Sample of Nursing Health History - 1063 Words

Nursing Health History Nursing health history is the first part and one of the mostsignificant aspects in case studies. It is a systematic collection ofsubjective and objective data, ordering and a step-by-step processinculcating detailed information in determining client’s history, healthstatus, functional status and coping pattern. These vital informationsprovide a conceptual baseline data utilized in developing nursingdiagnosis, subsequent plans for individualized care and for the nursingprocess application as a whole. In keeping the private life of my patient and in maintaining confidentiality, let me hide for with the pseudonym of Patient B. Patient B was born on December 19, 1992. She didn’t know herparents but she has relatives†¦show more content†¦A thorough record of relevant dates is important in determining relevance of past illnesses or events to the patient s current condition. Past and current medical history includes details on medicines taken by the patient, as well asallergies, illness, hospitalizations, procedures, pregnancies, environmental factors such as exposure to toxins or carcinogens, and health maintenance habits such as self breast examination or immunizations. An example of a line of questioning might be: †¢ How are your ears? †¢ Are you having any trouble hearing? †¢ Have you ever had any trouble with your ears or with your hearing? If the patient indicates a history of auditory difficulties, this would prompt further questions about medicines, surgeries, procedures, or associated problems related to their current or past condition. In addtion to identifying data, chief complaint, and review of systems, a comprehensive health history also includes factors such as the patient s family and social life, family medical history, mental or emotional illnesses or stressors, detrimental or beneficialShow MoreRelated Article Analysis: The Nursing Shortage Essay1703 Words   |  7 PagesArticle Analysis: The Nursing Shortage Nursing shortages have occurred in health care throughout history, and especially since World War II. Just as the legion of baby boomers is about to swell the need for quality health care, Americas nursing population is aging and more nurses are moving into primary care settings and into other disciplines. As a result, Americas hospitals and other institutions need more nurses, especially those who deliver specialized care. As a healthcare providerRead MoreNurse Patient Ratio1710 Words   |  7 PagesPresently in the health care field there is a push for safe nurse to patient ratios in acute care settings to provide quality and safe practices that will reduce the risk of complications and adverse effects as the acuity of patients continue to increase. As patients are staying in acute care facilities for less time, resulting in the need for continued care after discharge. The fluctuation of higher rates of acuity of patients in the skilled nursing facilities and nursing home setting is placingRead MoreAnnotated Bibliography : Dependability And Transferability966 Words   |  4 PagesDependability and Transferability No sample questions were revealed. It would have been beneficial to evaluate dependability if it was identified which input from the subjects required follow-up questions or when did the unstructured interview reach saturation. The author highlighted the choice of unstructured interviews to create freedom in narration. This is most likely the reason as to why the data collected from the patients and family members â€Å"fluctuated between their lived experiences andRead MoreSafe Nurse To Patient Ratios In Nursing1710 Words   |  7 Pages Presently in the health care field there is a push for safe nurse to patient ratios in acute care settings to provide quality and safe practices that will reduce the risk of complications and adverse effects as the acuity of patients continue to increase. As patients are staying in acute care facilities for less time resulting in the need for continued care after discharge. The fluctuation of higher rates of acuity of patients in the skilled nursing faculties and nursing home setting are placingRead MoreThe Holistic Approach of Qi Exercise for Healthy Pregnant Women1439 Words   |  6 Pagessupport for overall maternal health throughout pregnancy. Although Qi exercise is gaining more attention as a type of complementary and alternative therapy, there have been hardly any studies done to examine Qi exercise during pregnancy (Ji Han, 2010). Significance of Topic There is significance in investigating the effects of Qi exercise during pregnancy because of the insightful information and evidence that may be obtained for improving nursing care and serving the health care needs of pregnantRead MoreEssay about case study1240 Words   |  5 Pages Ackley: Nursing Diagnosis Handbook, 10th Edition Writing Assignment: NCP: Planning, Implementation amp; Evaluation Due to Evolve dropbox by 10/29/14@ 11:59 PM Nursing Process Case Study - Mrs. Ross (Wound Care) Case Scenario â€Å"It isn’t fair. I’ve worked so hard all my life, I don’t deserve this,† thought Mrs. Ross as she looked down at her right leg where a large wound gaped open. Two weeks ago, she had a femoral-popliteal bypass, which got infected. The wound was opened up and was healingRead MoreBuilding an Improved Infrastructure for Collection Analysis of Nursing Workforce 1414 Words   |  6 PagesAnalysis of Nursing Workforce Data Healthcare Reform The Affordable Care Act (ACA) was passed in 2010 with the goal of expanding healthcare coverage to all Americans by reforming insurance policies and practices (Tillett, 2011). The ACA upsurges the demand for an increase in primary care providers in order to supply quality care to the much larger population that will have coverage and therefore acquiring healthcare. The Institute of Medicine (IOM) through its report The Future of Nursing: Leading ChangeRead MoreAn Explanatory Quantitative Methodology Utilizing A Multisite, Cluster