The purpose of this assignment is for the student to reflect on the nursing care of a critically‐ill individual  from a clinical experience. The student will demonstrate clinical reasoning skills and will discuss  interdisciplinary care that had been incorporated and/or anticipated during the care of the critically‐ill  individual.  

/in /by

Chamberlain College of Nursing NR341 Complex Adult Health

NR341 RUA Interdisciplinary Care.docx                   Revised 06/2016 1

 

Required Uniform Assignment: Interdisciplinary Care PURPOSE  The purpose of this assignment is for the student to reflect on the nursing care of a critically‐ill individual  from a clinical experience. The student will demonstrate clinical reasoning skills and will discuss  interdisciplinary care that had been incorporated and/or anticipated during the care of the critically‐ill  individual.

COURSE OUTCOMES  This assignment enables the student to meet the following course outcomes:

CO 1:  Provide nursing care to patients and their families in critical and emergent care settings based on  theories and principles of nursing and related disciplines.

CO 2: Initiate the use of appropriate resources in direct care responsibilities within critical‐care and  emergent care settings.

CO 3: Demonstrate effective therapeutic communication and relationship skills in providing care to  patients and families in critical‐care and emergent care settings.

CO 4: Demonstrate effective clinical decision‐making based on critical thinking skills and legal, ethical,  and professional standards and principles when caring for patients and families in critical care and  emergent care settings.

CO 5: Implement a plan of for continued personal, professional, and educational development related to  nursing practice within critical‐care and emergent care settings.

CO 7: Use evidence including research findings from nursing and related disciplines to answer clinical  questions related to nursing care of patients in critical care and emergent care settings.

 

DUE DATE: See Course Calendar. This assignment falls within the college’s Late Assignment Policy.

TOTAL POINTS POSSIBLE: 100 POINTS

REQUIREMENTS: THE FOLLOWING ELEMENTS MUST BE INCLUDED IN THE PAPER  Background Information Summary:

 Demographics   History of present illness   Relevant past medical and surgical history   Admitting diagnosis (diagnoses)   Course of current hospitalization to date   Significant assessment findings during day(s) of care. Include vital signs, focused assessment,

and data from monitoring devices. (This information can be presented in a table).    Laboratory and Diagnostic Tests

Identify and list a summary of relevant and significant lab values and diagnostic tests/procedures  performed. Include the rationales for performing the tests and for any abnormal results. Provide  an analysis of the relationships between/among the diagnostic tests and lab results with the  critically‐ill individual’s current condition(s).

Chamberlain College of Nursing NR341 Complex Adult Health

NR341 RUA Interdisciplinary Care.docx                   Revised 06/2016 2

 

Medications

Identify and list a summary of relevant and significant medications. Indicate the trade name and  generic name, the medication classification, the therapeutic use, major adverse effects, timing,  dosage, route of administration, and the nursing implications. Also include the rationale(s) as to  why the medication is prescribed for treatment. For example, document the rationale for how the  treatment corrects the critically‐ill individual’s condition or a side effect of another drug that is  prescribed for treatment. *This information can be presented in a table.

Nursing Diagnoses

In order of priority, identify three (3) nursing diagnoses for the individualized plan of care for this  patient. Two of the nursing diagnoses must address actual problems, and one of the nursing  diagnoses must be a “Risk for” or “Potential Complication” (PC). For each nursing diagnosis,  include three (3) nursing outcomes, three (3) nursing interventions, and three (3) collaborative  interventions. *This section can be presented as a table or concept map.

Interventions ‐ ROUTINE NURSING MANAGEMENT

Describe independent nursing care you provided in the care of the critically‐ill individual.  Examples include, but are not limited to: activity level, position, ongoing monitoring, and  nutrition (prescribed diet, tube feedings/TPN, formula, rate, and calculation of basal energy  expenditure (BEE), patient education, wound care etc.). The rationale must be included for each  intervention.

Interdisciplinary (ID) Care

Collaborative Management  Identify the members of the interdisciplinary team caring for the critically‐ill individual. Provide  a brief description of their roles and responsibilities. Interdisciplinary team members include,  but are not limited to: physician, pharmacist, lab/diagnostic tests personnel, respiratory  therapy, physical therapy, occupational therapy, speech therapy, social work/case  management, pastoral care, ethicist, etc.

Therapeutic Modalities

Describe the various therapeutic modalities used in the management of care for the critically‐ill  individual. Discuss the extent of the nurse’s responsibilities and skills required to manage the  therapeutic modality in comparison to the responsibilities of the members of the  interdisciplinary team. Therapeutic modalities include but are not limited to: oxygen therapy  (mode, FiO2,), dialysis/CRRT (settings), ventilator therapy (mode of ventilation, settings, FiO2).  The rationale must be included for each modality.

Nursing Role Reflection

Provide a brief summary of how your role interacted with the members of the interdisciplinary  team. Include in your summary   Analysis of communication style preferences among interdisciplinary team members and with  the critically‐ill individual and family members. What is the impact of your own  communication style on others?

 System barriers and facilitators. Did the organizational framework for interdisciplinary  management of care facilitate or hindered the quality of care/outcomes for the critically‐ill  individual? What recommendations can you make to the organizational system for enhancing

Chamberlain College of Nursing NR341 Complex Adult Health

NR341 RUA Interdisciplinary Care.docx                   Revised 06/2016 3

 

interdisciplinary collaboration? Provide at minimum two (2) evidence‐based literature sources  to support your recommendations.

 Professional Development. Based on your experience(s), write ideas for your own professional  self‐development plan to enhance your potential for becoming an effective member in an  interdisciplinary team.

PREPARING THE PAPER  Style and Format  The paper should be typed and presented in APA format, including an APA title page, use of headings,  and references with in‐text citations. Spelling and grammar will be evaluated with this assignment.      Page Limits  The body of the paper should be between 7‐10 pages, NOT including the Title and Reference pages.

 Background Summary      1 to 1.5 pages   Laboratory and Diagnostic Tests   1 to 1.5 pages   Medications        1 to 1.5 pages   Nursing Diagnoses      1 to 1.5 pages   Interventions        1 page   Interdisciplinary Care      1 to 1.5 pages   Nursing Role Reflection      1 to 1.5 pages

GRADING CRITERIA   Assignment  Criteria

Points  %  Description

Background  Information

10  10%

Includes ALL the elements as described in the assignment guidelines:  Demographics   History of present illness   Relevant past medical and surgical history   Admitting diagnosis(es)   Course of current hospitalization to date   Significant assessment findings during day(s) of care. Include vital signs,

focused assessment, and data from monitoring devices.   Laboratory  and  Diagnostic  Tests

10  10%   Identifies and lists relevant and significant lab values and diagnostic  tests/procedures performed.

 Includes the rationales for performing the tests and for any abnormal results.    Provides an analysis of the relationships between/among the diagnostic tests

and lab results with the critically‐ill individual’s current condition(s).    Medications  10  10%   Identifies and lists relevant and significant medications.

 Indicates the trade name and generic name, the medication classification, the  therapeutic use, major adverse effects, and nursing implications.

 Includes the rationale(s) as to why the medication is prescribed for treatment.   Nursing  Diagnoses

15  15%   Identifies three (3) nursing diagnoses in order of priority: 2 actual problems  and 1 risk for or potential complications for the plan of care.

 Includes 3 nursing outcomes, 3 nursing interventions, and 3 collaborative  interventions for each nursing diagnosis.

Chamberlain College of Nursing NR341 Complex Adult Health

NR341 RUA Interdisciplinary Care.docx                   Revised 06/2016 4

 

 

Interventions:  Routine  Nursing  Management

10  10%   Describes independent nursing care provided in the care of the critically‐ill  individual.

 The rationales are included for each intervention.

ID Care:  Collaborative  Management

10  10%

 Provides a comprehensive list of the interdisciplinary team members caring  for the critically‐ill individual.

 Provides a brief description of the roles and responsibilities of each respective  interdisciplinary team members.

ID Care:  Therapeutic  Modalities

10  10%   Describes the various therapeutic modalities used in the management of  care for the critically‐ill individual.

 Discusses the extent of the nurse’s responsibilities and skills required to  manage the therapeutic modality in comparison to the responsibilities of the  members of the interdisciplinary team.

 The rationales are included for each respective modality.  Nursing Role  Reflection

20  20%

Summary includes:    Analysis of communication style preferences among interdisciplinary team

members and with the critically‐ill individual and family members;    Analysis of the impact of  own communication style on others   Description of system barriers and facilitators in relation to the quality of

care/outcomes for the critically‐ill individual   Discussion of recommendations to the organizational system for enhancing

interdisciplinary collaboration, which are supported by at least two (2)  evidence‐based literature

 Description of ideas for own professional self‐development plan to enhance  own potential for becoming an effective member in an interdisciplinary  team.

APA Format,  Spelling,  Grammar,  and  Mechanics

5  5%   Proper APA format for title page, headings, references and in‐text citations.    No errors in spelling, grammar, and mechanics

Chamberlain College of Nursing NR340 Critical Care Nursing

NR341 RUA Interdisciplinary Care.docx                   Revised 06/2016 5

 

GRADING RUBRIC   Assignment  Criteria

Outstanding or Highest Level  of Performance

A (92–100%)

Very Good or High Level of  Performance

B (84–91%)

Competent or Satisfactory  Level of Performance

C (76–83%)

Poor, Failing or Unsatisfactory  Level of Performance

F (0–75%)

Background  Information  (10 points)

Includes ALL the guideline  elements:   Demographics   History of present illness   Relevant past medical and

surgical history   Admitting diagnosis(es)   Course of current

hospitalization to date   Significant assessment findings

during day(s) of care. Includes  vital signs, focused assessment,  and data from monitoring  devices.

10  points

Does not include 1‐2 elements:   Demographics   History of present illness   Relevant past medical and

surgical history   Admitting diagnosis(es)   Course of current

hospitalization to date   Significant assessment findings

during day(s) of care. Includes  vital signs, focused assessment,  and data from monitoring  devices.

9 points

Does not include 3 elements:   Demographics   History of present illness   Relevant past medical and

surgical history   Admitting diagnosis(es)   Course of current

hospitalization to date   Significant assessment findings

during day(s) of care. Includes  vital signs, focused assessment,  and data from monitoring  devices.

8 points

Does not include 4 or more  elements:    Demographics   History of present illness   Relevant past medical and

surgical history   Admitting diagnosis(es)   Course of current

hospitalization to date   Significant assessment findings

during day(s) of care. Includes  vital signs, focused assessment,  and data from monitoring  devices.

0–7 points

Laboratory and  Diagnostic Tests  (10 points)

 Identifies and lists relevant and  significant lab values and  diagnostic tests/procedures  performed.

 Comprehensively discusses the  rationales for performing the  tests and for any abnormal  results.

 Comprehensively provides an  analysis of the relationships  between/among the diagnostic  tests and lab results with the  critically‐ill individual’s current  condition(s).

10  points

 Missed identifying 1‐2  relevant/significant lab values  and/or diagnostic tests/  procedures performed.

 Adequately discusses the  rationales for performing the  tests and for any abnormal  results.

 Adequately provides an  analysis of the relationships  between/among the diagnostic  tests and lab results with the  critically‐ill individual’s current  condition(s).

9 points

 Missed identifying 3‐4  relevant/significant lab values  and/or diagnostic tests/  procedures performed.

 Adequately discusses the  rationales for performing the  tests and for any abnormal  results.

 Adequately provides an  analysis of the relationships  between/among the diagnostic  tests and lab results with the  critically‐ill individual’s current  condition(s).

8 points

 Missed identifying ≥ 5  relevant/significant lab values  and/or diagnostic tests/  procedures performed.

 Adequately discusses the  rationales for performing the  tests and for any abnormal  results.

 Adequately provides an  analysis of the relationships  between/among the diagnostic  tests and lab results with the  critically‐ill individual’s current  condition(s).

0–7 points

Chamberlain College of Nursing NR340 Critical Care Nursing

NR341 RUA Interdisciplinary Care.docx                   Revised 06/2016 6

 

Assignment  Criteria

Outstanding or Highest Level  of Performance

A (92–100%)

Very Good or High Level of  Performance

B (84–91%)

Competent or Satisfactory  Level of Performance

C (76–83%)

Poor, Failing or Unsatisfactory  Level of Performance

F (0–75%)

Medications  (10 points)

 Identifies and lists relevant and  significant medications.

 For medications listed:  identifies trade name and  generic name, the medication  classification, the therapeutic  use, major adverse effects, and  nursing implications.

 Comprehensively discusses the  rationale(s) as to why the  medication is prescribed for  treatment.

10  points

 Missed identifying 1‐2 relevant  and significant medications.

 For medications listed:  identifies trade name and  generic name, the medication  classification, the therapeutic  use, major adverse effects, and  nursing implications.

 Adequately discusses the  rationale(s) as to why the  medication is prescribed for  treatment.

9 points

 Missed identifying 3‐4 relevant  and significant medications.

 For medications listed:  identifies trade name and  generic name, the medication  classification, the therapeutic  use, major adverse effects, and  nursing implications.

 Adequately discusses the  rationale(s) as to why the  medication is prescribed for  treatment.

8 points

 Missed identifying ≥ 5 relevant  and significant medications.

 For medications listed:  identifies trade name and  generic name, the medication  classification, the therapeutic  use, major adverse effects, and  nursing implications.

 Inadequately discusses the  rationale(s) as to why the  medication is prescribed for  treatment.

0–7 points

Nursing Diagnoses  (15 points)

Identifies 3 nursing diagnoses – 2  actual problems and 1 risk for or  potential complication; All the  diagnoses are considered  priorities for the critically‐ill  individual.    For each nursing diagnosis, the  plan of care includes:    3 nursing outcomes,    3 nursing interventions   3 collaborative interventions.

14‐15  points

Identifies 3 nursing diagnoses – 2  actual problems and 1 risk for or  potential complication; Two of the  diagnoses are considered  priorities for the critically‐ill  individual.    For each nursing diagnosis, the  plan of care includes:    3 nursing outcomes,    3 nursing interventions   3 collaborative interventions.

13 points

Identifies 2 nursing diagnoses – actual and/or risk for or potential  complication; Both of the  diagnoses are considered  priorities for the critically‐ill  individual.    For each nursing diagnosis, the  plan of care includes:    2‐3 nursing outcomes,    2‐3 nursing interventions   2‐3 collaborative  interventions.

