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Nursing

Shock is a clinical syndrome that is a result of inadequate tissue perfusion that creates imbalance between the delivery of and requirements for oxygen that support cell health.  Signs and symptoms of excess fluid volume or inadequate tissue perfusion characterize heart failure.
Address the Following:

  1. Describe the differences in the nursing management for patient diagnosed with hypovolemic shock, cardiogenic shock, and heart failure.
  2. Because heart failure can be a chronic condition, identify a priority teaching intervention for the patient with a new diagnosis of heart failure.

Base your initial post on your readings and research of this topic. Your initial post must contain a minimum of 250 words. References, citations, and repeating the question do not count towards the 250 word minimum.

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good intervention for an immunosuppressed patient

A good intervention for an immunosuppressed patient is an incentive spirometer.  My grandmother would use an incentive spirometer for her COPD.  It wasn’t always easy to have her use the spirometer.  In addition, I have had to teach myself to use it, when I was diagnosed with pneumonia and had a very bad cough years ago.  It’s quite difficult to use when you are feeling ill and all choked up.
Some effective obejctives for a spirometer as a nurse include:
1. Teach patient of benefits of  Incentive spirometer
2. Teach patient that the reason for incentive spirometry is to help him fully inflate his lungs
3. Patient will report number of times used daily and mark progress with indicator
4. Patient will demonstrate knowledge of COPD process, meds, therapy and follow up care.
 
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Pulmonary Mucormycosis

Pulmonary Mucormycosis is most common in patients that are immunocompromised. Early diagnosis for early treatment is essential for this life-threatening disease. Yes, depending on the patient’s reason for having a low immunity, neutropenia can occur and increase the patient’s risk for infection even greater. But, the patient in our DQ had a high WBC count. The lab did not show differentiation of the WBCs. Doesn’t the elevated WBC count mean the person’s immune system is trying to fight the fungus? I do not think our patient needs colony stimulating factors for neutropenia. But our patient may need surgery as you pointed out. “There are four determining factor in the successful treatment of mucormycosis: early diagnosis, amphotericin B, surgical resection and reversal of host impairment” ( Oluwatobi, et al., 2016).
 
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Religion

400–600 words that respond to the following questions with your thoughts, ideas, and comments. This will be the foundation for future discussions by your classmates. Be substantive and clear, and use examples to reinforce your ideas.
Asalah is a Muslim female who has immigrated to the United States with her husband and two children. Her husband is considered moderate and progressive in his ideals. Asalah is working in the female section of the county jail. Although she is progressive, she still feels that she should wear a khimar (type of head scarf), but by policy, this is not allowed within a jail setting.
To follow policy and procedure, she does not wear any covering in the female section but wishes to wear the khimar when coming into and leaving the jail setting because there are males in this institution.
She has just heard from her family that they are coming for a visit. Her family is quite conservative and also realizes that she will not be wearing a burqa but would expect her to wear a khimar.

  • Could there be an exception made for her to come to and from work?
  • Knowing that she is Muslim, would this head scarf put her in any danger from the female inmates?
  • The jail has offered to place her in the classification department if she wishes to wear the khimar, but would this be considered discrimination? Why or why not?
  • During her lunch hour, she wishes to go to the cafeteria to get some snacks but she is not allowed to wear her khimar. This causes a problem because men are walking the halls and are in the cafeteria. What would be the reasoning that the jail administrators could give her for this procedure?
  • What types of policies exist regarding cultural considerations such as this? Explain.
  • Do you feel that these policies are effective in their purpose? Explain.
  • Regents v Bakke – Supreme Court Case
    Regents v. Bakke – This unit’s DB asked that you explore the issue of the security of prohibiting the wearing of a hijab. Please include in your discussion this court case and its allegations that by showing favor to one you violate the rights of others. Case deals with California’s implementation of affirmative actions programs at the University of California, Davis.
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Inventory Management

