Marketing Plan For A Transport Llc - 984 Words

VICORO TRANSPORT Marketing plan Rafael Gomez July 15, 2015 Mrs. Harriss LeTourneau University VICORO TRANSPORT MISSION STATEMENT â€Å"YOU HAVE IT†¦WE HAUL IT† VICORO TRANSPORT LLC, is a family owned Hot Shot company located in the surrounding Houston area. We specialize in oilfield, construction material and general commodities up to 40’ long and 15,000 lbs. We strive to lead in the industry by providing an excellent customer service, competitive pricing, and quality of work you can count on that is driven to provide safe, courteous, on-time delivery of your transportation needs by using current best practices. SWOT ANALYSIS STRENGTHS: †¢ Family owned company †¢ Customer loyalty- main account was with Seaboard Wellhead which was†¦show more content†¦Each truck will do at least a minimum of 3 local loads per day, 5 days a week to reach $10,000 monthly goal. We will market the major well head companies to build the relationship with and earn the business. Seaboard Wellhead being my major vendor will provide 5-7 loads daily. These loads will be either locally or anywhere in the state of Texas that it will make up the difference in revenue if the total of 9 daily loads per truck is not met. VICORO TRANSPORT LLC will meet this goal within six months of business. By the end of the first fiscal year of business we should have increased business by 30% by increasing business with other vendors besides Seaboard Wellhead. Business Competitive Advantage Analysis VICORO TRANSPORT, LLC has an opportunity to establish its competitive position in local transportation in the Texas market by selectively focusing its target market in the oil industry. The company has already experienced servicing this type of clientele and I believe that there is a growing demand for reliable, same-day Hot Shot transportation solutions in this customer base. VICORO TRANSPORT, LLC provides our customers with courteous, prompt and dependable transportation service. Our major competitive advantage is the enormous industry experience and solid reputation. The

