Case Study: Healing And Autonomy

Case Study: Healing and Autonomy

Mike and Joanne are the parents of James and Samuel, identical twins born eight years ago. James is currently suffering from acute glomerulonephritis, kidney failure. James was originally brought into the hospital for complications associated with a strep throat infection. The spread of the A streptococcus infection led to the subsequent kidney failure. James’ condition was acute enough to warrant immediate treatment. Usually cases of acute glomerulonephritis caused by strep infection tend to improve on their own, or with an antibiotic. However, James also had elevated blood pressure and enough fluid buildup that required temporary dialysis to relieve.

The attending physician suggested immediate dialysis. After some time of discussion with Joanne, Mike informs the physician that they are going to forego the dialysis and place their faith in God. Mike and Joanne had been moved by a sermon their pastor had given a week ago, and also had witnessed a close friend regain mobility when she was prayed over at a healing service after a serious stroke. They thought it more prudent to take James immediately to a faith healing service instead of putting James through multiple rounds of dialysis. Yet Mike and Joanne agreed to return to the hospital after the faith healing services later in the week, and in hopes that James would be healed by then.

Two days later the family returned, and was forced to place James on dialysis, as his condition had deteriorated. Mike felt perplexed and tormented by his decision to not treat James earlier. Had he not enough faith? Was God punishing him or James? To make matters worse, James kidneys had deteriorated such that his dialysis was now not a temporary matter, and was in need of a kidney transplant. Crushed and desperate, Mike and Joanne immediately offered to donate one of their own kidneys to James, but they were not compatible donors. Over the next few weeks, amidst daily rounds of dialysis, some of their close friends and church members also offered to donate a kidney to James. However, none of them were tissue matches.

James’ nephrologist called to schedule a private appointment with Mike and Joanne. James was stable, given the regular dialysis, but would require a kidney transplant within the year. Given the desperate situation, the nephrologist informed Mike and Joanne of a donor that was an ideal tissue match, but as of yet had not been considered—James’ brother Samuel.

Mike vacillates and struggles to decide whether he should have his other son Samuel lose a kidney, or perhaps wait for God to do a miracle this time around. Perhaps this is where the real testing of his faith will come in? “This time around, it is a matter of life and death, what could require greater faith than that?” Mike reasons.

Write a 1,200-1,500 word analysis of “Case Study: Healing and Autonomy.” In light of the readings, be sure to address the following questions:

  1. Under      the Christian narrative and Christian vision, what sorts of issues are      most pressing in this case study?
  2. Should      the physician allow Mike to continue making decisions that seem to him to      be irrational and harmful to James?
  3. According      to the Christian narrative and the discussion of the issues of treatment      refusal, patient autonomy, and organ donation in the topic readings, how      might one analyze this case?
  4. According      to the topic readings and lecture, how ought the Christian think about      sickness and health? What should Mike as a Christian do? How should he      reason about trusting God and treating James?

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are required to submit this assignment to Turnitin. Please refer to the directions in the Student Success Center.

Evidence Based Practice Into Clinical Practice

Assignment:

Integrating Evidence-Based Practice

Write a 1000-1500 word essay addressing each of the following points/questions. Be sure to completely answer all the questions for each bullet point. There should be two main sections, one for each bullet below. Separate each section in your paper with a clear heading that allows your professor to know which bullet you are addressing in that section of your paper. Support your ideas with (2) sources (1 outside source and the textbook) using citations in your essay. Make sure to cite using the APA writing style for the essay. The cover page and reference page in correct APA do not count towards the minimum word amount. Review the rubric criteria for this assignment.

Part 1:

Describe the eight steps to integrating evidence-based practice into the clinical environment. What barriers might you face in implementing a new practice to address your research topic (as identified in Module 1)? this topic is delirium in the adult ICU setting Describe strategies that could be used to increase success including overcoming barriers.

Part 2:

Describe six sources of internal evidence that could be used in providing data to demonstrate improvement in outcomes.

