...Chapter 3 Part 1 In this chapter, the main discussion is that saying to, “do good” or to, “avoid evil” are very general statements. In order for physicians and nurses to give the proper ethical decisions/ treatment to a patient, these phrases must be put into more specific forms. Part 2 Impossibility doing all good- The amount of time, resources, and talents are limited to all individuals. A person/ community cannot do all good deeds and that is also overshadowed by the concept of avoiding all evil. The possibility of evil around every corner hinders the ability to do good. Impossibility avoiding all evil- Almost every action has a side-effect. Doing good in one scenario might cause/ risk an evil outcome. An example of this would be helping an old lady cross the street; you risk the possibility of being hit by a car. Specifications of Beneficence- most deeds that are considered good must be accepted and specified by social agreement, whether by law, media, or those in the community. Specifications of Non-Maleficence- all evil cannot be avoided. Therefore, general rules are decided to help those know which evil can be tolerated over the other. Principle of Proportionality- The action does not go against the dignity of the person, but there must be an equivalent good to permit/ risk evil. The Level of Good and Evil- Not all good and evil can be ranked equally. Some good/evil are useful for the life of an individual while others are necessary for life and dignity...
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...for hospitals and long-term care facilities in an initiative called ORYX. In 2003, The Joint Commission launched project activities to examine Children’s Asthma performance measures for inclusion in the ORYX performance measurement initiative. This work was conducted in collaboration with national children’s health care organizations, particularly, the National Association of Children’s Hospitals and Related Institutions (NACHRI), Child Health Corporation of America (CHCA), and Medical Management Planning, Inc. (MMP). An advisory panel was convened to...
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...Communicable disease outbreak - HAT Task 3 Analyze the selected communicable disease outbreak: SARS Disease overview Severe acute respiratory syndrome (SARS) is a viral respiratory illness caused by a coronavirus, called SARS-associated coronavirus (SARS-CoV). According to the Centers for Disease Control and Prevention, the illness begins with a high fever (greater than 100.4 degrees F). The fever is sometimes associated with chills or other symptoms, including headache, general feeling of discomfort, and body aches. Some individuals experience mild respiratory symptoms at the outset. Diarrhea is seen in approximately 10 to 20 percent of patients. After 2 to 7 days, SARS patient may develop a dry, nonproductive cough that might be accompanied by hypoxia. In 10 to 20 percent of cases, patients require mechanical ventilation. Most patients develop pneumonia. The disease is spread by close person-to-person contact through direct contact with respiratory secretions and/or body fluids of an infected individual. The incubation period is typically 2 to 7 days, but there are reported cases of up to 14 days. An individual is considered infectious only when they have symptoms, and are considered most contagious during the second week of illness. (Centers for Disease Control and Prevention, 2005) According to the World Health Organization (WHO), in November 2002 a SARS outbreak emerged in South China. An infected medical doctor who had treated infected patients...
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...Chapter 4 1. Explain what is meant by a chronic and acute health impairment. * Chronic Chronic is when the health impairment is long term. Chronic health impairments are defined to last more than a year after the first diagnosis. One example is diabetes. Pg. 83-84 * Acute Acute is when the health impairment is short term. Acute health impairments are ones that can be helped in a shorter time and not lasting over a life span. Pg. 83 2. Describe the impact of visible versus invisible related to health impairments. * When an impairment is visible there are more precautions and adaptions made. Pg. 84 * The people that interact with the person with a visible health impairment would know and not be surprised when something happens. Pg 84 * Although when health impairments are invisible some people may not be known as really ill and get the treatment and excess aid they need. Pg. 84 * They also may interact in activities that could be dangerous to them. Pg. 84 Asthma 3. Define Asthma and provide 4 facts about it. * Definition * Asthma is the most common pulmonary disease of childhood. Pg. 84 * 4 Facts * Asthma can begin in infancy or develop later in life. Pg. 84 * Asthma is a disease in result of many factors in that genetic predisposition interacts with circumstances in the environment. Pg. 85 * It develops beginning with allergen-induced inflammation followed by a consolidation phase characterized...