Randomized Control Trial ( Rct )1539 Words   |  7 Pagesmedical-surgical unit. Explanatory-quantitative research provides a systematic, objective approach to investigate, measure, and analyze the relationship between the variables (Langford Young, 2013). A RCT follows a true experiment design using a large sample and multiple sites permitting manipulation of an independent variable, the use of a control group, and randomization of subjects (Langford You ng, 2013). RCTs allow for the generating of groups that are relatively comparable thereby reducing theRead MorePreeclampsia: A Nursing Approach. Kytcia J.Guillen Morales.1312 Words   |  6 PagesPreeclampsia: A Nursing Approach Kytcia J. Guillen Morales The University of Texas at Arlington College of Nursing Health Innovation In partial fulfillment of the requirements of N4441 Nursing Care of the Childbearing Family Marti J. Hesse, RN, MSN/Ed, OB Clinical Assistant Professor February 3, 2017 Preeclampsia: A Nursing Approach Preeclampsia is one of the most common hypertensive disorders that occur during pregnancy. According to Ricci (2013), â€Å"Preeclampsia can be described as aRead MoreNurse : A Nurse As A Person Who Is Trained For Care For Sick Or Injured People?1118 Words   |  5 Pagesusually works in a hospital or doctor s office. This definition is a limited view of nursing means; a nurse is more than just a trained person that takes cares of a sick person (Nurse, n.d). What are the specific responsibilities for the role of the RN? †¢ Looks at health history of a patient and takes vital signs- during the start of a visit the nurse may have you fill out a questioner or may ask your health related questions. They will also take the vital signs and report any irregularity to the

Traumatic Brain Injury Essay - 1983 Words

Traumatic brain injury (TBI) is a major health problem in industrialized societies. Associations between TBI and neuropsychiatric disorders have been recognized for many years. Impulsive aggression is one of the most socially and vocationally disruptive consequences of these neuropsychiatric disorders (Tateno, 2003). Aggressions can be broadly divided in to two types: Reactive/ Impulsive aggression (RA) refers to aggression that is impulsive, emotionally charged, affective and uncontrolled. It has its theoretical roots in the frustration-tolerance theory. It is most often observed in response to a perceived threatening stimulus and is frequently accompanied by negative affect, facial expressions described as hostile, temper tantrums,†¦show more content†¦Numerous studies have documented that displays of anger are common in the traumatic brain injury population. Anger can be defined as hostile thoughts and feelings, whereas aggression captures violent behaviours. A study by Tateno et al. (2003) found that over 33% of individuals with a traumatic brain injury (TBI) demonstrated aggressive behaviours. In light of the prevalence of anger in the TBI population, it is surprising that there has been a paucity of research exploring the component pre-morbid and comorbid factors in patients with i ncreased anger following a TBI. From neurobiological point of view, Impulsive aggression is seen as a consequence of a failure in the regulation of negative emotions, such as anger, for example. This thinking of Disinhibition and hostility was found and documented by Grafman et al. (1996) in TBI patients with frontal lobe damage involving subcortical limbic structures. According to Davidson et al (2000), threatening environmental stimuli are transmitted to the amygdala, which makes projections to the basal ganglia, where they are integrated with information of the social context that comes from the orbitofrontal cortex. Appropriate behavioral responses can, therefore, be initiated through projections toward other cortical regions, hypothalamus or brain stem. Consequently, the orbitofrontal cortex and adjacent areas such as the dorsolateral prefrontalShow MoreRelatedA Traumatic Brain Injury 1708 Words   |  7 PagesA traumatic brain injury (â€Å"TBI†) occurs when the brain is somehow injured, rattled, or w ounded from an external source of force. The means of acquisition and the severity of TBIs are unique to each patient; therefore, symptoms and rehabilitation can vary greatly depending on the patient’s condition following the incident and how they sustained the injury. The severity of a TBI is generally classified into one of three categories: mild, moderate, or severe, and this type of diagnostic criteria influencesRead MoreTraumatic Brain Injuries772 Words   |  4 PagesEffects may be long term or short term, depending on the gravity of the incident. Traumatic Brain Injury (TBI) is a serious public health problem in the United States. Based on recent studies, on average, 1.7 million people endure a traumatic brain injury each year. The leading causes of Traumatic Brain Injuries are falls, motor vehicle accidents, struck by or against objects, and assaults. The initial blow causes the brain to bounce around and twist hitting the bony interior wall of the skull or anRead MoreTraumatic Brain Injury1030 Words   |  5 Pagesto provide therapeutic and counseling services that assist persons suffering with traumatic brain injury (TBI) or acquired brain injury (ABI) in coping and recovering from the mental illnesses that often accompany such tragedies. TBI/ABI has shown a proven link with â€Å"anxiety, depression, personality changes, aggression (National Alliance on Mental Illness Veterans Resource Center May 8, 2009 Traumatic Brain Injury)†, as well as many other issues. As the caregiver for a survivor of a rare and deadlyRead MoreTraumatic Brain Injury Essay1243 Words   |  5 PagesTraumatic Brain Injury Traumatic brain injury, also called acquired brain injury or simply head injury, is a result of a sudden blow to the head when an external force is applied causing a disruption of the physiological stability of the brain locally. It can also occur when an object pierces the skull