Assignment Expectations:

Length: 1000 – 1500 words
Structure: Include a title page and reference page in APA format. These do not count towards the minimum word count for this assignment. Your essay must include an introduction and a conclusion.
References: Use appropriate APA style in-text citations and references for all resources utilized to answer the questions. A minimum of one (1) scholarly source and the textbook are required for this assignment.
Rubric: This assignment uses a rubric for scoring. Please review it as part of your assignment preparation and again prior to submission to ensure you have addressed its criteria at the highest level.
Format: Save your assignment as a Microsoft Word document (.doc or .docx) or a PDF document (.pdf)
File name: Name your saved file according to your first initial, last name, and the assignment number (for example RHall Assignment 1.docx)

Also use the following articles in writing the paper:  https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5554074/

Please use the attached PDF files the APA citation for these would be:

 

Melnyk, B. M. & Fineout-Overholt, E. (2015). Evidence-based practice in nursing & healthcare: A guide to best practice (3rd ed.) Philadelphia, PA: Wolters Kluwer Health.

Describe strategies to make the off-label use and dosage of drugs safer for children from infancy to adolescence.

When treating children, prescribers often adjust dosages approved for adults to accommodate a child’s weight. However, children are not just “smaller” adults. Adults and children process and respond to drugs differently in their absorption, distribution, metabolism, and excretion.

Children even respond differently during stages from infancy to adolescence. This poses potential safety concerns when prescribing drugs to pediatric patients. As an advanced practice nurse, you have to be aware of safety implications of the off-label use of drugs with this patient group.

To Prepare
  • Review the interactive media piece in this week’s Resources and reflect on the types of drugs used to treat pediatric patients with mood disorders.
  • Reflect on situations in which children should be prescribed drugs for off-label use.
  • Think about strategies to make the off-label use and dosage of drugs safer for children from infancy to adolescence. Consider specific off-label drugs that you think require extra care and attention when used in pediatrics.
By Day 5 of Week 11

Write a 1-page narrative in APA format that addresses the following:

  • Explain the circumstances under which children should be prescribed drugs for off-label use. Be specific and provide examples.
  • Describe strategies to make the off-label use and dosage of drugs safer for children from infancy to adolescence. Include descriptions and names of off-label drugs that require extra care and attention when used in pediatrics.

Walden NURS6501 Week 10 Quiz Latest 2017

Question

Question 1

A 2-year-old male is diagnosed with Wilms tumor. Which of the following clinical conditions is often associated with this disease?

a. Cystic disease of the liver
b. Aniridia
c. Anemia
d. Hypothyroidism

Question 2

A nurse is preparing to teach about the loop of Henle. Which information should be included? The descending segment of the loop of Henle primarily allows for:

a. Sodium secretion
b. Potassium secretion
c. Hydrogen ion reabsorption
d. Water reabsorption

Question 3

A nurse is describing the trigone. Which information should be included? The trigone is defined as:

a. The orifice of the ureter
b. The inner area of the kidney
c. A triangular area between the openings of the two ureters and the urethra
d. The three divisions of the loop of Henle

Question 4

When the nurse discusses the glomerulus and Bowman capsule together, it is referred to as the renal:

a. Corpuscle
b. Capsule
c. Medulla
d. Pyramid

Question 5

A 5-year-old male was diagnosed with glomerulonephritis.History reveals that he had an infection 3 weeks before the onset of this condition. The infection was most likely located in the:

a. bone.
b. gastrointestinal (GI) tract.
c. respiratory tract.
d. ear.

Question 6

A 75-year-old male reports to his primary care provider loss of urine with cough, sneezing, or laughing. Which of the following is the most likely diagnosis the nurse will observe on the chart?

a. Urge incontinence
b. Stress incontinence
c. Overflow incontinence
d. Functional incontinence

Question 7

A nurse observes on the chart that a patient is admitted with Wilms tumors. A nurse knows the tumors are found in the:

a. kidneys.
b. ureters.
c. bladder.
d. urethra.

