This case study introduces you to Margaret McNolan, an 80-year-old woman living in a small town of 800
people near a medium sized regional city in southeast Queensland. “Marg” was previously married and has
two children, Matt (58yo) and Helen (55yo). Marg was divorced in her mid-30s but remarried Tony in her late
60s; Tony died only three years ago, although his own family remains involved in Marg’s life.
Marg’s life has been hard. She has always lived in her town, married a local man and raised her two children
there. After her first husband left suddenly, Marg had to work at the local dairy factory to make ends meet.
Her kids moved away once they left school, although Helen now lives in the nearby city. Marg is something of a
local character in the town – she’s a straight-talking, no-nonsense woman whose strident opinions on most
matters are both admired and feared!
Diagnosis and prognosis
After Tony’s death, Marg finally went to their GP about her shortness of breath and chronic cough, which she’d
put down to the exhausting demands of caregiving and, she reluctantly admitted, her decades-old, heavy
smoking habit. After investigation, it was established that Marg had chronic obstructive airways disease
(COPD) with a post-bronchodilator FEV1/FVC <0.7 In the three years since, Marg has become more and more
frail, with marked weight loss and increased breathlessness even at rest, which is severe at times. She uses
intranasal oxygen via a concentrator at home.
Helen has been asking to be appointed as her mother’s Enduring Power of Attorney and Marg has dismissed
her requests, suggesting that Tony’s son Ken, a lawyer, should do it. This remains unresolved.
Clinical presentation
Marg has been admitted to the medical ward in the regional hospital following a sudden increase in her
shortness of breath. She is alone, although her daughter is on her way.
On physical examination, you observe that Marg is obviously short of breath, with an audible wheeze, and
requires great effort to breathe in and out. Her respiratory rate is 26 breaths/min and her pulse rate is 110.
Marg’s temperature is 38.0°C and her cough is intermittent but productive of dirty yellow phlegm. She has
dusky discolouration of the nail beds and lips, and says she fees ‘utterly exhausted’. She has a mild tremor in
the hands. Marg reports being ‘bunged up for days’ (ie: constipated). She seems very agitated and anxious.
Marg’s current medication is:
• Ventolin inhaler, 2 doses every 4 hours
• Ultibro Breezhaler (110/50), 1 doses in the morning
• Diazepam 5mg tablet 2 times a day prn
• Coloxyl & Senna 2 tablets at night
• Temazepam 20mg capsule nocte prn
• Intranasal oxygen 94% on 3L/min
Instructions:
• Create a new Word document to address the questions below.
• There is no requirement for an Introduction or Conclusion – but you must include a Reference List.
• Please number your answers to correspond to the numbering of these questions.
• Don’t write out or cut and paste the questions onto your answers.
• The total word count is 2000 words. As a guide, each answer should be around 220 words however
there is flexibility in this, and it is the total word count that will be counted by the markers. It is
essential, however, that each question is answered comprehensively.
3
PART ONE: CLINICAL ASSESSMENT
1. What is the likely trajectory of Marg’s illness? You can use a diagram to illustrate. Explain the 5-year life
expectancy of someone with COPD.
2. Those with a multidimensional symptom experience require multidimensional assessment. How would
you undertake an assessment of Marg’s case?
3. Consider your approach to the assessment of Marg’s fatigue. How could you assess the functional impact
of her fatigue?
4. Consider your approach to the assessment of Marg’s constipation. What elements of her bowel function
should you assess? What assessment tool/s might be helpful to assess her constipation?
5. Explain which social elements are important to consider in your assessment of Marg if she is to return
home.
PART TWO: CARE MANAGEMENT
6. Identify the likely members of the multidisciplinary team for Marg during her hospitalisation. Select two of
these and explain how their roles address the care needs identified during assessment.
7. Consider your approach to the management of Marg’s fatigue. What interventions might be required
during her hospitalisation and upon her return home?
8. Consider your approach to the management of Marg’s constipation. What interventions might be required
during her hospitalisation and upon her return home?
9. Explain how a discussion of goals of care could inform Marg’s discharge and care at home. Who are some
of the key people in her circles of support? Select two of these and explain how they might support Marg
at home.
Best Writer
Assessments in Professional Organizations
For this discussion, you will describe the role of assessments in professional organizations and discuss what steps organizations should take to ensure that abuses such as marginalization do not occur.
Consider the role of psychological tests in a professional workplace. Some argue that these types of tests should not be used at all in a work environment, while others argue that they can be used under the right circumstances.
In your initial post, describe one use of psychological assessments in professional organizations. Is the current practice fair to all individuals? Why or why not?
Understanding Health Literacy Interventions
Understanding Health Literacy Interventions
Using the South University Online Library, select two articles from peer-reviewed journals that discuss programs with an aim to improve or address health literacy.
