case study
Julie is 45 year old mother and lives on a cropping farm, run as a
family business, with her husband and his brother. Julie has three
children same, aged 14; Katie, aged 12 and James aged 8.The two
older children attend boarding school and return home for holidays.
James is at home and attends the local primary school 50 km
away.
Both Julie's boys have type 1 diabetes that she manages.
Julie has lived with her diabetes for 37 years and has many
comorbidities due her both her diabetes and celiac disease. which
she developed as a teenager. Julie has stage 3 chronic kidney
disease, poor eyesight and osteoporosis. She is currently tryinģ to
give up smoking after having smoked since of 16.
Julie currently sees her endocrinologist in large metropolitan
hospital every three-month at outpatient clinic. It take her five
hours to drive by car to the appointment in the city a journey that
she takes with her husband. Her nephrologist is based at the
regional hospital about 2 hours drive from home.Julie engages with
a diabetes educator via phone and face to face monthly . The local
hospital is 50 km away and is small, rural hospital. with a locum
doctor and regular nursing staff, who cover the acute inpatient
ward, and community registered nurse. She attends a community
chronic diseases self management program at the local church hall
run by the community registered nurse once a week in town and does
her weekly groceries. Julie has expressed to the diabetes educator
that she need more assistance with managing her own condition. She
is concerned that her son who have type 1 diabetes, may end up with
the same comorbidities as her because she has an autoimmune chronic
condition
Question
identify 5 evidence based nursing intervention that are appropriate
to implement in planning the patient's nursing care and provide a
clear rationale for each intervention
In: Nursing
case study
Julie is 45 year old mother and lives on a cropping farm, run as a
family business, with her husband and his brother. Julie has three
children same, aged 14; Katie, aged 12 and James aged 8.The two
older children attend boarding school and return home for holidays.
James is at home and attends the local primary school 50 km
away.
Both Julie's boys have type 1 diabetes that she manages.
Julie has lived with her diabetes for 37 years and has many
comorbidities due her both her diabetes and celiac disease. which
she developed as a teenager. Julie has stage 3 chronic kidney
disease, poor eyesight and osteoporosis. She is currently tryinģ to
give up smoking after having smoked since of 16.
Julie currently sees her endocrinologist in large metropolitan
hospital every three-month at outpatient clinic. It take her five
hours to drive by car to the appointment in the city a journey that
she takes with her husband. Her nephrologist is based at the
regional hospital about 2 hours drive from home.Julie engages with
a diabetes educator via phone and face to face monthly . The local
hospital is 50 km away and is small, rural hospital. with a locum
doctor and regular nursing staff, who cover the acute inpatient
ward, and community registered nurse. She attends a community
chronic diseases self management program at the local church hall
run by the community registered nurse once a week in town and does
her weekly groceries. Julie has expressed to the diabetes educator
that she need more assistance with managing her own condition. She
is concerned that her son who have type 1 diabetes, may end up with
the same comorbidities as her because she has an autoimmune chronic
condition
Question
identify 5 evidence based nursing intervention that are appropriate
to implement in planning the patient's nursing care and provide a
clear rationale for each intervention
In: Nursing
What are 3 potential legal issues and 3 solutions that
must be discussed and analyzed in this passage?
A 40-year-old female patient requested examination by a family
physician after she discovered her husband had hidden from her that
he had multiple STDs, including venereal warts, caused by human
papillomavirus (HPV). On the patient’s first visit, a pap smear and
STD tests were performed. The STD tests came back positive for both
HPV and chlamydia. In addition, the pap smear showed cervical
abnormalities.
The patient was referred to a specialist for follow-up care, and a
biopsy confirmed the presence of cervical cancer. Both the
specialist and the family physician reached out to the patient to
discuss the results. Additionally, the family physician reported
the chlamydia result to the local health department.
After ignoring multiple calls and messages, the patient returned
the calls of both physicians and informed them she would treat the
chlamydia but was not interested in pursuing any treatment for the
cancer. Both physicians were highly uncomfortable with this
decision, as the patient was only 40 and the cancer was treatable.
They contacted a local judge to discuss options for making the
patient pursue treatment because they felt the she was making the
wrong decision.
Simultaneously, a medical assistant in the family physician’s
office noticed the patient’s biopsy results come through on the fax
machine. The medical assistant revealed information about the
patient’s condition to some of her friends, all of whom knew the
patient from church. The patient found out that her medical
information had been disclosed when her name ended up on her
church’s prayer list in the weekly bulletin, listing her as
battling cervical cancer.
The patient was eventually able to identify the source of the leak,
and she subsequently filed a HIPAA privacy complaint with the
Office of Civil Rights of the U.S. Department of Health and Human
Services naming the medical assistant and the family physician’s
office.
The family physician’s office learned of the privacy complaint and
promptly sent the patient a letter terminating her from any future
services.
In: Nursing
Prior to writing The Wealth of Nations, Adam Smith wrote The Theory of Moral Sentiments (TMS). If you recall, greed was considered evil or a sin during the feudal period. Greed will lead us to the flames of hell and so you should provide your wealth to the Catholic Church.
