Novel Coronavirus Disease (COVID-19) Family Dilemma: Part II

Glenda Taylor, 67 years old (John’s spouse)

STUDENT-COVID-19-UNFOLDING_Reasoning-Part-1.pdf

STUDENT-Part-II-COVID-19-Family_Dilemma.pdf Scenario

2. What data from the history is RELEVANT and must be NOTICED as clinically significant by the nurse?

(Reduction of Risk Potential) RELEVANT Data from Present Problem: Clinical Significance:

3. Current Concern: Since Glenda has not been updated on John’s change of status, you call Glenda and communicate his critical condition and his need to be intubated and placed on a ventilator. Glenda is clearly upset and states, “I need to see him! I need to be there! We’ve been married for 48 years and nothing has separated us! He needs me now more than ever!”

What data from the current concern is RELEVANT and must be NOTICED as clinically significant by the nurse? (Reduction of Risk Potential) RELEVANT Data from Current Concern: Clinical Significance:

4. Caring and the “Art” of Nursing: what is John’s spouse likely experiencing/feeling right now in this situation? What would you specifically communicate to his spouse under these circumstances? (NCLEX: Psychosocial Integrity)

What Patient/Family is experiencing: What to Communicate:

Resolving the Dilemma

1. Interpreting RELEVANT clinical data, what is the essence of this clinical dilemma? (Management of Care)

2. What additional information is needed by the nurse to clarify the dilemma? (Management of Care)

3. What additional members of the healthcare team could be used in this situation if Glenda was able to be in the hospital? Why? (Management of Care)

4. What psychosocial/holistic care PRIORITIES need to be addressed for this patient? (Psychosocial Integrity/Basic Care and Comfort)

A family of four that is made up from a 2 and 8 year old plus their parents were traveling from Europe to the USA. On the way it was noticed that the 8 year old boy is having fever, headache and his head was tilting to the right in addition there was some form of rash developing on his hands and feet. Their father was feeling very fatigued with flu like symptoms that included a headache and tilting of the head with a pain in their neck. A rash was noticed on the father’s hands and some areas of his feet. The other two members of the family were doing very well. Upon arrival to the USA both the child and his father were admitted to the hospital. A spinal tap reflected the presences of Neisseria meningitidis in their CSF. The rash has spread more in the 8 year old but it is no longer showing on his father. They have all been vaccinated against this bacteria.

I. Explain the pathogenesis of the diseases in both the 8 year old and the father and why their symptoms differ.

II. Explain why the mother and the 2 year old did not have any symptoms of the disease.

III. Explain your method of treatment for both ill members and what precautions if any would take to protect the mother and the 2 year old.

Part 1: Work the following requirements from P5-13 on page 288 from your book. Part 1 Part 2a Part 2b Part 3a (revenue for the contract from 2018 and 2019) Part 3b (gross profit for the contract from 2018 and 2019) Part 2: Baker, a consulting firm, enters into a contract to help a small family owned business design a marketing strategy to compete with other companies in the region.. The contract spans eight months. Baker’s client promises to pay $93,000 at the beginning of each month. At the end of the contract, Baker either will give their client a refund of $31,000 or will be entitled to an additional $31,000 bonus, depending on whether sales at Burger Boy at year-end have increased to a target level. At the inception of the contract, Baker estimates an 80% chance that it will earn the $31,000 bonus and calculates the contract price based on the expected value of future payments to be received. At the end of the contract, Baker receives the additional consideration of $31,000. Required: 1. Prepare the journal entry to record revenue for each of the first four months of the contract. 2. Prepare the journal entry that Baker would record after eight months to record the receipt of the $31,000 bonus.

Clem is married and is a skilled carpenter. Clem's wife, Wanda, works part-time as a substitute grade school teacher. Determine the amount of Clem's expenses that are deductible for AGI this year (if any) under the following independent circumstances: (Leave no answer blank. Enter zero if applicable.)  

a. Clem is self-employed and this year he incurred $705 in expenses for tools and supplies related to his job. Since neither were covered by a qualified health plan, Wanda paid health insurance premiums of $6,000 to provide coverage for herself and Clem (not through an exchange).
Deductible amount for AGI:

b. Clem and Wanda own a garage downtown that they rent to a local business for storage. This year they incurred expenses of $1,730 in utilities and $990 in depreciation.
Deductible amount for AGI:

c. Clem paid self-employment tax of $24,200 (the employer portion is $12,100), and Wanda had $7,700 of Social Security taxes withheld from her pay.
Deductible amount for AGI:

d.  Clem paid $69 to rent a safe deposit box to store his coin collection. Clem has collected coins intermittently since he was a boy, and he expects to sell his collection when he retires.
Deductible for AGI:

Case study: the right portfolio

After working as a securities broker for 20 years, Simon Eckstein decided to lead a less hectic life. He set up an investment consulting firm 2 years ago and has rapidly built his reputation as the best consultant on securities investment in the area. Today, 5 clients called on Simon for his advice on their investment plans. The first is a 35-year-old divorced woman who has 2 teenage sons and wants to invest $50,000. the second and the third are a couple, both having retired and planning to invest $60,000. The fourth is an university freshman, a 19-year-old boy. He lost his parents in a car accident last year and received $2,000,000 from the insurance company. He plans to use some of the compensation to pull himself through the university and the rest to invest. The last is a single woman, 27 years old, working as an accountant for a local department store with an annual salary of 26,000. Her planned investment is $40,000.

