...Assignment 1 Case Formulation Student Name: Briony Leonard Student Numbers: U1063496 Examiner: James Brown Word Count: 1529 Case Introduction The video clip, Feminist Counselling (Mill Valley, CA: Psychotherapy.net, 1997) documents a one to one counselling session between Robin (the client) and her therapist Dr Lenore Walker (Psychotherapy with the Experts). Robin is a 29 year old mother, married, with a two year old son, Cameron. Robin indicated in her initial conversation with Dr Walker that she has attended counselling due to her ‘bond’ that she has developed with her son and how that she feels lost in direction and within herself as an individual. Robin has suggested that she feels that her own self-identity has become less apparent now that she is a mother. “Where does Robin the individual fit in all of that, because I’m not always going to be a mother’’ As Robin continues her session with Dr Walker, the focus shifts away from her concerns about herself and looks deeper into the relationship she has with her husband Ed, her relationships with her immediate family and also Ed’s family. The focus then shifts back to possible occupational directions for Robin. Presenting Complaints and Goals Robin initially presents with concern for her self-identity as a person as she discusses that she has solely focused herself on being a mother for the last two years. Robin appears to be lost in her direction as an individual, has a lowered self-esteem and has feelings of being a burden...
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...A CASE STUDY ON EXPLORATORY LAPAROTOMY WITH ADHESOLIYSIS, RIGHT HEMICOLECTOMY WITH PRIMARY END-TO-END ANASTOMOSIS ________________________________ In Partial Fulfillment of the Course Requirement In Surgical Nursing ________________________________ Presented to: The Faculty of Cebu Doctors’ University College of Nursing _____________________________ Submitted by: xxxxxxxxxxxxxxxxxxxxxxx Phi 2nd generation Class 2009 30 September 2008 TABLE OF CONTENTS I. Introduction ……………………………………………………………………. 3 II. Objectives ……………………………………………………………………... 5 III. Nursing Assessment……………………………………………………………. 8 A. Personal History Patient’s Profile Family and Individual Information Level of Growth and Development Normal Development at Particular Stage The Ill Person at Particular Stage of Patient B. Diagnostic Results…………………………………………………... 16 C. Present Profile of Functional Health Patterns ……………………. 17 Health Perception / Health Management Pattern Nutritional – Metabolic Pattern Elimination Pattern Activity / Exercise Pattern Cognitive / Perceptual Pattern Rest / Sleep Pattern Self – perception Pattern Role Relationship Pattern Sexuality – Reproductive Pattern Coping – Stress Tolerance Pattern Value –...
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...Advance concept of nursing I Unit 1 Nursing process The nursing process is an organized sequence of problem solving steps used to identify and to manage the health problems of clients .The nursing process is the framework for nursing care in all health care settings.When nursing practice follows the nursing process, clients receive quality care in minimal time with maximal efficiency. The steps of nursing process 1)Assesment 2)Diagnosis 3)Planning 4)Implementation 5)Evaluation Assessment An RN uses a systematic, dynamic way to collect and analyze data about a client, the first step in delivering nursing care. Assessment includes not only physiological data, but also psychological, sociocultural, spiritual, economic, and life-style factors as well. For example, a nurse’s assessment of a hospitalized patient in pain includes not only the physical causes and manifestations of pain, but the patient’s response—an inability to get out of bed, refusal to eat, withdrawal from family members, anger directed at hospital staff, fear, or request for more pain mediation. Diagnosis The nursing diagnosis is the nurse’s clinical judgment about the client’s response to actual or potential health conditions or needs. The diagnosis reflects not only that the patient is in pain, but that the pain has caused other problems such as anxiety, poor nutrition, and conflict within the family, or has the potential to cause complications—for example, respiratory infection is a potential hazard...
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...Dialysis case study A 66-year-old black male was seen by his primary provider for complaints of fatigue, anorexia, swelling of hands, face, and ankles, muscles cramps, and increased difficulty breathing. He has a 3-year history of poorly controlled hypertension related to non-adherence to the medical regimen. His B/P routinely runs in the range 155-165/92-102. His B/P today was 170/105. The client does not like to take pills and feels that they are not necessary. He also has been reluctant to modify his diet and likes to eat fried foods. He does not think his eating habits are causing any problems. Because of these symptoms, the client was admitted to the hospital for treatment and further evaluation. His lab values and renal studies confirmed the diagnosis of end stage kidney disease. Because of the severity of his problems, he was started on hemodialysis. What is the likely cause of his kidney failure? Explain your answers His kidney failure is caused by uncontrolled blood pressure and lack of treatment compliance. When you have uncontrolled high blood pressure it affects the kidneys because the blood vessels narrow and stiffen causing the nephrons in the kidney to work harder. Eventually if hypertension is left untreated it can lead to end stage renal disease because the nephrons in the kidney are no longer able to filter out the toxins such as nitrogen waste which builds up in the blood. They also are unable to maintain fluid or electrolyte balance. Eventually...
