Sallie Mae Fisher is a recently widowed‚ depressed‚ 82-year-old-female with congestive heart failure (CHF)‚ atrial fibrillation‚ and hypertension. She has been hospitalized four times for CHF exacerbation. With limited family support‚ and a long list of medications‚ she is having difficulty managing her CHF. During a home health visit‚ the nurse and nursing student assess Sallie Mae and identify several concerns. Subjective Information Subjectively‚ Sallie states‚ “My mind just feels so cloudy”
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Problem 1 The client shows symptoms of Iron deficiency anemia‚ evidenced by the preliminary work up and symptoms. Microcytic anemia is defined as the presence of small‚ often hypochromic‚ red blood cells in a peripheral blood smear and is usually characterized by a low MCV (less than 83 microns). Iron deficiency is the most common cause of microcytic anemia. The absence of iron stores in the bone marrow remains the most definitive test for differentiating iron deficiency from the other microcytic
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These hospitalizations are one of the problems and evidence that Mrs. Fisher’s cardiac condition is worsening. Her CHF and A-fib are causing fluid retention and increased cardiac pre-load‚ decreased cardiac output‚ compromised coronary circulation‚ which is resulting in angina‚ dyspnea‚ and weakness (Copstead‚ 2013; GCU‚ 2013a). Numerous cardiac medications demonstrate an attempt to treat these signs and symptoms (GCU‚ 2013b) but Mrs. Fisher may neither truly understand her disease process‚ nor
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what is the reading about. This usually happen when they are reading about a topic that they are familiar with. A reading examples of a task that I have performed recently was reading a letter that I received in the mail. The letter was from Sallie Mae. As soon as I read the first sentence I was able to know what was the letter about without reading the entire letter. Just like it stated in the book‚ "This perspective is called a "constructive view" because readers actively construct cohesive
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whether a business’ customers are consumers or organisations‚ it is the job of marketers to understand the needs of their customers. In doing so they can develop goods or services which meet their needs more precisely than their competitors. The problem is that the process of buying a product is more complex than it might at first appear. Customers do not usually make purchases without thinking carefully about their requirements. Wherever there is choice‚ decisions are involved‚ and these may be
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Identify and describe three strategies you can use to manage your time. Create a Prioritised to do list. To do this‚ first you must identify the goals or current tasks and list them. Then you must prioritise them on a scale of 1 to …. (1 as the most important)‚ considering urgency and difficulty. Create a work Schedule. This is a list of tasks that have all been allocated a timeframe in which to be completed or contributed to. These schedules can be reviewed and also set out on a daily‚ weekly or
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Identify and describe the factors that plays a role in the role of formation of self-concepts. Self-concepts has influenced people’s lives of all racial backgrounds for thousands of years. Self-concepts plays a huge role in life and how we view many different things in ourselves. The concept of self-concepts has been heavily impacted by social and economically. Appearance‚ income and education are the main factors that plays a huge role in the formation of self-concept. Those three developments has
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Responsible Accounting 1. Identify at least two behavioral that could arise There are two potential behavior advantages if manager accepts and participate in the responsibility accounting system and participatory budgeting system. Responsibility accounting is used to measure the performance of people and department to foster goal congruence whereas‚ participatory budgeting system is a budgeting process under which those people impacted by a budget are actively involved in the budget creation process
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"Sensory Perceptions" Name: Hye Min Shin Professor: Craig A. Munns PHI210 Week2 Assignment Date: October 20‚ 2013 ‚ Provide at least three (3) reasons for believing in the accuracy or inaccuracy of sensory information. Our senses are the connection between the world and our mind. A lot of philosophers defined our senses as the window of the soul. Every sense in our brain work hand to hand and build a combined picture of where we are‚ who we are‚ and what is
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Describe and discuss at least two features of the psychodynamic approach. (10 marks) One main feature is the defence mechanisms. One assumption of the psychodynamic approach is that the personality is split into three parts; the id‚ the ego and the superego. Defence mechanisms are an unconscious response used when the ego is in conflict with the id and the superego and they prevent the ego from harm. There are four main defence mechanisms; Denial‚ Displacement‚ Rationalisation and Sublimation.
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