Case Study, Chapter 4, Health Education and Health Promotion

2. The community health nurse is planning a health promotion workshop for a high school PTSO (Parent-Teacher-Student Organization). The choice of topics was suggested by the high school’s registered nurse who has observed a gradual increase in student obesity. The two nurses have collaborated to develop this workshop to provide parents, students, and teachers with information about the importance of health promotion. (Learning Objectives 6, 8, and 9)

Describe the importance of a focus on health promotion.

According to the health promotion model developed by Becker (1993), what four variables influence the selection and use of health promotion behaviors?

Describe four components of health promotion.

Chapter 4 Mini Case 2 Ratios and Financial Planning at S & S Air

Chris Gumede was recently hired by S&S Air to assist the company with itsfinancial planning and to evaluate the company’s performance. Chris graduatedfrom university five years ago with a finance degree.S&S Air was founded 10 years ago by friends Mark and Thandi. Thecompany has manufactured and sold light aeroplanes over this period and thecompany’s products have received high reviews for safety and reliability. Thecompany has a niche market in that it sells primarily to individuals who own andfly their own aeroplanes. The company has two models, the Birdie which sells forR2 530 000 and the Eagle which sells for R5 780 000.While the company manufactures aircraft, its operations are different fromcommercial aircraft companies. S&S Air builds aircraft to order. By usingprefabricated parts, the company is able to complete the manufacture of anaeroplane in only five weeks. The company also receives a deposit on each order,as well as another partial payment before the order is complete. In contrast, acommercial aeroplane may take one and a half to two years to manufacture oncethe order is placed.Mark and Thandi have provided the following financial statements. Chris hasgathered the industry ratios for the light aeroplane manufacturing industry.

S&S Air2008 Financial Statements

Income Statement

Sales R128 700 000

Cost of goods sold 90 700 000

Other expenses 15 380 000

Depreciation 4 200 000

PBIT 18 420 000

Interest 2 315 000

PBT 16 105 000

Tax (40%) 6 442 000

NPAT R 9 663 000

Dividends 2 898 900

Add to retained profits 6 764 100

2008 Balance sheet

Ordinary shares 1 000 000 Net non-current assets R72 280 000

Retained profits 41 570 000

Shareholders equity R42 570 000 Inventory 4 720 000

Long-term debt R25 950 000 Accounts receivable 4 210 000

Cash 2 340 000

Accounts payable 4 970 000 Current assets R11 270 000

Short-term debt 10 060 000

Current liabilities R15 030 000

R83 550 000 R83 550 000

Light Aeroplane Industry Ratios

Lower Quartile Median Upper Quartile

Current ratio 0,50 1,43 1,89

Quick ratio 0,21 0,38 0,62

Cash ratio 0,08 0,21 0,39

Total asset turnover 0,68 0,85 1,38

Inventory days 74,6 59,3 33,5

Receivables days 58,2 37,2 25,9

Total debt ratio 0,44 0,52 0,61

Debt-equity ratio 0,79 1,08 1,56

Equity multiplier 1,79 2,08 2,56

Times interest earned 5,18 8,06 9,83

Cash coverage ratio 5,84 8,43 10,27

Profit margin 4,05% 6,98% 9,87%

Return on assets (after tax) 6,05% 10,53% 13,21%

Return on equity 9,93% 16,54% 26,15%

Questions

1. Calculate the following ratios for S&S Air: current ratio, quick ratio, cashratio, total asset turnover, inventory days, receivables days, total debt ratio,debt-equity ratio, equity multiplier, times interest earned, cash coverage,profit margin, return on assets and return on equity.

2. Mark and Todd agree that a ratio analysis can provide a measure of thecompany’s performance. They have chosen Boeing as an aspirantcompany. Would you choose Boeing? Why or why not?

3. Compare the performance of S&S Air to the industry. For each ratio,comment on why it might be viewed as positive or negative relative to theindustry. Suppose you create an inventory ratio calculated by inventorydivided by current liabilities. How do you think S&S Air’s ratio wouldcompare to the industry average.

4. Calculate the internal growth rate and sustainable growth rate for S&S Air.What do these numbers mean?

5. S&S Air is planning for a growth rate of 20 per cent next year. CalculateEFN assuming the company operated at full capacity in 2008.

6. Although most assets can be increased as a percentage of sales, net non-current assets often must be increased in specific amounts since it isusually impossible or impractical to buy part of a new plant or machine.So, assume S&S Air cannot increase net non-current assets as a percentageof sales. Instead, whenever the company needs to purchase newmanufacturing equipment, it must purchase in the amount of R30 000 000. Calculate the new EFN with this assumption. What doesthis imply about capacity utilization for the company next year?

4. On January 2, 2016, Prebish Corporation issued $1,500,000 of 10% bonds to yield 11% due December 31, 2025. Interest on the bonds is payable annually, each December 31. The bonds are callable at 101 (i.e., at 101% of the face amount) and on January 2, 2019, Prebish called $1,500,000 face amount of the bonds and retired them. (100 POINTS)

Instructions

1. Determine the price of the Prebish bonds, when issued on January 2, 2016.
2. Prepare an Amortization Schedule for 2016-2020 for the bonds.
3. Prepare the journal entry to record the retirement of $1,500,000 by Prebish on January 2, 2019.

