Functional Requirements Of Cladding System Construction Essay

Functional Requirements Of Cladding System Construction Essay Cladding can be defined as a protective or insulating layer fixed to the outside of the building or any other structure. The objectives of cladding system to be built are: To provide enclosure. The cladding was made to provide enclosure to the building which will give the necessary protection against the weather and external changes. Speed of dry construction. The usage of off-site prefabrication for the cladding can provide a drier and faster construction. It imposes minimal additional dead load. The cladding is usually made from a lightweight material and thus the additional load impose on the building is minimum. It enhances architectural concept and impress the appearance of the building. The cladding is made from a different type of materials. So, each of the material used may extrude the appearance of the building according to the concept and function of the building that the architect wants to design. It can control internal environment. The cladding system can control the internal environment of the building such as controlling light penetrating into the building, controlling the radiation and conduction of heat from the sun, and many others. To achieve the objectives, the cladding system should obey some of the functional requirements. The primary functions of cladding system is to separate the indoor environment of a building from the outdoors in such a way that the outdoors environment will not affecting the indoors and the indoor environment can be maintained at levels suitable for the intended use. The other functional requirements of the cladding system are as follows: The cladding system should have a good strength and stability. The cladding system must have adequate strength to support its own weight between the points of support or fixings to the structural frame whereas the sufficient stability is needed to against the lateral wind pressure exposed to the building. Both of these features are required in the cladding system to allow the differential movement between itself; in terms of material expansion and contraction, between the structural frame or the differential movement in other adjacent building element. The cladding system should have exclusion of wind and rain. To fulfil these criteria, a common practice is to construct a solid cladding system with an outer leaf as a rain screen and inner leaf as insulator. Thus, the materials used to seal joints are required to be resilient enough to accommodate movement and resist weather deterioration. To sustain the pressure and suctions by the wind, the cladding must be adequately strong and stiff. The wind directions and velocities are greater at the upper reaches of building. The cladding system must have durability and freedom of maintenance. The minimum frequency and extent of work is necessary to maintain the minimum functional requirements and acceptable appearance of the cladding. As an instance, the glass cladding requires frequent cleaning and renewal of seal to maintain its performance whereas the sheet metal cladding need to be observed and carefully take care of it as it is easily undergo oxidation process and faded. The cladding system has the control of internal temperatures. This is due to the solar gain through the glass panels. The internal temperature can be controlled by three ways. First is by using a deep recessed window in conjunction with external vertical fins. Secondly, by using non-transparent external louvers and thirdly is by using a special solar control glass. The cladding system has a great resistance towards fire. The system must fulfil the building regulations by the local authority. The materials used as a lining for insulation must be made from a non-combustible material. The cladding system should include thermal properties by controlling the radiation and conduction of heat. The lining of the cladding material need to provide additional insulation to control the heat. To radiate the flow of heat from the sun, the interior surfaces of the cladding need to be at the temperature that will not cause radiant discomfort which is neither too hot nor too cold. To control the conduction of heat, the cladding must be made from a low conductivity of heat material to avoid localised condensation on interior surfaces, thermal bridges and stabilised the required degree of the conduction of heat into and out of the building. The cladding system should be equipped with sound insulation. The cladding system should isolate the noise outside the building from the interior of the building or the interior of the building from the external noise. The isolation of noise is best achieved by walls that posses the features of airtight, massive and resilient. The used of resilient pad to prevent sound originating within the structure to be transferred vertically through the cladding members. The airborne sound can be prevented by utilising double glazing panel to windows area. The cladding systems must provide sufficient openings for the admittance of natural daylight and ventilation. The admittance of the sunlight into the building must be controlled as the sunlight has ultraviolet ray which is harmful towards human skin and must be kept off from inferior material that easily disintegrate or fade. The visible light of sunlight is useful for illumination but it can also be bothersome because it causes glare. Question 2 (b) A client requires a road that requires little maintenance with reasonable non-skid properties. With the aid of diagram, suggest a type of road and the construction methodology for the proposed road. The type of road that requires little maintenance and reasonable non-skid properties is a rigid pavement or also known as concrete road. A rigid pavement consists of a concrete slab resting on a thin granular base. The pavement may be Unreinforced Concrete (URC), Jointed Reinforced Concrete (JRC) or Continuously Reinforced Concrete (CRCP). The concrete slab should be Pavement Quality Concrete (PQC), manufactured, laid and cured according to the specification required. Figure 1: Cross-section of Pavement Structure The basic rigid pavement structure consists of subgrade (existing soil), sub-base course, base course and surface course (concrete). The sub-base course and base course are optional depending on the location of the road to be made. Sub-base layer consists of a lean concrete base and a layer of cement-bound granular base or soil cement base. The total thickness of sub-base and concrete slab should be a minimum of 450mm. The function of sub-base is assisting the drainage, protecting the subgrade against frost, and, in the case of fine-grained soils is to prevent pumping where the ejection of water and silt through joints or cracks occurs due to the downwards movement of