...fluid volume to improve cardiac output and tissue perfusion. Any increase in blood pressure, heart rate, edema, difficulty breathing, mentation changes, and weight gain indicate that therapy is not effective and that CHF is not resolving. * How would you differentiate between expected, adverse, and toxic side effects? Digoxin is used to increase contractility, which would be decreased in a patient with CHF. Digoxin may cause; visual disturbances, headaches bradycardia, nausea, anorexia, muscle weakness, and dizziness. The therapeutic range with digoxin is very narrow (0.5-2.0 ng/mL), and is toxic in excess (assess for blind spot and irregular heartbeats/pulse). Potassium levels must be monitored for patients on digoxin because hypokalemia may result from use. Never give digoxin if the heart rate is below 60 BPM, digoxin may further reduce the rate leading to cardiac arrest. Furosemide (Lasix)/diuretic therapy is initiated with CHF to reduce preload (blood volume that returns to the heart) to increase cardiac...
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...Sarah Gray @02668478 Intro to Pharmacology Case Study 4 Chapter 41 The Furosemide (Lasix) which lessen the fluid volume by escalate the amount of electrolytes and water that the kidneys are getting rid of. When there is less fluid volume the blood pressure will go down. Since her blood pressure is decreasing, the rate of her heart beat will decrease, diminish the amount of work that the heart has to do, and lowering how much fluid has built up in the lungs. The nurse needs to know how fast Furosemide (Lasix) should be given, how it work with other intravenous liquids, and what Lasix’s concentration is. The Foley catheter was ordered so it would accurately measure how much fluid was being released due to the Lasix (furosemide). The nurse should look at her blood pressure, respirations, temperature, pulse, pulse ox, and pain. He or she should also look for sluggishness and unsureness which are signs of hyponatremia; hyperkinesis, uncontrollable muscle spasm, easily upset which are symptoms of hypochloremia; thromboembolism which can be indicated by pain in lower extremities, migraine, inability to breathe, change in level of consciousness, and pain in chest. The nurse needs to let the prescriber know that all though the client’s potassium level was normal it was low in the normal range at the time the labs were drawn, Lasix can cause a drop in potassium, chloride, and sodium. He or she also needs to find out if the patient is currently on a regimen containing digoxin...
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...Summative Essay Is human intervention an ideological cover for the pursuit of other objectives? We all know what genocide is. We also heard of Holocaust and its Anne Frank diary. Such inhumane killings should not repeat in the modern history due to its immorality, and that is why we saw humanitarian interventions in Rwanda and Somalia in 1990s. However, it is questionable of what was the real purpose. I believe that humanitarian cause is necessary but not an adequate condition for any act of intervention, which can be shown by case studies. In order, I will discuss the meaning of intervention and its presumed ideologies. I will also list out the possible diplomatic objectives hid behind these actions and their significance compared to the original motives. Intervention and its ideologies: Failure from core objectives Interventions are defined as a use of threats or forces upon another nation to prevent or end violations of human rights occurred within its territory, ‘without the permission of the state within whose territory force is applied’ (Holzgrefe and Keohane, 2003: 18), implying an inevitable breach of sovereignty. We also have the non-violent resolutions such as humanitarian aids and economic sanctions, but the main focus here is on intervention involving armaments. Interventions are rooted from its core ideology: to save people. It is a ‘Responsibility to Protect’ (R2P) individuals from being deprived from basic needs, including food, shelter...
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...Running head: PYRAMID Pyramid of Intervention Gregory Boston Grand Canyon University: EDA-561 April 23, 2012 Pyramid of Intervention Ideally, each scholar should be given an equivalent opportunity for education that will lend the appropriate amount of supports that is needed to reach their educational goals and to provide for their academic needs. This right references an individual’s constitutional entitlement and it is the right of each scholar. It is the basis of their right to receive the same free and appropriate instruction as their peers. When scholars are having difficulties accomplishing their academic goals and are not achieving as excepted, adequate supports are to be provided that will promote the integration of the pupil. The Pyramid of Intervention (POI) allows for a process that supports the scholars that continue to struggle to reach designated goals. Pyramid of Intervention is a term that is assigned to apply to systems of support. Such supports collectively collaboratively make available the needed supports for the student that has difficulties using traditional strategies. The mentioned supports and accommodations that may be able to generate a significant difference in the progression of educational achievements of the struggling learner. The author of this essay will attempt to elaborate on the definition and the purpose of the Pyramid of Intervention. It also elaborates on the use of the POI, and the process of creating one for a given district...