Question 8

A 35-year-old female was severely burned and is hospitalized. She is now suffering from acute tubular necrosis (ATN). Which of the following is the most likely diagnosis the nurse will observe on the chart?

a. Prerenal
b. Intrarenal
c. Extrarenal
d. Postrenal

Question 9

A 24-year-old female is diagnosed with renal calculus that is causing obstruction. Which of the following symptoms would she most likely experience?

a. Anuria
b. Hematuria
c. Pyuria
d. Flank pain

Question 10

If a nurse wants to obtain the best estimate of renal function, which test should the nurse monitor?

a. Glomerular filtration rate (GFR)
b. Circulating antidiuretic hormone (ADH) levels
c. Volume of urine output
d. Urine-specific gravity

Question 11

While planning care for a patient who has acute pyelonephritis. A nurse recalls the most common condition associated with the development of acute pyelonephritis is:

a. Cystitis
b. Renal cancer
c. Urinary tract obstruction
d. Nephrotic syndrome

Question 12

When a nurse is preparing to teach about urine, which information should the nurse include? Just before entering the ureter, urine passes through the:

a. Collecting duct
b. Renal pelvis
c. Urethra
d. Major calyx

Question 13

When a patient’s renal system secretes rennin, what effect will that cause in the body? It causes the direct activation of:

a. Angiotensin I
b. Angiotensin II
c. Antidiuretic hormone
d. Aldosterone

Question 14

Anemia accompanies chronic renal failure because of:

a. Blood loss via the urine
b. Renal insensitivity to vitamin D
c. Inadequate production of erythropoietin
d. Inadequate retention of serum iron

Question 15

A 4-year-old male is diagnosed with nephrotic syndrome.Which of the following assessment findings accompanies this condition?

a. Proteinuria
b. Decreased blood urea nitrogen (BUN)
c. Hematuria
d. Sodium loss

Question 16

A 19-year-old female was involved in a motor vehicle accident during which she sustained a closed head injury. She is now experiencing detrusor sphincter dyssynergia. Which of the following is the most beneficial medication treatment?

a. Alpha blocker
b. Beta blocker
c. Vasodilator
d. Diuretic

Question 17

A 30-year-old male is demonstrating hematuria with red blood cell casts and proteinuria exceeding 3 to 5 g/day, with albumin being the major protein. The most probable diagnosis the nurse will see documented on the chart is:

a. cystitis.
b. chronic pyelonephritis.
c. acute glomerulonephritis.
d. renal calculi.

Question 18

A 25-year-old female is diagnosed with urinary tract obstruction. While planning care, the nurse realizes that the patient is expected to have hydronephrosis and a decreased glomerular filtration rate caused by:

a. decreased renal blood flow.
b. decreased peritubular capillary pressure.
c. dilation of the renal pelvis and calyces proximal to a blockage.
d. stimulation of antidiuretic hormone.

Question 19

A 15-year-old female presents with flank pain, irritability, malaise, and fever. Tests reveal glomerulonephritis. When the parents ask what could have caused this, how should the nurse respond?

a. poststreptococcal infection
b. nephropathy
c. nephrotic syndrome
d. potter syndrome

Question 20

A 60-year-old male is diagnosed with renal failure. While the nurse is reviewing lab results, which of the following lab values would be most consistent with this diagnosis?

a. Elevated plasma creatinine level
b. Decreased plasma potassium level
c. Metabolic alkalosis
d. Increased urea clearance

Question 21

While planning care for a patient with renal calculi, the nurse remembers the most important factor in renal calculus formation is:

a. urine pH.
b. body temperature.
c. gender.
d. serum mineral concentrations.

Question 22

A 30-year-old male is demonstrating hematuria with red blood cell casts and proteinuria exceeding 3 to 5 g/day, with albumin being the major protein. The most probable diagnosis the nurse will see documented on the chart is:

a. cystitis.
b. chronic pyelonephritis.
c. acute glomerulonephritis.
d. renal calculi.

