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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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 comprehend the potential side effects of her medications (GCU‚ 2013a). For these reasons‚ more nursing care‚ specifically‚ increased home health visits will be beneficial. Mrs. Fisher’s poor
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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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1.) In my opinion‚ scripted service speech and behavior are best described by the scientific management approach. The scientific method recommends studying and testing different work techniques to recognize the best‚ most efficient ways to complete a job. The four principles on which scientific management is based on are listed below a. Study each element of work to determine the “one best way” to do it. b. Scientifically select‚ train‚ teach and develop workers to reach their full
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Scripted Role Play: Historical Empathy Sun Yat-Sen – ‘Father of the Chinese National Revolution’ Sun Yat-Sen was a revolutionary nationalist who believed that the only way that China could move forward in the early 1900’s was to become a republic and adopt the west’s traditions in industry and agriculture. He was convinced that unless China did this‚ the nation was going to remain behind and backwards against dominant western powers. He led China into a revolution overthrowing the crippled
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Creating the Right Supply Chains for Your Product Marshall Fisher UPS Professor © 2007 Marshall L. Fisher Products differ Product variety Low High Forecast accuracy High Low Product life cycle Long Short Risk of obsolescence Low High Cost of lost sale Low High Functional © 2007 Marshall L. Fisher Innovative And supply strategies differ Factory focus Inventory Strategy Lead-time focus Supplier selection Product-design strategy
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American female astronaut was Mae Jemison. Mae Jemison was the first African American female to be admitted into the N.A.S.A. administration company as an astronaut. Surprisingly enough‚ Mae Jemison didn’t always want to be an astronaut when she was younger; she wanted to be a scientist. Also‚ she went though a lot of complex training to get where she is today. Mae Jemison went through a lot of hard schooling; her first mission of space travel was a complete success! Mae Jemison was the first African
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Philosophy…………………………………………………………………4 Corporate Growth and Diversity.…………………………………………………………………6 Conclusion………………………………………………………………………………………...7 References…………………………………………………………………………………………8 Figure Chart 1……………………………………………………………………………………10 Fannie Mae Fannie Mae is a leading mortgage company and one of the most financially successful businesses within its industry. Given the salient features of the organization that has culminated into its current standing‚ this report offers a brief but concise overview
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Blk 50 Lots 1-38 Phase 8 Carissa Homes Subd.‚ Punta 1‚ Tanza‚ Cavite In Partial Fulfillment of the Requirements In English III “Theories Language of Teaching and Learning” Submitted to: Ms. Melly C. Dacusay Submitted by: Sheila Mae Mamon Janelle Erika Balina Vincent Hernandez Mark Andrei Granada March 4‚ 2013 Table of Contents Introduction …………………………………………………………………………………………. 1-2 Statement of the problem ……………………………………………………………………. 3 Importance of the study ………………………………………………………………………
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