and enters the brain tissue and when elevation in the intracranial pressure occurs and potentially dramatic changes in the blood flow within and to the brain. These changes may produce a diminishedRead MoreSymptoms And Injuries Of A Traumatic Brain Injury841 Words   |  4 Pages Nearly two million people experience a traumatic brain injury (TBI) every year. The degree of severity from the incident may range from no underlying brain injury to severe compression of brain tissue. Irregular interior surface of skull can damage fragile tissues of brain during acceleration, deceleration, or shearing forces. Direct mechanical trauma can injure cortical tissue. Traumatic hematomas can damage subcortical structu res and lead to vasospasm and ischemia. Sudden movement of skull onRead MoreTraumatic Brain Injury Essay1046 Words   |  5 PagesInjury Stats Roughly 1.4 million people sustain a traumatic brain injury every year in the United States.1 Of these 1.4 million, 235,000 injuries are severe enough to require hospitalization—and 50,000 result in death. More than half (over 700,000) of all of these yearly brain injuries are from sports-related activities, falls, and physical assaults. In the year 2000, traumatic brain injury cost an estimated $60 billion in the United States, totaled in both direct medical fees and indirect costsRead MoreIntroduction Of Traumatic Brain Injury897 Words   |  4 PagesOutline I. The Brain II. Introduction of Traumatic Brain Injury (TBI) a. TBI sustained in combat zones i. Degrees of TBI ii. Causes of TBI while deployed 1. Concussion management iii. Why it is a problem III. Who Should Be Screened And How a. Suspected patients b. Methods of screening i. Rapid field screening ii. Further evaluation IV. Interventions and Treatment a. Deployed interventions i. Medications b. Nursing Interventions i. Manage symptoms ii. Family education. The human brain is a scientificRead MoreBrain Studies on Traumatic Brain Injuries1953 Words   |  8 Pagesfrom a traumatic brain injury. While working at a railroad site, an iron tamping rod (43 inches long, 1.25 diameter) went through his left cheek, through his brain, and out the skull. He surprisingly ended up surviving this traumatic injury. After a month in the hospital, he was back out on the street. Once a nice, caring person, Phineas turned into an aggressive man who could not even keep a job. Just like Phineas Gage, a TBI can potentially change everything. Brain studies on traumatic brain injuriesRead MoreTraumatic Effects Of Traumatic Brain Injury1278 Words   |  6 PagesTraumatic Brain Injury Traumatic Brain Injury (TBI) is one of the most common causes of death and long-term disability in children (Kraus, 1995). It is an acquired brain injury that occurs when a sudden trauma causes damage to the brain (NIH,2016). The symptoms for Traumatic Brain Injury include frequent headaches, lightheadedness and dizziness. An individual may experience having blurred vision tired eyes, and fatigue. Even stressors prior to having an injury can contribute to the result of postRead MoreImaging Of Traumatic Brain Injuries Essay1585 Words   |  7 PagesImaging of Traumatic Brain Injuries: An Investigative Report INTRODUCTION Traumatic brain injuries (TBI) consist of pathological intracranial characteristics of altered brain function cause by an outside force. TBI’s have plagued emergency rooms in recent years. TBI’s are the number one cause for death and disability in American youth and young adults. The drastic increase in TBI prognosis has been credited for reasons such as; increased competitiveness in sports, increased speeds of automobiles

Macbeth GUILTY Essay Example For Students

Macbeth GUILTY Essay This was an oral presentation, in which I prosecuted Macbeth. I received a grade of A-, however was told that it was my actual presentation rather than my essay that stopped me getting a higher grade 🙂Ladies and Gentlemen, I will be brief. You have heard the testimonies and seen the evidence; it is now time for the fate of Macbeth to be decided. Today you have met scores of witnesses testify, under oath, the defendants entirely good and honest character, and have pondered as to how the King of Scotland could commit such atrocities. However, unmistakable evidence opposes such testimonies and proves beyond reasonable doubt that the defendant Macbeth killed his King, Duncan the II of Scotland, his life-long friend Banquo and Lady Macduff and her children. Over the last six months we have seen Macbeth degrade from a fearless and heroic warrior to a murderer, a conscious villain who felt extreme guilt after killing his King out of pure greed and ambition. His servant, as testified, overheard Macbeth express his guilt to his wife on the night of the murder:I am afraid to think what I have done;Look on t again I dare not. Following his crowning at Scone, King Macbeth hired three assassins to murder his long-time friend Banquo, in order to protect his crown. It was after the murder of Banquo that Macbeth then turned into an unmerciful, non-repentant tyrant. This man, once heralded a hero, became the bane of Scotland and his people. The defense has tried to manipulate facts to persuade you that Macbeth is not to blame for these murders and has placed responsibility for these deaths on everyone from Lady Macbeth to the witches, who occasionally conversed with the accused. You have heard testimonies of the three witches, who told us of their encounters with Macbeth. What sort of man would associate with such evil beings, and most of all, believe the nonsense they foresee? The witches did not directly influence Macbeth to assassinate his King, they only speculated as to what the future may hold and these predictions ignited his overwhelming ambition to become King. These associations with the witches bring serious doubts to the goodness of the defendants character. Speculations that Lady Macbeth is responsible for Duncans murder have been made by the defense. But blood found on this cloak hidden