Dear Mr. Gaylord Bigmoney: Thank you for contacting me to review your investments and for advice on whether or not to purchase additional state and municipal bonds. Mr. Rich Broker has given you a couple recommendations about your investment portfolio. First, Mr. Broker has recommended that you take the cash presently invested in the Certificates of Deposits and purchase more state and municipal bonds. Second, Mr. Broker has recommended that you borrow an additional $800,000 on one of the unencumbered apartment houses, which would require you to give a Deed of Trust for security on the loan, and use the loan proceeds to purchase more state and municipal bonds. When Mr. Broker gave you these recommendations the rates were as follows: present
On March 18, 1981, the entire island was listed on the National Register for Historical Places and designated the Kaho`olawe Archaeological District. At the request of then representative/senate candidate Patricia Saiki, President Bush, two weeks before the 90s election, told the Secretary of Defense to immediately cease the use of Kaho 'olawe as a weapons range. During the same period of time, Senator Akaka, was competeing with Mrs. Saiki for the senate seat, introduced legislation to create a Kaho 'olawe conveyance commission. This proposal became part of the 1991 Defense Appropriations Act [PL 101-511, Sec. 8118]. Section 8118 established the Kaho`olawe Island Conveyance Commission to recommend terms and conditions for the conveyance of
In 1991, the United States government initiated the Nursing Home Reform Act, also known as the Omnibus Budget Reconciliation Act (OBRA) of 1987 that outlined “a set of national minimum set of standards of care and rights for people living in certified nursing facilities” (ncmust.com). OBRA requires all nursing home residents have a complete health evaluation upon admission to a long-term care facility, and to be re-evaluated quarterly or after any major changes in health or functional status. This evaluation process is called the Resident Assessment Instrument (RAI) which is composed of three components; Minimum Data Set (MDS), Care Area Assessment Process and RAI Utilization Guidelines. Together, the components of RAI provide information
The topic of interest that will be presented in this paper will be that of Homelessness. Homelessness is a worldwide issue that affects the lives of many people. Although it is mostly found to be present in Third World countries, many citizens across the United States face it and are suffering from it as well. From families to veterans and even children Homelessness can happen to anyone as a result of many different events/for many different reasons. Through this topic we will be able to examine the McKinney Vento Act of 1987 and how it affects Homelessness in the U.S..
Q2) Explain the consequences of unprofessional behaviour on… • The professional status of a dental nurse • The public • The
In “Avatars, Scarlet ‘A’s, and Adultery in the Technological Age” by an Assistant Professor of Law Sandi S. Varnado explore the new increasing twist on the age-old issue of adultery and online infidelity by using technology that causes many divorces between marriages. Nowadays people have love affairs using the Internet, specifically to communicate with others. According to Varnado, she reports that in December 2012 a survey revealed that 81% of all adults in the United States use the Internet, which has impacted our society in both positive and negative ways (372). Varnado also emphasizes that given the appearance and prevalence of online sexual satisfaction, it is not difficult to imagine that many Internet users are engaging in online. When
Decision makers will need to determine how to best utilize nurses, technicians, and other professionals to close the gap in providing services to patients. Nurses require less time to train, are less expensive to train, cost less to employ, and can increase the efficiency and productivity of physicians who provide care to patients. The increase in the use of health care services as well as the increase in the number of venues where health care is provided has also increased the job opportunities for nurses and other members of the healthcare workforce. The demand for primary care services has stimulated the training of nurse practitioners, physician assistants, and certified nurse
VA nurses assess, provides nursing diagnoses, plans, implements, and evaluates (ADPIE) care based on maturational focused components. Undertakes accountability for the management of care concentrated on the patient’s process through the range of care, patient and family education, patient self-management, and accompanying circumstances that influence the patient’s satisfaction. The VA nurse considers all attributes of the individual, including age and stages of life, presence of health, race and culture, values, and prior experiences. Administers medications and procedures per policies and procedures. The VA nurse effects patient care outcomes by collaborating with members of the interdisciplinary team.
Legislative Branch is the most interesting branch! The Legislative Branch includes, House of Representatives and the Senate. Which forms the United States Congress. Senate is up for reelection every two years. The House of Representatives is made up of 435 elected members.
When Cole Matthews was given banishment, he had many opportunities to reflect on his numerous crimes, and his behavior. As the chapters are progressed it is clear that Cole does not treat banishment for its actual reason. Banishment was for Cole to realize his actions and how he could make up for them. Cole wanted to take banishment as a subsitide for jail, because he didn’t want to be incarcerated. Cole’s constant negative attitude, discouraging behavior, and actions got the best out of him.
As a resident of California, I can attest that California needs to pass House Bill AB 1321, better known as the Nutrition Incentive Matching Grant Program. Bill 1321 will improve the overall public health in the state of California. This bill would allow low-income residents of California to access and affordable and nutritious fresh produce. Outlined in Bill 1321 is a healthy food incentive program that serves California’s low-income populations who receive Supplemental Food Assistance Program (SNAP) benefits. Bill 1321 strives to secure access to affordable and healthy food options for California’s most vulnerable populations.
Ethical Issues in Nursing: Nurse-Patient Ratios Megan Harvey, Katie McKelvery, Erica Robbins & Cassandra Tingley St. Johns River State College March 2018 Ethical Issues in Nursing: Nurse-Patient Ratios Every day nurses are faced with ethical dilemmas. Challenges in these situations are becoming more and more complex due to increasing workload and sicker patients. When a nursing unit is understaffed not only are nurses more likely to become burnt out, but their patients are far less likely to receive the quality of care they deserve. The problem is that the Federal regulations require hospitals who participate in Medicare to “have ‘adequate’ numbers of licensed nurses (RN, LPN, CNA) to provide care to all patients as needed,” but the regulations
In the past, nursing homes have notoriously been known for not delivering the best quality care. There have been cases of patients being burned by heating pads, strapped to their beds with restraints, or given medication to quiet them down, with more extreme cases including patients so sedated, that they almost seemed lifeless. In 1987, the Nursing Home Reform Law was passed to change the quality of care being given to nursing home residents such as monitored clinical care, unexpected inspections, and having a registered nurse on duty 24 hours a day. While its creation had many positive effects, there was still an issue with the quality of care being given as stakeholders and investors in nursing home chains have begun to cut expenses by limiting
During this survey a framework was designed called RE-AIM which stands for Reach, Effectiveness, Adoption, Implementation, and Maintenance, the program was designed to teach healthcare providers the proper way to manage, maintain, and improve oral hygiene care in long term care, veterans. The program implemented that the long-term care, veterans would receive oral care two times a day daily. Once this program was implemented it was found that not only were staff not properly trained in providing good oral hygiene they did not have access to the proper materials to provide oral care. DOHP composed key components that were to be mandated. 1) Clear expectations for direct care staff regarding oral care.
Nurses are critical for promoting health in the society. The profession is highly flexible, since they specialize in diverse operations in the medical field. Registered nurses, for instance, are responsible for the administration of medicine and inoculations to patients (American Nurses ' Association, 2000). Additionally, these professionals observe, record, and enlighten doctors of any changes in a patient’s health. Nurses interpret and evaluate diagnostic examinations to determine an individual’s condition, as well as making the necessary adjustments in patient treatment plans on their health progress.
