...The Feeding Tube Class HSA 515 Assignment 4: The Feeding Tube Write a 4 to 6 page paper based on your answers to the corresponding questions for the following scenario: Scenario: June, a 34-year-old divorced woman diagnosed with severe anorexia, is hospitalized. Her doctors feel she may need to be placed on a feeding tube soon to save her life. Initially June agreed to the feeding tube. However, in the evening (before the tube has been placed), she became combative, disoriented, and refused to have the feeding tube placed. Her mother and father insisted that the feeding tube be inserted despite her refusal to allow it. Her ex-husband wishes to uphold June’s decision. The hospital administrators seek risk management for legal counsel. Utilize your Showalter textbook and at least two other sources to answer the following questions: 1. Explain how the Patient Bill of Rights applies to this situation. The U.S constitution is called the supreme law of the land because it sets standards against which all other laws are judged. The constitution is a grant of power from the states to the federal government. The constitution is a grant of power from the states to the federal government. This grant of power to the federal government is both express and implied. The U.S congress levy and collect taxes, borrow and coin money, declare war, raise and support armies. Congress may also enact laws that are necessary and proper for exercising these expressive powers. ...
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...EC330 Assignment 7 Jan. 29 2013 Children are comfortable when they are eating and sitting in furniture that is the right size to sit in. Their feet should be flat on the floor. As far as eating utensils, should be child size and non-breakable for safety reasons. Spoons and forks with should be used with small blunt tines to be better handle. Use plates that has dividers to reduce frustration from getting foods mixed together. Small plastic cups to be easy to hold and reduce spilling. As far as food, finger food encourages self-feeding and easy to handle. For example; meats and cheeses cut in cubes or strips, especially fruits. Cleanliness is very important when preparing, serving and eating foods. Teachers and toddlers should wash before and after handling or eating food. Some feeding concerns are some toddlers may be allergic to foods such as; citrus juice, egg, chocolate and especially peanut butter. Symptoms are running nose, diarrhea, hives and eczema. Colic is also one too, it causes cramping and long periods of crying. With picky eaters, have the children help with planning the menu for the day and have them go to the grocery store to pick out different types of foods. Also have them try a new item each day along with their normal foods that they have. Don’t give up trying, for me its taking a long time for my girl to try something besides chicken fingers and mashed potatoes. Now being twelve years old...
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...responsibility to make choices both in education and in everyday life. When he or she is presented with a task or an obstacle, they are offered two or more solutions to choose from. For example, in college a paper is presented with a requirement of two thousand words or more. His or hers choice would be whether to complete the writing assignment or not too. That is ultimately their “choice.” Pursuing further in relation to choices, he or she also has an obligation of having personal responsibility. As a student he or she may believe they are obligated by a parent, grandparent or even obligated within to complete his or her degree. Completing the paper and passing a course leads directly to another point regarding obligations found in everyday life. If an individual is a mother, wife, etc., she may have other obligations that tie her down, forcing her to make a choice in relation to what is best at the time. However, this person has a benefit to completing their education online. This benefit allows flexibility in their life to complete an obligation such as feeding a child first then allowing them to come back at a later time to complete the assignment. This allows her to keep her family at the top of her priority list...
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...feel confident about making her own decisions * Relies on other to do so even if it may not be best choice for herself * Has never made decisions about her life, but wants to become more active * Spoke about strategies she can use to promote for herself more * State her opinion, ask others for advice, take their advice into consideration and then make a decision based upon facts 12/4/2013: * Spoke about study skills and how to improve grades * Created schedule of day after school * Went through techniques she can use to ensure she has the correct homework written down * Talking to teachers at the end of the class to make sure the assignment is correctly written down * Came up with methods to help her while doing work * Taking notes during reading assignments, writing down questions that she gets stuck on during math, writing down information in Spanish she is unclear about * Agreed to try, but had little faith in these methods workds 12/13/2013 * Met with Rachel today * Came to me expressing concern about having failed a Spanish test * Explained she has no study skills- usually could just get by * Spoke about what she does to prepare for exams * Doesn’t like doing homework * Spoke about the purpose of homework is and why she should do it 12/19/2013: * Spoke about where...
