Will The Uk Reach Level 2 Bim - 1356 Words

Contents Title †¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦..†¦ 1 Rationale †¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦..... 2 Aims †¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦...†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦.. 3 Objectives †¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦.. 4 Methodology †¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦...†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦.. 5 Literature Review †¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦.. 6 Resources †¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦..†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦.. 7 Dissertation Proposal Gantt Chart †¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦.. 8 Outline of Sections †¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦..†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦.. 9 References †¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦.. 10 Chapters †¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦.. 11 Title Will the UK reach level: 2 BIM by 2016? A study†¦show more content†¦Even the media speaks of adopting level: 2 BIM, but nobody asks why it is already level: 2? The fact is, BIM has always been there in hand drawings and CAD 2D/3D managed environment. BIM is an already existing system, it has just been given a name now, and some necessary tweaking. Actually, this tweaking is what we thought is there, what we thought we were aware of, but we actually ignored. This â€Å"tweaking† is what makes BIM revolutionary. The government regulations of meeting level: 2 BIM is driven by the need for a system that can oversee everything that happens in a project, and also be seen by everyone involved in it. BIM major success in countries who have already adopted it has created a spark for the UK to take a step forward. But, what is BIM? BIM is Building Information Modelling, some say Management and others simply call it Building Information Model. As a matter of fact, it does combine all three philosophies together, and it is quite hard to restrict by a single one. In fact, we rather restrict it’s efficiency if we do restrict it’s philosophy. BIM has been there for as long as we know, Its an order -a lifestyle!- that has been a vital part in the construction industry, marketing, concerts and even fashion. It is an order that exists but few people follow, and

The Divorce Of A Divorce - 941 Words

For many years now couples have shown their love in various ways and one of those ways is getting married and living together forever. Nevertheless, some couples find that when problems come up in their marriage and find it hard to maintain their devotion to one another they start to seem that being together is not an option that they have anymore. When they are unable to maintain their marriage, their solution is to choose is divorce. Divorce, is defined as, the legal dissolution of a marriage by a court or other competent body. In today’s society, divorce is more normal than ever before due to unhappy marriages. The effects of the divorce are emotional effects, financial problems, and direction to an improved lifestyle. When it comes to divorce there s so many emotions that are being effected in the situation such as depression, happiness and even other individuals emotions are affected such as children. In a divorce depression is common, but not a good factor to maintain for it could really affect a person. Depression can cause many negative effects could be drug usage, alcohol abuse, and even death. People with depression are at increased risk of substance abuse and addiction especially if alcohol is involved. In the article Project Know: understanding addiction, â€Å"Almost 50 percent of people who use drugs and alcohol have a mental health disorder. Oftentimes, substance abuse is an attempt to self-medicate.† The outcome of the abuse of medication taken with alcohol canShow MoreRelatedDivorce And Divorce1479 Words   |  6 PagesDivorce/ separation is one issue that I saw preeminent in my extended family. My grandmother, uncles, aunts, cousins and even myself, we had encounter divorce/ separation. My nuclear and extended family is full Mexican, our culture is you marry the love of your life and live happily ever after. Apparently, that did not happen to myself or other members of my extended family. I growth with some believes that end up changing my perspective of marriage 360degreess. The importance of Marriage HispanicsRead MoreDivorce And The Divorce Process1471 Words   |  6 Pagesthe subject of divorce, it became very apparent that the stressors leading up to divorce, the entire legal process, adjusting to life afterward and everything in between, left little more than devastation in its wake. By and large, divorce is incredibly taxing on several fronts. We will discuss the emotional ramifications of divorce for spouses and children, what environmental factors contribute strongest to the dissolution of marriage, what percentage of marriages end in divorce, and the estimationRead MoreThe Divorce Rate Of Divorce1123 Words   |  5 Pagesrelationship, therefore they choose divorce, which is one of the solutions to cope with problems between husband and wife. Furthermore, most people think carefully before they get marriage. However, the divorce rates trend to continually increase nowadays, thus it might be argued that divorces can be taken place easier than the past. In the United State s, researchers estimate that 40%–50% of all first marriages, and 60% of second marriages, will end in divorce. Divorce has always been present in AmericanRead MoreThe Issue Of Divorce