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...as eye drops or cream used to treat eye disorders, cosmetics such as eyeliner, mascara or face powder, and hair dye. The cleaning solutions used to clean contact lenses may cause reactions. Antihistamines are given to relieve the symptoms, but the person may have to take them 12 months of the year. Anaphylactic shock is the most extreme form of reaction and it can be fatal in not treated medically immediately. Anaphylaxis develops suddenly, the face, lips, tongue and airways start to swell, cutting off respiration. Anxiety, tightness in the chest and difficulty breathing are also present. Blood vessels begin to dilate (widen) causing a severe drop in blood pressure, this may lead to unconsciousness and shock. What to do if a client, or someone near you, suffers an allergic reaction: For mild to moderate reactions: 1. Calm and reassure the person, as anxiety may worsen the symptoms 2. Try to identify the allergen and remove it from the area if possible. If the reaction is to a bee sting, remove the sting by scrapping it out with a finger nail or the edge of a plastic card. Don’t use tweezers – it may break off, or squeeze it – this releases more venom...
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...2011 David Elkins Personal Ethical Belief System and Professional Ethics In the profession of human services, every professional will at some point, include his or her personal ethical standards into his or her work with clients. My personal ethics are a huge part of who I am today, and these beliefs affect every decision I make whether it is personal or professional. I believe a person’s life experiences are what shape his or her personal ethical belief system and professional ethics. A person’s morals determine what is right and what is wrong in his or her life. Everyone is responsible for his or her actions whether it is right with rewards, or wrong with consequences. Combined with these factors, worldviews also plays a huge role in the decision-making process. The framework for decisions is created from a person’s values, beliefs, morals, and personal experiences. According to Freeman, (2000, p. ix) Ethics is “the study of standards of conduct and moral judgment; moral philosophy.” Ethics is a part of philosophy and an application of what we believe is true about our reality. Every person has a right to his or her own beliefs about what is true or not. These “Codes of ethics are designed to guide practitioners, protect the welfare of clients, safeguard the autonomy of professional workers, and enhance the status of the profession” (Freeman, 2000, p. x) I believe my greatest influence came from my personal experiences. Although my mother tried to teach me right from...
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...COMPANY: Long Term Capital Management OVERVIEW: The following Case Study addresses an amazing Company called “Long Term Capital Management” (LTCM). This is a fascinating story of big time business and the ignored impact of the omnipresent timeless, Ten Early Warning Signals. These Signals can be controlled and converted into profitable success or perilously ignored at the risk of losses and eventual failure. DATE PREPARED: July 4, 2007 CASE STUDY PREFACE During our three decades of “hands on” Business Survival Consulting” assignments we would constantly push to improve Client profitability. Profit Improvement in one form or another is, of course, the foundation of a successful turnaround. During this process we clarified and expanded upon three axioms that, to a greater or lesser degree, are generally unknown and/or certainly under utilized in the quest to improve corporate profitability in American Business. These three axioms are: AXIOM ONE: “Key People Know” Who knows a company better than the key people in a company? Nobody does! The collective knowledge of key personnel, if properly focused and channeled, can be an omnipotent Profit Improvement force for top management in their Profit Improvement efforts. AXIOM TWO: “Crisis Avoidance and/or Crisis Correction” constitutes the basic operating environment of most “for profit” companies. In its most simple approximation, 20% of Businesses are generally crisis free. The next 60% of Businesses are involved in a series of minor...