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...provided: * Randomized Controlled Trials – An RCT is a study that measures interventions effect by randomly assigning a person or persons to intervene into a program environment where non-intervened groups can be observed as well. * Direct Controlled Trials – Environment factors can be directly controlled to test effectiveness of a weapon system or new technology expected to operate in the environments that are created and directly controlled. * Quasi-Experimental or Comparison Group Studies – those with compared to those without intervention. * Non-Experimental Direct Analysis – may be used to analyze why a program is so effective. More detailed descriptions of these basic assessment methodologies are provided by the author, who goes on to introduce one of the central challenges to developing strong evidence of a program’s effectiveness – VALID measurement of the outcome or impact of a program compared to VALID measurement of what outcomes would have been in the absence of the program. This probably leads to another supported white paper for modeling and simulation. This article goes on to support the RCT and the unique advantage it has to allow for the evaluation of the intervention itself, as opposed to other factors, that cause the observed outcomes. With large enough numbers in the intervention group, there can be no doubt that the observed differences are attributable to the intervention RCT. The random selection is...
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...The intervention session will take place at an acute inpatient rehabilitation hospital – BESTRehab. The supplies needed includes an adjustable table, chair, washcloth, a variety of bathing items (shampoo, conditioner, loofah, and a towel), a video made by the occupational therapist or found online of an individual pushing a washcloth across a table, a device such as a computer to play the video, and an educational handout. The client will first be educated on what neuroplasticity is, followed by how engaging in action-observation training will further enhance the neuroplasticity of the brain. The client will also be informed on the importance of watching their hand when they are moving, because by doing this it will further increase the client’s...
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...uses of Scripture in counseling? Scripture is the Word of God and is a fountain of wisdom. In the book of Hebrew says “the word of God is alive and active.” The most important therapeutic uses of scripture are: when personal problems arise, for example when there are feelings of guilt, anxiety, when there is suffering, trauma, stress and depression. Another therapeutic use of scriptures is in interpersonal conflicts, for example resentment family issues, marriage issues. Another important therapeutic use of the scriptures are when unfortunate events occur, for example the loss of a love one, financial problems, crisis caused by catastrophes. According to McMinn (1996) some counselors advocate using Scripture as a Therapeutic intervention for recovery groups with codependence problems, to help couples recover from sexual affairs, in child therapy using Narrative therapy and cognitive therapy using Scripture memory and meditation. In the book of Timothy, Paul says: “All Scripture is God-breathed and is useful for teaching, rebuking, correcting and training in righteousness, so that the servant of God may be thoroughly equipped for every good work”. In the book of Philippians 4:8 say “Finally, brothers and sisters, whatever is true, whatever is noble, whatever is right, whatever is pure, whatever is lovely, whatever is admirable if anything is excellent or praise worthy think about such things.” What are some cautions or possible negative impacts regarding the use of...
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...needs to be represented by a single person or multiple people everyone must communicate through the means of interventions, so that we can identify were mistakes are made and break downs in workflow occur. The three interventions identified are team design, training strategies, and leadership. Team design is important because of the individuals during nurses b’s teamwork mentioned on how they did not want to do specifics “we won’t do that again”. If people are not wanting to do specific things then other people on her team need to be cross trained. This is where training strategies falls into place to where each staff member can do different jobs. Components of team training that have the most effects on teamwork are cross-training, team coordination, and adaptation training (Salas, 2007). Nurse b explains on running around trying to get different things done to satisfy doctor’s needs. In all cases cross-training has helped out in healthcare clinics across the globe. Team cross-training is used to improve knowledge to adapt quickly in issues that arise in healthcare settings (Strang, 2012). It seems nurse b wants some structure within her team. This is where leadership as an intervention falls into place. Leadership must come up with a structure to make their team run smoothly. Teams have become dependent on components on organizational structure like interventions in hopes of facilitating performance gains of their teams (Shuffler, 2011). If nurse b had organizational...
