Alyssa Carter is a 7 year old female who was born at 32 weeks gestation and was diagnosed with a Ventricular Septal Defect (VSD) at one year of age. Alyssa has been medically managed and has not required operative intervention. Her development matches her chronological age. She is in the second grade in a public elementary school. She is up to date on all immunizations.
Alyssa presented to the emergency department twice over the past month with complaints of her “heart pounding”. Each time she was assessed and sent home without intervention.
Alyssa’s mother brings her to the emergency department today again and reports that she was outside playing and came into the house complaining of her heart pounding and feeling like she had just gotten off the merry go round. The mom reports she was pale and sweaty. Her mother had her lie down on the sofa for 30 minutes, but the lightheadedness and pounding in her chest did not dissipate.
The nurse places Alyssa on the cardiac monitor and notes a regular, narrow, complex rhythm with a rate of 174.
In your initial post, please address the following questions:
What physical assessment findings will the nurse expect?
Describe the three priority interventions and the rationale for these interventions the nurse will perform.
The vagal maneuvers are not successful and the ED physician has ordered Adenosine to be administered. Describe the pharmacologic action of Adenosine and the key nursing considerations of administering this medication.
Alyssa converts to an NSR at 90 beats per minute after two doses of adenosine. The physician discharges her with a prescriiption of oral digoxin. Develop patient/family medication education for Alyssa prior to discharge.
Brian Estes is a 52-year-old Caucasian male with a past medical history of hypertension and hyperlipidemia. He is at the clinic today for a yearly physical examination at the urging of his wife. He is a mid-level manager at an electronics company and has been under considerable work stress in the past six months. He admits to being a “couch potato”. He was prescribed amlodipine (Norvasc) at his last physician appointment 15 months ago. He admits to taking his medication on “most days”.
His total cholesterol is 224 mg/dL; HDL 45 mg/dL; LDL 179 mg/dL; and triglycerides 200 mg/dL. He is 5’ 10” and weighs 201 pounds with a BMI of 28.8, He has a positive family history of CAD. His father had a myocardial infarction at age 54, and his grandfather died of a myocardial infarction at age 42.
His current vital signs are temperature 97.6 orally; pulse 86 and regular; blood pressure 178/96 mmHg; and respirations 14/min.
In your initial post, please address the following questions:
What are the three questions the nurse should ask to determine how the client feels about his current health status?
What are two possible nursing diagnoses for this client?
Develop a health teaching plan for Mr. Estes; include four nursing interventions and rationales to address his modifiable risk factors for CAD.
Gladys Jones is a 75 year old woman who was admitted to the telemetry unit from the emergency department with a diagnosis of new onset atrial fibrillation with rapid ventricular response. Her past medical history includes Type 2 DM and hypertension. She has a 40 pack-a-year smoking history but quit smoking one year ago.
She has a saline lock in the left forearm, is on oxygen at 2 liters per minute via nasal cannula, and is on a telemetry monitor. Current vital signs include temperature 97.2 orally; respirations 22/min; pulse 127 and irregular; blood pressure 90/62 mmHg; and oxygen saturations 91%.
The provider has written the following orders: Transesophageal echocardiogram today; Serum TSH, T3 and T4; liver function tests, CBC, and metabolic panel; Sotalol 10 mg po bid; Warfarin 5 mg po each evening; prepare for synchronized cardioversion tomorrow morning
What is the rationale for each of the orders written by the provider?
What are three potential nursing diagnoses for Mrs. Jones?
What are the nursing responsibilities in preparing the client for the transesophageal echocardiogram and potential synchronized cardioversion?
The physician has elected to perform synchronized cardioversion on Mrs. Jones. What are the essential nursing functions during the synchronized cardioversion and immediately following?
careers in psychology,Explaining clinical, sports, and developmental psychology. Also informing some of the career fields that are involved with each branch.
careers in psychology,Explaining clinical, sports, and developmental psychology. Also informing some of the career fields that are involved with each branch..
Explaining clinical, sports, and developmental psychology. Also informing some of the career fields that are involved with each branch.
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Value Chain Analysis
Pediatric Alyssa Carter is a 7 year old female who was born at 32 weeks gestation and was diagnosed Value Chain Analysis.
Your task is to critically analyze an industry’s value chain, and then identify potential opportunities for a fictitious small business to mimic the approach of the larger players in the-industry. You may choose ANY industry. In your analysis you’re being asked to pay particular attention to two potential areas for value creation: 1.Increased integration of business functions (how various functions are linked and/or interdependent) 2.Use of IT in business to create a competitive advantage.The assignment is to examine the value chains of at least two companies in the chosen industry (they MUST be public companies), with a view to determining how each of the players creates value and/or a competitive advantage, and how they differ from each other in their approaches.Then you will make recommendations for the fictitious small business in the same industry to copy the approach of the larger players. Your grade will be partially determined by the feasibility of your ideas (many things that large public companies do just can’t be done by SME’s). Specifically, you should address the following: 1.Prepare a detailed value chain analysis for your two chosen companies. (40%) A detailed value chain analysis will include MANY sub activities under each of the nine major categories. Failure to go deep on this piece will make the rest of the assignment very difficult todo well. If you just say “train employees” under HR for example, that’s not really useful. You need say how, and what, and when they do that training. 2.Outline opportunities for a SME in this industry to mimic or adopt specific practices that its larger competitors are successfully using to create a competitive advantage today. Structure your analysis in the following sections: a.Business Functional Integration (20%) Look for innovative synergies between different functional areas that contribute to competitive advantage that could also be created in a SME. In this section you should also consider the source and effect of cultural, financial, and organizational difficulties found when integrating business functions, and offer creative solutions to barriers to resolve them if possible. b. IT in Business (20%) Look for finds ways to use IT to create competitive advantage throughout the entire value chain. c. General recommendations (10%) d. Style, spelling and grammar will also count (10%). Use business format – headings and sub-headings, no long essays. Make sure proper referencing issued (footnotes preferred). If you include a chart, there must be a source above or below the chart(unless it’s your own data).Use of course concepts is required and you should include as many course concepts as you can (without “stuffing”). To make grading easier and your grade higher, highlight the locations where you make use of course concepts in the paper.
