1- why IgA does not activate complement ?

2- why IgG2 does not cross placenta ?

You are the Privacy Officer at Quality Hospital you are seeking to enter into a contract with a release of information company. What important elements would you include in the contract (that is, the business associate agreement)? Which three elements do you think are the most important? Why?

The Instructor will assign ten      (10) drug cards per week, in specific areas. Each card will be worth 1      point. You will not receive the points for the cards if they are not submitted      within the week when due.

· Cards must be handwritten, legible, and on ruled index cards.

· All information required on the card must be completed or you will not receive the point for the card.

· The following information must be on the Drug Card for Each Drug:

• Generic and Trade /Brand Names      ( American Ony )
• Classifications:
  • Therapeutic
  • Pharmacological
• Indications/Uses
• Contraindications
• Adverse reactions by all            systems
• Safe dosage range
• 3 nursing implications
• Action

Premarin

Estradiol

Rifampin

Provera

oxadrin

Indomethacin

Fosamax

calcitonin

Halotestin

Dacronine

For each case history provide:

1. a diagnosis;
2. list the criteria required for the diagnosis; and
3. provide examples from the case history for each of the criteria listed.
   For example, if one of the criteria for a diagnosis is "delusions", then you should list "delusions, e.g., believes he is receiving special/hidden messages from television programs that he only understands".

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Elisabeth Jacks was 38 years old and ran a catering service with her second husband, Donald, who was the main informant.

Elisabeth already had two grown children, so Donald could understand why this pregnancy might have upset her. But she had seemed unnaturally sad. From about her fourth month of pregnancy, she spent much of each day tired. Her appetite, voracious during her first trimester, fell off, so that by the time of delivery she was several pounds lighter than usual for a full-term pregnancy. She had to give up keeping the household business accounts, because she couldn't focus her attention long enough to add a column of figures. Still, the only time Donald became really alarmed was one evening at the beginning of Elisabeth's ninth month, when she told him that she had been thinking for days that she wouldn't survive childbirth and he would have to rear the baby without her. "You'll both be better off without me, anyway," she had said.

After their son was born, Elisabeth's mood brightened almost at once. The crying spells and the hours of rumination disappeared; briefly, she seemed almost her normal self. Late one Friday night, however, when the baby was three weeks old, Donald returned from catering a banquet to find Elisabeth dressed in nothing but bra and panties, icing a cake. Two other just-iced cakes were lined up on the counter, and the kitchen was littered with dirty pots and pans. "She said she'd made one for each of us, and she wanted to party," Donald told the clinician. "I started to change the baby – he was howling in his basket – but she wanted to drag me off to the bedroom. She said 'Please, sweetie, it's been a long time.' I mean, even if I hadn't been dead tired, who could concentrate with the baby crying like that?"

On Saturday, Elisabeth was out all day with girlfriends, leaving Donald home with the baby. On Sunday she spent nearly $300 "for Christmas presents" at an April garage sale. She seemed to have boundless energy, sleeping only two or three hours a night before arising, rested and ready to go. On Monday she decided to open a bakery; by telephone, she tried to charge over $1,600 worth of kitchen supplies to their VISA card. She'd have done the same the next day, but she talked so fast that the person she called couldn't understand her. She hung up in frustration.

Elisabeth's behaviour became so erratic that for the next two evenings Donald stayed off work to care for the baby, but his presence only seemed to provoke her sexual demands. Then there was the marijuana. Before Elisabeth became pregnant, she would have an occasional toke (she called it her "herb"). During the past week, not all the smells in the house had been fresh-baked cake, so Donald thought she might be at it again.

Yesterday Elisabeth had shaken him awake at 5 A.M. and announced, "I am becoming God." That was when he had made the appointment to bring her for an evaluation.

