Assignment: Adaptive Response

As an advanced practice nurse, you will examine patients presenting with a variety of disorders. You must, therefore, understand how the body normally functions so that you can identify when it is reacting to changes. Often, when changes occur in body systems, the body reacts with compensatory mechanisms. These compensatory mechanisms, such as adaptive responses, might be signs and symptoms of alterations or underlying disorders. In the clinical setting, you use these responses, along with other patient factors, to lead you to a diagnosis.

Consider the following scenarios:

Scenario 1:

Jennifer is a 2-year-old female who presents with her mother. Mom is concerned because Jennifer has been “running a temperature” for the last 3 days. Mom says that Jennifer is usually healthy and has no significant medical history. She was in her usual state of good health until 3 days ago when she started to get fussy, would not eat her breakfast, and would not sit still for her favorite television cartoon. Since then she has had a fever off and on, anywhere between 101oF and today’s high of 103.2oF. Mom has been giving her ibuprofen, but when the fever went up to 103.2oF today, she felt that she should come in for evaluation. A physical examination reveals a height and weight appropriate 2-year-old female who appears acutely unwell. Her skin is hot and dry. The tympanic membranes are slightly reddened on the periphery, but otherwise normal in appearance. The throat is erythematous with 4+ tonsils and diffuse exudates. Anterior cervical nodes are readily palpable and clearly tender to touch on the left side. The child indicates that her throat hurts “a lot” and it is painful to swallow. Vital signs reveal a temperature of 102.8oF, a pulse of 128 beats per minute, and a respiratory rate of 24 beats per minute.

Scenario 2:

Jack is a 27-year-old male who presents with redness and irritation of his hands. He reports that he has never had a problem like this before, but about 2 weeks ago he noticed that both his hands seemed to be really red and flaky. He denies any discomfort, stating that sometimes they feel “a little bit hot,” but otherwise they feel fine. He does not understand why they are so red. His wife told him that he might have an allergy and he should get some steroid cream. Jack has no known allergies and no significant medical history except for recurrent ear infections as a child. He denies any traumatic injury or known exposure to irritants. He is a maintenance engineer in a newspaper building and admits that he often works with abrasive solvents and chemicals. Normally he wears protective gloves, but lately they seem to be in short supply so sometimes he does not use them. He has exposed his hands to some of these cleaning fluids, but says that it never hurt and he always washed his hands when he was finished.

Scenario 3:

Martha is a 65-year-old woman who recently retired from her job as an administrative assistant at a local hospital. Her medical history is significant for hypertension, which has been controlled for years with hydrochlorothiazide. She reports that lately she is having a lot of trouble sleeping, she occasionally feels like she has a “racing heartbeat,” and she is losing her appetite. She emphasizes that she is not hungry like she used to be. The only significant change that has occurred lately in her life is that her 87-year-old mother moved into her home a few years ago. Mom had always been healthy, but she fell down a flight of stairs and broke her hip. Her recovery was a difficult one, as she has lost a lot of mobility and independence and needs to rely on her daughter for assistance with activities of daily living. Martha says it is not the retirement she dreamed about, but she is an only child and is happy to care for her mother. Mom wakes up early in the morning, likes to bathe every day, and has always eaten 5 small meals daily. Martha has to put a lot of time into caring for her mother, so it is almost a “blessing” that Martha is sleeping and eating less. She is worried about her own health though and wants to know why, at her age, she suddenly needs less sleep.

To Prepare

• Review the three scenarios, as well as Chapter 6 in the Huether and McCance text.
• Identify the pathophysiology of the disorders presented in each of the three scenarios, including their associated alterations. Consider the adaptive responses to the alterations.
• Review the examples of “Mind Maps—Dementia, Endocarditis, and Gastro-oesophageal Reflux Disease (GERD)” media in this week’s Learning Resources. Then select one of the disorders you identified from the scenarios. Use the examples in the media as a guide to construct a mind map for the disorder you selected. Consider the epidemiology, pathophysiology, risk factors, clinical presentation, and diagnosis of the disorder, as well as any adaptive responses to alterations.
• Review the Application Assignment Rubric found under Course Information

Risk management uses certain documents to track incidents. It will help you to become familiar with the kind of information that goes into these documents. This week, you will create and fill in a quality improvement chart for the high-risk area you selected in Week 1.

1. Design a chart to show the indicators, their measurements, and the expected and actual performance. Use the template to design your chart. Further, use 5 out of the 10 standards listed. Click here to review and download the template.
2. Select one of the fictional incidents you created last week. Describe the incident under Status.
3. For this incident, complete the Compliance section using fictitious data. The tracking of the indicators should correspond to the incident. That is, some failure of compliance may have led to the incident.
4. Develop a plan of correction to address the incident. Write a brief description under Plan of Correction.

Please defend the truth (agreement) of the following statement:

“It is better to be a leader than a follower.”

