The patient’s current medication therapy includes digoxin, 0.25 mg PO qd; hydrochlorothiazide, 25 mg PO qd; and captopril, 25 mg PO tid. (Learning Objectives 2, 3, 4, 6, 7)
1.Why is Mr. Stein on these drugs?
2.Are there any contraindications or precautions that would eliminate the use of these drugs for Mr. Stein?
3.Are there any aspects of digoxin’s core drug knowledge that are especially relevant to consider because they may interact with the core patient variables?
4.Which findings from the nursing assessment demonstrate the effectiveness or possible adverse effects from drug therapy?
5.Which findings from the nursing assessment demonstrate possible adverse effects from drug therapy?
6.What teaching is required for Mr. Stein regarding his drug therapy? Do you need any additional data to determine appropriate teaching?
a.Identify the teaching needs and readiness to learn for this client.
Identify any cultural factors that influence the care for this client.
provide examples of care from a nurse perspective
reference Duffy, J. R. (2013). Quality caring in nursing and health systems (2nd ed). New York, NY: Springer Publishing Co.
Aschenbrenner, D. S., & Venable, S. J. (2012). Drug therapy in nursing (4th ed.). Philadelphia, PA: Lippincott Williams & Wilkins.
davis’s drug guide
Case Study, Drugs Treating Heart Failure
Assignment 1: LASA 2: Generating a Policy ProposalAlthough some states and cities have passed laws to ban texting and using handheld phones while driving, there is no current law to ban all cell phone use while driving. However, according to the National Safety Council (2009), 28 percent of all crashes—1.6 million per year—are caused by cell phone use and texting by drivers. The mission of a new national nonprofit organization called FocusDriven, patterned after Mothers Against Drunk Driving, is to make phone use while driving as illegal and socially unacceptable as drunk driving. US Transportation Secretary Ray LaHood supports FocusDriven and its efforts: According to the Pittsburgh Post-Gazette, LaHood said this movement will become “an army of people traveling the countryside” to push for bans on cell phone use and tough enforcement (Schmit, 2010).As a political advocate interested in this issue, you will be writing a policy proposal that utilizes the current research to propose a solution to the issue and submit it in this assignment.Please note that your proposal is not an opinion/position paper, and your conclusions need to be based on the scientific research you reviewed earlier. Please follow the typical steps in proper academic writing (planning, outlining, drafting, revising, proofing, and editing) to generate the following proposal structure:IntroductionIn the introduction, you should set up the purpose for the proposal, provide a bit of background on the topic, and present your thesis.PolicyNow that you have researched a variety of studies (in M4: Assignment 2), compile that information together to create a recommendation for policy makers regarding cell phone use while driving.1: In a one-page summary, compare and contrast the results of the various studies regarding the cognitive abilities that are affected during cell phone use while driving.2: Using that research, develop and explain particular recommendations for policy makers. For instance, restrict texting, or regulate the use of hand-held phones. All your recommendations must be supported by your research findings.3: Based on the gaps in current research, describe the variables, populations, and situations which you would like to see future research address.ConclusionReview the important current research, your conclusions from that research, and how the future could look in both policy and research. Keep your goal in mind: To convince the reader to support your current policy proposal and future research to examine this issue more closely.Your proposal should be written in APA style (which includes a title page with running header and a reference page), and free of typographical and grammatical errors. The body of your proposal should be 4–5 pages long.By Monday, April 10, 2017, deliver your assignment to the M5: Assignment 1 Dropbox.Course Project Grading Criteria and RubricAssignment 1 Grading CriteriaMaximum PointsAnalysis and comparison of current research on cognitive effects of phone use, intoxication, age, and other factors while driving. (Course Objectives [CO]1 CO2)72Recommendations for public policy.(CO3)72Recommendations for future research.(CO2, CO3)92Writing Components:Organization (16)Usage and Mechanics (16)APA Elements (24)Style (8)64Total:300Click here to view the rubric for this assignment.Schmitz, J. (2010, January 13). Cell phone ban for drivers is focus of new group.Pittsburgh Post-Gazette. Retrieved from http://www.post-gazette.com/pg/10013/1027757-147.stm.National Research Council. (2010). National Safety Council Estimates that At Least 1.6 Million Crashes Each Year Involve Drivers Using Cell Phones and Texting. Available athttp://www.nsc.org/pages/nscestimates16millioncrashescausedbydriversusingcellphonesandtexting.aspx
Generating a Policy Proposal, writing homework help
Princeton University Surveillance Culture Essay
Princeton University Surveillance Culture Essay.
