Sport And Politics Don't Mix

AYE RIGHT!!

Sport and politics have always mixed and that will never change; just as Nero and the other Roman emperors gave the plebians bread and circuses to placate them, then today you have Gordon Brown's Raith Rovers fixation, Tony B Liar's great own goal about watching Jackie Milburn play for Newcastle United and Lord Reid of Kerrydale Street presiding over a football clubs, a section of whose support also support a terrorist organisation which, due to his job at the time, once had the said Lord Reid on its hit list.

I fear, perhaps, there is a political element in the current travails being suffered by Rangers Football Club, and, let's face it, being enjoyed by those of us on the sidelines who are not nor ever were Ra Peepul.

This is I should add, an indirect political element. I feel that the stance being taken by the Lloyds Banking Group over Rangers £20 million-plus debt is rather akin to that taken by the Blessed Baroness Thatcher over the poll tax.

You may recall the then Iron Lady insisted on trying out the much-maligned poll tax on the ungrateful and trucculent Scots, before foisting it on her natural English constituency.

I would suggest that, since a day of reckoning is surely somewhere down the road for the over-spending and profligate clubs in the English Premiership, a day which will bring wailing and gnashing of teeth and seriously bad publicity (in fact more seriously bad publicity) for those upstanding organisation the banks, then these same banks have to have a damage limitation plan in place.

Where better to try it out than on a basket case of a Scottish club - Rangers.

Rangers should not be skint. Their ability to compete at the top of the Scottish game has not been compromised by years of mis-management (in the business sense) by Sir David Murray and his minions.

But, they have over-paid journeymen players, failed to properly develop young talent, under-achieved in Europe and, as is so often the case with "a national institution" thought they could serenely sail along as they had always done.

In high finance, confidence is everything, rather as it is in sport. For as long as SDM had the confidence of his bankers, and for years there was the a cosy, clubable Edinburgh establishment relationship between the Murray Group and the Bank of Scotland, all was well.

Then came the credit crunch, those nice Merchant Company chaps who ran the bank and socialised with SDM were swept away, to be replaced by hard-nosed English bankers, who had a different outlook. They didn't have the same confidence in SDM's business acumen - cue trouble for the Murray Group and its highest-profile arm: Rangers FC.

As someone who has known SDM for 30 years and who also "kent his faither", the current travails of the Murray Group and Rangers has a familiar look.

I hear echoes of the way Murray grew his Murray International Metals basketball team, then saw it become Livingston Bulls and fade away. Echoes too of the way his late father could do no wrong in Ayr, before going bust and becoming a sad, shunned gentleman (believe me, even when on his uppers, SDM's dad was always a gentleman).

Gambling did for his father - gambling on European basketball success didn't work for MIM BC - gambling on big name Europeans for continental success didn't work for Rangers. But now Rangers and SDM are embarked on their biggest-ever gamble, that they don't have to cough-up £28 or £30 million to HMRC.

It's all very well a QC who specialises in tax law giving an opinion that Rangers are not liable for this. Said QC can write his own invoice for that. He then perhaps has to back-up his opinion with precedent, case law and the like and argue his point before a group of judges.

If he gets it right, his clients win and he pockets a hefty fee. But if he gets it wrong, disaster.

The judges in the Supreme Court will hand down the definite result on Rangers' case and these guys cannot be second-guessed. Like thousands of others, I have an on-going battle with a bank as regards whether charges accrued on my account were fair or unfair. The FSA, Financial Services Agency, were keen to have a definite ruling on the legality and fairness on banks' penalty charges.

They thought they had the right to rule, a High Court judge agreed; the banks appealled to the Appeal Court - and lost. They then appealed again to the House of Lords - and lost again; but, the Supreme Court was set-up, they appealed again to this new body - and won.

That victory makes all of Celtic's recent wins over the SFA seem small beer. Forget all the favourable opinions Rangers and the other big clubs involved in this battle with HMRC - until their Lordships of the Supreme Court hand down their judgement, it's all up in the air.

It could all still go tits up.

Funny thing though, Rangers, the ultimate Scottish Unionist institution, finds its fate to a large extent in the hands of a Unionist organisation - the Supreme Court. Things just might have been easier under Scots Law in an independent Scotland: politics and football - bloody hell, as another Scot with an interest in politics might say.

Risk for Infection | Nursing Care Plan for Bariatric Surgery

Risk factors may include
Inadequate primary defenses—broken or traumatized tissues, decreased ciliary action, stasis of body fluids
Invasive procedures

Possibly evidenced by
(Not applicable; presence of signs and symptoms establishes an actual diagnosis)

Desired Outcomes/Evaluation Criteria—Client Will
Immobility Consequences: Physiological
Be free of nosocomial infection.
Wound Healing: Primary Intention
Achieve timely wound healing free of signs of local or generalized infectious process.

Nursing intervention with rationale:
1. Emphasize and model proper hand-washing technique.
Rationale: Prevents spread of bacteria and cross-contamination.

