...accounted for nearly 48% of all deaths.” The objectives of this case study are to review the history and physical, describe the disease process, and formulate a patient- centered education plan. Disease process Mr. Larry Garcia is a 45 year old Hispanic male. He was newly diagnosed with hypertension during a physical exam for his employment. He does not consult his primary physician regularly. His previous physical exam was six years ago. Larry is overweight and lack of physical activity. He does not smoke but drinks alcohol occasionally on the weekend. He complains of shortness of breath, dizziness, headache and blurry vision occasionally. However, he stated “I feel fine.” Mr. Garcia refused prescribe medication for his hypertension. He takes only one multivitamin daily. Larry is married and has three children. He has a stressful job as a sale representative. He is the only child. He assists both of his parents with their financial. Larry’s family medical history revealed his father had congestive heart failure and macular degeneration. His mother refused medication for hypertension. He is Catholic but attends church on religious holidays. Mr. Garcia earned an associate degree in business. The use of material is the best learning method for Larry. Gap in the education about the disease The lack of awareness,...
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...for Larry Garcia Hypertension Case Study Hypertension, also known as high blood pressure, affects about 8.1 million Americans, and is one of the leading causes of cardiovascular disease. High blood pressure is dangerous, as it increases the risk for heart attacks and stroke, which is the number one cause of death in the United States. There are typically no warning signs or symptoms associated with high blood pressure. Unfortunately, it is a life time disease once it occurs. Hypertension has multiple risk factors associated with it; middle age men have a higher risk than women, a family history of hypertension, being overweight, not being physically active, tobacco and alcohol use increases ones risk, as well as high levels of stress (Matteucci, Caple, & Pravikoff, 2011). Larry Garcia, a 45 year old Hispanic male, was recently diagnosed with hypertension during a physical exam for work. His risk factors include; being slightly overweight, does not exercise regularly, and his mother has hypertension that is not medically controlled. Larry is married and has four children. He supports his elderly mother and father financially, and his wife provides transportation to appointments and shopping for them. Larry has a high pressure position as a sales representative, which has been his career for 10 years. Larry has an associate’s degree in business, and has thought of returning to school for his bachelors, but his family obligations keep him from pursuing this. Larry states...
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...reading of 160/100mm Hg or higher. Blood pressure is recorded as two numbers the systolic pressure (the heart beats) over the diastolic pressure (as the heart relaxes.) Risk factors for cardiovascular diseases including hypertension include: increasing age, male, race (African Americans, Hispanics), diabetes, family history, high sodium diet, obesity, physical inactivity, alcohol and tobacco use. The extra pressure to the walls of the arteries from the high blood pressure can damage the arteries and organs. This risk of damage is increased the longer the pressure remains at an elevated level. This damage causes the arteries to thicken and harden increasing the risk of a heart attack, stroke congestive heart failure, and kidney failure. Larry has the risk factors that include being a middle-aged male Hispanic adult with a family history of hypertension. He is also 12 pounds above his ideal weight and has poor diet and exercise due to the many stressors...
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...Patient Education Plan for Larry Garcia Timber L. Keys NURS/427 January 14, 2013 Amy Prichard Patient Education Plan for Larry Garcia An important component of a nurse’s daily responsibilities is to provide the patient with the knowledge base he or she will need to improve their quality of life after the illness. Patient education is a central part of the practice of all health professionals. Patient education services are delivered during direct care given by health care practitioners and are also available in separate programs (Redman, 2007). This patient education plan will identify and determine how to fulfill the gaps in education regarding Larry Garcia’s newly diagnosis of hypertension. Assessment of Larry Garcia Larry Garcia is a 45 year-old male newly diagnosed with hypertension during a physical examination due to the change in his company’s healthcare and wellness policy. He has been married to his wife, Monica, for 18 years; together they have 3 children, a 15 year-old son, Mark; a 12 year-old daughter, Kelly; and another daughter Andrea who is 8 years-old. Mr. Garcia has been employed as a sales representative for the past 10 years with the same company, which is considered a high pressure position that requires meeting a monthly sales quota. In addition to his immediate family responsibilities, Mr. Garcia also claims responsibilities for his parents who are aging and need assistance on a daily basis. Physical assessment reveals a middle-aged male...