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...The Effects of Asthma on African Americans Omari Steed HCS/245 September 23, 2013 Frances Keeler The Effects of Asthma on African Americans Asthma is a chronic respiratory condition that affects all populations without racial, ethnic, or gendered prejudices. Although many communities endure the suffering associated with this life-threatening disease, studies have shown amplified numbers among African Americans. Of the 25 million Americans who have asthma, in 2010, more than four million were reported to be African American (Patient-Centered Outcomes Research Institute [PCORI], 2013). Not only are they more susceptible to developing it, but African Americans are also at higher risk of asthma related deaths as well (Silvers & Lang, 2012). There is no doubt that the disparities presented are a stark reminder that we, as a nation must convey the severity of asthma and its threat on African Americans. What is Asthma? Asthma is a common disease that affects the lungs, and lives, of 25 million Americans (PCORI, 2013). The disease itself will narrow and inflame the airway passages, making it difficult to breathe. People plagued by asthma experience many symptoms some of which include wheezing, coughing, shortness of breath, and chest tightening (US Environmental Protection Agency [EPA], 2013). The symptoms can range from mild to severe and even life threatening. Asthma is a lifelong battle. There is no cure for the disease; however, asthmatics learn to...
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...LIVING WITH ASTHMA What I Already Knew / What I Wanted to Know “Well, Annie, it looks like you have asthma,” our family physician informed me. I could not believe what I was hearing. I thought that I had been suffering from a very stubborn cold. Questions started going through my head as I listened to Dr. Davis explain my condition. I’m in high school. Aren’t I too old to get asthma now? How can I stay on the softball team? Will I still be able to go on camping and hiking trips with my family? I already knew that asthma is a chronic disease which affects the lungs and that certain medications help control the number and severity of asthma episodes. (That’s when the coughing and wheezing start.) I didn’t know much more than that. I needed to know more about what might trigger an asthma episode. Will I be able to keep up with other players on the softball team? Are there certain types of trees and plants that I should avoid? After much pleading and negotiating on my part, my parents had finally agreed that our family could have a dog. Will I be able to live with it? I made a list of the things I needed to know. From that list, I was able to form my research question: Can I effectively manage my asthma? Later, I was able to form an answer. The Story of My Search My search took about three weeks. I began my research by doing some background reading in the Encarta online encyclopedia. That site provided a definition of the term asthma, information...
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...1. Primary Prevention/Health Promotion I think this Heath promotion would be a good topic for Lanham due to in our paper, we indicated Lanham's high rate of HIV/Asthma /Obesity and many uninsured residences. We can focus on 1) good nutrition programs, 2) physical activites and fitness 3) routine physical exams and/or 4) immunization. I think there is a wealth of information out there on these preventions. Plus if falls under Healthy People 2020. What do you guys think? I agree with HIV in teenager 11-12 Graders 2. Secondary Prevention/Screenings for a Vulnerable Population 3. Bioterrorism / Disaster 4. Environmental Issues From that plan we write the paper using the heading below for each section..... COPIED FROM JEN You will have your introduction (introducing the assignment). Then include only the following headings in your paper: Proposed Community Teaching * I would proposed teaching about proper nutrition and phycial activities and fitness and regular doctors visits. Planning Before Teaching * Economical factors such as can resident afford healthy meals and exerices (gym membership) and regular doctor's visits? Do they health insurance? * Transportation factors do resident have means to get to doctor visit? * knowledge factor such as do resident know the importance of the teaching? do they know what a healthy meal is? etc..... * Resident preception of health status. Perhaps they believe themself to be health? Epidemiological Rational...
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...First Aid/CPR/AED PARTICIPANT’S MANUAL American Red Cross First Aid/CPR/AED PARTICIPANT’S MANUAL This participant’s manual is part of the American Red Cross First Aid/CPR/AED program. By itself, it does not constitute complete and comprehensive training. Visit redcross.org to learn more about this program. The emergency care procedures outlined in this book reflect the standard of knowledge and accepted emergency practices in the United States at the time this book was published. It is the reader’s responsibility to stay informed of changes in emergency care procedures. PLEASE READ THE FOLLOWING TERMS AND CONDITIONS BEFORE AGREEING TO ACCESS AND DOWNLOAD THE AMERICAN RED CROSS MATERIALS. BY DOWNLOADING THE MATERIALS, YOU HEREBY AGREE TO BE BOUND BY THE TERMS AND CONDITIONS. The downloadable electronic materials, including all content, graphics, images and logos, are copyrighted by and the exclusive property of The American National Red Cross (“Red Cross”). Unless otherwise indicated in writing by the Red Cross, the Red Cross grants you (“recipient”) the limited right to download, print, photocopy and use the electronic materials, subject to the following restrictions: ■ The recipient is prohibited from selling electronic versions of the materials. ■ The recipient is prohibited from revising, altering, adapting or modifying the materials. ■ The recipient is prohibited from creating any derivative works incorporating, in part or in whole, the content of the materials...