the slab caused by heavy wheel loads. The materials used as a granular sub-base are crushed rock, crushed slag, crushed concrete, natural sand, gravels or well-burnt non-plastic shale. After the placement of sub-base layer, an anti-friction membrane is placed over and normally polythene sheeting that performs extra function of preventing grout loss from freshly laid concrete. The concrete slab is normally placed by a concreting train that runs on a heavy duty road form to prevent deflection and is bedded in position at least 24 hours before concreting tthe slab. A hopper unit is usually included in the concrete train to feed the concrete on the base through a conveyor belt. This operation may be carry out alternatively by using a screw-type spreader. Then, the concrete is laid onto the fabric reinforcement, followed by the placing of the fabric, a second spreader and compactor unit to complete the slab. Next, a surcharge is placed on the top layer of concrete to gain maximum compaction. An alternative method to lay the slab is by using a slip-form paver. This plant requires no side forms and mounted on crawler tracks. It is capable of laving pavement at 2m per minute. The general method of rigid pavement costruction consists of placement, consolidation, finishing, curing and jointing. Placement This process involves equipments and procedures use to place the pre-cast concrete on a desired thickness of surface. The concrete can be pour and spread by using truck or truck attachments. For a more accurate and even placement, a placementmachine can be use instead. The concrete will become less homogenous or tend to segregate after it has been unloaded from the truck. Thus, the screeding process is carried out immediately after the concrete placement. The excess portion of roughly pre-cast concrete are cut off to the required level of slab elevation. This can be done by dragging a straightedge at the required elevation across the slab. Figure 2: Placement Over Dowel Bars in an Intersection Figure 3: Placement in Front of a Rolling Screed Consolidation This process is use to eliminate undesirable voids in any ways possible. This process removes undesirable air voids and causing it to move around reinforcing steel or other potential obstruction and thus, makes the freshly placed pre-cast concrete more uniform and compact mass. The process of consolidation is completed by using a vibrator that can be characterised as a long and slender vibration rods. The vibrator works by moving back and forth to rotate an eccentric weight which causes the particles in the pre-cast concrete mass to excite to move close together for a better flow around obstruction. However, the vibrator need to be controlled carefully as the exccess or too little vibration can cause the coarse aggregate particles to be non-uniformly distributed. Finishing Finishing process involves all the steps and equipment used to create the final surface finish and texture of fresh pre-cast concrete. This process can be divided into two parts; floating and texturing. Floating. This process involves different tools and may use multiple passes over the same surface. This is done by running a flat surface across the concrete to remove high and low spots, eliminate the imperfections, and compact the mortar at the surface for texturing. Texturing. The concrete is quite smooth after the floating. So, texturing process is carried out to create a slip resistance surface for traffic. The pattern is done by dragging a rough-texture item across the surface. There are two types of texturing; microtexture and macrotexture. Microtexture. The texturing is done by dragging a section of artificial turf or burlap behind the paver. This can enhances frictional force between the tires of vehicles and the surface of pavement and thus increases safety at lower speeds. Macrotexture. The texturing is done by tining the pavement surface. This type of texturing allows the water to escape from between the tyres of vehicles and the pavement and thus increases the safety at high speeds.   Figure 4: Microtexture Figure 5: Macrotexture Curing The curing process is the maintenance of required temperature and satisfactory moisture in pre-cast concrete as it hardens to develop desired properties such as strength, durability and density. These properties related to the extent of hydration of concrete which depend on the moisture and temperature of the site. The perfection of the hydration can results in the better concretes properties. Jointing This process involves the actions to insert purposeful discontinuities in the pavement and seal them appropriately. Joints are formed in slab for allowing and controlling the movements such as expansion,contraction and warping. There are two types of materials used in joints, a sealer that separates the slab and a sealing compound that fills the top of joint. The material used as a joint fillings are cork, rubber or sheet bitumen. On completion, the surface of the slab may be textured by brushing with a wire broom at right angles to the centre line of the carriageway to gives a better skidding resistance and uniform appearance. The slab should be cured immediately after brush treatment by spraying with a curing compound. Question 2 (c): Describe the performance and specify the material that can be used to fill the void of disused structures, e.g. culverts, redundant sewers, cellars, and basements and also for soil structural stabilisation, e.g. bridge abutments, tunnel stabilisation, and embankments. The material that can be used to fill the voids of disused structure is foamed concrete. Specifically, it is called Highly Air-entrained Mortar (HAM) or also known as aerated concrete. Ready-mix foam concrete is highly workable and contain up to 50 percent air-entrained which lead to a low density material. This type of concrete can self-levelling, self-compacting and can be pumped with the risk of settlement cracking and plastic shrinkage is lower than a normal concrete. The performances of the foamed concrete can be divided into three categories which are plastic state advantages, working improvements and final concrete performance. At plastic stage advantages, the foam concrete can be implemented to a variety project needs and operational conditions as it is more practical than any other materials. The features of concrete that satisfy at this stage are as follows: The concrete can be produced on site or off site. This feature allows an immediate placement on delivery and thus, no space is needed for storage. This will also lead to nice workability retention. The concrete has wide range of possible mixes of materials according to its usage. The proportion of mixture is adjustable to fulfil required performance. This may results in controlled density and strength of the concrete. The concrete has a stable chemical structure. So, no soil analysis