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...Review Sheet for Final Exam in GM 4640 – RBE: Latin America Format for the Final Exam: The format will be a two-hour in-class exam. You will have an essay (60% of the exam score – worth 60 points) that will be identical to the midterm. It will be closed-note, closed book exercise during the two-hour exam. You will also have 20 multiple choice questions (40% of the exam score – worth 2 points each, for a total of 40 points). As with the midterm, the essay will provide a hypothetical scenario of a company that is considering making an investment in a Latin American country. (You will not know the industry of this hypothetical company until the exam.) You will be asked to assess any TWO of the countries that we have covered since the midterm: Mexico, Costa Rica, Chile, Peru, Venezuela, and/or Colombia. The format will be identical to what you saw in the midterm, as follows: a) provide an assessment of prospects for the continuation and sustainability of market-oriented economic reforms in [ANY TWO COUNTRIES OF THE LIST COVERED SINCE THE MIDTERM]. (NOTE: In your answer, you should use the Packenham Model as a framework for your analysis. Don't just summarize Packenham, however; USE the model to assess prospects for specific current and future market-oriented economic reforms in both countries. Also, make reference to lectures/other readings, where relevant.) [MAKE SURE TO DISCUSS BOTH COUNTRIES FULLY.] AND b) discuss any other factors that might...
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...Running head: PERU AND CAPITAL DEVELOPMENT Peru and Capital Development Abstract During the 2006 election of Alan Garcia Perez, promised to improve the social condition and commanded a balance of the economic spending with an increase of social spending. With a macroeconomic performance that had increased the GDP growth and help to lower the poverty levels. Even though the economic crisis produced a strain on the financial burden of Peru at the time, the prices have begun to drop and Peruvians are proactively recovering their loses. The land is still being dominated by the elites and the higher class of mezitos. These governed entities remain in control of the structures and industries within the country. Peru and Capital Development In 1996, Republic of Peru was the world largest coca leaf producer, however as time has generated a smaller dip in the economic system, Peru is now the world’s second largest producer of coca leaf. While, Peru lags far behind Columbia; cultivation of coca in Peru declined to 36,000 hectares in 2007. With an estimated yearly rate of growth of 9.8% (U.S. Department of State), Peru continues to struggles to keep up through economic hardship and the rift of the trade. Republic of Peru is plagued with environmental issues concerning the deforestation due impart to illegal logging, overgrazing of the slopes of the costa and sierra leading to soil erosion, desertification, air pollution, water pollution. Most of the problems are due to the natural...
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...be comprised of competitive salary, bonus, and equity components, along with the opportunity to earn further financial bonuses and rewards. Google has offices around the globe, from Bangalore to Zurich, but regardless of where we are, we nurture an invigorating, positive environment by hiring talented, local people who share our commitment to creating search perfection and want to have a great time doing it. Googlers thrive in small, focused teams and high-energy environments, believe in the ability of technology to change the world, and are as passionate about their lives as they are about their work. The work culture and employee empowerment philosophy at google was apparent form the day the company was launched in 1998. The founders, Larry Page and Sergey Brin, wanted to establish Google as a company that was to be seen as a company run by the Geeks. The HR department in its alignment with the business strategy of trying to attract the best minds across the globe to work for Google, has since always aimed to become the strategic partner to the business operations....
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...The Story of my role model Mohammad Ali Mohammad Ali AKA Cassius Marcellus Clay Jr. was one of the most talented boxer’s in the world “float like a butterfly sting like a bee” quoted from millions of his fans he was born on January 17, 1942, in Louisville, Kentucky The success story of Muhammad Ali began with a simple incident. In 1954, when Ali was only 12 years old, his bike was stolen when he was with a friend at the Columbia auditorium. Boiling with rage, young Cassius encountered Joe Martin, a police officer. It was Martin who first advised him to learn boxing before he thought about fighting with anybody for revenge! This was the time when Clay began training with Fred Stoner. With Stoner’s training, Clay then won six Kentucky Golden Gloves title and many more medals. Young Cassius thus began dreaming about being a heavyweight champion at an early age. As a teenager, this boy completely dedicated himself to boxing. He practiced with unmatched fervor. His constant practice set him off from other boys. The talent and hard work is what helped him to bag all the medals even before he turned 18 years of age. With 100 wins in his amateur career, Cassius returned home to Louisville only to be shocked with unfair treatment. Cassius was refused service at a local restaurant despite all the extraordinary feats. Muhammad Ali’s childhood was thus not an ordinary life. It was the beginning that laid the foundation of a success story to inspire many others that choose this...
