#ua local 601 | Explore Tumblr Posts and Blogs

selwyngrimm · 8 months

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Mostly I do what artistic endeavors I do in words, but occasionally I stray into like, physical things...

#Welding #ua local 601 #Flowers #Technically the first iteration were snowflake ornaments I gave out for Christmas #Stems leaves and bases came in version two with parts cribbed from work #Alas they aren't homers though

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rtvnoticiasyemergenciaschile · 5 years

Video

DISTRIBUIDORA DE GAS GASCO EL TITO UBICADA EN SANTA INES 601 CON ARRAYANES TECHO PARA TODOS .. VENTA A GAS EN SU LOCAL Y REPARTO EXPRESS A DOMICILIO COMUNICATE CON NOSOTROS AL 65 2 258235 Y CELULAR 955168510 https://www.instagram.com/p/B3u1GqFp-Ua/?igshid=jjksltgss2dj

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evadeja · 5 years

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@NABTU : RT @UAPipeTrades: Congratulations to Representative Abby Finkenauer @Abby4Iowa and her proud UA Dad Brother Jerry Finkenauer of Local 601 in Milwaukee! What a great way to start off 2019! #uaproud https://t.co/4E4T51lvY7

Congratulations to Representative Abby Finkenauer, @Abby4Iowa, and her proud UA Dad, Brother Jerry Finkenauer of Local 601 in Milwaukee! What a great way to start off 2019! #uaproud https://t.co/4E4T51lvY7

— United Association (@UAPipeTrades) January 3, 2019

January 03, 2019 at 05:53AM via Twitter https://twitter.com/NABTU

from JOIN A LABOR UNION – UNION YES ! – Home http://www.join-union.com/home/nabtu-rt-uapipetrades-congratulations-to-representative-abby-finkenauer-abby4iowa-and-her-proud-ua-dad-brother-jerry-finkenauer-of-local-601-in-milwaukee-what-a-great-way-to-start-off-2019-uaproud-httpstco4e4t51lvy7

from Join A Union https://joinaunion.wordpress.com/2019/01/03/nabtu-rt-uapipetrades-congratulations-to-representative-abby-finkenauer-abby4iowa-and-her-proud-ua-dad-brother-jerry-finkenauer-of-local-601-in-milwaukee-what-a-great-way-to-start-off-2019-ua/

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ruthjada · 5 years

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@NABTU : RT @UAPipeTrades: Congratulations to Representative Abby Finkenauer @Abby4Iowa and her proud UA Dad Brother Jerry Finkenauer of Local 601 in Milwaukee! What a great way to start off 2019! #uaproud https://t.co/4E4T51lvY7

Congratulations to Representative Abby Finkenauer, @Abby4Iowa, and her proud UA Dad, Brother Jerry Finkenauer of Local 601 in Milwaukee! What a great way to start off 2019! #uaproud https://t.co/4E4T51lvY7

— United Association (@UAPipeTrades) January 3, 2019

January 03, 2019 at 05:53AM via Twitter https://twitter.com/NABTU

from http://www.join-union.com/home/nabtu-rt-uapipetrades-congratulations-to-representative-abby-finkenauer-abby4iowa-and-her-proud-ua-dad-brother-jerry-finkenauer-of-local-601-in-milwaukee-what-a-great-way-to-start-off-2019-uaproud-httpstco4e4t51lvy7

from Join A Union - Blog http://joinaunion3.weebly.com/blog/nabtu-rt-uapipetrades-congratulations-to-representative-abby-finkenauer-abby4iowa-and-her-proud-ua-dad-brother-jerry-finkenauer-of-local-601-in-milwaukee-what-a-great-way-to-start-off-2019-uaproud-httpstco4e4t51lvy7

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joinaunion3 · 5 years

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@NABTU : RT @UAPipeTrades: Congratulations to Representative Abby Finkenauer @Abby4Iowa and her proud UA Dad Brother Jerry Finkenauer of Local 601 in Milwaukee! What a great way to start off 2019! #uaproud https://t.co/4E4T51lvY7

