Chronic Obstructive Pulmonary Disease

Chronic Obstructive Pulmonary Disease The lungs are one of the most important organs in the human body. Without the lungs a person is unable to intake oxygen that is need to life. There are many problems that can develop within the lungs. Chronic obstructive pulmonary disease (COPD) is one of the most common lung diseases. This paper will discuss the epidemiology and pathophysiology of COPD. The pre-hospital treatment of COPD will also be covered. A detailed example of a field impression and treatment plan will also be illustrated. Chronic obstructive pulmonary disease causes a person to have difficulty in breathing. There are to main forms of COPD; chronic bronchitis and emphysema. Chronic bronchitis is a long-term cough that produces mucus. Emphysema is the destruction of the lungs of a period of time. Most people that have COPD have a combination of chronic bronchitis and emphysema. There are several causes of COPD, with smoking being the most prevalent. The more a person smokes, the more likely they are to develop COPD. There are also several causes of COPD in non-smokers. Patients who lack the protein alpha-1 antitrypsin can develop emphysema. Other airway irritants such as, exposure to gases and fumes in the workplace, second-hand smoke, and frequent use of cooking gases without ventilation are other potential risk factors. Again, smoking is the primary cause of COPD; however someone can be a lifelong smoker and not develop COPD. All diseases have a pathophysiologic reason as to how and why it affects the body. However, according to the American Academy of Family Physicians, COPD does not have a clear pathophysiology. What is known about COPD is that the cells of the bronchial tree have been subjected to chronic inflammation. This inflammation is caused by smoking and other irritants that mentioned previously. When the cells of the bronchial tree are inflamed it causes the smooth muscles of the airway to constriction excessively. This hyperactivity causes the airway to become swollen, production of excess amounts of mucus, and decreased effectiveness of the cilia. As COPD progress, patients begin to have difficulty clearing secretions, which causes a chronic productive cough, wheezing and difficulty breathing. Due to the inability for the patient to clear the productive cough, mucus begins to collect in the airway. The collection of mucus is an issue because it collects bacteria and cause causes infections. B oth chronic bronchitis and emphysema caused airway obstruction. In cases of chronic bronchitis the airway is obstruction caused by the build-up of mucus describe previously. In cases of emphysema, the alveoli become enlarged an eventually destroy. This hinders the necessary exchange of oxygen and carbon dioxide. Chronic obstructive pulmonary disease has many negative effects on the body that impedes the body from respiring efficiently. Just like every condition chronic obstructive pulmonary disease has signs and symptoms that all providers the ability to both diagnosis and treat their patients. The classic signs of COPD include an ongoing productive cough, shortness of breath, wheezing, and tightness in the chest. These symptoms can appear both early and late in the disease process. If a patients presents with these symptoms early, then it is possible that they have not lost the ability effectively move air. COPD patients may also present with the following symptoms: difficulty catching breath, signs of cyanosis such as blue or gray lips and nail beds, alerted mental status, and tachycardia. It is important for the provider to have good assessment skills so that he/she picks up on these signs and symptoms. Most COPD patients that an EMS provider will come in contact with will already be diagnosed with the disease, thus making it important for the provider to obtain SAMPLE and OPQRST history. After the provider has concluded that this patient is suffering from chronic obstructive pulmonary disease it is time for treatment to begin. The treatment of chronic obstructive pulmonary disease is pretty straight forward in the pre-hospital arena. Due to difficulty breathing, the patient should be placed on high-flow oxygen via non-rebreather. The provider should keep a constant monitor on the patients pulse oximetry to issue adequate oxygen levels in the blood. If the patient is wheezing then a nebulized albuterol treatment is indicated. Albuterol dilates the airway, thus increasing air movement. The next step in the treatment plan should be obtaining intravenous access for medicine administration. A blood draw should also be performed at this time. The provider should monitor the patients ECG. If accessible the provider should also obtain a 12-lead ECG and monitor Capnography. If the patient continues wheezing after the initial albuterol treatment, a second dosage should be administered after ten minutes. If wheezing still continues, the provider should consider administering Solu-Medrol intravenously. Solu-Medrol is a parenteral steroid that attempts to lower the inflammation of the cells in the bronchial tree. If the patients pulse oximetry is below 90 percent on high flow oxygen via non-rebreather, the provider should consider use of positive-pressure ventilation. There are two types of positive-pressure ventilation, bi-level positive airway pressure (BiPAP) and continuous positive airway pressure (CPAP). Since local protocols allow the use of CPAP, it will be used for the purposes of this paper. CPAP decreases the workload of the patient on inspiration. CPAP also keeps the alveoli open allowing better gas exchange. Fluid build-up in the lungs is another indication for CPAP. The positive pressure supplied by a CPAP device will push the fluid from the lungs back into the vascular space. CPAP is contraindication on patients with altered mental status and systolic blood pressure of less than 100. With the treatment plan listed above, the pre-hospital provider should be able to effective treat a symptomatic chronic obstructive pulmonary disease patient. Chronic obstructive pulmonary disease is disease that Emergency Medical Services provider will have to deal with on a daily basis in a busy locality. This is caused mainly by the high popularity of tobacco smoking in the United States over the last century. COPD can by a gateway to other medical issues in the body, such as congestive heart failure and infection. The effects on the body in COPD patients works like a chain reaction, inflammation causes fluid build-up, which causes airway compromise and possibly infection. Patients suffering from COPD should immediate stop smoking. The treatment plan describe above is straight forward and can provide short term relief in the pre-hospital setting. Like stated at the beginning of this paper Chronic obstructive pulmonary disease is a like changing disease that can destroy one of the bodys most important organs, the lungs, and if a patient is unable to breath, they will die!

