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Room 815-2. P.R. is a 77 year old nursing home resident with congestive heart failure (CHF). He is a bedridden patient due to his activity intolerance. He has a total self-care deficit because even limited activity results in chest pain. At the nursing home, the nurses give him Nitroglycerin (1/150 gr) 1 tablet SL whenever he has chest pain. He has a history of three previously documented MI’s with limited left ventricular function. He has been admitted with recurrent CHF with a respiratory rate of 44, and an oxygen saturation of 88% at the nursing home. The night nurse reports hearing a S3 gallop. His morning labs are: BNP 1098, hemoglobin-7.9, hematocrit 38%, and potassium 3.0. He had an echocardiogram done last evening which showed an ejection fraction of 35%. Home medications include: captopril 25 mg BID, furosemide 60 mg daily, potassium 20 meq daily. 

1.  define all the medical diagnosis, and evaluate all data describing it as normal or abnormal and implications of that information.  

 

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February 22, 2022by

write my assignment 12455

Presented below are the financial statements of Weller Company.WELLER COMPANYComparative Balance SheetsDecember 31Assets20072006Cash$35,000$20,000Accounts receivable33,00014,000Merchandise inventory27,00020,000Property, plant, and equipment60,00078,000Accumulated depreciation(29,000)(24,000)Total$126,000$108,000Liabilities and Stockholders’ EquityAccounts payable$29,000$15,000Income taxes payable7,0008,000Bonds payable27,00033,000Common stock18,00014,000Retained earnings45,00038,000Total$126,000$108,000WELLER COMPANYIncome StatementFor the Year Ended December 31, 2007Sales$242,000Cost of goods sold175,000Gross profit67,000Selling expenses$18,000Administrative expenses6,00024,000Income from operations43,000Interest expense3,000Income before income taxes40,000Income tax expense8,000Net income$32,000Additional data:1.Dividends declared and paid were $25,0002.During the year equipment was sold for $8,500 cash. This equipment cost $18,000 originally and had a book value of $8,500 at the time of sale.3.All depreciation expense is in the selling expense category.4.All sales and purchases are on account.Instructions: a.Prepare a statement of cash flows using the indirect method.b. Free cash flow.

 

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February 22, 2022by

write my assignment 9378

34. A check drawn by a depositor for $180 in payment of a liability was recorded in the journal as $810. What entry is required in the depositor”s accounts? A. debit Accounts Payable; credit Cash b. debit Cash; credit Accounts Receivable c. debit Cash; credit Accounts Payable d. debit Accounts Receivable; credit Cash ANS: C DIF: Moderate OBJ: 08-05 NAT: AACSB Analytic | AICPA FN-Measurement 35. A bank reconciliation should be prepared periodically because a. the depositor”s records and the bank”s records are in agreement b. the bank has not recorded all of its transactions c. any differences between the depositor”s records and the bank”s records should be determined, and any errors made by either party should be discovered and corrected d. the bank must make sure that its records are correct ANS: C DIF: Easy OBJ: 08-05 NAT: AACSB Analytic | AICPA FN-Measurement 36. The bank reconciliation a. should be prepared by an employee who records cash transactions b. is part of the internal co

 

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February 22, 2022by

write my assignment 30208

Typically, adolescents eagerly anticipate their transitions to young adulthood. They look forward to supporting themselves financially, living independently, and making their own decisions. As young adults transition into middle adulthood, they will likely assume increased responsibilities. Zastrow and Kirst-Ashman (2013) state, “middle adulthood has been referred to as the prime time of life” (p. 441). Typically, adults at this stage have accumulated some satisfaction from their maturity and accomplishments.

Though young and middle adulthood may be exciting and significant times in the human life span, they also present unique challenges for the individual. This week, you begin your study of young and middle adulthood by considering its biological aspects. You explore health issues and changes in physical development during this period. You also consider how your understanding of these issues might influence your assessments of and interactions with individuals in this segment of the life span.

Required Readings

Zastrow, C. H., & Kirst-Ashman, K. K. (2016). Understanding human behavior and the social environment (10th ed.). Boston, MA:  Cengage Learning.Chapter 10, “Biological Aspects of Young and Middle Adulthood” (pp. 469-497)Temcheff, C. E., Serbin, L. A., Martin-Storey, A., Stack, D. M., Ledingham, J., & Schwartzman, A. E. (2011). Predicting adult physical health outcomes from childhood aggression, social withdrawal and likeability: A 30-Year prospective, longitudinal study. International Journal of Behavioral Medicine, 18(1), 5–12.Wilson, H. W., & Widom, C. S. (2011). Pathways from childhood abuse and neglect to HIV-risk sexual behavior in middle adulthood. Journal of Consulting & Clinical Psychology, 79(2), 236–246.

Discussion: Classifications of Life-Span Development

When did you become an adult? Was it the day you graduated from high school? Or, was it the day you moved out of your parents’ or caregivers’ home? Your description of what it means to be an adult and how and when an adolescent transitions into adulthood may differ from that of your colleagues.

The authors of your course text, Zastrow and Kirst-Ashman, use the term young and middle adulthood to identify the life-span time period between age 18 and 65. This classification distinguishes this time in the life of an individual from childhood and adolescence and from the later years of adulthood.

Is the authors’ young and middle adulthood classification a useful one? What is especially useful and not useful about the classification? What changes would you make to the authors’ classification to make it more applicable to your role as a social worker?

For this Discussion, you analyze the author’s life-span classification and suggest ways to improve it.

By Day 3

Post:

  • A new classification (or possibly multiple classifications) to replace the authors’ young and middle adulthood classification
  • A definition of your new classification(s)
  • Support for your new classification(s). for example, this support may include references to theory and empirical research findings and should reflect the current understanding of biological, psychological, and social development
  • An implication your new classification might have regarding social work practice

By Day 5

Read a selection of your colleagues’ posts.

Respond to at least two colleagues whose classifications differ from your own by critiquing their classifications. In addition, suggest one way you might apply each colleague’s life-span classification to your social work practice.

Assignment: Middle Adulthood Health, Demography, and Social Work Practice

A health crisis can occur at any phase in an individual’s life span. General health concerns, however, tend to increase with age. As a social worker, your awareness of the biological aspects of middle adulthood will inform your work with clients in this life-span phase.

In this Assignment, you address the health concerns that clients may face as they reach middle adulthood. You also address the potential impact of the environment on the health of individuals in this life-span phase.

By Day 7

Submit a 2- to 4-page paper that includes the following:

  • A description of the health concerns that clients may face as they reach middle adulthood
  • An analysis that explains how factors such as race/ethnicity, socioeconomic status, and other demographic characteristics might impact at least three of the health concerns you identified
  • An explanation of how you, as a social worker, should take these potential health concerns and the environmental factors that influence them into account as you complete your assessments

 

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February 22, 2022by