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Sudden Sensorineural Hearing Loss (SSNHL) Intervention

Share this: Facebook Twitter Reddit LinkedIn WhatsApp Henry Davis Hearing loss is not a common healthcare issue addressed by Nurse Practitioners (NP) and Sudden Sensorineural Hearing Loss (SSNHL) occurs even less frequently. Often the onset of hearing loss (related to aging or noise exposure) is insidious, often spanning months to years and is typically bilateral. Hearing loss that occurs with advanced age is routinely compensated for with the use of electronic devices that amplify sound and this type of hearing loss is typically not cured. SSNHL by contrast has a well-defined acute onset within 3 days and is characteristically unilateral hearing loss. Some cases of SSNHL could be cured if a diagnosis is made and treatment initiated within a short time from onset of the hearing loss (Raghunandhan et al., 2012). Nurse practitioners may often be the first healthcare provider the patient encounters. Because of the early patient contact, nurse practitioners are uniquely poised to initiate the first line treatment after consulting with neurology, but prior to referral for follow-up care and further evaluation. Recent research supports that patients who receive early medical treatment for SSNHL recover hearing more often than those, who received delayed care (Raghunandhan et al., 2012). Epidemiology Current research indicates the morbidity of SSNHL is 2-20/ 100,000 persons annually and the mean age of occurrence is 43-53 years old. Mortality as not reported other than a possible link between SSNHL and strokes. Gender does not appear to influence incidents. Risk factors for SSNHL include; advanced age, concurrent cardiovascular disease and the presence of a positive antinuclear antibody (Weber, 2014). One study indicated “…viral infection being the most common etiological factor” for SSNHL (Raghunandhan et al., 2012, p. 229). Etiology The cause of SSNHL is currently considered idiopathic, however the preponderance of current research is directed at the supposition that the etiology of SSNHL is due to edema of the eighth cranial and subsequent compression of the internal auditory artery to the cochlea and circular apparatus. The likely cause of the compression is edema of the auditory nerve within the confined space of the internal auditory meatus from a viral infection (Mom, Chazal, Gabrillargues, Gilain,

Phoenix Critical Thinking and Decision Making in Business Discussion

Phoenix Critical Thinking and Decision Making in Business Discussion.

For this assignment, you will discover that critical thinking is an important part of problem solving, decision-making, and everyday life—personally and professionally.Review the “Infographics” Lynda.com® video.Write a 350- to 750-word summary of your current career path or your desired career. Include the following: Describe a specific career goal or pathway that you would like to pursue.Create a career plan in which you explain the decision-making steps required to achieve your goal.Evaluate the effectiveness of your plan.Create a decision-making process infographic for your plan in an appropriate format. This can be done using Microsoft® PowerPoint®, Microsoft® Publisher®, Microsoft® Word, or sites like Easel.ly®, Visual.ly, and PiktoChart®, or any other infographic software.Label your career path or your desired career. Identify the stages of the decision-making process that will help you achieve your goal.For help with these programs, check out their websites or conduct an internet search.For other infographic software, search the internet with keywords like “free tools to create your own infographic.”Format your assignment according to APA guidelines.Note: You have only one attempt available to complete assignments.
Phoenix Critical Thinking and Decision Making in Business Discussion

Dubai National School Investigation Science Case Study

programming assignment help Dubai National School Investigation Science Case Study.

I’m working on a science case study and need support to help me study.

kindly solve the case study below, and all the requirements are underCASE STUDYTommie Lee Andrews (1986) Nancy Hodge, 27, worked at Disney World in Florida. She was attacked and raped at knifepoint in her apartment. Her attacker’s face was covered (concealed). A series of rapes followed, and police suspected that up to 27 attacks could be attributed to the same man. Tommie Lee Andrews was apprehended and linked to the rapes by conventional fingerprint and DNA profile evidence. He was sentenced to more than 100 years in prison. This was the first time DNA evidence was used in the United States to convict a criminal. Think Critically Review the Case Study and the information on DNA Fingerprinting. Should DNA evidence alone be sufficient to convict when there is no corroborative evidence? State your opinion and provide support for it. Crime-Scene Investigation ____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________NO PLAGIARISM
Dubai National School Investigation Science Case Study

Leadership Strategy As a nurse, you serve an important role in identifying strategies to effectively manage health care resources and in leading health care quality improvement. You must be able to de

You must be able to decide what leadership style or strategy to apply in a given situation to achieve an effective resolution of the issue. Read the following two scenarios and select one to focus on in this Discussion. Consider the leadership style or strategy that might be most effective in the scenario you selected. Scenario 1 You work in a for-profit nursing home, with about 100 beds, on a 20-bed unit that is largely patients with Alzheimer’s disease. Your patient mix is predominantly Medicare and Medicaid patients. Your nursing home is part of a larger system that includes a major medical center, as well as VNA, outpatient dialysis, and a fully integrated network. Your nurse manager is getting feedback from the hospital that your nursing home is sending too many patients to the ED who really don’t need to go. How would you go about figuring out what could be done at the nursing home to prevent avoidable ED visits? Scenario 2 You’ve been associated with an outpatient cardiology clinic that is part of a large academic medical center. Your patients are mostly charity care and managed Medicaid. Most have a prescription plan, but none have a “family doctor” and use the clinic (and the ED) regularly. Most are unfamiliar with their medications and do not have the resources for care coordination in their family/social network. About 25 CHF patients have been “lovingly,” but inappropriately, called “frequent fliers” because of their inability to manage their own care, their frequent visits to the ED, and their “one night stays” paid at the observation rate. As a staff nurse in this clinic, describe the strategies you could devise for you and your fellow staff nurses targeting these 25 patients. Find at least one article from the professional literature to corroborate your recommendations. THE ASSIGNMENT IS BELOW AND ATTACHED IN THE FILE IS POST A AND B THAT NEED TO BE RESPONDED TO: Read two or more of your colleagues’ postings from the Discussion question (support with evidence if indicated). Respond with a comment that asks for clarification, provides support for, or contributes additional information to two or more of your colleagues’ postings.

Cost Volume Profit Analysis

Cost Volume Profit Analysis. I’m studying and need help with a Accounting question to help me learn.

Second part of the presentation. See background information for the Module 1 SLP.
Required:
Include the following items in your presentation:

What about special pricing for some markets or customers?
Determination of customer profitability.
Show effect on revenues and profitability based on stated assumptions.
Potential advantages and disadvantages, both financial and non-financial.

SLP Assignment Expectations
Submit a PowerPoint presentation or a Word Document. A PowerPoint presentation should have no more than six slides and a Word document cannot exceed two pages. Use words, tables, and graphs to make a succinct presentation. Document all sources and provide links at the end. It is acceptable to add another slide or page to list the sources.
Combine the submissions from prior module(s) into one file before uploading to the SLP 2 Dropbox.
Cost Volume Profit Analysis