Walmart Essay -- GCSE Business Marketing Coursework

Walmart History: Beginning to Today Wal-Mart is a general merchandise discount retailer, which was incorporated in 1962. Wal-Mart’s history is based on one man, Sam Walton, who changed the course of retailing forever. Sam Walton first entered retailing when he was a management trainee at J.C. Penny Co. in 1940 in Des Moines, Iowa. After serving in the Army in World War II, Walton acquired a Ben Franklin variety store franchise with his brother James Walton in Newport Arkansas, until they lost the lease to the store in 1950. By 1962, when the first Wal-Mart Discount City was opened in Rogers Arkansas, both Walton’s were operating fifteen stores under the â€Å"Walton 5 & 10† name, and were the largest Ben Franklin franchisee in the country. Limited pricing, low gross margins, and high inventory turnover characterized these stores. Walton phased out the stores in 1976 in order to focus on the emerging Wal-Mart stores. In 1978, the first distribution center was built, followed by the first Wal-Ma rt Supercenter in 1983 and a Sam’s Club in 1988. Important to Walton, and ultimately Wal-Mart, are certain philosophies that were amounted over time. Walton held these values tightly, and engrained them in the Wal-Mart cultures. From his experience at J.C. Penny Co. he was impressed with the philosophies they used (e.g. â€Å"The Penny Idea†) and used them to mold Wal-Mart. This included referring to employees as â€Å"associates†, serving the public to their complete satisfaction, and receiving a fair profit from services rendered. Walton’s theory on what Wal-Mart should be is â€Å"a conveniently located one-stop shopping unit where customers could buy a wide variety of quality merchandise at discount prices.† And as Wal-Mart grew, management sought a firm that was a â€Å"discount department store chain offering a wide variety of general merchandise to the customer.† It was on these values and philosophies that Wal-Mart expanded. Wal-Mart has grown above and beyond the Arkansas store that opened thirty-nine years ago. It serves more than 100 million customers weekly in all of the 50 states, plus Puerto Rico, Canada, China, Mexico, Brazil, Germany, United Kingdom, Argentina, and South Korea. Wal-Mart’s current operating numbers are: Wal-Mart Stores 1,736 SuperCenters 888 SAM’s Clubs 475 Wal-Mart Neighbo... ...mount of inconvenience, Wal-Mart should implement more entrances and exits into different departments, such as the Garden department and the Grocery department, with signage that easily identifies what part of the store the entrances are leading too. Moving from the retail level to business relationships, Wal-Mart has extensive opportunities to expand on its distinctive competency of its distribution system. The company has strategically placed distribution centers all over the US close to its stores. This not only makes for an excellent venue to supply Wal-Marts, but other companies’ stores as well. Wal-Mart Inc. can be a competitive distributor that would service companies not in direct competition with Wal-Mart. A study should be conducted to find out which industry should be targeted for this type of venture. This is a low risk high return venture because Wal-Mart would be using facilities that the company already owns, and expansion of these facilities is already in the making. In addition, Wal-Mart has already been successful in distribution with its offspring grocery store distributor â€Å"McLean†. McLean services not only Wal-Marts, but convenience stores as