12 points

Identifies nursing diagnoses ‐  actual and/or risk for or potential  complications that are not  relevant OR are not priority for  the critically‐ill individual.      For each nursing diagnosis, the  plan of care includes:    0‐1 nursing outcome, and/or   0‐1 nursing interventions,  and/or

 0‐1 collaborative intervention.    0–11 points

Interventions:  Routine Nursing  Management  (10 points)

Comprehensively describes  independent nursing care  provided in the care of the  critically‐ill individual.

Adequately describes  independent nursing care  provided in the care of the  critically‐ill individual.

Adequately describes  independent nursing care  provided in the care of the  critically‐ill individual.

Minimally describes independent  nursing care provided in the care  of the critically‐ill individual.

Chamberlain College of Nursing NR340 Critical Care Nursing

NR341 RUA Interdisciplinary Care.docx                   Revised 06/2016 7

 

Assignment  Criteria

Outstanding or Highest Level  of Performance

A (92–100%)

Very Good or High Level of  Performance

B (84–91%)

Competent or Satisfactory  Level of Performance

C (76–83%)

Poor, Failing or Unsatisfactory  Level of Performance

F (0–75%)

ALL interventions are referenced,  with use of evidence‐based  literature.

10  points

1‐2 interventions are not  referenced, yet display use of  evidence‐based literature.

9 points

3‐4 interventions are not  referenced, and show minimal use  of evidence‐based literature.

8 points

≥ 5 interventions are not  referenced, with minimal/no use  of evidence‐based

0–7 points

ID Care:  Collaborative  Management  (10 points)

Comprehensively identifies ALL  interdisciplinary team members  involved in the care of the  critically‐ill individual.   Comprehensively describes the  roles and responsibilities of each  interdisciplinary team member.

10  points

Missed identifying 1 interdisciplinary team member  who was involved in the care of  the critically‐ill individual.   Adequately describes the roles  and responsibilities of each  interdisciplinary team member.

9 points

Missed identifying 2  interdisciplinary team members  who were involved in the care of  the critically‐ill individual.   Minimally describes the roles and  responsibilities of each  interdisciplinary team member.

8 points

Missed identifying ≥ 3 interdisciplinary team members  who were involved in the care of  the critically‐ill individual.   Inadequately describes the roles  and responsibilities of each  interdisciplinary team member.

0–7 points

ID Care:  Therapeutic  Modalities  (10 points)

Comprehensive and accurate  description of therapeutic  modalities.   Comprehensive discussion of  nursing responsibilities/skills  required to manage therapeutic  modalities in comparison to the  responsibilities of the  interdisciplinary team.   Comprehensive and properly  referenced description of  rationales included for each  respective modality.

10  points

Adequate and accurate  description of therapeutic  modalities.   Adequate discussion of nursing  responsibilities/skills required to  manage therapeutic modalities in  comparison to the responsibilities  of the interdisciplinary team.     Adequate and properly  referenced description of  rationales included for each  respective modality.

9 points

Brief, yet accurate description of  therapeutic modalities.     Adequate discussion of nursing  responsibilities/skills required to  manage therapeutic modalities in  comparison to the responsibilities  of the interdisciplinary team.     Brief, yet properly referenced  description of rationales included  for each respective modality.

8 points

Minimal and/or inaccurate  description of therapeutic  modalities.   Minimal or inadequate discussion  of nursing responsibilities/skills  required to manage therapeutic  modalities in comparison to the  responsibilities of the  interdisciplinary team.   Minimal and/or improperly  referenced description of  rationales included for each  respective modality.

0–7 points

Nursing Role  Reflection  (20 points)

For ALL 4 Criteria, summary  provides comprehensive and  insightful reflection on the nursing

For 3 Criteria, summary provides  comprehensive and insightful  reflection on the nursing role

For 2 Criteria, summary provides  comprehensive and insightful  reflection on the nursing role

For 0‐1 Criteria, summary  provides comprehensive and  insightful reflection on the nursing

Chamberlain College of Nursing NR340 Critical Care Nursing

NR341 RUA Interdisciplinary Care.docx                   Revised 06/2016 8

 

Assignment  Criteria

Outstanding or Highest Level  of Performance

A (92–100%)

Very Good or High Level of  Performance

B (84–91%)

Competent or Satisfactory  Level of Performance

C (76–83%)

Poor, Failing or Unsatisfactory  Level of Performance

F (0–75%)

role within the interdisciplinary  team, which  addresses    communication style and

preferences   system barriers and

facilitators   practical, evidence‐based

recommendations for system  enhancements

 practical, relevant  professional self‐  development plan

19–20  points

within the interdisciplinary team,  which  addresses    communication style and

preferences   system barriers and

facilitators   practical, evidence‐based

recommendations for system  enhancements

 practical, relevant  professional self‐  development plan

17‐18 points

within the interdisciplinary team,  which  addresses    communication style and

preferences   system barriers and

facilitators   practical, evidence‐based

recommendations for system  enhancements

 practical, relevant  professional self‐  development plan

16 points

role within the interdisciplinary  team, which  addresses    communication style and

preferences   system barriers and

facilitators   practical, evidence‐based

recommendations for system  enhancements

 practical, relevant  professional self‐  development plan

0– 15 points

APA Format,  Spelling,  Grammar, and  Mechanics  (5 points)

Contains no errors in APA  formatting, spelling, grammar, and  mechanics.

5  points

Contains 1‐2 errors in APA  formatting, spelling, grammar, and  mechanics.

4.5 points

Contains 3‐4 errors in APA  formatting, spelling, grammar, and  mechanics.

4 points

Contains ≥ 5 errors in APA  formatting, spelling, grammar, and  mechanics.

0‐3 points

Total Points Possible = 100 points

Pathophysiology and Nursing Management

/in /by

Assess your knowledge of foundational concepts essential to the nursing management of client health by taking the interactive quiz, located in the media “Arterial Blood Gas Interpretation.” http://lc.gcumedia.com/zwebassets/courseMaterialPages/nrs410v_self-assessment-v1.1.php

The quiz is designed as a tool for self-assessment. When you encounter questions that seem vaguely familiar, click on the media’s study materials, which are organized by topic (e.g., anatomy, biology, chemistry, pharmacology). This media will serve as a refresher for the concepts that build upon one another in nursing practice.

Student ADA Version

of the Arterial Blood Gas Interpretation Pre-Assessment

Anatomy

Backward effects of left-sided heart failure include:

A.    Pulmonary congestion

B.     Jugular vein distention

C.     Dependent edema in the legs

D.    Bounding pulses

Anatomy

In performing a physical assessment, the nurse notes the patient has a “barrel” configuration to the chest. This is a consequence of:

A.    Reduced intrapleural pressures

B.     Bronchial airway expansion

C.     Increased vital capacity

D.    Increased residual lung volume

Anatomy

Ausculation of the chest reveals bilateral fine crackles in the bases bilaterally, indicating:

A.    Right-sided heart failure

B.     Left-sided heart failure

C.     Pneumonia

D.    Acute respiratory distress syndrome

Biology
The signs and symptoms of anemia are all related to what common pathophysiologic feature of the condition?

A.    Increased oxygen consumption by tissues

B.     Decreased blood oxygen content

C.     Vasodilation

D.    A shift in the oxyhemoglobin dissociation curve

Biology
In addition to hypertension, preeclampsia is characterized by:

A.    Nausea and vomiting

B.     Fatigue and lower back pain

C.     Protein in the urine and edema

D.    Retinal changes and rates in the lungs

Biology
Common manifestations of bacterial pneumonia include all of the following except:

A.    Fever

B.     Productive Cough

C.     Tachypnea

D.    Hyperinflation

Biology
Closed drainage systems work to re-expand a lung after pneumothorax by:

A.    Re-establishing the normal negative intrapleural pressure.

B.     Creating a positive pressure in the pleural space

C.     Removing excess fluid from the pleural space so that there is room for lung expansion.

D.    Pulling oxygen into distal air sacs to re-expand lung tissue

Biology
Patients with chronic renal failure usually exhibit:

A.    Bradycardia

B.     Hypokalemia

C.     Hypocalcemia

D.    Hematomas

Biology
The diet of a patient in end-stage kidney disease is restricted in all of the following except:

A.    Fluid

B.     Potassium

C.     Protein

D.    Calories

Anatomy

Which of the following is true of the biological functions of progesterone?

A.    Progesterone is the most important hormone associated with pregnancy.

B.     Progesterone directs male sexual characteristics.

C.     Levels of progesterone increases if the egg is not fertilized.

D.    Levels of progesterone remain stable if the egg is not fertilized.

Anatomy

Which of the following is true of the biological functions of testosterone?

A.    Testosterone is not secreted by the ovaries.

B.     Testosterone is needed for development of female secondary sexual characteristics.

C.     Testosterone stimulates ovulation.

D.    Testosterone is needed for development of male secondary sexual characteristics.

Anatomy

Which of the following is true of the biological functions of estrone?

A.    Estrone is required for proper development of male secondary sexual characteristics.

B.     Level of estrogen degreases if the egg is not fertilized.

C.     Estrone is required for proper development of female secondary sexual

characteristics.

D.    Estrone affects only the reproductive organs.

Biology

What is the function of hemoglobin?

A.    Hemoglobin is the protein in red blood cells that is responsible for carrying oxygen to the cells of the body.

B.     Hemoglobin is a lipid in red blood cells that is responsible for carrying oxygen to the cells of the body.

C.     Hemoglobin is a protein in white blood cells that is responsible for carrying oxygen to the cells of the body.

D.    Hemoglobin is a protein in red blood cells that is not responsible for carrying carbon dioxide to the cells of the body.

Biology

Why is heat an effective means of sterilization?

A.    Heat is an effective means of sterilization because it destroys the proteins of microbial life forms, including fungi, bacteria, and viruses.

B.     Heat is an effective means of sterilization because it destroys the proteins of anaerobic microbial life forms, including fungi, bacteria, and viruses.

C.     Heat is an effective means of sterilization because it destroys the lipids of microbial life forms, including fungi, bacteria, and viruses.

D.    Both (B) and (C).

Chemistry:

List the enzymes whose levels are elevated in the blood serum following an MI.

A.    CPK, LDH, AST, and SGOT

B.     LDH, AST, and SGOT

C.     CRE, AST, and ALT

D.    None of the above

Chemistry

What is the physiological function of gluconeogenesis?

A.    Gluconeogenesis is production of glucose from noncarbohydrate molecules in times when blood glucose levels are low. This ensures proper function of brain and red blood cells, which only use glucose as fuel.

B.     Gluconeogenesis is production of glucose from noncarbohydrate molecules in times when blood glucose levels are high. This ensures proper function of brain and white blood cells, which only use glucose as fuel.

C.     Gluconeogenesis is production of glucose from carbohydrate molecules in times when blood glucose levels are low. This ensures proper function of brain and red blood cells, which only use glucose as fuel.

D.    None of the above

Chemistry

What effect does glycogen metabolism have on glucose levels?

A.    Glycogen metabolism traps glucose within liver cells and increases storage of glucose in the form of glycogen. These processes decrease blood glucose levels.

B.     Glycogen metabolism traps glucose within liver cells and increases storage of glucose in the form of glycogen. These processes increase blood glucose levels.

C.     Glycogen metabolism releases glucose within liver cells and increases storage of glucose in the form of glycogen. These processes decrease blood glucose levels.

D.    None of the above

Chemistry

Carbon monoxide binds tightly to the heme groups of hemoglobin and myoglobin. How does this affinity reflect the toxicity of carbon monoxide?

A.    Since carbon monoxide binds the heme groups of hemoglobin, it is easily removed or replaced by oxygen. As a result, the effects of oxygen enhancement result in what divers call the “bends.”

B.     Because carbon monoxide binds the heme groups of hemoglobin, it is easily removed or replaced by oxygen. As a result, the effects of oxygen deprivation result in suffocation.

C.     Because carbon monoxide binds tightly to the heme groups of hemoglobin, it is not easily removed or replaced by oxygen. As a result, the effects of oxygen deprivation result in suffocation.

D.    None of the above

Pathophysiology

Which of the following may be a reason to order an ABG on a patient?

A.    The patient suddenly develops shortness of breath

B.     An asthmatic is starting to show signs of tiring

C.     A diabetic has developed Kussmaul’s respirations

D.    All of the above

Pharmacology

How do sulfa drugs selectively kill bacteria while causing no harm to humans?

A.    Folic acid is a vitamin required for the synthesis of a coenzyme needed to make the amino acid methionine and the purine and pyrimidine nitrogenious bases for DNA and RNA and folic acid is produced by humans.

B.     Sulfa drug binds to the enzyme, no product is formed, folic acid is made and the biosynthesis of methionine and nitrogenous bases increases.

C.     Humans are not harmed because they do not synthesize their own folic acid. It is obtained in the diet.

D.    None of the above

Pharmacology

What occurs when glycogen metabolism is stimulated by insulin?

A.    Insulin stimulates glycogen synthase, the first enzyme in glycogen synthesis.

B.     Insulin stimulates glycogen synthase, the first enzyme in glycogen synthesis. It also stimulates removal of glucose from the bloodstream into cells and phosphorylation of glucose by the enzyme glucokinase.

C.     Insulin stimulates glycogen synthase, the first enzyme in glycogen synthesis. It also stimulates uptake of glucose from the bloodstream into cells and phosphorylation of glucose by the enzyme glucokinase.