Instructions:Singer describes “surveillance culture” as a threat to our privacy and freedoms, while “sousveillance” (the people’s surveillance of their governments) is a way to maintain justice and democracy. How much does this argument make sense in your own cultural context (as a citizen of a country, as a student abroad, perhaps even as a cosmopolitan)? Answer this question using 2 of Singer’s examples (one per paragraph). Do you feel differently about these examples than Singer does? Why or why not? The reading article is in the link down below:https://drive.google.com/open?id=1OQhPFb-l6Lp-VfVyCGmh-mQpb5c4Hkf_only use information from this reading.
Princeton University Surveillance Culture Essay
Introduction to DNA and Genetics
custom writing service Introduction to DNA and Genetics. Genetics is the study of the qualities that are inherited and transmitted to the offspring from the parents during reproduction. Parents pass traits to their offspring, making the basis of heredity. The inherited traits are coded for in genes, which are the inherited elements. Genes are the functional units of DNA. Through genetics, biologists and other scientists get to understand the processes and principles of heredity, genetic variation and genes. Genetics is of great interest in the contemporary society. With the completion of the Human Genome Project, a lot of information about genetics has been exposed that is essential to the understanding of the human health. Understanding of the genome and mutations that affect it has led to an explanation of genetically inherited traits. These characteristics were previously mysterious and could not be contained as drugs could not be developed against them. The information gained from genetics has aided the research into these diseases. It has also opened a window to the possibility of finding a cure for the deadly cancer diseases (Sack, 2008). The building block of all genetic concepts is DNA. DNA is one of the nucleic acids which stores hereditary or genetic information. It is found in the nucleus in eukaryotic organisms and the cytoplasm in the prokaryotic organisms. DNA is composed of nucleotides, which are composed of sugar, a phosphate group and a base. The DNA sugar is deoxyribose sugar. There are four essential bases in the structure of DNA. From the four bases, the numerous different sequences arise which lead to the differences observed among organisms. The bases are Thymine, Adenine, Guanine and Cytosine. The nucleotides bond to each other by a phosphor-diester bond, leading to a ladder-like double helix structure. The double helix structure is formed by the pairing of anti-parallel strands of DNA. The nucleotide bases from the two strands bind to each other through hydrogen bonds. Thymine pairs with Adenine and Guanine pairs with Cytosine (Hawley, 2010). The DNA is divided into functional regions called genes. Genes have varying sizes, from a few hundred DNA bases to more than two million bases. The genes code for the traits expressed by each individual. Each gene has specific sets of instructions that code for particular proteins or protein functions. The nucleotide sequence of each gene forms the genetic sequence, which is crucial in the central dogma. The central dogma explains that the phenotypic appearance of an individual is a characteristic of their DNA. From the DNA sequence, RNA (another nucleotide) can transcribe and translate the information into proteins. The proteins are the building structure of the body. Therefore, the protein that is expressed in the DNA is the one that will be manufactured and expressed physically as the structure of the individual (Hawley 2010, Sack, 2008). Genes are found in packaged DNA sets called chromosomes. Each chromosome has millions of DNA bases, from fifty to two hundred million in number. Many genes make a chromosome. The chromosomes are the means of transferring genetic information from the parents to the offspring. They are more complex as they are made up of the genes and binding proteins know as histones. The DNA is usually tightly wound around each of the proteins. Each organism has a specific number of chromosomes, which if exceeded or reduced result in an abnormality. The human beings have twenty-three pairs of chromosomes (46 chromosomes). One of the pairs is the sex chromosomes (XX for female and XY for male). The other twenty-two pairs of chromosomes are autosomes (Hawley 2010, Sack 2008). Traits are inherited from both parents following the Mendelian inheritance laws. The genetic makeup of an individual (genotype) is made of two alleles of each gene. An allele is a copy of a gene that codes for the same trait. Each allele is inherited from either parent. If the alleles are identical, they are called homozygous, and if they are not identical, they are heterozygous. If alleles are indeed identical, they have similar coding sequences at that particular locus. Each gene has a dominant allele that will be expressed in a case of the presence of a heterozygous pair of the alleles (Jobling, Hurles,Introduction to DNA and Genetics
Can you help with a profile essay in APA format? The pre-writing outline is due Nov 24 and final essay is due Dec 05.