Question 23

A 55-year-old male presents reporting urinary retention.Tests reveal that he has a lower urinary tract obstruction. Which of the following is of most concern to the nurse?

a. vesicoureteral reflux and pyelonephritis
b. formation of renal calculi
c. glomerulonephritis
d. increased bladder compliance

Question 24

The urologist is teaching about the nephrons that determine the concentration of the urine. The urologist is discussing the _____ nephrons.

a. Juxtamedullary
b. Midcortical
c. Cortical
d. Medullary

Question 25

A 42-year-old female is diagnosed with chronic renal failure, and the nurse is discussing dietary treatment. Which information indicates the nurse understands dietary regimen? Treatment includes restricting:

a. Fats
b. Complex carbohydrates
c. Proteins
d. Sugars

Question 26

When a newborn is admitted with urinary tract infections (UTIs), which type of infection will the nurse look for in the newborn?

a. blood-borne infections
b. infections caused by bacteria from the gastrointestinal (GI) tract
c. yeast infections
d. viral infections

Question 27

A nurse is reviewing urinalysis results and notices glucose is present in the urine. A nurse realizes glucose will be excreted in the urine when:

a. The maximum rate of glucose filtration is achieved
b. The carrier molecules have reached their maximum
c. Glucose is consumed
d. The ability of the kidneys to regulate blood glucose is lost

Question 28

A 42-year-old male is involved in a motor vehicle accident during which he loses a lot of blood. The nurse realizes he is in acute renal failure caused by:

a. kidney stones
b. immune complex deposition in the glomerulus
c. inadequate renal blood flow
d. obstruction of the proximal tubule

Question 29

On average the kidneys receive approximately _____ of the cardiac output.

a. 10-14%
b. 15-19%
c. 20-25%
d. 26-35%

Question 30

When a nurse is checking the urinalysis, plasma proteins should be absent from the urine because:

a. all filtered proteins are subsequently reab-sorbed.
b. the texture of the covering surrounding plasma proteins interferes with reabsorp-tion.
c. filtered proteins are subsequently degrad-ed before elimination.
d. the negative charge of the glomerular fil-tration membrane repels the plasma pro-teins.

Question 31

A 3-year-old female presents with recurrent urinary tract infections (UTIs), fever, poor growth and development, and feeding problems.Tests reveal a retrograde flow of urine from the urinary bladder into the ureters. When giving report to the oncoming shift, the nurse will call this condition:

a. vesicoureteral reflux (VUR)
b. vesicourethral reflux
c. vesicoureteral influx
d. hydronephrosis

Question 32

A 6-year-old male is experiencing urine reflux from the urinary bladder into a grossly dilated ureter and calyces. He was diagnosed with vesicoureteral reflux. This condition would be graded:

a. I
b. II
c. III
d. IV

Question 33

A 35-year-old hypertensive male begins taking a diuretic.Which of the following common side effects of this medication should the nurse monitor?

a. Hypokalemia
b. Hyponatremia
c. Increased uric acid secretion
d. Hypermagnesemia

Question 34

A 27-year-old male has a severe kidney obstruction leading to removal of the affected kidney. Which of the following would the nurse expect to occur?

a. atrophy of the remaining kidney
b. compensatory hypertrophy of the remaining kidney
c. dysplasia in the remaining kidney
d. renal failure

Question 35

When a child is admitted with acute renal failure, a clinician realizes the most common cause of acute renal failure is:

a. glomerulonephritis.
b. obstruction.
c. nephrotic syndrome.
d. hemolytic uremic syndrome (HUS).