Pico Paper free essay sample

With this procedure the kidney damage may be treated and also prevent further damage. A partial nephrectomy is a surgical procedure to remove a portion of the kidney. Partial nephrectomies are normally done laparoscopically with hand assistance or with robot assistance. A radical nephrectomy involves removing the kidney and the adrenal glands. A radical nephrectomy may be done laparoscopically or by open abdominal surgery. My patient was diagnosed with damage of the left kidney. Blood tests were performed and the patient was found to have a toxic WBC granulation. This toxic granulation led infection, inflammation and sepsis. An abdominal and pelvic CT scan found a 7. 8 x 5. 6 x 6. 2 cm, solid, enhancing left lower pole renal mass and parasitic vessels in the infected area. A hand assisted partial laparoscopic nephrectomy was performed. They removed the lower portion of her left kidney. The kidney was to be tested for malignancy. The concern with my patient is that she has a past medical history of hypertension, anemia, and deep vein thrombosis. We will write a custom essay sample on Pico Paper or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page She is at an increased risk of further cardiac and renal complications. I believe these factors influenced the doctors’ decision to perform a partial nephrectomy instead of taking the radical approach. To find research on this kidney condition, I accessed the Galileo database. I searched for information on ways to treat renal masses and kidney cancer. I found multiple articles about laparoscopic and radical (open) nephrectomies. I found many articles that discussed the differences between the two and the affects they have on patients who receive them. I found an interesting study called â€Å"Partial Nephrectomy Is Associated with Improved Overall Survival Compared to Radical Nephrectomy in Patients with Unanticipated Benign Renal Tumours. I found it interesting because it was relevant to the health issues that were being addressed with my patient. There millions kidney patients who undergo these procedures each year. I wanted to discover which procedure provided the best outcome for my patient and others with similar kidney problems. Purpose According to this study, â€Å"a partial nephrectomy has been associated with improved overall survival in patients with localized renal ma sses compared to those who received a radical nephrectomy† (Weight, 2010). The purpose of this study is to test the overall survival rate of patients who had unanticipated renal masses. Another objective of this study is to also study the effect of these procedures on cardiac specific survival rates and other causes of death related to decreased kidney function. Hypothesis The hypothesis for this study are that the use of partial nephrectomies would be first line of treatment compared to radical nephrectomies in that partial nephrectomies provide better protection of renal function. Decreased renal function will lead to a low survival rate. Patients who undergo radical nephrectomies will have higher rate of cardiac related deaths Design A seven year, nonrandomized study was conducted using 499 participants. Of these 499 particiapants, 111 patients had received a radical nephrectomy while 388 patients received a partial nephrectomy. The choice of which surgery to do was left of the surgeon and the patient’s preferences. They took into consideration the mass size, the appearance, the patient’s current health, life expectancy and the comfort of the surgeon in making their decisions. The patient’s comorbidities were assessed using the Charlson-Romano Comorbidity Index. Each patient’s vital signs were acquired using the Social Security Death Index. Anyone without a Social Security Number was excluded. The cause of death information from the patients’ medical records was reviewed. From there the participants were further categorized by the condition that caused the death. Cardiac deaths ranged from death related to ischemic heart disease, CHF, ischemic stroke, myocardial infarction, ischemic stroke, and peripheral vascular disease. Renal deaths were broken down into death related to renal failure, renal insufficiency, or nephritic syndrome. All other possible causes of death were group together. Perioperative, postoperative data and renal function tests were collected before and after the procedures. Preoperative data was used to create the propensity model that was utilized in a multivariate model of survival. They measured the overall survival rate of the participants and cardiac specific survival rates. Findings Radical nephrectomies are greatly associated with an increased risk of death from any cause. Patients with unanticipated benign tumors that were treated with RN were more likely to die from any related health problem than those treated with PN. Participants who received a radical nephrectomy were more likely to be older, with high comorbidity scores, and larger tumors. Those with smaller masses and tumors were more likely to have a partial nephrectomy. Radical nephrectomies are associated with an increased risk of death by 2 folds from any cause. The risk of cardiovascular death was substantially higher in those with decreasing post-operative renal function. Decreased kidney function was related to an increase in cardiovascular death and death from any other cause in overall majority patients. Sixteen participants died of cardiac related deaths. Renal preservation was increased in the group that had the partial nephrectomy with majority of the patients having an eGFR above 60 %. Radical nephrectomy participants only had an eGFR of 30 % or lower. The higher eGFR is associated with an increase chance of survival in PN patients. Discussion Previous studies indicate that postoperative impaired renal function plays a role in the overall survival of patients with renal masses. The data concluded that no matter which surgery was performed there would be a decrease in kidney function. However, those patients who received a PN had a remarkable lower decrease in renal function. It can be stated that patients have decreased function are at an increased risk of cardiac related death and death by other causes. For many of those who don’t die from cardiac related death it can be concluded that other conditions that cause death are worsened by renal insufficiency. This study was relevant to the PICO question I asked. This study answered my question and provided the information necessary to make it a valid question. I believe the limitations to this study are that the researchers did not randomize their study. They picked which participants they thought would influence their study. The strengths of this article are that is discusses the importance of preserving renal function when performing a nephrectomy. It also provides evidence that patients should be educated on the risks of death and further complications associated with their procedures. It could allow for better planning and managing of the care for these patients. Implications As a nurse it would be my responsibility to knowledgeable about procedures such as these and how they will affect my patient. It would be my job to educate the patients on what to expect from this surgery and what it means for their health. I could also use this information to better assess patients before and after these procedures. This research provides material that could be used to better treat and prevent life threatening conditions that could arise after surgery. References Landman, D. (2006). Open Partial Nephrectomy. Retrieved November 9, 2012, from Kidney Cancer Institute: www. kidneycancerinstitute. com/open-partial-nephrec. html Landman, D. (2006). Open Radical Nephrectomy. Retrieved November 9, 2012, from Kidney Cancer Institute: www. kidneycancerinstitute. com/open-radical-nephrec. html Weight, C. J. , amp; Leiser, G. (2010, April 29). Partial Nephrectomy Is Associated with Improved Overall Survival. EUROPEAN UROLOGY, 58, 293-298. Evaluation (to be completed by instructor)| Possible Points| Actual Points| Introduction of clinical problemComments:| 20| | Purpose/Aim of the study/articleComments:| 10| | Theoretical framework of the study/articleComments:| n/a| | Hypotheses/QuestionsComments:| 5| | DesignComments:| 5| | FindingsComments:| 10| | DiscussionComments:| 25| | ImplicationsComments:| 20| | ReferencesComments:| 5| | Grade| 100/100| /100| PICO Paper Grading Rubric (submit, along with PICO OAT form, with your paper) Student Name: _Kiara Wilson______________Date: November 12, 2012_____________ Are kidney patients who received a radical nephrectomy at a higher risk of impaired renal function and cardiac related death compared to those who received a partial nephrectomy?

