady (Mary White) and find the following: CNS: rousable only to pain Respiratory: slow, laboured breathing. CVS – dusky purple colour to face, good capillary refill to fingers, pulse slow and full. Urogenital- has been incontinent of urine Musculoskeletal – flaccid muscles, is able to be moved onto side in the Recovery position to move. You perform the following measurements: PR & BP-37 degrees C; 58; 14; 150/90 BSL-6.5mmol/l Her past history includes: Pregnancies x4 with live births (30 years ago) Hypertension Widowed 6 years ago Cataracts in both eyes, awaiting surgery Cardiac arrhythmias for which she takes Digoxin The ambulance arrives and you verbally hand over the information; they then decide to transport Mary to hospital. Her daughter has packed all her medication with the overnight bag. Your task: Write an introductory letter for the Admissions Officer (AO) at the Kingsville Hospital, 150 Bridge Road, Richmond, Victoria 3121, they can plan Mary’s care.
Car ownership has increased so rapidly over the past thirty years that in many cities around the world there are constant traffic jams. How true do you think this statement is? What measures can governments take to discourage people from owning cars?
Model answer by Lifestyle Training Centre
The exponential surge in car ownership over the last three decades has exacerbated perpetual traffic congestion in cities worldwide. While I concur that this rapid proliferation of private cars is the primary cause of this issue, I will propose pragmatic measures governments could enact to dissuade the populace from purchasing vehicles.
Contemporary car production heavily relies on automation, facilitated by the integration of robotics, computerisation, and artificial intelligence. This has substantially reduced the necessity for manual labour and streamlined the production process, resulting in widespread accessibility to branded vehicles. However, this convenience has precipitated significant drawbacks, particularly in urban areas where traffic congestion has become endemic. Moreover, the prevalent use of cars has precipitated elevated carbon emissions and extensive time wastage for commuters ensnared in traffic.
Governments have various feasible options to address the rampant issue of excessive private car usage. Firstly, they could implement a reduction in public transport fares, encouraging the public to consider it as a viable alternative. The escalating concern over soaring gasoline prices makes individuals more amenable to this transition. Secondly, imposing limitations on the number of cars per family could be pivotal in curbing the overzealous acquisition of automobiles. Such restrictions would compel individuals to reassess their vehicular ownership habits. Additionally, enhancing the convenience and comfort of public transportation services could dissuade individuals from the notion of car ownership. For instance, in Bangalore, a metropolitan city, the government offers a diverse array of public transportation options, ranging from ordinary non-AC buses to fully air-conditioned Volvo buses, ensuring accessibility for all citizens. This initiative has successfully encouraged the public to opt for public transport over purchasing new cars.
In conclusion, to mitigate the pervasive congestion and overcrowding engendered by ubiquitous traffic, governments can deter private car ownership through measures such as reducing public transportation fares, imposing restrictions on private car ownership, and enhancing the allure of public transportation by ensuring comfort and convenience. The implementation of these steps not only has the potential to alleviate traffic congestion but also contributes significantly to environmental preservation, affording us more time and improved health.
List of vocabulary used – with meaning
Exponential – Rapid increase, often in an accelerating manner.
Exacerbated: Made worse or more severe.
Perpetual: Continuing indefinitely or endlessly.
Surge – A sudden and large increase or rise.
Proliferation – Rapid increase in numbers or abundance.
Precipitated -to cause something to happen suddenly or unexpectedly.
Primary cause – The main or most significant reason for something.
Pragmatic – Dealing with things sensibly and realistically in a way that is based on practical rather than theoretical considerations.
Measures – Actions or steps taken to achieve a particular goal or objective.
Dissuade – To persuade someone not to take a particular course of action.
Populace – The general public or the population of a particular area.
Contemporary – Belonging to or occurring in the present time.
Automation – The use of technology and machinery to perform tasks with minimal human intervention.
Robotics – The branch of technology that deals with the design, construction, operation, and use of robots.
Computerisation – The process of converting manual or mechanical tasks into automated processes performed by computers.
Artificial intelligence – The simulation of human intelligence processes by machines, especially computer systems.
Streamlined – Made more efficient or organised, often by removing unnecessary steps or processes.
Drawbacks – Disadvantages or negative aspects of something.
Urban areas – Regions characterised by high population density and infrastructure development, typically cities or towns.
Carbon emissions – Gases, primarily carbon dioxide, released into the atmosphere through human activities such as burning fossil fuels, which contribute to climate change.
Escalating – Increasing rapidly or intensifying.
Gasoline prices – The cost of fuel for automobiles, commonly referred to as gasoline in some regions.
Transition – The process or period of changing from one state or condition to another.
Imposing – Enforcing or implementing something with authority.
Compel – To force or strongly persuade someone to do something.
Vehicular – Relating to or associated with vehicles.
Convenience – The quality of being suitable, useful, or easy to use.
Comfort – A state of physical ease and freedom from pain or constraint.
Allure – The quality of being attractive or appealing.
Accessibility – The quality of being easy to obtain, use, or access.
Transit fares – The price paid for using public transportation services.
Environmental preservation – The protection and conservation of natural resources and ecosystems.
Alleviate – To make something less severe or more bearable.
Endemic – Prevalent or widespread in a particular area or among a particular group of people.
Initiative – An introductory step or action taken to achieve a particular goal.
Elevation – Increase in level or height.