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...AND II IN SPECIALTY AREA COURSE CODE: NUR 822S and NUR 829S PATIENT / FAMILY CASE STUDY (A NURSING PROCESS APPROACH) ON A CLIENT WITH GESTATIONAL TROPHOBLASTIC NEOPLASM BY: CHARLOTTE LAMPTEY SN/ADN/15/0030 AUGUST, 2016 CONTENTS * PREFACE * ACKNOWLEDGEMENT * INTRODUCTION CHAPTER ONE: OVERVIEW OF CLIENT SITUATION I. Literature review of gestational trophoblastic neoplasm CHAPTER TWO: COMPREHENSIVE HOLISTIC ASSESSMENT OF PATIENT/FAMILY I. Patient’s medical and personal history including review of the systems II.Physical examination III.Diagnostic evaluation IV.Nutritional assessment V. Psychosocial history VI. Patient developmental assessment VII.Spiritual assessment VIII.Quality of life assessment IX.Admission of patient CHAPTER THREE: ANALYSIS OF DATA CHAPTER FOUR: COLLABORATIVE PLAN OF CARE I. Presumptive medical diagnosis II.Nursing diagnosis III.Evidence-based interventions IV.Additional diagnostic procedures warranted but not done Medication to be ordered CHAPTER FIVE: DISCHARGE PLAN I. Community service and resource needed II.Client education plan III.Plans for follow-up of care CHAPTER SIX: EVALUATION PLAN Termination of care * SUMMARY * CONCLUSION * REFERENCE PREFACE The patient / family care study is an essential and relevant study undertaken on the patient and the family by a final year nursing student as part of the required curriculum...
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...university, he did his research on the Central Nervous System under the guidance of German physician `Ernst Wilhelm Von Brucke’. Freud received his medical degree in 1881and later in 1883 he began to work in Vienna General Hospital. Freud spent three years working in various departments of the hospital and in 1885 he left his post at the hospital to join the University of Vienna as a lecturer in Neuropathology. Following his appointment as a lecturer, he got the opportunity to work under French neurologist Jean Charcot at Salpetriere, the famous Paris hospital for nervous diseases. So far Freud’s work had been entirely concentrated on physical sciences but Charcot’s work, at that time, concentrated more on hysteria and hypnotism. Freud’s studies under Charcot, which centered largely on hysteria, influenced him greatly in channelising his interests to psychopathology. In 1886, Freud established his private practice in Vienna specializing in nervous diseases and soon afterwards got to his fiancée Martha Bernays, who came from a well-known Jewish family in Hamburg. In 1888, Freud started using hypnotism in his practice. But, later he dropped it and started using a method, which was being used by Dr. Josef Breuer. The method was based on the assumption that hysteria was a product of psychical trauma, which had been long forgotten by the patient,...
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...HBR C A S E STUDY For two years, DataClear has had the data analysis market to itself. But now a British upstart is nipping at its heels. Should DataClear continue to focus on its strong domestic prospects or expand overseas to head off the nascent international threat? by Walter Kuemmerle l A/HY AREN'T THEY BITING?" wondered Greg McNally as he laid V V down another perfectly executed cast. He wasfly-fishingin the most beautiful spot he had ever seen, on the Alta in Norwayreputedly the home of Scandinavia's worthiest salmon. And he had plenty of opportunity to admire the view. No fish were getting in the way. What a difference from the luck he'd had a couple of weeks earlier trout fishing at Nelson's Spring Creek in Montana. It seemed like so much more time had passed since the two-day off-site he had called there, designed to be part celebration ofthe past, part planning for the future. Some celebration had definitely been in order. The company, DataClear, was really taking off, fueled by the success of its first software product, ClearCloud. In 1999, itsfirstfull year of operation, DataClear's sales reached $2.2 million. Now, the following September, it was looking like 2000 sales could easily reach $5.3 million. At the all-staff meeting on the Friday before the off-site, Greg had announced the company's success in recruiting two more great 37 JUNE 2001 HBR CASE STUDY • Go Global-or No? executives, bringing the staff to 38.Tm more confident than ever that...
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...HBR C A S E STUDY For two years, DataClear has had the data analysis market to itself. But now a British upstart is nipping at its heels. Should DataClear continue to focus on its strong domestic prospects or expand overseas to head off the nascent international threat? by Walter Kuemmerle l A/HY AREN'T THEY BITING?" wondered Greg McNally as he laid V V down another perfectly executed cast. He wasfly-fishingin the most beautiful spot he had ever seen, on the Alta in Norwayreputedly the home of Scandinavia's worthiest salmon. And he had plenty of opportunity to admire the view. No fish were getting in the way. What a difference from the luck he'd had a couple of weeks earlier trout fishing at Nelson's Spring Creek in Montana. It seemed like so much more time had passed since the two-day off-site he had called there, designed to be part celebration ofthe past, part planning for the future. Some celebration had definitely been in order. The company, DataClear, was really taking off, fueled by the success of its first software product, ClearCloud. In 1999, itsfirstfull year of operation, DataClear's sales reached $2.2 million. Now, the following September, it was looking like 2000 sales could easily reach $5.3 million. At the all-staff meeting on the Friday before the off-site, Greg had announced the company's success in recruiting two more great 37 JUNE 2001 HBR CASE STUDY • Go Global-or No? executives, bringing the staff to 38.Tm more confident than ever that...