Can you help with a profile essay in APA format? The pre-writing outline is due Nov 24 and final essay is due Dec 05..
STEP 1: PRE-WRITING OUTLINE – DUE FRIDAY 11-24-17Part I: Brainstorming – Before you develop the outline, answer the following questions, and include as much detail as possible. This prewriting exercise will help you to generate ideas for the essay. 1.) Who will you write about? Why do you want to write about this person? 2.) What kind of profile will you write? For example, will you focus on a specific moment in the person’s life, an average day, a moment when he or she had 15 minutes of fame, or a psychological examination? 3.) Why should my readers care about this person? 4.) What do I want readers to know about this person? 5.) What questions will I ask my subject during the interview process? How will I approach difficult or unpleasant topics? 6.) Have I talked to others who understand my subject or might see my subject with different eyes? What insight have or will they be able to give me? 7.) Do I understand what motivates my subject, and will I make that clear to readers? How will I make my story plump with vivid, memorable details about how my subject works and lives? 8.) How is my subject different than others who do the same job or live the same life? How is my subject the same as everyone else? Part II: Planning – Complete the outline template. Only two body paragraphs are shown below, but you will need more for your essay. Continue to add planned body paragraphs to your outline until you have as many as you need. You may also add a plan for the conclusion paragraph. I. Introduction: a. Hook: b. Thesis Statement: II. Body Paragraph 1: a. Topic Sentence b. Summary of Supporting Details c. Concluding Sentence III. Body Paragraph 2: a. Topic Sentence b. Summary of Supporting Details c. Concluding SentenceSTEP 2: FINAL ESSAY – DUE 12-05-17Example, template and rubric attached below.
Can you help with a profile essay in APA format? The pre-writing outline is due Nov 24 and final essay is due Dec 05.
American Airline Merger with U.S Airways Essay
Executive Summary The business environment is becoming tighter by the day due to globalization and technological advancement thus compelling businesses to seek new ways of surviving. One such survival method is merging. This essay examines the merger between American Airlines and US Airways to find out the underlying factors and suggest marketing strategies for the post merger airline. American Airlines, which is one of the largest airlines in the US, since its inception has been a formidable force in the industry, but since the September 11th, 2001 terrorist attacks in which two of its planes were destroyed, the airline’s outlook has not been promising until it filed for bankruptcy in 2011. US Airways on the other hand has had its share of woes in its history, but since 2005 when the current CEO took tenure; its record of accomplishment has been appealing. The merger is valued at about $11 billion and US Airways stakeholders will get 28% stake in the new entity while American Airlines stakeholder keep the remaining 72%. The merger is almost sealed for almost all possible obstacles have been passed. In the post-merger period, the new airline should take a proactive approach in its marketing endeavors to entice customers to loyalty. The appropriate strategies would be relationship marketing, market segmentation, brand position, and appropriate application of the marketing mix. Introduction As the business landscape continues to become more competitive due to globalization and technological advancement, businesses have resorted to all manner of strategies to retain their competitive edge. The desire to stay abreast of competition hinges on the need to capture a market share that can ensure profitability. A typical example of the activities that a business can engage in to achieve this goal is merging, which is seen an option due to accruing economies of scale. A merger is a mutually beneficial and voluntary coming together of two or more companies where the pre-merger parties agree to relinquish their identities to form a single legal entity, which henceforth takes over the operations of the pre-merger entities. This essay seeks to examine the merger between American Airlines and US Airways with the aim of analyzing the circumstances surrounding the merger and suggesting marketing strategies that could propel the resultant carrier to achieve the pre-merger goals. A situational analysis of the merger An overview of the US air transport industry The US airline industry is the largest in the world both in terms of size and air seat miles. However, the industry’s performance has been falling short of expectations. Analysts say that the mergers that have been occurring in the industry only serve to curtail the freedom of choice for passengers. Get your 100% original paper on any topic done in as little as 3 hours Learn More This aspect has affected domestic flights because after mergers, airlines tend to cut down on the number of scheduled flights as well as the number of seats offered. This assertion implies that from a domestic perspective, the US air transport industry seems not to encourage healthy competition that would benefit travelers, as should be the case in a liberalized market. This state of affairs translates to higher domestic travel costs for passengers, as there is not much competition to offer them