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Describe the nursing interventions required to assess, prevent, and manage hypoglycaemia during Shaun’s post-operative phase of care. Consider the following:

Case based scenario essay

Describe the nursing and medical interventions for Shaun in the pre-operative phase. Consider the following:

· The maintenance of normal blood glucose levels (administration of insulin and carbohydrates (CHO) or equivalent Intravenous therapy (12 Marks)

· Frequency of blood glucose monitoring (2 marks)

· Reference to normal blood glucose levels (2 Marks)

· The recognition (signs and symptoms) of altered blood glucose levels should be considered (4 Marks)
A

ll written work must be supported by relevant and appropriate references.
20

Assessment, prevention, and management of post-operative hypoglycaemia:

Describe the nursing interventions required to assess, prevent, and manage hypoglycaemia during Shaun’s post-operative phase of care. Consider the following:

· Management of nausea and vomiting and re-introduction of diet and fluids (4 Marks)

· The frequency of blood glucose monitoring, prevention strategies such as appropriate CHO administration or intravenous fluid therapy), and insulin administration (including administration route) (9 Marks)

· Recognition of signs and symptoms associated with hypoglycaemia, and management of hypoglycaemia (5
Marks)

All written work must be supported by relevant and appropriate references.
20
Education for sick day management:

Provide the essential education needed to be given to assist Shaun and his family regarding his diabetes

management for future experiences of ‘sick days’. Consider the following aspects:

· Frequency of blood glucose monitoring during sick days (0.5 Marks)

· Modification of Insulin administration dosage (2 Marks)

· Appropriate examples of CHO dietary intake (1.5 Marks)

· When to seek medical attention (4 Marks)

· Educational resources (2 Marks)

All written work must be supported by relevant and appropriate references.
10
Education for exercise:

Provide the essential education needed to be given to Shaun and his family regarding his diabetes management before and after exercising. You need to consider:

· The frequency of blood glucose monitoring before and after exercise (3 Marks)

· CHO dietary intake before and after exercise (3 Marks)

· Recognition of hypoglycaemia (1 mark)

· Emergency CHO supply, first aid management of hypoglycaemia and education of significant others should be considered (3 Marks)

All written work must be supported by relevant and appropriate references.
10
Conclusion:

Provide a brief summation of the case study. No new material is to be introduced.
2.5

Referencing:
All in-text citations, quotes and references are in APA 7th edition style.
All references are reputable, current (5 years or less), and relevant.
Minimum of eight (8) references are used to support presentation of material.
5
Presentation/Grammar/ sentence structure:

The academic paper is presented with a title page and is formatted with double spacing.

Appropriate use of specific academic language, nursing terminology, accurate spelling, grammar, and punctuation.

The information is presented in an articulate logical manner to aid the reader’s understanding. Work is written in the third person.

Word count (not including reference list) is 10% within of required word limit.

Discuss these with each other or your supervisor-Analyse your plasmid DNA using agarose gel electrophoresis,

Genetics

BI2S109 Human Molecular Genetics

From gene to protein: overexpressing insulin and green fluorescent protein

Objectives
In these practicals you will learn how to:

• Set up a PCR and amplify a human gene,

• Set up a restriction digest,

• Ligate an insert into a plasmid vector and to transform bacteria,

• Use antibiotics to screen for transformants,

• Regulate the expression of the INS or GFP gene using arabinose,

• Calculate transformation efficiency,

• Isolate a plasmid,

• Analyse your plasmid DNA using agarose gel electrophoresis,

Overview
Prac 1
• Set up and perform PCR

• Digest plasmid with NheI to open plasmid between Ara promoter and GFP

• Check digest on gel
Prac 2
• Cut PCR fragment with NheI

• Ligate PCR product in plasmid

• Transform E. coli with plasmid on Ara/Amp plates

• Select glowing/non-glowing colonies (not actually happening in the prac)
Prac 3 (3hrs)
• Plasmid DNA extraction

• Restriction digest of plasmid

• Check digest on agarose gel

• Pick colony and plate bacterial cells on plates with and without arabinose

Will be completed for you and results made available to you on Blackboard:

• Check GFP production by glow

• Check GFP or Insulin protein production by protein SDS PAGE gel electrophoresis

• Transfer proteins to Western blot membrane

• Western blot detection

You need to record all the work in your lab book which you can use to write the lab report.

The questions in this manual are there to help to understand the practical.

Discuss these with each other or your supervisor.

Introduction
In this lab you will perform

Describe a method for providing education for Mrs. J. regarding medications that need to be maintained to prevent future hospital admission. Provide rationale.

Case Study: Mrs. J.

Evaluate the Health History and Medical Information for Mrs. J., presented below.

Based on this information, formulate a conclusion based on your evaluation, and complete the Critical Thinking Essay assignment, as instructed below.