well. Walmart Essay -- GCSE Business Marketing Coursework Walmart History: Beginning to Today Wal-Mart is a general merchandise discount retailer, which was incorporated in 1962. Wal-Mart’s history is based on one man, Sam Walton, who changed the course of retailing forever. Sam Walton first entered retailing when he was a management trainee at J.C. Penny Co. in 1940 in Des Moines, Iowa. After serving in the Army in World War II, Walton acquired a Ben Franklin variety store franchise with his brother James Walton in Newport Arkansas, until they lost the lease to the store in 1950. By 1962, when the first Wal-Mart Discount City was opened in Rogers Arkansas, both Walton’s were operating fifteen stores under the â€Å"Walton 5 & 10† name, and were the largest Ben Franklin franchisee in the country. Limited pricing, low gross margins, and high inventory turnover characterized these stores. Walton phased out the stores in 1976 in order to focus on the emerging Wal-Mart stores. In 1978, the first distribution center was built, followed by the first Wal-Ma rt Supercenter in 1983 and a Sam’s Club in 1988. Important to Walton, and ultimately Wal-Mart, are certain philosophies that were amounted over time. Walton held these values tightly, and engrained them in the Wal-Mart cultures. From his experience at J.C. Penny Co. he was impressed with the philosophies they used (e.g. â€Å"The Penny Idea†) and used them to mold Wal-Mart. This included referring to employees as â€Å"associates†, serving the public to their complete satisfaction, and receiving a fair profit from services rendered. Walton’s theory on what Wal-Mart should be is â€Å"a conveniently located one-stop shopping unit where customers could buy a wide variety of quality merchandise at discount prices.† And as Wal-Mart grew, management sought a firm that was a â€Å"discount department store chain offering a wide variety of general merchandise to the customer.† It was on these values and philosophies that Wal-Mart expanded. Wal-Mart has grown above and beyond the Arkansas store that opened thirty-nine years ago. It serves more than 100 million customers weekly in all of the 50 states, plus Puerto Rico, Canada, China, Mexico, Brazil, Germany, United Kingdom, Argentina, and South Korea. Wal-Mart’s current operating numbers are: Wal-Mart Stores 1,736 SuperCenters 888 SAM’s Clubs 475 Wal-Mart Neighbo... ...mount of inconvenience, Wal-Mart should implement more entrances and exits into different departments, such as the Garden department and the Grocery department, with signage that easily identifies what part of the store the entrances are leading too. Moving from the retail level to business relationships, Wal-Mart has extensive opportunities to expand on its distinctive competency of its distribution system. The company has strategically placed distribution centers all over the US close to its stores. This not only makes for an excellent venue to supply Wal-Marts, but other companies’ stores as well. Wal-Mart Inc. can be a competitive distributor that would service companies not in direct competition with Wal-Mart. A study should be conducted to find out which industry should be targeted for this type of venture. This is a low risk high return venture because Wal-Mart would be using facilities that the company already owns, and expansion of these facilities is already in the making. In addition, Wal-Mart has already been successful in distribution with its offspring grocery store distributor â€Å"McLean†. McLean services not only Wal-Marts, but convenience stores as well.