Question 36

A 7-year-old male presents to his primary care provider for incontinence. His mother indicates that he has never been continent. Which of the following is the most likely diagnosis the nurse will observe on the chart?

a. Nocturnal enuresis
b. Diurnal enuresis
c. Primary enuresis
d. Secondary enuresis

Question 37

While turning a patient with chronic renal failure, which principle should the nurse recall? Bone fractures are a risk factor in chronic renal failure because:

a. calcium is lost in the urine
b. osteoblast activity is excessive
c. the kidneys fail to activate vitamin D
d. autoantibodies to calcium molecules develop

Question 38

A 56-year-old male presents with flank pain and polyuria.Tests reveal that he has an enlarged prostate. Which of the following types of renal failure should the nurse monitor for as it is the most likely to occur?

a. prerenal
b. intrarenal
c. extrarenal
d. postrenal

Question 39

A 15-year-old male was diagnosed with pharyngitis. Eight days later he developed acute glomerulonephritis. While reviewing the culture results, which of the following is the most likely cause of this disease?

a. Kelbsiella
b. human immunodeficiency virus (HIV)
c. genital herpes virus
d. group A B-hemolytic streptococcus

Question 40

A 29-year-old female presents with cloudy urine, flank pain, hematuria, and fever. Which of the following does the nurse suspect the patient is most likely experiencing?

a. acute cystitis
b. renal calculi
c. chronic renal failure
d. postrenal renal failure

Design Two Interventions

Read the following case studies:

  1. Case Study: Joshua
  2. Case Study: Desert Viejo Elementary School

Create one 10-12-slide PowerPoint presentation (in addition to a title slide and references slide) outlining an intervention for each case study. One of the interventions must include Critical Incident Stress Debriefing (CISD). It is up to you to decide which type of intervention is best suited for each scenario. Include the following in your interventions:

  1. Step-by-step description of each intervention plan
  2. Rationale for choosing each intervention
  3. Community resources that are available in your local community that you would include as part of an intervention for each scenario

Include a minimum of three scholarly references in addition to the textbook.

Riverbend City TOWS Matrix NEED ASAP

  • One component for health care organizations when conducting a TOWS (threats-opportunities-weaknesses-strengths) matrix analysis is incorporating the facilities requirements from an emergency preparedness plan for the local community. Review the Riverbend City scenario and discuss the issues, using a TOWS matrix analysis, that the long-term care facility needs in its planning process to allow them to respond to the disaster and to safely evacuate their residents.
  • In your response, include a detailed discussion of the advantages a TOWS matrix offers strategic managers when addressing external opportunities and threats. You may wish to review Exhibit 7-1, “External/Internal Strategy Matrix,” in your text, Strategic Management of Health Care Organizations when drafting your response

. Give the base sequence on the complementary DNA strand

GENETIC PROBLEMS:
This is the base sequence on one strand of a certain DNA molecule:

3’ T A C A A T G C C A G T G G T T C G C A C A T T 5’

1. Give the base sequence on the complementary DNA strand (the other side).

2. Give the base sequence of the strand of mRNA which would be constructed from the original DNA strand.

3. What amino acid sequence would this mRNA code for?

4. If the seventh nucleotide of the original strand of DNA were changed from G to C, what would the resulting mRNA read? Include the entire strand.

5. What would the resulting amino acid sequence be? Include the entire sequence. What type of mutation is this?

6. If a G were added to the original DNA strand after the 6th nucleotide, what would the resulting mRNA read? Include the entire strand.

7. What would the resulting amino acid sequence be? Include the entire sequence. What type of mutation is this?

8. If the 11th nucleotide on the original DNA strand were changed from G to C, what would the resulting mRNA strand read? Include the entire strand.

9. What would be the resulting amino acid sequence? Include the entire sequence. What type of mutation is this?

Consider the following DNA base sequence:

3’ T A C C A C G T G G A C T G A G G A C T C C T C A C T 5’
10. What is the mRNA sequence that would result from this DNA sequence ?

11. What is the amino acid sequence that result from this mRNA sequence?

12. If the 8th nucleotide in the original DNA molecule were changed from T to A, what mRNA would the new DNA code for? Include the entire strand.

13. What is the amino acid sequence that would result from this mRNA sequence? What type of mutation is this?

SHORT ESSAY: This is the change that results in sickle cell anemia. Using your textbook as a reference, describe the occurrence of sickle cell anemia, the phenotype and genotype of the disease, and the relationship of sickle cell anemia and malaria.

