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Magine you are working in a state mental hospital with individuals diagnosed with severe and profound intellectual disability. besides significant cognitive and adaptive skill limitations, many of these individuals may also have multiple physical and sensory impairments. those most impaired are likely totally dependent upon others for their care. what are some important issues to consider when working with people with a high degree of impairment? what kinds of things do you need to consider to be sure you are respecting the dignity of those for whom you care?

Samuel is a 63-year-old single man who works full time in a food processing plant. he has a history of esophageal cancer, which was treated successfully with anti-cancer drugs and surgery four years ago. his weight had been stable at 135 pounds until 6 months ago. since then, he has experienced an involuntary weight loss of 10 pounds. he complains of a poor appetite and being overly weak, tired, and irritable. he also complains of cracks at the corners of his mouth and a chronic sore throat, which concerns him, given his cancer history. his usual diet is fairly consistent. he states that he rarely eats breakfast because he starts work at 6 a. m. he eats two deli meat sandwiches, "usually pastrami or salami," and a soda at 10 a. m., and may eat a candy bar in the afternoon when he gets off work. he often prepares and eats a frozen dinner or pizza at home in the evening and routinely drinks "about four or five beers" before going to bed. occasionally, he cooks roast and mashed potatoes for dinner and may have cereal with milk for a snack before bed. he rarely eats vegetables or fruit. 1. considering samuel's alcohol consumption, which b vitamin may he be deficient in? a. pantothenic acid b. niacin c. riboflavin d. biotin e. thiamin

It is the third week of the semester. dolly has registered for five courses because she is in a hurry to finish fire protection technology aas program. dolly is in aca 122, pol 120, eng 111, developmental math, and cis 110. she has realized that she cannot be successful in all of the classes at the same time because she also works 30 hours per week and has two small children. she wants to withdraw from one or more of her classes, but she doesn’t know which ones to drop. what college policies and procedures does dolly need to understand to her make this decision? what advice would you give her?