Elisabeth herself could hardly sit still when she talked to the interviewer. In a burst of speed, she described her renewed energy and plans for the bakery. She volunteered that she had never felt better in her life. In rapid succession she then described how she was feeling (ecstatic), how it made her feel when she put on her best silk dress (sexy), where she had purchased the dress, how old she had been when she bought it, and to whom she was married at the time.

Case Study:

As a corrections nurse in a large, federal penitentiary, one of your responsibilities is to control the spread of communicable diseases. Specifically, your assignment is to provide seasonal influenza vaccine to your team of 500 inmates; over the past 3 years, the average rate of immunization for your team has been 62%; the goal is a minimum of 90%.

1. What data do you need to improve the rate of vaccine adherence?
2. What factors in inmates’ histories might make this a challenge?
3. What environmental factors complicate the immunization process?
4. What strategies might you use to increase influenza vaccine rates?

When using a gait belt to assist with ambulation, which of the following are appropriate techniques? Select all that apply.

• The gait belt should fit loosely around the hips.
• The gait belt should be removed or loosened after use.
• Walk behind the patient with the belt in hand to prevent falls.
• Walk beside the patient with one arm around the waist and the other hand on the belt.
• Walk on the weaker side of the patient.
• Resist allowing the patient to rest on your arm.

Which medication classifications can pose safety risks for older adult patients? Select all that apply.

• Vitamins
• Diuretics
• Hypnotics
• Antibiotics
• Antihistamines

1.write nurses for wound dressing .
2.write nurses on recording fluid intake and output.

nurses note*

The third-party effects or side-effects (positive or negative) of a transaction between two parties (e.g., doctors and patients), which is not reflected in the cost of the goods or services involved, and which offer a rationale for government provision of social insurance like Medicare and Medicaid are called

externalities

merit goods

private goods

public goods

excludabilities

Prepare at least a 150-200-word response to the following:

• What are some common illnesses and risk factors of farmworkers and people who live in rural areas?
• Prepare three cultural competence recommendations for a clinic that provides services in rural areas and to farmworkers.

Formulate a response using the questions listed above.

Read and Reply to at least 2 of your classmates responses. Each reply is recommended to be at least 75 words.

You are a health care consultant with a thriving practice working with Boston-area hospitals. Your expertise is in organizational design and organizational behavior. One of your clients, Gary Gottlieb, of Brigham and Women’s Hospital, has accepted your proposal to work with his organization on the opening of the Shapiro Cardiovascular Center.

In your consulting experience, you have found that reviewing the history of organizational theory helps management teams creatively approach the challenges they face. In addition, it is important to be able to analyze management’s contribution to organizational effectiveness and consider how strategy shapes organizational structure

Analyze at least two ways management has been both effective and ineffective. Recommend at least three best practices that Brigham and Women’s management can refer to when working on other projects.

How do your healthcare providers (e.g., hospital, emergency department, personal physician) keep you safe from being harmed by the effects of healthcare services? What could your providers do better to keep you safe? Provide references

How does an asthma attack cause difficulty in breathing? Emphysema from smoking and exposure to heavy pollution causes alveoli to expand and rupture. Describe how this would compromise respiratory function. Describe how skeletal muscles are used for inhalation. Use Boyle’s law to explain the process of pulmonary ventilation. Describe how to calculate inspiratory reserve volume. How did your vital capacity compare to your calculated predicted vital capacity? What health and lifestyle behaviors impact your vital capacity? Would a subject hold her or his breath longer after hyperventilating or after hypoventilating? Explain your answer. What changes occur in the body as a person hypoventilates? How does the body adjust respiratory rate and depth to counteract the effect of hypoventilation? Using your current height and gender, calculate your predicted vital capacity but add 5 years to your current age. Then, do the calculation again, but add 10 years to your current age. What changes are predicted in vital capacity as one ages? What do you think the reasons are for these age-related changes?

Identify one potential problem in health care and use the five-stage model for approaching problem solving by Wheatley. What is the aspect of this situation that you think is most important? What new learning did you experience? Which things get in the way of solutions? How will we work together?