in Macbeths quarters proves without doubt that it was Macbeth who actually committed the murder. He is ultimately to blame. The accusations made by Macbeths lawyers that Lady Macbeth pressured her husband to assassinate Duncan are irrelevant. It is unthinkable that such a brave and valiant soldier could be so weak as to be influenced by his wife to commit murder, unless he had already considered doing it, or had something to gain from the death of Duncan, such as the throne of Scotland. The defense has tried to convince you that Macbeth was insane at the time of King Duncans murder. If he were not sane, would he have been seen as such a well-loved and courageous soldier? Would he have been so respected by his King to be honoured with the title of Thane of Cawdor, had he been ill at mind? These notions themselves are insane! Macbeth was sane and rational at the time of the murder! Yes, Macbeth did show signs of derangement a week after the murder at the banquet, as testified by Ross, who attended the feast and described to you the accuseds strange behaviour. Could an innocent man be driven mad over a period of a week? It was his conscience, my friends, which drove him insane!After the pre-meditated murders of Duncan and Banquo, the pressures of being King, and the mounting guilt of the murders he had committed, were increasing. Overheard by his servant, Macbeth said to his wifeI am in blood, Steppd in so farThe outlet for his rage was Lady Macduff and her family. This pointless, and motiveless, massacre shows the cruelty and immorality that has become a part of Macbeth. He did not stand to gain anything from the deaths of these innocent people. No longer was he the honoured soldier, or the compassionate King, but the brutal tyrant. We must stop making excuses for this cold-hearted man. He was not influenced by his wife or witchcraf t. He was sane when he brutally murdered his King. He was influenced only by his ambition and greed to become King; he was influenced by his selfishness and hunger for power. From hero to heartless tyrant, this is the tragedy of Macbeth. Ladies and Gentlemen, his time has come. Macbeths fate lies in your hands. I trust that you will make the right judgment.

Solar Photovoltaic (PV)

Solar Photovoltaic (PV) Solar photovoltaic (PV) uses solar cells to capture energy from sunlight and converts it to electricity by photovoltaic effect through assembling solar cells. Transmitted through solar modules and solar panels, sunlight is easily converted to solar power that can be supplied to off-grid areas as alternative to power solutions in remote and dispersed communities.Advertising We will write a custom essay sample on Solar Photovoltaic (PV) specifically for you for only $16.05 $11/page Learn More Solar photovoltaic (PV) project is a predominant technology that consists of 10-100 Wp of solar PV panel that attract solar radiations through daylight and stores the energy in the automobile battery which is then transmitted through cabling and low-wattage Dc lamps (Energy and Mining Sector Board, 2007). Practical application of photovoltaic cells producing electricity from sunlight is applied by connecting a series of modules, interconnected in parallels or series creating an array of an additive voltage. Photons in sunlight hit solar panels and absorbed by silicon (semiconducting materials) (Shive, 1959). Electrons being charged are knocked loose from their atoms, allowing them to flow through the silicon in a single direction to produce electricity (silicon) (Lorenzo et al, 1994, p.78; Smee, 1849). Arrays of solar cells are convert the solar energy into usable amount of direct current (DC) electricity which could be applied to development activities such as water pumping, small cottage industry, poultry rearing, fish farming among others (Lorenzo et al, 1994, p.78; Anderson 2001). Introduction Science and technology has defined desired service outcome for end users. Use of solar photovoltaic technology has amplified and transformed the rural poor population who can not afford electricity (Wolf, 1976). It requires active participation of community members, who are the end users beneficiaries and the government, should actively participate to foresee the project completion. This essay demonstrates how technology sector, for this instance, Solar photovoltaic (PV), a solar energy that is currently processed by World Bank in Bangladesh has incredibly transformed the living standards of the rural poor population.Advertising Looking for essay on other technology? Let's see if we can help you! Get your first paper with 15% OFF Learn More Data obtained for this analysis is culmination research efforts gathered between World Bank projects and extensive assessment performed by a group of industry practitioners in Bangladesh in pursue of project management and Information technology programs. Developing countries have over the years been striving to provide energy solutions to the poor marginalized areas. Despite many projects that have been implemented for years, more than 1.5 billion people in developing countries mostly in the Sub- Saharan African region and South Asia remain without access to electricity services today. In this regard, World Bank continue to implement projects to meet Bangladesh lightening and other basic energy needs since majority of the households in the rural areas depend on expensive fuel based energy power such as kerosene, which are indeed inefficient and polluting. World Bank’s project uses renewable energy-based technologies ranging from solar photovoltaic (PV) systems to micro hydropower to off-grid areas as alternative to power solutions in remote and dispersed communities (Lorenzo, 1994). This projected has also been accelerated due to the recent increment of fuel prices. Among the financiers, World Bank is the leading sponsor of the off-grid electrification benefiting more than 1 million households including both small and medium size enterprises. Solar Thermal Power Plant in