Case 8 HP Gerald Edwards Essay - 611 Words

Student Name:____________Chamila Brown__________________________ Case No.______8_____ Student Number:__________21098154_______________________________ HILLCREST MEDICAL CENTER HISTORY AND PHYSICAL EXAMINATION Patient Name: Gerald Edwards Hospital No.: 11058 Room No.: 481 Date of Admission: 07/15/2010 Admitting Physician: Catherine Baker, MD Admitting Diagnosis: Complications of known diabetes mellitus. HISTORY OF PRESENT ILLNESS: This is a 53-year-old black individual a patient of Dr. Shelton, who has had diabetes for at least six months, but he thinks it has been longer than that. He says his last known blood sugar was in the 300’s. He presents in the ER today with a foot ulcer since January of this year. He†¦show more content†¦He has three children a 19-year-old son, a 24-year-old son, and a 27-year-old daughter all alive and well. He has a first cousin with diabetes other than that there is no family history of diabetes. SOCIAL HISTORY: He smokes two packs of cigarettes per day. He drinks a rare beer. He is divorced and lives alone. He is Protestant, has a 10th grade education, and works at Taylor Auto Body Repair. REVIEW OF SYSTEMS: Essentially negative with the exception of numb feet and a headache. PHYSICAL EXAMINATION: HEENT: Tympanic membranes and external auditory canals are within normal limits. Throat is clear with no gingival lesions. He is ______________. No obvious proliferate retinopoathy. NECK: No carotid bruit. No thyroid enlargement. LUNGS: Clear to auscultation. HEART: No S3, S4 or murmurs. ABDOMEN: Soft with no organomegaly. Normal bowel sounds. FEET: Good dorsalis and posterior tibial pulses bilaterally. Left foot has no abrasions, lesions, sores or ulcers. Right foot shows obvious deformity from previous break. He has an area located between his second and third metatarsal head that has clearly been an abscess that has broken through. He also has an obvious foot ulcer located over the instep of his right foot, full thickness. There is tracking to the broken foot, to which the ulcer area is connected and there is a question of osteomyelitis in this area. PLAN: Admit the patient for IV antibiotics,Show MoreRelatedEbooks Solution Manuals and Test Banks for Text Books19223 Words   |  77 PagesHealth by Rebecca J. Donatelle, Emeritus,Patricia Ketcham 12 Instructor’s Manual Access to Health by Rebecca J. Donatelle, Emeritus,Patricia Ketcham 12 Test Bank Accounting and Auditing Research Tools and Strategies by Weirich, Pearson, Churyk 7 Cases Solutions Accounting and Auditing Research Tools and Strategies by Weirich, Pearson, Churyk 7 Solution Manual Accounting by Carl S. Warren, James M. Reeve 24 Instructor’s Manual Accounting by Carl S. Warren, James M. 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Obesity And Its Effects On Children - 947 Words

Anyone can be obese at any age. Obesity is defined as having an excess of body fat. According to Huang and Horlick (2007), â€Å"Childhood obesity continues to rise in the United States, with now over 17% of children and adolescents considered overweight.† There are many factors that are associated with obesity including lack of physical activity, unhealthy eating patterns, genetic factors, and environment all play a role. Hormone is another factor that is considered to be rare. A study by the Institute of the Medicine (2001) shows that weight problems in families are a result of shared family life style habits. Physical activity is among the factors to be considered when determining a child’s weight. As per Levin and Stein (2008), â€Å"In ways beginning to be understood, being overweight at a young age appears to be far more destructive to well-being than adding excess pounds later in life†. However, many children are inactive in daily physical activities. They spend much of their time watching TV, playing video games, and on computers. As a result of the low activity level, children run a risk of developing different conditions like diabetes, bone problems, skin conditions (fungal infections and acne), high blood pressure, high cholesterol and early heart disease. They also develop stress, depression, and low self-esteem. As per the WebMD (2014), â€Å"a child’s total diet and activity level play an important role in determining a child’s weight. Today, many children spend a lot timeShow MoreRelatedEffects Of Obesity On Children And Children1381 Words   |  6 Pagesaround. The children would regularly play all day long without being asked; however, nowadays the young children aren t playing enough themselves and the children need their peers to tell them to go play outside. The peers would need need to promote the children with resources to keep them moving. 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A Walk to Remember free essay sample