Health History and Medical Information

Health History

Mrs. J. is a 63-year-old married woman who has a history of hypertension, chronic heart failure, and chronic obstructive pulmonary disease (COPD).

Despite requiring 2L of oxygen/nasal cannula at home during activity, she continues to smoke two packs of cigarettes a day and has done so for 40 years. Three days ago, she had sudden onset of flu-like symptoms including fever, productive cough, nausea, and malaise. Over the past 3 days, she has been unable to perform ADLs and has required assistance in walking short distances.

She has not taken her antihypertensive medications or medications to control her heart failure for 3 days. Today, she has been admitted to the hospital ICU with acute decompensated heart failure and acute exacerbation of COPD.

Subjective Data

Is very anxious and asks whether she is going to die.

Denies pain but says she feels like she cannot get enough air.

Says her heart feels like it is “running away.”

Reports that she is exhausted and cannot eat or drink by herself.

Objective Data

Height 175 cm; Weight 95.5kg.

Vital signs: T 37.6C, HR 118 and irregular, RR 34, BP 90/58.

Cardiovascular: Distant S1, S2, S3 present; PMI at sixth ICS and faint: all peripheral pulses are 1+; bilateral jugular vein distention; initial cardiac monitoring indicates a ventricular rate of 132 and atrial fibrillation.

Respiratory: Pulmonary crackles; decreased breath sounds right lower lobe; coughing frothy blood-tinged sputum; SpO2 82%.

Gastrointestinal: BS present: hepatomegaly 4cm below costal margin.

Intervention

The following medications administered through drug therapy control her symptoms:

IV furosemide (Lasix)

Enalapril (Vasotec)

Metoprolol (Lopressor)

IV morphine sulphate (Morphine)

Inhaled short-acting bronchodilator (ProAir HFA)

Inhaled corticosteroid (Flovent HFA)

Oxygen delivered at 2L/ NC

1. Describe four cardiovascular conditions that may lead to heart failure and what can be done in the form of medical/nursing interventions to prevent the development of heart failure in each condition.

2. Taking into consideration the fact that most mature adults take at least six prescription medications, discuss four nursing interventions that can help prevent problems caused by multiple drug interactions in older patients. Provide a rationale for each of the interventions you recommend.

3. Provide a health promotion and restoration teaching plan for Mrs. J., including multidisciplinary resources for rehabilitation and any modifications that may be needed.

Explain how the rehabilitation resources and modifications will assist the patients’ transition to independence.

4. Describe a method for providing education for Mrs. J. regarding medications that need to be maintained to prevent future hospital admission. Provide rationale.

5. Describe a method for providing education for Mrs. J. regarding medications that need to be maintained to prevent future hospital admission. Provide rationale.

How many judges decided for the defendant and how many justices decided against the defendant? What was the final verdict from the judge or the jury, if it was a jury trial?

Week 6 Assignment: (Part 1) How the Courts Address or respect Our Rights as Citizens-Outline

Required Resources

Read/review the following resources for this activity:

Textbook: Chapter 11, 12

Lesson

Minimum of 2 scholarly sources in addition to the textbook.

Instructions

This assignment is comprised of 2 parts, the first of which is due this week. Part II will be due in Week 7.

In Part I this week, choose a case from your state that involves civil rights or civil liberties that wound its way up to the United States Supreme Court.

If your state does not have a case that ended up in the United States Supreme Court, choose a civil rights case from another state that ended up in the Supreme Court of the United States.

Here is a brief description of civil rights and civil liberties: Civil rights refers to equal social opportunities under the law.

It gives you these freedoms such as the right to vote, the right to public education, or a fair trial, among other things, regardless of your wealth or race.

Civil liberties mean freedom of religion, equal treatment and due process under the law, and the right to privacy.

You should be able to go online and look up your state and famous cases that ended up in the Supreme Court. For example, Brown v Board of Education (1951) started in Topeka, Kansas and ended up in the Supreme Court of the United States. Another example would be Calvary Chapel Dayton Valley v Steve Sisolak, Governor of Nevada (2020) that started in Nevada and ended up the United States Supreme Court.

Research your court case and write an outline of the case that you will be using to prepare a presentation, which will either be a narrated PowerPoint, a Kaltura Video, or some other format as approved by your instructor.

Be sure to verify the presentation format with your instructor before starting work on this assignment.

This week’s assignment should include (a) summary of the case; (b) a case outline; and a summary.

A. Summary of the Case

In one or two paragraphs, provide a general overview of the case that serves as a snapshot of what the case is about and how it ended up in your state high court.

A summary is using your words to write a brief history of the case. Do not give your opinion or your interpretation but stick to the facts only.

B: Case Outline

Your court case outline should include:

Title: Name of the case

Facts of the case: Provide key facts involving the case.