D.    All of the above

Pharmacology

What is the medical application of cortisone? Cortisone is used to treat:

A.    Rheumatoid arthritis, asthma, gastrointestinal disorders, and a variety of skin conditions.

B.     Kidney disease, high blood pressure, and osteoporosis.

C.     Muscle disorders, tuberculosis, and thyroid disorder.

D.    All of the above

Anatomy

Oxygen saturation is likely to be lowest when an asthmatic with a diagnosis of pneumonia is positioned:

A.    In a high Fowler position

B.     Lying on the left side

C.     Lying on the right side

D.    Lying supine with the head of the bed flat


Chemistry

Laboratory test results indicative of thrombocytopenia, in addition to a low platelet count, would be:

A.    Increased PT

B.     Prolonged bleeding time and poor clot retraction.

C.     Increased aPTT

D.    Decreased RBC count.

Pharmacology

The purposes of epinephrine injection include all of the following except:

A.    Stabilizing mast cell membranes.

B.     Relaxing bronchial smooth muscle.

C.     Supporting arterial blood pressure.

D.    Blocking histamine receptors.

Pharmacology
Therapeutic interventions focused on increasing the oxygen supplied to the heart and decreasing the heart’s demand for oxygen include:

A.    Antiplatelet drugs

B.     Anticoagulants

C.     Morphine sulphate

D.    Thrombolytic drugs

Pharmacology
An intervention that would contribute toward the healing of a peptic ulcer is:

A.    Steroid administration

B.     Blocking or neutralizing of acid secretion

C.     Surgical removal of the ulcer

D.    Intravenous nutritional support

Pharmacology
Aspirin and NSAIDs are causative factors for the development of peptic ulcer disease because they:

A.    Increase acid secretion

B.     Allow proliferation of H. pylori

C.     Damage the mucosal barrier

D.    Alter platelet aggregation

Pharmacology
Your patient is interested in trying medication to improve low mood/depression. All of the following medications might be appropriate except:

A.    Selective serotonin reuptake inhibitors

B.     Amitriptyline

C.     Serotonin and norepinephrine reuptake inhibitors

D.    Benzodiazepines

impact of culture in health care (ACCN Essential I, II, V, VII; QSEN: safety, evidence-based practice, teamwork and collaboration and patient-centered care).

/in /by

Purpose

The purpose of this assignment is to provide the student an opportunity to reflect on selected RN-BSN competencies acquired through the NUR3655 course.

Course Outcomes

This assignment provides documentation of student ability to meet the following course outcomes:

– This course will enable the student to identify and apply components of the different cultures (ACCN Essential I, II, V, VII; QSEN: safety, evidence-based practice, teamwork and collaboration and patient-centered care).

– The students will be able to determine the impact of culture in health care (ACCN Essential I, II, V, VII; QSEN: safety, evidence-based practice, teamwork and collaboration and patient-centered care).

Points

This assignment is worth a total of 100 points (10%).

Due Date

Submit your completed assignment under the Assignment tab by Sunday 11:59 p.m. EST of Week 15 as directed.

1. The Course Reflection is worth 100 points (10%) and will be graded on quality of self-assessment, use of citations, use of Standard English grammar, sentence structure, and overall organization based on the required components as summarized in the directions and grading criteria/rubric.

2. Follow the directions and grading criteria closely. Any questions about your essay may be posted under the Q & A forum under the Discussions tab.

3. The length of the reflection is to be within three to six pages excluding title page and reference pages.

4. APA format is required with both a title page and reference page. Use the required components of the review as Level 1 headers (upper and lower case, centered):

Note: Introduction – Write an introduction but do not use “Introduction” as a heading in accordance with the rules put forth in the Publication manual of the American Psychological Association (2010, p. 63).

a. Course Reflection

b. Conclusion

Preparing the Reflection

The BSN Essentials (AACN, 2008) outline a number of healthcare policy and advocacy competencies for the BSN-prepared nurse. Reflect on the NUR3655 course readings, discussion threads, and applications you have completed across this course and write a reflective essay regarding the extent to which you feel you are now prepared to:

1. “Assess protective and predictive factors, including genetics, which influence the health of individuals, families, groups, communities, and populations.

2. Conduct a health history, including environmental exposure and a family history that recognizes genetic risks, to identify current and future health problems.

3. Assess health/illness beliefs, values, attitudes, and practices of individuals, families, groups, communities, and populations.

4. Use behavioral change techniques to promote health and manage illness.

5. Use evidence­ based practices to guide health teaching, health counseling, screening, outreach, disease and outbreak investigation, referral, and follow-up throughout the lifespan.

6. Use information and communication technologies in preventive care.

7. Collaborate with other healthcare professionals and patients to provide spiritually and culturally appropriate health promotion and disease and injury prevention interventions.

8. Assess the health, healthcare, and emergency preparedness needs of a defined population.

9. Use clinical judgment and decision-making skills in appropriate, timely nursing care during disaster, mass casualty, and other emergency situations.

10. Collaborate with others to develop an intervention plan that takes into account determinants of health, available resources, and the range of activities that contribute to health and the prevention of illness, injury, disability, and premature death.

11. Participate in clinical prevention and population ­focused interventions with attention to effectiveness, efficiency, cost-effectiveness, and equity.

12. Advocate for social justice, including a commitment to the health of vulnerable populations and the elimination of health disparities.

13. Use evaluation results to influence the delivery of care, deployment of resources, and to provide input into the development of policies to promote health and prevent disease.” (pp. 24-25).

Reference:

American Association of Colleges of Nursing [AACN]. (2008). The essentials of baccalaureate education for professional nursing practice. Washington, DC: Author.

Please describe your academic and professional goals and explain how your participation in the Scholars Program will help you accomplish them?

/in /by

Personal Statement

(Please respond to the following prompt questions):

1. What interests you about research?

2. Briefly share any prior research experience you had within or outside a university setting.

3. Please describe your academic and professional goals and explain how your participation in the Scholars Program will help you accomplish them?

4. How will pursuing a PhD support those goals?

Some personal details

1.My research interest (PhD Nursing)—-Oncology- Breast cancer

2. experience: Master Program—- I work on effect of stress and blood glucose level

3. Academic/Professional goal- To pursue a degree in PHD Nursing and to discover how to cure/prevent breast cancer in women.

4. Pursuing PHD will give a room for research to discover the cause and prevention of breast cancer.

Explain the role of the community health nurse in partnership with community stakeholders for population health promotion.

/in /by

. Explain the role of the community health nurse in partnership with community stakeholders for population health promotion. Explain why it is important to appraise community resources (nonprofit, spiritual/religious, etc.) as part of a community assessment and why these resources are important in population health promotion. 1 reference

2. Discuss how geopolitical and phenomenological place influence the context of a population or community assessment and intervention. Describe how the nursing process is utilized to assist in identifying health issues (local or global in nature) and in creating an appropriate intervention, including screenings and referrals, for the community or population. 1 reference

Click on the Exercise 3 tab and complete. Record your answers below and provide a explanation on your method and what your outcome tells you.

/in /by

1. Discuss the relationship between Utilization Rate, Direct Labor, and Indirect Labor and their potential impact to the success (re: profitabiliy) of a company.

2. Design Professional Firms create project and business budgets based upon a Labor Multiplier Factor. Taking into account that information:

a. What would expect your annual salary to be upon graduation? Convert that salary into an hourly rate (base on 2080 work hours annually)

b. Now, what do you believe is a reasonable hourly rate at which your company will charge for your services, i.e. what rate (dollars) will the company bill out your services at?

c. What factors did you consider/take into account when you determined your billing rate?

3. What do you believe is a reasonable availability or utilization rate (the percentage of your time that is charged to billable projects) is for a staff engineer one month after the engineer starts working for the company after just graduating from college?

a. 6 Months? b 1 Year?. c. Explain the reasoning for your responses

5. If the Breakeven Multiplier is used to determine the multiple of direct labor dollars a company needs to take in (i.e., Revenue) to break even (no profit, did not lose money), what is the difference between the Breakeven Multiplier and Labor Multiplier Factor (also known as the Target Multiplier)?

6. Download the Sample P&L spreadsheet. a. Click on the Exercise 1 tab and complete exercises 1A, and 1B. Record

your answers below and provide a explanation on your method (Hint: this is based on calculating the Breakeven Multiplier and using that multiplier to calculate the billing rate).

1. Gross Revenue and Breakeven Labor Multiplier for Exercise 1A: 2. Gross Revenue and Breakeven Labor Multiplier for Exercise 1B:

b. Click on the Exercise 2 tab and complete. Record your answers below and provide a explanation on your method and what your outcome tells you.

1. Utilization Rate for Staff Engineers and CAD Operator, Earnings before taxes, Gross Profit, and Average Labor Multiplier for Exercise 2

c. Click on the Exercise 3 tab and complete. Record your answers below and provide a explanation on your method and what your outcome tells you.

1. Show Utilization Rate for all positions. Write down Gross Profit, and Average Labor Multiplier for Exercise 3

The techniques learned this week will play a vital role in your growth as you build your career

/in /by

This week you have learned about the importance of innovation within the workplace. The techniques learned this week will play a vital role in your growth as you build your career. Assume you have been chosen as a consultant to develop an innovation strategy to help a company who has fallen behind the competition. You have been asked to create a 10-minute presentation on your research as to why the company has fallen behind and how you propose they improve.  Presentation should contain talking notes.

Your work should include the following:

· Outline an innovation plan that details the research that has been conducted.

· Develop a presentation that shares this research and the plan in which you have created to help the organization with updating their innovation standards.

· Your presentation must be a minimum of 10 minutes in length.

· Upload your presentation to this dropbox.

· Post this presentation to the forum for discussion among your peers

Do you think the state has any intention of ever stopping the lottery, given the fact that the state relies on it to bring millions of dollars into its treasury? Is it possible that lottery can make everyone a millionaire? Is it ethical to suggest that the purpose of the lottery is to make everyone a millionaire?

/in /by

Ethical Issues                                     page 158-159

The following is an extract from textbook

Ethical issues can arise when any statements related to probability are presented to the public, particularly when these statements are part of an advertising campaign for a product or service. Unfortunately, many people are not comfortable with the numerical concepts (see reference 4) and tend to misinterpret the meaning of the probability. IN some instances, the misinterpretation is not intentional, but in other cases, advertisements may unethically try to mislead potential customers.

My example, inserted

One example of a potentially unethical application of probability relates to advertisements for state lotteries. When purchasing a lottery ticket, the customer selects a set of numbers (such as) from a larger list of numbers (such as drawing 6 numbers from a set ranging from 1 through 49). Hence, 649, meaning choose any 6 numbers from a set of 49 numbers of any order. Although virtually all participants know that they are unlikely to win the lottery, they also have a very little idea of how unlikely it is for them to select all 6 winning numbers from the list of 49 numbers.

They have even less idea of the probability of winning a consolation prize by selecting either 4 or 5 winning numbers.

Given this background, you might consider a recent commercial for a state lottery that stated, “We won’t stop until we have made everyone a millionaire” to be deceptive and possibly unethical.

Question 1. Essay Type

Do you think the state has any intention of ever stopping the lottery, given the fact that the state relies on it to bring millions of dollars into its treasury? Is it possible that lottery can make everyone a millionaire? Is it ethical to suggest that the purpose of the lottery is to make everyone a millionaire?

FORMAT

I.  Instructions:

1.  Use APA format in reporting your answer

2.  Number of pages: 3 pages of content

3. Include at least 3 peer-reviewed references

II.  Outline

1.  Introduction

i)  Define ethics (do your research)

ii)  Illustrate the definition with examples

iii)  Develop your argument for and against the issue on lottery when you answer the questions below

iv)  State how the remaining part of the essay is organized in the terms sections I and II of the two questions

2.  Body

i)  Is it possible that lottery can make everyone a millionaire?

ii)  Is it ethical to suggest that the purpose of the lottery is to make everyone a millionaire?

3.  Summary and conclusion

4.  References

Cite and reference the article in APA format

/in /by

 How does the community health nurse recognize bias, stereotypes, and implicit bias within the community? How should the nurse address these concepts to ensure health promotion activities are culturally competent? Propose strategies that you can employ to reduce cultural dissonance and bias to deliver culturally competent care. Include an evidence-based article that address the cultural issue. Cite and reference the article in APA format

A female patient with a diagnosis of type 1 diabetes mellitus has been experiencing increasing neuropathic pain in recent months, a symptom that has not responded appreciably to conventional analgesics

/in /by

Question

Week 6 quiz

Question 1

A 65-year-old woman has an advanced form of rheumatoid arthritis. Her treatment includes a regular dosage of methotrexate. The nurse will advise her to take which of the following vitamin supplements while taking the drug?

A) Vitamin A
B) Vitamin B
C) Vitamin C
D) Vitamin D

Question 2

To minimize the risk of adverse effects of glucagon when given to an unconscious diabetic patient, as the patient regains consciousness, the nurse should

A) administer calcium supplements.
B) position the patient in the side-lying position.
C) administer carbohydrates.
D) monitor for nausea and vomiting.

Question 3

A female patient with a diagnosis of type 1 diabetes mellitus has been experiencing increasing neuropathic pain in recent months, a symptom that has not responded appreciably to conventional analgesics. The patient’s care provider has begun treatment with gabapentin (Neurontin). How is the addition of this drug likely to influence the management of the patient’s existing drug regimen?

A) The patient may be required to temporarily hold her other medications until a stable serum level of gabapentin is achieved.
B) It is unlikely to influence the patient’s other medications because gabapentin does not interact with other drugs.
C) Gabapentin is contraindicated with the use of exogenous insulin.
D) The patient’s medication-related risk for renal failure must be assessed prior to the use of gabapentin.

Question 4

A nurse is caring for a patient who has been diagnosed with hypothyroidism. Levothyroxine (Synthroid) has been prescribed. Before the drug therapy is started, the nurse will assess for which of the following?

A) History of taking anticoagulant drugs
B) Allergy to seafood
C) Hirsutism
D) The patient’s age

Question 5

A nurse is caring for a male patient who has a spinal cord injury due to a motorcycle accident. He has been taking dantrolene (Dantrium) for 2 weeks. The nurse will monitor which of the following?

A) Prothrombin time and partial thromboplastin time
B) Urine specific gravity
C) Alanine aminotransferase and total bilirubin levels
D) Follicle-stimulating hormone levels

Question 6

A nurse is assessing a patient who has come to the emergency department complaining of back spasms. The patient states that he has a history of opioid addiction and does not want to take any drug that “puts me at risk of becoming physically dependent.” Which of the following medications would the nurse question, if ordered?

A) Methocarbamol (Robaxin)
B) Orphenadrine (Norflex)
C) Cyclobenzaprine (Flexeril)
D) Metaxalone (Skelaxin)

Question 7

A 40-year-old woman with a diagnosis of fibromyalgia has been prescribed cyclobenzaprine (Flexeril) as an adjunct to her existing drug regimen. What nursing diagnosis should the nurse prioritize when updating the nursing care plan for this patient?

A) Risk for Injury related to CNS depressant effects
B) Diarrhea related to anticholinergic effects
C) Altered Nutrition, Less than Body Requirements, related to appetite suppression
D) Impaired Swallowing related to increased muscle tone

Question 8

A nurse is working with a 57-year-old man who is a former intravenous drug abuser. He has been prescribed a weekly dosage of methotrexate for his rheumatoid arthritis. Which of the following will the nurse include in her teaching plan for this patient?