When I was 17, my life changed forever. I’m 57 years old, but even now I can remember everything from that year, down to the smallest details. I relieve that year often in my mind, bringing it back to life, and I realize that when I do, I feel a strange combination of joy and sadness†¦. this is my story; I promise to leave nothing out. First you will smile, then you will cry—don’t say you haven’t been warned. ’’ Written by an international bestselling author and my personal favorite Nicholas sparks, comes a tale of true love, first love and everlasting love that you will never forget! A walk to remember’ is most definitely my favorite book of all time. The tale begins with a 57 year old Landon Carter, looking back at the year of 1958 set in, North Carolina. He remembers every single thing in that year. From the smell of both the sea and lilacs to the girl that changed everything in his life forever. He and his group of friends dared another teenager to jump into a pool of water, where he instantly became injured and his body became paralyzed (Movie-Gazette 1). Landon was caught being involved in this prank and was given community service work to do, which included tutoring children on weekends and being forced to participate in the Drama Club’s spring play. This is how he met Jamie Sullivan, who is very unpopular and the exact opposite of Landon. Jamie is very focused and serious. She is involved in many activities and had goals for her life. At first, Landon didn’t really talk to Jamie and was embarrassed to be around her. But as time went on, Landon realized he loved her confidence and goals, and ended up falling in love with her. They ended up getting very close and Jamie ended up sharing her goals with Landon, such as being in two places at once, getting a tattoo, witnessing a miracle, etc. Landon made each of her goals come true in this movie. Jamie finally told Landon she had leukemia and stopped responding to her treatments. This secret caused Landon to fall even more in love with Jamie and the rest of the movie was incredibly emotional and moving (Imbd 1-2). The movie A Walk to Remember is based on the novel by Nicholas Sparks. Nicholas Sparks was born in Omaha, Nebraska in 1965. He majored in Business Finance and graduated with High Honors from Notre Dame in 1988. He married now living in North Carolina with his wife Catherine and their five children. Nicholas Sparks has mesmerized his readers with romantic novels since 1996 (Authorsontheweb 1-3). Sparks wanted to create a story with multiple themes such as spirituality, power, beauty, and innocence of first love. He created two young characters (Landon and Jamie) that were on a very personal level defined by Sparks’ own morals and values. He wanted Landon and Jamie to be deeply in love, but without the intimacy that normally accompanies in such deep love. Nicholas Sparks also wanted the novel to show the power of faith, and he believes that in the end, redemption was one of the more powerful elements in the novel (NicholasSparks 1-2). This movie was directed by Adam Shankman and produced by Denise DiNovi and Hunt Lowry from Warner Brother’s Pictures. The movie came out in the year 2002 and was filmed in Wilmington, North Carolina. The intended audience for A Walk to Remember is mainly teenagers and younger girls; however it’s a great movie for anyone because of the many lessons in it (Imbd 2). The producer was trying to get the point across that people can change for the better, such as Landon has and that love is truly out there (Movies. go 1). In the beginning of this novel, Landon Carter only cared for himself and constantly sinned. He and his friends were hell-raisers at school, they drank all the time, didn’t listen to their parents or any adults, and were considered the â€Å"bad boys† of high school. One of the biggest sins he had done was daring the new kid at school to jump in a pond. The boy ended up severely hurt right away and his body was paralyzed. Landon and his friends did not want to get into trouble, so they just left him there (Movie-Gazette 1). Before Landon and Jamie became close, Jamie was also being sinned against by Landon. He thought she was a huge nerd and wasn’t worth his time. Landon thought he was better than Jamie only because he was popular and she wasn’t. He would ignore her and make it apparent that he didn’t want to be around her. Then he started being friendly towards her, but was embarrassed, so he wouldn’t acknowledge her at school. When Landon’s friends were around, he called Jamie names, even though he knew it wasn’t right. (Movie-Gazette 1). I believe the cause of Landon’s sin is peer pressure. He was in the cool crowd and