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...FLAME | Emotional Intelligence | Home Assignment | | Yash Merchant | 3/15/2012 | The following document has the 4 questions out of 5 that I have chosen to answer. This is the home assignment. | 1. Give any one definition of Emotional Intelligence. Answer: Emotional Intelligence, or EI, describes an ability or capacity to perceive, assess, and manage the emotions of one's self, and of others. Our EQ, or Emotional Quotient, is how one measures Emotional Intelligence. Emotions have the potential to get in the way of our most important business and personal relationships. Due to the furious pace of change in business today, difficult to manage relationships sabotage more business than anything else - it is not a question of strategy that gets us into trouble; it is a question of emotions. 2. Write a short note on the marshmallow experiment. Answer: In the 1960s, psychologist Walter Mischel performed an experiment known as the "marshmallow test" with 4-year-old children. He placed one marshmallow in front of a child and told the child it could be eaten now, but if the child waited, he or she could have an extra marshmallow. Dr. Mischel would then leave the room for 15 to 20 minutes, while cameras captured the child's struggle. Some children were unable to hold out and would eat the marshmallow before Dr. Mischel returned, whereas other children were able to control themselves in order to receive that second marshmallow. Dr. Mischel then studied...
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...Cognitive Development Richard Clark PSYC1000 Lifespan Development Paper Capella University May 2014 Abstract According to dictionary.com cognitive development. The process of acquiring intelligence and increasingly advanced thought and problem-solving ability from infancy to adulthood. The purpose o f this research paper is to determine if all infants follow the same development process from infant to adulthood. There are many questions about the development stages of a child. I am sure many people would like to know if a child is born with cognitive skills or is that develop over time David F. Bjorklund explains “One issue central to all of psychology is that of nature versus nurture. Traditionally, this has been posed as a dichotomy: Is human thought and behavior genetically/biologically determined or is it shaped by learning/experience/culture? This is dealt with in a more sophisticated way today, in that everyone is an interactionist, with the issue being better expressed as “how do biological/endogenous factors interact with environmental/exogenous factors to produce the adult phenotype?” From this perspective, cognitive development does not simply mature, or bloom, over time, nor is it solely a product of a child’s culture; rather, it emerges over the course of ontogeny as a result of the dynamic and reciprocal transaction between a child’s biological constitution, including genetics, and his or her physical and social...
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...Reflective Journal Diana McKenzie ECE 205 Introductions to Child Development Instructor: Elizabeth Vanausdeln October 16, 2015 Reflective Journal This course has really helped me to have a better understanding of how to prepare myself as an educator in providing the best developmentally appropriate practices for the necessary child development. Not only prepare me for that but prepare for all the challenges that will take place during routine transitioning time in the classroom and making sure that the classroom is a save learning environment for every child. As the educator I have to making sure that I am in control of my classroom at all times and making sure that my curriculum planning is according to NAEYC-developmental appropriate practices by referring to their guidelines at all times. I believe that every child is unique and they are our future. We must allow every child to develop and grow with maturity in these stages, emotionally, physically, and socially. Therefore as an educator I will supply them with a safe environment and help them meet their full potential with the eagerness to learn. Then teach them how to communicate with each other making them a community of learners. What has impacted your learning the most throughout this course? There are several things that have impacted my learning the most throughout this course. First, the different theories are guidelines to follow and to have a better understanding in how a child learns according to...
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...ASSIGNMENT NO – 1 VALS THEORY VALS is known as Values, Attitude and Lifestyle is one of the primary ways to perform psychographic segmentation. All three terms are intangible in nature and therefore give an idea of the inert nature of the consumer. If you know what your consumer is thinking, you would know what kind of promotions or communications will attract him most. How do you know what the consumer is thinking? This can be done by determining his VALS – Values, attitudes and lifestyle. VALS is different for different people. For example: Let’s take Income as a segment. If you are a person with high income your lifestyle would probably include habits of the SEC – A class such as dining out of home frequently and that too in top class restaurants, wearing only branded clothes and buying the best cars. Whereas if you are a middle class income group consumer, you would be more wary of spending money and would rather concentrate on savings. So now how does VALS affect a marketer? Consider the case of a Banker. What would a banker sell someone who had a high income lifestyle? Investment options with a dedicated relationship manager to take care of their needs. In fact, the bankers also have a term for high income individuals known as HNWI – High Net worth Individuals. But, if the customer’s lifestyle was that of a low income customer, you are more likely to be targeted for savings. The VALS framework The VALS framework was developed keeping a consumers resources as...