A) Avoid high-fat foods
B) Drink plenty of water every day
C) Take the tablets before bedtime
D) Avoid red meat

Question 9

Following an assessment by her primary care provider, a 70-year-old resident of an assisted living facility has begun taking daily oral doses of levothyroxine. Which of the following assessment findings should prompt the nurse to withhold a scheduled dose of levothyroxine?

A) The resident has not eaten breakfast because of a recent loss of appetite
B) The resident’s apical heart rate is 112 beats/minute with a regular rhythm
C) The resident had a fall during the night while transferring from her bed to her bathroom
D) The resident received her annual influenza vaccination the previous day

Question 10

A nurse is caring for a 61-year-old man who has had a severe attack of gout while in the hospital for food poisoning. The nurse administers colchicine intravenously in order to

A) avoid aggravating the gastrointestinal tract.
B) ensure quick distribution of the drug.
C) prevent the risk of infection or bleeding.
D) minimize the risk of depressed bone marrow function.

Question 11

A patient receives 25 units of NPH insulin at 7.AM. At what time of day should the nurse advise the patient to be most alert for a potential hypoglycemic reaction?

A) After breakfast
B) Before lunch
C) Late afternoon
D) Bedtime

Question 12

A male patient is to begin glyburide (Diabeta) for type 2 diabetes. Before the drug therapy begins, a priority action by the nurse will be to assess the patient’s

A) blood pressure.
B) potassium level.
C) use of alcohol.
D) use of salt in his diet.

Question 13

A male patient with a diagnosis of relapsing-remitting multiple sclerosis is in the clinic to discuss with the nurse the possibility of self-administration of glatiramer. During the patient education session for self-administration, the nurse will emphasize

A) the need to rotate the injection site of the drug.
B) the need to avoid crushing the tablet.
C) the need to place the tablet under the tongue.
D) the need to use only the thigh muscle for the drug injection site.

Question 14

A diabetic patient being treated for obesity tells the nurse that he is having adverse effects from his drug therapy. The patient has been taking dextroamphetamine for 2 weeks as adjunct therapy. Which of the following adverse effects would need the nurse’s immediate attention?

A) Decreased libido
B) Increased blood glucose
C) Dry eyes
D) Jittery feeling

Question 15

A patient with diabetes has had a cough for 1 week and has been prescribed a cough syrup (an expectorant). What special instructions should the nurse include in the patient teaching for this situation?

A) Wash hands before and after taking the medicine
B) Keep track of any gastrointestinal tract infections
C) Monitor glucose levels closely
D) Note the time the medicine is taken each day

Question 16

A 13-year-old patient has juvenile arthritis. He has recently had oral surgery and was told by the surgeon to take aspirin for the pain. The nurse will monitor for which of the following?

A) Bronchoconstriction
B) Hepatotoxicity
C) Aplastic anemia
D) Agranulocytosis

Question 17

A nurse has been invited to speak to a support group for persons with movement disorders and their families. Which of the following statements by the nurse addresses the chronic nature of these diseases and the relevant drug therapies?

A) “Drug therapy can consist of one or more drugs to eliminate the symptoms of these diseases.”
B) “Drugs do not cure these disorders; they instead enhance quality of life.”
C) “Persons of all cultures are treated similarly and respond in similar ways to treatment.”
D) “Drugs used to treat these disorders always pose a risk of severe liver and kidney dysfunction.”

Question 18

A patient in need of myocardial infarction prophylaxis has been prescribed sulfinpyrazone for gout. Which of the following will the nurse monitor the patient most closely for?

A) Hypothermia
B) Hypotension
C) Renal dysfunction
D) Bleeding

Question 19

A nurse is developing a care plan for a patient who has multiple sclerosis. An expected outcome for the patient who is receiving glatiramer would be a decrease in

A) chest pain.
B) fatigue.
C) breathing difficulties.
D) heart palpitations.

Question 20

A 32-year-old female patient is taking tizanidine (Zanaflex) for spasticity related to her multiple sclerosis. The nurse will inform the patient and her husband that the adverse effect that poses the greatest safety risk to the patient is

A) constipation.
B) dry mouth.
C) fatigue.
D) hypotension.

Question 21

A 34-year-old male patient is prescribed methimazole (MMI).The nurse will advise him to report which of the following immediately?

A) Vertigo
B) Intolerance to cold
C) Loss of appetite
D) Epigastric distress

Question 22

A 43-year-old woman was diagnosed with multiple sclerosis 2 years ago and has experienced a recent exacerbation of her symptoms, including muscle spasticity. Consequently, she has been prescribed Dantrolene (Dantrium).In light of this new addition to her drug regimen, what teaching point should the woman’s nurse provide?

A) “This will likely relieve your muscle spasms but you’ll probably develop a certain amount of dependence on the drug over time.”
B) “We’ll need to closely monitor your blood sugar levels for the next week.”
C) “There’s a small risk that you might experience some hallucinations in the first few days that you begin taking this drug.”
D) “You might find that this drug exacerbates some of your muscle weakness while it relieves your spasticity.”

Question 23

A patient with type 1 diabetes has been admitted to the hospital for orthopedic surgery and the care team anticipates some disruptions to the patient’s blood glucose levels in the days following surgery. Which of the following insulin regimens is most likely to achieve adequate glycemic control?

A) Small doses of long-acting insulin administered four to five times daily
B) Doses of basal insulin twice daily with regular insulin before each meal
C) Large doses of rapid-acting insulin combined with long-acting insulin each morning and evening
D) Divided doses of intermediate-acting insulin every 2 hours, around the clock

Question 24

During long-term desmopressin therapy in a 48-year-old woman, it will be most important for the nurse to assess which of the following?

A) The patient’s environment
B) The patient’s diet
C) The condition of the patient’s skin
D) The condition of the patient’s nasal passages

Question 25

A 49-year-old woman has been diagnosed with myalgia. The physician has recommended aspirin. The patient is concerned that the aspirin will upset her stomach. The nurse will encourage the patient to

A) crush the tablet before swallowing.
B) swallow the tablet whole.
C) swallow the tablet with milk or food.
D) avoid drinking milk for 3 hours after swallowing the tablet.

Question 26

A nurse will instruct a patient taking allopurinol to take each dose

A) at night.
B) first thing in the morning.
C) after a meal.
D) before a meal.

Question 27

The nurse is conducting a medication reconciliation of a new resident of a long-term care facility. The nurse notes that the resident takes allopurinol on a daily basis for the treatment of gout. What is the primary purpose of this drug?

A) To balance urate concentration and prevent gout attacks
B) To promote the remodeling of damaged synovium
C) To potentiate the metabolism of dietary purines
D) To achieve pain relief in joints affected by gout

Question 28

A nurse is teaching a patient about his newly prescribed drug, colchicine, for gout. The nurse will instruct the patient to avoid which of the following foods?

A) Green beans
B) Shrimp
C) Eggs
D) Milk

Question 29

A nurse is instructing a patient who was recently diagnosed with multiple sclerosis about dantrolene (Dantrium). The patient is a 38-year-old-male and the foreman for a construction company. In order to minimize one important adverse effect of the drug, the nurse will give the patient which of the following instructions?

A) Eat a high-protein diet
B) Decrease the dosage if any adverse effect is experienced
C) Wear appropriate clothing and sunscreen whenever he is in direct sunlight
D) Have a complete blood cell count done weekly

Question 30

A 33-year-old man has developed acute gouty arthritis. He has been prescribed colchicine. When developing a care plan for this patient, which factor will be most important for the nurse to consider?

A) Dietary habits
B) Work environment
C) Typical daily fluid intake
D) Ethnicity

Hemoglobin AIC test tells you your average level of blood sugar over the past 2 to 3 months. Diabetic patients need this test to tell if their levels are staying within range. The target A1c for people with diabetes is usually less then 7%. A patient’s AIC level will also let the Doctor know dependent upon the patient’s range if the patient’s Diabetic medication needs to be adjusted. It can also be used to diagnose diabetes.

/in /by

For this assignment you will need to revisit previous chapters.

1. Think of a time where you yourself has utilized this process or as witnessed it being implemented.

2. Compose a 2 -3 page paper (APA format) demonstrating the correct usage of the five step problem-solving process.

3. Submit this assignment in the discussion section.

THIS IS CLEARLY FOR AN EXAMPLE NOT TO BE USED FOR MY WORK NOR OTHER OR SHOWN PUBLICLY.

The Problem-Solving Process

In this report I will talk about how we used this process in our Family Medicine Clinic to track our Diabetic that were not coming back to have their Hemoglobin AIC checked every 6 months. And this was causing our clinic to have a failing score on our Hedis Measures.

Hemoglobin AIC test tells you your average level of blood sugar over the past 2 to 3 months. Diabetic patients need this test to tell if their levels are staying within range. The target A1c for people with diabetes is usually less then 7%. A patient’s AIC level will also let the Doctor know dependent upon the patient’s range if the patient’s Diabetic medication needs to be adjusted. It can also be used to diagnose diabetes.

Hedis Measures is a set of comprehensive performance measures used to identify opportunities for improvement. Our patient’s AIC needs to be below 7 and most was ranging form 7 and up. Our clinic average should be about 95% and we were between 78%-85%.

Identifying the problem

We found that most out that patient’s did not want to come into the office just to have that test done. But because the way the system was set up. They could not have the A1c done without seeing the Doctor and then Doctor will then place the order for the patient to have the A1c test done.

Gathering Information

We sent out surveys to all of patients how to improve this process and how we could make it easier for them to come and get their A1c’s done. The majority of the patient’s had the same complaint. They did not feel as it though it was necessary for them to have to come in for a Doctor’s visit just to have that test done. After evaluating all of the patient surveys and noticing the one issue that most had was the same which was most of them did not want to come in for a visit just to have that test done. They wanted to just be able to go straight to the lab and get tested.

Choose and Alternative and take action

After evaluating all of the patient surveys and noticing the one issue that most had was the same which was most of them did not want to come in for a visit just to have that test done. They wanted to just be able to go straight to the lab and get tested. We came up with a program called the Diabetic honor program. This program allowed for patients to report directly to the lab for their A1c testing up to twice a year. As long as they were in range there was no need for them to come in for a visit until it was time for their annual visit. This program also allowed the patients to go the pharmacy and pick up their diabetic supplies minus medication without having to come in and see the Doctor.

Evaluate and revise as needed

After revaluating this program after a month period, we found that it is working. Our clinic Hedis Measure for our Diabetic patients getting their A1c done was on the rise and we were just above our goal of 93% in just a six month period. We then evaluated the program at a year point and we had surpassed our goal of 95% and was at 96.5%. The program implementation of the Diabetes Honor Program has been working and we did not need to do any revision to the program.

PLEASE DO NOT PLAGIARIZE!!!!

Create a chart that compares each MSS’s potential using Microsoft® Excel®.

/in /by

Assignment Content

  1.    You are a consultant that specializes in Enterprise Resource Planning (ERP). You have been hired by a small start-up manufacturing company, with less than 500 hundred employees that specializes in electronic devices. The CEO of the company would like to incorporate a management support system (MSS) into the organization to help in making business decisions. This system will allow managers at the different levels to easily retrieve information from various databases in the organization to assist them in running scenarios, performing what-if analyses, and tracking organizational performance to determine goal achievement. You’ve been asked by leadership to present an MSS to help Company ABC understand how to integrate an MSS into their organization and how it will help them gain a competitive advantage over other companies. Throughout this course, you will be completing different assignments that will apply to this company.


    Research the different MSS processes currently used in business.

    Create a chart that compares each MSS’s potential using Microsoft® Excel®.


    Create a 10- to 12-slide, multimedia-rich presentation that includes the following:


    • Comparison chart
    • Features and benefits of using an MSS
    • What types of decisions will the system support
    • How the three levels of management will utilize the system and the value to each level
    • How the MSS supports establishing a competitive advantage
    • Recommendation would you make to the organization

Using the Evidence-based Approach to Design a Plan of Action to Address a Specific Public Health Problem

/in /by

Week 2

Plan of Action—Using the Evidence-based Approach to Design a Plan of Action to Address a Specific Public Health Problem
This week’s readings have demonstrated the desirability of EBPH, definitions of EBPH, the scientific factors to consider when determining whether some type of public health action is warranted, tools for measuring impact of EBPH practice and conducting a community assessment to identify issues within a community, prioritizing these issues, developing interventions to address these issues based on a review of what has worked effectively in other places, and evaluating the process, impact, and outcome of intervention efforts.

Now, utilize assigned and suggested weekly readings, the South University online library, the Internet readings, and references to search, evaluate, and retrieve relevant evidence-based public health literature.

Then, use the evidence-based techniques learned so far and design a model, plan, or approach to tackle the public health problem, issue, situation, or concern you identified in Week 1 Project.

While developing the plan, do the following:

Use scientific evidence to assess or review the public health problem selected. Which information from research studies will be utilized in your assessment? Will you use:
Etiologic studies
Studies used to develop methods for measuring or modifying behavior
Studies used to identify the factors that influence the behavior
Studies used to determine whether public health interventions are successful in meeting their stated objectives for risk reduction
Evaluate and identify which analytical tool(s) is most appropriate to apply or assess your public health problem. Of the different types of analytical tools, which will you use to assess your public health problem:
Analytic tools for measuring intervention impact and effectiveness. For example, systematic reviews, meta-analysis, etc.
Economic evaluation, a set of methods for comparing benefits and costs by using the cost-benefit analysis, cost-effective analysis, cost-utility analysis.
Analyze and list the necessary steps and procedures that would be appropriate to apply as you conduct a community assessment of your public health problem.
Justify why a community assessment is necessary.
Discuss the range of partnership or stakeholders that might be useful in conducting community assessments.
Outline who in the community will be assessed, what to assess, and how to conduct assessments.
Describe how to disseminate the community assessment findings.
Submission Details:
Write a 5-7-page, double-spaced paper in Word format. Apply APA standards to citation of sources. Use the following file naming convention: LastnameFirstInitial_W2_Project.doc.
By the due date assigned, deliver your assignment to the Submissions Area.
NOTE: Use the same health condition you selected in week 1 “Lung and Bronchus Cancer” throughout the projects. Thanks

events that are taking place in healthcare today (Covid-19 Pandemic

/in /by

Let’s reflect upon the events that are taking place in healthcare today (Covid-19 Pandemic). Which theorist would you select to construct a framework for care of your staff and patients? Please explain why with examples.

