Au Bon Pain opened its first up-scale fast food café in 1977. Since that time‚ Au Bon Pain has grown at a successful pace within the quick food service industry. It presently has 230 company-owned and franchised restaurants in the US and Asia. Back in 1986‚ the management of the company recognized that they were not performing as effectively and efficiently as they planned with over 11 years of operating experience. Furthermore‚ Ron Shaich‚ Au Bon Pain’s co-founder‚ felt the company was in the
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expected pain in reference to her neuropathic pain. The expected pain is considered as a latent cognitive construct distilled from accumulative negative pain experiences collected over the course of illness. The construct is defined “as patient predictions about future pain and consequences of their conditions”‚ (Janzen et al. 2006) and is believed to be responsible for prolonging the experience of chronic pain.(Main et al. 2010) Chronic pain studies have shown that patients who expect pain to get
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Pain: A Concept Analysis Pain is a complex and multidimensional phenomenon that is subjective and unique to each individual. Pain is difficult to describe and often hard to measure; however‚ most healthcare professionals agree that pain is whatever the patient describes it to be. Pain is one of the most frequently used nursing diagnosis and is the most common problem for which patients in the clinical setting seek help (Cheng‚ Foster‚ & Huang‚ 2003). Unrelieved pain can have a profound impact on
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Modulation the pain message is inhibited. 2. What is the difference between nociceptive and neuropathic pain. What words will people describe nociceptive and neuropathic pain? Nociceptive pain results from direct activation of pain nerve fibers‚ either due to chemical‚ inflammatory or mechanical mediators. Neuropathic pain refers to pain that is generated or sustained by the nervous system. Nociceptive pain is pain that can be sharp‚ well define and located. Neuropathic pain is hard to locate
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The Illusion of the Capital Gains Tax Increase Policymakers and researchers have long been interested in how potential changes to the capital gains tax system affects the health of the overall economy. A capital gain is the increase in the value of a capital asset realized over its cost basis (Saxton). The lower tax rate for capital gains is the policy that the United States has followed from the inception of the income tax‚ a policy followed by almost every other advanced economy on earth. As numerous
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caseing ruptures and the gel begins to protrude out between the vertebra and so a slipped disc has occurred. The slipped disc can not only cause a lot of severe back pain but can cause pain in any part of the body. If the slipped disc is pressing on nerves‚ the pain will go to where ever those nerves lead to in the body. The pain caused by the slipped disc pressing on the nerves in the lumber area is a condition known as sciatica‚ although sciatica can be caused by other
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for a lower price and then subsequently sell it at a higher price‚ we make a gain. The gain on sale of a capital asset is called capital gain. This gain is not a regular income like salary‚ or house rent. It is a one-time gain; in other words the capital gain is not recurring‚ i.e.‚ not occur again and again periodically. Opposite of gain is called loss; therefore‚ there can be a loss under the head capital gain. We are not using the term capital loss‚ as it is incorrect. Capital Loss
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requires pain reassessment and documentation within 60 minutes of administering pain medication; but nursing adherence to this standard-of-practice is only 47% (Osterbrink‚ J.‚ 2014). Pain is defined by the patient and can be experienced and expressed in multiple ways. Pain reassessments are crucial in providing patient satisfaction with their medical care. Our PICO question asks‚ “Among hospitalized adults with pain‚ how do different pain reassessments versus lack of reassessments impact pain control
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To manage pain effectively‚ a nurse must assess‚ understand‚ and treat the patient’s pain and then reassess the pain on an ongoing basis. The Joint Commission emphasizes that every patient has a right to pain assessment and treatment. It means that a nurse must assess the nature and intensity of the pain and document the findings in a way that facilitates further assessment and follow-up. In that context‚ pain is indeed the fifth vital sign ("Pain Management‚" n.d.). The nurse will assess Lillian
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people whose stories he had told. His account of what he discovered about them is now the final chapter of Hiroshima. Directions: Choose one item from the essay topics or the project list to complete. The assignment will be due on the first day of school. On the second day of school you will have a quiz on the book Hiroshima. Essay Topics 1. Create a list of major characteristics of each hibakusha (bomb survivor). Which individuals‚ in your opinion‚ have the strongest personalities? Which
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