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Create a Saint (Medieval Culture Class)
Create a Saint (Medieval Culture Class).
It is designed to help you to “think medieval-y,” to immerse yourself in the culture we are studying. [Do take a look at the Preparatory Questions on Mary and the Saints that follows this page.] “Saints Lives” were a staple of medieval literature. All four “estates” of society were addicted to them. You have examples in MLT and in the chapters from Emile Male on Mary and the saints. Saints lives are not biography per se, but rather are called “hagiography.” They are less concerned with historical accuracy than they were with the marvels of their stories. Saints serve as models of the faith, having been cleansed, and as intercessors for those whose lives are fairly mundane or flawed. You are asked to construct the profile of a saint as if he or she were a member of medieval society. It should be at least one page in length. ASSIGNMENT: Create an imaginary medieval saint (500-1400), by combining the elements below into a coherent story. Give your saint a name, geographical home, social estate, and date of birth and death. Create a life story for your saint, providing most of the necessary details to qualify as a “saint’s life.” These might include evidence of specialness from childhood, holiness and zeal, asceticism, victimization or persecution, refusal to recant the faith, conversion of others, miraculous survival and/or the ability to perform miracles, exorcism of demons, good works, and reappearances after death. In other words, tell us stories about your saint. Do tell us when your protagonist was canonized as a saint by the Church. Note how he or she would be symbolized in art (manuscript illuminations and cathedral sculpture or stained glass). Note for whom in especial he or she serves as patron or intercessor. This might be a specific trade, a social class, or an underrepresented group, for example. Note his or her saint’s day in the calendar, explaining why that date was chosen. Was the saint born or martyred or canonized on that date? Note where his or her relics might be visited. These might include the original place of interment. Do give me an outline or one-page summary of the data above. PREPARATORY QUESTIONS ON MARY AND THE SAINTS: MARY: Not a member of the Trinity, the mother of Jesus was the most beloved figure in scripture and apocrypha, and was the most revered of the saints. You are asked to account for the powerful hold of the Virgin Mary on the hearts and minds of medieval people, by answering the following: –What do we know about her from biblical sources? –How do apocryphal sources and legends fill out the details of her life, and to what purpose? –How do stories of her miracles (the “miracles of the Virgin) establish her as an unconventional saint? –What attributes does she represent that are missing in the Trinity? –What human needs does she fulfill? –How is she represented in medieval art and cathedrals? THE SAINTS: Consider the following questions: — What is a saint? What is the saint’s role in medieval religion? Why and how are they revered? –What role/s did saints play in the everyday lives of medieval people? — How does hagiography differ from biography? What are the essential elements that seem to be included in a “saint’s life”? –How are saints most often represented in cathedral art? How do we know who they are? –How did saints contribute to the medieval relish for the marvelous and for miracles? –What is a reliquary, and what role did the relics of saints play in medieval religious and economic life? –What is a shrine and what is a pilgrimage? For what purpose/s did one go on pilgrimage?
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Synthesis and Argument: How online technology effects on communication
Synthesis and Argument: How online technology effects on communication.
Goals: write a synthesis on the topic of the role of technology in communication 1. Make connections between readings and research sources 2. To summarize and synthesize information from different sources within one paragraph to support a specific idea “Talk” to each other in coherent and meaningful ways (argument) 3. demonstrate control of logic, transition and connections Introduction: Hook, background about the topic, issue or problem, thesis A thesis statement clearly indicating your overall argument about the effect of online technology on communication. Each body paragraph:
1. a. Begin with a specific and argumentative topic sentence that addresses one of the topics listed above; the topic sentences should be your own conclusion about each of the required topics, not an announcement of the topic. In other words, tell the reader your overall conclusion about the topic in your topic sentence and your concluding sentence. b. Synthesize information from different sources in a coherent and logical manner. c. Include information from at least two sources (preferably three sources per body paragraph). d. A combination of paraphrases and quotes (in each body paragraph: minimum 1 quote; maximum 2 quotes).
2. The essay should demonstrate that you understand the topic of the medium’s effect on communication well and in detail, and have read and analyzed different views on the topic 3. The conclusion should summarize the main points of the essay. Essay directions: In her study on the effects of technology on communication, Emily Drago provides a warning: “…everyone should be aware that human interaction as was once known may have already changed forever (17). While Drago considers this change to be overwhelmingly negative, other researchers have pointed to the ways that online technology has enhanced communication.
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