The Lee family are Hmong immigrants from Thailand living in California. Their interaction with American Physicians began when their daughter Lia had an attack of epilepsy and was quickly taken to Merced’s County Hospital for treatment. Given the fact that Merced’s hospital did not have professional Hmong interpreters to translate medical procedures‚ physicians relied on janitors and nurse’s aide who spoke Hmong. As a result‚ Lia was misdiagnosed many times before a diagnosis of epilepsy was confirmed
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1. My understanding of the business problem: There are two problems in this business that combine to make one big issue. First‚ we have a major shortage of caregivers. This is not specific to the VNA‚ it’s happening all over the country. But it’s a big problem for all agencies right now. People just don’t want to do this job because it’s hard and low-paying. Second‚ we are shortly going to be “graded” on our clients who have potentially avoidable events. All home health agencies are facing this
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Changes in interest rates on investments are also major factors that can cut in to the profit margins of an individual restaurant. These interest rates can significantly impact the overall cash flow. There is also a risk of foreign currency exchange when translating the EU into US Dollars. Although this is typically avoided due to most activities being transacted in the US‚ it is still a consideration that must be made (Chipotle Annual Reports‚ 2015). The lack of success that Chipotle has experienced
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Mr. and Mrs. James‚ your daughter‚ Ellen‚ came into the ER barely conscious. Ellen told us that for the past two days‚ she has been experiencing excessive vomiting‚ lots of diluted urine‚ being abnormally thirsty‚ having loose or watery stool‚ and experiencing some pains in her head and neck. In addition to those things‚ she told us that she has been rapidly losing weight‚ despite eating plenty of food. Although there are no recent hospitalizations on record‚ her history of past surgeries include:
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During patrol‚ I was parked in the parking lot of China Koon (905 N Broad St) when I noticed a red Toyota Pick up truck traveling west bound on E Glen Park Ave with no working tail lights. I conducted a traffic stop and curbed the vehicle at the intersection of Wiggs St and W Glen Park Ave. I contacted the driver Kyle Kyle Techentin (identified by his IL drivers license) and advised him the reason for the stop. While speaking to Kyle‚ I could smell a strong odor of burnt marijuana coming from the
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Introduction ECW made and sold decorative pottery and other household items targeted at middle-to upper-income households. Hines‚ the owner of ECW believed that her product lines were differentiated from others because ECW’s pieces were both unique and functional. Most of Hine’s whole sale operation focused on various retailers‚ including boutique shops throughout Ontario and Quebec‚ a consignment-based decorative goods chain and several franchise locations of a national pharmacy chain. She had
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1. Identify the foods in his diet that may be contributing to his hypekalemia. a. Foods that his in potassium in his diet and may contributing to his hyper kalemia include; potatoes‚ spinach‚ fruits‚ salt substitutes‚ and the bacon‚ possibly the butter on the toast 2. Which ECG changes would be typical for a patient such as this? b. QT wave is elongated 3. Formulate relevant nursing diagnosis for this patient based on the data provided. c. Risk for ineffective
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Patient X’s doctor has been trying to convince him to practice better lifestyle habits to for several years to help combat his hypertension (on antihypertensive medication for 3 years)‚ diabetes (6 years) and growing waistline. A recent routine check-up revealed a deterioration of his lipid profile (TC 260‚ TG 310‚ HDL 29‚ LDL 170) and fasting glucose of 172. Patient X is 55 years old‚ weighs 245 lbs and he is 5’10 . 1) Hypertension: Weight control to lower the risks associated with hypertension
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A. Children need love‚ care‚ shelter‚ food‚ and support to thrive B. Intro. Starletta’s‚ then art teacher’s house (Julie and Roy) who are very open and carefree and Ellen is in a good place. Grandma wins custody. Makes Ellen work in the farms for her Ellen’s grandmother‚ however‚ is insistent that Ellen is a mirror image of her father‚ a wretched man whom both Ellen and her grandmother hate. She is constantly reminding Ellen that she is just like her father and somehow wants revenge on him
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Ans 1). Omnitel entered as a cell phone operator in the Italian market in December 2000. The company introduced its service with plans that were very similar to the incumbent service provider‚ TIM. Omnitel’s perceived competitive edge was customer service focused on the areas of personal touch‚ low waiting time and one-stop calling for all questions. With this perceived advantage‚ Omnitel was targeting high value customers who wanted a better quality customer service than TIM what could provide
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