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...Pulmonary Problems Chapter 10 Pneumonia is inflammation of the lungs resulting in consolidation Obstruction in gas exchange on the alveolar level Aspiration most common cause 2nd most frequent cause is droplet inhalation Least likely cause is blood borne Protein rich fluid move into the alveoli- complicated by production of the organism- result is decreased alveolar surface area-resulting in elevation of pco2 and a decrease in po2 Inspection-tachypnea and central cyanosis Percussion-dullness Palpitation-tactile fremitus Auscultation-crackles, rhonchi, wheezing, or egophony Diagnosis-labs, chest xray Ct not recommended unless anthrax is suspected Bronch-immunocompromised individuals and patients who have not responded to treatment Xrays Focal- bacteria Interstitual-viral Rapid progression/ multifocal- legionella, pneumococci, staphylococci Medialstinal widening without infiltrates- inhalation anthrax Tamiflu within 48 hours to be effective HAP-received care in a health care institution for at least 2 days in the last 90 days prior to infection VAP- pneumonia within 48 hours of intubation HAP more difficult to treat compared to CAP COPD- include emphysema, chronic bronchitis, and small airway disease Emphysema-structural change via destruction and enlargement of alveoli Chronic bronchitis- chronic cough and mucous production Small airway disease-generalized narrowing of bronchioles, may include asthma COPD-4th leading cause of death in United States ...
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...Chapter 1 Page 30 evens 2. 481 4. 415.0 6. 242.31 8. 569.85 10. 414.01 12. V22.0 14. 131.03 Page 48-49 all 1. K35.2 2. Z85.3 3. R07.2 4. I26.09 5. J15.4 6. E05.20 7. Q89.2 8. M19.071 9. J20.9 10. I25.119 11. K55.21 12. Z34.02 13. S72.142A 14. M32.14 15. I63.239 16. B17.11 17. A59.02 18. D3A.020 19. N13.8 20. C91.01 Chapter 2 Page 65 Evens 2. 47.09 4. 86.62 6. 98.02 8. 68.41 10. 81.23 12. 79.35 14. 22.62 Page 86-87 All 1. 0DJ08ZZ 2. 0HBUOZZ 3. 041L0KL 4. 0UN74ZZ 5. 0SG10A1 6. 0TP98OZ 7. 0XMJ0ZZ 8. 0W9G3ZX 9. 0Y6M0Z9 10. 0TY10Z0 11. 0DQE0ZZ 12. 0Q5G0ZZ 13. 02RG38Z 14. 02703ZZ 15. 025N8ZZ 16. 05CD0ZZ 17. 0SWD0JZ 18. 0UCB8ZZ 19. 0TF6XZZ 20. 0D848ZZ 21. 0HXKXZZ 22. 02VR0CZ 23. 04LE3DT 24. 0W4M0K0 25. 0H0V0JZ 26. 00HV3MZ 27. 0UQG0ZZ 28. 0BP10ZZ 29. 009000Z 30. 0W3G0ZZ Chapter 3 Page 100-102 All 1. In the discharge summary the doctor had put the diagnosis of what he had found with the patient. He said nothing about the testing there for the coder should not have coded the tests. 2. Medicare and Medicaid 3. Principal diagnosis is the condition established after study to be chiefly responsible for occasioning the admission of the patient to the hospital for care. 4. Other diagnosis are all conditions that coexist at...
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...Discussion Question Chapter 5 1. If I was teaching this course I would use the 5 step training process and combine the advantages and disadvantages. 2. On the job training might take the form of the coaching/understudy method, job rotation, or special assignments and committees. 3. I think that the cultural insensitivity refers to the different type of cultures and races around the world and it might translate into loss of business because if there’s not a diversity then the employees will feel like they don’t belong in the work place and customers won’t go into the business because they feel that there’s a preference 4. I would go and talk to my professors boss because they should be noticing because I will probably be one of the many complaining Discussion Question Chapter 6 1. Tools | Pros | Cons | Graphic Rating Scale | Simple to use; provide a quantitative rating for each employee | Standards may be unclear; halo effect, central tendency. | Bars | Provides behavioral “anchors.” BARS is very accurate. | Difficult to develop | Forced distribution method | Ends up with a predetermined number of people in each group. | Appraisal results depend on the adequacy of your original choice of cutoff points. | MBO | Tied to jointly agreed-upon performance objective | Time consuming | 2. I would use alternation ranking by judging my employees on performance but based on objective criteria. 3. (a) Halo Effect: It is the tendency of the raters...