Assignment #2

Question #4

National Distributors Ltd is a manufacturing company whose annual financial performance is determined by preparing its final accounts at the end of the financial period which ends on October 31st each. The following Trial Balance was extracted from the company’s books on October 31, 2016:

Trial Balance

Notes:

1. On October 31, 2016, $200,000 due for motor vehicle repairs was still unpaid; interest receivable for $300,000 was not booked to the account and $100,000 was owed for commission.
2. Inventory on October 31, 2016 were as follows: Direct raw materials $3,700,000; work-in-progress $4,700,000; finished goods $6,600,000.
3. The provision for bad and doubtful debts should be moved to 2.5% of debtors while the company has a policy in place that adds 10% mark up to its cost of production.
4. Rent is apportioned 3/5 to the factory while seventy percent of the electricity usage is for the factory; 40% of insurance charges are for the office while the motor vehicles are used equally between the office and the factory.
5. Depreciation is to be charged as follows: machinery 10% reducing balance; motor vehicles 20% reducing balance; furniture and office equipment 10% straight line.

Required:

1. Prepare Manufacturing, Trading and Profit and Loss Accounts for the year ending October 31, 2016.                                                                                                
2. Prepare a Balance Sheet as at October 31, 2016.                                          

Let f(x) = x / (4−x^2) .

(a) Find the domain and intercepts of f(x).

(b) Find all asymptotes and limits describing the end behavior of f(x).

(c) Find all local extrema and the intervals on which f(x) is increasing or decreasing.

(d) Find the inflection points and the concavity of f(x).

(e) Use this information to sketch the graph of f(x)

Problem set 2: use the following table to answer questions 4-7 (40 pts total):

1. Please find the mean for numbers of children in this distribution (20 pts).

5.Please find the median for this distribution (10 pts).

6.Please find the mode for this distribution (5 pts).

7. Is this distribution negatively skewed, symmetrical, or positively skewed (5 pts)?

(a) Illustrate how the list 5, 13, 2, 25, 7, 17, 20, 8, 4 is sorted with Mergesort. Count the number of comparisons made. (b) Illustrate how the list 5, 13, 2, 25, 7, 17, 20, 8, 4 is sorted with Heapsort.

Case Study:    Fluid and Electrolytes Imbalance

          Week 2 of 4 is due 01/28/18 by 1159 pm EST

Clinical Reasoning, Decision Making and Critical Thinking

We will use this scenario and build on it over the next 4 weeks.

Now, Mr. Donald had a partial colectomy and a colostomy, day 1 post-op. Morphine via PCA pump and an IVF NS + 20 mEq KCL at 75 mL/hr. Experienced insomnia and required 2 bolus of Normal Saline for hypotension. He has a hemovac and it drained 200 mLs of serous sanguinous drainage over 24 hours. Surgical dressing to the mid abd area dry and intact. He has a colostomy bag, currently with no effluent noted. Oxygen via nasal cannula at 4 L/min. O2 sat 95% on 02 at 4L via nasal cannula. Blood sugar are well controlled. He lives alone.

*****In part 1 of 4 you considered the patient situation and collected relevant cues and information.

Part 2 of 4 will focus on PROCESSING INFORMATION

The next step of the clinical reasoning cycle is to interpret the data (cues) that you have by carefully analyzing and then applying your knowledge about fluid and electrolyte balance. Remember you must know normal versus abnormal finding to get a complete understanding of Mr. Donald’s signs and symptoms.

Which of the following of the vital signs are considered to be within normal parameters for Mr. Donald. What are the normal values for the other vital signs? (2 points)

Temperature

Pulse rate

Respiratory rate

Blood pressure

His 02 sats are OK, right. A normal 02 sat level for Mr. Donald would be: (2 points)

80-85%

85-90%

90-95%

95-100%

True or false. Rational for your answer 3 points each. ½ point deducted for incorrect rational. Refer to the table

Now that we identified the relationships above, let’s make inferences based on your analysis. From what you know about your patient’s, Mr. Donald’s history, surgery, s/s,you’re your knowledge about fluid balance, which of the two inferences are correct and include the rationals: 5 points

Normotensive and bradycardic

Hypertensive and tachycardic

Febrile and normotensive

Oliguric and tachycardic

Hypertensive and afebrile

Polyuric and hypotensive

Hypotensive and afebrile

Part 2 of 4,   30 possible points.

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Case study 1 of 4, already done. Refer to it as needed

Scenario:

Patient is a 68-year male patient who has a history of fluid and electrolyte imbalance. Mr. Donald is status post coronary artery bypass graft (CABG) 3 days ago. He also has multiple co-morbidities, colon cancer, anemia, and hypertension.   Alterations in fluid and electrolyte status are common in the elderly population. Therefore, maintaining and managing fluid and electrolyte balance is of utmost importance in preventing avoidable events, complications and mortality.

Mr. Donald has a history of colon cancer and sought treatment as soon as he noted visible blood in his stool. His bowel patterns are not regular as he experience severe diarrhea or constipation. Gastroenterologist was consulted by the attending physician.

Effective clinical reasoning and decision making skills will aid you in recognizing and managing patient’s change of condition. Oh, I failed to mention, also noting early s/s and intervening in a timing manner.

First, we need to collect relevant data about his current condition. Review the following data:

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While relevant data requires you to review current information, it also mandates that you gather new information (recall related knowledge - anatomy, physiology, pathophysiology, pharmacology, etc).

Therefore, a strong foundation of nursing knowledge is needed to help you synthesize and apply that knowledge to nursing practice (I cannot emphasize this enough).

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