William Shakespeare Essay Paper Example For Students

William Shakespeare Essay Paper William Shakespeare, undoubtedly one of the best playwrights of all time, was born in April of 1564 in Stratford-upon-Avon in Warwickshire. His parents were John Shakespeare, a whittawer, and Mary Arden Shakespeare. He was the third of eight children born to John and Mary and was their first son. They lived on Henley Street in Stratford. His baptism was on April 26 of that year at Stratfords Holy Trinity Church. His date of birth is assumed to be April 23. He went to Stratford Grammar School from the age of seven to fourteen. At the age of eighteen, on November 28, 1582, William was married by the bishop of Worcester, to Anne Hathaway of Shottery. Anne was seven or eight years older than him and was three months pregnant at the time of their marriage. Their first child together, Susanna, was born on May 26, 1583. Two years after that, Hamnet and Judith were born together. Shakespeare and his family most likely lived in the house on Henley Street. In 1592, Shakespeares theater career took off. Robert Greene referred to him as an upstart crow, and from that point on, everyone started paying attention to him. Other famous and notable literary critics also commented on Shakespeare. Shakespeare belonged to a number of acting companies in the beginning: The Queens Men, Pembrokes Men, and Lord Stranges Men. We will write a custom essay on William Shakespeare Paper specifically for you for only $16.38 $13.9/page Order now But in January of 1593, a plague broke out and theaters all across London were closed. In December of 1594, Shakespeare has been noted to have started performing again. His new acting company was known as Lord Chamberlains Men. The decade or so after that, was huge for Shakespeare. This was the time of The Great Globe theater where many of his best plays were performed. During this time, Shakespeare produced a steady line of hit plays, historical plays, comedies, and tragedies. In 1599 he finally became a part owner of the Globe. While all of this went on in London, Shakespeares family resided back in Stratford, about 100 miles northwest of London. It is suggested that he often made trips to see his family and deliver them money. In the August of 1596, his only son Hamnet died. Shakespeare left the stage in 1611, right after his last play,The Tempest. He then returned home to live with his family at the old house on Henley Street. Both of Shakespeares daughters married. Susanna, the older of his two daughters, married a locally well-known doctor named John Hall. In his final days, Dr. Hall most likely attended to him in his sickness. William Shakespeare died at the age of 52 on April 23, 1616. (Source:www.daphne.palomar.edu/shakespeare/timeline/timeline.htm)