2. Maintain aseptic technique in dressing changes and invasive procedures.
Rationale: Reduces risk of nosocomial infection.

3. Inspect surgical incisions and invasive line sites for erythema and purulent drainage.
Rationale: Early detection of developing infection provides for prevention of more serious complications.

4. Encourage frequent position changes, deep breathing, coughing, and use of respiratory adjuncts, such as incentive spirometer.
Rationale: Promotes mobilization of secretions, reducing risk of pneumonia.

5. Provide routine catheter care; encourage good perineal care. Remove catheter as early as possible.
Rationale: Prevents ascending bladder infections.

6. Encourage client to drink acid-ash juices, such as cranberry.
Rationale: Maintains urine acidity and prevents bacteria from adhering to the bladder wall to retard bacterial growth.

7. Observe for reports of abdominal pain, especially after third postoperative day, elevated temperature, and increased white blood cell (WBC) count.
Rationale: Suggests possibility of developing peritonitis.

8. Apply topical antimicrobials or antibiotics, as indicated.
Rationale: Reduces bacterial or fungal colonization on skin; prevents infection in the wound.

9. Administer IV antibiotics, as indicated.
Rationale: A prophylactic antibiotic regimen is usually standard in these clients to reduce risk of perioperative contamination and peritonitis.

10. Obtain specimen of purulent drainage or sputum for culture and sensitivity.
Rationale: Identifies infectious agent; aids in choice of appropriate therapy.

Risk for Impaired Skin Integrity | Nursing Care Plan for Bariatric Surgery

Nursing diagnosis: risk for impaired Skin Integrity related to Trauma, surgery, difficulty in approximation of suture line of fatty tissue, Reduced vascularity, altered circulation, Altered nutritional state—obesity

Possibly evidenced by (actual)
Disruption of skin surface, altered healing

Desired Outcomes/Evaluation Criteria—Client Will
Wound Healing: Primary Intention
Display timely wound healing without complications.
Demonstrate behaviors that reduce tension on suture line.
Tissue Integrity: Skin and Mucous Membranes
Display intact skin free of signs of pressure or breakdown.
NOC

Nursing intervention with rationale:
1. Support and instruct client in incisional support when turning, coughing, deep breathing, and ambulating.
Rationale: Reduces possibility of dehiscence and incisional hernia.

2. Observe incisions periodically, noting approximation of wound edges, hematoma formation and resolution, and presence of bleeding and drainage.
Rationale: Verifies status of healing, provides for early detection of developing complications requiring prompt evaluation and influencing choice of interventions.

3. Provide routine incisional care, being careful to keep dressing dry and sterile. Assess and maintain patency of drains.
Rationale: Promotes healing. Accumulation of serosanguineous drainage in subcutaneous layers increases tension on suture line, may delay wound healing, and serves as a medium for bacterial growth.

4. Encourage frequent positional change, inspect pressure points, and massage gently, as indicated. Apply transparent skin barrier to elbows and heels, if indicated.
Rationale: Reduces pressure on skin, promoting peripheral circulation and reducing risk of skin breakdown. Skin barrier reduces risk of shearing injury.

5. Provide meticulous skin care, pay particular attention to skin folds common in the very obese client.
Rationale: Moisture or excoriation enhances growth of bacteria that can lead to postoperative infection.

6. Provide foam, water, or air mattress, as indicated.
Rationale: Reduces skin pressure and enhances circulation.

Risk for Imbalanced Nutrition: Less than Body Requirements | NCP for Bariatric Surgery

Risk factors may include
Decreased intake, dietary restrictions, early satiety
Increased metabolic rate and healing
Malabsorption of nutrients and impaired absorption of vitamins

Possibly evidenced by
(Not applicable; presence of signs and symptoms establishes an actual diagnosis)

Desired Outcomes/Evaluation Criteria—Client Will
Knowledge: Diet
Identify individual nutritional needs.
Nutritional Status
Display behaviors to maintain adequate nutritional intake.
Demonstrate appropriate weight loss with normalization of laboratory values.

Nursing intervention with rationale:
1. Establish hourly intake schedule. Measure and provide food and fluids in amount specified.
Rationale: After gastric restriction procedures, stomach capacity is reduced to approximately 30 to 50 mL, necessitating frequent, small feedings. Ultimately, management of optimal nutrition depends on reducing the amount of food passing through the gastrointestinal (GI) system at one time.

2. Instruct in how to eat slowly. Take small bites, using a baby spoon. Chew food thoroughly. Take 3 to 60 minutes to eat meal, then refrain from eating until next scheduled mealtime.
Rationale: Increases satiety and reduces risk of overeating.

3. Avoid taking fluids with meals and for 30 minutes before or after meals. Encourage almost constant sipping of fluids between scheduled eating times.
Rationale: Although fluids are a necessary part of the client’s intake, the stomach is too small to hold food and fluids at the same time.

4. Avoid high-calorie fluids—milkshakes, sodas, and alcoholic beverages.
Rationale: These can sabotage weight loss.

5. Emphasize importance of recognizing satiety and stopping intake.
Rationale: Overeating may cause nausea and vomiting, as well as having the potential to damage surgical anastomosis.

