His wife encouraged him to speak with a pharmacist, as he recently received a diagnosis of chronic obstructive pulmonary disease (COPD) and wants to make sure he is doing everything he can to reduce his chances of complicating or exacerbating his condition. I would want to communicate in a nonthreatening manner, because I want him to feel comfortable with me, and that I care about him. Respiratory case studies. As the amount of hyperinflated lung tissue expands, the child's diaphragm is progressively flattened, causing a mechanical disruption of ventilation. Daily Collaboration with the Care Team assisted to #CareSafely for her allowing for a rapid discharge to home. He recalled childhood exposures to persons afflicted with tuberculosis. This was supported with weekly and sometime twice weekly visits during steroid reduction. Delusions of persecution may also occur. The Environmental Protection Agency (EPA) was notified and visited the home. Question: By putting everything together, what do you think is going on? Students also viewed.
Use of accessory muscles while breathing. Compensated blood gases indicate an issue that has been present for an extended period of time. She returned home with her husband and will continue to be followed by PCP in the community, Dr. Manu Gadani. He needs to understand his medications and which medication does what.
Frontal lobe stroke is unlikely, given the absence of other findings in the history or physical examination present to suggest an acute cerebrovascular event. Based on these findings, what should the nurse do next? Complaint, the client informs the nurse that I have shortness of breath that. After 30 minutes, the physician requests for another ABG to be drawn. In this scenario, students will learn communication techniques of dealing with a pediatric patient while also consoling a troubled parent. 0 International License, except where otherwise noted.
His primary reason for the visit is a routine check-up, but after closer evaluation, students will find that Vaughn suffers from anxiety and nervousness. Nursing Interventions: - Medication Management – Rilutek, Amiodarone, Hydrochlorothiazide, Losartan, Xarelto, Metoprolol, Amioderone. I thought steroids and antibiotics were the cure for my shortness of breath. Assistant Professor. Although this is a reasonable option for alleviating TR's infrequent symptoms, it is nonetheless worth educating him about the chronic and inflammatory nature of asthma. He was healthy with ten fingers, ten toes, two eyes, and thousands of fuzzy hairs. As a member, you'll also get unlimited access to over 88, 000 lessons in math, English, science, history, and more. Between January and May 2016 he was seen on more than ten occasions and then referred to the integrated community team in May 2016. What instructions would you review with Jeremy as to how to use this device? And once the patient is ready to be discharged, you want to ensure that you are sending them home with the tools and therapies that they need to stay healthy and avoid readmission.
Blood tests are also taken and an x-ray will occur shortly. It would be very important to make sure that we have open communication, and since Jeremy is a teen, he might be more closed off. Chest Assessment: - Mr. Doe presents with a larger than normal anterior-posterior diameter. Pertinent items from the patient's history include prior diagnosis of asthma, onset, and triggers for the exacerbation, current asthma medications, and prior ED visits or hospitalizations for asthma (including intensive care unit admissions and/or intubations).
Assess his lung sounds and vital signs. Because of the SP02 reading, you apply a simple face mask with supplemental oxygen. In this case, nursing students are tasked with taking the patient's history to uncover symptoms and any precipitating events. 2D transthoracic ECHO of the heart showed normal valves and an ejection fraction of 65% with a normal left ventricular end-diastolic pressure and normal left atrial size. Any questions about the use of data (including patient data) by the new ICB should be directed to.
Medical surgical nursing- clinical reasoning in patient care. 2014 Jan-Mar;18(1):52-9. His neurologic status had also significantly deteriorated with worsening confusion, memory loss, drowsiness, visual hallucinations (patient started seeing worms) and worsening upper extremity tremors without generalized tremulousness despite receiving increased doses of benzodiazepines. His ABG results also indicate that COPD is present because the interpretation shows compensated respiratory acidosis with mild hypoxemia. The associated cough was productive of yellow sputum without hemoptysis. Chris has educated hundreds of first responders, EMT's, paramedics, and nurses for 23 years with his trademark whiteboard artistry sessions. Taking into consideration Jeremy's age, what developmental stage is he in? In the blood, 90% of methyl mercury is bound to hemoglobin within the RBCs. After an hour of taking his quick relief medicine. We can address the patient's PaO2 by increasing either the FiO2 or EPAP setting. Taylor, 2015, p. 86). In this scenario, nursing students will practice and develop skills associated with providing emergent care and recognizing signs of an impending heart attack. Alcoholic hallucinosis is a rare disorder occurring in 0. The addition of ipratropium bromide (0.