wanted to fit in. He loved being the center of attention, so in order to do that, he sometimes had to play cruel pranks on people, call people names, or talk about them behind their backs. Popularity also was a major part of why Landon sinned. Landon’s friends were â€Å"bad boys†; so he thought he had to be one too. Landon’s wrongdoing was individual sin. In the beginning of the movie, when Landon and his friends were drinking and accidently injured the new kid, his friends had a lot to do with him breaking rules, but it ultimately comes down to him. He knows what is right and what is wrong and only he can decide for himself. Original sin is the condition of sin that marks all humans as a result of Adam’s first act of disobedience (dictionary. reference 1). Landon’s sins could have been prevented. He had the tough attitude and only cared about himself. I do not think it is fair to blame Adam for how Landon acted. Landon did not think before he acted. He sent a boy to the hospital, he intentionally hurt people’s feelings, etc. Landon needed better moral values and a nicer personality. He could have easily done what’s right, but popularity and being the center of attention was more important to him. The central character in this movie was Landon. Jamie remained the same person from beginning to end, while Landon started out as a shallow, sinful person, whose only goal and care in the world was to have fun. However, he was saved by Jamie. Landon changed his life for the better because of Jamie. Jamie filled Landon with a sense of determination that carried him through the rest of his life. Landon realized everything Jamie had done for him. Although Jamie’s secret of having leukemia was very sad, it was an enormous step for Landon in becoming a sensitive man with goals of his own. When Jamie died, Landon said â€Å"Jamie saved my life. She taught me everything. About life, hope, and the journey ahead. I’ll always miss her. But our love is like the wind. I can’t see it, but I can feel it† (Hotmoviequotes 1). While watching this movie I wondered how a down-to-earth Christian girl could change the life of a worldly, self-centered, popularity oriented, trouble making boy, who wouldn’t ordinarily give a girl like her a second thought. Because Landon got himself in trouble and had to join the Drama Club’s spring play, he had to spend time with Jamie. He needed her help in memorizing his lines, which turns his attention. While spending time with Jamie, he begins paying more attention to just outward appearances. Jamie Sullivan’s strong, confident faith in God, in spite of less than perfect circumstances, shines through, which makes Landon interested and captures his attention. While they become closer, Jamie begins to share her dreams with Landon which inspires him to think about deeper things than where the next party is or whom he can make fun of next. Once he begins thinking about deeper things, he tries to make things right between people he has wronged before in his life, and also begins to think more deeply about God. In one of the scenes, Landon is in his car thinking and driving and a song comes on and it says something like â€Å"When I am confused, in You I find my peace†. Through this part of the movie, you see Landon change from angry, to peace, to tears of joy. He finally found God in his life. Landon’s friendships changed over the time that he had changed. He was a foul mouthed, shallow person in the beginning and hung out with people who were exactly like that. Then he started seeing Jamie, a thoughtful, kind, confident, and peaceful girl. His old friends had a huge problem with Jamie because she was different and wasn’t in the popular crowd. In one of the scenes in the movie, Landon’s ex-girlfriend and his old friends post a picture of Jamie’s face on a naked body and post it all over school just to make fun of and humiliate Jamie. Jamie and the change in Landon ended up affecting some of Landon’s old friends. After watching the movie A Walk to Remember, it is evident that love and having faith can change a person for the better. Landon started out as a selfish, bad boy, who always broke the rules. Once he met the right girl (Jamie), who was thoughtful, spiritual, kind, and strong, he realized there are other people than just him. I think this movie is wonderful and encourage others to see it. In many movies, Christianity is often made to look weak or foolish. A Walk to Remember does not do that in any way, which is very nice. This movie teaches many lessons and had many themes such as the beauty, power, and innocence of love, changing for the better, and the importance of God in your life. This movie is a tragic, yet spiritual love story and is very interesting, touching, and captivating.

