Describe the factors affecting urinary elimination:

Hypotension:

Infection:

Loss of body fluid:

Medications:

Ethically speaking, how much money and resources should the United States contribute to reducing global health disparities, given that the US has disparities of its own? Give your position in a few sentences.

Describe the core ideas of availability, interoperability, modifiability, performance, security, testability, and usability for reconstruction strategies.

Give real life scenarios to provide examples for each concept.

1. POST KNEE SURGERY: Design a post Physical Therapy rehab program for a someone who is recovering from ACL surgery. Consult local re- sources and therapy textbooks for the most updated information. 2. BODY MECHANICS: An internist refers a 275-lb patient with joint pain and gait abnormalities to you. Would walking in water or cycling be the most efficient exercise? Give a sample 5 day program for each type of exercise. State your reasons for not using other forms of exercise. 3. ORTHOPEDICS: You're working with a throwing athlete who's rec had rotator cuff surgery and a total of 12 PT sessions. Your referral pa suggests gradual strengthening and stretching over 3 months. By then the athlete wants to be on a basic str routine to get back to their pre-season training program. List the ROM exercises, modified strength exercises and routine you'd use for this athlete. Site examples from the literature of at least 2 programs for athletes following a published training format. 4. OUTCOMES MANAGEMENT: You are a trainer who has successfully completed exercise therapy programs with 5 clients. You have kept your exercise cards and progress notes current and have maintained daily records on session days.

Part 1: If you were sponsoring a project, would you want to be updated in terms of cost and schedule variance or cost and performance indexes? Why?

Part 2: Give two examples of why a project might be terminated early for cause and two examples of why a project might be terminated early for convenience.

Discussion Topic

Maya Korrapati was diagnosed with T1DM when she was 7 years old, and her appetite suddenly soared.
“She was a skinny little thing,” her mother says, “even though she kept eating and eating and eating. She had six hot dogs one day at a neighbor’s backyard barbecue, and I was so embarrassed. I asked my neighbor, ‘Why didn’t you stop her?’ but they all thought it was cute. It was then that I noticed she was constantly running into the kitchen all day for a drink. I just thought at first it was because—hey, you know—it was summer, after all, and Maya was a very, very active little girl. It was my sister who finally said, ‘Maybe you should just get that checked out. You know why.’ I guess up until then, I was in a kind of denial. So I took her, and, of course, she was diagnosed with T1DM.”

When Maya was first diagnosed, her mother was given instructions on how to administer conventional insulin therapy. Now, however, Maya is starting her freshman year of high school, and she is requesting a switch to an intensive insulin therapy regimen.

“I’ll be in school all day and going to after-school activities. I’m on the girls’ soccer team and I am determined to make varsity by my sophomore year. So, my eating is going to be kind of weird.”

Her mother clicks her tongue in frustration at this, and the two exchange unhappy looks.

After a pause, her mother says, “I think Maya’s anorexic.”

“What? No! Stop it, Mom. You’re embarrassing me.”

“I’m concerned,” Mrs. Korrapati says.

1. Now that Maya is gaining a little more independence and is spending a little more time away from home, she wants to switch her insulin regimen. What might be her rationale for this? Do you think switching her regimen is a good idea?

2. Mrs. Korrapati suspects that Maya may have an eating disorder. What kinds of signs might the nurse look for to determine whether this is the case?

3. Mrs. Korrapati reports that she and Maya frequently argue about Maya’s involvement in team sports.
“I’d feel better if she’d switch to art or playing a musical instrument. Of all the extracurricular activities you could have chosen,” she says to Maya, “why go with sports when you know you have diabetes?”
Maya becomes resistant when her mother talks like this.

She responds now, “It’s not a death knell, Mom, and I’m good. I want to make varsity and then work for a scholarship. Don’t you always talk about wanting me to get a good scholarship?”

“Not if it makes you sick,” her mother says.

Her mother has to admit that Maya has always been pretty healthy, despite her T1DM; and as far as anyone can tell, she has been responsible about diet, maintaining good blood glucose levels, and managing self-administration. Based on these facts, how should the nurse advise Maya and her mother?

What are the benefits of society being more educated about the social determinants of health?

1. What is vulnerability assessment useful for, what are its functions, and what do you find the most challenging about them?

Imagine yourself in a wheelchair and take a walk around your neighborhood. (If you can, ask a friend to push you in a wheelchair.)

1. What did you notice?

2. Would you have any difficulties getting everywhere you want to go?

3. What changes would you like to make in your community to benefit someone who uses a wheelchair? Why?

4. Did you observe anything that would be a regulatory or legal concern? (Keep the Americans with Disabilities Act accommodations in mind.)

1. You are assisting Sarah with her breastfeeding, when she tells you she is not sure how she should hold the baby when she is breastfeeding.

She also asks how long to feed the baby on one breast before she changes breast.

She wants to know how she will know if the baby is getting enough to eat since she can’t measure the amount of milk the baby is getting.

      What will you teach Sarah to assist her?