What are his known asthma triggers? Pneumonia and tuberculosis exposure will not present with gastrointestinal symptoms. This medication is an effective bronchodilator but will ultimately not address more moderate-to-severe asthma symptoms and treat the underlying disease. Are you still watching? Improved her spirometry – from mild obstruction to normal. Reviewed By Behavioral Science Assembly. The appropriate flow for this device is 1-6 L/ minute. Respiratory Interventions.
First, the smooth muscle surrounding the bronchioles is stimulated by histamine and leukotriene, causing bronchoconstriction. EMS professionals need to keep in mind that a child's lower airway anatomy is proportionally smaller than an adult, and is easily compromised from a lesser degree of swelling and constriction. Bowel sounds or pain), Musculoskeletal system along with the hair, skin, and. His strength improved greatly and soon he was able to transfer off TCU to step down and shortly after was ambulating independently in the halls with a walker. By the respiratory system.
TR does not take any medications. Physically, the patient appears to be in moderate respiratory distress, with suprasternal and intercostal retractions. At her first assessment with the community team, Mrs X was convinced she had pneumonia and that the only treatment she required was steroids and nebulised medications. He is sitting in the tripod position and continues to demonstrate pursed-lip breathing. When determining the chief.
Heavy metal toxicity Part I: Arsenic and mercury. Elemental mercury is one of only two known metals that are liquid at room temperature and has been referred to as quicksilver (12). Treat Infection- IV Antibiotics for Pseudomonas Pneumonia. The appropriate test depends upon the type of mercury to which a patient has been exposed. Vital Signs: - Heart rate is 92 beats/min. A long expiratory time. After admission to the ICU, the patient was noted to be in acute lung injury (ALI), a subset of acute respiratory distress syndrome (ARDS). The ed nurse reports that the patient is on O2 2LNC after having bronchodilator respiratory treatment in the ED. This patient had exposure to elemental mercury from broken thermometers. Define the roles of healthcare professionals and the contributions they make to the healthcare team (or describe your own role and the roles of those in other professions).
See, e. g., Dataphase Systems, Inc. v. C L Systems, Inc., 640 F. 2d 109, 113 (8th Cir. G., Apple Computer, Inc. Microsoft Corp., 35 F. 3d 1435, 1442-44 (9th Cir. Course Hero uses AI to attempt to automatically extract content from documents to surface to you and others so you can study better, e. g., in search results, to enrich docs, and more. 1981) (comparing Superman and the "Greatest American Hero" character and concluding that they are not substantially similar). Defendants claim that their commercial was independently created, as evidenced from the Yoshida declaration stating that he was inspired not by James Bond, but by "Aliens. "
Third, the Court must look to the quantitative and qualitative extent of the copying involved. Plaintiffs Own The Copyrights To The James Bond Character As Well As The 16 Films At Issue. In the Honda commercial, the villain jumps onto the roof of the Honda del Sol and scrapes at the roof, attempting to hold on and possibly get inside the vehicle. Defendants' Opening Memo re: Summary Judgment, at 10. The court held that irreparable harm would be presumed due to plaintiffs' likelihood of success on a copyright claim. However, as one district court warned, "this fact does not warrant the creation of separate analytical paradigms for protection of characters in the two mediums. "
In their opening brief, Plaintiffs contend that each of their sixteen films contains distinctive scenes that together comprise the classic James Bond adventure: "a high-thrill chase of the ultra-cool British charmer and his beautiful and alarming sidekick by a grotesque villain in which the hero escapes through wit aided by high-tech gadgetry. " The Florida Constitution outlines the structure of courts for the state. 1132, 99 S. 1054, 59 L. 2d 94 (1979), the circuit panel held that several Disney comic book characters were protected by copyright. Moreover, the Court notes that Plaintiffs have shown they have been specifically harmed by the continued airing of Defendants' commercial in two ways: (1) prolonged lost licensing revenue (purportedly in the millions of dollars); and (2) dilution of the copyrights' long-term value. Course Hero member to access this document. 756 (1955) (evidence at bar suggesting that assignment from author to plaintiffs did not include copyrights to author's characters) [the Sam Spade case]).
Finally, and most importantly, Defendants do not contest the substantive importance or validity of the exhibits attached to the Mortimer declaration; they simply contend that the Court should not consider these documents because they were not turned over earlier. Because Defendants concede in their summary judgment motion that Plaintiffs own the rights to the sixteen films at issue here, the Court does not believe that Plaintiffs intended to deliberately withhold these documents from the defense; it appears instead that Plaintiffs honestly did not believe ownership to be a contested issue. Litchfield v. Spielberg, 736 F. 2d 1352, 1357 (9th Cir. See Stolber Depo., at 81:9-84:2. Two subsequent Ninth Circuit decisions have cast doubt on the continued viability of the Sam Spade holding as applied to graphic characters. In 1992, Honda's advertising agency Rubin Postaer came up with a new concept to sell the Honda del Sol convertible with its detachable rooftop. Specifically, film historian Casper explains how the James Bond films represented a fresh and novel approach because they "hybridize[d] the spy thriller with the genres of adventure, comedy (particularly, social satire and slapstick), and fantasy. In the Honda commercial, the villain, wearing similar goggles and revealing metallic teeth, jumps out of a helicopter. See also infra discussion re: Plaintiffs' copyright ownership in context of summary judgment discussion, at 27-29. b.