and moisture checks between layers are required. This is due to its compatibility with almost all building products and materials. The concrete has a cellular fill. This may cause the external contamination face difficulties to penetrate into the concrete. At the working improvements category, the free-flowing properties of these concrete contribute to the following features and benefits: The concrete is easy to place and finish. It uses only a single process of installation where the concrete is pour and then levelled. This lead to a reduction in cost for labour and supervision. Besides, the specialist machinery such as compactors or vibrators is not needed. The foam concrete is pumpable. They can be pumped at a significant distance by using a simple conventional concrete pump. The concrete is self-compacting and self-levelling. This feature makes it ideal for an inaccessible trench where the compaction is difficult to carry out. It allows the concrete to discharge into narrow space and fully fills the void. At final concrete performance category, the plastic state qualities have finally translated into significant final performances. The performances are as follows: The concrete has high entrained air content. This feature makes the concrete becomes more resistance towards freezing or thaw damage. The entrained air content also acts as a good thermal and acoustic insulation. The foam concrete has a good cohesion. The cohesion makes the concrete as a stable foam structure that reduces settlements. The cohesion also helps in the reduction of bleeding and segregation of concrete The density and strength of the foam concrete can be controlled. The range of densities and strengths is available for each type of foam concrete. The lower strength concrete allows removal of subsequent access to services The foam concrete has a stable structure which makes it can be surfaced after twenty-four hours. Question 2 (d): Briefly describe the activities involved in external works at the start of the contract. External works can be generally defined as the construction works done externally from the main building. The external works can be divided into two; at contract commencement and at the end of contract. The activities involved in external works at the start of the contract are drainage, temporary access and buildings, and public utilities whereas the activities involved at the end of contract consists of road and pavement, fencing, landscaping and minor external works. Drainage can be divided into two types; underground/subsurface drainage and surface drainage. Subsurface drainage was made to collect the water from where it is not wanted to some other place such as removing and disposing of surplus groundwater from gardens and other plots of open land. The system usually deals with foul water from kitchen, toilets and any industrial process or combining foul water with surface water. The subsurface drainage system consists of underground pipe line, manhole/inspection chamber and culvert. The underground pipe line pipes and sewer pipes can be made of vitrified clay, uPVC, concrete, high density polyethylene (HDPE) and many others. The jointing of plain ended pipes is made by means of a coupling where the socketed pipe that has distinguishable male and female ends must be laid with female end pointing upstream. To construct underground pipe line, the pipes should be laid in straight line from point to point with a fall to a steady gradient. The type of bedding is depending on the pipes material to protect the pipes from ruptures or breakage. The fittings and access points must be installed at head of run, bend or change of direction, change in pipe diameter and at junction, unless all runs connected to junction can be rodded from another access point. The second part of subsurface drainage system is manhole, access point and inspection chamber. The access chambers are intended to provide simple access for cursory inspection and access for drain rods or other maintenance equipment. The inspection chambers (IC) are larger than access chambers. It provides access for maintenance equipment, but tends to have more branches feeding into them. The manholes (MH) are the largest chambers providing access to sewer or drain for maintenance equipment. The manholes can be made from brick (brick manhole) or pre-cast concrete manhole. The brick manhole typically have 215mm thick brickwork with a mass concrete as benching whereas the pre-cast concrete manhole only 50-60mm thick, although those built beneath vehicular trafficked areas should have been haunches with mass concrete at least 150mm thick. Figure 6: The Cross-section of Pre-cast Concrete Manhole The third part of subsurface drainage system is culvert. Culvert is a structure which provides a waterway or other opening under a road. The type of pipe culvert should be class Z spun reinforced concrete with spun concrete collars or spigot and socket type. Figure 7: The Culvert The second type of drainage is surface drainage system. The system collects water from the roof and the paving, often discharging this relatively clean water into a local watercourse to reduce demand on the effluent treatment plant. The surface water systems are gulley and access point, continuous grating over pre-cast concrete channels and combined kerb and drainage systems. The gulley and access point can be classed into individual trapped gulley and road gullies. The individual trapped gully commonly used with rainwater downspouts for draining large area of paving. The road gullies are basically much larger and used within carriageways. The continuous grating over pre-cast channels can be made from wide range materials such as HDPE, polymer concrete and stainless steel. The combined kerb and drainage systems act as road isolator and discharge point of collected surface water. Figure 8: The Kerb Second external works done at start of the contract is the construction of temporary access, storage area, car parking and site facilities. These are the major components to be built before any construction of building can take places in provision of difficult access to all parts of the site, difficulties in storage of materials and for the site facilities and car parking. For the construction of temporary access, the contractor will lay the base course of permanent road to minimise the cost. The site temporary road can be kept dry by laying the drainage system as soon as possible. The third external works at the commencement of contract is the public utilities services. The services that involves are water system, electricity and cabling for telephone. The public utilities need to be planned ahead before any major structures are built. Any constructions of service mains and ducts should start concurrently with foundation construction stage so that it will not hinder the construction activities.