better terms. Therefore, the consolidation of smaller airlines to form bigger entities is beneficial to investors for it delivers more returns, but it hurts the public badly despite the availability of anti-trust laws, which should help in regulating such scenarios. A pre-merger overview of American airlines American Airlines is one of the largest airlines in the US and consequently among the largest worldwide as well. It is owned by the “AMR Corporation and has its headquarters in Fort Worth in the state of Texas” (American Airlines Para. 1). Having started its operations in the early 1930s, the company currently boasts of elaborate domestic as well as international networks, which make it a worldwide airline (American Airlines par. 4). Over the years, American Airlines continued to grow and do well until the September 11, 2001 terrorist attacks in the US. The attackers used two of the company’s airplanes and in the attacks (American Airlines Para. 6), which was the turning point for the company as it immediately started losing money. Since September 11, 2001, the company has struggled to keep up pace with its competitors, until it was compelled to file for bankruptcy in 2011 (American Airlines Para. 7). Therefore, the announcement of the prospects of a merger with US Airways early this year comes out as a move aimed at salvaging the company. A pre-merger overview of US airways US Airways was founded in the 1930s (US Airways Para.1). It has grown over the years to emerge as one of the leading passenger carriers in the US. The airline currently serves over 200 cities in North America and part of Latin America, the Caribbean, Europe, and the Middle East (US Airways Para. 3). In an effort to broaden its network even further, the company joined an alliance with other leading airlines across the globe such as Lufthansa and Singapore Airlines to allow sharing of codes among them so that each of the participants can offer its passengers more destinations. The company operates under the ownership of the US Airways Group. We will write a custom Essay on American Airline Merger with U.S Airways specifically for you! Get your first paper with 15% OFF Learn More The US Airways had filed for bankruptcy in 2002 when a newly installed president, David N. Siegel, decided to restructure the company to improve its business prospects (US Airways Para.5). It only stayed in bankruptcy until 2003 and in 2005; it merged with America West Holdings (US Airways Para.5). From that time up to 2011, US Airways has displayed a dazzling performance. The airline has thus registered an outstanding performance since its current and prospective CEO of the post merger airline, Doug Parker, took tenure of office. American airlines and US Airways merger details The merger between American Airlines and US Airways will probably yield the world’s largest airline of all time. Currently, United Airlines and Delta Airlines occupy the first two slots in the world rankings of the largest airlines. In terms of market capitalization, the merger will be valued at about eleven (11) billion US dollars (US Airways Para.10). US Airways’ shareholders will have a 28% stake in the new airline while the remaining 72% will go to American Airlines’ existing stakeholders (American Airlines Para.9). The new American Airlines will have 1,522 planes, which slightly exceeds the current leader, viz. United Airlines’ 1,289 planes (American Airlines Para.11). In terms of employees, the new airline will have an employee base of about 120,000 if all are retained. Additionally, this number exceeds United Airlines’ 80,000-employee base (US Airways Para.11). Emerging issues on the merger The merger between the two US giant airlines like many others before it has elicited ambivalent reactions from many quarters. Analysts claim that the merger would mean that only four giant airlines would control about 70% of US’ domestic market, which could lead to a monopoly because the airlines will have greater pricing power. Apart from the pricing, the loyalty programs that were running on both airlines have also sparked some discussion. It is not clear if US Airways’ customers will directly be absorbed into American Airlines’ loyalty program and if so, what it would be like thereafter because with many clients, it might be very difficult to achieve upgrades. Experts claim that apart from the financial and operational synergies that the merger would give the new airline, there is nothing more in terms of addressing the woes of both airlines. However, despite all these issues, the merger is close to taking effect. US Airways stakeholders approved the deal, American Airlines’ creditors also approved the deal, and even the US Airways flight attendants who would be worried of losing jobs already endorsed the deal. Many of the obstacles that would have stopped the deal from succeeding have been cleared. Perhaps the only pending obstacle is the lawsuit that was filed by an antitrust lawyer, Joseph Alioto, on grounds that the merger would be bad for travelers since fares will rise. Marketing Strategies Mergers often have an underlying reason for their occurrence. The impending American Airlines-US Airways merger, according to the airline executives, is aimed at granting customers a broader network, a wider variety of options to chose from, and better services. In a bid to achieve this goal, the new American Airlines should employ the following marketing