Pathophysiology Discussion 3

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Use the following Case Scenario, Subjective Data, and Objective Data to answer the Critical Thinking Questions.

Case Scenario

Mrs. J. is a 63-year-old woman who has a history of hypertension, chronic heart failure, and sleep apnea. She has been smoking two packs of cigarettes a day for 40 years and has refused to quit. Three days ago, she had an onset of flu with fever, pharyngitis, and malaise. She has not taken her antihypertensive medications or her medications to control her heart failure for 4 days. Today, she has been admitted to the hospital ICU with acute decompensated heart failure.

Subjective Data

  1. Is very anxious and asks whether she is going to die.
  2. Denies pain but says she feels like she cannot get enough air.
  3. Says her heart feels like it is “running away.”
  4. Reports that she is so exhausted she cannot eat or drink by herself.

Objective Data

  1. Height 175 cm; Weight 95.5 kg
  2. Vital signs: T 37.6 C, HR 118 and irregular, RR 34, BP 90/58
  3. Cardiovascular: Distant S1, S2, S3 present; PMI at sixth ICS and faint; all peripheral pulses are 1+; bilateral jugular vein distention; initial cardiac monitoring indicates a ventricular rate of 132 and atrial fibrillation
  4. Respiratory: Pulmonary crackles; decreased breath sounds right lower lobe; coughing frothy blood-tinged sputum; SpO2 82%
  5. Gastrointestinal: BS present: hepatomegaly 4 cm below costal margin

Critical Thinking Questions

What nursing interventions are appropriate for Mrs. J. at the time of her admission? Drug therapy is started for Mrs. J. to control her symptoms. What is the rationale for the administration of each of the following medications?

  1. IV furosemide (Lasix)
  2. Enalapril (Vasotec)
  3. Metoprolol (Lopressor)
  4. IV morphine sulphate (Morphine)

Describe four cardiovascular conditions that may lead to heart failure and what can be done in the form of medical/nursing interventions to prevent the development of heart failure in each condition.

Taking into consideration the fact that most mature adults take at least six prescription medications, discuss four nursing interventions that can help prevent problems caused by multiple drug interactions in older patients. Provide rationale for each of the interventions you recommend.

Select a topic and identify ethical considerations

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All evaluations are conducted, and ultimately exist, in a social environment and have the potential to be affected by a variety of social, cultural, political, and economic forces. Based upon what you have learned through working on your Final Paper, put your selected topic in its appropriate social context, and identify important ethical considerations inherent in the evaluation. Identify and explain the impact of political issues associated with the proposed evaluation. The discussion should focus both on political factors such as socio-economics, race, or gender, as well as political nuances that might include issues pertaining to city or state government. In addition, identify and discuss the most surprising thing you found in your research that caused you to reevaluate a previously held opinion.

Accounting Sales Revenue, Assignment Homework Help

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Selected account balances for Hulse Company at January 1, 2014, are presented below.

Accounts Payable  $14,368

Accounts Receivable 22,026

Cash  16,703

Inventory  13,907

Hulse’s sales journal for January shows a total of $110,085 in the selling price column, and its one-column purchases journal for January shows a total of $77,656.

The column totals in Hulse’s cash receipts journal are: Cash Dr. $61,658; Sales Discounts Dr. $1,018; Accounts Receivable Cr. $44,215; Sales Revenue Cr. $5,078; and Other Accounts Cr. $13,383.

The column totals in Hulse’s cash payments journal for January are: Cash Cr. $54,977; Inventory Cr. $2,612; Accounts Payable Dr. $45,081; and Other Accounts Dr. $12,508. Hulse’s total cost of goods sold for January is $62,055.

Accounts Payable, Accounts Receivable, Cash, Inventory, and Sales Revenue are not involved in the “Other Accounts” column in either the cash receipts or cash payments journal, and are not involved in any general journal entries.

Compute the January 31 balance for Hulse in the following account.

(e) Sales Revenue $

obtained a search warrant for the home, law homework help

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Scenario

Consider the following case:

Los Angeles County sheriffs obtained a search warrant for the home of four black suspects in an identity-theft fraud scheme. When police went to the home, a white teenager answered the door and was ordered to lie face down on the floor, while police went into the bedroom and ordered the two naked white people in it to stand naked next to the bed, while police searched the home.

It turned out that the black suspects had moved 3 months earlier. The white couple sued the police, contending that the search was an unreasonable invasion of privacy, as the color of their skin should have immediately tipped police that they were not the suspects and that the premise for the search (the warrant) was flawed.

Answer the following critical thinking questions in a 1-2 page Essay:

  • If the police searching the home found drugs or other unrelated incriminating evidence during the search, would it be morally permissible to use the evidence against them?
  • Who, if anyone, would be considered negligent in this situation?

Be sure to address all prompts and cite your sources in APA format.