And Divorce Essay1672 Words   |  7 PagesIt is common gossip that half of marriages end in divorce. But this gossip is more true than most would assume. One in every one hundred marriages in North Carolina as well as a genuine half of marriages across the United States end in divorce and, according to Jennifer Lansford, â€Å"50% of American children will experience their parents’ divorce† (140). This rate of separation is essentially a heads-or-tails on marriages to determine whether or not they will work out and if a child will be affectedRead MoreDivorce And The Divorce Rate Essay1537 Words   |  7 PagesIntroduction In the last 25 years, divorce has become a major issue in American society. Since the turn of the century, the divorce rate has held steady between 4.0-3.2 divorces per 1000 people per year (National Vital Statistics System, 2015). With this rising divorce rate, more children are living between parents, or in single family homes, and many of these children have been exposed to altercations between parents, as well as rough custody battles and divorce settlements. Traumatic experiencesRead MoreThe Divorce Of Chicago Divorce1252 Words   |  6 PagesKeywords: Divorce mediator in Chicago, family mediator in Chicago, pre-decree divorce in Chicago, post-decree divorce mediation in Chicago Hiring a Divorce Mediator: A Cheaper Alternative to Chicago Divorce Court Resolving a case through the Chicago family court system is not only stressful, but also financially burdensome for the parties involved. In especially contested divorce cases, it is not unusual for attorneys’ fees and court costs to exceed $10,000. The parties in a divorce case may saveRead MoreDivorce : The Divorce Rate1662 Words   |  7 PagesThe divorce rate, while fluctuating over time, has reached high percentages lately. As Coltrane and Adams posit, the high divorce rates are due in part to the fact that the expectations of marriage are high in high esteem. When it does not work out, people are anxious to try again to find the perfect partner. Divorce is what allows people that opportunity (Coltrane and Adams p. 201). However, the intricacies of divorce are complicated. Much of the conversation of divorce is focused on fault andRead MoreDivorce And Its Effect On Divorce2098 Words   |  9 PagesThe memories of divorce have never been more sorrowful to any age group than the children of divorced parents. Although a couple’s marriage vows usually include the phrase â€Å"till death do us part,† about half of all marriages end up in divorce (â€Å"Divorce†). The reasons for divorce could be very simple as well as they could be complex. Some reasons for divorce are adultery, simple arrogance, dishonesty, insecurity, domestic and sexual abuses. In some situation divorce may provide relief from theRead MoreDivorce Essay On Divorce1972 Words   |  8 PagesProject October 13, 2017 The American Divorce: Before and After No-Fault Mr. and Mrs. James Luxford of the Massachusetts Bay Colony hold the distinction of being the first couple to divorce in the American Colonies back on December 3, 1639, on the grounds of bigamy. After the divorce was granted, James was promptly thrown in the stocks and eventually banished to England. Divorce was treated with more severity back then. The stigma once connected to divorce has changed drastically throughout AmericanRead MoreDivorce808 Words   |  4 Pagestheir relationship so they choose to divorce, which is one of the solutions to cope with problems between a husband and wife. Most people claim to think carefully before they get married, but the divorce rates continue to increase. There are three main causes of divorce: the changing of a man and a woman s role, stress in modern living and the lack of communication between the married couple. The first significant cause of recent rise in the rates of divorce is that women completely change in roles

Appendicitis Theory Samples for Students †MyAssignmenthelp.com

Question: Discuss about the Appendicitis Theory Of Anne. Answer: Introduction Appendicitis is the inflammation of the vermiform appendix. Acute appendicitis may be followed by perforations in the appendix, due to ischemic necrosis. If the appendix burst then it may give rise to peritonitis. Appendicitis causes sharp pain in the right abdomen. An appendectomy is the surgical removal of the infected appendix. The paper focuses on Anne, a 10 year old patient being subjected to Appendectomy. The post surgical period may bring about complication in the child if not treated carefully. Hence the paper aims to describe about the growth and the developmental theory related to pediatrics nursing care, the family centered care and the impact of hospitalization on the family and the patient. Pathophysiology Appendicitis is the acute inflammation of the vermiform appendix (Bhangu et al., 2015). The inflammation is thought to be caused by a number of facts such as lymphoid hyperplasia, fecaliths, parasites and other foreign bodies. Fecal stasis and fecaliths are considered to be the most common cause of appendiceal obstruction (Bhangu et al., 2015). In the pediatrics or the adolescence, the appendicitis is mainly caused by the lymphoid aggregate that is actually presence in large number at this age group. As per the theory, the inflammation is caused due to the obstruction, which further raises the intraluminal pressure and finally ischemia (Bhangu et al., 2015). As a result the appendix grows in size and the causes inflammatory changes in the surrounding fat and the peritonium. The febrile pain occurring in the right iliac fossa is due to the appendicitis infection. The bacterial infection and the ischemia that produce inflammation can produce to gangrene and