strategies. Not sure if you can write a paper on American Airline Merger with U.S Airways by yourself? We can help you for only $16.05 $11/page Learn More Relationship Marketing Organization cannot miss this marketing strategy especially in the 21st century when customers have become so aware of everything that goes on around them. Increased awareness in customers means that they monitor what is going on in companies that they are loyal to due to the sense of attachment they have towards the company. Marketers have been able to figure out this element and organizations employ several techniques that make the customers develop a sense of attachment to the company. Both American Airlines and US Airways had an ongoing customer loyalty program. This aspect is a good way of cultivating relationships with customers, but since concerns have been raised over the future of the programs in the new airline, the company should make a point of informing the customers on the plans concerning the program and make it even more enticing to the clients. Apart from this move, the company should also invest more in community support programs. US Airways was recognized by the Red Cross as an apt disaster responder, but the new entity should go beyond this recognition to make the customers feel truly valued and cared for. Market segmentation It is a daunting task when a company chooses to treat the market as a single large block so that it tries to satisfy everyone at once. It is not clear from the situational analysis if any of the companies employed market segmentation in its marketing endeavors. However, due to the diverse needs of clients from different age groups and categories, the new airline should conduct a comprehensive market analysis to establish who its most reliable customers are and target them with more enticing offers to retain a firm hold on them. There is a tendency of offering clients what is available in cases of monopoly, but the new airline should avoid this strategy and try to be very sensitive to customer needs. For instance, during the holiday season, the company could set apart some befitting planes for families with kids and give a special offer for such families. The families will feel cared for by the airline and as such will become loyal customers. The same needs to be applied to other customer categories because the emerging airline will have the capacity to achieve this goal, which can go a long way in positioning the new brand as one that truly cares about its customer needs. Brand Positioning The emerging airline shall be the world’s largest airline in all respects. This company needs to engage in an aggressive brand-positioning program that will ensure that it becomes a household name in the US. This goal can be quite expensive to achieve especially when companies are striving to operate on leaner costs. However, the prospective chief executive officer of the new airline, Doug Parker, is capable of making the American Airlines a buzzword for every traveler through touting the brand as the best among its peers and ensuring that it is indeed the best. It is common knowledge that giant companies such as the one that will emerge from the integration are associated with operational inefficiencies, but this aspect is not a convention. It can be changed because the new company although it will be the largest, it will only surpass its closest follower by small margins such that in case of any acquisition by the latter, the positioning will change. However, that should not be the focus of attention, as if well positioned; the new airline will outperform its rivals with the size notwithstanding. Application of the Marketing Mix In line with market segmentation, the new airline should selectively apply the marketing mix in an appropriate manner. Depending on the needs of each category, the airline can formulate its price, place, product, and promotion approaches in a manner that exactly satisfies each market segment. For instance, for the quality conscious customer category, the airline should strive to ensure that it delivers just that at a commensurate price with the value given. For the groups that are price sensitive, the airline should as well factor them in and give them the best pricing offer on the market. This way, every group can feel catered for and when that happens, the airline will have established a sustainable customer base that can propel it to realize its development agenda. Conclusion The two companies are at an advanced stage of the integration process. The majority of the concerns that were raised by concerned entities have been and continue to be addressed, which is an indication that the two companies are bent on executing the merger. The clearest indicator of readiness for the merger was the naming of a post-merger executive team, which has already been done. However, even though many are enthused by the merger, there is a need to realize that after the merger, the company will have to compete with serious rivals. This realization calls for a marketing strategy that will distinguish the new airline from its rivals. Four strategies, viz. relationship marketing, market segmentation, brand positioning, and appropriate application of the marketing mix have been outlined as the best ways through the company can endeavor to weather competition from its rivals to posterity. Works Cited American Airlines 2013. Web. <https://www.aa.com/homePage.do?locale=en_US