The Original Jurisdiction of the U.S. Supreme Court

The Original Jurisdiction of the U.S. Supreme Court While the vast majority of cases considered by the U.S. Supreme Court come to it in the form of an appeal to a decision by one of the lower federal or state appeals courts, a few but important categories of cases can be taken directly to the Supreme Court under its â€Å"original jurisdiction.† Original jurisdiction is the power of a court to hear and decide a case before it has been heard and decided by any lower court. In other words, it is a court’s power to hear and decide a case before any appellate review. The Fastest Track to the Supreme Court As originally defined in Article III, Section 2 of the U.S. Constitution, and now codified in federal law at 28 U.S.C.  § 1251. Section 1251(a), the Supreme Court has original jurisdiction over four categories of cases, meaning parties involved in these types of cases can take them directly to the Supreme Court, thus bypassing the usually lengthy appeals court process. In the Judiciary Act of 1789, Congress made the Supreme Courts original jurisdiction exclusive in suits between two or more states, between a state and a foreign government, and in suits against ambassadors and other public ministers. Today, it is assumed that the Supreme Courts jurisdiction over other types of suits involving the states was to be concurrent or shared, with the state courts. The categories of cases falling under the Supreme Court’s original jurisdiction are: Controversies between two or more states;All actions or proceedings to which ambassadors, other public ministers, consuls, or vice consuls of foreign states are parties;All controversies between the United States and a state; andAll actions or proceedings by a state against the citizens of another state or against aliens. In cases involving controversies between states, federal law gives the Supreme Court both original- and â€Å"exclusive†- jurisdiction, meaning such cases may be heard only by the Supreme Court.   In its 1794 decision in the case of Chisholm v. Georgia, the Supreme Court stirred controversy when it ruled that Article III granted it original jurisdiction over suits against a state by a citizen of another state. Both Congress and the states immediately saw this as a threat to the sovereignty of the states and reacted by adopting the Eleventh Amendment, which states: â€Å"The Judicial power of the United States shall not be construed to extend to any suit in law or equity, commenced or prosecuted against one of the United States by Citizens of another State, or by Citizens or Subjects of any Foreign State.†Ã‚   Marbury v. Madison: An Early Test An important aspect of the Supreme Court’s original jurisdiction is that its Congress cannot expand its scope. This was established in the bizarre â€Å"Midnight Judges† incident, which led to the Court’s ruling in the landmark 1803 case of Marbury v. Madison. In February 1801, newly elected President, Thomas Jefferson - an Anti-Federalist - ordered his acting Secretary of State James Madison not to deliver commissions for appointments for 16 new federal judges who had been made by his Federalist Party predecessor, President John Adams. One of the snubbed appointees, William Marbury, filed a petition for a writ of mandamus directly in the Supreme Court, on the jurisdictional grounds that the Judiciary Act of 1789 stated that the Supreme Court shall have power to issue †¦ writs of mandamus ... to any courts appointed, or persons holding office, under the authority of the United States.† In its first use of its power of judicial review over acts of Congress, the Supreme Court ruled that by expanding the scope of the Court’s original jurisdiction to include cases involving presidential appointments to the federal courts, Congress had exceeded its constitutional authority.  Ã‚   Few, but Important Cases Of the three ways in which cases may reach the Supreme Court (appeals from lower courts, appeals from state supreme courts, and original jurisdiction), by far the fewest cases are considered under the Court’s original jurisdiction. On average, only two to three of the nearly 100 cases heard annually by the Supreme Court are considered under original jurisdiction. However, many are still important cases. Most original jurisdiction cases involve border or water rights disputes between two or more states, meaning they can only be resolved by the Supreme Court. For example, the now famous original jurisdiction case of Kansas v. Nebraska and Colorado involving the rights of the three states to use the waters of the Republican River was first placed on the Court’s docket in 1998 and was not decided until 2015.   Other major original jurisdiction might involve lawsuits filed by a state government against a citizen of another state. In the landmark 1966 case of South Carolina v. Katzenbach, for example, South Carolina challenged the constitutionality of the federal Voting Rights Act of 1965 by suing U.S. Attorney General Nicholas Katzenbach, a citizen of another state at the time. In its majority opinion written by revered Chief Justice Earl Warren, the Supreme Court rejected South Carolina’s challenge finding that the Voting Rights Act was a valid exercise of Congress power under the enforcement clause of the Fifteenth Amendment to the Constitution. Original Jurisdiction Cases and Special Masters’ The Supreme Court deals differently with cases considered under its original jurisdiction than those reaching it through its more traditional â€Å"appellate jurisdiction.† In original jurisdiction cases dealing with disputed interpretations of the law or the U.S. Constitution, the Court itself will usually hear traditional oral arguments by attorneys on the case. However, in cases dealing with disputed physical facts or actions, as often happens because they have not been heard by a trial court, the Supreme Court usually appoints a â€Å"special master† to the case. The special master- usually an attorney retained by the Court- conducts what amounts to a trial by gathering evidence, taking sworn testimony and making a ruling. The special master then submits a Special Master Report to the Supreme Court. The Supreme Court then considers the special master’s ruling in the same manner as a regular federal appeals court would, rather than conducting its own trial. Next, the Supreme Court decides whether to accept the special master’s report or to hear arguments over the disagreements with the special master’s report. Finally, the Supreme Court decides the case by voting in its traditional manner, along with written statements of concurrence and dissent. Original Jurisdiction Cases Can Take Years to Decide While most cases that reach the Supreme Court on appeal from lower courts are heard and ruled on within a year after being accepted, original jurisdiction cases assigned to a special master can take months, even years to settle. The special master must basically â€Å"start from scratch† in handling the case. Volumes of pre-existing briefs and legal pleadings by both parties must be read and considered by the master. The master may also need to hold hearings in which arguments by the lawyers, evidence, and witness testimony may be presented. This process results in thousands of pages of records and transcripts that must be compiled, prepared and weighed by the special master. For example, the original jurisdiction case of Kansas v. Nebraska and Colorado involving disputed rights to water from the Republican River was accepted by the Supreme Court in 1999. Four reports from two different special masters later, the Supreme Court finally ruled on the case 16 years later in 2015. Thankfully, the people of Kansas, Nebraska, and Colorado had other sources of water.