***Think about some of the concepts involved. Examples include fear, isolation, family separation, being pregnant and exposed to the virus, psychological issues, guilt, impacted care standards.

I work in the Miami area in Florida State. My hospital is starting to colapse due to the pandemic situation and a lot of patient are dying with no one at the bedside to hold their hand. 

We are an aging society, as evidenced by the number of individuals from the baby boomer generation in the United States (born between 1946 and 1964) who have begun to turn 65. According to the United States Census Bureau (2013), there are more than 41 million Americans who are 65 and older. In Canada, the number of individuals over 65 years of age increased by over 14% between 2006 and 2011, and older adults now account for almost 15% of the entire population of that country (Statistics Canada, 2013). Across the world, populations are rapidly aging and there is a demand to understand the specific needs of this particular group. As with all clients, it is essential to address the concerns of the aging from a strengths and empowerment perspective. The aging are an identified vulnerable population and social workers should be mindful of the long-standing marginalization and oppression this population has experienced. Social workers should work hard to overcome the common prejudices and biases often expressed toward this group. Social workers should be careful to frame the lives and situations of the elderly from a perspective of strength, not deficit, avoiding the pitfall of focusing on loss.

/in /by

Week 6: Assessment of the Elderly/Aging

We are an aging society, as evidenced by the number of individuals from the baby boomer generation in the United States (born between 1946 and 1964) who have begun to turn 65. According to the United States Census Bureau (2013), there are more than 41 million Americans who are 65 and older. In Canada, the number of individuals over 65 years of age increased by over 14% between 2006 and 2011, and older adults now account for almost 15% of the entire population of that country (Statistics Canada, 2013). Across the world, populations are rapidly aging and there is a demand to understand the specific needs of this particular group. As with all clients, it is essential to address the concerns of the aging from a strengths and empowerment perspective. The aging are an identified vulnerable population and social workers should be mindful of the long-standing marginalization and oppression this population has experienced. Social workers should work hard to overcome the common prejudices and biases often expressed toward this group. Social workers should be careful to frame the lives and situations of the elderly from a perspective of strength, not deficit, avoiding the pitfall of focusing on loss.

Learning Objectives

Students will:
  • Apply Christ and Diwan’s seven assessment domains to a case study
  • Analyze the importance of abuse assessment of the elderly/aging
  • Identify prevention/intervention strategies for elder abuse

Learning Resources

Note: To access this week’s required library resources, please click on the link to the Course Readings List, found in the Course Materials section of your Syllabus.

Required Readings

Åhsberg, E., Fahlström, G., Rönnbäck, E., Granberg, A., & Almborg, A. (2017). Development of an instrument for assessing elder care needs. Research On Social Work Practice, 27(3), 291-306.

Christ, G., & Diwan, S. (2008). Chronic illness and aging: The role of social work in managing chronic illness care. Council on social work education. Retrieved from http://www.cswe.org/getattachment/Centers-Initiatives/CSWE-Gero-Ed-Center/Teaching-Tools/Gero-Competencies/Practice-Guides/Assignments-Measurments/CI-Sec2-Role-SW.pdf.aspx 

Harrington, A. (2016). The importance of spiritual assessment when caring for older adults. Ageing And Society, 36(1), 1-16.

Paveza, G. J. (2013). Assessment of the elderly. In M. J. Holosko, C. N. Dulmus, & K. M. Sowers (Eds.), Social work practice with individuals and families: Evidence-informed assessments and interventions (pp. 177–195). Hoboken, NJ: Wiley.

Plummer, S.-B., Makris, S., & Brocksen, S. M. (Eds.). (2014a). Sessions: case histories. Baltimore, MD: Laureate International Universities Publishing. [Vital Source e-reader].
The Petrakis Family (pp. 20–22)

Required Media

Laureate Education (Producer). (2013c). Petrakis family: Episode 3 [Video file]. Retrieved from https://class.waldenu.edu

Accessible player –Downloads–Download Video w/CCDownload AudioDownload TranscriptCredit: Provided courtesy of the Laureate International Network of Universities.

Optional Resources

Use this link to access the MSW home page, which provides resources for your social work program.

Discussion 1: Self-Determination

In the Christ & Diwan (2008) article, the authors list seven domains that social workers should address in order to fully assess an older client’s needs. Each domain is considered equally important. This comprehensive evaluation fits well with the social work perspective that it is important to not only address the internal concerns of clients but also their environment. Making decisions for older adults without their input occurs often. In society people sometimes treat their elders like children—making decisions for them based on what they think is best rather than from the client’s perspective. While at times this may be well intentioned, the potential for infantilism and, in turn, compromised self-determination, occurs.

For this Discussion, review the program case study for the Petrakis family. You will focus not on Helen, but on her mother-in-law, Magda. What decisions were made about Magda’s treatment without a formal assessment and/or her input? Consider how Christ & Diwan’s (2008) seven domains relate to Magda’s case. Complete an assessment for Magda and identify the choices that were made without her feedback.

By Day 3

Post a summary of your assessment of Magda’s situation that addresses the seven domains. Fill in the gaps in content as necessary. Describe ways you would have included Magda in the original assessment and treatment plan. Include questions you would have asked Magda and her professional support system (doctors, nurses, etc.) to gain further insight into the situation.

Support your posts with specific references to the Learning Resources. Be sure to provide full APA citations for your references.

By Day 5

Respond to two colleagues and explain how their assessments support the NASW Code of Ethics (2017). Include two values and/or guiding principles to support your explanation.

Support your responses with specific references to the Learning Resources. Be sure to provide full APA citations for your references.

Submission and Grading Information
Grading Criteria

To access your rubric:
Week 6 Discussion 1 Rubric

Post by Day 3 and Respond by Day 5

To participate in this Discussion:
Week 6 Discussion 1

Discussion 2: Elder Abuse

Each year on or around June 15, communities and municipalities around the world plan activities and programs to recognize World Elder Abuse Awareness Day, a day set aside to spread awareness of the abuse of the elderly (Center of Excellence on Elder Abuse & Neglect, 2013). The abuse of older adults is a growing concern and statistics suggest that the number of elders experiencing abuse is an alarmingly high number. Research suggests that close to half the people diagnosed with dementia experience some form of abuse (Cooper, C., Selwood, A., Blanchard, M., Walker, Z., Blizard, R., & Livingston, G., 2009; Wiglesworth, A., Mosqueda, L., Mulnard, R., Liao, S., Gibbs, L., & Fitzgerald, W., 2010, as cited on http://www.ncea.aoa.gov/Library/Data/index.aspx). Elder abuse takes on many forms and can include physical, emotional, psychological, and economic abuse. The legendary American actor, Mickey Rooney, spoke to the United States Senate, describing his own experiences of pain and neglect at the hands of his stepson, asking legislators to take seriously the abuse of the elderly.

For this Discussion, go to the Walden Library and find a scholarly article that presents some of the most important psychosocial issues related to elder abuse.

By Day 4

Post a summary of the article you found. How does the article reinforce the importance of assessing potential abuse and neglect when working with the elderly? Describe prevention and/or intervention strategies on the micro, mezzo, and macro levels that can be used to address the issue of abuse and neglect of the elderly.

 

By Day 5

Respond to two colleagues and explain how their assessments support the NASW Code of Ethics (2017). Include two values and/or guiding principles to support your explanation.

Discussion 1

Response 1

Elizabeth Woodson RE: Discussion 1 – Week 6COLLAPSE

It doesn’t appear that Helen checked in with social services to see if her mother-in-law would qualify for in-home care. When Helen decided to hire a “trusted woman” to care for Magda it was never mentioned that she was qualified to work with an elderly patient that has dementia. Partnering with Magda’s medical team before hiring a caretaker or live in would have been beneficial because the medical team would educate the family of Magda’s short- and long-term needs. It seems like Helen did what she believed was best based on her capacity or lack thereof, which wasn’t the best for Magda’s needs. A A geriatric assessment could have helped the social worker build a rapport with Magda, observe her, determine the client’s preference and become culturally competent about elders to better help Magda (Christ & Diwan,2008). With the information from the assessment, the social worker could have helped Magda and Helen.

After assessing Magda referencing the major domains of assessment, I captured the following details: Her Physical well-being and health were at risk by not having the appropriate care for her illness. The “trusted woman” or Alec weren’t nurses which could have put Magda’s health at risk. Magda was diagnosed with Dementia which identifies a mental illness that will require an ongoing plan of care. She was in the early stages which means it hadn’t made severe impairments yet (Plummer, Makris & Brocksen,2014). Sitting down with Magda, her medical team and the family to discuss her desired plans for care should have been considered. She wasn’t included in her care plan and that caused her to not have her medicine and get money stolen from her. At the beginning of Helen’s assessment, she mentioned no history of drug abuse from her but didn’t mention Alec’s drug abuse. If the social worker knew about his drug habits then she could’ve made a better suggestion for Magda’s caregiving needs. A genogram could have been completed so general details about the family members would be known and that probably would’ve prompted a family session to address some issues before putting Magda in a potentially harmful situation with Alec.

Christ, G., & Diwan, S. (2008). Chronic illness and aging: The role of social work in managing chronic illness cases. Council on social work education. Retrieved from http://www.cswe.org/getattachment/centers-initiatives/CSWE-Gero-Ed-Center/Teaching-Tools/Gero-Competencies/Practice-Guides/Assignments-Measurements/CI-Sex2-Role-SW.pdf.aspx

Plummer, S.-B., Makris, S., & Brocksen, S. M. (Eds.). (2014a). Sessions: case histories. Baltimore, MD: Laureate International Universities Publishing. [Vital Source e-reader].

Response 2

larry harris RE: Discussion 1 – Week 6COLLAPSE

The biopsychosocial Seven Domains of Assessment support geriatric assessment, evaluation, and management to understand chronic illness care (Christ, Diwan, 2008).  As it pertains to Magda her physical well-being and health she has early stage of dementia and had a hip injury and cant get around like before.  Psychological well being and mental health Magda has dementia and can’t remember things to well, Cognitive capacity early stage of dementia but can still remember some things, Ability to perform ADL’S Magda can still perform getting dressed but as Helen stated she still has to buy the groceries, clean the house and keep track of the medication.  Social functioning Magda is mostly in the home due to the hip injury and limited mobility, The physical environment is the comfort of her home with the help of caregivers, Assessment of caregivers, Helen was overwhelmed even though she still helped 2 days a week when the caregiver suggestedby the church was there.  the grandson Alec being in recovery was a bad decision especially after the first incident.

In the original assessment I would have asked Magda what she thought she needed.  I would also ask what her opinion was in having Alec come live with her.  I would also suggest other options to the family like assisted living facilities and helping Magda apply for medicaid and medicare to see if she qualified for a home health attendant.  I would ask Helen more questions about Alec and why she feels he would be a good fit and ask her just to share things about him.  That could have shed the light on why she was apprehensive in the beginning.  I would create a action plan with Magda being the head and do an assessment to determine her mental state and what she was capable of still doing.  Then I would help find resources to address the needs of Magda and make sure she has the proper care to address all of her needs.

References

Christ, G., & Diwan, S. (2008). Chronic illness and aging: The role of social work in managing chronic illness case. Council on social work education. Retrieved from http://www.cswe.org/getattachment/centers-initiatives/CSWE-Gero-Ed-Center/Teaching-Tools/Gero-Competencies/Practice-Guides/Assignments-Measurements/CI-Sex2-Role-SW.pdf.aspx

Plummer, S.-B., Makris, S., & Brocksen, S. M. (Eds.). (2014a). Sessions: case histories. Baltimore, MD: Laureate International Universities Publishing. [Vital Source e-reader].

Discussion 2

Britney Fallen RE: Discussion 2 – Week 6COLLAPSE

Elder Abuse was printed by the Salem Press Encyclopedia of Health, within this article and today’s society it not a secret that the baby boomers are now aging causing the elderly population to increase (2013). The article continues by discussing what abuse is such as deliberate harm and exploitation. Elder abuse also states, Transgenerational violence is learned behavior  passed through generations (2013). Exchange theory was mentioned stating dependencies between a victim and the perpetrator related to reactions and responses that continue through adulthood (Stark, 2013). Numerous tips and ‘red flags’ are addressed for example, a client under using or overusing medications (Stark, 2013). In terms of screening, health care providers are suppose to assess elderly annually.  Salem Press Encyclopedia of Health directly reinforces that even though we are mandated reporters by law as social workers, anyone can report abuse, it is so important to raise public awareness for prevention or interventions (2013).

At the micro level, elderly abuse can be prevented by speaking directly to the patient and family. By providing education, knowledge of resources and even coping skills for the family to reduce stress levels and possibly reduce abuse or neglect. As stated in the article Elder Abuse, some caregivers have demonstrated outbursts of aggression toward an elder (2019). This is said to be caused by lack of knowledge or coping skills. Intervention and even prevention at the mezzo level with elderly abuse can consist of attending community board meetings. This to advocate with the client the importance of keeping up with community safety issues like crooked sidewalks or unstable railings. Macro level is more large system based. This can start with lobbying with the client to address health care / mental health policies for the elderly. This could include keeping a social policy the same or implementing a new one.

References:

Stark, S. W. (2019). Elder abuse. Salem Press Encyclopedia of Health. Retrieved from https://search-ebscohost-com.ezp.waldenulibrary.org/login.aspx?direct=true&db=ers&AN=93871903&site=eds-live&scope=site

Response 2

Nakesha Morgan RE: Discussion 2 – Week 6COLLAPSE

This article focused on elder mistreatment and explained how its the risk or harm to a vulnerable elder by a trusted relationship with individual or the caregiver.  The elder may not be protected by that caregiver or the basic needs are not met.  It is consider to be an repeated act or lack of action to the elder.  It can consist of neglect, physical, sexual abuse, emotional abuse or abandonment (Daly & Jogerist, 2001).  It is very important to assess elders to see if they had any prior occurance with abuse or neglect in the past.  It better help worker have an understanding as to their needs and emotional feelings towards others.  Elderly may feel threaten if they have experienced abuse or neglect which will make it difficult for them to build trust.