Plaintiffs were receptive to the idea, but Defendants suggested instead that they be allowed to file a motion for summary judgment, and that the Court issue a ruling on both Plaintiffs' and Defendants' motions simultaneously. Some images used in this set are licensed under the Creative Commons through. 6 Simulate the trial process and the role of juries in the administration of justice. Plaintiffs contend that Defendants' commercial infringes in two independent ways: (1) by reflecting specific scenes from the 16 films; and (2) by the male protagonist's possessing James Bond's unique character traits as developed in the films. A grotesque villain with metal-encased arms[2] jumps out of the helicopter onto the car's roof, threatening harm. G., Anderson v. Stallone, 11 U. P. Q. Is this content inappropriate? Judicial Branch Brainstorm and share out words and ideas you associate with the term "judicial branch.
Defendants claim that, after the initial May 1992 approval, they abandoned the "James Bob" concept, whiting out "James" from the title on the commercial's storyboards because of the implied reference to "James Bond. " 977, 108 S. 1271, 99 L. 2d 482 (1988) (requiring greater showing of similarity between factually-based works as opposed to between works of fiction). In essence, this test requires looking at two key elements in deciding whether an injunction should issue: the relative merits of the claim, and the relative harms to be suffered by the parties. There must be a reasonable possibility to view plaintiff's work, not just a bare possibility. First, Plaintiffs do not assert that the character in either of the two "Casino Royale" productions is the same as their James Bond portrayal;[19] and second, Plaintiffs heavily litigated their right to enjoin "Never Say Never Again" from ever being made the fact that Plaintiffs lost that litigation does not mean that they waived their copyright claims, and Defendants have not cited, nor is the Court aware of, any case that stands for this proposition. Start the jury process over again. 0% found this document not useful, Mark this document as not useful. James bond jury instructions. Shaw v. Lindheim, 919 F. 2d 1353, 1356 (9th Cir. To begin our study of the court systems we will look at the U. S. and Florida constitutions. Strategic Arms Limitation Treaty (SALT) I and. To demonstrate access, the plaintiff must show that the defendant had "an opportunity to view or to copy plaintiff's work. " While the commercial was initially approved by Honda in May 1992, it was put on hold because of financing difficulties.
Constitution establishes a Supreme Court and Congress can create inferior courts. Defendants' less-impressive expert list includes: (1) Arnold Margolin, a writer and producer, who considers himself to be "conversant with the genre to which James Bond and his films belong, " because he has been a fan of Bond films since 1959 and has written several screenplays in the "spy film" genre; and (2) Hal Needham, a movie director responsible for the "Cannonball Run" and "Smokey and the Bandit" comedy film series. 6] Indeed, there is a notable difference in the backgrounds of the parties' experts. Rule: A preliminary injunction may be granted if the moving party shows either (1) a combination of probable success on the merits and the possibility of irreparable harm, or (2) the existence of serious questions going to the merits, the balance of hardships tipping sharply in its favor, and at least a fair chance of success on the merits. Plaintiffs' Ownership Of The Copyrights. Plaintiffs move to enjoin Defendants' commercial pending a final trial on the merits, and Defendants move for summary judgment.
3] Defendants respond that this decision was solely the casting director's, and that the director was actually instructed to look for "The Avengers"-type actors. What Elements Of Plaintiffs' Work Are Protectable Under Copyright Law. Metro-Goldwyn-Mayer v. American Honda Motor Co., 900 F. Supp. "Understanding the Federal & State Courts" Directions: While reading, your task is to underline the evidence that helps you define the term and then summarize the term in your own words using complete sentences (the terms are provided). Article V of the Florida Constitution Summarize these sentences in your own words in the blank box at the bottom of your "Article III, Section 1" activity sheet "The judicial power shall be vested in a supreme court, district courts of appeal, circuit courts and county courts. Rich, extensive materials included (such as script, activity instructions, crossword puzzles, and simulation handouts). In the landmark Sam Spade case, Warner Bros., 216 F. 2d at 950, the Ninth Circuit held that the literary character Sam Spade was not copyrightable because he did not constitute "the story being told. " United States District Court, C. California. ORDER RE: (1) MOTION FOR PRELIMINARY INJUNCTION; (2) MOTION FOR SUMMARY JUDGMENT.