Bangladesh enabled sustainment of community development activities such as water pumping, small cottage industry, poultry rearing, fish farming among others. The study starts by mentioning impacts of solar photovoltaic (PV) on Bangladesh society, problems inherent within the project application of solar photovoltaic (PV) in Bangladesh rural development, national subsidiaries and the government working to meet the basic energy needs. The analysis did however conclude that PV improved living standards and the livelihood of the rural poor population.Advertising We will write a custom essay sample on Solar Photovoltaic (PV) specifically for you for only $16.05 $11/page Learn More This therefore brings us to the conclusion that technology is indeed a practice that requires testing regimes to arrive at best practices. In this regard, understanding both internal and external processes rather than relying on the prescribed best practices within information technology industry is very important. Overview of Bangladesh Community Many rural communities in Bangladesh require energy solutions to sustain their economic a ctivities. Many of their projects are usually constrained by lack of modern supply of energy and jeopardized their ability to live above poverty levels. Economic activities related to water pumping, small cottage industry, poultry rearing, fish farming among others are very important in sustaining community development. Many of these projects require small amount of power as low as 100w to 3kW, which could be provided by PV. In this case, the government should initiate and enhance productive activities for long-term project sustainability. This brought us to the conclusion that the major ingredients to providing off-grid require technical assistance and adequate financing from the government, private subsidiaries and international donors. Therefore the costs of PV built to serve the off-grid community need to be justified in its productive loads especially in daytime when the sunshine is out enough to supply nighttime household loads, otherwise the wall project would not be cost eff ective (Cabraal et al, 2008, p.15). Bangladeshi government should ensure that regulatory requirements designed for off-grid markets are appropriate, devise reporting and service quality standards in rural areas and set lower costs that can be redistributed over an extended period (Reiche et al, 2006). For PV services for instance, Reiche et al (2006) argues that the only regulatory body that would foresee the completion of the project would be the government that provides subsidies for system purchase and installation.Advertising Looking for essay on other technology? Let's see if we can help you! Get your first paper with 15% OFF Learn More Reiche and his colleagues (2006) add that regulatory actions involve accreditation of participating companies, settings and enforcing standards (preferably adopting internationally accepted standards), verification of installation, and random monitoring of system performance-actions that World Bank-supported projects usually require of counterpart government agencies (p.7). Impacts of solar photovoltaic (PV) on Bangladesh society Solar photovoltaic (PV) and SHS technical options enhance affordability and provide smaller, lower-power solar systems that offer lower quantity of service without compromising its quality (Cabraal et al, 1996). For example, Cabraal and his colleagues (1996) analysis demonstrate that a solar panel costing $ 50 to $75 would provide 3-4hours of lighting on a daily basis. Also, the SHS costing $ 600 can operate up to 3-4 hours of lighting and radio daily. LED technology advances are also cost efficient and can also be adopted into the most marginalized and ret ail infrastructure. Overall, adequate attention to SHS products and services are needed lead to reduced costs and replacements less expensive (Cabraal et al, 2008, p.19). World Bank investment projects have over the years made impressive gains in improving electricity access specifically in developing countries. It’s estimated that majority of Bangladesh population both in rural and marginalized areas has no access to electricity. Poor household here are defined as people living in off-grid areas with low-income levels. Government programs in Bangladesh should in this case prioritize allocation of scarce resources. This is because unprivileged populations are found to be concentrated in the rural communities. However, the costs required to electrify this places vary significantly. Marginal areas have been without electricity for sometime since private organizations are unwilling to connect customers because if the inherent high costs installation and with lower tariffs. In re ality, private sectors prefer to concentrate on grid intensification due to lower cost per connection and easier to implement. Government projects are rarely off-grid decisions and its time they supported energy initiatives that would stimulate the growth of micro-enterprises that would benefit the economy. For these reasons, some off-grid projects have been neglected hence the need for World Bank sponsorship. The spatial-analysis of power line being plotted in Bangladesh is one of such example (Cabraal et al, 2008, p.4). Rural renewable electrification programs such as solar photovoltaic (PV) are increasingly becoming popular in developing countries as a means of providing alternative energy sources to rural poor population. PV technology varies significantly in design and implementation as well as its degree of success. Lorenzo and his colleagues (1994) argue that sustainability of this programs are widely successful with collective participation from the local government, donor f unding and the community. Solar photovoltaic tends to be a technical demonstration project and relies totally on funding from donor organizations and local governments. In this regard, World Bank projects aimed at mainstreaming sustainable development principles into