Mitigate – To make less severe, serious, or painful.
Affording – Providing or allowing the opportunity for something.
Well-being – The state of being comfortable, healthy, or happy.
Enhancement – The action of improving or enhancing the quality or value of something.
Presumption – The act of assuming or taking something for granted.
Overzealous – Excessively enthusiastic or fervent.
Implementation – The process of putting a decision or plan into effect.
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Question :Children ‘s life is greatly influenced by their friends. What kind of influence can friendship make in one’s life? To what extent parents can control it?
Model answer by Lifestyle Training Centre
Peer influence plays a pivotal role in shaping the lives of children, yielding both advantageous and detrimental outcomes. This essay endeavours to delve into the multifaceted nature of peer influence while scrutinising the efficacy of parental intervention in ameliorating its negative repercussions.
On the affirmative side, the companionship of morally upright peers can serve as a formidable asset. Echoing the adage, “one who walks with the wise will become wise,” associating with astute individuals offers myriad benefits. Particularly in educational spheres, children immersed in the company of intellectually stimulating peers engage in collaborative academic endeavours, fostering a positive ethos of competition and propelling them towards academic success. A recent survey conducted at Bangalore Christ University underscored this phenomenon, revealing that top-performing students often form cohesive groups, mutually supporting and challenging each other towards excellence.
Conversely, negative peer associations can precipitate deleterious consequences, exemplified starkly in substance addiction. Indeed, the aphorism “bad company corrupts good character” rings true, as many adults grappling with addiction trace the genesis of their affliction back to formative years tainted by negative influences. The repercussions are dire, ranging from moral erosion to criminality, with theft, abuse, and academic derailment among the most prevalent manifestations of such alliances.
In both scenarios, parents wield profound influence. Vigilant parental oversight is imperative in guiding children towards productive and safe social circles. By fostering transparent communication and nurturing intimate bonds, parents empower their children to make discerning choices regarding peer associations. Furthermore, parental role-modelling of moral rectitude and the virtues of positive friendship cultivates a lasting impact, as children often emulate the behaviours they witness at home.
In summation, peer influence yields a spectrum of effects, ranging from beneficial to detrimental, on the lives of children. Consequently, the proactive involvement of parents in monitoring and guiding their children’s social interactions emerges as indispensable. By instilling values of discernment and fostering environments conducive to positive peer associations, parents can steer their children towards fruitful and fulfilling social engagements, thus fortifying their overall well-being and development.
List of vocabulary used
Pivotal: Of crucial importance; central or essential.
Peer influence: The impact that peers, or individuals of the same age group, have on each other’s behavior, attitudes, and beliefs.
Advantageous: Offering favorable circumstances or advantages; beneficial or helpful.
Deleterious: Causing harm or damage; harmful or detrimental.
Outcomes: The results or consequences of actions or events.
Endeavors: Efforts or attempts to achieve a particular goal; undertakings or initiatives.
Delve into: To explore or investigate deeply; to examine closely or thoroughly.
Efficacy: The ability to produce the desired or intended result; effectiveness or efficiency.
Ameliorating: To make something better or more tolerable; to improve or alleviate.
Repercussions: The unintended consequences or effects of an action; outcomes or results.
Affirmative: Positive or favorable; indicating agreement or assent.
Astute: Having keen insight or shrewdness; perceptive or discerning.
Echoing: Resonating or mirroring; reflecting or repeating.
Adage: A traditional saying or proverb expressing a common observation or truth; a maxim or aphorism.
Myriad: A vast number or multitude; a great variety or abundance.
Intellectually stimulating: Engaging or challenging intellectually; thought-provoking or mentally stimulating.
Ethos: The characteristic spirit or culture of a community, group, or institution; the prevailing beliefs or attitudes.
Propelling: Driving or moving forward; impelling or pushing.
Excellence: The quality of being outstanding or exceptionally good; superiority or distinction.
Cohesive: United or integrated; forming a unified whole.
Mutually: In a shared or reciprocal manner; mutually or jointly.
Underscored: Emphasized or highlighted; underscored or accentuated.
Conversely: In contrast or opposition to something previously mentioned; on the other hand.
Precipitate: To cause or bring about suddenly or unexpectedly; to provoke or instigate.
Aphorism: A concise statement of a principle or truth; a maxim or adage.
Moral erosion: The gradual deterioration or decline of moral values or principles; ethical decay or corruption.
Affliction: A state of pain, distress, or hardship; suffering or affliction.
Dire: Extremely serious or urgent; grave or dreadful.
Manifestations: The display or demonstration of a particular trait, quality, or phenomenon; expressions or embodiments.
Vigilant: Watchful or attentive to potential dangers or problems; alert or cautious.
Empower: To give someone the authority or power to do something; to enable or authorize.
Discerning: Showing good judgment or insight; perceptive or discriminating.
Rectitude: Moral integrity or uprightness; righteousness or virtue.
Fortifying: Strengthening or reinforcing; making stronger or more resilient.
Nuanced: Characterized by subtle distinctions or variations; having a fine or subtle quality.
Sophistication: The quality of being complex or refined; sophistication or complexity.
Analytical depth: The thoroughness or profundity of analysis; depth or thoroughness in examination.
Enhancements: Improvements or refinements made to something; enhancements or upgrades
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Would you like to undergo training for OET, PTE, IELTS, Duolingo, Phonetics, or Spoken English with us? Kindly contact us now!
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