necrosis due to which it may perforate (Drake et al., 2014). The progression of the perforation from obstruction does not take more than 72 hours. The perforation is due to the recreation of the inflammatory fluids and accumulation of the infectious bacteria in the abdominal cavity (Bhangu et al., 2015). On further inflammation of the surface of the peritonium, peritonitis is developed. Nursing care Anne is just a girl of 10 years and requires utmost care. One of the most important goals for the appendicitis is the pain and tenderness management followed by the IV fluids. Surgery followed by proper rest and medications can rule out the complications but it should be kept in mind that Anne is a 10 years old girl who is just on the verge of entering the adolescent period, hence anynursing care should done considering her age and the needs. Growth and development There are four areas of the developmental theories such as the biophysical factors, psychosocial factors, cognitive factors and the moral factors. Innursing these developmental theories are required to provide appropriate care as per the age. Erikson's developmental theories can help nurses to analyze the patients symptomatic behavior (Chinn Kramer, 2013). It is natural that a burden of any disease can be traumatic for a child of 10 years and hence should be dealt in a more holistic way. Eriksons psychosocial stages help the nurses to under the behavioral patterns of each age group. For example, from birth to 18 months the psychosocial stage is trust vs. Mistrust, where if a care giver is able to anticipate what the baby needs then the inevitable moments of frustration in the child could be avoided (Kaakinen et al., 2013). In child of about 18 months to 3 years the psychosocial stage is dependant of autonomy vs. shame. In this stage the child will be developing a sense of autonomy a nd will be doing some of the tasks on their own. An individual who will remain fixed at the transition between the growth of hope and autonomy will develop paranoiac fears. Anna is of 10 years and hence belongs to the next developmental stage, Industry vs inferiority, which is also termed as the stage of latency. In this stage a child generally thrives to develop complex and failing to do so develops inferiority complex in the individual. In a clinical setting under the supervision of caregivers, even the simple toilet tasks are done under the supervision of the nurses. Anne might feel is uncomfortable to seek help each time. At this stage of development children becomes aware of their sexuality and thus Anne might want a caregiver of the same gender (Townsend, 2013). A knowledge of the developmental psychological can be beneficial to the nurses for detecting which developmental stage the child had reached, as it would help him/ her to plan the correct stimulation plan (Kaakinen et al., 2013). Many times it has been found the nurses treat the children against their will. Before undertaking anynursing action, starting from the administration of any medications, or to undergo any medical tests, the patient should be asked for a formal consent. According to Chinn Kramer, (2013), engagement of the child in their care regimen has brought about better outcome in patients. Even a child, as young as 7 years can express an informed agreement. According to Kulik et al.,(2013), this can bring about moral growth and development of autonomy in the young patient. Salminen et al., (2013) have focused on the neurodevelopment and decision making skills among the adolescents. This will bring about a growing sense of autonomy in the child. Reflecting on the developmental theories Ericksons trust and mistrust theory can be used as Annes interpersonal relationship with the nurses might help her to recover from pain and the emotional distress. It is evident that the child was administered with morphine as a painkiller. Improper doses of morphine can have several side effects on a child's health. Excessive effect of morphine can have a lethal effect on the underdeveloped organ system of the child. It can even place the child at the risk of respiratory or cardiac arrest. Since the child is on the verge of puberty, her body is subjected to certain developmental and well as endocrinal changes, which has to be taken care of during the nursing actions. Anne is only 10 years old and his organ system are not as developed as that of the adults and hence the care regimen should be different from that of the adults. Nurses have to be more careful regarding the application of the IV medications. According to Hartwich et al.,(2016), It requires a dearth of knowledge of how the physiology of a child changes from birth to adolescents, along with the effects of certain drugs in their bodies, making any treatments tricky and risky. The metabolism of drugs is quite different in children t han that of the adults. Gorter et al., (2015), have stated that the amount of the fluid in a child's body is greater than that of the adults, hence the circulation of morphine takes place more effectively in their bodies as morphine is hydrophilic in nature. It is evident that Anne had returned with nasogastric tube drainage. It should be kept in mind that errors in the placement of the nasogastric tube may bring about complications. The child might have a nosebleed if mispositioned. The tissue in that area is sensitive and can may get damaged causing bleeding. The nasogastric tube insertion can be dangerous if inserted into the airway instead of the food pipe. It should also be assessed whether the child is having a clear airway, as it may augment the secretion in the nostrils, if the child is suffering from cold. Family centered care Child care has adopted