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...Gabriella Rosellinny – 14111015 Working Across Border Assignment Culture The word culture is not a foreign word to people in this world as wherever they are and whatever they do, they will always find culture in their house, their surroundings and maybe around the world. But really, what is culture? According to Moran, Harrin and Moran in Managing Culture Differences (2011, pg. 10), culture is a distinctly human means of adapting to circumstances and transmitting this surviving skill and knowledge to the following generations. It gives people a sense of who they are, of belonging, of how they should behave and of what they should be doing. Culture also impacts behavior, morale and productivity at work and includes standards and patterns that influence the attitudes and actions of a company. Culture is stated to be changing but very slow in motion. Based on the definition above, culture can be pointed as the ultimate source of human conflict as there are many cultures which are adapted in this world and these different cultures resulted to different types of politics, economics, ideologies, arts, beliefs an etc. If people, businesses and countries have the same culture, they will get along and come together. However, if they have different culture, they will not manage well together and possibly have a conflict as they all think that they are standing on what is right and the other parties are wrong. As a global person who works across border, one should understand...
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...Clinical Learning Packet – Newborn Assessment Newborn Client Initials: JS_____ Gender: M/F Date/Time of Delivery: 02/08/2013 1956_ Type of Delivery: SVD C/S IFD Vac Gestational Age by Dates:_40wks (as stated by primary nurse I could not find in chart)________ Age at Time of Assessments (hours): _13_______ APGARS: __8____ @ 1 min. ___9___ @5 min. Blood Type/Rh: Newborn (not taken per agency protocol)_______ Maternal _B+________ Blood Glucose: Reason___________________Frequency__________Last Results:______ Newborn Weight: @ birth 3.28kg__________ Current 3.26kg_________ % Weight loss:0.61%______ Length:_21in______ HC:_13.5in______ CC:_13in_____ Feeding: Breast: _x_____Formula (type): ________________ Feeding Frequency/Amount/Time:_On demand usually every two hours_ Vitamin K (date):_ 02/08/2013 ____________ Erythromycin eye ointment (date): 02/08/2013 ______________ Hepatitis B (date):_02/09/2013_____________________ Circumcision (date):_02/09/2013__________ Metabolic Screen Due:________ completed_________Hearing Screening: Pass /Fail /Reassess Comments: _Clients Bilirubin score was 3.2 at 3hrs after birth. The physician asked for it to be watched. We assessed the bilirubin score again at 14hrs after birth and received a 5.2. The bilirubin will be assessed again at 18 hours after birth and the physician will decide on a course of action at that time per agency protocol. The baby is in the High intermediate group right now although...
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...mother–infant skin-to-skin contact on breastfeeding self-efficacy of primiparous women: A randomised control trial Karimi Aghdas a, Khadivzadeh Talat b, Bagheri Sepideh c,* a Student Research Committee, Department of Midwifery and Reproductive Health, Nursing and Midwifery School, Mashhad University of Medical Science, Mashhad, Iran School of Nursing and Midwifery and Women Health Research Center, Mashhad University of Medical Sciences, Mashhad, Iran c School of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran b A R T I C L E I N F O Article history: Received 3 July 2013 Received in revised form 25 September 2013 Accepted 26 September 2013 Keywords: Skin-to-skin contact Routine care Breastfeeding self-efficacy BSES Breast feeding initiation A B S T R A C T Objective: To evaluate the effect of mother–infant immediate skin-to-skin contact on primiparous mother’s breastfeeding self-efficacy. Study design: A randomised control trial. Settings: The study was conducted in Omolbanin obstetrics hospital (large tertiary hospital), Mashhad, Iran. Participants: 114 18–35 year-old primiparous, Iranian, healthy and full term mothers who anticipated normal vaginal delivery and intended to breastfeed their babies. Intervention: Skin-to-skin contact immediately after birth and then controlling breastfeeding selfefficacy at 28 days postpartum. Main outcome measure: Maternal breastfeeding self-efficacy at 28 days postpartum and success in first breastfeeding...