6. Require that client sit up to drink and eat.
Rationale: Reduces possibility of aspiration.

7. Determine foods that are gas forming and eliminate them from diet.
Rationale: May cause nausea and bloating, interfering with digestion and causing client to restrict nutritional intake.

8. Discuss food preferences with client and include those foods in puréed diet when possible.
Rationale: May enhance intake and promote sense of participation and control.

9. Weigh on regular schedule.
Rationale: Monitors losses and aids in assessing nutritional needs and effectiveness of therapy.

10. Refer to dietitian or multidisciplinary team.
Rationale: Provides assistance in planning a diet that meets client’s nutritional needs as well as offering individualized treatment and support. Note: Because quantity is strictly limited, foods should be nutrient dense, low in fat and sugars, and high in protein (Beauchamp-Johnson, 2006).

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Illinois Institute of Technology

Founded in 1940, Illinois Institute of Technology (IIT) is a Ph.D.-granting research university with world-renowned programs in the sciences, engineering, architecture, humanities, psychology, business, law, and design. IIT is a member of the Association of Independent Technological Universities (AITU), a group of independent American engineering colleges.

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Here We Go Again

WE'VE all got one - our dream team/favoured formation against which all others are measured. I know Celtic fans who cannot see past the Lisbon Lions, Rangers fans who swear there was never a team like the Baxter-inspired side of the early sixties, while, being greedy and from Ayrshire I've got two.

Down here in Burns and God's Country - you have to have your dream junior team, in my case: Fraser, Love and Cathie, McEwan, Baird and Donnelly, Bingham, Collins, Sharp, Neil and Wilkie - the Lugar Boswell Thistle side from that wonderful 1955-56 season, when they won the league and reached the Junior Cup Final.

But, I've also got a senior benchmark team: Brown, Richmond, Watson, Beattie, Toner, Kennedy, Stewart, McInally, Kerr, Black and Muir - the Kilmarnock team of 1960. Forget the league-winning side of 1965, if they could clone Jackie McInally, Bertie Black, Matt Watson and Frank Beattie, who were common to both sides, I reckon the 1960 XI, spearheaded by the marvellous Andy Kerr, would have given the 1965 lot two goals of a start and a beating.

So given this Killie connection, you can take it I'm not best-pleased with wee Michael Johnson this morning.

To lose one good manager is unfortunate, but Jim Jefferies probably had reached his "sell-by" date at Rugby Park. Yes, he's done a great job since going back to Tynecastle, but that is his footballing "home" and probably the only place he can be happy at his work.

To lose two is coincidence, and I still reckon, if he had remembered his upbringing in management in Dutch football and gone back to basics, Tango Man Calderwood might have turned the club around.

But to lose a third with Mixu's return to Helsinki - that's downright carelessness. The big Finn was a breath of fresh air in Scottish football; sure he'd have faced problems next year, since Eremenko will certainly not still be at Rugby Park, while Bryson and Taouil also seem set to depart. But I reckon Mixu will have replaced them and kept the club going the right way. For Killie it's Tommy Burns revisited, just as Tam was never going to turn down the Celtic job, so Mixu couldn't reject his country. Sadly for Killie, in both cases the dream job came too soon.

Now, it's back to the drawing board and who knows, with the timing of Mixu's departure, Killie just might slide out of the top six over the next few weeks, unless Kenny Shiels can stick-up the "business as usual" sign in the dressing room and keep the lads focussed. Good luck to him.

Of course, my friends in the A Team of the SFWA are immediately on the case, speculating as to Mixu's long-term replacement. And, whadd ya know: same old same old as regards names in the frame.

Gus MacPherson, Yogi Hughes, Jim McIntyre, Gordon Chisholm - is that not last week's subs bench for Chick Young's Dukla Pumpherston? At least wee Durrantie's out of the picture as he prepares for life at Ibrox after his grand-father.

Speaking as a Killie fan, I'd write "none of the above" on my ballot paper, if I had a vote.

Killie don't so much need a new manager as a new approach. For generations more Ayrshiremen and women than attend Rugby Park for a normal league game have been bussed past the town en route to either of the cathedrals of bigotry in Glasgow - Killie need to get the county behind them again, re-connect with their core support and get local boys into the team (same thing goes for the other small-town Scottish clubs by the way).

Hell, they don't even train in Kilmarnock, but on the outskirts of Bears-bloody-den (how appropriate a name given Murray Park's location).

Get back to Kilmarnock, find the local talent and nurture it - that's the way ahead for Killie. And find a manager, like Mixu, who believes in football, rather than the hoofball which is so prevalent in the SPL today.

The club almost certainly cannot afford him, but, given he has to have a shot at being a manager in his own right soon, I'd go for Liverpool's assistant manager Stevie Clarke: Ayrshire boy, his big brother played for Killie, he knows his stuff and he has worked with some terrific managers.

It almost certainly will not happen, but, a man can dream.