Health Care in the United States: An Evolving System, health and medicine homework help

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  1. Read the following online articles. For these readings, concentrate on the various methods used to understand cultural differences. Also, understand the variety of diverse populations, as these populations vary by geographic locations, urban and rural locations, and can vary by clinic and neighborhood.
  2. Visit the U.S. Census Bureau website and read “U.S. Census Bureau Projections Show a Slower Growing, Older, More Diverse Nation a Half Century from Now,” athttp://www.census.gov/newsroom/releases/archives/population/cb12-243.html. Be sure to click the image thumbnails to study the charts.
  3. Though not required, it is highly recommended that you watch the movie Sicko prior to completing Workshop Five assignments.
    1. If you choose to watch the movie, you will need to acquire it by renting or streaming it.
  4. Using workshop readings and your own online research, take on the role of a healthcare administrator and create a 25-slide PowerPoint presentation that you could use to educate your staff on the laws and mechanics of meeting the healthcare needs of a diverse patient population.
    1. Clearly identify at least five different patient populations.
    2. Describe one or more current health policies already in place regarding these populations. These may be federal, state, or local.
    3. Cover three or more issues that your staff may encounter when providing care for each of the populations (for example, language, culture, health literacy, etc.).
    4. Include descriptions of the types of resources that will be available to your staff (for example, translators, mental health professionals, future training, etc.).
  5. Your presentation should include at least five citations from the textbook, articles, or other credible sources, provided in a separate bibliography using proper APA format.

healthy fear of failure, Writing homework help

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1. In the essay In Praise of the F Word, Mary Sherry states that the threat of flunking is a
positive teaching tool. She believes that students can be more successful if they have a
“healthy fear of failure”. Write an argumentative essay in which you argue against or
support Sherry’s opinion about the relationship between grades and academic success.

INTRODUCTION:


a) Hook

b) Summary of the selected article (start with the author’s main idea): 5-8 sentences long

c) Student’s thesis statement= your opinion on the topic that you will support in the essay


BODY PARAGRAPHS:


-# 1 and 2- your position on the issue
–

# 3- counter-argument (opposing view point)
–

# 4- acknowledgement of the counter-argument or refutation of the counter-argument

CONCLUSION:

a) refer back to the author of the article


b) paraphrase your thesis and briefly restate your supporting examples


c) final concluding thoughts

Essay requirements: Citation Requirements:
.

a) Models for Writers textbook
.

b) 3 other sources- can be online or printed
You need to incorporate a summary of the selected article in the introductory paragraph.
• The body paragraphs of the essay must include at least 2 direct quotes and 2
paraphrases. A quote cannot be more than 1-2 sentences long.

Format Requirement:
. a) MLA citation format
. b) Double-space
. c) 1 inch margins
. d) Times New Roman font (black)
. e) Length: 3-4 pages

forensic psychology

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The provision of clinical services in forensic settings is, in some ways, very similar to non-forensic settings. However, forensic populations may provide challenges not typically seen in other settings. One challenge in many forensic clinical settings is the prediction of future behavior. In many cases, the behavior of interest is violence. Violence, like many behaviors that are rare, is, at best, difficult to predict. Much research has been conducted on the various methods used to predict future violence. From actuarial risk measures to clinical intuition, forensic psychology researchers have debated the best way to assess the potential for violent acts.

Other psychological issues found in clinical forensic settings and that trigger research questions include the development of treatment programs to restore an individual’s competency to stand trial, the treatment of the criminally insane, sex offender assessment and treatment, and even the general evaluation of the need for long-term placement. Research can help forensic psychology professionals make important decisions in these and other related areas.

Review this week’s DVD program, “Application of Psychological Research – Clinical Settings.” Consider the areas of forensic psychology research that are relevant to forensic clinical settings.

  • Review the article, “ Actuarial Versus Clinical Assessments of Dangerousness,” in this week’s Learning Resources.
  • Pay particular attention to the studies discussed in the article and the key “takeaways” from these studies. Think about how a forensic psychology professional might use the findings of the studies in a forensic clinical setting.
  • Using the Walden Library, select and review another study, current or historical, that was conducted in a forensic clinical setting.
  • Again, focus on the key “takeaways” of the study you selected and think about how the findings might be used by a forensic psychology professional in forensic clinical settings.

With these thoughts in mind:

a brief summary of the study you selected, being sure to include the key findings and any other important “takeaways” of the study. Then, explain how a forensic psychology professional might use the findings in this or another clinical forensic setting.


Details of the appraisal process, healthcare management help

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4 to 6 pages with citations and refernces

A key component of working as a manager is to conduct performance
appraisals for the employees whom you are managing. You feel that the
most effective way to carry out the performance appraisals is to create a
written policy that details the way performance appraisals will be
carried out.

As a Healthcare manager in a Community Hospital, construct a policy that
details how employee performance appraisals will be conducted in the
organization. In your policy, be sure to address the following criteria
at a minimum:

  1. Details of the appraisal process
  2. The frequency of performance appraisals
  3. The employees involved in the process

Keep in mind that the type of organization, as well as regulations,
may impact the type of criteria that the employee is appraised on.