• At least 150 words or more.
• Third person writing is required. Third person means that there are no words such as “I, me, my, we, or us” (first person writing), nor is there use of “you or your” (second person writing). If uncertain how to write in the third person, view this link: http://www.quickanddirtytips.com/education/grammar/first-second-and-third-person.

• Contractions are not used in business writing, so do not use them.

• Paraphrase and do not use direct quotation marks. Paraphrase means you do not use more than four consecutive words from a source document, but put a passage from a source document into your own words and attribute the passage to the source document. Not using direct quotation marks means that there should be no passages with quotation marks and instead the source material is paraphrased as stated above. Provide the page or paragraph number when using in-text citations. Note that a reference within a reference list cannot exist without an associated in-text citation and vice versa.
• You may not use books as source material.

1. Based on the discussion “Muslim Women, the Veil and Western Society” , Do you believe that there is a clash of culture when Muslim women are completely covered? Write a short paragraph of 200 words.

________________________________________________________________________________________

2. Observe your daily surroundings and identify the landscape features that you could associate with folk and/or popular culture. Do you feel that your activities are influenced by folk or popular culture? If yes, how? If no, why not? Please provide examples and photos. Write a paragraph of about 200 words.

Answer the initial question on the discussion board and post a comment about two other student’s discussions

________________________________________________________________________________________

3. Stagecoach Film, John Ford

Please answer the following questions and respond to at least one classmate.

For this discussion, you will NOT receive credit if you repeat the same answer that another classmate has already posted. Make sure your contributions to the conversation are unique.

HISTORICAL/CULTURAL CONTEXT

I’d like you to think about the time period this film’s story 1880s.

“Stagecoach was produced in 1939 during the Great Depression. Europe was at war, although Americans would not be drawn into this world conflict until 1941. The film’s cast of characters would have resonated with audiences of the times, who recognized Gatewood as representative of the corrupt bankers who had caused America’s economic collapse. “What’s good for the banks is good for America,” he pontificates during the journey. More importantly, the class warfare played out within the rocking coach reinforced social prejudices of the times. The film argues for the dignity of all people, regardless of class. The divisiveness inside the coach, contrasted with the rugged landscape outside, will destroy all unless they can find a way to rise above their intolerance and work together. No doubt many who viewed Stagecoach were immigrants who were themselves struggling for acceptance in America. The film changed the Western genre significantly, from B-grade to A-class feature status. In 1995, the National Film Preservation Board named Stagecoach to the National Film Registry as a film of historical, cultural and aesthetic significance.” The American West and the Western Film Genre. © The Film Foundation. All Rights Reserved.

QUESTIONS

1. How did you feel about this film? Did you like it or not? Why?

2. The Western genre rose to great popularity and we still see it’s success in films like Django Unchanged and many others. As we watch Stagecoach in 2016, about 1880s, made in 1939, what themes still resonate? Please be specific about scenes and correlations to modern events.