Based on your research, create a 2- to 3-page report in a Microsoft Word document, including answers to the following questions:
Who was the target population(s)?
How did the target population identify this population as needing the health literacy intervention?
How was the intervention carried out in each article?
What were the outcomes of the study on improving health outcomes?
Could the data from the study be used with other audiences? How do you know?
What were the limitations of the study?
Articles are pasted below:
https://eric.ed.gov/?id=EJ1219902
Urban Partnerships to Address Health Literacy in High Need Populations
Keller, Abiola O.; Vuyk, Amy; Knox, Joshua
Metropolitan Universities, v30 n2 p84-94 Jun 2019
Low health literacy disproportionately affects racial and ethnic minority communities and lower-income socioeconomic groups. To address this critical determinant of health inequity, two nonprofit organizations, Repairers of the Breach, a day shelter for individuals experiencing homelessness, and Bread of Healing a neighborhood-based clinic serving individuals with low incomes, partnered with researchers at Marquette University to implement and evaluate an evidence-supported health literacy program. The partnership delivered the curriculum in seven one-hour sessions over seven weeks. The program attendees were predominantly African American men and women from 19-73 years old. Most participants had formal education ranging from elementary school to some college. Forty individuals attended at least one class and 14 attendees completed 4 or more classes. Program completers demonstrated gains in confidence and topic knowledge. Most interviewees reported a personal/family need for the program, acceptability of the group format, and the ability to learn the skills they needed for self-care. The project used a successful collaboration between community-based organizations serving vulnerable populations and an urban academic institution to demonstrate the necessity, feasibility, acceptability, and effectiveness of formal health literacy education in adults with low incomes or who are experiencing homelessness. Urban and metropolitan serving institutions can work in partnership with community to address low health literacy in high need populations.
https://eds-s-ebscohost-com.su.idm.oclc.org/eds/detail/detail?vid=2&sid=1950e8e2-afc5-4129-8f4a-b369504453d9%40redis&bdata=JnNpdGU9ZWRzLWxpdmU%3d#AN=157544122&db=a9h
This is the second article.
Thank You.
Public Health Leadership
TOPIC:
Learning outcomes assessed in this assessment
1. Critically evaluate of the role of leadership in facilitating innovation and quality improvement in public health service provision.
2. Understand and critically analyse key leadership styles, their strengths, weaknesses and limitations.
Assessment Guidelines
Critically evaluate and compare key leadership styles and approaches, identifying their relevant strengths, weaknesses, values and limitations for public health leaders seeking to drive innovation, change and service improvement.
THIS MATERIALS CAN HELP IN GETTING THE RIGHT THING OR USE ANYONE THATWORKS Week 1: Weekly Reading
CHAPMAN, A.L.N., JOHNSON, D. and KILNER, K., 2014. Leadership styles used by senior medical leaders: Patterns, influences and implications for leadership development. Leadership in Health Services, 27(4), pp. 283-298.
Chapter 1 and Chapter 2 – Jones, L. and Bennett, C. (2012) Leadership in Health and Social Care: An Introduction for Emerging Leaders. Banbury: Lantern Publishing.
MCCLESKEY, J.A., 2014. Situational, Transformational, and Transactional Leadership and Leadership Development. Journal of Business Studies Quarterly, 5(4), pp. 117-130.
NOTE: Plagiarism free work
ask if needed. thanks
i upload two documents that will help to understand the assignment and to do the work better
bone diease
The body systems that control the growth and maintenance of the skeleton can be disrupted in different ways that result in a variety of bone diseases and disorders. These include problems that can occur at or before birth, such as genetic abnormalities and developmental defects, as well as diseases such as osteoporosis and Paget’s disease of bone that damage the skeleton later in life. In addition to conditions that affect bone directly, there are many other disorders that indirectly affect bone by interfering with mineral metabolism.
In this discussion we will focus on disorders of some of the groups of bones that compose the skeleton, and examine skeletal problems at the organ and system level as opposed to the tissue level treated in the previous discussion. we will review some of the more common diseases, disorders, and conditions that both directly and indirectly affect bone.
Lateral forces, twisting stresses, and powerful impacts may cause the bone to break, or fracture. There are two types of fractures: closed and open. A closed fracture occurs when the skin is not broken. An open fracture is when the skin has been broken and involves an open wound. This type of fracture is more serious because of the increased risk of infection and shock caused by blood loss and damaged tissue.
Keeping the broken body part stationary — immobilizing it — will stabilize the injured area and prevent the bones from shifting until further treatment is available. Splints are used to immobilize an area. They can be made from cardboard, newspapers, sticks, or any other rigid material.