Discussion 1: Leadership Theories In Practice

A walk through the Business section of any bookstore or a quick Internet search on the topic will reveal a seemingly endless supply of writings on leadership. Formal research literature is also teeming with volumes on the subject.

However, your own observation and experiences may suggest these theories are not always so easily found in practice. Not that the potential isn’t there; current evidence suggests that leadership factors such as emotional intelligence and transformational leadership behaviors, for example, can be highly effective for leading nurses and organizations.

Yet, how well are these theories put to practice? In this Discussion, you will examine formal leadership theories. You will compare these theories to behaviors you have observed firsthand and discuss their effectiveness in impacting your organization.

To Prepare:

  • Review the Resources and examine the leadership theories and behaviors introduced.
  • Identify two to three scholarly resources, in addition to this Module’s readings, that evaluate the impact of leadership behaviors in creating healthy work environments.
  • Reflect on the leadership behaviors presented in the three resources that you selected for review.

Post two key insights you had from the scholarly resources you selected. Describe a leader whom you have seen use such behaviors and skills, or a situation where you have seen these behaviors and skills used in practice. Be specific and provide examples. Then, explain to what extent these skills were effective and how their practice impacted the workplace.

Resources:

Marshall, E., & Broome, M. (2017). Transformational leadership in nursing: From expert clinician to influential leader (2nd ed.). New York, NY: Springer.

https://bmchealthservres.biomedcentral.com/articles/10.1186/s12913-015-0891-3

3-4 references

  • Chapter 1, “Expert Clinician to Transformational Leader in a Complex Health Care Organization: Foundations” (pp. 7–20 ONLY)
  • Chapter 6, “Frameworks for Becoming a Transformational Leader” (pp. 145–170)
  • Chapter 7, “Becoming a Leader: It’s All About You” (pp. 171–194)

Organizational Policies And Practices To Support Healthcare Issues

Quite often, nurse leaders are faced with ethical dilemmas, such as those associated with choices between competing needs and limited resources. Resources are finite, and competition for those resources occurs daily in all organizations.

For example, the use of 12-hour shifts has been a strategy to retain nurses. However, evidence suggests that as nurses work more hours in a shift, they commit more errors. How do effective leaders find a balance between the needs of the organization and the needs of ensuring quality, effective, and safe patient care?

In this Discussion, you will reflect on a national healthcare issue and examine how competing needs may impact the development of polices to address that issue.

To Prepare:

  • Review the Resources and think about the national healthcare issue/stressor you previously selected for study in Module 1.
  • Reflect on the competing needs in healthcare delivery as they pertain to the national healthcare issue/stressor you previously examined.

Post an explanation of how competing needs, such as the needs of the workforce, resources, and patients, may impact the development of policy. Then, describe any specific competing needs that may impact the national healthcare issue/stressor you selected. What are the impacts, and how might policy address these competing needs? Be specific and provide examples.

From module 1

Main Post

Introduction

The healthcare environment is significantly growing, which explains the reason for the existing significant issues. Improving the quality of healthcare requires a strong emphasis on critical aspects such as leadership, cost of care, skills and service delivery, technology, as well as patient management practices. A significant health care issue currently has been technological disruption. Substantial changes in the healthcare industry that are being undertaken are dependent on technology. This provides a unique platform where it is more accessible to attain better health outcomes across different settings.

Quality has been a critical measure in the delivery of quality healthcare outcomes. The integration of different results has aimed at providing a unique system where it would be easier to improve healthcare outcomes. The ability to incorporate technology in monitoring patient development offers a strong emphasis on essential processes which help maintain a unique level of engagement within a healthcare setting. Within my healthcare organization, patient information has been stored using healthcare information management systems compared to previous documentation of patient information in healthcare files (Engelhardt, 2017).

