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The key components of the architecture American Express has created were the ability to more effectively do business utilizing new payment methods and mobile devices.This was done through technology road map, reference architecture road map and utility/capacity road map.In addition, standard enterprise architecture use can deduce risk and exposure and reduce operating costs.Optimally it will allow product and services to be brought to market more quickly.This case study will focus on the maintaining a safe environment.It is worth noting that the activities of daily living are interlinked e.g.

When asthmatics, like Jane, try to take those same breaths their airways do not relax (Esmond 2001).

This assignment is a case study of a patient who was admitted to a respiratory ward with acute exacerbation of asthma.

This assignment will discuss nursing an adult patient with asthma, also it will aim to critically assess, plan, implement and evaluate the patients nursing needs using the Roper, Logan and Tierney nursing model (1980).

Roper et al (1980) points out that the initial assessment of a patient is vitally important but should be ongoing throughout the patients stay in hospital.

The assessment must be appropriate, accurate and comprehensive in order to ensure the patient receives the treatment that is required Welch (2000).




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