Pennsylvania Vital Records - Births, Deaths Marriages

Pennsylvania Vital Records - Births, Deaths Marriages Learn how and where to obtain birth, marriage, and death certificates and records in Pennsylvania, including the dates for which Pennsylvania vital records are available, where they are located, and links to online Pennsylvania vital records databases. Pennsylvania Vital Records: Division of Vital RecordsState Department of HealthCentral Building101 South Mercer Street, Room 401P.O. Box 1528New Castle, PA 16101Phone: (724) 656-3100 What You Need to Know:Check or money order should be made payable to Division of Vital Records. Personal checks are accepted. Call or visit the Web site to verify current fees. All requests for 1906 and later records MUST include the signature and photo ID of the individual requesting the record. The online request service is not available for genealogy requests. Pennsylvania Birth Records Dates: From 1 January 1906 Cost of copy: $20.00 (certified from State Vital Records); $5.00 (non-certified from the State Archives) Comments: Access to Pennsylvania records of birth that occurred less than 105 years ago is restricted to immediate family members and legal representatives (spouse, parent, siblings, children, grandparents, grandchildren). Other family members (cousins, etc.) can obtain a copy of a birth certificate only if the individual is deceased and a copy of the death certificate is submitted with the request. Birth records older than 105 years are open to the public. With your request, include as much as you can of the following: the name on the birth record being requested, date of birth, place of birth (city or county), fathers full name, (last, first, middle), mothers full name, including her maiden name, your relationship to the person whose certificate is being requested, your purpose for needing the copy, your daytime telephone number with area code, your handwritten signature and complete return mailing address.Application for Certified Birth Certificate   Non-certified copies  of birth certificates  are only available for the years 1906- 1909 and  of death certificates for the years 1906–1964. These can be obtained from the State Archives, not through State Vital Records * For earlier records, write to Register of Wills, Orphans Court, in the county seat of county where event occurred. Persons born in Pittsburgh from 1870 to 1905 or in Allegheny City, now part of Pittsburgh, from 1882 to 1905 should write to the Office of the Register of Wills for Allegheny County. For events occurring in the City of Philadelphia from 1860 to 1915, contact the City of Philadelphia Archives (be sure to ask for a non-certified, genealogy copy). Online:Pennsylvania Birth Records, 1906–1908  with images and index available as a subscription database on Ancestry.com; free to residents of PennsylvaniaPennsylvania Birth Indices, 1906–1910 (free) Pennsylvania Death Records Dates: From 1 January 1906 Cost of copy: $9.00 (certified from State Vital Records); $5.00 (non-certified from the State Archives) Comments: Access to death records older than 50 years in Pennsylvania is restricted to immediate and extended family members and legal representatives. Records older than fifty years are open to the public and accessible through the Pennsylvania State Archives. With your request, include as much as you can of the following: the name on the death record being requested, date of death, place of death (city or county), your relationship to the person whose certificate is being requested, your purpose for needing the copy, your daytime telephone number with area code, your handwritten signature and complete return mailing address.Application for Certified Death Certificate * For earlier records, write to Register of Wills, Orphans Court, in the county seat of county where event occurred. Persons who died in Pittsburgh from 1870 to 1905 or in Allegheny City, now part of Pittsburgh, from 1882 to 1905 should write to Office of the Register of Wills for Allegheny County. For events occurring in City of Philadelphia from 1860 to 1915, contact the City of Philadelphia Archives (be sure to ask for a non-certified, genealogy copy). Online:Pennsylvania Death Indices, 1906–1965  (free)Pittsburgh City Deaths, 1870–1905Philadelphia City Death Certificates, 1803-1915Pennsylvania Deaths 1852–1854  (Ancestry.com subscription required) available for 49 of 64 counties Pennsylvania Marriage Records Dates: Varies by county Cost of Copy: Varies Comments: Send your request to the Marriage License Clerk for the County Court House in the county where the marriage license was issued. Online:Pennsylvania County Marriages, 1885–1950Philadelphia Marriage Indexes, 1885-1951Record of Marriages, 1885–1891; incomplete listing from various PA counties (free) Pennsylvania Divorce Records Dates: Varies by county Cost of copy: Varies Comments: Send your request to the Prothonotary for the County Court House where the divorce decree was granted.