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...As I walked out of the airport the mid-morning sun felt like blazing fire knives on my eyes. I was incredibly tired from the eight hour flight to Germany. I wanted to crash, just like the Titanic. Before we had walked out of the fuming airport, we sat there tediously waiting for the tardy, egregious bus to show up. Hauling my boulder of a suitcase, I absorbed all the subtle differences of this German city airport. What snatched my attention the most was the traffic signs. They seemed so much more intricate and weird. We drove for a few, long, excruciating hours. The whole time I just wanted to sleep but I was so excited to be in Germany that I couldn’t fall asleep. The area we were driving trough was completely full of farms. There were endless seas of fields all around us. Before we knew, it we were suddenly in the town of Heidelberg. We rushed out of the bus like gushing water being released from a dam. The feeling of being on German soil was exhilarating and extravagant. The first thing a small group of friends and I did was go to a grocery store, and we each bought different things to make sandwiches. We bought all these strange breads and cheeses that had intense flavors, like the intense flavor a gushers fruit flavors, or the power packed taste of Sunny D. We sat around an old fountain statue and eating our sandwiches and watching people go about their day. We looked inside the bottom of the fountain and saw a shimmering pool of glistening golden light from all...
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...united and formed the Gangster Disciples. They reshaped the life of a gangster. Many gangsters have said that being G.D. was not just a thing to be involved in it was a job, an opportunity. Some have even said, “It was a lifestyle.” The Gangster Disciples turned young men into the people they wanted them to be. They changed the way you lived, acted, walked, talked, and even dressed. This was not just a gang it was any army of young men. An army that was going to get what it wanted at all cost. The Gangster Disciples influenced everything and everyone around them. The Gangster Disciples were born from two organizations. The two gangs in the beginning were Disciple Nation led by David Barksdale and Gangster Nation led by Larry Hoover. Each organization had many branches, such as Royal Disciples, Motown Disciples, and Boss Pimp Disciples of Barksdale side. On Hoover's side there were 18 gangs including; Mafia Gangster, 75th Street Gangsters, and the African Sniper Gangsters. Barksdale was tired of the senseless violence and mayhem between the black communities. (“History of Gangster Disciples”) He really wanted to stop the violence between the Gangster Nation and the Disciple Nation. Barksdale offered Hoover a partnership and equal power of the gang, which Hoover accepted (“History of Gangster Disciples”). The two gangs became one, creating one of the world's most dangerous street gangs ever, The Gangster Disciples. The Gangster Disciples represented...
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...for Larry Page’s future success in the world of computers was laid by his parents. His father Carl Vincent Page was a professor of computer science at Michigan State University and was an early pioneer in the field of artificial intelligence; his mother Gloria was a computer programming teacher at Michigan University (Notablebiographies, 2012). His parent’s passion for computers and technology was instilled in Larry at an early age; Larry’s father gave him his first computer at the age of 6. This fostered an early interest in computer technology that truly shaped his future path in life, in his own words this early exposure to technology caused Larry to become “…really interested in technology and also then, soon after, in business, because I figured that inventing things wasn't any good; you really had to get them out into the world and have people use them to have any effect. So probably from when I was 12, I knew I was going to start a company eventually” (Achievment.org, 2012). Little did he know that he would become founder and CEO of a global giant. Larry Page earned his bachelor’s degree in engineering from the University of Michigan in Ann Arbor and then moved on to Stanford to pursue a masters degree in computer engineering. After completing his masters he decided to stay and go for a Ph.D, it was during a research project in the Ph.D program that Larry met Sergey Brin who would be his co-founder of the search engine website Google (Notablebiographies, 2012). Larry attributes...