APA Style Paper on Why Friends Shouldn’t Start Businesses Together

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Option #1: Critical Thinking Paper on Issue or Problem

Select an issue or problem that you wish to investigate critically. Formulate a question or thesis on the issue so that your research has a clear and cogent direction.

Use Paul and Elder’s (2012) intellectual standards to find a topic or problem that is clear, relevant, significant, and precise.

Now, write a paper that addresses the problem or issue via scholarly sources.
Your paper should include the following:

  1. Title page: include your name, date, title of essay, and class
  2. Introduction: provide a two-paragraph introduction that frames the issue or problem carefully
  3. Engagement with issue or problem using scholarly sources and the intellectual standards proposed by Paul and Elder (2012): What is the issue? Why is it significant? Why is this issue relevant to you (and/or your community)? What have you learned about the depth and breadth of the issue or problem from scholarly sources? How do the scholarly sources aid you in fair-mindedness and logic?
  4. Conclusion: Reflect on your issue or problem and how the sources informed your thinking. What have you learned? How can you apply the intellectual standards and elements of reason to this issue or problem to come to creative solutions? What critical questions remain?
  5. References

Details

  • Cite all claims and ideas using scholarly sources. While it is acceptable to write in the first person, be sure to cite your sources to support your inferences.
  • Your paper should engage a minimum of six scholarly sources that are not required or recommended readings for this course. The CSU-Global Library is a good place to find these sources.
  • Your paper should be eight to ten pages in length and formatted according to the CSU-Global Guide to Writing & APA.
  • Papers should be double-spaced, 12-point font.

*Please see attached Portfolio Milestones – One is specific to the reason for the paper, and the other is the outline of the paper itself that I would like to use.

Justification Report – Part 3 (Final), communications homework help

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Assignment 2.3: Justification Report – Part 3 (Final)

In Assignments 2.1 (Part 1) and 2.2 (Part 2) of the
Justification Report, you built up the major parts of your formal, researched
justification report (Problem Statement, Overview of Alternatives, Criteria,
Methods, Evaluation of Alternatives, Findings and Analysis, and References).
For Part 3 you will begin by inserting your revisions of Parts 1 and 2 based on
your instructor’s suggestions. Then, you will include a few new sections. Note:
Some sections presented below are out of order so pay attention to where the
section should go (for instance, the Transmittal should be the second page of
your report based on the provided template). It is essential that you present
the final report in the correct section order.

Use the basic outline below to draft your paper. Organize your
responses to each question under the following section headings:

  • Preliminary Parts (for Question 1)

  • Introduction (for Question 2)

  • Problem Statement (for Question 2b)

  • Terminology (for Question 2c)

  • Major Sections of the Report (for Question 2d)

  • Scope and Limitations of the Research (for Question 2e)

  • Recommendation (for Question 3)

  • References (for Question 4)

Using the provided template from Week 7, write Part 3 to
complete a single-spaced report in which you:

  1. Create the preliminary parts of the report that precede the
    Introduction (after reading Chapter 11 in the textbook). Each element (1a to
    1d) appears on a separate page (1a should be page 1, 1b should be page 2,
    etc.). The preliminary part includes:

  1. Title Page

  2. Transmittal (stand-alone business letter)

  3. Table of Contents

  4. Executive Summary

  2. Create an
introduction that tells what your report is about. The introduction includes:

a. Begin with a general introduction paragraph that gives
the reader any needed background information on the company or problem.

b. Include the Problem Statement that you already created
and revised in Part 1.

c. Include terms that readers will need to know in order
to understand the report.

d. Briefly summarize the major sections and findings of
the report developed in Parts 1 and 2. Note: This is in addition to
including the revised sections not instead of including the revised previous
sections from Parts 1 and 2.

e. Discuss what your report will cover and what it will
not (including limitations such as research, time, information, or any other
factors the reader should consider when reading the report).

  3. Create the
Recommendation section of the Report.

a. Provide a one to two (1-2) sentence recommendation
based on what your Evaluation of Alternatives and Findings and Analysis
sections have determined is the most feasible alternative (i.e., solution) to
the problem in the Problem Statement.

  4. Create the
References section, which goes at the end of the Report by pasting in your
revised References page.

Note: Remember to organize the report by the section headings. The
report should reflect a style and format appropriate for business; single
spacing and bullet points are acceptable for formal business reports.

Your assignment must:

  • Be typed, single spaced, using Times New Roman font (size 12),
    with one-inch margins on all sides; citations and references must follow APA or
    school-specific format. Check with your professor for any additional
    instructions.

  • Include a cover page containing the title of the assignment,
    your name, the professor’s name, the course title, and the date. The cover page
    and the reference page are not included in the required assignment page length.

The specific course learning outcomes associated with this
assignment are:

  • Support ideas or claims in body paragraphs with clear details,
    examples, and explanations.

  • Organize ideas logically by using transitional words, phrases,
    and sentences.

  • Use sentence variety and effective word choice in written
    communication.

  • Apply writing process strategies to develop formal business
    reports and / or proposals.

  • Use technology and information resources to research issues
    related to selected topics.

  • Write clearly and concisely using proper writing mechanics.