Congratulations to Representative Abby Finkenauer, @Abby4Iowa, and her proud UA Dad, Brother Jerry Finkenauer of Local 601 in Milwaukee! What a great way to start off 2019! #uaproud https://t.co/4E4T51lvY7

— United Association (@UAPipeTrades) January 3, 2019

January 03, 2019 at 05:53AM via Twitter https://twitter.com/NABTU

from JOIN A LABOR UNION - UNION YES ! - Home http://www.join-union.com/home/nabtu-rt-uapipetrades-congratulations-to-representative-abby-finkenauer-abby4iowa-and-her-proud-ua-dad-brother-jerry-finkenauer-of-local-601-in-milwaukee-what-a-great-way-to-start-off-2019-uaproud-httpstco4e4t51lvy7

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tiacara3 · 5 years

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@NABTU : RT @UAPipeTrades: Congratulations to Representative Abby Finkenauer @Abby4Iowa and her proud UA Dad Brother Jerry Finkenauer of Local 601 in Milwaukee! What a great way to start off 2019! #uaproud https://t.co/4E4T51lvY7

Congratulations to Representative Abby Finkenauer, @Abby4Iowa, and her proud UA Dad, Brother Jerry Finkenauer of Local 601 in Milwaukee! What a great way to start off 2019! #uaproud https://t.co/4E4T51lvY7

— United Association (@UAPipeTrades) January 3, 2019

January 03, 2019 at 05:53AM via Twitter https://twitter.com/NABTU

from http://www.join-union.com/home/nabtu-rt-uapipetrades-congratulations-to-representative-abby-finkenauer-abby4iowa-and-her-proud-ua-dad-brother-jerry-finkenauer-of-local-601-in-milwaukee-what-a-great-way-to-start-off-2019-uaproud-httpstco4e4t51lvy7 from Join A Union https://joinaunion3.blogspot.com/2019/01/nabtu-rt-uapipetrades-congratulations.html

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deepcowboymilkshake-blog · 6 years

Link

Chamberlain College Of Nursing NR 601 Week 6 Case Study Discussions Health Promotion, Health Protection, Disease Prevention, and Treatment Considerations in Long-Term Care (Part-2) NEW

To purchase this material click

http://www.assignmentcloud.com/nr-601-chamberlain-college-of-nursing-/nr-601-week-6-case-study-discussions-health-promotion-health-protection-disease-prevention-and-treatment-considerations-in-long-term-care-part-2-new

For more classes visit

www.assignmentcloud.com

Discussion Part Two (graded)

Physical Exam:

Discussion Part Two (graded)

Vital signs: blood pressure 145/90, heart rate 100, respirations 20 height 5’1”; weight 210 pounds

Labwork:

CBC: normal

UA: 2+ glucose; 1+ protein; negative for ketones

CMP: BUN/Creat. elevated; Glucose is 300 mg/dL

Hemoglobin A1c: 12%

Thyroid panel: normal

LFTs: normal

Cholesterol: total cholesterol (206), LDL elevated; HDL is low EKG: normal

General: obese female in not acute distress HEENT: unremarkable

CV: S1 and S2 RRR without murmurs or rubs

Lungs: Clear to auscultation

Abdomen– soft, round, nontender with positive bowel sounds present; no organomegaly; no abdominal bruits

Discussion Questions Part Two

For the primary diagnosis, what non-pharmacological and pharmacological strategies would be appropriate?

Include the following: lab work and screenings to be completed. Describe patient education strategies.

Describe follow-up and any referrals that may be necessary.

Discussion Part One (graded)

C.G. is a 69-year-old male with a history of right head and neck cancer that you have been following for one year. The carcinoma was initially localized to the head and neck-specifically at the left lingual tonsil region and went on to complete a total of 6 weeks of radiation and chemotherapy. Recently, the last PET scan indicated some metabolic activity in the left lymph node area along with other regions of abnormal metabolic activity in the body-particularly the liver and the lungs indicating metastasis. C.G. indicates that he is tired of the effects of chemotherapy and radiation and does not want to pursue any more treatment for cancer.

