3. Calculate the client's target heart rate at 60% and 80% using the Karvonen formula.
Patients have needs unrelated to their illness or injury. Having spent my entire career in pediatrics, often my focus is on developmental needs and what activities can be provided that support normal development. Some needs, however, seem to be universal. The need for play, learning, and social contact are not restricted to children. Meeting the emotional and psychosocial needs of the patient without compromising the physical needs demanded by the illness or injury is occasionally a delicate balancing act, and is where the art of nursing meets the science of nursing. By collaborating with our patients and families and respecting their values, a plan can be reached that both supports their needs and involves them in their own care.
He was non-verbal and non-ambulatory, spastic quadriplegic and hydrocephalic. He had a history of asthma, and respiratory distress. Due to congenital malformation of his head, neck and trachea he suffered from obstructive apnea. He was mentally retarded with an IQ of 4 and mental age of 2 months. He could respond to his name, and was able to recognize familiar people. He was on G Tube feeding since he was two years old. He had a trach tube in place for breathing, and a sleep apnea monitor was connected to check his breathing and heart rate, while sleeping or
Vignette 1 for Developmental Delay: Demetrius is a 41 month old boy. He is an only child and lives with both parents who remain married to date. Demetrius currently resides in a split-level home, with 6 steps leading to the upper level and 9 steps leading to the lower level. His family has limited financial resources, no close relatives that live within a 1-hour driving distance, and few local community contacts. Demetrius has recently been referred to a nearby Children’s Treatment Centre to address functional issues stemming from developmental delays in multiple domains: gross and fine motor, functional emotional, and communication and language. Demetrius was diagnosed with global developmental delay at 38 months of age and is currently being
CM called Anne Hinton (IIC) to discuss continuation of services and to update IIC of what was discussed at last the face to face meeting. CM was informed that Devin did not make the basketball team. Ms. Hinton stated that she and Devin met on Friday to process this matter and they are meeting again on 9/14/16. CM and IIC discussed Devin’s progress in school and in the community. The IIC explained to CM that Devin is doing well and he is demonstrating improved self-esteem throughout sessions. The IIC stated that Devin is ready for transition. The IIC recommend to extend for IIC services for one month to work on the transition process with the youth. CM and IIC came to an agreement that Devin will transition out of CMO on October
When creating care plans for children it is so important to include the child’s family in their care as it will benefit in this case both James and his family in helping to meet his milestonesIt is especially important when creating care plans for children to include where possible the philosophy of children’s and young person’s nursing which is family centred care. (Glasper and McEwing, 2010). Family centred care does not mean that parents have to remain with their child at all-times in hospital.it Care planning is all about prioritising what is best for the patient and putting the patient first (in this scenario James) but also incorporating family centred care in the patients plan. As discussed in care plan 3, we saw how James experienced anxiety as a result of hospitalisation for the first time and how his mother also suffered from anxiety as a result of not being able to stay with James all the time. In spite of this, James’ individualised care plan alleviated this problem by assigning him a nurse that he built a trusting relationship with and by creating a home environment for him by bringing in some family photos and comforts like his blanket and favourite toys.
Ayden will have supervised visits with his biological parents: Ayden had one scheduled supervised visit with biological family. MHS made Ayden available for all schedule family visits. Ayden will maintain contact with medical team monthly: MHS maintained all schedule medical and therapy appointments. MHS provide Ayden with daily reinforcement from weekly therapy sessions. Ayden will increase and support a healthy weight as desired by medical physician: Ayden gained weight after the change of high calories milk. Ayden is getting taller and active at school with the additional therapy.
This paper will discuss a case study of Liam, a three-month-old boy who is transferred from the General Practitioner (GP) to paediatric ward with bronchiolitis. Initially, Liam’s chief health issues will be identified, following by nursing assessment and diagnoses of the child’s need. Focus will be made on the management of two major health problems: respiratory distress and dehydration, and summary and evaluation of the interventions with evidence of learning. Lastly, a conclusion of author’s self-evaluation will be present.
Which Countries are involved in this case? Describe the diplomatic relations between those countries? Are there any trade agreements, policies, sanctions, political circumstances, or diplomatic issues which would impact management’s decision to enter the market?
The strategic repositioning program starting in 1984 resulted in a reversal of the sales mix of Interco, with sum of footwear and furniture groups’ sales surpassing that of
Comments from teacher: In question 1, why do we use these equitation’s, explain and show then, i.e. ROE can go up with more leverage. More on comparables. In Q1 assumptions explained, that are then used in DCF. Max for question 1 and 2, two pages. Must power to put in Q3. Deduct tax in table 3. In DCF, show more how calculated and assumption missing about other income and corporate expenses. Table 6 to be fixed (already been done). Skip in DCF advantage and disadvantage. Do table 4 different, use Exhibit 11, value range, use median value and calculate enterprise value with multiples en deduct net debt 318,5 and get equity value. Explain better in main text footnote 12. . Use
ABSTRACT: Information Technology General Controls (ITGCs), a fundamental category of internal controls, provide an overall foundation for reliance on any information produced by a system. Since the relation between ITGCs and the information produced by an organization’s various application programs is indirect, understanding how ITGCs interact and affect an auditor’s risk assessment is often challenging for students. This case helps students assess overall ITGC risk within an organization’s information systems. Students identify
2. We have assumed that there are only two possible outcomes if the test is imperfect i.e. whatever the system turns out to be (bad or good)
In your judgment is Intel a “monopoly”? Did Intel use monopoly-like power, in other words, did Intel achieve its objectives by relying on power that it had due to its control of a large portion of the market? Explain your answers.
IDEO has a flat organization; there are no formal titles, dress codes, organizational charts or permanent job assignments. The company is made up of project teams organized around IDEO's innovation process, which is focused on constant brainstorming and prototyping; where no idea is a bad idea, in the early stages of a project, and trial and error is an expectation on the journey to getting it right. The organization is driven by team collaboration and performance, built around creativity, innovation, and idea and information sharing to develop breakthrough products and achieve customer satisfaction by understanding customer needs and input. It is an adhocracy of two core groups tied together by IDEO's