development aspects, is projected as a primary donor for community sustainment. It mobilizes efforts from community, the government and private-sectors to improve coordination among environmental institutions both internationally and locally. World Bank projects have over the years been accredited with increasing the capacity of environmental issues and awareness of community on environmental issues by encouraging their active participation to monitor environmental quality. According to Yongxoue et al (2003), World Bank’s main objective is to â€Å"integrate the principles of sustainable development into country policies and programs and reverse the loss of environmental resources† (p.10). It’s quit e clear that access to energy solutions would incredibly improve Bangladesh’s welfare. According to Cabraal et al (2008) research, there are about 260 million rural household without access to electricity. It is evidenced that majority of these households reside in either dispersed or small villages far form the city centers. World Bank is therefore trying to bridge this gap by implementing projects that provide electricity to such neglected areas using technology options approaches such as solar photovoltaic that have attained commercial maturity over the past 15-20 years. Based on practical knowledge gathered from various literatures and international experience accumulated through the past and on going World Bank operations, World Bank’s unique projects offer basic design principles of project management and sound practices and prescribe solutions for success (Cabraal et al, 2008). Solar photovoltaic projects aimed at improving lives and livelihood opportunities hav e helped those who can not afford personal house connections. From the perspective of data gathered from various literatures, such technological applications increase the economic attractiveness of the community. Issues surrounding solar photovoltaic (PV) It’s evidenced that a station with 2kw capacity charged battery can serve up to 50 households. The only disadvantage is that the solar powered batteries can only serve people living near the station since the battery must be transported to and from the charging station once a week. On the other hand however, Barkat (2003) argues that â€Å"in some projects, quality systems were installed without providing for longer-term maintenance, which harmed the reputation of the project and technology† (p.6). Also,lack of donor funding and the inability to reach the off-grid areas due to poor infrastructure has always been a major obstacle in realizing rural solar electrification objective. Bangladesh management team on the othe r hand lacked awareness in decision making level. The country had not prioritized solar development plan and poor coordination among line agencies at local levels to foresee the project completion were evident. There were so many undergoing projects, but locals lacked understanding of the project activities and how it would benefit them. Locals assumed that the project only targeted long term impacts which made them less motivated and more concerned about short term direct impacts. This brought us to the conclusion that complex issues in developing countries require more practical solutions to solve the problem in the community in a short-term basis. Even though, solar energy projects have been stated as one of the Bangladesh’s national development plan priority, in fact, it’s shocking to realize that the country has given the project less priority since its implementation (Yongxoue et al, 2003, p.3). Sibanda and Mahbub (2003) states that World Bank acted as an adminis trator for the Global Partnership on Output-Based Aid (GPOBA) with grants of a total of $8.3 million to sponsor part of the costs for installation of Solar Home Systems (PV) and renewable energy mini-grids for poor households located in Bangladesh rural areas (p.2). The projects benefited more than 14,000 households and over 5000 small to medium enterprises. Some of the projects included irrigation pumps, poultry farms and as well as timber mills in the rural areas. The ongoing project is expected to enable majority of poor rural population and dispersed areas have access to affordable energy through the PV and mini-grid projects. Zafrul Islam as quoted in Sibanda and Mahbub (2003) states that the GPOBA projects will support the Government of Bangladesh’s goal to ensure that the entire country has access to electricity by 2021. 80% of Bangladesh’s population live in rural areas and are also the group most affected by a lack of sufficient electricity generation. These p rojects will help 140,000 more households gain access to affordable electricity (p.1). Sibanda and Mahbub (2003) continue that the proposed PV project will reduce PV installation costs benefiting off-grid areas. Mr. Islam Sharrif as quoted in Sibanda and Mahbub (2003) adds that our mission at IDCOL is to encourage private sector investment in energy and infrastructure projects,† said Mr. Islam Sharif, CEO of IDCOL. The output-based aid approach has an impressive track record to date because it helps low income households gain access to electricity and makes it attractive for the private sector to offer services to the poor (p.2). In his statement Mr. Islam Sharrif concluded that the amount paid by GPOBA was seen as an incentive for business in the country to offer services to the poor people and the World Bank out-put based approach will ensure that payments made go directly to the qualifying household access to PV installation (Sibanda and Mahbub, 2003, p.2). Since its establ ishment in 2003, GPOBA has sponsored various projects including education, infrastructure and health designed to create incentives for efficiency and long-term development projects. Bangladeshi government should play an active role by funding and inviting proposals from private sectors, rural energy fund and support such investments on qualifying bidders. In either case, the governments sound practice