Knowledge Work and Organization

Introduction Many organizations in different sectors are using community of practice and innovation to improve on their productivity. Community of practice and innovation are interrelated in some ways. This study seeks to identify their similarities, differences and the effects each have on the organization. The last part explains the challenges that firms that participate in social networks face.Advertising We will write a custom essay sample on Knowledge Work and Organization specifically for you for only $16.05 $11/page Learn More Communities of Practice From the community’s point of view, communities of practice are groups of people who come together to meet a common goal. In the business perspective, it is a group of self-motivated people who follow laid out procedures and are challenged to train the persons working with them in order to improve their productivity (Wenger 2000, p.45). These communities of practice are responsible for the smoo th running of the organization. Therefore, they are accountable using their knowledge and skills, are included in the planning of the budget of the organization, and provide the time schedule for the activities carried out in the organization. They have artifacts which are documents, websites and stories and the appointed member maintain them since they are useful in the organization (Kortum Lerner 2000, p.680). According to Fageberg, Mowery and Nelson (2005, p.362), the communities of practice combine three elements in defining competence. They are brought together by understanding the values of their community and every member is accountable to sustain the relationship between them. For a person to be competent in the community of practice, he/she has to be a trusted member and to engage in the activities of the community (Kortum Lerner 2000, p.688). The success of every group depends on the competence and the ability of the leader to engage the whole group in the process of mee ting their goal. During the establishment of the community of practice, members should put in mind what will be bringing them together like the events, who will be leading the group, the projects, connectivity and membership. Unlike closed innovation, any person within or outside the organization can be involved in performing duties that will lead to the success of the organization (Robertson, Paul Langlois 1995, p.560). Innovation Innovation involves bringing valuable ideas into the firm. There are different types of innovation, the closed and open innovation. Open innovation is when those ideas come from inside or outside the firm and are meant to benefit the organization as a whole. Most of the people who create these ideas are from outside the firm and sometimes they are hired to educate employees in the organization on how to implement the ideas. Innovation in this case is the methods that organizations choose to use in response to the challenges in the business environment. T hey involve changing of the traditional practices of the organization to new practices with an aim of improving the productivity of the whole organization.Advertising Looking for essay on business economics? Let's see if we can help you! Get your first paper with 15% OFF Learn More Innovation includes the introduction of machines and technology that in return requires trained personnel who are ready to apply their knowledge with the help of technology to achieve the objective of the firm (Trott Hartmann 2009, p.720). Open innovation principles states that the external research and development creates more value than the closed innovation. The organizations that use closed innovation believe that they have enough skills required to perform a particular task so they do not require help from outside the company. They believe that if they discover things for themselves, they will be the first to venture into the market. These companies are so self-centered and do not all ow others to benefit from their ideas. This is totally contrary to what open innovators perceive (Dasgupta 2003, p.320). Innovation involves generation of ideas that are essential for an organization to maintain its position in the market. Therefore, it differs from the community of practice in that the community of practice follows the ideas that the innovators have already generated in operating the organization and maintaining their relationship. Innovation involves education, technology and training in the organization (Chesbrough 2006, p.111). The employees are trained on the use of new technologies in their practices to become competent and add productivity. Community of practice uses the ideas to meet the goals and objectives of the whole organization. Therefore, the community of practice requires innovation in their daily work. However, both innovation and community of practice involve learning and training in the performance (Francis 2000, p.34). Social capital is the abili ty to find, combine and utilize knowledge and skills of employees within and outside the organization. Just like open innovation, social capital involves employees from outside the individual organization. Social capital encompasses the information flows, exchange of knowledge, community of practice and all other connected networks that bring together stakeholders in an organization. These stakeholders include suppliers, regulators, employees, customers and partners that are all interested in different aspects of the organization. The social capital and community of services are interconnected since both involve innovative practices. The social capital is obtained from employee business networks and the profession.Advertising We will write a custom essay sample on Knowledge Work and Organization specifically for you for only $16.05 $11/page Learn More An organization that is able to apply the social capital is always more productive that the one that ha s no social capital. Innovation is an essential aspect for the productivity of the firm. â€Å"Social capital provides benefits to both the individual and