Nursing Case Studies on COPD

In this reflective piece of writing I will be explaining how chronic obstructive pulmonary disease (COPD) affects the patient physically, psychologically ,and socially ,I will also explain how the disease affects his daily routine and how it impacts on his family life. I will give an overview of the clinical signs and symptoms, how the disease alters the pathphysiology of the lungs, and what these changes cause within the body. I will be using the reflective model â€Å"What, So What, Now What â€Å" (2007). The patient I have chosen to write about is a seventy year old male who has been married for nearly fifty years. He has two grown up sons, both married with children of their own. Mr Woods has Chronic Obstructive Pulmonary Disease diagnosed ten years ago. Prior to this disease Mr Woods was a lifelong smoker, beginning at the age of fourteen years, smoking up to thirty cigarettes per day. Mr Woods condition has progressively worsened over the past few years, and he now requires home oxygen therapy. A patient was brought into the emergency department by the paramedics complaining of difficulty in breathing. On arrival he was tachypnoeic, had a respiratory rate thirty two and was found to have an audible wheeze. He stated that he had a productive cough and was expectorating green coloured sputum. The patient felt warm to touch. He looked pale, was sat upright, slightly leaning forward in a rigid posture on the ambulance stretcher. I was delegated the role of undertaking Mr Wood’s initial assessment, which included ensuring the patient was undressed ready for examination by a doctor, and also carrying out a baseline set of observations. I was happy to undertake this task, because I had the required training, skills and was deemed competent to carry out the necessary care required to look after Mr Woods. The nurse in charge informed me of Mr Woods medical history prior to me entering the cubicle, including what had precipitated his attendance to the emergency department which on that particular day had been his worsening shortness of breath. On entering the cubicle, I helped Mr Woods get undressed and into a hospital gown because any slight exertion made him more short of breath. I carried out a baseline set of observations. His blood pressure was 165/95, he had a pulse rate of 125 beats per minute, a temperature of 38. c, a respiratory rate of 32, on 2 litres of oxygen his saturation level was 88%, and his blood glucose level was 4. 4mmol/l. Although some of these observations are not within ‘normal’ range, for a person with COPD some of these observations maybe acceptable because the disease affects the path physiology of the lungs. The airways leading to the lungs, the bronchi, become inflamed. The inflamed airways produce too much mucus (sputum) which can lead to a p ersistent cough, wheeze and increasing shortness of breath. This happens because the air sacs (alveoli) become overstretched, rupture and merge which causes them to lose their elasticity. This causes the oxygen absorbing surfaces to be reduced, and with the narrowing of the airways gas exchange is less efficient (Parker, 2009). The lungs over inflate which reduces the air volume moving in and out of the lungs which can lead to tachypnoea (abnormally rapid rate of breathing), breathlessness on exertion, respiratory distress, abnormal posture I. e. leaning forward to help open the airways (Nursing Standard, 2001). Patients with Chronic Obstructive Pulmonary Disease can have a tendency to have low oxygen saturation levels, usually around 88% on air. In healthy patients their levels are usually between 95%- 100%. COPD patients often need supportive treatment of 2 litres of oxygen to maintain oxygen saturations normally acceptable for that specific patient. However oxygen therapy higher than 2 litres may cause their carbon dioxide (CO2) levels to rise (Abrahams, 2009). As Mr Woods COPD had progressively worsened he had been commenced on home oxygen which he uses throughout most of the day. This helps him to undertake the most simplistic of daily activities of living. Mr Woods lives at home with his wife who, due to the impact of this disease on Mr Woods, has now become his main carer. She helps her husband with his daily activities such as washing, showering and preparing his meals. He needs help mobilising to the downstairs shower room, and, once there, needs assistance to get undressed. Whilst in the shower room Mr Woods needs to sit on a shower stool because he cannot manage to stand for any length of time due to breathlessness. He is also unable to walk upstairs because he gets short of breath on exertion so he has had a stair lift installed which enables him to go upstairs to bed. This enables Mr and Mrs Woods to fulfil both the physical and psychological aspects of their relationship. COPD can affect the psychological wellbeing of the sufferer. Before Mr Woods condition deteriorated he was able to go out, he used to enjoy going fishing with his sons and playing with his grandchildren. Because of his condition, Mr Woods is prone to feelings of inadequacy and depression. He also feels guilty because of his growing dependency on his wife for the simplest of daily tasks such as making a cup of tea or answering the door. Because of the growing demands of her husband’s worsening condition Mrs Woods now has to depend on other family members to facilitate her with tasks that Mr Woods can no longer undertake due to his COPD, and frequent visits to the hospital with recurrent chest infections. Whilst Mr Woods was in the emergency