Management of healthcare information has become a critical factor which provides a strong consideration on critical processes which help create a reliable system. The inclusion of health information management systems has integrated vital processes which help identify important concepts which help manage patient information. Storage of patient details provides a strong consideration on specific aspects which help improve the level of commitment among healthcare providers (Sultan, 2015).  The health information management system that has been put in place identify specific measures which focus on ensuring that there is quick information retrieval of patient information.  Accessing patient information within a healthcare context requires authorization from a patient or when reviewing the patient situation.

The impact of technology disruption in my workplace

Integration of technology in healthcare is aimed at controlling healthcare errors. It is a crucial aspect to consider primarily based on previous errors in healthcare delivery.  The use of technology is aimed at improving efficiency in the delivery of healthcare. In my workplace, management of patient health information is a significant improvement to the storage of health information which has been a considerable challenge, especially retrieval of patient files. The use of technology has made it possible to access patient information from a cloud-based database quickly (Schwamm, 2014).

Conclusion

The use of technology has also created challenges, especially concerning the common cyber threats. The fact that we deal with sensitive patient information, they are at a higher risk of falling victims to intruders who target such information.   The present risks are significant. Thus, integration of vital information security risks will help in controlling the current risks through the development of robust techniques. The techniques are integrated into the healthcare industry to protect patient information. Thus, management of these risks has been a significant aspect to consider in ensuring that there is a better level of implementation of healthcare outcomes. Thus, technology disruption is having both positive and negative influence in healthcare.

References

Engelhardt, M. A. (2017). Hitching healthcare to the chain: An introduction to blockchain technology in the healthcare sector. Technology Innovation Management Review7(10).

Schwamm, L. H. (2014). Telehealth: seven strategies to successfully implement disruptive technology and transform health care. Health Affairs33(2), 200-206.

Sultan, N. (2015). Reflective thoughts on the potential and challenges of wearable technology for healthcare provision and medical education. International Journal of Information Management35(5), 521-526.

Which of the following materials would be the best to use for binding the stems?

You’ve been asked to create four bridesmaids’ bouquets for an upcoming fall wedding. The wedding will be held outdoors on a farm next to hayfields and an old, red country barn. The bridesmaids will be wearing dark cranberry dresses. The bride asks you to create a sample bouquet. It should be in a circular form and feature seasonal flowers in bold colors that complement the colors of the wedding and the setting.
1.   The bride requests that the stems of the bouquets be hand-tied. Which of the following materials would be the best to use for binding the stems?
A customer comes into your shop carrying a gorgeous oval bowl. It’s very large and low, and has a pale gray crackled glaze. He tells you it’s a bonsai container that he picked up during a trip to Japan. He asks you to make an arrangement of fresh flowers that will be placed in this bowl. The arrangement will then be displayed in the foyer of his business for a celebration that will take place there next week. The furnishings in the foyer are very modern. The bowl will be placed on a counter, so the arrangement will be visible from both sides. The customer says that the colors in the foyer are black, white, and gray. He wants an artistic arrangement that suits the bowl. After he leaves your shop, you decide that a parallel-systems floral design is just what this container needs.
2.   You decide to cover the bare foam that’s left visible in this striking, contemporary arrangement with maroon leaves that have an interesting gray reverse. You place the leaves on top of each other so that the edges of many of the leaves form a flat pattern and all the foam disappears. This technique is called basing by
A customer comes into your shop carrying a gorgeous oval bowl. It’s very large and low, and has a pale gray crackled glaze. He tells you it’s a bonsai container that he picked up during a trip to Japan. He asks you to make an arrangement of fresh flowers that will be placed in this bowl. The arrangement will then be displayed in the foyer of his business for a celebration that will take place there next week. The furnishings in the foyer are very modern. The bowl will be placed on a counter, so the arrangement will be visible from both sides. The customer says that the colors in the foyer are black, white, and gray. He wants an artistic arrangement that suits the bowl. After he leaves your shop, you decide that a parallel-systems floral design is just what this container needs.
3.   You decide that tulips can be added to this parallel-systems design if you make them appear as if they’re an upright column. To keep the tulips from bending as they often do, you tie them with raffia, a technique known as
One of your friends who works at a local public TV station knows that you wish to break into event-floral designing. She attended a party last week for which you had created an amazing set piece that surrounded a small dance floor. Impressed with your work, she asks you to supply floral arrangements for a popular local rock band’s live TV concert airing next month. In exchange for your work, you’ll receive an on-screen plug, and you’ll be allowed to hand out your business brochures to the studio audience. A great opportunity to make a name for yourself has fallen in your lap. What will you do to get noticed while at the same time giving this very modern and sophisticated band an artful set to back them?
4.   You want to make a reference to this band’s punk influences while also updating the set piece to reflect your own feelings about their music. To do so, what type of elements should your set piece contain?
A customer requests a romantic arrangement that will be placed on a piano in her living room, which is pale pink and white. Her friend, a professional pianist, has graciously offered to entertain her extended family at a reunion that will be held at her house. She wants to honor this friend with a fluid, eye-catching arrangement to complement the classical music that will be played. You immediately suggest a Hogarth arrangement.
5.   You would describe a Hogarth arrangement to the customer as an arrangement consisting of
A customer requests a romantic arrangement that will be placed on a piano in her living room, which is pale pink and white. Her friend, a professional pianist, has graciously offered to entertain her extended family at a reunion that will be held at her house. She wants to honor this friend with a fluid, eye-catching arrangement to complement the classical music that will be played. You immediately suggest a Hogarth arrangement.
6.   Which of the following containers would be best to use for your Hogarth arrangement?
 