to subsidize a portion of the capital costs while the community and private sectors balances the investment costs and full cost of the operation and maintenance. The third approach calls for active participation of government-contracted projects or public utilities operating in marginalized areas. Here, the government takes full charge by regulating tariffs which is an equivalent to the lifeline tariff of rural grid customers. In other words, utility operator is provided a subsidy from a public source as part of capital operations and maintenance costs. This model is also evident in th e Philippines where the government funds its micro-operation projects. For Bangladesh case, World Bank project centered on off-grid SHS has enabled rural electrification. With regard to World Bank projects, the dealer aspect often incorporates micro-finance assistance, which deals with the initial high upfront costs (Cabraal et al, 2008, p.20). In this case, mobilization of both government and sponsoring agencies is required since off-grid electrification is difficult to implement. Persistence and efforts from the government in support of World Bank projects are very important in ensuring completion of the projects. Government commitment to revive subsidiary slack when external financing ends to ensure the completion of the project is also required. Alternative Views After extensive research, I realized that long-term sustainability of the project will depend on many factors either than just technology. First of all, Cabraal and his colleagues (2008) argue that Bangladesh will requi re effective prioritization and adequate planning to ensure implementation of technological solutions, infrastructure and financial are provided for long-term purposes. Drawing on World Bank’s experience in design and implementing off-grid electrification projects, rural electrification solar projects guidance and insights into fundamental design principles for sustainability and sound practices for effective decision-making in Bangladesh will an effective solution (Cabraal et al, 2008). Secondly, active participation of government-contracted projects or public utilities operating in marginalized areas. World Bank projects should incorporate micro-finance assistance to deal with the initial high upfront costs. It has often been argued that reduced capital costs subsequently improve affordability of capital-intensive off-grid technologies. Some countries oppose the off-grid technologies, encouraging further consumption of high fuel. The implementation of solar PV have simplifi ed energy solutions and enabled Bangladesh to build long-term relationship with its donors and subsidiaries hence reducing the share of costs attributed to management and overhead costs (Cabraal et al, 2008, p.20). To ensure the likelihood of sustainability of the projects, Cabraal and his colleagues (2008) argue that Bangladesh government should play a role of off-grid options by simplifying regulations, appointing competent and dedicated project management staff to foresee the completion of the project. Since the project is technology driven, the project should include cost effective analysis to determine the least-cost solutions and our technology choice will be based practical considerations. Deliverance mechanisms and consumer service for off-grid projects specifically rely on private sector participation in line with local realities which enable access to quality and affordable products and services in the long-term. In order to increase affordability, Sibanda and Mahbub (2003 ) argue that off-grid electrification project in the rural Bangladesh must include subsidiaries, low-cost energy options like PV for this instance, consumer financing and finally polices and business practice. Role of subsidiaries in this case would be to foresee the completion of grid-based rural electrification to off-grid areas that have poor and dispersed population. It has also been argued that technologies for decentralized service have the ability to configure individual units that have higher investment costs to low fuel and operating costs compared to fuel-based supply systems. In some cases, the resulting energy costs may be higher that what a potential customer is willing to pay and subsidiaries in this case help off-grid consumers afford the upfront costs of access (Sibanda and Mahbub, 2003, p.17). Subsidiaries provided by PV in World Bank projects in Bangladesh reflects wide variations of systems costs, government attitudes towards subsidiary support and willingness to pay levels. For example, the PV subsidiary projects known as the RERED include PV system size of 20-70 WP with approximately 12 % cost in subsidiary range. Subsidiary financing can be gained from micro-financial institutions, banks and leasing companies. Such arrangements can increase affordability by spreading first costs over several years. Therefore strong partnership between microfinance institutions and energy companies would facilitate fast off-grid lending programs (Cabraal et al, 2008, p.19). Implications on Education The main objective of PV electrification is to ensure potential productive applications are likely to be fruitful once the PV is built. For effective implementation, early identification of local participant for the PV project, assisting individuals in developing business plan and identifying financial modalities. Sometimes over optimisms evaluation of potential productive application may be impractical to implement since they do not indicate significant potent ial for utilization. Institutional and community application are also important to ensuring off-grid electrification come to its full potential. For example, community centers around at the projects areas such as hospitals and schools can voluntary give assistance by financing the projects. In a business model perspective, World Bank or donor-funded institutions that have offered critical mass of assistance for PV market packages are offered bidding