department it was my responsibility to make sure Mr Woods was comfortable and that his observations were done regularly and documented. I was happy to do this as I am deemed competent and have the required training to carry out these duties. I made sure Mr Woods was sitting upright as this would help him with his breathing by improving his lung capacity and making sure oxygen was prescribed by the doctor and administered via nasal cannulae as per trust policy. I noticed Mr Woods remained tachyponeic, so repeated his observations. Even though on 2 litres of oxygen his saturation levels still remained low so I informed the nurse in charge that Mr Woods observations remained unstable. A doctor was notified and the patient assessed which involved listening to his chest. The doctor then prescribed nebulisers, oral steroids and paracetamol. A chest x-ray was also requested. I had to ask a qualified member of staff to administer Mr Woods medication, because I am not qualified to dispense drugs to a patient as a student assistant practitioner as this does not fall within my scope of practice or within the boundaries of my role. I think the fact I know my limitations and boundaries make me a safe practitioner. I made sure I had documented Mr Woods observations and that I had informed the nurse in charge of his condition making sure that I had dated, timed and signed what I had written. I got my documentation countersigned by a qualified member of staff as stated by the Nursing and Midwifery Council (NMC, 2008). The doctor asked me to cannulate and take some blood from Mr Woods. I was comfortable with this request because I am qualified to undertake the task. I explained to Mr Woods that I needed to put a needle in his arm and take some blood and that I would be leaving the cannula in his arm for any medication his may require later. I put the equipment together that I needed to cannulate, making sure that it was on a clean trolley and that I had a sharps bin. I then washed my hands, put on my apron and gloves following universal precautions. I then proceeded to cannulate Mr Woods explaining everything I was doing throughout the procedure. Once the cannula was in I disposed of my sharp in the sharps bin and put my dirty equipment in the clinical waste and then washed my hands. Mr Woods was then taken for his x-ray. Once labelled I then gave the blood to the doctor to send of to the path lab. I then filled in the cannulation documentation form as per hospital trust policy. I was pleased that I managed to get the cannula in on my first attempt because Mr Woods had terrible veins and I did not like the thought of having to put him through the procedure again as it can be quite painful and distressing. Mr Woods x-ray showed he had a chest infection for which he was prescribed intravenous antibiotics. Mr Woods was then transferred to the Medical Assessment Unit for further treatment by the medical doctors. Reflecting back I believe I have developed my knowledge about chronic obstructive pulmonary disease. Reading articles, text books and trust policies on COPD has allowed my to enhance my ability to recognise when patients are clinically unwell and have the confidence to highlight these abnormalities to the relevant members of the multidisciplinary team I. e. the nurse in charge and doctor, so the patient can be managed promptly and appropriately. Also the information I gained from talking to Mr Woods was invaluable in allowing me to gain insight and therefore a greater understanding of how the disease affected not only the patient but also his family on a day to day basis. Witnessing first hand the debilitating affects the disease process has on an individual such as Mr Woods and his family left me feeling a little sad due to the fact that my role as a student assistant practitioner limited my involvement in his treatment. Having been the first member of staff to attend to Mr Woods on his arrival to the department and to have spent time developing a therapeutic relationship with him I felt that involving another member of staff to carry out an aspect of care may make him question my abilities to look after him as I could not administer his medication. I could address this issue by explaining to the patient that my role as student assistant practitioner does not allow me to give medication but explain that I am competent in carrying out all other aspects of care. Developing my existing knowledge on the psychological and physiological affects of Chronic Obstructive Pulmonary Disease has been consolidated by caring for a patient that has attended the emergency department with this chronic long term condition. Extending my knowledge base on this condition and the long term effects it can have on the individual will ensure that I treat each patient on their needs rather than just on their condition. Also looking back on this assessment I believe I acted professionally, promptly and efficiently. I feel I carried out my duties to a high standard of care within the boundaries of my role as a student assistant practitioner which in turn enabled Mr Woods to receive the treatment and medication he required to ensure the best possible outcome. Looking after Mr Woods has shown that I can work effectively as a member of the multidisciplinary team. I am able to assess, implement and evaluate my care which has enabled other members of staff to witness my holistic and high level of care delivery within the emergency department. I believe this can benefit not only the patients attending the department but also help develop my role within the team.