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...Website design comparison Walmart and Target websites Factor 1: Speed Speed matters when it comes to the quality of a website. It is the rate at which a website loads fast enough for customers to perform their transactions. It keeps users happy and engaged by providing a fast performing website. Using gtmetrics.com to analyze these two websites, both website loads at equal pace. Target also surpasses Walmart in request counts, page Sizes and page load times. In summary, the Target website is better than Home Depot when compared by speed. Factor 2: Appealing design Simply having a website is not enough and another important factor in building traffic to your website is the appearance of your website. I find the Walmart website more appealing than Target. The use of pictures to denote different departmental categories and the layout design makes Walmart website more attractive. Although, both website had their sale items displayed in pictures, Walmart has pictures to denote both regular and sale items. Walmart uses a color that makes user’s experience more fascinating than that of Target. Navigation on the Walmart website is easier with these aforementioned factors when compared to the Target website. Factor 3: Audience Overview When comparing both Walmart and Target websites, both websites are ranked 7/10 by Google but Alexa ranking puts the Walmart website ahead of Target. In my further analysis, more users visit the Walmart website. The traffic...
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...When Nike endorsed Tiger woods in 2009 it was an extra edge for Nike over it’s competitors but when Tiger woods was accused to be engaged in a sex scandal in 2011 it not only harnessed the image of Tiger woods as a major golfer but also of the image of Nike’s which has it’s presence in all over International Markets 2. -North America-44% Europe-24% China -11% South Asian market-18% Here there is an opportunity for Adidas to gain more market share by capitalizing on these developing Markets. -Growth in greater China and other emerging markets in Asia region is an opportunity for Adidas - Focus on it’s product development Focus on new innovations To regain and increase it’s brand Value. Goolge 1. Google co-founders Larry Page and Sergey Brin expressed Google’s core values “Don’t Be Evil.” Refuse to continue censoring its Chinese search results. Preferring to hire PhDs and Academic Superstars for positions throughout the Organization. Innovation, is a long-standing priority at Google. All programmers, use up to 20% of their work time on projects they...
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...The Total Package Shulanda Sullivan COM/170 Elements of University Composition and Communication February 12, 2015 Dawn Muhammad During the 1980’s, two of the most prominent players in the National Basketball Association (NBA) was Earvin “Magic” Johnson and Michael “MJ” Jordan. They were both exciting to watch while on and off of the basketball court. Because of their business savvy, humanitarian efforts, and outstanding athletic ability, both are very interesting. The Athlete Magic Johnson was an exciting athlete. He helped orchestrate the plays that where known as “Showtime” by sports commentators. During his time with the Los Angeles Lakers, Magic Johnson had his share of challenges (Larry Byrd and The Boston Celtics), however, he and his teammates won five NBA Championships. During his career Magic received three NBA Finals Most Valuable Player (MVP) awards, three NBA MVP Awards, an Olympic gold medal, was named as one of the 50 Greatest Players in NBA History, and is a two time inductee in the Naismith Memorial Basketball Hall of Fame. Then there was Michael “MJ” Jordan, he began his NBA career with the Chicago Bulls. He swiftly began making his presence known to the NBA and the world. According to Biogrophy.com, Michael is the most decorated player of all time. Through his unbelievable slam dunks, outstanding scoring ability and his unmatchable acrobatic drives Michael became a cultural icon. Even though Michael was as great scorer, a NBA Championship eluded...
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...1. Who is the founder of Wikipedia? When was it found? Where is the company located? How many servers store the information? Who owns Wikipedia? Define Wikipedia. The founder of Wikipedia are two internet entrepreneurs named Jimmy Wales and Larry Sanger. Wikipedia was launched on January 15th, 2001. The Wikipedia company headquarters is located in San Francisco, California. As of 2012, Wikipedia has 339 servers. There is no one person that owns Wikipedia. It is a crowd sourced encyclopedia with over 75,000 active registered editors from around the world, plus an uncountable number of unregistered editors who are all working together to try to make sure the information on Wikipedia is truthful and accurate. Wikipedia is a free, open content online encyclopedia created through the collaborative effort of a community of users known as “Wikipedians.” Anyone registered on the site can create an article for publication; registration is not required to edit articles. 2. Describe the criticisms regarding Wikipedia. Why does the site generate controversy? The most prominent criticism of Wikipedia is that it is not a primary source. For that reason, much of the information that is provided on the site often cannot be trusted. Because the website is an open content encyclopedia, any person in the world can log in to the site and edit any topic within the encyclopedia. This can, and often does, lead to incorrect postings containing faulty information. For instance, some of...
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