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...focus of treatment. Indications to intervene 1. The intervention has the potential to increase the child’s comfort level (or decrease their discomfort). 2. The purpose of intervening can be clearly identified. 3. Reduction of parental anxiety could arise from the intervention. 4. Any harm that might result from intervening (e.g. increased discomfort or risk of liver damage) has been balanced against the expected benefits. 5. Symptoms associated with fever which may respond to nursing intervention include: • Flushing of the skin • Skin feels warm to touch • Thirst • Sweating • Headache • Weakness and aching of body parts • Irritability or restlessness • Dehydration associated with vomiting and or diarrhoea 6. In the case of high temperatures disorientation and convulsions may also be observed PROCEDURE To enable the effectiveness of interventions to be assessed, a baseline temperature should be taken before implementing any care. 1. Assess the need to intervene Interventions should be directed toward reducing the child’s discomfort, not the fever. Interventions should always be assessed in terms of potential risks. 2. In the first instance: • • • Remove excess clothing or wrappings. Light clothing an bedding is preferred Ensure air can circulate around the child. Do not use fans or direct air conditioner on to the child. Encourage fluids - 1/24 during the day If the child shivers, cover until shivering ceases These interventions support the body’s physiological response to infection...
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...month wait before being seen unless it is an emergency and harm may happen. If the thought of immediate harm is going to happen there are immediate services provided. The population severed is people who need counseling in different areas. The counseling is geared towards women who are victims of domestic violence. This is where a woman can receive counseling to remove themselves from the abuse and have shelter for themselves and their children. It is not limited to just women. There are programs for men and teens to receive the help they need. Other services that are available are; clinical services which are marital or family counseling, anger management support groups, parenting classes, crisis intervention such as 24 hour sexual assault hot line, child abuse intervention grief counseling following a homicide, support groups for teens and also post –traumatic stress debriefing for groups affected by violence. Another service that is provided is economic independence. This service provides people with tools to budget money or money management education. This service helps people learned how to have economic independency. There are also services provided for people who need help prevent the possibility for foreclosure There is no referral process in place but in some situations there can be...
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...ABC Model of Crisis Intervention ABC Model of Crisis Intervention Introduction Every person ultimately experiences crisis moments that may differ in content but tend have specific shared characteristics. Usually, crisis entails loss, threat, as well as the unexpected. There have been various theoretical techniques provided for assisting those functioning through crisis. Generally, the most effectual techniques tend to follow a short therapeutic model which stresses the episode isolated from other problems and seeks an action plan to mitigate the crisis. The ABC model provides a useful instrument to enhance the counseling procedure. “A” stands for basic attending skills, “B” stands for the identification of problem and healing intervention, while “C” represents coping skills (Grice, 2010). This paper employs the ABC model to attend, indentify, intervene and assist in coping in Jones crisis. ABC Model of Crisis Intervention The case study involve a report from Mr. John who claims that his neighbor who they have been sharing coffee and chats has stayed for about two months without being seen outside the house. According to Mr. John, his neighbor Mr. Jones failed to turn up for their usual morning coffee in the neighboring restaurant, since his son started coming on daily basis to check on him. The last time when Mr. John saw him, Mr. Jones had bruise on his face and Mr. John feels that something is amiss. With this regard he decided to report the matter to crisis workers...
