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. Patients’ base line serum creatinine is 1.5 to 1.7‚ patients laboratory studies from this morning indicates a BUN of 101 and a creatinine of 3.9. ALLERGIES: Penicillin which causes
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Decision-Making Case Study XXXXXXXXXXX HCS/514 October 22‚ 2012 Professor XXXXXXXXX Decision-Making Case Study The current grave state of the economy has had a significant impact on health care across The United States. Massive budget cuts‚ reduced services‚ and limited access to care significantly have affected Medicaid patients. Hennepin County Clinic (HCC)‚ a facility that provides health care to Medicaid patients‚ is dealing with an additional 15% budget cut that will force management
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Clinical Assessment What other information would you like to learn during the interview with the family? What questions would you ask? 1. Why doesn ’t the child want to go to preschool? Are other children bullying her‚ is there a teacher that ’s doing something inappropriate‚ etc? 2. A better description of the changes in her sleep and eating patterns. Too much‚ not enough‚ etc. 3. What is she throwing temper tantrums over? Bathing‚ getting ready for bed‚ sitting down to a meal
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02971588 1 Decision making essay Decision making is important to nurses in today ’s society‚ ( Thompson et al 2002) as a number of policy and professional imperatives mean that nurses have to worry about the decisions they make and the way in which they make them. The government has produced several policy initiatives (DOH 1989‚ 1993a‚ 1993b 1913c‚1994‚ 1995‚ 1996a‚ 1996b‚1997‚ 2000‚ 2000) which have led to the creation of an evidence based health care culture ( Mulhall & Le May 1999). Thompson
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Part 1 – System Case Study New York City Subway Executive Summary A report has been conducted to form literature review on the New York City Subway‚ an engineering system‚ which analyses the systems key elements and interactions as well as the context for its operations and future challenges it may face. As the New York City Subway system is an incredibly complex engineering system that involes many vital subsytems‚ all of which have an important role in the operation of this system‚ there
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Regular Paper Case Studies of Systems Engineering and Management in Systems Acquisition George Friedman and Andrew P. Sage* 1 ‚ 2 Department of Industrial and Systems Engineering‚ University of Southern California‚ Los Angeles‚ CA 1 Department of Systems Engineering and Operations Research‚ George Mason University‚ Fairfax VA‚ 22030-4444 2
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CASE STUDIES – CHAPTER 8 CASE STUDY 1 1. Why did Freeport-McMoRan need a performance management system? • The price of copper jumped significantly in 2006‚ so they needed to ramp up production to make more profit • They needed to change their strategy on handling a changing marketplace and remaining competitive • Each mine was run separately‚ so employee organization was difficult to determine • They acquired a company which operated differently than they did‚ so they needed more standardization
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and how it can be used to develop a caring and compassionate culture within the clinical team. Firstly‚ it will discuss the notion of leadership in general terms‚ specific to health and current health policy. Secondly‚ it will consider reasons we need to develop a culture of compassion and caring with the nursing teams. Thirdly‚ it will discuss how effective leadership can inspire and develop an established clinical team and finally‚ it will link the concept of leadership to the development of a
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Clients experiencing depression who are receiving services with private practice clinicians should be adequately assessed and well educated regarding their condition. The clinician should seek information pertaining to the source of the depression‚ and a variety of treatment options should be made available for the client. I strongly agree with Dr. Goodman‚ clients should be told the truth about the causes of depression and not commonly used metaphors‚ such as the serotonin theory (Lacasse & Leo
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Electrolyte | Hypo | Cause | Clinical Manifestations | Hyper | Cause | Clinical Manifestations | Sodium (Na+) | <125 meq/L | * Inadequate intake * Hypoaldesteronism * Excessive diuretic therapy * Furosemide * Ethacrinic acid * Thiazides | * Extracellular volume contraction and hypovolemia (but may not if water excess) * Increased intracellular water; edema * Brain cell swelling‚ irritability‚ depression‚ confusion * Systemic cellular edema‚ including weakness‚ anorexia
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