When a cast is needed, the doctor first checks that the bones are in correct alignment to promote proper healing. A cast is then placed over the fractured area to immobilize it, allowing the bones to grow back and heal in the desired configuration.
Although fractures are an unfortunate occurrence, most of us can take precautions to avoid them. There are certain diseases, however, that make some people more susceptible to fractures.
Diseases of the bone, including osteoporosis, rickets, and osteoarthritis can cause bone deterioration or fragility. This can increase the likelihood or severity of a bone fracture.
For this basic study of diseases or disorders of skeletal system, in a paragraph or two briefly discuss ONE disease or disorder.
I would like each student to ‘cover’ one condition or disorder.
Pick and choose your disease via first-come, first-serve policy so that there are no duplicates.
Please don’t discuss a problem/issue which has already been discussed by a classmate.
Your submission will be graded on you completeness and correctness. Remember 1-2 Paragraphs.
Skin disorder
KIN DISORDER: (2 Paragraphs)
For our first discussion we will discuss common diseases, disorders, and injuries that affect the integumentary system
The integumentary system is susceptible to a variety of diseases, disorders, and injuries. These range from annoying but relatively benign bacterial or fungal infections that are categorized as disorders, to skin cancer and severe burns, which can be fatal.
In this discussion, I would like each student to cover one common skin condition or disorder on a first-come, first-served basis.
In two paragraph two will briefly discuss ONE disorder and therefore educate the class on it.
Pick and choose your disease via first-come, first-serve policy so that there are no duplicates.
Please don’t discuss a problem/issue which has already been discussed by a classmate.
Your submission will be graded on your completeness and correctness. Remember 2 Paragraphs.
Compare and contrast the crime and policy responses of black and brown drug users with white drug users
Compare and contrast the crime and policy responses of black and brown drug users with white drug users. Be sure to address how these crime/policy responses worsen inequality.
video link below
2-3 pages
double spaced
12-point font
Times New Roman
1″in margins
correct format and correct citations please
Sociology essay
Here’s the instructions: For your final paper. You will be asked to describe two social theorists thoughts and ideas and do a comparison and contrast on each one. The paper will be mimimum 15 pages double spaced 12 point Times New Roman font. You will have a minimum of 10 sources ASA or APA Citations. You will be asked to describe the main ideas of each theorist, compare the theorists on agreement and disagreement, who influenced them, and your thoughts on their premises.
I would prefer you use Emile Durkheim and Karl Marx or Max Weber as those are the three we covered the most
Axis Surrender – WWII
Assignment is to compose this paper based on how the Axis Powers were forced to surrender unconditionally to end World War II. Investigate your research from the perspective of ONE of the Allied force or from ONE of the Axis. Again, your selection needs to be critical and well formed, therefore ONE perspective and depth will accomplish this activity for this paper. Select ONE position for your research, then discussion the outcome based on ONE selected country. Your position may be a specific military battle, or leadership, or supply change that faded, or economic or blockade that was of a significance turning point in the wars’ end. You are not seeking a multiple overlapping or layer focus, rather a single depth theme. Nor, is this a bibliography of any cornerstones about any one countries dictators, while their significance does have input, it is not the direct focus of this history research project paper,
Consider your topic wisely prior to beginning your research of appropriate sources, academic information and composition.
NO QUOTES, as this assignment is 2000-3000 words no direct quotes are acceptable. Rather, paraphrasing is encouraged that may enhance an event, an act, or a historical significance of your research for this activity.
Key Learning of Conflict Management, Negotiation Styles & Decision Making Styles
Write a two-page essay on the subject of the key learning of this course as they impact your work life and personal life.
Note: Some thought about the content of this Essay you might want to discuss: You could expound upon which options and choices for seeking resolutions to complaints in the workplace or in your personal life are practical for you. What characteristics and skill set(s) do you believe are most important for you to have, and why? What are some of your “hot buttons” and what can you do to most effectively manage them? How might others assist you in this process?
Refer to Course Learning Outcomes below for further guidance on the key learning of this course
Program Learning Outcomes
· Apply ethics, responsibility, and legal obligations to personal and professional decision making.
· Apply the principles of human resource development, wellness, performance coaching and training to employee wellbeing, and organizational effectiveness.
· Employ entry-level skills and techniques in diagnosing, planning, implementing, and managing organizational change and technological innovation.
· Demonstrate mastery in interpersonal communication and conflict resolution skills in diverse settings with diverse populations using oral and written forms.
· Recognize multiple cultural perspectives and assess their implications for workplace success.
· Compare and contrast major psychological concepts of leadership, power, innovation, and social transformation.
To earn full credit, the essay must show evidence of reflection on the class experience/material and should be APA format and a minimum of 2 full pages of content (not including the title page, abstract and/or reference page). Past due Reflective Essays cannot be made up/late submissions will not be accepted.