Assessment: Heart Failure: Mr. Jones with past medical history of MI‚ and be came to clinic today complaining of DOE that began 6 months ago. Currently he developed edema on his low extremities‚ and he gained 13 lbs recently. His LVEF is less than 20%. His SOB is worsening in last 4 days‚ which he has a difficulty to breathe after 30 feet of walking. According to the ACC/AHA guidelines‚ his hemodynamic subset is class II‚ which he has a warm and wet due to his sign and symptoms of edema‚ ascites
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which would allow you to waiver 122 and is offered during the first week of class and other times during the semester. For more information visit gvsu.edu/testserv and click on Math placement. College Algebra MTH 122 special edition for Grand Valley State University by John
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The Damnation of a Canyon By Edward Abbey Not many people know of the used-to-be 150-mile excursion that the Glen Canyon had to offer. Not many people know how to sail a raft down a river for a week. Not many people know how to interact with nature and the animals that come with it. We seem to come from a world that is dependent on time and consumed in money. Edward Abbey is what you would call an extreme environmentalist. He talks about how it was an environmental disaster to place a dam
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Congested Heart Failure Education Sommer L. Kitchin NSG 4028 Concepts of Teaching & Learning May 16‚ 2015 Targeted Audience • Patients who have been diagnosed with heart failure also referred to as congested heart failure (CHF) including those newly diagnosed. • Family members to those with CHF‚ with a more stronger focus on those new to the diagnosis. • For those who do not have family members participating in the management of their care‚ but does have a strong support person and/or caregiver
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Canyon Ranch XXXX Canyon Ranch Canyon Ranch Health Resorts is an organization designed to inspire and motivate individuals in their quest to become a more health conscientious human being. “Canyon Ranch prides itself with being a company that can influence one’s quality of life from the moment one arrives to long after one returns home” (Applegate & Piccoli‚ 2004). The founders of Canyon Ranch (Enid and Mel Zuckerman) wanted their business to be a place where individuals could “relax‚ enjoy
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Canyon Ranch Tammy Wiseman Ohio Dominican University Canyon Ranch Question 1: Should Canyon Ranch in the Berkshires develop a clear customer relationship management strategy and make it a cornerstone of its positioning as a preeminent destination spa? (Applegate‚ 2008). Answer 1: The Canyon Ranch in the Berkshires should most definitely develop a customer relationship management strategy. A major benefit of creating a strategy could be the reduction in turnover in program coordinators.
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Case 1-3 Canyon Ranch Should Canyon Ranch in the Berkshires develop a clear customer relationship management strategy and make it a cornerstone of its positioning as a preeminent destination spa. Canyon Ranch in the Berkshires has been a profitable business for the affluent customer since 1989. Following in the footsteps of the original location that opened in 1979 in Tucson Arizona by priding themselves on their exceptional customer service and ability to reach each customers individual needs
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Beta Blockers In Case of Heart Failure Noor M. Al-Tarouti Beta Blockers in Case of Heart Failure Introduction : Beta-blockers‚ also known as beta antagonists‚ beta-adrenergic blocking agents‚ or beta-adrenergic antagonists‚ are drugs that are prescribed to treat several different types of conditions‚ including hypertension (high blood pressure)‚ angina‚ some abnormal heart rhythms‚ heart attack (myocardial infarction)‚ anxiety‚ migraine‚ glaucoma‚ and overactive thyroid symptoms. Beta-blockers
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Given the current symptoms it seems that A.O is suffering from left heart failure. Dyspnea the medical term for difficulty breathing is often an indicator of left heart failure. The clinical manifestations including dyspnea are caused by pulmonary vascular congestion and poor systemic oxygen perfusion (Huether & McCance‚ 2012). Other clinical manifestations physicians find with individuals with left heart failure include‚ coughing up mucus‚ fatigue‚ and a decreased urine output. Physicians will
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The Role of Beta-Blockers in the Treatment of Chronic Heart Failure In 1988 Sir James Whyte Black was honored with a Nobel Prize for medicine for his efforts in the discovery of the beta blocker propanolol and the histamine receptor agonist cimetidine. Beta blockers were originally developed to treat angina pectoris but were discovered to also treat hypertension‚ tachycardia‚ an myocardial infarctions. The discovery of propanolol was said to be the greatest discovery since digitalis. The mechanism
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