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Parse's Human Becoming Theory (1981) is rooted in existential-phenomenological thought (derived from Heidegger, Sartre, and Merleau-Ponty). It has three core principles:
- Structuring Meaning Multidimensionally: Humans construct reality through their lived experiences (imaging, valuing, languaging)
- Cocreating Rhythmical Patterns of Relating: Humans and environment co-create patterns (revealing-concealing, enabling-limiting, connecting-separating)
- Transcending with Possibles: Humans continuously reach beyond what is toward possibilities (powering, originating, transforming)
Parse's theory challenges nurses to be true presence โ bearing witness to the patient's experience rather than imposing a medical model of health.
Identify the longest chain containing the double bond: 5 carbons (pent), with double bond at C2 (pent-2-ene).
Number from the end that gives the double bond the lower locant. A methyl group appears at C3 and Br at C4.
IUPAC name: 4-Bromo-3-methylpent-2-ene
This is a 5-carbon chain ($n = 5$: pent) with double bond at position 2 (C2=C3), methyl at C3, and Br at C4.
Propofol Infusion Syndrome (PRIS) is a rare but life-threatening complication of prolonged high-dose propofol infusion.
Risk factors:
- Dose \(> 5 \text{ mg/kg/hr}\) (or \(> 83 \text{ mcg/kg/min}\)) for \(> 48\) hours
- Concomitant use of catecholamines or corticosteroids
- Low carbohydrate intake
- Children (higher risk)
- Pink/lipemic plasma, rhabdomyolysis
- Renal failure (AKI)
- Increase in CK, triglycerides
- Severe metabolic acidosis, cardiac failure
- Immediately stop propofol infusion
- Switch to alternative sedation (midazolam, dexmedetomidine)
- Supportive care (CRRT for renal failure)
- Treat metabolic acidosis
The basic management functions that all managers perform include:
The text states that basic functions all managers perform are planning, organizing, staffing, leading, and controlling. HR management specifically involves policies and practices for the staffing (people) function within this framework.
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