REASON FOR CONSULT: Acute on chronic renal failure. Patient is an 87 year old Caucasian male who has a history of hypertension, severe peripheral vascular disease, chronic renal insufficiency, and atrial fibrillation. He was admitted yesterday for treatment of an infected toe. The plan was to obtain an angiogram to check patients’ blood flow; however he was discovered on admission labs to have acute on chronic renal failure, patient states he is unaware of kidney problems before. He states he is able to pass his urine without difficulty, no obstructive symptoms, no history of kidney stones, no urinary tract infections, no hematosis, no dysuria, and no diabetes mellitus. Patient states he has a history of hypertension, but it has been very mild. He has had trouble with vascular disease to both legs.…
#1.) After reviewing the information in this case study, you find that Parris’ husband, Lavar, was not listening when Parris first told him to pick their daughter up from school. Explain how Lavar and Parris should use effective empathic listening and responding skills to discuss this issue.…
Brett and Kathy’s filing status used to be married, filing jointly. Although both of Brett and Kathy want to get divorce, they have not divorced considering financial pressure and their three children. From 2014, Brett begins to contribute more than Kathy do to support the home and their children. Also they want to file income tax returns separately. Thus Brett believes he can claim head of household filing status.…
In my opinion I think the VHA has not been doing enough for the Veterans they serve. I don’t think those the VHS are not serving our Veterans out of deliberate negligence on their part I believe that there is a lot red tap and bureaucracy involved I the services provide which may in turn tie the hands of the providers. In general I think its important understand how decision made at a legislative level may be directly effect how are being provide at a direct care level. I think the VHA is working to provide comprehensive care for their Veteran population. For example one area I see the VHA making strides in their services is having Women focused clinics. While womens focused health care with VHA started in 1988, in 2012 the program was modified…
The Achilles heel of most business is profit, the ability to keep up those margins and cut losses. Company Q's bottom line was too shallow resulting in the closing of two stores. Both locations were in heavy metropolitan areas with high crime rates and poor neighborhoods. Such actions can have a ripple effect on the community, causing current issues to intensify while adding to unemployment. Poverty that already existed within the community will be more prevalent now. The increase in poverty will hurt the other stores still open, as they will now be targeted for theft. Company Q 's decision to throw away day old items is not socially responsible. They are being socially irresponsible by putting needs of the company first and disregarding the needs of the community. Furthermore, Company Q is being wasteful by throwing food away that could be used by the less fortunate. Company Q is also labeling good employees as untrustworthy employees. This can create tension between owners and staff. The actions of company Q are going to hurt their business in the long run, because community and staff will notice the lack of social responsibility. People want to shop at and work for a place they are proud of and feel loyal to.…
1. The case study references one state statute. Identify it and explain what it prohibits.…
While she initially read with confidence and made good use of the punctuation, she re-read parts of sentences in the final passage indicating that she was monitoring her reading for meaning. She made 13 errors in the final reading passage. This would suggest that Keira’s reading strategies broke down with unfamiliar and more complex language, particularly polysyllabic words. This was also indicated by Keira’s CTOPP2 results for phonological awareness (standard score 82) and her single word reading WRAT4 (standard score 80). Keira’s speed of reading was standard score 90 (mid-average…
can articulate sounds slowly while breaking the words down into sounds. Shenandoah often neglects to look at the whole word. She does not recognize when line order is…
Damey’n’s oral reading total accuracy reached independent level at the primer level, which is not his grade level of 2nd grade. On his QRI assessment, the level two passage he read, which correlates with second grade, was actually his frustrational level. This goes to show that Damey’n is between by at least a year in his oral reading. He made a total of 21 miscues on the level two passage; this is in the frustrational range of…
On the GORT-5, Jarrod’s average rate was one minute and 71 seconds or 131 seconds. Jarrod reads very slow and is focused too much and pronouncing the words correctly that he is not able to make meaning from the text. Although reading comprehension was is strongest skill area in the GORT-5, research on reading…
Kimberly is a sweet and hardworking student. She is very enthusiastic about reading and love fairytale books. Kimberly struggles with reading from the beginning of the year. The area of phonics specifically had been the hardest part of the reading process for her. The Qualitative Reading Inventory (QRI) was administered on April 18th and helped as a diagnostic tool to make proper decisions and develop further an intervention plan for the student. She was struggling with the word list form the QRI assessment. She identified 12 words and scored 60 percent of a 100%. It was difficult for her to focus because her attention span is very short. Some words she was unfamiliar with or difficult to decode. It was easy to see the frustration when we…
If I use the bottom up approach to reading, she does ‘use phonics to the exclusion of all other cues in reading’ (cited by Atkinson, 2013, pg.8). Because she tends to sound out each grapheme- using synthetic phonics, before blending a word, unless it is a very simple three letter word she recognizes- she sometimes loses the…
What is the crisis experienced in Erikson’s first stage of psychosocial development? How did Chrystell resolve this stage? What was the outcome of the crisis? Was it favorable or unfavorable?…
MANILA PRINCE HOTEL, petitioner, vs. GOVERNMENT SERVICE INSURANCE SYSTEM, MANILA HOTEL CORPORATION, COMMITTEE ON PRIVATIZATION and OFFICE OF THE GOVERNMENT CORPORATE COUNSEL, respondents.…
5. Did your Bosley physician or medical technician mark the treatment area(s) for your approval?…