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...Betty Bates AC1300186 Introduction to Ecology Assignment 8 The Northern Spotted Owl Habitat vs. Logging Interests in the Pacific Northwest The Northern Spotted Owl (Strix Occidentalis Courina) likes to live in older forest growths. It is often thought of as the medium sized owl, but in reality, it is the largest owl in North America. Spotted owls do their hunting at night. The spotted owl’s diet consists mainly of small rodents, other birds and reptiles, but have been seen feeding on cairns, and insects. Owls are usually found in California and the Pacific North West in the United States, where they live in old forest growths. (The Defenders of Wild Life). They will not tolerate habitat “disturbance” and are very protective of their territory in which they live, and hunt. Owls prefer tall trees with broken tops where they can fly under and past these broken tops, where they like to nest and raise their young. The Northern spotted owl is a protected species. Due to extensive logging, the owls and their habitat is swiftly declining at an alarming rate; they were added to the endangered species list in the early “1990s” (The Defenders of Wildlife). Unfortunately, the habitat they prefer is a direct target for the logging industry the cutting of trees in their habitat, conversion of land, wind storms, and wildfires have decreased their numbers“( example: 100 pair in British Columbia, 1200 pair in Oregon, 560 pair in Northern California, and 500 pair...
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...Pharmacy Assignment #1: Prescription Label Assessment Student: Site: ___________________________ ______________________ Date: __________________________ Preceptor Signature: ______________ Print Name: ___________________________ 1. Items on the prescription label that are required by New Jersey State Law: 2. Items on the prescription label that are not required by New Jersey State Law: 3. Overall opinion as to the overall appearance and acceptability of the label in your pharmacy: 4. Reference(s) used for this assignment: . PRECEPTOR COMMENTS (OPTIONAL): Fairleigh Dickinson University School of Pharmacy Assignment #2: Over-the-Counter Medication Assignment Student: ______________________ Site: _________________________ Date: _____________________ Print Name: ________________ Preceptor Signature ___________________ Please use the respective forms on the following pages to complete this assignment: 1. Category 1: Cough/Cold and Allergies (REQUIRED) Reference(s) used for this assignment: 2. Category 2: Women’s Health (REQUIRED) Reference(s) used for this assignment: 3. Category 3: Please indicate the category you chose for this assignment.(Select ONE of the following: Pain/Fever; Constipation/ Diarrhea; Heartburn/Dyspepsia; Smoking Cessation) Reference(s) used for this assignment: PRECEPTOR COMMENTS (OPTIONAL): Fairleigh Dickinson University School of Pharmacy Assignment #2: Over-the-Counter Medication Assignment (cont...
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...Traditional and Online School: The Choice of Success Have you ever thought of the endless career opportunities derived from a college education? Are you happy with your current financial situation? In a study conducted by the U.S. Department of Education, National Center for Education Statistics, involving young adults age 25-34, as of 2009 the median annual earnings of an individual with a high school diploma or equivalent was $32,900, while a person with a bachelor’s degree averaged $51,000 per year. With the potential of a 45 percent increase in annual wages, the obvious question is when to start college and where to go. Professional growth is dependent upon education; regardless of current life status, both online and traditional educations provide a variety of possibilities to suit all individual needs. It is important to understand that traditional schools require their students to maintain a set classroom schedule; this can consist of multiple days a week with set class schedules ranging from one hour to 3 hours. The amount of students per class varies, depending on the class structure, each course starts on a specific date set forth by the college campus. Attending class in a traditional school requires the student to go to class on campus, while this provides a stable set schedule for students; daily life provides obstacles for some people that will not make this possible. Online schools generally begin courses more often than traditional schools making...
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...this case study. You may type or clearly write this assignment. It must be legible. Responses to questions must be in your own words. Scenario M.H. is a three year old boy with cerebral palsy (CP) who has been admitted to your unit preoperatively. He will have surgery for a femoral osteotomy and tendon lengthening to stabilize hip joints and to help reduce spasticity. You are orienting the parents to the unit and have a nursing student assisting you. 1. After getting the family settled, you return to the nursing station, and the nursing student asks you to explain CP and what might have caused cerebral palsy. How would you answer the student’s question? 2. The nursing student asks what the family might have noticed that would indicate CP in M.H. when he was a baby. Which of these findings will you include in your discussion with student? (Select all that apply and state rationale) a. Head lag at 5 months b. Able to sit unassisted at 7 months c. Positive Moro (startle) reflex at 2 months d. Leg scissoring e. Right hand preference at 12 months f. Use of pincher grasp at 9 months g. Increased irritability Case Study Progress You and the nursing student finish a health history with the family and determine that M.H. has impaired vision (wears glasses), speech impairment, seizure disorder, and has had poor weight gain and feeding issues since birth. He has a skin-level feeding device (Mic-Key button). He is not able to ambulate...
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