Sources of Motivation Paper

Sometimes people have to ask themselves questions such as why do I want to do that, what is it that I need that is going to take to get me from point A to point B, and how do I keep doing what I need to do to accomplish the set task or goal? Many times people wonder what causes an individual to act in a certain way. The word motivation is used in everyday language and can be defined in various ways but, in general, it is referred to as the internal course of action that triggers, directs and maintains the individual’s behaviors toward a particular goal or event (Ferguson, 2000). Hence, this paper defines motivation, addresses a few sources of motivation, gives an idea about how human motivation and behavior are linked together, as well as look at how motivation is displayed in behavior. Sources of Motivation Motivation can originate from internal sources, described as biological and psychological variables, and from external sources, such as incentives and goals (Deckers, 2010, pg. 1). For example, a biological factor in the motivation to eat would be that the individual got something to eat because his or her stomach was growling or experiencing stomach pangs. A psychological factor in the motivation to eat would be that an individual ate too much because he or she used food as a way to cope with his or her feelings of depression or loneliness. An environmental factor in the motivation to eat would be that the sight and smell of food triggered the hunger and eating such as the smell of a freshly baked loaf of banana nut bread. An external factor to becoming motivated to cook one’s own freshly baked bread is having the goal to learn how to bake the bread and then market it in a way to bring in extra income. In addition to biological, psychological and environmental variables to motivation, it is also said that motivation can be intrinsic or extrinsic. According to Ferguson, internal outcomes can provide internal incentives, and incentive motivation of this type is called intrinsic motivation. When external outcomes provide external incentives, the incentive motivation is called extrinsic motivation (2000, pg. 215). For example, a person who is intrinsically motivated might learn to play the piano because it gives the individual has a sense of pleasure while listening to the music. A person who is extrinsically motivated might learn to play the piano because he or she is promised monetary gain or some other type of reward. The Relationship between Motivation and Behavior Psychologists, therapists, behaviorists as well as others who work in or interested in human services, many times want to know and participate in studies to help them learn more about what motivates individuals to behave or misbehave in a certain way. According to Reeves, â€Å"motivation study concerns all conditions that exist within the person and within the environment and culture that explain â€Å"why we want what we want† and â€Å"why we do what we do (2009, pg. iii). † So, when people think about motivation, they have to consider the individual’s desire, drive, and need to get or accomplish something and whether that motivation is strong or weak as well as the behavior that goes along with it. To put it in another way, motivation and behavior are like the coin which has the head (motivation) and the tail (behavior). Thus, when explaining the relationship between motivation and behavior, the truth is that you can’t have one without the other. How Motivation Exhibited in Behavior What causes a person to walk in the rain without an umbrella? Could it be that the individual must get to his or her destination no matter the condition of the weather? Or could it be that the individual loves the feel of water coming down from its natural environment? If not for those reasons, then could it be that the individual uses the rain water during that time to hide his or her tears in an attempt to release some of his or her emotions of sorrow and pain? The way people act will many times depend on the motivation behind it. It’s difficult to understand certain behaviors without looking at the the type of motivation that is connected to it. People many times search out ways that will help them get motivated to move in the direction of their thoughts or of their own perceived needs or preferred wants. The behavior that they will exhibit once they have iscovered the need or source, will then help them know what they can do and then motivate them to get to their desired objective, goal or even the destination that they have set forth for themselves. Simply put, motivation is a kind of an internal force which compels an individual to do something in order to get something whether it be revealed internally or displayed externally. For exa mple, I am motivated to do well in class, thus I must read the material, answer the questions according to recommended standards, participate in class discussions and perform well on assignments given. Thus, when looking at or attempting to explain motivation with that example, it is not only what causes me to act but also why I took a certain course of action. Motivation is about human strivings, wants, desires, and goals and the behavior exhibited will either be a push or pull that gets the individual to do something. If the desires are strong, the individual will do work hard at trying to fulfill it and if they are weak, he or she may be less motivated to do so. Motivation, whether it is strong or weak, comes through a number of sources and the behavior that is displayed comes out in different ways. Whether those motivations are due to biological, psychological and environmental variables, the behavior affects the individual’s end whether that end is positive or negative. Whether the motivation is internally, externally, intrinsically or extrinsically motivated, people will do those things are important to them and show forth the behaviors that will get them toward their desired wants, needs, objectives or goals. References Ferguson, E. (2000). Motivation: A Biosocial and Cognitive Integration of Motivation and Emotion. New York, NY: Oxford University Press, Incorporated. Deckers, L. (2010). Motivation:  Biological, Psychological, and Environmental. (3rd ed.). Boston, MA: Pearson/Allyn and Bacon. Retrieved from  https://ecampus.phoenix.edu/content/eBookLibrary2/. Reeve, J. (2009). Understanding motivation and emotion. (5th ed.). Hoboken, NJ: John Wiley & Sons, Inc. Retrieved from  https://ecampus.phoenix.edu/content/eBookLibrary2/.