the group as a whole† (Burt Ronald 1992, p.45). Differences between open innovation and communities of practice Communities of practice are groups of people in organizations who converge, share ideas about performing a duty or meeting a goal and learns how to the duty better to get the best practices. Open innovation on the other hand involves identifying and bringing together internal and external resources and ideas to expand on their innovation strategy with an aim of maintaining the firm’s market position on getting new opportunities (Amina Roberts 2008, p. 359) Open innovation is a cognitive model researching, creating and interpreting innovation practices while the communities of practice are not a cognitive model. Communities are not restricted by the organization’s structure, they involve people acr oss the geographical and organizational limits while the open innovation is limited by the structure of the organization and must follow the hierarchy. Similarities of the communities of practice and the open innovation The community of practice must use the technology while still sharing their ideas and learning more about those ideas. Similarly, open innovation involves the use technological practices to bring new ideas in an organization (Amina Roberts 2008, p. 354). Both communities of practice and open innovation involve a group of individuals in an organization and are aimed at improving the performance of the firm (Hardcastle 2011, p.52). The members of both communities of practice and the innovation group are from different professions and are not restricted to one organization but involve internal and external knowledge in the improvement of the firms’ performance. Communities of practice and open innovation involve the process of learning searching for informat ion about how they can create new markets or future opportunities for the organization. Challenges Faced by the Organizations’ Social Networks As discussed earlier, the community of practice, the social capital and the practice-based networks depend so much on innovation. Innovation depends so much on the technology which most of the employees fear since they think that they will lose their jobs. The community of practice may come up with ideas that can cost the organization a lot of money and resources that the organization may not afford. The organization can be forced to borrow or hire the resources, which affect the budget and affect the productivity of the organization. The social groups in the organization require frequent training, which can also be costly to the organization (Francis 2000, p.40). Through innovation, the leaders in the organization may be over possessed with competition giving much pressure to the other employees and reduces their productivity. Accord ing to Chesbrough and Melissa (2007, p. 69), the community of practice in many cases asks for higher pay than the others since they have more responsibilities of changing the old practice of the organization to new improved processes. This is a major challenge for the organization. People perceive ideas differently therefore, for an organization to benefit fully from the community of practice and the social capital, the members involved must understand each other’s behavior. This will help them accommodate each other. The organization is responsible for the education and leadership of this individual in understanding each other and enhancing their knowledge (Chesbrough Melissa 2007, p.62). Conclusion Changes in technology around the world have improved the performance of organizations. Firms traditionally used the closed innovation in their research and development but today they have changed to open innovation. Communities of practice are also used in all organizations in a ll sectors to develop ideas on increasing the productivity of the firm. However, companies are faced with so many challenges in the process of promoting their social groups. This is because the decision making process is slowed by a number of people whose perspective is different from policy makers but trust, negotiation and consultations bring the ideas together.Advertising Looking for essay on business economics? Let's see if we can help you! Get your first paper with 15% OFF Learn More List of References Amina, A and Roberts, J 2008, Knowing in action: Beyond communities of practice, Elsevier B.V, vol , 37, pp, 353–369. Burt, Ronald, S 1992, Structural holes: The social structure of competition, Harvard University Press, London. Chesbrough, H and Melissa M, 2007, Open innovation and strategy appleyard, California Management Review, vol.50, no.1, pp.57-76. Chesbrough, W 2006, Open innovation: the new imperative for creating and profiting from technology, Harvard Business Press, New York. Dasgupta, P 2003, Social capital and economic performance: Analytics, in foundations of social capital, Critical Studies In Economic Institutions, vol.2, no.1, pp.309–39. Fageberg, J, Mowery, D Nelson, R 2005, Oxford handbook of innovation, Oxford University Press, Oxford. Francis, F 2000, The great disruption: Human nature and the reconstruction of social order, Simon and Schuster, New York. Hardcastle, D 2011, Community practice: Theories and skills for social work ers, Oxford University Press, Oxford, Kortum, S and Lerner, J 2000, Assessing the contribution of venture capital to innovation, Journal of Economics, vol.31, no.2, pp.674–692. Robertson, Paul L. and Langlois, R 1995, Innovation, Networks, and Integration, Research Policy, vol. 24, pp.543-562. Trott, P and Hartmann, D 2009, Why Open Innovation is old wine in new bottles, International Journal of Innovation Management, vol.13, no.2, pp.715–736. Wenger, E 2000, Communities of practice and social learning systems, Sage, New York. This essay on Knowledge Work and Organization was written and submitted by user Elijah George to help you with your own studies. You are free to use it for research and reference purposes in order to write your own paper; however, you must cite it accordingly. You can donate your paper here.