Responsibilities of a paediatric first aider Essay

Maintain your own safety Contact the emergency services Give accurate and useful information to the emergency services Support the casualty physically and emotionally Appreciate your own limitations Know when to intervene and when to wait for more specialist help to arrive. PEFAP 001 1.2: Describe how to minimise the risk of infection to self and others Wash your hands with soap and water before and immediately after giving first aid. If gloves are available for use in first aid situations, you should also wash your hands thoroughly before putting the gloves on and after disposing of them.(Plastic bags can be used when gloves are unavailable.) Avoid contact with body fluids when possible. Do not touch objects that may be soiled with blood or other body fluids. Be careful not to prick yourself with broken glass or any sharp objects found on or near the injured person. Prevent injuries when using, handling, cleaning or disposing of sharp instruments or devices. Cover cuts or other skin-breaks with dry and clean dressings. Chronic skin conditions may cause open sores on hands. People with these conditions should avoid direct contact with any injured person who is bleeding or has open wounds. PEFAP 001 1.3: Describe suitable first aid equipment, including personal protection and how it is used appropriately. (Print off your PPE report) All first aid boxes should have a white cross on a green background. Guidelines published by the National Association of Child Minders, NCMA, as well as Ofsted and experienced paediatric first aid trainers, recommend that the first aid box in a child care setting should contain the items listed include: 1 first aid guidance leaflet 1 large sterile wound dressing 1 pair disposable gloves 10 individually wrapped wipes 2 sterile eye pads 1 pair of scissors 1 packet hypoallergenic plasters – in assorted sizes 3 medium sterile wound dressings 2 triangular bandages 5 finger bob bandages (no applicator needed) 4 safety pins It is recommended that you do not keep tablets and medicines in the first aid box. PEFAP 001 1.4: Describe what information needs to be included in an accident report/incident record and how to record it. Details of all reportable incidents, injuries, diseases and dangerous occurrences must be recorded, including: The date when the report is made The method of reporting The date, time and place of the event Personal details of those involved A brief description of the nature of the event or disease. Records can be kept in any form but must conform to data protection requirements . PEFAP 001 1.5: Define an infant and or a child for the purpose of first aid treatment. Paediatric first aid focuses on infants and children. An infant is defined as being from birth to the age of one year and a child is defined as one year of age to the onset of puberty. Children are however different sizes and a small child over the age of one may be treated as an infant. Similarly puberty can be difficult to recognise, so treat the child according to the age that you think they are, larger children should be treated with adult techniques. PEFAP 001 3.2: Describe how to continually assess and monitor an infant and a child whilst in your care. Remember your ABC and continue to monitor the infant or child in your care until you can hand over to a doctor or paramedic. A is for AIRWAY : check that the airway remains open. Always monitor a child while in recovery position. B is for BREATHING: Check that breathing is normal and regular. C is for CIRCULATION: check the pulse (if you are trained and experienced) but ensure you take no more than ten seconds to do this: (a) In a child over one  year : feel for the carotid pulse in the neck by placing your fingers in the groove between the Adam’s apple and the large muscle running from the side of the neck . (b) In an infant: feel for the brachial pulse on the inner aspect of the upper arm by lightly pressing your fingers towards the bone on the inside of the upper arm and hole them there for five seconds. PEFAP 001 4.1: Identify when to administer CPR to an unresponsive infant and a child who is not breathing normally. CPR should only be carried out when an infant or child is unresponsive and not breathing normally. If the infant or child has any signs of normal breathing, or coughing, or movement, do not begin to do chest compressions. Doing so may cause the heart to stop beating. PEFAP 001 4.3: Describe how to deal with an infant and a child who is experiencing a seizure. Witnessing a child having an epileptic seizure is a very unpleasant experience, particularly the first one. However, some young children experience what is termed a Febrile Seizure which is brought on when the child has a high temperature or infection. Recognition Stiffening of child’s body Twitching of arms and legs Loss of consciousness May wet or soil themselves May vomit or foam at the mouth Usually lasts for less than five minutes May be sleepy for up to an hour afterwards Treatment Protect them with cushioning or padding- do not hold them down. Cool them down by removing some clothing. When the seizures stop, place the child in the recovery position and monitor signs of life. If they become unresponsive or the seizure lasts for more than 5 minutes then you must call 999/112 for an