Some of the prevention strategies when dealing with elder abuse and neglect individuals will be to ensure to keep in contact with the elders regularly.  A worker must understand the rights of the elders to ensure that they are protected.  Working with elderly on a macro level it is to focus on social policy changes to ensure that abuse can be prevented.  Having communication about the topic is important for individuals working directly with the elders and the elders themselves.  Having meetings and allowing the elders to sit in and ask questions can be helpful.  Working with elders on a micro level will be interacting with the individual personally or with the family.  Coming up with coping skills and finding ways to help reduce the abuse or neglect.  When working with elders on a mezzo level it consist of working with the institution rather than the client themselves.  This can consist of having meetings within the various senior living facilities.  A worker must ensure policies and procedures are in place within the facility and workers are mandated to report elder abuse or any neglect that may be witnessed around them.

Daly JM, Jogerist GJ.  Statute Definitions of Elder Abuse:  Journal of Elder Abuse & Neglect. 2001; 13(4); 39-57.

This writing assignment explores providing objective and valuable suggestions for improving a speech, as well as the thought process related to learning from feedback received through a critique.

/in /by

Due: Nov 24 at 11:59pmCalendarPublic SpeakingDetailsAssignment 2.1: Everyone’s a Critic

This assignment supports the following lesson objectives:

  • 2.2 Demonstrate knowledge of methods used in evaluating speeches
  • 2.3 Apply common techniques for accepting and managing listener feedback

Assignment Overview
This writing assignment explores providing objective and valuable suggestions for improving a speech, as well as the thought process related to learning from feedback received through a critique.

Deliverables

  • A one- to three-page paper (12-point font, 300 to 900 words) written in a word processor, such as MS Word

Assignment Details

In this activity, you will watch a video clip of a speech.

You will apply effective methods of critiquing a speech to prepare written feedback that you would provide to the person who delivered the speech. You will also evaluate your feedback in terms of how the person receiving it could best respond to it to improve his or her next speech.

Perform the following tasks:

Step 1: Review the information presented in the lesson about the elements of a speech that are commonly evaluated. These include:
Speaker Commitment to the Subject
Suitable to the Occasion and Audience
Clear Purpose
Fresh Point of View
EthicsStep 2: Select one of the following informative speeches to view and critique. These speeches are also available in the Multimedia Library for Chapter 3 on the Course Compass website.
Van Gogh’s Incredible Life (Links to an external site.)
Getting to Know the Elderly (Links to an external site.)Step 3: As a starting point for writing your critique of the speech, copy the table of evaluation criteria below and paste it into your word processing document.
You will use this table to determine and organize your feedback.

Speech Title:CriteriaQuestion to Ask YourselfCommentsSpeaker Commitment to the SubjectHow important is the subject to the speaker? Appropriateness for Audience and OccasionIs the topic and delivery relevant and useful to the audience? Clear PurposeCan you identify the goal(s) the speaker has for delivering the speech? Fresh Point of ViewDoes the speech challenge the audience to think about something in a new way? EthicsDoes the speaker tell the truth and have the best interest of the audience at heart? SubstanceDoes the speech content provide new information supported by facts, statistics, and so on? StructureIs the flow of information given in the speech well organized so the speech flows from one topic to the next?
Step 4: Enter the title of the speech you selected in the Speech Title row at the top of the table.

Step 5: Watch the speech, pausing as necessary, and enter any initial thoughts that may be useful in writing your critique of the speech.

Step 6: Review the information in the lesson that covers strategies for giving effective feedback.
The recommendations given in the lesson include:Begin the critique by making a positive statement.
Focus on select areas for improvement.
Make your comments in an organized fashion.
Provide specific feedback about what needs to be improved.
Be honest but respectful and tactful in your comments.
Personalize comments by indicating how you were influenced by the content or behavior, using “I” instead of “you.”
Stress the positive aspects of the speech.
Offer specific suggestions on how to correct a problem.
Provide a plan of action for how to improve the next speech with examples.
End the critique with a positive statement.Step 7: Use your speech evaluation table and guidelines for giving effective speech feedback to write a critique of the speech you selected.
Strive to include feedback on as many aspects of the speech as possible and to structure the feedback in a way that would make it valuable and understandable to the person delivering the speech.

Step 8: Review the information in the lesson that provides guidelines for handling feedback you receive from others.
These guidelines include:Be sure to focus on what is being said about your speech and your presentation, not how it is being conveyed to you.
Avoid taking the feedback personally or emotionally.
When feedback is general or vague, seek out specific problems and suggestions from the feedback source.
Evaluate the feedback provided using your critical thinking abilities.
Prepare a plan of action for improving your speech and presentation skills prior to delivering the next speech.Step 9: Put yourself in the shoes of the presenter whose speech you watched and critiqued.
Imagine that you are the speaker who received the critique that you wrote. For each guideline you reviewed in Step 8, write a sentence or more that documents your thoughts about the critique comments and observations. How would you use the information, observations, and suggestions in the critique to deliver your speech more effectively?

Step 10: Save and submit your document.
When you have completed the assignment, save a copy for yourself in an easily accessible place and submit a copy to your instructor using the drop box

Produce two separate papers, each with a minimum of 3 pgs. each and a maximum of 5 pgs. each.

/in /by

Produce two separate papers, each with a minimum of 3 pgs. each and a maximum of 5 pgs. each.

Your topic is “Man made global climate change”

Paper 1 – The statement is true

Paper 2 – The statement is not so true

Be objective, use credible sources, cite all sources. You may add photos and backup documents in addition to the minimum page requirements.

its due after 26 hours

Respond to at least two of your colleagues by providing feedback based on an existential-humanistic therapeutic perspective. Support your feedback with evidence-based literature and/or your own experiences with clients. In APA Format, provide at least 2 references no more five year old.

/in /by

Assignment:

Respond to at least two of your colleagues by providing feedback based on an existential-humanistic therapeutic perspective. Support your feedback with evidence-based literature and/or your own experiences with clients. In APA Format, provide at least 2 references no more five year old.

 

Colleagues Respond# 1

 

Working with immigrants on helping them overcome their mental health struggles, as well as successfully integrate into the US culture requires cultural sensitivity from the therapist. While many immigrants are highly motivated to learn English and engage in the labor market, they also often face many risks, including poverty, discrimination, taxing occupations, fewer years of schooling, and social isolation (APA, 2013). It would be incorrect to blame patient’s struggles entirely on the fact of his immigration, but immigration is rather the contributing factor in his situation. I agree that CBT is a good choice of therapy for this patient. Given the patients age and cultural background, I would also suggest that REBT would be a good option for him to try. It can help him to better navigate his emotions such as anxiety, depression, and extreme or inappropriate anger. This approach is also used to help change stressful and self-defeating behaviors, such as aggression, and procrastination. REBT would help the patient face his fears of socializing and work on becoming a productive member of society. Given the patient’s cultural background and presented MH history, I would emphasize that the patient is also at risk of substance use disorder and should be screened for that on each session. Also, suicidality is a known side effects of SSRI’s, so it should be investigated if Zoloft contributed to patient’s suicide attempts.

 

Colleagues Respond# 2

Your patient chief complains seem to be coming from PTSD and him being noncompliant makes it difficult for treatment. Symptoms presented are common with PTSD such as nightmares, night sweats, insomnia and using substance to feel better which might last only for the same day. (Simpson et al.,2014). Treating PTSD together with alcoholism can be complicated. In some studies, Sertraline was found to be effective (Bisson & Roberts,2015).  This patient’s treatment plan must target both his PTSD and Alcohol and substance use at the same time for a better outcome. Psychotherapy is effective long term and short term for the treatment of PTSD but will not stop him from drinking. CBT together with Sertraline might be helpful. I will also add in some supportive therapy since it is also been effective in allowing the patient to interact and have support in a group setting (Bruce & Jongsma, 2010b). This might motivate the patient to be more compliant with treatment while getting support from peers.

Create a 350- to 700-word proposal of a team to present to your manager.

/in /by

Create a 350- to 700-word proposal of a team to present to your manager. Include the following:

· A description of what type of group/team this will be

· A description of the goals of the group/team and how many team members will be needed

· An outline of a plan for how this group/team will be effective, including the following:

· A proposed leadership style

· The characteristics that you are looking for in team members

· The roles that each team member will take on

· Methods for enhancing group cohesion

· Strategies for managing conflict

· Strategies for decision making and problem solving

· A proposed team agenda for the first meeting

Submit your assignment 

This assessment will give you the opportunity to deepen your knowledge of how technology can enhance quality and safety standards in nursing. You will prepare an annotated bibliography on technology in nursing. A well-prepared annotated bibliography is a comprehensive commentary on the content of scholarly publications and other sources of evidence about a selected nursing-related technology. A bibliography of this type provides a vehicle for workplace discussion to address gaps in nursing practice and to improve patient care outcomes. As nurses become more accountable in their practice, they are being called upon to expand their role of caregiver and advocate to include fostering research and scholarship to advance nursing practice. An annotated bibliography stimulates innovative thinking to find solutions and approaches to effectively and efficiently address these issues.

/in /by

Assessment 3 Instructions: Annotated Bibliography on Technology in Nursing

 

Content

  •  Print
  • Write a 4-6 page annotated bibliography where you identify peer-reviewed publications that promote the use of a selected technology to enhance quality and safety standards in nursing.
    Before you begin to develop the assessment you are encouraged to complete the Annotated Bibliography Formative Assessment. Completing this activity will help you succeed with the assessment and counts towards course engagement.
    Rapid changes in information technology go hand-in-hand with progress in quality health care delivery, nursing practice, and interdisciplinary team collaboration. The following are only a few examples of how the health care field uses technology to provide care to patients across multiple settings:

    • Patient monitoring devices.
    • Robotics.
    • Electronic medical records.
    • Data management resources.
    • Ready access to current science.
    • Technology is essential to the advancement of the nursing profession, maintaining quality care outcomes, patient safety, and research.
      This assessment will give you the opportunity to deepen your knowledge of how technology can enhance quality and safety standards in nursing. You will prepare an annotated bibliography on technology in nursing. A well-prepared annotated bibliography is a comprehensive commentary on the content of scholarly publications and other sources of evidence about a selected nursing-related technology. A bibliography of this type provides a vehicle for workplace discussion to address gaps in nursing practice and to improve patient care outcomes. As nurses become more accountable in their practice, they are being called upon to expand their role of caregiver and advocate to include fostering research and scholarship to advance nursing practice. An annotated bibliography stimulates innovative thinking to find solutions and approaches to effectively and efficiently address these issues.
      Demonstration of Proficiency
      By successfully completing this assessment, you will demonstrate your proficiency in the course competencies through the following assessment scoring guide criteria:
    • Competency 3: Evaluate the impact of patient care technologies on desired outcomes.
      • Analyze current evidence on the impact of a selected patient care technology on patient safety, quality of care, and the interdisciplinary team.
      • Integrate current evidence about the impact of a selected patient care technology on patient safety, quality of care, and the interdisciplinary team into a recommendation.
    • Competency 4: Recommend the use of a technology to enhance quality and safety standards for patients.
      • Describe organizational factors influencing the selection of a technology in the health care setting.
      • Justify the implementation and use of a selected technology in a health care setting.
    • Competency 5: Apply professional, scholarly communication to facilitate use of health information and patient care technologies.
      • Create a clear, well-organized, and professional annotated bibliography that is generally free from errors in grammar, punctuation, and spelling.
      • Follow APA style and formatting guidelines for all bibliographic entries.
    • Preparation
      To successfully complete this assessment, perform the following preparatory activities:
    • Select a single direct or indirect patient care technology that is relevant to your current practice or that is of interest to you. Direct patient care technologies require an interaction, or direct contact, between the nurse and patient. Nurses use direct patient care technologies every day when delivering care to patients. Electronic thermometers or pulse oximeters are examples of direct patient care technologies. Indirect patient care technologies, on the other hand, are those employed on behalf of the patient. They do not require interaction, or direct contact, between the nurse and patient. A handheld device for patient documentation is an example of an indirect patient care technology. Examples of topics to consider for your annotated bibliography include:
      • Delivery robots.
      • Electronic medication administration with barcoding.
      • Electronic clinical documentation with clinical decision support.
      • Patient sensor devices/wireless communication solutions.
      • Real-time location systems.
      • Telehealth.
      • Workflow management systems.
    • Conduct a library search using the various electronic databases available through the Capella University Library.
      • Consult the BSN Program Library Research Guide for help in identifying scholarly and/or authoritative sources.
      • Access the NHS Learner Success Lab, linked in the courseroom navigation menu, for additional resources.
    • Scan the search results related to your chosen technology.
    • Select four peer-reviewed publications focused on your selected topic that are the most interesting to you.
    • Notes
    • Publications may be research studies or review articles from a professional source. Newspapers, magazines, and blogs are not considered professional sources.
    • Your selections need to be current—within the last five years.
    • Annotated Bibliography
      Prepare a 4–6 page annotated bibliography in which you identify and describe peer-reviewed publications that promote the use of your selected technology to enhance quality and safety standards in nursing. Be sure that your annotated bibliography includes all of the following elements:
    • Introduction to the Selected Technology Topic
      • What is your rationale for selecting this particular technology topic? Why are you interested in this?
      • What research process did you employ?
        • What databases did you use?
        • What search terms did you use?
        • Note: In this section of your bibliography, you may use first person since you are asked to describe your rationale for selecting the topic and the research strategies you employed. Use third person in the rest of the bibliography, however.
    • Annotation Elements
      • For each resource, include the full reference followed by the annotation.
      • Explain the focus of the research or review article you chose.
      • Provide a summary overview of the publication.
        • According to this source, what is the impact of this technology on patient safety and quality of care?
        • According to this source, what is the relevance of this technology to nursing practice and the work of the interdisciplinary health care team?
        • Why did you select this publication to write about out of the many possible options? In other words, make the case as to why this resource is important for health care practitioners to read.
    • Conclusion/Recommendation
      • How would you tie together the key learnings from each of the four publications you examined?
      • What organizational factors influence the selection of a technology in a health care setting? Consider such factors as organizational policies, resources, culture/social norms, commitment, training programs, and/or employee empowerment.
      • How would you justify the implementation and use of the technology in a health care setting? Consider the impact of the technology on the health care organization, patient care/satisfaction, and interdisciplinary team productivity, satisfaction, and retention.
    • Example Assessment: You may use the following to give you an idea of what a Proficient or higher rating on the scoring guide would look like:
    • Assessment 3 Example [PDF].
    • Additional Requirements
    • Written communication: Ensure written communication is free of errors that detract from the overall message.
    • Length: 4–6-typed, double-spaced pages.
    • Number of resources: Cite a minimum of 4 peer-reviewed resources.
    • Font and font size: Use Times New Roman, 12 point.
    • APA: Follow APA style and formatting guidelines for all bibliographic entries.
    • Portfolio Prompt: Save your presentation to your ePortfolio. Submissions to the ePortfolio will be part of your final capstone course.

