What is the effect of genomic imprinting on cancer and what is the possible connection of the recent rise in imprinting disorders with assisted reproductive technologies.

Access the National Heart, Lung, and Blood Institute of the National Institute of Health (NIH) and obtain client/patient teaching information regarding hypertension. Design a client/patient teaching handout (no more than 2 pages) discussing hypertension prevention, treatment (medications), and dietary modifications. This is a handout you could print and give to your patient to take home.

How does a patient end up with excess fluid in their body? What do they look like? How are their organs affected? What are the common treatments for fluid excess?

Choose a minimum of 5 active learning strategies that you could incorporate into your health education lessons. Investigate them more and lay out how you will use them in your lessons, step by step.

Describe how a placebo is used in research studies.

1. Discuss educational plans for preventing the spread of flu within the community setting and within your families.

2. Discuss prevention among those groups who are at risk for development of influenza symptoms.

What PPE is required for a stage 3 pressure ulcer? When do you change gloves? Dawn sterile gloves? Etc. Any info is helpful, thank you.

Case Study

Duty-Oriented Reasoning: A Matter of Principle

Juan and Joe are good friends. They both graduated from the same program and have gone to work in the same radiography department. Part of their duties is to be sure that the standby equipment is ready for service on the wards. Juan and Joe are working the night shift, and while playing around, Juan inadvertently bumps the equipment, tips it over, and breaks the standby instrument.

In that it was an accident, Juan asks you, as a friend, not to tell anyone it was his fault. “Accidents do happen.” The two of you switch out the equipment, sending the broken piece down to maintenance, and put a working instrument on standby.

In the morning your boss comes in and notices that the equipment has been sent down to maintenance. He asks what happened, and Juan says, “I dunno. Someone from out of the department must have bumped it or something.” The boss looks at you and asks you the same question.

1. Solve the problem using duty-oriented or principled reasoning. Remember that in this form of reasoning, it is not the consequences that are considered but rather the principles involved.
2. What principles are involved in this case?
3. Do any of the principles involved conflict with each other?
4. Do some principles have a higher value than others?

Explain the difference between a valid argument and a sound argument, and give an example of each.

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?