Write a six to eight (6-8) page paper in which you:
  1. Determine the types of inventories these companies currently manage and describe their essential inventory characteristics.
  2. Analyze how each of their goods and service design concepts are integrated.
  3. Evaluate the role their inventory plays in the company’s performance, operational efficiency, and customer satisfaction.
  4. Compare and contrast the four (4) different types of layouts found with each company; explain the importance of the layouts to the company’s manufacturing or service operations.
  5. Determine at least two (2) metrics to evaluate supply chain performance of the companies; suggest improvements to the design and operations of their supply chains based on those metrics.
  6. Suggest ways to improve the inventory management for each of the companies without affecting operations and the customer benefit package. Provide a rationale to support the suggestion.
  7. Use at least three (3) quality resources in this assignment. Note: Wikipedia and similar Websites do not qualify as quality resources.
Your assignment must follow these formatting requirements:
  • Be typed, double 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, the student’s 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:
  • Evaluate the processes used in designing and producing goods and services.
  • Determine four layout patterns and when they should be used.
  • Utilize the concept of supply chain management.
  • Employ the concept of capacity management.
  • Evaluate the management of inventories and resources.
  • Use technology and information resources to research issues in operations management.
  • Write clearly and concisely about operations management using proper writing mechanics.
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 judicial impropriety

There are several court cases that have emerged over the past few years dealing with judicial impropriety that went to the United States Supreme Court. An example would be West Virginia’s case of Caperton v. Massey.
You can find the stories here by clicking on the following links:

Assignment Guidelines

  • Address the following in 5–7 pages:
    • Most judges are elected; would it be better to have the judges appointed by a committee? Why or why not? Explain.
      • Would the committee be affected by graft?
        • If so, how?
        • If not, how will it not be affected?
        • Be specific and detailed in your responses.
    • When judges violate the constitution, what should be the recourse? Explain.
      • What current policies exist regarding judicial misconduct? Explain in detail.
      • Do these policies sufficiently address judicial misconduct? Explain in detail.
      • What can be done to improve these policies?
    • Should there be political and financial pressures put on judges? Why or why not?
    • Pertaining to re-election, should judges be held to a higher standard than other candidates for any political office? Why or why not?
  • Be sure to use at least 5 academic and scholarly sources to support your arguments.
  • Be sure to reference all sources using APA style.
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Case Study

read the case study, The 1920’s Farrow Bank failure: a case of managerial hubris. This case is located in the ABI/Inform Complete Database found in the CSU Online Library (see reference below).
Hollow, M. (2014). The 1920 farrow’s bank failure: A case of managerial hubris? Journal of Management History, 20(2), 164-178.
Thomas Farrow had been evaluated as having been inflicted by managerial hubris at the time of the bank’s collapse in 1920. With this in mind, address the following questions, with thorough explanations and well-supported rationale.
1. How did corporate culture, leadership, power and motivation affect Thomas’ level of managerial hubris?
2. Relate managerial hubris to ethical decision making and the overall impact on the business environment.
3. Explain the pressures associated with ethical decision making at Farrows Bank.
4. Evaluate whether the level of managerial hubris would have been decreased if Farrow Bank had a truly ethical business culture. Could this have affected the final outcome of Farrow Bank? Explain your position.
Your response should be a minimum of three double- spaced pages. References should include your required reading, case study reference plus a minimum of one additional credible reference. All sources used must be referenced; paraphrased and quoted material must have accompanying citations, and cited per APA guidelines.

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RESPONSE

Respond to a colleague with a suggestion of how to address these schisms, both historical situations and current but yet unidentified ones. Does social action need to be separate from social work practice
 
Colleague:  AnnaVI
 
Jane Addams and Mary Richmond
Jane Addams was a well-known social worker for her work in social policy Addams founded the Hull House in 1969 (Jansson, 2018). Addams work assisted individuals who suffered from poverty and oppression.
Mary Richmond also contributed to social work through writing books and providing educational information that she provided to charities and related agencies. Richmond’s work provided advocacy in building healthy relationships.
Both are great contributors in social work however have different ideas and interests in serving the community.
Schisms 
The Code of Ethics provided by the NASW sets standards for all social workers to follow and abide by. According to NASW (2008), “the Code of Ethics is intended to serve as a guide to the everyday professional conduct of social workers” (para. 1). Schisms still exists in the world today, but perhaps social workers are working together for the greater good. Social work is split into the micro, mezzo and macro level systems. Each group has a set of responsibilities and advocacy practices that best pertains to their system. The Code of Ethics is great way to ensure that social workers are fulfilling their ethical commitments to clients, especially because the Code of Ethics is universal amongst all social workers.
Jansson, B. S. (2018). Becoming an effective policy advocate: From policy to social justin. (8th ed.). Pacific Grove, CA: Brooks/Cole Cengage Learning Series.
National Association of Social Workers. (2008). Code of ethics. Retrieved from https://www.socialworkers.org/pubs/code/default.asp
 
 
 
 
****USE 2 OR MORE REFERENCES WHEN RESPONDING TO EACH COLLEAGUE***