Constitutional Rights and the Bill of Rights essays

Constitutional Rights and the Bill of Rights essays A few of the most important ideas the United States was founded on are the rights to freedom and the pursuit of happiness. The Constitution and the Bill of Rights come into a significant role when it comes down to laying out the specifics and both guaranteeing and protecting our rights as citizens. The Bill of Rights serves as the framework for the United States and justifies exactly what the United States of America was founded on Freedom. These amendments stated in the Constitution assure us, the citizens, our rights, and liberties will be protected by and from the government. However, the rights that are given to us are not without restrictions. There are many different ways to apply the rights given to us in certain situations. The most common issue with many laws is: "How do I determine the limits of my rights?" I will be talking about the amendments and offer my opinion on them through the eyes of an 18-year-old. Among the most popular Amendments is the 1st amendment, granting citizens the right to freedom of speech and also includes the right to communicate information and ideas through speeches, are, radio, books, television, the internet, and other sources of mass media. The 1st amendment states that an individual has the right to be exposed to different points of views. On the other hand, like most laws and rights there are exceptions as well as limits. The 1st amendment is in fact limited in numerous ways. The exceptions to free speech include obscenity, defamation, commercial speech, and fighting words. The reasons for the limits are completely reasonable, for the simple reason that they all protect other individual's rights. For example, a way these limits protect and the individual is by limiting everyone's freedom to freely curse, harass, or verbally influence another person to retaliate, resulting in a possible fight. This refers to the limitations concerning "fighting words." Thi s limit states another citizen cannot...

Leonardo da Vincis Study of Hands

Leonardo da Vincis Study of Hands This beautiful sketch of three hands is in the Royal Library at Windsor Castle exemplifies Leonardo da Vincis intense attention to, even fascination with, anatomical correctness and the effects of light and shadow. At the bottom, one hand is folded underneath another, more developed one, as if resting in a lap. That lightly-sketched hand seems to be the ghost of the top hand, which holds a sprig of some sort of plant   the outline of the thumb is nearly identical. These two highly developed hands are worked up with dark crosshatchings and white chalk highlights, creating a sense of mass even on a sheet of paper. In each, everything from the muscles of thumb-pads to the wrinkles of skin along the joints of the fingers is depicted with the utmost care. Even when Leonardo lightly sketches the rest of the forearm or the ghost hand, his lines are deft and confident, showing how much he strove to depict the human form correctly. Although the first instance of his studies of anatomy and dissection is not until 1489, in the Windsor manuscript B,  his interest in the subject would no doubt have been bubbling just beneath the surface, and it is certainly evident in this sketch. Leonardo seemed to draw his ideas and notes as they came to him, and in this vein, we also see a lightly sketched head of an old man in the upper left corner; perhaps one of those quick caricatures of a man whose peculiar features struck him as he passed. Many scholars take this sketch as a preliminary study for  The Portrait of a Lady,  who could very possibly be the famous Renaissance beauty Ginevra de Benci, in the National Gallery, Washington, D.C. Although Giorgio  Vasari tells us that Leonardo did indeed create a portrait of Ginevra- an extremely beautiful painting, he tells us- there is no outright evidence that she is, indeed, Ginevra. Additionally, while there is clear evidence that the portrait had been cut down,  there is no further documentation or other drawings that would definitively allow us to say that these hands are hers. Nevertheless, the National Gallery has created a composite image of the sketch and the portrait. Ginevra de Benci is an important Renaissance figure, and John Walker  of the National Galler has argued convincingly that she is the subject of Leonardos portrait. Born into an extremely wealthy and well-connected Florentine family,  Ginevra was a talented poet and friends with Lorenzo de Medici himself. If this is indeed Ginevra, the portrait is further complicated by its patron. While it could have possibly been commissioned in celebration of her marriage to Luigi Niccolini, there is also a possibility that it was commissioned by her possibly platonic lover Bernardo Bembo.  Indeed, no less than three poets, including the aforementioned Lorenzo de Medici himself, wrote of their affair.  There is another sketch dubiously attached to the Ginevra portrait,  Young Woman Seated in a Landscape with a Unicorn, in the Ashmolean Museum; the unicorns presence, like the credo on the verso of the painting (beauty adorns virtue), speak to her innocence and virtue. Sources and Further Reading Giorgio Vasari, The Life of Leonardo da Vinci, Florentine Painter and Sculptor,  The Lives of the Artists, trans. Julia Conaway Bondanella and Peter Bondanella (Oxford: Oxford University Press, 1998), 293.Walker, John. Ginevra de Benci  by Leonardo da Vinci.  Report Studies in the History of Art.  Washington: National Gallery of Art, 1969: 1-22.