ambulance. PEFAP 001 5.1: Differentiate between a mild and a severe airway obstruction. A mild airway is usually a partial obstruction, it means the entire airway is not closed off, so air is able to pass by the obstruction,  and the victim can respond and cough forcefully , or may wheeze between coughs. In a serer airway obstruction, the airway is completely blocked off and the victim cannot breathe because air cannot pass by the object. PEFAP 001 5.3: Describe the procedure to be followed after administering the treatment for choking. The child may experience difficulties after having treatment for choking-for example, a persistent cough or difficulties with swallowing or breathing. It is important to monitor and assess the child’s condition and to seek medical help if the problem persists. PEFAP 001 6.1: Describe common types of wounds. A cut (incision): This can be caused from a sharp edge, such as a tin can ,that can lead to a lot of bleeding. A torn wound (laceration): is a jagged wound that can be caused by a broken toy, a fall or collision. Graze or abrasion: cause by friction or scraping, generally happens when children fall. Bruises or contusion: is bleeding underneath the skin. The blood collects and results in a black/blue mark. Children often have bruises on their skin, chin and head from knocking themselves or falling. Soft tissue bruises should be investigated if you have a concern about them. Puncture wound: cause by the body being pierced by an object, for example , a child falling whilst carrying a pair of scissors. Velocity wound: cause by an item travelling at high speed such as a bullet from a gun. PEFAP 001 6.4: Describe how to administer first aid for minor injuries. With minor bleeding from cuts and abrasions the emphasis is on keeping the wound clean and to control any blood loss. Wear disposable gloves. Examine the injury for any embedded foreign objects. Clean the wound under fresh running water. Sit the casualty down. If they feel weak and unsteady, position them on the floor. Clean the skin around the wound with wet sterile gauze or sterile non-alcoholic wipes and carefully remove any grit or dirt. Do not remove any embedded object. Elevate the injury to control any blood loss. Dry the wound with sterile gauze and apply a plaster or sterile dressing. Advise the parent or guardian of the child or infant to seek medical attention if necessary. PEFAP 001 7.1: Describe how to recognise and manage an infant and a child who is suffering from shock. After an initial adrenaline rush, the body withdraws blood from the skin in order to maintain the vital organs – and the oxygen supply to the brain drops. The infant or child will have: Pale, cold, clammy skin that is oftern grey-blue in colour, especially around the lips A rapid pulse, becoming weaker Shallow, fast breathing. In an infant The anterior fontanelle is drawn in (depressed). In an infant or a child may show: Unusual restlessness, yawning and gasping for air Thirst Loss of consciousness The treatment is the same for an infant and a child. If possible, ask someone to call an ambulance while you stay with the child . Lay the child down, keeping her head low to improve the blood supply to the brain. Treat any obvious cause, such as severe bleeding. Raise the child’s leg and support them with pillows or on a cushion on a pile of books. Loosen any tight clothing at the neck, chest and waist to help with the child/s breathing. For an infant: hold the infant on your lap while you loosen her clothing and offer comfort and reassurance. Cover the child with a blanket or coat to keep her warm. Never use a hot-water bottle or any other direct source of heat. Reassure the child: keep talking to her and monitoring her condition while you wait for the ambulance. If the infant or child loses consciousness, open her airway, check her breathing and be prepared to give rescue breaths. Do not give the child anything to eat or drink: if she complains of thirst, just moisten her lips with water. PEFAP 001 7.2: Describe how to recognise and manage an infant and a child who is suffering from anaphylactic shock. During an anaphylactic reaction, chemicals are released into the blood that widen (dilate) blood vessels and  cause blood pressure to fall. Air passages then narrow (constrict), resulting in breathing difficulties. In addition, the tongue and throat can swell, obstructing the airway. An infant or child with anaphylactic shock will need urgent medical help as this can be fatal. The following signs and symptoms may come all at once and the child may rapidly lose consciousness: High-pitched wheezing sound Blotchy, itchy, raised rash Swollen eyelids, lips and tongue Difficulty speaking, then breathing Abdominal pain, vomiting and diarrhoea If you suspect an infant or child is suffering from anaphylactic shock, follow the steps below: Call an ambulance. If the child has had a reaction previously, she will have medication to take in case of more attacks. This should be given as soon as the attack starts, following the instructions closely. Help the child into a comfortable sitting position to relieve any breathing problems and loosen any tight clothing at her neck and waist. Comfort and reassure her while you wait for the ambulance. If the child loses consciousness, open her airway, check her breathing and be prepared to