Background:

Right head and neck cancer with metastasis to liver and lungs; patient is refusing further treatment.

PMH:

Hypertension

Hyperlipidemia

Stomatitis

Anemia

Neutropenia

Current medications:

Carvedilol 12.5 mg po 1 daily

Furosemide 40 mg po daily

Surgeries:

2012: right radical neck dissection

Allergies:

None

Vaccination History:

Influenza vaccine last received 1 year ago

Received pneumovax at age 65

Received Tdap 5 years ago

Has not had the herpes zoster vaccine

Social history and Risk Factors:

Former smoker-stopped smoking at the time his cancer was diagnosed-2 years ago

Negative for alcohol intake or drug use

Patient does not have an advanced directive or living will. He is refusing further treatment for his cancer and his wife and children are in disagreement with him. The patient wants to know what his options are for the remainder of his life.

Family history:

Negative

Discussion Part One:

Provide differential diagnoses (DD) with rationale.

Further ROS questions needed to develop DD.

Identify the legal/ethical issues involved with the patient and describe your approach to addressing end-of-life care for this patient.

Discussion Part Two (graded)

Physical examination:

Vital Signs: Height: 6’0 Weight: 140 pounds; BMI: 19.0 BP: 156/84 P: 84 regular R: 20

HEENT: normocephalic, symmetric PERRLA, EOMI; poor dentition NECK: left neck supple; non-palpable lymph nodes; no carotid bruits. Limited ROM

LUNGS: rhonchi in anterior chest bilaterally.

HEART: S1 and S2 audible; regular rate and rhythm

ABDOMEN: active bowel sounds all 4 quadrants; Normal contour; RUQ tenderness; liver palpable

NEUROLOGIC: negative

GENITOURINARY: negative

MUSCULOSKELETAL: negative

PSYCH: PHQ-9 is 15

SKIN: oral mucosa irritated-stomatitis

Discussion Part Two:

Summarize the history and results of the physical exam. Discuss the differential diagnosis and rationale for choosing the primary diagnosis. Include one evidence-based journal article that supports your rationale and include a complete treatment plan that includes medications, possible referrals, patient education, ICD 10 Codes, and plan for follow up.

#Chamberlain College Of Nursing NR 601 Week 6 Case Study Discussions Health Promotion Health Protection Disease Prevention and Treatment Cons

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lesacote · 6 years

Text

NR 601 Week 6 Case Study Discussions Health Promotion, Health Protection, Disease Prevention, and Treatment Considerations in Long-Term Care (Part-2) NEW

Discussion Part Two (graded)

Physical Exam:

Discussion Part Two (graded)

Vital signs: blood pressure 145/90, heart rate 100, respirations 20 height 5’1”; weight 210 pounds

Labwork:

CBC: normal

UA: 2+ glucose; 1+ protein; negative for ketones

CMP: BUN/Creat. elevated; Glucose is 300 mg/dL

Hemoglobin A1c: 12%

Thyroid panel: normal

LFTs: normal

Cholesterol: total cholesterol (206), LDL elevated; HDL is low EKG: normal

General: obese female in not acute distress HEENT: unremarkable

CV: S1 and S2 RRR without murmurs or rubs

Lungs: Clear to auscultation

Abdomen– soft, round, nontender with positive bowel sounds present; no organomegaly; no abdominal bruits

Discussion Questions Part Two

For the primary diagnosis, what non-pharmacological and pharmacological strategies would be appropriate?

Include the following: lab work and screenings to be completed. Describe patient education strategies.

Describe follow-up and any referrals that may be necessary.

Discussion Part One (graded)

C.G. is a 69-year-old male with a history of right head and neck cancer that you have been following for one year. The carcinoma was initially localized to the head and neck-specifically at the left lingual tonsil region and went on to complete a total of 6 weeks of radiation and chemotherapy. Recently, the last PET scan indicated some metabolic activity in the left lymph node area along with other regions of abnormal metabolic activity in the body-particularly the liver and the lungs indicating metastasis. C.G. indicates that he is tired of the effects of chemotherapy and radiation and does not want to pursue any more treatment for cancer.