Defense Mechanisms and Behavior Modification (CASE) module 4 Essay

Defense Mechanisms and Behavior Modification (CASE) module 4 - Essay Example The goal of this behavior objective is to ensure that health care professionals within the Boston correctional facilities are vigilant in handling stressful events occurring within the facilities that host more than 50,000 offenders. 2. To present scientific methods of handling stress within the job environment of 50 health care professionals working in five Boston correctional facilities to 90%, handle stressors presented by the 50,000 inmates within the area. Using Skinner’s ideas, the above objectives can be applied to different entities in different situations. In this case, given that the entities comprised in a correctional facility can be categorized as staff and prisoners, the application of Skinner’s ideas is dependent on the circumstances. The stressors and activities within a correctional facility are categorized into two, criminal and responsible. To the health care professionals, Skinner ideas can be applied to the professionals when dealing with violent criminals or when faced by a potential threat. After an attack, a health professional is likely to call for help after suffering possible injuries. The result of this offense is to increase punishment for the offender and possible resignation by the health care professional. However, applying Skinner’s ideas, health professionals can be educated on how to encourage offenders to act responsibly as their behavior changes would affect their evaluation. In thi s case, offenders would restrain from attacking health professionals and one another with expectations of early releases (Freedman, 2012). Assessing this situation from an offender’s perspective, the education passed from the health care professional motivates good behavior to the criminal hoping to benefit within a certain timeframe (Bennett, 2012). The reinforcement that comes from accomplishing the two smart objectives is cultivation of motivation to educate more health care professional

White-tailed Deer Research Paper Example | Topics and Well Written Essays - 1000 words

White-tailed Deer - Research Paper Example It has a brownish gray body with white hairs on the under side of the tail. During summer its color is reddish brown. Today the white tailed deer population is 18 million (pp. 5-11). They are found in deserts, swarms, farmlands, prairies. They mostly prefer living in open lands near the rivers and streams. As described in Zwaschka (1999), an adult male deer grows 41 inches tall and weigh about 160 pounds.(72 kgs) Female deer (doe) is smaller in size and they weigh 40-90 kgs on an average. The weight of white tailed deer varies from region to region. They live up to 10-20 years. It is herbivore and its feeding hours are in the early morning and late after noon. Its diet changes depending on the habitat and the season (pp. 4-10). It is a shy and cautious animal. They are good runners, leapers and swimmers. In alarming situations they flag their tails and run. The bucks alone have antlers that grow annually and fall off in the winter. Female deer gives birth to one to three young ones a t a time, usually in the May or June. Their gestation period is 7 months. They are nocturnal and crepuscular animals. They are preyed up on by bobcats, coyotes and mountain lions. The scientific classification of white tailed deer; Kingdom: Animalia Phylum: Chordata Class: Mammalia Order: Artiodactyla Family: Cervidae Subfamily: Capreolinae Genus: Odocoileus Species: O. virginianus (Source: Squam Lakes Natural Science Center). Life Cycle The breeding season or rut extends from October to January though the majority occurs in October- November. Both bucks and does are seen active and they get out of their nocturnal habits during the breeding season. Patent (2004) describes the life cycle of white deer; the bucks rub their well developed antlers against big trees to mark their territories. These signs are called rubs. Bucks often fight with each other using antlers but fatal injuries are rare. During winter they shed off their antlers. But, antlers grow very fast, and those which grow will be stronger than the previous ones. (pp. 5-11). Antlers get their nourishment from a highly vascularized membrane called velvet which dries off which is rubbed against trees and shrubs. Fully grown antlers mark the breeding season for the bucks. Fawns are born after a 200 day gestation period. Two to three fawns are born in one litter. For the first few weeks the doe hides the fawns by themselves. The fawns have a spotted coat for the first 3-4 months but it is lost when the first winter comes. As described in National Geography website, when the mother goes in search of food the fawns lay flat on the ground quietly among the grass. They are scent free for few weeks to safe guard themselves from predators. Deer reproduces quickly and can over populate the area. To keep check on their numbers natural predators like bobcats and coyotes play a significant role (National Geography). Structure and function The organ system of the white tailed deer is same as that of any mammal. But its digestive system requires special mention. The front of the upper jaw bone does not have any teeth like other mammals. Teeth are replaced with a resilient pad which is in contact with the lower incisors. As Deal (2010) illustrates, they have 32 teeth. 8 incisors, 12 pre molars and 12 molars. They have a four chambered stomach. This ruminant stomach enables the deer to collect large quantity of food at a time, chew and digest it later. The deer pushes its food with its tongue to the back of the mouth where it is chewed. It is chewed just enough to swallow (p. 139). Then it is passed to the gullet of the stomach. The stomach is compartmentalized to four sections. They are the rumen, reticulum,