Mr. Kelliher Case Study

Physical Examination: General: The patient is an alert, oriented male appearing his stated age. He appears to be in moderate distress. Vital signs: blood pressure 132/78 and pulse 68 and regular. Temperature is 38.56 oC (101.4 oF). HEENT:Normocephalic, atraumatic. Pupils were equal, round, and reactive to light. Ears are clear. Throat is normal. Neck: The neck is supple with no carotid bruits. Lungs: The lungs are clear to auscultation and percussion. Heart: Regular rate and rhythm. Abdomen:Bowel sounds are normal. There is rebound tenderness with maximal discomfort on palpation in the right lower quadrant. Extremities: No clubbing, cyanosis, or edema.

On December 4, 2000, two-year-old Kailyn Marie Montgomery died in her home due to severe bodily injury while under the care of Kyle John Kelbel. Kelbel was arrested at the scene and questioned several times. The jury found Kelbel guilty of past pattern of child abuse, first degree murder, and second-degree murder. On July 23, Kelbel filed a motion for acquittal and for a new trial; he claims that the evidence was insufficient to support his conviction and much less to support that he committed a past pattern of child abuse against Kailyn. Kelbel argues that the district court failed to instruct the jury that they must find him guilty beyond a reasonable doubt.

Review of the medical record indicates that he had a MVA in 1977 with C4-5 injury that resulted in him been a Quadriplegic. Due to his bedbound and immobility status he has had multiple pressure ulcers over the years that have resulted in hospital admission and rehab stays. Other medical history include, HTN, hyperlipidemia, Sacral pressure ulcer, Right hip pressure ulcer, Constipation, depression. Bilateral arm contractures, bladder cancer, prostate cancer, urostomy and colostomy, aspiration pneumonia, neuropathy and MRSA.

Mr BW had a surgical history of anterior resection for bowel cancer and had undergone a colectomy post iatrogenic perforation. He had known hypertensive and non-compliant with his medication. At the same time, he was known to be alcoholic abuse, seizure and had prostate cancer, which was treated with brachytherapy that was well controlled.

Mr. Cinton is a twenty-three-year old, Hispanic of Puerto Rican descent male. He was referred to the Evolutions Treatment facility for his Substance abuse usage. Mr. Cintron reported his struggle with substance abuse has impacted his daily functioning. The purpose of the current evaluation is to (1) assess present level of functioning, and (2) identify relevant treatment and service needs.

The patient tells me his last visit with Peter Dourdoufis, MD was just last week. I do not yet have a note from that visit. He says that he underwent an EKG and a stress test evaluation. To his knowledge, everything was okay, but he actually has an appointment tomorrow with Dr. Dourdoufis to review everything. No medication changes have been made per his report. He tells me that his blood pressures have been in a good range. Here today, his blood pressure is 126/76. He is not having problems with chest pain, shortness of breath, dyspnea on exertion or lower extremity swelling. He is still working

However, the narrative of the national threat continued to work according to Kinsman, to further the criminalization of homosexuality in the legal realm through existing offenses such as gross indecency, and the dangerous sexual offender previously designated as the criminal sexual psychopath (Kinsman, 1995, p.138). Although these offenses existed before the 1960’s they were not as heavily enforced, but the mounting hysteria of Russian spies invading and blackmailing gay men to steal information from the government shaped the way the RCMP, and local police operated. These offences are particularly important in the case of Everett George Klippert. Klippert first came to the attention of the RCMP one year after he moved to Pine Point in the Northwest

Following Worthy’s investigation, on July 2008 two more federal charges were brought against Kilpatrick. Both of the new felony charges for assaulting or interfering with an officer of the law. Both counts are for obstruction of justice, there were also another charge of assault as well, which Kilpatrick would eventually plead no contest to the assault charge. The incident occurred when two officers went to serve a subpoena to a close friend of Kilpatrick. Based off the officer who was shoved by Mr. Kilpatrick, they were grabbed him by his shoulders and threw him, knocking him into another officer while trying to hand a subpoena to Bobby Ferguson.

The patient is a 45 year old man who had GI surgery 4 days ago.  He is NPO, has a nasogastric tube, and IV fluids of D51/2saline at 100 mL/hr.  The nursing physical assessment includes the following:  alert and oriented; fine crackles; capillary refill within normal limits; moving all extremities, complaining of abdominal pain, muscle aches, and "cottony" mouth; dry mucous membranes, bowel sounds hypoactive, last BM four days ago; skin turgor is poor; 200 mL of dark green substance has drained from NG tube in last 3 hours.  Voiding dark amber urine without difficulty.  Intake for last 24 hours is 2500mL.  Output is 2000mL including urine and NG drainage.  Febrile and diaphoretic; BP 130/80; pulse 88; urine specific gravity 1.035; serum

The VA respects and values each individual client. The agency serves a variety of people from different cultural backgrounds. Therefore, the agency has several policies and practices in place that acknowledge diversity. In additional, the VA offers staff trainings monthly on various topics to include cultural competency. In the case of Mr. McNair, he was respected and valued.

This paper explores how the case analysis company, Kelecton, addresses employee concerns retrieved from an employee survey. Kelecton has 240 employees that manufactures software for utility companies. Paul, Kelecton HR Director, has been tasked to develop a draft plan that meets the intent of management which is to find thrifty solutions to the employee’s concerns. Using sources gathered from online and the assigned textbook, this paper will explain the purpose and reasoning of improving Kelecton’s employee’s concerns. Kelecton Case Analysis

normal flow of urine out of both kidneys from a blockage caused by kidney stones, a tumor,

Mr. Eberle, a 43 year old male that presented to the ED with depression symptoms, anxiety, suicidal and homicidal ideations. Mr. Eberle reports thoughts about harming himself in multiple ways. He suggested that he has had thoughts of cutting his wrist, hanging himself, and shooting himself with a gun. Furthermore, Mr. Eberle has thoughts about harming a Mr. Jenkins that sexually abuse one of his daughters a few years ago. Mr. Eberle stated " this is not the first time I had these thoughts about harming someone else and I still snap his neck with I get my hands on him." He has a history of similar presentations and inpatient hospitalization. Mr. Eberle indicates that recent conflict with his girlfriend. He reports that she will not let him

Mr. Kubryn paid into the system for thirty years, then he retired and began to draw benefits.

HIV wasting syndrome (involuntary weight loss >10% of baseline body weight) associated with either chronic diarrhea (two or more loose stools per day For 1 month) or chronic weakness and documented Fever For 1 month