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...INTRODUCTION The topic that I have chosen is Human Process Interventions. Human Process Interventions means derive probably from the disciplines of psychology and social psychology and the applied fields of agencies dynamic and human members of the organization". Follow the theory of human system, DeSimone and Werner (2009 ,p. 498 ) outlined that " Human system- headquartered interventions are directed at bettering interpersonal, intragroup and intergroup relation". OD packages focused extra on interpersonal dynamics and social relation. The purpose of the exchange is to make the enterprise obtain the full abilities of productiveness and profitability, to be capable to remedy it does possess problems. The first journal article based on the topic is Organisation Development and Strategic Intervention for Enterprise Sustainability: Empirical Evidence from Nigeria. Author of this article is Khairuddin Idris (Ph.D). The second article is Understanding Large Group Intervention Processes: A complexity theory perspective by the author Michael J. Arena, PhD. The last article is Evaluating Group Interventions: A Framework for Diagnosing, Implementing, and Evaluating Group Interventions by the two authors Jacob de Lichtenberg and Manuel London. Based on these articles the authors mainly concern about how to help facilitators use current intervention idea and study to consultant their observe. Other than that, the significant relationship between teamwork and performance, for that reason...
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...This is a guide and not a complete list. Always follow policies in place at your facility. Medicare Documentation • Must reflect need/reason for skilled care • Must reflect Standard of Care • Describe intervention(s) • Describe resident’s response to intervention(s) • Daily evaluation of progress or lack of progress • Resident response to skilled therapy • ADL function • Changes in condition • Change Care Plan ASAP after change in condition • Notification to MD and family Respiratory/Pneumonia Medicare Documentation • Must reflect need/reason for skilled care • Daily vital signs • Daily and PRN O2 sat level • Daily and PRN lung sounds • SOB with exertion, when sitting at rest or when lying flat • Resident’s response to interventions and skilled therapy • Progress or lack of progress • Change in condition • Change Care Plan ASAP after condition change • Notification to MD and family Bladder and Bowel • Indicate status: always continent, occasionally incontinent, frequent- ly incontinent, always incontinent • Indicate if has catheter (indwell- ing or condom, intermittent), uri- nary ostomy, or no urine output • Toileting program in progress or attempted and outcome • Constipation? Which interventions used, and results? Anticoagulant Therapy Medicare Documentation • Must reflect need/reason for skilled care • Daily vital signs • Monitor for bleeding, bruises • Monitor lab values: Be sure PT/INR...
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...Question 1:- Interventions can impact which of the following dimensions? | | | | a) organizational issues | | b) organizational levels | | c) organizational environments | | d) A and B | | Question 2:- People resist change because: | | | | a) they can’t see the benefits | | b) they don’t see the need | | c) they don’t expect success | | d) all of the above | | Question 3:- Which of the following is not considered a strategy for dealing with resistance to change? | | | | a) make change information available and salient | | b) include members directly in planning and implementing change | | c) practice active listening | | d) avoid conflict | | Question 4:- The vision process involves: | | | | a) describing the organization’s core ideology | | b) looking at desired performance and human outcomes | | c) a vivid description of the future state | | d) all of the above | | Question 5:- The organization’s identity can best be described as _________________. | | | | a) its core values...
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...unable to use the 1800MHz frequency which is Australia’s existing 4G network. The ACCC is a part of government that aims to encourage competition in a stable environment and to look after the consumer so the consumers do not believe that they are being taken advantaged of by the misleading claims. This misleading claims or a consumer being feeling cheated allows the Australian Competition Consumer Competition to intervene in behalf for the consumer. ACCC had to intervene in behalf of the consumer when apple had made misleading statements about their latest product the iPad. Australian Competition and Consumer Commission believed that apple had made misleading statements about their connectivity speed of the iPad. The basis for this intervention is to maintain or enforce competition within Australia and by the misleading claims the company apple was misleading the consumer by the reference to 4G capabilities. To maintain or even enforce competition ACCC has to intervene to allow the consumer the choice of choosing the product and to have the information about the product before making a decision on the product to purchase. ACCC intervenes to monitor or foster competition so no single market participant has enough influence to determine the going price for the good or service. In Apple’s case the misleading information can have a bearing on their decision on the product because they are unaware of the terminology of the claims represented in the advertisement. The misleading...
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