the philosophy of a family centered care approach for maximizing the wellbeing of the pediatrics patient (Ball et al., 2013). The illness of a child may have traumatic effect both on the child and the family. The family centered care philosophy is founded in collaboration with the nurses, family, hospital and the other members of the collaborative team (Davidson et al., 2013). Nurses should work in collaboration with the families for developing the best plan of care for the patient (Ball et al., 2013). It should be remembered that parents are the micro-system of the child's ecology and are experts in their child's care. The presence of Anne's family members during the health related procedures such as, ultrasounds or during the dressing of the wounds can be relieving for both the child and the family. Families come with different cultures and one of the roles of the nurses is to acknowledge and accepts the diversity (Festini, 2014). Cultural and spiritual belie fs have an immense effect on a child's wellbeing. Nurses should work with the families such that the practices can be used in the care of the child if suitable. For example, some families believe on religious practices such as prayers. The socio-economic status of the family can have a profound effect on the type of care provided to the child (Festini, 2014). Effect of hospitalization on the child and the family The case study reveals that Anne is the oldest among the five children. Hence their elder sister's illness might have caused anxiety in them to. Furthermore it is also evident that her parent owns and runs an Indian restaurant. Such a surgery and treatment can bring about high cost burden upon them. The hospital environment including the attitude and the behavior of the nurses can affect the well being of the patient. The hospital environment should be non hostile; the course of the treatment should be transparent keeping the patient's interest at the foremost (Macy,2013). A multidisciplinary should be appointed in case the case turns critical. Nurses should be careful while monitoring the vital signs and administering medications. Conclusion Children are special patients and deserve a unique type of care, which should include treating the whole family. Due to the underdeveloped organ system of the patient the nurses should be very careful while applying any sorts of nursing interventions. The effects of the drugs pose different effects than that of the adults (Smith et al., 2013). Physical illness may cause about emotional distress in the child and due to the growing age the child may suffer for cognitive insecurities. Including the parents in the decision making process may improve the health outcomes. As a caregiver nurse should be able to give a holistic care of approach, which will not only give her physical relief, but also spiritual and mental support. References Ball, J. W., Bindler, R. C., Cowen, K. J. (2013). Child health nursing. Prentice Hall. Bhangu, A., Sreide, K., Di Saverio, S., Assarsson, J. H., Drake, F. T. (2015). Acute appendicitis: modern understanding of pathogenesis, diagnosis, and management. The Lancet, 386(10000), 1278-1287. Chinn, P. L., Kramer, M. K. (2013). Integrated Theory Knowledge Development in Nursing-E-Book. Elsevier Health Sciences. Davidson, J. E., Aslakson, R. A., Long, A. C., Puntillo, K. A., Kross, E. K., Hart, J., ... Netzer, G. (2017). Guidelines for family-centered care in the neonatal, pediatric, and adult ICU. Critical care medicine, 45(1), 103-128. Drake, F. T., Mottey, N. E., Farrokhi, E. T., Florence, M. G., Johnson, M. G., Mock, C., ... Flum, D. R. (2014). Time to appendectomy and risk of perforation in acute appendicitis. JAMA surgery, 149(8), 837-844. Drake, F. T., Mottey, N. E., Farrokhi, E. T., Florence, M. G., Johnson, M. G., Mock, C., ... Flum, D. R. (2014). Time to appendectomy and risk of perforation in acute appendicitis. JAMA surgery, 149(8), 837-844. Festini, F. (2014, December). Family-centered care. In Italian journal of pediatrics (Vol. 40, No. 1, p. A33). BioMed Central. Gorter, R. R., van der Lee, J. H., Cense, H. A., Kneepkens, C. F., Wijnen, M. H., Offringa, M., ... Galindo, F. (2015). Initial antibiotic treatment for acute simple appendicitis in children is safe: short-term results from a multicenter, prospective cohort study. Surgery, 157(5), 916-923. Hartwich, J., Luks, F. I., Watson-Smith, D., Kurkchubasche, A. G., Muratore, C. S., Wills, H. E., Tracy, T. F. (2016). Nonoperative treatment of acute appendicitis in children: a feasibility study. Journal of pediatric surgery, 51(1), 111-116. Kaakinen, J. R., Coehlo, D. P., Steele, R., Tabacco, A., Hanson, S. M. H. (2014). Family health care nursing: Theory, practice, and research. FA Davis. Kulik, D. M., Uleryk, E. M., Maguire, J. L. (2013). Does this child have appendicitis? A systematic review of clinical prediction rules for children with acute abdominal pain. Journal of clinical epidemiology, 66(1), 95-104. Macy, K. (2013). Family-Centered Care. In Encyclopedia of Autism Spectrum Disorders (pp. 1252-1253). Springer New York. Salminen, P., Paajanen, H., Rautio, T., Nordstrm, P., Aarnio, M., Rantanen, T., ... Sand, J. (2015). Antibiotic therapy vs appendectomy for treatment of uncomplicated acute appendicitis: the APPAC randomized clinical trial. Jama, 313(23), 2340-2348. Smith, J., Swallow, V., Coyne, I. (2015). Involving parents in managing their child's long-term conditionA concept synthesis of family-centered care and partnership-in-care. Journal of Pediatric Nursing: Nursing Care of Children and Families, 30(1), 143-159. Townsend, M. C. (2013). Essentials of psychiatric mental health nursing: Concepts of care in evidence-based practice. FA Davis.