The purpose of writing TMS was to distinguish “good greed” versus “bad greed”.
In the movie Wall Street, greed is portrayed as bad as Gordo Gecko ( the character played by Michael Douglas wants all the money, pleasures, properties, cars …. For himself.
Now, you might consider yourself as not being greedy – but consider this. Say you are thirsty or hungry – you go to a deli or the cafeteria (whenever it opens) and purchase a sandwich and soda for say $5.00.
In one sense, you are greedy as you want to satisfy your hunger and thirst needs. But, and this was Adam Smith’s point – you gave the cashier $5.00 and the deli can pay its employees, pay for supplies, etc.
Adam Smith considers this “good greed”.
Based on this introduction, “What do you think Adam Smith was getting at when he wrote:
Every individual...generally, indeed, neither intends to promote the public interest, nor knows how much he is promoting it. By preferring the support of domestic to that of foreign industry he intends only his own security; and by directing that industry in such a manner as its produce may be of the greatest value, he intends only his own gain, and he is in this, as in many other cases, led by an invisible hand to promote an end which was no part of his intention.
The Wealth of Nations, Book IV Chapter II
Consider this, “Do you wake up in the morning and consider, “How can I save the world?” “How can I cure Covid?”, “How can I reduce racism in the U.S.?”, “How can I help society?” Like me, to be honest probably not as we have to many other things to consider.
However, indirectly we have helped society without our intention!
How did we accomplish this? Please provide least 4 experiences or examples.
In: Economics
LaTeisha was finally headed back from Nigeria! This trip had been transformational but she was also
glad to head back home to hot showers, familiar food, and a routine including her own car. Two weeks in
the rural countryside is a lot.... Abuja was her new favorite city! Her church had told them all about the
amazing work the medical missionaries did and she already had her CNA so why not? It would be a great
experience and look good on her application to PA school.
And it was incredible... she helped administer vaccines, culture strep throat, detect atypical pneumonia in
coughing children, just amazing. She was impressed by the resilience of the Nigerian villagers; they were
struggling with drought, the cows were spontaneously aborting the calves, and militias visited from the
north all too often but they quietly persevering all the same. . The villagers inspired her and she knew it
was international medicine she was destined to do for her whole life.
But now, just the morning after her flight landed in Atlanta, she wasn’t feeling so well. She felt it a little
on the plane but that could have just been her fear of lying. She was pretty sure she had a fever now. She
felt kinda achy too – knees and elbows and neck. Not so fun. She still had a week before school so she
could just be lazy and recover. She slept the day away.
The next day, things were worse. Her mom insisted she call a doctor. She was vomiting now and it was...
black. Her mom also said that her eyes looked funny, yellowish. They went to an urgent care clinic near
their house. As the PA on duty, you take her case history, temperature, blood and stool samples. Her
really low blood pressure and the color of the vomit were serious indicators
4.
The pathogen causing
LaTeisha’s illness is _______
5.
This organism is severely damaging LaTeisha’s body. How does it cause damage and what isONE virulence factor
In: Biology
You purchase 300 shares of HON at $89 per share on margin with 75% margin ratio (25% is financed by debt). If the price changes to $51.5 after 3 months (90 days), and the interest rate on the margin loan is 8%, what is your net percentage return on this position? Assume that your brokerage uses a 365 day convention for calculating daily interest rates, and that interest compounds daily. Enter answer in percents, positive for gains, negative for losses, accurate to 2 decimal places.
In: Finance
Consider a four-year project with the following information: initial fixed asset investment = $570,000; straight-line depreciation to zero over the four-year life; zero salvage value; price = $30; variable costs = $22; fixed costs = $210,000; quantity sold = 87,000 units; tax rate = 22 percent. How sensitive is OCF to changes in quantity sold? (Do not round intermediate calculations and round your answer to 2 decimal places, e.g., 32.16.)
In: Finance
Consider a four-year project with the following information: initial fixed asset investment = $600,000; straight-line depreciation to zero over the four-year life; zero salvage value; price = $35; variable costs = $28; fixed costs = $240,000; quantity sold = 90,000 units; tax rate = 25 percent. How sensitive is OCF to changes in quantity sold? (Do not round intermediate calculations and round your answer to 2 decimal places)
change in OCF/change in Q = ?
In: Finance
Question) According to the semi-strong form of the efficient markets hypothesis, ____.
Multiple Choice Answers) Please answer and explain!
a) stock prices do not rapidly adjust to new information.
b) corporate insiders should have no better investment performance than other investors even if allowed to trade freely.
c) future changes in stock prices cannot be predicted from any information that is publicly available.
d) arbitrage between futures and cash markets should not produce extraordinary profits.
In: Finance
Which of the following is/are correct regarding interest rates? Pick all the correct ones.
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Borrowers’ preference for long duration and lenders’ preference for short duration causes the term premium to be positive. |
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Bonds with greater default risk typically trade at lower yield-to-maturities. |
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An inverted yield curve serves as a negative indicator for the future state of the economy. |
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Zero-coupon bonds are less sensitive to interest rate changes compared to coupon bonds with the same time to maturity. |
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The yield curve is usually flat. |
In: Finance