Complete an SCM product development paper using either a personal experience or select a fortune 500 company that elaborates on the New Product Development (NPD) risks, customer driven marketing initiatives, and financial measure as discussed this week.

/in /by

New Product Development

Complete an SCM product development paper using either a personal experience or select a fortune 500 company that elaborates on the New Product Development (NPD) risks, customer driven marketing initiatives, and financial measure as discussed this week.

The requirements below must be met for your paper to be accepted and graded:

  • Write between 750 – 1,250 words (approximately 3 – 5 pages) using Microsoft Word in APA style, see example below.
  • Use font size 12 and 1” margins.
  • Include cover page and reference page.
  • At least 80% of your paper must be original content/writing.
  • No more than 20% of your content/information may come from references.
  • Use at least three references from outside the course material, one reference must be from EBSCOhost. Text book, lectures, and other materials in the course may be used, but are not counted toward the three reference requirement.
  • Cite all reference material (data, dates, graphs, quotes, paraphrased words, values, etc.) in the paper and list on a reference page in APA style.

References must come from sources such as, scholarly journals found in EBSCOhost, CNN, online newspapers such as, The Wall Street Journal, government websites, etc. Sources such as, Wikis, Yahoo Answers, eHow, blogs, etc. are not acceptable for academic writing.
A detailed explanation of how to cite a source using APA can be found here (link).

RUA Analyzing Published Research

/in /by

Hello!

I have everything needed attached below.

Thank you!

Hesselink, G., Zegers, M., Vernooij-Dassen, M., Barach, P., Kalkman, C., Flink, M., … & Suñol, R. (2014). Improving patient discharge and reducing hospital readmissions by using Intervention Mapping. BMC health services research, 14(1), 389. Retrieved from https://doi.org/10.1186/1472-6963-14-389

Kripalani, S., Theobald, C. N., Anctil, B., & Vasilevskis, E. E. (2014). Reducing hospital readmission rates: current strategies and future directions. Annual review of medicine, 65, 471-485. Retrieved from https://doi.org/10.1146/annurev-med-022613-090415

Adverse Event or Near Miss Analysis

/in /by

Write a 5 page comprehensive analysis on an adverse event or near miss from your professional nursing experience. Integrate research and data on the event and use as a basis to propose a quality improvement (QI) initiative in your current organization

  1.  
  2. Analyze the missed steps or protocol deviations related to an adverse event or near miss.
    • Describe how the event resulted from a patient’s medical management rather than from the underlying condition.
    • Identify and evaluate the missed steps or protocol deviations that led to the event.
    • Discuss the extent to which the incident was preventable.
    • Research the impact of the same type of adverse event or near miss in other facilities.
  3. Analyze the implications of the adverse event or near miss for all stakeholders.
    • Evaluate both short-term and long-term effects on the stakeholders (patient, family, interprofessional team, facility, community). Analyze how it was managed and who was involved.
    • Analyze the responsibilities and actions of the interprofessional team. Explain what measures should have been taken and identify the responsible parties or roles.
    • Describe any change to process or protocol implemented after the incident.
  4. Evaluate quality improvement technologies related to the event that are required to reduce risk and increase patient safety.
    • Analyze the quality improvement technologies that were put in place to increase patient safety and prevent a repeat of similar events.
    • Determine whether the technologies are being utilized appropriately.
    • Explore how other institutions integrated solutions to prevent these types of events.
  5. Incorporate relevant metrics of the adverse event or near miss incident to support need for improvement.
    • Identify the salient data that is associated with the adverse event or near miss that is generated from the facility’s dashboard. (By dashboard, we mean the data that is generated from the information technology platform that provides integrated operational, financial, clinical, and patient safety data for health care management.)
    • Analyze what the relevant metrics show.
    • Explain research or data related to the adverse event or near miss that is available outside of your institution. Compare internal data to external data.
  6. Outline a quality improvement initiative to prevent a future adverse event or near miss.
    • Explain how the process or protocol is now managed and monitored in your facility.
    • Evaluate how other institutions addressed similar incidents or events.
    • Analyze QI initiatives developed to prevent similar incidents, and explain why they are successful. Provide evidence of their success.
    • Propose solutions for your selected institution that can be implemented to prevent future adverse events or near-miss incidents.
  7. Communicate analysis and proposed initiative in a professional and effective manner, writing content clearly and logically with correct use of grammar, punctuation, and spelling.
  8. Integrate relevant sources to support arguments, correctly formatting citations and references using current APA style.

Submission Requirements

  • Length of submission: A minimum of five but no more than seven double-spaced, typed pages.
  • Number of references: Cite a minimum of three sources (no older than seven years, unless seminal work) of scholarly or professional evidence that support your evaluation, recommendations, and plans.
  • APA formatting: Resources and citations are formatted according to current APA style and formatting.

challenges from governments and the taxi and limousine industry

/in /by

Strategic Communications Plan Team Project Uber

Strategic Communications

Uber vs. NYC

Despite it’s growing success, Uber has faced a number of challenges from governments and the taxi and limousine industry, who allege that Uber’s use of unlicensed drivers is unsafe and illegal. Often, these disputes – and other high profile-problems, such as passenger safety – continue to damage Uber’s reputation.

In 2015, NYC Mayor Bill de Blasio introduced a city council initiative that would limit the growth of for-hire vehicle companies like Uber to 1%, pending a citywide study of traffic patterns. The city has suggested that Uber may be responsible for slower traffic speeds in Manhattan, noting that the number of all for-hire vehicles has grown by more than 60%, to about 63,000, since 2011, the year the company debuted.

Uber vs. NYC and Newark

To fight back, Uber launched a highly successful strategic integrated communications campaign against Mayor de Blasio’s proposal.

The results: The 1percent limit was never implemented.

In January 2016, the results of the traffic study were published and found that vehicles of all types were responsible for congestion, not just ride sharing services like Uber and Lyft.

Don’t Let Mayor de Blasio Strand New Yorkers

Mayor de Blasio’s Proposal Will Destroy 10,000 Jobs

Uber, Lyft Banned from Newark Airport

Uber vs. Newark

While having won the war in NYC, Uber continues to battle local governments across the country who have similarly set out to stop the service from expanding. For example, Newark, NJ, reached an agreement to allow Uber to operate after the mayor banned Uber from Newark Airport and Newark Penn Station, stating their operation violates a city ordinance that requires all commercial vehicles operating at the venues to obtain licenses. In a statement, Newark Mayor Ras Baraka said: “It’s an issue of regulations, compliance and safety.” Further, he said: “Uber undermines taxi drivers and takes their business away.”

The same bans have occurred in Paris, Washington, D.C., Chicago and L.A., though some cities have since lifted the ban upon having Uber pay an additional fee.

In the settlement with Newark, Uber agreed to pay the city a $10 million fee to operate at Newark Liberty International Airport over 10 years. The company also agreed to provide $1.5 million in liability coverage for all drivers in its network, conduct background checks of each one, and to install and enforce a zero-tolerance drug and alcohol abuse policy.

Your Assignment

You are on a team at one of several integrated marketing and public relations agencies trying to win a contract to create a strategic integrated communications plan for Uber to deal with the coronavirus (COVID-19). Uber wants to know how to handle the impact of the virus on Uber’s businesses and reputation, as well as its many stakeholders, including drivers and “corporate” employees, passengers, and the communities and governments it serves.

The NYC and Newark case study is an example of what such a campaign might look like. Keeping that in mind, please create a strategic communications plan for Uber, incorporating these five strategic elements:

SWOT analysis, considering Uber’s business model, reputation, revenue sources, employees, as well as any other internal and external factors;

A strategic plan — state your current state and future state (objective) and how your strategic plan will help you achieve your objective;

Stakeholder Identification/Key Messages;

Tactical Plan, e.g. integrated marketing/issues management/crisis management;

Research/Measurement — How would you measure success?

Strategic Plan Analysis

Start with a brief description of Uber:

What does it do?

How does it make money?

Where does it operate?

How many employee?

Discuss (briefly) some of the internal and external factors you should consider.

Answer the following questions?

What is Uber trying to accomplish?

What stakeholders is Uber trying to reach in this campaign?

What PR & marketing tactics should Uber use as part of this campaign?

What are the key messages being communicated?

Current State/Future State – when can you declare victory? Why?

Presentations

Next Week: Due Tuesday, April 7. The team should prepare a presentation outline and a list of team members and their assignments. The week Of April 13: The completed presentation must be submitted by Tuesday, April 14.

Each student receives a team and an individual grade.

What is the Christian view of the nature of human persons, and which theory of moral status is it compatible with? How is this related to the intrinsic human value and dignity?

/in /by

Based on “Case Study: Fetal Abnormality” and other required topic study materials, write a 750-1,000-word reflection that answers the following questions:

  1. What is the Christian view of the nature of human persons, and which theory of moral status is it compatible with? How is this related to the intrinsic human value and dignity?
  2. Which theory or theories are being used by Jessica, Marco, Maria, and Dr. Wilson to determine the moral status of the fetus? What from the case study specifically leads you to believe that they hold the theory you selected?
  3. How does the theory determine or influence each of their recommendations for action?
  4. What theory do you agree with? Why? How would that theory determine or influence the recommendation for action?

Remember to support your responses with the topic study materials.

While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting guidelines, which can be found in the APA Style Guide, located in the Student Success Center.

The paper should be 8-10 pages in length (excluding references, tables and figures), on any specialized subject area within the purview of biolog

/in /by

The reach paper will be about genetically modified foods (GMO) 

Make sure we explain What Ge or GMO what the diffents is, When was it establish? what are the health concerns of GMO FOOD? Potential health Effects? Why are food Genetics being Manipuipuplated? why we need GMO food? I am Pro for GMO food because we are as human are multiplying and we need to produce more food. 

See details below for the paper and NO PLAGIARISM. 

Biology–Term Paper

You will be writing one research paper, the purpose of which is to allow you to learn more about a topic in biology and to allow you to exercise your skills in scientific writing. Writing is not only an essential means of communication, but a superb learning tool as well, allowing you to develop your thoughts logically and really come to grips with what you do and do not understand. 

The paper should be 8-10 pages in length (excluding references, tables and figures), on any specialized subject area within the purview of biology. This is a particularly good opportunity for you to explore an area that we are unable to cover in class. You should review a concept fully, backing it by relevant literature, identifying the gaps in our understanding and the experiments that could be performed to bridge these gaps. You may use a combination of primary research papers, reviews, and other sources, but must include at least 2 primary research papers published in 2012 or later. 

 Your paper should not resemble anyone else’s paper for this or any other class, and should not be similar to a paper prepared for another course. You should not quote directly from other sources unless you use quotation marks and identify your source. Close paraphrasing should be avoided. All statements you obtain from published sources should be carefully documented. Some suggestions for journals include Science, Nature, Nature Genetics, Developmental Biology, Genes and Development, Molecular and Cellular Biology, Cell, and Proc. Natl. Acad. Sci. Supplementary references can include primary experimental research papers, reviews, or “News and Views” from Science or Nature. The tone of your paper should be professional, not tongue-in-cheek. Your report should be typed and double spaced. Use standard 8.5 x 11 inch paper with a margin of at least 1/2 inch on all sides. Type size should average no more than 10 characters per inch (on most word processors, this is font size 12). Cite references in the text and use the referencing style of primary research articles (not reviews) -cite by author and date i.e. (Woody, 2018), giving full authors, title, journal and pagination in the reference section. Please include a cover sheet on your paper, indicating the title of your work, the date, your name and full contact information. Cover page does not count in the page number count. You will be penalized for departing from the length, format, supplementary materials and referencing style requested. You will be graded on accuracy, style and creativity. Although writing ability is not the primary focus of this course, your ability to communicate is essential to your success in science. Pay close attention to what you’re writing. 

For this Discussion, review the resources for this week. Reflect on your understanding of the theories in relation to various situations. Additionally, consider how these theories relate to previous leadership perspectives of Trait Theory, Skills Approach, and behavioral perspective covered in this course.

/in /by

Although often difficult to define, leadership presents a pivotal aspect in any organization. Over the course of history, various leaders have embodied characteristics and qualities that have proved effective and ineffective within various situations. For example, a health director of a small clinic might exhibit a different leadership perspective than a director of staff for an intensive care unit at a large hospital. Though characteristics and qualities may vary among leaders, their primary goals for followers and organizations may be similar. Understanding the most appropriate leadership perspective may impact your future leadership perspective in the field of health care administration.

For this Discussion, review the resources for this week. Reflect on your understanding of the theories in relation to various situations. Additionally, consider how these theories relate to previous leadership perspectives of Trait Theory, Skills Approach, and behavioral perspective covered in this course.

Post an explanation of how transformational leadership and transactional leadership relate to Trait Theory, Skills Approach, and behavior perspective. Then, explain under what circumstances a transformational leadership might be preferred and under what circumstances a transactional leadership might be preferred for the practice of health care administration. Provide an example and justify your response.

  • attachment

    WEEK9ReadingResources.docx

Please explain how you have met various BSN Essentials for each course listed below based on the completion of various course assignments and/ or clinical practice experiences. I have attached the BSN essentials as well as a course description for each course. The paper needs to be 1.5 pages discussing a bit about each class. The description of each class is listed below along with an explanation of each BSN essential. Utilize as many essential key point as possible for each course listed.

/in /by

Please explain how you have met various BSN Essentials for each course listed below based on the completion of various course assignments and/ or clinical practice experiences. I have attached the BSN essentials as well as a course description for each course. The paper needs to be 1.5 pages discussing a bit about each class. The description of each class is listed below along with an explanation of each BSN essential. Utilize as many essential key point as possible for each course listed.

1.5 pages

12 Point Font (Times New Roman)

Care Management II

Nursing care management of diverse adult and elderly acute care populations experiencing physiologic and psychological illnesses. Proficiency is acquired in the classroom and in clinical experiences across conditions that have a significant effect on quality of life, are highly preventable, and/or economically inefficient. Emphasis is placed on interprofessional collaboration and advocacy to achieve optimal outcomes.

