Kiara is a 53-year-old female with severe chronic persistent asthma. She also has a history of osteoporosis, diabetes, and hypertension. Her daily treatment regimen for the control of her asthma is comprised of high-dose inhaled beclomethasone, inhaled salmeterol, slow-release theophylline, and monteleukast. She has complained to her specialist that she is still having frequent exacerbations and night-time symptoms. He then decides to put her on a short course of oral prednisone for 14 days.

a. How would prescribing additional glucocorticosteriods such as prednisone help in the treatment of the major symptoms of asthma? State two of these symptoms and the mechanism by which prednisone will treat them.

b. Considering her medical history, which factors should be taken into consideration by her specialist before prescribing oral prednisone? Substantiate your answer by referring to the mechanism by which prednisone would aggravate these conditions.

c. After two weeks of frequent asthma attacks, Kiara decides to double the dose of her theophylline. Comment on the appropriateness of her decision to double the dosage, and discuss the implications thereof. Justify your answer.

d. Which drug class should be used if she experiences an asthma attack? Justify your answer.

e. Following a thorough investigation, Kiara’s specialist establishes that her exacerbations are most likely due to improper inhaler technique. Too much of the drug is deposited in her mouth and as a result is not reaching the lungs. What can be done to overcome this issue? Justify your answer.

f. If Kiara had hepatic dysfunction, what would the implication be of prescribing the short course of oral prednisone? Justify your answer.

Description:

In this activity, you will participate in a discussion about cover letters.

Objectives:

• Create a resume and cover letter.

Instructions:

Step 1: Respond to the following:

Find and post a job posting you are interested in applying for, either now or in the future, and write a cover letter for that position. Post the cover letter for feedback from your peers.

Please help me with this assignment. I have no idea.

Note: Everything is in APA style.

Answer the following question

Alexandria general hospital has 4 departments;

Allocate the support department costs using the direct method ?

1. What does a "Multidisciplinary/Interdisciplinary" environment mean to you? - Multidisciplinary is when people from different disciplines work together, each drawing on their disciplinary knowledge. Interdisciplinary is when integrating knowledge and methods from different disciplines, using a real synthesis of approaches. 2. How can this environment be achieved in the academic setting? 3. Would this type of environment help you in your academic learning? Why or why not? 4. Would this environment in school help you in any way to become a better clinical professional? Why or why not? 5. How can this environment be better achieved or promoted in the clinical setting? 6. Anything else that you find important.

Help with 2-6 please

Piagetian theory, as applied to music instruction, involves
Select one:
a. Progressive stages of musical development and a sound-before-symbol approach.  Age eight is a watershed year in a child's cognitive development. At this time, children are capable of identifying timbres, discriminating among random melodies, and perceiving structure in simple melodies, although they are less successful in perceiving the sound of more than one simultaneous musical line (or harmony).
b. Learning I occurs without effort, as music within the environment is absorbed by the learner. Learning II, thinking is combined with experience when the child learner strives to become a competent performer through lessons or classroom instruction. The final phase
takes the performer past technical skills to music as a personal expression of joy and even religious faith.
c. Cultural signs—such as verbal comments, facial expressions, or indicatory gestures—that direct the child's attention to specific elements of an experience provide the means for drawing children into knowing their culture (in this case, musical culture) while also shaping and coloring their perceptions and eventual understanding of the cultural object (the music).
d. Three teaching and learning strategies: enactive, learning through a set of actions; iconic, learning through images and graphs; and symbolic, learning by going beyond what is immediately perceptible in the environment

Read The Following Article:

Baig, M., Gazzaz, Z. J., & Farouq, M. (2020). Blended Learning: The impact of blackboard formative assessment on the final marks and students’ perception of its effectiveness. Pakistan Journal of Medical Sciences, 36(3), 327.

And provide a detailed evaluation (critique) the value of the article, stating whether you agree or disagree with the author, with supporting evidence including at least 5 points of each of the following (Analyze with details): 1- Article strengths 2- Weaknesses 3- recommendations to enhance the article or future research.

In this assignment, you will be writing a 1,000-1,250 word paper describing the differing approaches of nursing leaders and managers to issues in practice. To complete this assignment, do the followin

In this assignment, you will be writing a 1,000-1,250 word paper describing the differing approaches of nursing leaders and managers to issues in practice. To complete this assignment, do the following:

1. Select an issue from the following list: bullying, unit closers and restructuring, floating, nurse turnover, nurse staffing ratios, use of contract employees (i.e., registry and travel nurses), or magnet designation.
2. Describe the selected issue. Discuss how it impacts quality of care and patient safety in the setting in which it occurs.
3. Discuss how professional standards of practice should be demonstrated in this situation to help rectify the issue or maintain professional conduct.
4. Explain the differing roles of nursing leaders and nursing managers in this instance and discuss the different approaches they take to address the selected issue and promote patient safety and quality care. Support your rationale by using the theories, principles, skills, and roles of the leader versus manager described in your readings.
5. Discuss what additional aspects managers and leaders would need to initiate in order to ensure professionalism throughout diverse health care settings while addressing the selected issue.
6. Describe a leadership style that would best address the chosen issue. Explain why this style could be successful in this setting.

Use at least three peer-reviewed journal articles other than those presented in your text or provided in the course.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

"The Supreme Court's 2012 ruling that states could decide whether to participate in the health law's Medicaid expansion program was controversial." Write a response to the statement given describing the Medicaid expansion program and why some states did NOT participate. Include how the decision to participate in the expansion program affects access, quality, and healthcare costs for providers. Don't forget to describe the pros and cons.

Explain Non-maleficence regarding both the impact on agency viability and quality patient care

Write a one page paper detailing each of the following;
1. The practice challenges associated with HIPPA.
2. How infection control positively and negatively impacts nursing.
3. The impact that personal hygiene has on patient safety and comfort.
4. The consequences of poor infection control practices.

One day, an employee was coding an inpatient record at City Hospital. The physician's documentation was not clear on a high acuity patient; therefore, the employee needed to query the physician for clarification. The employee knew the answer to her question and was tempted to bypass querying the provider and just code the patient's record based on what she knew. She was tired of all the querying!

1. Should the employee query the provider?

2. Is it acceptable for the employee to code the patient record since she knew the answer, and didn't want to bother with the query?

3. What repercussions might there be if she doesn't query and the medical record doesn't support her coding logic?