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...This is intended as a guide and not all inclusive. The material for OB Exam 1 will be over Chapters 9,10, 11, 12, 19, 20 in your textbook. Chapter 9 1. Intimate Partner Violence- the actual or threatened physical or sexual violence or psychological/emotional abuse. It includes threats of physical or sexual violence when the threat is used to CONTROL a person’s actions a. Incidence pg. 215 b. Definitions c. Characteristics pg. 216 d. Types of Abuse/Violence pg. 217- emotional, physical, financial and sexual e. The Cycle of Violence- box 9.1 pg. 217; pg. 216-217 paragraph i. Phase 1- Tension building ii. Phase 2- Acute battering iii. Phase 3- Honeymoon f. Myths and Facts About Intimate Partner Violence- pg. 217-218; Table 9.1 pg. 218 g. Victims/Abuser Profiles pg. 217-218 h. How Intimate Partner Violence affects Pregnant Women pg.218-219 i. Nursing Care and Management (p. 220-225) j. Sexual Violence and Abuse pg. 225 iv. Terms- pt. 225 - sexual abuse, incest, rape, female genital mutilation, human trafficking v. Myths and Facts about Rape Table- ph. 227 Table 9.2 vi. Nursing Management and Teaching needed Chapter 10 2. Fetal Development k. Stages-pg. 238- preembryonic (fertilization through the second week) , embryonic (end of the second week through the eighth week), and fetal (end of eighth week until birth) l. Vocabulary ...
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...Acknowledgement We would never have been able to finish our dissertation without the guidance of our neighbors, help from friends, and support from my family. We would like to express my deepest gratitude to my advisor, Mrs. Modie Flores, for her excellent guidance, caring, patience, and providing us with an excellent atmosphere for doing research. We would like to thank our Parents, who let us experience the research of Malunggay Cupcake in the field and practical issues beyond the textbooks, internet, patiently corrected our writing and financially supported our research. We would also like to thank Menchie Hermones, and Ludy Balagosa, for guiding our research for the past several weeks and helping us to develop our background in biochemistry. We would like to thank our Classmates, who as a good friend, was always willing to help and give their best suggestions. It would have been a lonely lab without them. We would also like to thank our parents, two elder sisters, and elder brother. They were always supporting us and encouraging us with their best wishes. We give thanks to God almighty for giving us the understanding, knowledge and wisdom during the course of our study. Finally, we would like to thank our classmate Auntie, Sally Barral. She was always there cheering us up and stood by us through the good times and bad. Dedication ...
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...establish the mood in the first 3 chapters of the novel? Introduction Willam Golding creates an evil mood in Lord Of The Flies. But how does he do it? He does it in 3 main ways. Read on to find out more. Chapter 1 In chapter 1, Golding introduces the novel's major characters as well as its theme: that evil, as a destructive force in men, society and civilization, is in all of us. To illustrate this theme, Golding uses several motifs: civilization vs savegery, human nature vs animal nature, technology vs nature, and the intellegent vs the physical. As the characters interact with each other and their environment, so do the forces they represent. By making the characters interact with these forces, it allows Golding the opportunity to compare and contrast between both forces and characters. The novel opens with a description of “the long scar smashed into the jungle”. This signifies to the audience that the plane has crashed on an island without civilization. It also makes the forces contrast between each other (technology vs nature). This is a persuasive technique used by Golding to make the audience want to read more. Ralph is elected as leader for superficial reasons. He is a a charming, handsome boy who appears to be in charge because of his use of the conch, which functions for him at the moment of his election as a symbol of authority. Although it was Piggy's quick thinking to use the conch to summon the others, hampered by asthma, he must allow Ralph to do the...
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...Anushay Jan 1, 2012 Outline for Speech to Inform Topic: Stress Purpose: to inform Specific purpose: to inform the audience about how our reaction to stressful situations allow us to cope, one way or another, with adverse conditions. I. Introduction A. Attention Getter: How many of you have heard the myth THAT STRESS CAN TURN HAIR GRAY, STRESS CAN CAUSE HAIR LOSS?? Well, there is some truth to that. B. Credibility: I have been there where “I had too much to do and too little time”, which means stress. Zimbardo, author of the 2009 book Psychology Core Concepts, which I used as my primary source for this speech, stated that everyone suffers from stress to a greater or lesser degree throughout their lives and people cope with it in different ways, some positive some negative. E. Importance to Audience: By the end of my speech, each of you will have new knowledge about the stress we face on a daily basis. D. Thesis/Preview Statement: Stress is caused by many things in one’s immediate environment. Today, I am going to outline the three basic categories of stress: acute stress, episodic acute stress, and chronic stress. My goal is to inform you, so you can become more knowledgeable about characteristics of stress, its symptoms, duration, and treatment approaches. II. Body A. Acute stress is the most common stress. 1. Acute stress, also known as “Alarm stage,” is both thrilling and exciting. In the chapter where the author discusses physiological responses to stress...
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