Option #1: Introduction to QuickBooks™: Journal Entries for Merchandising Activities: Sales and Purchases
Register for QuickBooks Online Simple Start 2015: https://qbo.intuit.com
For PC and Mac. You may have to start with a free trial with a credit card and cancel directly after module 5 is completed
Once QuickBooks™ is loaded, you may have to reboot your computer.
Here is the link to a number of training sources for Quickbooks:
https://quickbooks.intuit.com/accountants/resources/university/training-for-accountants#qbo
1. Setting up company:
Go to Home page, select the widget to the direct top right of the word ‘help’ and select on the left side ‘settings’, then company setting.
For each edit, hit the pen picture on the right hand side of each section. Enter the company name, Pit Bull Sings T-Shirt. Enter information as indicated below:
Company address: c/o CSU- Global; 7800 Orchard Road- Suite 200
City: Greenwood Village, CO 80111
State: CO
ZIP code: 80111
Phone Number: 999.999.9999
Choose Accrual Basis
Go to advanced setting and be sure everything is turned on except the accounting setting for the closing of the books.
X out of this screen, which returns you to the home page.
TIPS:
In the home page, go to the top right hand corner, to the right of the name of the company, click the gear symbol, which is the main link for everything you need for changes.
Input is on the left-hand side of the home page with links to customers, vendors, and transactions. Add one customer (see tight top corner for the button for new): Lair Corp. Add three vendors: Arotek, Sheng Freight, and Waters Corporation. Also in the left, in chart of accounts, be sure there is a current asset account called accounts receivable and a current liability account called accounts payable.
For doing the journal entries below: Go to top panel, in the middle of the top of the screen, where there is a plus sign (+) and select journal entries found in the other section. In the cash on and credit to opening equity, give company an opening balance of $100,000 cash and equity.
It is up to you to create the correct accounts, with the proper journal entries
Important to remember:
Do not forget to click on ‘save and new’ after you input and file.
Backup your company information many times as you work. To do this, click the button at the bottom of each screen called: save and new
Always check to be sure your input dates are correct. Transaction input date are on the top left side above the journal entryAlways best to record terms within the journal entry in the extra line provided to the right of A/R or A/P
Always best to record terms within the journal entry in the extra line provided to the right of A/R or A/P
2. Prepare journal entries. Be sure all dates agree with the problem and are not today’s date
AUG 1, 2015 – Purchased T-shirts (BI= 0, other assets, inventory) from Arotek. Bought 1950 shirts at $3.846 each. Round to nearest dollar. Arotek, vendor, terms are 1/10, n/30.
AUG 4, 2015 – At Arotek’s request, Pit Bull Sings paid $200 cash to Sheng Freight for freight expenses on the August 1.
AUG 5, 2015 – Sold merchandise to Lair Corp. 1040 T-shirts at $5.00 each. Lair Corporation, customer, is given credit terms to 2/10, n/60, FOB destination. The merchandise had cost of $3.846. Round to nearest dollar.
AUG 8, 2015 – Purchased Specialized T-shirts from Waters Corporation. Bought 1000 shirts at $4.50 each. Waters Corporation, vendor, terms are 1/10, n/45.
AUG 9, 2015- Pay Arotek Company for the shirts purchased on AUG 1. Round to nearest dollar.
Instructions: Enter above transactions into QuickBooks. To submit: go to homeà reportsà balance sheet and be sure your dates include August 1, 2015 to August 9, 2015. Also click on the inventory figure on the balance sheet to see the transactions within inventory. Cut and paste both of these reports into a document to submit.
Option #2: Introduction to QuickBooks™: Journal Entries for Merchandising Transactions
Register for QuickBooks Online Simple Start 2015: https://qbo.intuit.com
For PC and Mac. You may have to start with a free trial with a credit card and cancel directly after module 5 is completed
Once QuickBooks™ is loaded, you may have to reboot your computer.
Here is the link to a number of training sources for Quickbooks:
https://quickbooks.intuit.com/accountants/resources/university/training-for-accountants#qbo
1. Setting up company:
Go to Home page, select the widget to the direct top right of the word ‘help’ and select on the left side ‘settings’, then company setting.
For each edit, hit the pen picture on the right hand side of each section. Enter the company name, Pit Bull Sings T-Shirt. Enter information as indicated below:
Company address: c/o CSU- Global; 7800 Orchard Road- Suite 200
City: Greenwood Village, CO 80111
State: CO
ZIP code: 80111
Phone Number: 999.999.9999
Choose Accrual Basis
Go to advanced setting and be sure everything is turned on except the accounting setting for the closing of the books.
X out of this screen, which returns you to the home page.
TIPS:
In the home page, go to the top right hand corner, to the right of the name of the company, click the gear symbol, which is the main link for everything you need for changes.
Input is on the left-hand side of the home page with links to customers, vendors, and transactions. Add one customer (see tight top corner for the button for new): Lair Corp. Add three vendors: Arotek, Sheng Freight, and Waters Corporation. Also in the left, in chart of accounts, be sure there is a current asset account called accounts receivable and a current liability account called accounts payable.
For doing the journal entries below: Go to top panel, in the middle of the top of the screen, where there is a plus sign (+) and select journal entries found in the other section. In the cash on and credit to opening equity, give company an opening balance of $100,000 cash and equity.
It is up to you to create the correct accounts, with the proper journal entries
Important to remember:
Do not forget to click on ‘save and new’ after you input and file.
Backup your company information many times as you work. To do this, click the button at the bottom of each screen called: save and new
Always check to be sure your input dates are correct. Transaction input date are on the top left side above the journal entryAlways best to record terms within the journal entry in the extra line provided to the right of A/R or A/P
Always best to record terms within the journal entry in the extra line provided to the right of A/R or A/P
2. Prepare journal entries. Be sure all dates agree with the problem and are not today’s date
July 1, 2015: Construction in progress, (BI= 0, other assets, inventory) increase $3,200; corresponding accounts payable due in 10 days (DEF Company, vendor).
July 10, 2015: Furniture and equipment increase $6,000; corresponding account cash (DEF Company, vendor).
July 16, 2015: Sales increase $10,000; corresponding account accounts receivables (UVW, customer).
July 19, 2015: Loan from Bank $4,000; corresponding cash account
July 25, 2015: Make individual cash payment entries for payroll expense $1,000; rent expense $1,000; telephone expense $300; and utilities expense $500 (add new: expenses per their category).
Instructions: Enter above transactions into QuickBooks. To submit: go to homeà reportsà balance sheet and be sure your dates include July 1, 2015 to July 25, 2015. Also click on the net income figure on the balance sheet. Cut and paste both of these reports into a document to submit.
Here is the link to a number of training sources for Quickbooks:
https://quickbooks.intuit.com/accountants/resources/university/training-for-accountants#qbo