(1) What do you think should be appropriate investment goals for the five clients If you were Simon?

(2) What kind of portfolio investment would you suggest for each of them?

Case Scenario:

Ruba is a 39 years old, pregnant woman at 8 weeks gestation, and her husband, Ali, is 50 years old, arrives at antenatal clinic for follow-up. The couples have been married for 12 years. Ruba completes the initial paperwork, and the nurse notes the following obstetric history: G6 T0 P0 A5 L0 M0. Ruba and Ali asked the nurse many questions regarding Down syndrome as Ali’s sister, recently, has a boy with Down syndrome.

Q1: As Ruba has many questions regarding her pregnancy, including the physiological and psychological changes, labor process and postpartum period. The nurse advice Ruba and Ali to attend antenatal classes. List six topics should be covered in the childbirth preparation program that may help to answer Ruba’s inquiries.

Q2: After 7 months, Ruba is approximately 37 weeks gestation. She comes for antenatal follow-up visit complaining of backache, leg cramps, heartburn, constipation, and difficulty sleeping at night. Describe three nursing management for each Ruba’s complain (minor discomfort).   

A. Backache :

B. Leg cramps :

C. Heartburn:

D. Constipation:

E. Difficulty sleeping at night      

In 1869, William E. Story promised his nephew, William E. Story II (then sixteen years old), $5,000 (about $120,000 in today’s money) if “Willie” would abstain from drinking alcohol, smoking, swearing, and playing cards or billiards for money until the nephew reached twenty-one years of age. All of these were legally permissible activities for the teenager at that time in New York State. Willie accepted his uncle’s promise and did refrain from the prohibited acts until he turned twenty-one. When the young man asked for the money, his uncle wrote to him that he would honor the promise but would rather wait until Willie was older before delivering the money, interest added on. Willie agreed. Subsequently, Willie assigned the right to receive the money to one Hamer (Willie wanted the money sooner), and Story I died without making any payment. The estate, administered by Franklin Sidway, refused to pay, asserting there was no binding contract due to lack of consideration: the boy suffered no “detriment,” and the uncle got no benefit. The trial court agreed with the estate, and the plaintiff appealed. Should the court on appeal affirm or reverse? Explain.

Assignment in Calculating Rates of Return

A. From a financial news service you summarized the following information on Barlow Corporation.

Year           Dividend paid   Stock price, BOY

2013          $ 2.50              $38.25

2014             2.52                 40.75

2015                    2.65                 42.14

2016             2.85                 38.66

2017               2.85                              31.95

2018             2.90             47.47

Required:

1. Calculate the periodic rate of return for each of the years 2013-2017. (Why can’t you do so for 2018?)
2. Calculate the arithmetic mean return for the five-year period.
3. Calculate the geometric mean return (i.e., the compounded annual rate) for the period.

B. Dan bought an apartment complex at the beginning of 2013, paying $215,000 for the property. The after-tax cash flows and the property value at the end of each year was as follows:

Year           AT Cash flows        Value of property, EOY

2013          $25,000           $230,000

2014          28,500          270,000

2015                30,000      320,000

2016          28,000          280,000

2017              46,000          330,000

2018          38,000       375,000

Required:

1. Calculate the periodic rate of return for each of the years 2013-2018.

2. Calculate the arithmetic mean return for that same period.

3. Calculate the geometric mean return (i.e., the compounded annual rate) for the period.

1. Conversation is both an art and an essential nursing tool. If you had 30 minutes to spend with each of the following patients while doing a procedure that allows you to communicate, what would you talk about (communicate) and why?
   • An older adult recently admitted to a long-term care facility
   • A 6-year-old boy newly admitted to a hospital for asthma
   • An HIV-positive, 33-year-old man who has just been given the news that he has acquired immunodeficiency syndrome (AIDS)
   • A 45-year-old amputee who has been in a rehabilitation hospital for 3 weeks after a motorcycle accident
   • A 19-year-old woman who has just had an elective abortion and is in the recovery unit
   • An unconscious patient in a critical care unit
2. An experienced nurse observes your distress after leaving the room of a patient who has just told her family that her cancer has recurred and is in an advanced state. She tells you that you better “toughen up” if you want to survive in nursing. She counsels not getting emotionally involved with patients and families: “Become a rock.” How do you respond to this nurse and why? Of what value, if any, is empathy

Differing Parenting Styles

Lisette and Joel are a couple in their 20s. They have a 2-week-old baby boy and have come in for a well-baby check of their healthy infant. Joel is carrying the infant with Lisette trailing behind. When the nurse inquires how things are going at home, Lisette becomes tearful and Joel looks away. As the nurse questions them further, it becomes evident that the couple differ in their perception of how the baby should be cared for. Lisette was raised in various foster homes after being taken from her abusive mother at age 3 and has no relatives who are involved in her life at the present time. Joel comes from a large, affectionate family who are thrilled with the new baby and visit frequently and while there take over care of the baby. Lisette has been feeling overwhelmed by the care of the infant and often just lets him cry in his crib. Joel and his family always pick up the baby immediately when he cries.

What can the nurse do to help this couple
What specific interventions may be helpful?
How can Joel’s family help?
What other resources are important for this family?