History of the case: What legal action was taken based on what your state laws say about this case?

Legal questions: What were the legal issues the court had to decide?

Decision or holdings: Did the court decide for the plaintiff or the defendant? Explain the reason behind the decision?

Verdict and opinion (judgement): What were the concurring and dissenting opinions?

How many judges decided for the defendant and how many justices decided against the defendant? What was the final verdict from the judge or the jury, if it was a jury trial?

C. Conclusion

What was the resulting impact of the ruling? How did the citizens of your state benefit from it? Was this a good decision?

Describe the role of the HRM in the performance appraisal process and in performance management. Be sure to tie their role into overall organization goals and outcomes.

HRM614SIGNATURE

Module 8 Signature Assignment

In 7-8 pages, you will write this 2-part assignment.

Part 1

The HRM professional has an important role in the performance appraisal process.

Describe the role of the HRM in the performance appraisal process and in performance management. Be sure to tie their role into overall organization goals and outcomes.

Next, describe the step by step process the HRM undertakes in

Developing performance assessments,

Evaluating results

Linking results to the overall organization mission and values.

Be sure to cite your information sources in the body of the text and add the applicable references to your reference page.

Describe whether, based on your analysis of each party’s rights and obligations, landlord Lou has the grounds to evict either The Friendly Dawg or Sunshine Yoga.

Business Law

Evaluate the potential rights, claims, defenses, obligations, and remedies for each party from the perspective of contract law.

Determine whether landlord Lou has a right to evict either party.

Use reliable resources, such as the textbook and other course resources, to support your evaluation. Specifically, include the following components in your evaluation:

1. Contract between The Friendly Dawg and landlord Lou

A. Analyze the scenario to determine whether a valid contract still exists between The Friendly Dawg and landlord Lou.

i. Explain the elements of a valid contract, and identify which contract elements, if any, exist between The Friendly Dawg and landlord Lou.

B. Analyze the potential rights, claims, defenses, obligations, and remedies available to both landlord Lou and The Friendly Dawg in this scenario.

i. Support your analysis by referencing specific legal principles or laws.

2. Contract between Sunshine Yoga and landlord Lou

A. Analyze the scenario to determine whether a valid contract still exists between Sunshine Yoga and landlord Lou.

i. Explain the elements of a valid contract, and identify which contract elements, if any, exist between Sunshine Yoga and landlord Lou.

B. Analyze the potential rights, claims, defenses, obligations, and remedies available to both landlord Lou and Sunshine Yoga in this scenario.

i. Support your analysis by referencing specific legal principles or laws.

3. Grounds to evict

A. Describe whether, based on your analysis of each party’s rights and obligations, landlord Lou has the grounds to evict either The Friendly Dawg or Sunshine Yoga.

B. Support your conclusions by referencing specific legal principles or laws.

4. Include a References section and cite your sources using APA style.

Contract Law

Reflect on (2) of the “15 Things Veterans Want You to Know, naming how it related to the story told at the beginning of the course, and how it might play out in your life.

Watch “15 Things Veterans Want You to Know for Healthcare Providers”

Reflect on (2) of the “15 Things Veterans Want You to Know, naming how it related to the story told at the beginning of the course, and how it might play out in your life.

Outline a proposal for health education that can be used in a family-centered health promotion to address the issue for the target population (teens) .

Sexual transmitted infections

Outline a proposal for health education that can be used in a family-centered health promotion to address the issue for the target population (teens) .

Ensure your proposal is based on evidence-based practice. (A proposal for health education for a family-centered health promotion to address the issue for the target population is presented.

It is supported by evidence-based practice and relevant to the target population. There are minor inaccuracies.)

Cite at least three peer-reviewed or scholarly sources to complete this assignment. Sources should be published within the last 5 years and appropriate for the assignment criteria and public health content.

Shows conceptual clarity, ideas are properly organized and is technically-“Indian Literature” or “Indian Literatures”? Discuss the category

“Indian Literature” or “Indian Literatures”? Discuss the category

The answer is “Indian Literatures” Justify the reason

WORD LIMIT: DO NOT GO BEYOND 600 WORDS.

For each question a student will be

awarded out of 20:

00-07 marks – if the answer bears no

connection with the question and there is no conceptual clarity at all.

08-10 marks – if the answer is not

precise, lacks conceptual clarity, ideas are not properly organized and is

technically imperfect with grammatical mistakes and spelling errors.

11-12 marks – if the answer shows

conceptual clarity but is not precise, is technically imperfect and fraught

with grammatical mistakes and spelling errors.

13-14 marks – if the answer is precise,

shows conceptual clarity and is grammatically and technically perfect, but

ideas are not properly organized.

15-16 marks – if the answer is precise,

shows conceptual clarity, ideas are properly organized and is technically

perfect without grammatical mistakes and spelling errors.