Prepare a review of vitamin stability for 3 vitamins (5 pts/vitamin). In that review, recommend ideal food preparation that would maximize the vitamins uptake and utilization by the body? Note: for some vitamins, obtaining them from raw food is not ideal, if that is the case why not?

2. One of the major differences between a for-profit (FP) and not-for-profit (NFP) hospital is:

3. The majority of the United States population is covered through the following:

1. By 2025, there will be a shortage of 52,000 primary care physicians. The most significant cause of this shortage is:

   		Geographic maldistribution
   		Specialty maldistribution
   		A decline in medical school students
   		Failure to increase medical school enrollment in alignment with demographic growth

Describe 2-3 risks that has been identified for a EMR project

• Financial Risk
• Technical Risk
• Commercial Risk
• Execution Risk
• Contractual or Legal Risk

What steps could you take to prevent or mitigate these risks?

There is no more information

Sherman is a 65-year-old, sedentary male with Heart Failure (HF). He weighs 200 lb, is 5’8” tall. He has a cardiac output of 4.0 L/min and his left ventricular ejection fraction (LVEF) is 40%. He is referred to you by his cardiologist who would like him to begin exercising in your cardiac rehabilitation facility. Discuss how heart failure affects Sherman’s physiology and the compensatory mechanisms to maintain circulation. How will this limit his ability to exercise?   

As his clinician you need to design an 8-week exercise program for Sherman. Before you develop an exercise program, you evaluate his VO2max, which is 20 mL/kg/min. Specify the optimal training program including intensity and duration that would yield the greatest improvement in his cardiovascular function and explain why. Outline Sherman’s expected cardiovascular (central and peripheral) and pulmonary adaptations to exercise. How would you evaluate his cardiopulmonary performance before and after the 8-week exercise program to determine if the program was successful?

What is the purpose of an Health Information Exchange?

What opportunities can you demonstrate with the advancement of these organizations?

Can they cross geographic regions and enhance the care delivery process?

If so, how and why?

Three-week-old J.T. and her parents arrive at the cardiac cath lab for her cardiac catheterization. She was
born at term with Down syndrome and her pediatrician is concerned because of lack of weight gain and
poor feeding. You are getting her and her parents prepared for the procedure. After the catheterization, J.T. returns to the unit in a crib. The orders shown in the chart have been written. Chart View
Physician's Orders
Daily weights: Current weight 4 kg
Strict intake and output
O2 per nasal cannula as needed to maintain O2 saturation greater than 93%
VS every 15 minutes × 4, then every 1 hour × 4, then every 4 hours
Digoxin (Lanoxin) 60 mcg PO now, then 20 mcg PO every 12 hours
Furosemide (Lasix) 4 mg PO now, then 4 mg PO every 12 hours

You administer the ordered medication and proceed with your assessment. You note the following serum metabolic panel results for J.T.
Chart View
Laboratory Results
Glucose 85 mg/dL
Calcium 9.1 mg/dL
Sodium 142 mEq/L
Potassium 3.3 mEq/L
Chloride 101 mEq/L

The cardiologist consults with the family, and it is decided that J.T. will be discharged to home the
following day with medications and close monitoring. J.T. will return in several months for surgical
repair of the VSD.

Write a end of shift SBAR report.

Kodjo, 15 years old boy, is admitted to the medical ward with burns on the trunk and arms by Dr. Edinam Insoko. Kodjo came with the history of wound on the trunk, dizziness, painful arms and trunk, fever (38˚C) and insomnia. His folder number is 102/06-2020. Kodjo is a Catholic with allergy of ripped plantain. Kodjo was at home for social distance as a student of the L/A Basic School at Fiayase. Kodjo was nurse in bed M7. The physician ordered the following; diagnostic investigation; Blood for full blood count, fasting blood sugar, liver function test. Urine for urinalysis, BUE, ESR, medications prescribed included Tab Amoxiclav 312.5mg daily x 7, Suppository Paracetamol 1g PRN x 72 hours, Iv Normal Saline 500mls start, Ringer Lactate 500mls start. Dr Edinam Insoko scheduled her for nutritionist specialist review on Mondays and Wednesdays for a month then physiotherapy Tuesdays and Thursdays for three (3) months as well as the plastic surgeon every Friday for three (3) weeks. You are the student nurse in the male ward working for 24 hour period work scheduled due to the COVID-19. Demonstrate your care within the 24 hour care of Kodjo on the ward using the nursing process as a guide and follow all the MOH/GHS/WHO protocol for COVID-19 complete the Nursing Care Plan for Kodjo. As student nurse in the male ward working for 24 hour period due to the COVID-19. Demonstrate your care within the 24 hours of Kodjo on the ward using the nursing process as a guide complete your Nursing care plan for Kodjo. Also follow all the MOH/GHS/WHO protocol for COVID-19 in your care.write a full nursing care plan for Kodjo using the standard nursing care plan format

Stage 3: Your daughter is now 6 years old and is coming in for a MicKey GT for supplemental feedings overnight to help increase her weight gain. She has become a bit more independent with her ostomy and is able to help with emptying the bag into the toilet. She no longer pulls at the bag or wafer but has a nice cover over it to “keep her friend warm” and calls it her poop collector friend. We have told her that she is getting a feeding friend to keep the poop collector friend company as she tends to get lonely when she is in school. Your nurse needs to provide preop education and preop teaching about surgery and what to expect after surgery, as she will be going to surgery this afternoon. She is very hungry and keeps asking you why she cannot eat or drink anything. You also need education on the Mickey, care of the tube, and tube feeding. Your other questions are below:

1. How long in surgery? ___________________________________________________________________

2. What should we expect after surgery? __________________________________________________________________________________________________________________________________________ __________________________________________________________________________________________________________________________________________________________________________

3. How will I know if she is in pain? __________________________________________________________ __________________________________________________________________________________________________________________________________________________________________________

4. How do I take care of the tube and when do I give her the feeding? ______________________________ __________________________________________________________________________________________________________________________________________________________________________

5. Can she still eat dinner with the family? ____________________________________________________ _____________________________________________________________________________________

6. I am concerned about her social life as she doesn’t have too many friends. She plays with the dog a lot. Are friends important or can she play with our dog? What can I do to help her social life?

_____________________________________________________________________________________________________________________________________________________________________

watch the movie, "my sisters keeper” and

My sister Keeper movie.

Brief introductory summary.

Critical analysis applied to morals, ethics and bioethics.

Healthy People 2020 highlights the importance of addressing the social determinants of health by including “Create social and physical environments that promote good health for all” as one of the four overarching goals for the decade. , discuss how the dental hygienist can impact the social determinants of health to improve the health of our community.