Background:

Right head and neck cancer with metastasis to liver and lungs; patient is refusing further treatment.

PMH:

Hypertension

Hyperlipidemia

Stomatitis

Anemia

Neutropenia

Current medications:

Carvedilol 12.5 mg po 1 daily

Furosemide 40 mg po daily

Surgeries:

2012: right radical neck dissection

Allergies:

None

Vaccination History:

Influenza vaccine last received 1 year ago

Received pneumovax at age 65

Received Tdap 5 years ago

Has not had the herpes zoster vaccine

Social history and Risk Factors:

Former smoker-stopped smoking at the time his cancer was diagnosed-2 years ago

Negative for alcohol intake or drug use

Patient does not have an advanced directive or living will. He is refusing further treatment for his cancer and his wife and children are in disagreement with him. The patient wants to know what his options are for the remainder of his life.

Family history:

Negative

Discussion Part One:

Provide differential diagnoses (DD) with rationale.

Further ROS questions needed to develop DD.

Identify the legal/ethical issues involved with the patient and describe your approach to addressing end-of-life care for this patient.

Discussion Part Two (graded)

Physical examination:

Vital Signs: Height: 6’0 Weight: 140 pounds; BMI: 19.0 BP: 156/84 P: 84 regular R: 20

HEENT: normocephalic, symmetric PERRLA, EOMI; poor dentition NECK: left neck supple; non-palpable lymph nodes; no carotid bruits. Limited ROM

LUNGS: rhonchi in anterior chest bilaterally.

HEART: S1 and S2 audible; regular rate and rhythm

ABDOMEN: active bowel sounds all 4 quadrants; Normal contour; RUQ tenderness; liver palpable

NEUROLOGIC: negative

GENITOURINARY: negative

MUSCULOSKELETAL: negative

PSYCH: PHQ-9 is 15

SKIN: oral mucosa irritated-stomatitis

Discussion Part Two:

Summarize the history and results of the physical exam. Discuss the differential diagnosis and rationale for choosing the primary diagnosis. Include one evidence-based journal article that supports your rationale and include a complete treatment plan that includes medications, possible referrals, patient education, ICD 10 Codes, and plan for follow up.

for assignment help and quiz, visit

http://www.dreamassignment.com/

#assignment help #homework help #quiz #examination

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selwyngrimm · 7 months

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Did some real steamfittering yesterday. Sometimes it's a four come-along problem...

#union #ua local 601 #steamfitter #union strong #rigging #welding

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selwyngrimm · 7 months

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It just occurred to me that I've now been a steamfitter longer than I was a printer. By three months actually. Wild.

#union #ua local 601 #steamfitter #Fuck Quad/Graphics

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selwyngrimm · 7 months

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Sometimes work is pretty kinky...

#union strong #union #ua local 601 #steamfitter

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selwyngrimm · 8 months

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Is it imposter syndrome when your foreman keeps telling you that you do good work and you assume that he keeps saying that because he says that to everyone for morale purposes?

#Steamfitter #union #ua local 601 #Actually the last six foreman across four contractors/three locals/two states

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selwyngrimm · 4 months

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Progress in three pictures

#union #ua local 601 #steamfitter #union strong

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selwyngrimm · 4 months

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Anatomy of a chariot...

(Or a brief run-down of how I've got my lift at work set up for running compressed air and N2 lines)

#union #ua local 601 #steamfitter #union strong

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selwyngrimm · 6 months

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Finally done with these fucking cooling towers.

#union #ua local 601 #steamfitter #union strong #HVAC

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selwyngrimm · 7 months

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Didn't go out hunting today, and instead worked on a welding project for a friend, so I smell like work on my vacation now.

Side note: underpowered welders with a process you've never used before (flux core) suck ass. So does running out of oxygen for your oxy-acetylene torch. And your grandfather's. 😮‍💨 Progress was made, though.

#union #ua local 601 #steamfitter #welding

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