stat rescue breaths. PEFAP 001 6.2: Describe the types and severity of bleeding and the affect it has on an infant and a child. Even tiny a mounts of blood can seem like a lot to a child. Any bleeding may frighten children because they are too young to realise that the blood loss will stop when clotting occurs. When a child loses a large amount of blood, he or she may suffer shock or even become unconscious. Platelets and proteins come into contact with the injured site and plug the wound. This process begins within ten minutes if the loss of blood is brought under control. There are different types of bleeding: Bleeding from arteries : This will pump blood from the wound in time with the heartbeat and is bright re in colour. If the bleeding from a major artery will lead to shock, unresponsiveness and death within minutes. Bleeding from veins: The bold will gush from the wound or pool at the site of the wound. This will depend on the size of the vein that has been damaged. The blood will be dark red in colour due to the oxygen being depleted. Bleeding from  capillaries: Oozing at the site as with an abrasion or maybe internally from a bruising to muscle tissue and internal organs. PEFAP 001 6.3: Demonstrate the safe and effective management for the control of minor and major external bleeding. With minor bleeding from cuts and abrasions the emphasis is on keeping the wound clean and to control any blood loss. Wear disposable gloves Examine the injury for any embedded foreign objects Clean the injured area with cold water, using cotton wool or gauze Do not attempt to pick out pieces of gravel or grit from a graze. Just clean gently and cover with a light dressing if necessary Sit the child down if they feel weak and unsteady, position them on the floor. Elevate the injury to control any bold loss Record the injury and treatment in the Accident Report Book and make sure that the parents/carers of the child are in formed. When a child is bleeding severely, your main aim is to stem the flow of blood. With severe wounds and bleeding the emphasis is on controlling blood loss and treating for shock. Wear disposable gloves Sit or lay the child down on the floor to help prevent shock Examine the injury to establish the extent of the wound and to check for any foreign embedded objects Try to stop the bleeding: Apply direct pressure to the wound: use a dressing or a non-fluffy material, such as a clean tea towel Elevate the affected part if possible: if the wound is on an arm or leg, raise the injured limb above the level of the heart Apply a dressing: if the blood soaks through, do not remove the dressing, apply another on top and so on Support the injured part and treat the child for shock. Keep them warm and do not let them have anything to eat or drink Call 999/112 for an ambulance and monitor the child’s condition Contact the child’s parents or carers If the child loses consciousness, follow the ABC procedure for resuscitation Always record the incident and the treatment given in the Accident Report  Book. Always wear disposable gloves if in an early years setting, to prevent cross-infection.

U.s. African Development Foundation - 6843 Words

The U.S. African Development Foundation, which is an agency dedicated to the development of African in various sectors such as economic opportunity and food security, provides some figures of the grants that have been used for the continent between 2012 and 2014 with the year 2015 as a planned for future funding. Under â€Å"Obligated† heading, we can see that $29.6M was needed during Fiscal Year (FY) 2012, $27.8M was for FY 2013, and $31.8M was for FY 2014. Under â€Å"Spent† heading, the actual amount that have been used for FY 2012 was $36.5M, FY 2013 was $32.3M, and FY 2014 was $26.2 M, with, again, the projected grants for FY 2015 was $24M under â€Å"Planned† heading, and no data for this fiscal year as to how much has been spent as of this†¦show more content†¦For instance, when we look at East Asia Pacific, there are six countries listed on the chart (Cambodia, China, Fiji, Indonesia, Lao PDR, Malaysia, Philippines, Thailand, and Vietnam) and al most all of them, except for Lao PDR who have a population between 20-40 percent who live under $1.25 a day, have a population of less than 20 percent living under the $1.25 poverty line. However, under the $2 a day poverty line, only China and Vietnam have a population of less than 20 percent living below the poverty line, and the rest have beyond the 20 percent limits. The most extreme of them all is Lao PDR with over 60 percent living under $2 a day, and Cambodia and Philippines are about the same with just over 40 percent of the population (http://povertydata.worldbank.org/poverty/region/EAP). In stark contrast with East Asia Pacific, the Sub-Saharan Africa has an overwhelmingly high percentage of population who are living under extreme poverty line, even at the $2 a day limit. For instance, Zimbabwe has between 75-100 percent of the population living under $2 a day, with the percentage just a little below 75 percent at the $1.25 limit. The â€Å"Regional Poverty Trend† data chart also shows a total opposite with East Asia Pacific, because for the Sub-Saharan Africa starting in 1981, we see that the number of â€Å"millions of poor† marked by the blue columns has been increasing steadily with 2011 at