Constipation in Stroke patients Research Proposal

Constipation in Stroke patients - Research Proposal Example From this research it is clear that in the current clinical practice, chronic constipation is a frequent outcome secondary to cerebral-vascular accident leading to impaction and overflow incontinence in stroke patients. It remains poorly understood leading to complications including haemorrhoids, faecal impaction, urinary incontinence, ladder outlet, obstruction, urinary tract infection, rectal bleeding, general weakness, and psychological disorders. Constipation has cost implication in terms of hospitalisation, medications, containment, equipment and nursing time. It was observed in the clinical setting that stroke took priority and constipation was overlooked and not considered until patients developed symptoms causing confusion, distress and restlessness. Measures were not taken until patients became constipated and this had an impact on the quality of life and prolonged the hospital stay. Unfortunately constipation is often seen as less important than other conditions in general practice because it is not within an agreed management target. Patients were not assessed and an accurate history of the bowel pattern prior to admission was not obtained or established. Assessment of constipation continues to be poor, compared to other symptoms being rated as a higher priority. A full continence assessment undertaken by a competent health care professional will help to identify patient’s problem. It is important to take a good history in order to identify pertinent information which might not be apparent in a physical examination. Prevention is bette

Information Systems Governance Structure Research Paper

Information Systems Governance Structure - Research Paper Example the following principles; ensuring the smooth running of internal controls with a common objective set by the management, utilizing the resources of the company, making sure that the information systems are in compliance with the law, and ensuring that no existing structures are interfered with (Irani, & Love, 2008). Transaction processing functions include process transactions like making purchases, sales. IBM’s IMS system is used to process billions of transactions on a daily basis by 95% of the top Fortune 1000 companies. A record of direct transaction taking place, its report or an explanation coupled with a record for reference is imperative. The maintenance of master files is integral relating to storage of data pertaining to the organization coupled with production of reports. Management reporting is also a function that is used in the production of output for users. The output is commonly reports that are geared towards the planning, control and monitoring of the organization purposes. IBM continues to enhance its system manages an estimated 15 million GB of critical data. Decision support is based on programmable, semi-programmable and un-programmable decisions. Programmable decisions are repetitive and well defined while semi-programmable decisions are partially reliant on the manager. In addition, programmable decisions rely on the manager’s experience (Khosrowpour, 2006). Kallinikos, (2010), states that transaction processing systems automate the handling of data on business activities and transactions. They are the oldest type of business information system and record routine transactions. IBM in 1968 launched the world’s first commercial database management system later renamed Information Management System in 1968.The information system had a transaction processing software responsible for financial applications, inventory management and other high volume based transaction operations. Management reporting systems perform routine