Human resources Management Assignment Example | Topics and Well Written Essays - 4250 words

Human resources Management - Assignment Example RasGas also supplies LNG at home and in addition to producing LNG for export markets in the amount of 37 million tonnnes each year, RasGas also supplies about 2.0 billion cubic feet of LNG at home. RasGas also ‘manages and operates’ the ‘Hellim 1 and Hellim 2 facilities’ which together produces 1.96 billion cubic feet of liquid hellim annually. RasGas is committed to increase production with a view to meeting energy demands both at home and abroad (RasGas, 2001-2013). †¦develop, produce and sell hydrocarbaons from the world’s largest non-associated gas field in a safe and environmentally responsible manner for the welfare of the State of Qatar and the satisfaction of our customers while maximizing shareholder value (RasGas, 2001-2013A). ..The safe and reliable production and delivery of products to a worldwide portfolio of customers and the superior execution of projects and technical services for our shareholders and stakeholders (RasGas, 2001-2013A). Thus, the overall strategy of RasGas as an organization is to provide high quantity, and high quality LNG in a manner that is environmentally friendly. RasGas also emphasizes efficiency and excellence in customer service, profit maximization for shareholders and satisfaction for a wider class of stakeholders. Sustainability is at the heart of RasGas’ strategy. According to RasGas, sustainability is the key to ‘business success’ (RasGas, 2001-2013B). Sustainability is therefore built on four pillars: performance improvement through competitiveness and innovation, improving relationships with stakeholders and shareholders, maintaining integrity through high operational and business standards and sustainable practices (see Figure 1) (RasGas, 2001-2013B). RasGas’ external labour market consists of operating a ‘fleet of 27 LNG carriers under long term charter agreements with ship owners’ (RasGas, 2001-2013). This fleet of carriers include ‘conventional, Q-Flex and Q-Max

PTSD among our reurning veterans Speech or Presentation

PTSD among our reurning veterans - Speech or Presentation Example Consequently, appropriate health interventions can be recommended for treatment. To this end, the article defines PTSD as Post Traumatic Stress Disorder. It is a mental disorder that manifests itself after a person undergoes or witnesses a traumatic event such as war, death or physical harm. Consequently, its characteristic symptoms include hyper arousal, avoidance, re-experiencing and numbing. Over and above this, the prevalence rates of PTSD in the population indicated that women had a 13% probability rate of developing it while men had 6.2% probability rate. In total, its prevalence among the general population is 7.8%. However, of interest is the prevalence rate of PTSD among the veterans. To this end, the article acknowledged that PTSD was highly prevalent among American war veterans. For example, statistics showed that 27% to 31% of veterans from Vietnam had experienced PTSD, and 12% to 13% of Iraq veterans had been affected by PTSD. Consequently, the article focuses on the war veterans and the role of nurses as primary caregivers. This is in recognition that while seeking medical care, the veterans first point of contact is with the nurses. Consequently, the article seeks to emphasize the need for all nurses to be conversant with the signs and symptoms of PTSD. Moreover, they are expected to be conversant of all the resources at their disposal to aid in the treating of PTSD. In addition, the nurses are expected to be conversant with the conditions of military sexual trauma and consequently recommend screening and treatment for the victims. Seeking to establish the prevalence of Post Traumatic Stress Disorder among war veterans, the article identified its research basis through statistical studies conducted on past and present wars. To this end, the article cited the National Vietnam Veterans Readjustment Study that was conducted in 1998. The results were indicative that between 27% and 31% of Vietnam War veterans had been affected by PTSD. Moreover, rese arch conducted by the Walter Reed Army Institute on veterans from the Iraq war revealed that 16 to 17% tested positive for PTSD, anxiety or depression. In addition, studies conducted on 289, 328 veterans who had been involved in wars at Afghanistan or Iraq revealed that 21.8% were diagnosed with PTSD. Over and above this, investigations revealed that following the invasion of Iraq, prevalence rate of PTSD among veterans increased between four to seven times. Consequently, the research recognized that PTSD was highly prevalent among war veterans. To this end, the research equally ascertained that a number of cases were not reported or recognized. Consequently, there was a need for emphasizing the role of nurses in identifying the signs and symptoms of PTSD during veteran assistance. In recognition of the prevalence rate of PTSD among veterans, there existed a gap in dispensing appropriate health intervention to the PTSD patients. This was in recognition that most cases of PTSD were n ot reported or offered due recognition. Consequently, the principal nursing issue is that veterans suffering from PTSD are not offered sufficient treatment. The main reason has been due to lack of a collaborative effort by all health care providers in the dispensing of treatment. To this effect, the specific nursing psychiatric issue lies in the isolation of the symptoms of veterans suffering from PTSD. My choice in selecting the article was spurred by the wish to discover various mental