 

You’ve been asked to create four bridesmaids’ bouquets for an upcoming fall wedding. The wedding will be held outdoors on a farm next to hayfields and an old, red country barn. The bridesmaids will be wearing dark cranberry dresses. The bride asks you to create a sample bouquet. It should be in a circular form and feature seasonal flowers in bold colors that complement the colors of the wedding and the setting.
7.   In regard to the setting of the event, the design of the bouquets, the color scheme, and the availability of seasonal flowers, which of the following groups of flowers would be the most appropriate to use for the bridesmaids’ bouquets?
 

 

You’ve been asked to create four bridesmaids’ bouquets for an upcoming fall wedding. The wedding will be held outdoors on a farm next to hayfields and an old, red country barn. The bridesmaids will be wearing dark cranberry dresses. The bride asks you to create a sample bouquet. It should be in a circular form and feature seasonal flowers in bold colors that complement the colors of the wedding and the setting.
8.   What are the best hues to use for the bridesmaids’ bouquets?
 

 

 

 

One of your friends who works at a local public TV station knows that you wish to break into event-floral designing. She attended a party last week for which you had created an amazing set piece that surrounded a small dance floor. Impressed with your work, she asks you to supply floral arrangements for a popular local rock band’s live TV concert airing next month. In exchange for your work, you’ll receive an on-screen plug, and you’ll be allowed to hand out your business brochures to the studio audience. A great opportunity to make a name for yourself has fallen in your lap. What will you do to get noticed while at the same time giving this very modern and sophisticated band an artful set to back them?
9.   You’re told that the set’s background will be white, and that this band usually wears black. You decide to create arrangements with an attention-getting color combination of yellow-orange, red-violet, and blue-green. These colors create a/an _______ color scheme.
D.Triad

A customer comes into your shop carrying a gorgeous oval bowl. It’s very large and low, and has a pale gray crackled glaze. He tells you it’s a bonsai container that he picked up during a trip to Japan. He asks you to make an arrangement of fresh flowers that will be placed in this bowl. The arrangement will then be displayed in the foyer of his business for a celebration that will take place there next week. The furnishings in the foyer are very modern. The bowl will be placed on a counter, so the arrangement will be visible from both sides. The customer says that the colors in the foyer are black, white, and gray. He wants an artistic arrangement that suits the bowl. After he leaves your shop, you decide that a parallel-systems floral design is just what this container needs.
10.   How should you prepare the oval ceramic bowl?