1. TQM involves empowerment and inverts the management pyramid, for, or if it is to achieve the results, it must work horizontally and vertically across the organisation, across disciplines and depart
75 y.o. patient diagnosed with heart failure is seen in cardiac office for worsening of shortness of breath. He has difficulty completing sentences
75 y.o. patient diagnosed with heart failure is seen in cardiac office for worsening of shortness of breath. He has difficulty completing sentences and has productive cough. He has increased difficulty in self-care. On assessment noted bilateral crackles, +3 pedal edema, jugular vein distention. He states he takes his medications