where the highest bidder is given the right to sell the PV to local households at subsidized rates and even a contract to install the PV systems to selected institutions. An important feature of this model is that the project enables long term maintenance and services that meet specific service standards (Cabraal et al, 2008, p.16). Bangladesh government should be actively involved in decision making, planning and implementation of the program and in selection of the program objectives. Raising community awareness by offering education o n reasons to which the programs are being implemented, the actual benefits of the program and causes of any factors that contribute to their apparent success or lack of success should be highly prioritized. Comprehensive set of success criteria and a road map followed by program planners and implementers should be provided to ensure success of the PV program. Since off-grid projects that rely on private sector participation, Bangladeshi government should employ simplest technological solutions that commensurate with local realities and support donor initiatives to foresee the project success. Lack of education threatens the progress achieved by any development and jeopardizes the main objective of community development. Community members who are not acculturated to technology use must be provided with adequate training and encouraged to participate in development initiatives with the aim of increasing awareness. Community involvement in development initiatives should be incorporated right from the planning phase of development projects, to ensure that their positive impacts can be sustained in the long term. With this regard, Information on ongoing operations, maintenance and replacement costs, alongside national recycling programs must be made and education arrangements made to ensure safe disposal of hazardous waste. Subsidiaries for off-grid populations are often justified on social equity grounds, what Barnes and Halpern (2000) defines as their ability to help rural dwellers to attain a level of parity by extending infrastructure costs and lifelines tariffs. In market imperfection aspect, Barnes and Halpern (2000) states that â€Å"lack of adequate information regarding specific opportunities, true cost of service and unavailable long-term financing often slow down the already economic off-grid projects or those that are close to completion† (p.5). Therefore appropriate designed subsidiaries for off-grid electrification enables the completion of phy sical interventions to occur by providing the otherwise uninterested investors with financial incentives and support. Barnes and Halpern (2000) add that project management mechanisms that mostly target the economic projects of the needy societies are usually effective if they incorporate implementation program that work. For example, it’s considered more effective to subsidize the upfront costs to consumers or business costs in dispersed areas than operating costs (Cabraal et al, 2008, p.18). Conclusion Off-grid projects that rely on private sector participation should employ simplest delivery mechanisms that commensurate with local realities. Here, Bangladeshi government should seek assistance from service providers, assess risks involved, provide technical assistance and provide technical assistance where appropriate. Before project implementation, choice of technologies must be tested for practical considerations like availability of adequate resources, ease of operations and maintenance and access to spare parts. Also, data should be collected across various sectors that would be willing to use the services which would be factored into technology selection process. For PV for example, the govenement should cooperate with World Bank in providing data on energy consumption and income levels’ while the choice on appropriate technologies should be left to service provider with investment parameters to consider. The conception and implementation of the PV project must always be consistence with the overall rural lighting plan for Bangladeshi. In this regard, the project should steer clear of ad-hoc factors that may kill the come to completion. Within early its early assessment phase, the Bangladeshi government should pay highest priority to raising community awareness, involve and support donor initiatives to foresee the project success. Promotion programs and community meeting alongside national recycling programs must be made and education arran gements to ensure safe disposal of hazardous waste. References Anderson, D. (2001). Clean electricity from photovoltaic’s. London: Imperial College Press. Barkat, A. (2003). Rural Electrification and Poverty Reduction: Case of Bangladesh. Paper presented at Sustainable Rural Electrification in Developing Countries: Is It Possible?, International conference of NRECA International, 6, 1-3 Barnes, D. F., and Halpern, J. 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Electrification and Regulation:  Principles and a Model Law. Energy and Mining Sector Board DiscussionPaper No. 18. Washington, DC: World Bank. Shive, J. N. (1959). Semiconductor devices. Van Nostrand Sibanda, J., Mahbub, M. (2003). World Bank-administered GPOBA and IDCOL help low-income households in Bangladesh access electricity. News Release, 10, 1-2 Smee, A. (1849). Electro-Biology: The Voltaic mechanism of man. London: Longman Press Wolf, M. (1976). Historical development of solar cells :25th power sources  symposium. C.E Backuss: IEEE Press Yongxue, C., Sunny, G., Giannelia, M., Hughes, A., Johnso n, A., Khoo, T. (2003). Identifying Best Practices in Information Technology Project Management. Organizational Development, 30, 1-22. This essay on Solar Photovoltaic (PV) was written and submitted by user Dario Snow to help you with your own studies. You are free to use it for research and reference purposes in order to write your own paper; however, you must cite it accordingly. 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