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...development and corporate education activities. More specifically, this guide provides opportunities for both new and seasoned educators to learn more about (1) the possibilities in teaching about organizational change and development; (2) ways to design courses or successful learning modules for diverse student audiences using Organization Development; and (3) suggested cases, activities, and other support materials that complement use of Organization Development. Overview of the Instructor’s Guide This instructor’s guide is divided into four parts. PART 1 provides an introduction to Organization Development: A Reader. It discusses the overall purpose and content of the book, the philosophy and central tenets that underpin it. PART 2 explores teaching with Organization Development. It contains chapter-by-chapter summaries and suggested ways to think about teaching various kinds and levels of OD and change courses. PART 3 provides a sample syllabus for a graduate-level change course, learning modules on consulting skills, teaching activities, and case suggestions. PART 4 summarizes sources for cases, films, videos, and other internet-based teaching materials. How to Use This Instructor’s Guide This instructor’s guide is designed to provide something for everyone...
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...wants, better than the rivalry. Today most trades adopted the marketing concept, but this has not always been the situation. The process of doing so can be demonstrate in a sequence of stage: the situation is examined to categorise opportunities, the plan is expressed for a value scheme, planned decisions are mode, the strategy is implemented and the results are examined. http://us.123rf.com/400wm/400/400/dskdesign/dskdesign1207/dskdesign120700077/14652330-marketing-process-concept--segmentation--targeting--positioning--approaching.jpg Explanation of the various elements of the marketing process. Step 1 – swot analysis Step 2 – segmentation, targeting, positioning Step 3 – marketing mix Step 4 – implementation – go out there and sell your product no time to Step 5 – control Swot analysis An important part of the planning process is observing at the present position of the business and trying to choose how factors outside of the business might affect the business. Business do a SWOT examination as a way of determining which marketing strategy to use. The business does a review on the interior and exterior nature of the business looking at the current and upcoming condition. An audit is a review of all the business’ doings. Example of a business swot analysis KFC Strengths | Weakness | Second best world-wide brand in fast food Original 11 herbs and spices recipe Strong position in emerging china KFC is...
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...Internship Report On Janata Bank Limited and Its General Banking Activities Internship Report On Janata Bank Limited and Its General Banking Activities Supervised by: Niluthpaul Sarker Assistant Professor Department of Accounting and Information systems Jagannath University Prepared by: Akash Kumar Ghosh ID: 114599(BBA) 6th Batch Department of Accounting and Information systems Jagannath University Date of Submission: 5th November, 2015 Letter of Transmittal Date: November 05, 2015 Niluthpaul Sarker Assistant Professor Department of Accounting and Information Systems Jagannath University Subject: Submission of internship report. Dear Sir, I would like to inform you that I have completed my internship report on the topic“General banking activities of Janata bank Ltd” of Bangladesh. I have completed my internship attachment period with Janata Bank Ltd. Preparing this report, I have collected information from all available sources in the most realistic and professional way. In writing this report, I have followed the instructions of my organization while at the same time consulting my institute supervisor. I have endeavored to the utmost potential and limited constraints to project the report as reflective as possible. I earnestly hope that this report will meet your specification would be delighted to furnish you with any clarification if required. Thanks and Regards Yours Truly ------------------------------- Akash...
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...& Company Secretary Bangladesh telecommunication company ltd.(BTCL) University of Asia Pacific Study on Application of Business Statistics ------------------------------------------------- Table of Contents * Forwarding Letter * Acknowledgement * Chapter 1 => Introduction * Chapter 2 => Literature Survey * Chapter 3 => Introduction of the company * Chapter 4 => Findings of the study * Chapter 5 => Conclusion & Recommendation * Bibliography ------------------------------------------------- Forwarding Letter Date 08-02-2012 To Engr.Asaduzzaman Chowdhury Director & Company Secretary Bangladesh Telecommunication Company Ltd. Dhaka Subject: Study on Application of Statistics Sir, With due respect I would like to inform you that I have completed my research study on Application of Statistics at Agora Super Shop during 6-7th February 2012 for the course work of Business Statistics. Please see the enclosed study report of the conducted research work. Regards, --------------------------------- Nusrat Jahan Moushumi Program: MBA COURSE CODE: MSC 502 Reg. no:11206009 Roll # 09 Course: Business Statistics ------------------------------------------------- Chapter – 1 Introduction Objective of the study Statistics are used by all industries and businesses as a standardized unit of measurement for presenting...
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