Evaluation of seizure activity

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An older client was recently discharged from the hospital for evaluation of seizure activity. His history reveals
that he has late-stage Alzheimer’s disease, Parkinson’s disease, hypertension, and type II diabetes mellitus,
which is controlled by diet. He lives at home, where his wife and daughter take care of him. His discharge
medications include phenytoin (Dilantin), 100 mg BID; hydrochlorothiazide (HydroDIURIL), 50 mg QD;
levodopa (Sinemet), 25/100 TID; and haloperidol (Haldol), 1 mg before bed. The client has been referred for
home care nursing follow-up.
Questions:
On the initial home visit by the nurse, what assessments should be made?
The wife and daughter need teaching about his antiepileptic medication. What teaching should be included?
During the initial home visit, the client experiences a generalized seizure. What action should the nurse take?
Identify all assessments that should be made.
Provides 3 teaching points about 2 antiepileptic medications.
List Actions implemented during a generalized seizure.

Sample Solution

incentive to work and save will be sustained”.

Issues with UK Tax System

The UK needs to change the separate systems of income tax and National Insurance, with different sets of rules and exemptions, pointlessly increasing administration and compliance costs and making the system less transparent. NI is not a true social insurance scheme anymore; it is just another tax on earnings, which is added to the total revenue. The current tax and benefit system is unnecessarily complicated and convinces many people not to work or to work too little.

Coherence requires first that the income tax system itself be sensibly structured. We need to move away from pointless complexities such as that which any amount between £100,000 and £123,700 means the personal allowance reduces and can actually mean that some people would get more net income if they earned less.

Conclusion

A good tax system is one which has primarily good taxes and fulfils most of the canons of taxation. It should be a balanced system where there are all types of taxes in the right proportion. The tax and benefit system should therefore be progressive, coherent, and designed to reflect income distribution and how different groups respond to work incentives. In the current system, there are a disarray of tax rates, a lack of a coherent vision of the tax base, and arbitrary discrimination across different types of economic activities. However, income tax does fundamentally treat the individual proportionately equal and helps provide items all benefit from. Ultimately, a good tax system is definitely better than none.

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