Information Technology for Nursing

Information management and patient care technology skills, including analysis of various applications of information systems within the context of the healthcare system. Elements covered include theoretical models; data acquisition and data representation; nursing vocabularies and nursing knowledge representation; managing organizational change; ethical and social issues in healthcare and consumer information technology.

Nursing Pharmacotherapeutics

Pre-licensure BSN course. Essential concepts and principles of pharmacology as applied to baccalaureate level nursing practice. Imparts knowledge and skills required for safe, effective administration of therapeutic drugs (including herbal and complementary medications). The course covers critical skills related to dosage calculation and medication administration that. must be performed without error to achieve a passing grade for the course.

The BSN Essentials

Essential I: Liberal Education for Baccalaureate Generalist Nursing Practice

A solid base in liberal education provides the cornerstone for the practice and

education of nurses.

Essential II: Basic Organizational and Systems Leadership for Quality Care and

Patient Safety

Knowledge and skills in leadership, quality improvement, and patient safety are

necessary to provide high quality health care.

Essential III: Scholarship for Evidence Based Practice

Professional nursing practice is grounded in the translation of current evidence

into one’s practice.

Essential IV: Information Management and Application of Patient Care Technology

Knowledge and skills in information management and patient care technology are

critical in the delivery of quality patient care.

Essential V: Health Care Policy, Finance, and Regulatory Environments

Healthcare policies, including financial and regulatory, directly and indirectly

influence the nature and functioning of the healthcare system and thereby are

important considerations in professional nursing practice.

Essential VI: Interprofessional Communication and Collaboration

for Improving Patient Health Outcomes

Communication and collaboration among healthcare professionals are critical to

delivering high quality and safe patient care.

Essential VII: Clinical Prevention and Population Health

Health promotion and disease prevention at the individual and population level are necessary to improve population health and are important components of baccalaureate generalist nursing practice.

Essential VIII: Professionalism and Professional Values

Professionalism and the inherent values of altruism, autonomy, human dignity, integrity, and social justice are fundamental to the discipline of nursing.

Essential IX: Baccalaureate Generalist Nursing Practice

The baccalaureate graduate nurse is prepared to practice with patients, including individuals, families, groups, communities, and populations across the lifespan and across the continuum of healthcare environments. The baccalaureate graduate understands and respects the variations of care, the increased complexity, and the increased use of healthcare resources inherent in caring for patients.

Aim: This question will assess your understanding of key concepts, theories, and debates. You are required to identify key ideas required to answer your question. Identify key theory and scholars who may help in synthesizing your answer to address the question. Identify and select the most relevant key concepts by identifying connection to the relevant course debates and scholars who shape these debates.

/in /by

Aim: This question will assess your understanding of key concepts, theories, and debates. You are required to identify key ideas required to answer your question. Identify key theory and scholars who may help in synthesizing your answer to address the question. Identify and select the most relevant key concepts by identifying connection to the relevant course debates and scholars who shape these debates.

Question: Why is an ideological analysis of media content and representation an important aspect of the Birmingham Cultural studies circuit of culture approach? (250 words minimum)

○ Define ideology, hegemony, and discourse from the lectures (refer to lecture slides, attached in file)

○ Define the circuit of culture approach

○ Refer to readings (attached in file)

attachment
Lecture1.key
attachment
Lecture2.key
attachment
Media-Analysis-Circuit-of-Culture.docx
attachment
Celebrity_Culture_Self_Identity_2010.pdf
attachment
News-TV-films-as-ideology-Ch6-CroteauHoynes-31pp.pdf

This part requires you to use your imagination, be creative; learning should be fun too!  Pretend I am a wealthy businessman with lots of current cash on hand (earning me no return, not a good thing) and you are starting a firm or have a current firm and are pitching a new project to have me invest. 

/in /by

This part requires you to use your imagination, be creative; learning should be fun too!  Pretend I am a wealthy businessman with lots of current cash on hand (earning me no return, not a good thing) and you are starting a firm or have a current firm and are pitching a new project to have me invest.

Step 1: Tell me about your firm/project briefly

Step 2: Tell me about you projections of your past/present/future sales, costs, ratios, income, OCFs, etc.

Step 3: Value your company/project to ask me for the money to undertake the project (i.e. think of

appropriate discount rates due to risk, growth rates, etc.)

General rubric for project grading

(may vary slightly to match project type). You are a business

major, when working on any project, pretend that this is a job, I am the “boss” of the assignment and I expect to be satisfied with the work that you submit to me.

1)   Did you do what I asked in entirety?

2)   Is the project clear and easy to understand?

3)   Conceptually, do you understand what you are doing?

4)   Layout: does it look nice, clean, easy to follow, and professional?

6.28 Find a decision made in a lawsuit by an employee who was fired because of photos or other material the employer found on the employee’s social network pages. Summarize the case and the result. Do you think the result was reasonable? Why?

/in /by

5.33 Suppose a denial-of-service attack shuts down two dozen major websites, including retailers, stock brokerages, and large corporate entertainment and information sites, for several hours. The attack is traced to one of the following perpetrators. Do you think different penalties are appropriate, depending on which it is? Explain why. If you would impose different penalties, how would they differ?

(a) A foreign terrorist who launched the attack to cause billions of dollars in damage to the U.S.

economy.

(b) An organization publicizing its opposition to commercialization of the Web and corporate

manipulation of consumers.

(c) A teenager using hacking tools he found on a website.

(d) A hacker group showing off to another hacker group about how many sites it could shut down in one day.

6.27 The ECPA does not prohibit universities from reading student email on its computers, just as it does not prohibit businesses from reading employee email on company computers. Find your university’s policy about access to student computer accounts and email (on university computers) by professors and university administrators.

Describe the policy. Tell what parts you think are good and what should change.

6.28 Find a decision made in a lawsuit by an employee who was fired because of photos or other material the employer found on the employee’s social network pages. Summarize the case and the result. Do you think the result was reasonable? Why?

In this assessment, you demonstrate that you can provide an evidence-based conclusion to an uncertain clinical situation. It requires you to search for relevant research, understand levels of evidence, consider the quality of evidence, present the summary of each article, interpret their findings, and reach a conclusion based on your reviewed evidence.

/in /by

Intent

In this assessment, you demonstrate that you can provide an evidence-based conclusion to an uncertain clinical situation. It requires you to search for relevant research, understand levels of evidence, consider the quality of evidence, present the summary of each article, interpret their findings, and reach a conclusion based on your reviewed evidence.

Task: You have been provided with three clinical scenarios. Each scenario indicates an area of clinical uncertainty. Select a scenario that interests you and using your evidenced based practice skills answer the question that follows.

Scenario 1:

In the course of your clinical placement in a surgical ward, you noted inconsistency in wound care. While some nurses use a sterile technique, others employ a clean dressing change technique.

Is clean wound dressing a safe option for dressing of surgical wounds?

Scenario 2:

You are working on a hospital ward where you encounter stroke patients. You notice that some doctors order compression stockings for prevention of deep venous thrombosis while others not.

Should antithrombotic stockings be routinely used for patients with stroke or not?

Scenario 3:

You are working as an RN in an emergency department. A 10-year-old child has been admitted to the department with a diagnosis of exacerbation of asthma secondary to bronchitis. The patient has been prescribed salbutamol.

What is the more effective method of delivery- a nebuliser or a spacer?

Format

Written paper with well-structured paragraphs. Headings can be used if they help structure your work.

Introduction (500 words)

Briefly describe the process you used to answer the question. i.e. how you formulated a searchable question and developed a search strategy. Justify the approach you took in accessing the evidence. Describe the rationale behind the selection of each paper (hint: level of the evidence, quality of the evidence, relevance). Both quantitative and/or qualitative articles can be used, as appropriate to the clinical scenario and question you have developed. It is not necessary to present all the evidence you found (and you have limited word count to do this). The key thing is quality not quantity – so four or five research-based articles are better than a large number of low-level papers. Provide the print screens of the abstracts of the papers you have chosen.

Main body of the paper (800 words)

Briefly present each paper and their main findings. What does the research show?

Conclusion (200 words)

This is where you clearly state what you think the answer to your question is and why.

Please review the course objectives stated in the Syllabus. Conduct a self-reflection of your learning in the course and how you personally have met each of the course objectives. (400 words, APA FORMAT)

/in /by

Please review the course objectives stated in the Syllabus. Conduct a self-reflection of your learning in the course and how you personally have met each of the course objectives. (400 words, APA FORMAT)

Course Learning Objectives:

  1. Apply a knowledge base of community health nursing and health teaching skills to the development an educational project with a focus on illness prevention, health promotion and/or health maintenance of individuals, families and groups (PLG 2, 4)
  2. Demonstrate use of information technology in data gathering and analysis of a community or a specific population group (PLG 5)
  3. Analyze a community assessment to plan a health teaching project that meets the needs of communities and populations (PLG 3, 4)
  4. Create an educational project that can be utilized by public and community health nurses to improve the health status and eliminate health disparities of individuals, families, communities and populations (PLG 2, 4)
  5. Implement the planned teaching project to the selected target population(PLG 4)
  6. Collaborate with community partners to provide education designed to improve population health(PLG 4)
  7. Record and present evidence of the completion of each phase of the teaching project (PLG 3)

Step 2:  Using the Myers-Briggs profile as a starting point, the next step is to fill in additional characteristics about yourself, including things you have learned (courses specific to your major, for example), skills you can do (learned from work, volunteering, internships, etc.), and work environments you know something about

/in /by

Personal Brand Assignment

TAMUC and the College of Business have several resources that will help you with this assignment.

Step 1: To get started, you will take a brief online assessment called Personality Pathways, which helps you understand yourself as a product.  This assessment is shortened version of the Myers-Briggs personality inventory that classifies individuals into one of sixteen personality profiles. Personality Pathways https://www.personalitypathways.com/type_inventory.html

Profiles consist of 4 letters, such as ISFP or ENTJ.  Save these letters that describe you.  For more information on your profile, I will upload a Myers-Briggs Test Overview this weekend.  When you find your profile, print it and circle the descriptions that you think fit you the best.

Step 2:  Using the Myers-Briggs profile as a starting point, the next step is to fill in additional characteristics about yourself, including things you have learned (courses specific to your major, for example), skills you can do (learned from work, volunteering, internships, etc.), and work environments you know something about.

Below is a sample of the table you will include.  Tell me something about personality in the first box.  List courses or areas of knowledge that are relevant to your target job in the second column.  List thing you know how to do (from jobs, internships or other experiences) in the third column.  This could include fluency in a second language, provable tasks you have accomplished, skills learned from campus activities, such as keeping books for a fraternity as treasurer or organizing a fund-raising activity for a club.  Finally, you might know something about how an industry works because you have a family business you grew up helping, or internship or summer jobs.  Even if you plan to work in a different business, knowledge of these industries can be helpful to potential employers.

Personal Characteristics

Content Knowledge

Process Knowledge and Skills

Industry Knowledge

ENFJ  (Extroverted, Sensing, Feeling, Judging)

Marketing Major

Operate cash register, customer service skills

Family grocery store

Exceptional people skills

Retail Management

Open and Close restaurant; schedule shifts

Fast food restaurant (summer job)

Organizational abilities

Certified in Excel, SAP

Conduct inventory, order merchandise

Boutique (internship)

Creative and imaginative

Step 3:  The next step is to begin researching a career field that you want to pursue.  If you are a traditional student with limited work experience, you should be looking for entry-level jobs.  You will apply the steps in CH 7 as you (1) segment the market of potential employers by industry, geographic location or specific skills needed), (2) select a target position/industry/location/size company that you want to work for and then (3) try to position yourself to fit the job.  Find a specific job description via a job search website and see how you match up to what they are looking for.  Indeed.com is one website where you might find an appropriate job description.  You may also find descriptions on the College of Business Career Services website.

Step 4:  When you research possible salaries, be sure you look for average STARTING salaries in the field, not just at average salaries.  You will also want to look at potential salaries and benefits as you move up in the field, but realize that it may take 10 to 15 years to reach the average.  Information on opportunities and salaries can be found using YouScience, the new career software that the Career Services office is using at TAMUC.

Note:  If you are not a traditional student, and you have substantial work experience, you probably see the value in reexamining your goals and researching your next opportunity.  You also have likely survived layoffs in your company and realize the benefits of keeping your resume up to date, and continuing to add value through education, in-company training, and learning new skills.  Pitch your target market accordingly, or consider what might interest you if you wanted to move in a different career direction.

Step 5:  Layout of assignment

Leo A. Lion, Jr.

Personal Brand Assignment Sample Layout

Target Market

Write a couple of paragraphs narrowing your potential employer using appropriate segmentation variables.  These variables might be geographic (looking for a job in a specific city, state, region) or demographic (size company, industry, etc.).  Explain the type of job you think you would be a fit for you after graduation.

Find a job description similar to what you want to do after graduation to see how you compare with the qualifications they are seeking.  Include a copy of the job description or include a web link.  Go to www.jobscan.co and see what percentage match you find comparing your resume with the job description.  Report the match percentage.

Product

Describe your qualifications and what you can offer a company.  This will include personality characteristics (from the Myers Briggs test), knowledge learned from your university education (such as courses in your major), work skills and any industries you know something about (through work or internships or family businesses).  At the end of your description, insert a table like the one in the assignment.  Think of this table as a menu of attributes or benefits that you can use to customize a resume when you apply for a job.  To create the table, lick on insert, then select table, then highlight the four boxes across and 5 or 6 boxes down.

Personal Characteristics

Content Knowledge

Process Knowledge and Skills

Industry Knowledge

Price

Research the typical starting salary for jobs you would qualify for in your target market.  If you are just entering the field, look for average entry-level jobs.  If you have a lot of professional experience already, research mid-level jobs.  Also see what additional benefits would be included.

Place

Where will you find your job?  Will you use online job search sites, campus career services, or professional organizations in your field?  Networking?

Promotion

Summarize how you would add value to your prospective company in a sentence or two.  Then attach your revised resume at the end of your document.  Be sure you avoid the common mistakes found in the document under Week 7.  Resume inserted here at the end of the document.  (Copy and paste at the end of the document)

Step 6:  After you have revised your resume to include skills, knowledge and other things that differentiate you from the competition, and after you have removed any mistakes that students often make, you might want someone to screen your resume and offer advice to improve it.  You can do this by following the directions below using Handshake. This is not required, but encouraged.  You will get high quality feedback and it’s free.

Students should log into Handshake:

1)      www.hirealion.com

2)      Click on Students

3)      Each student has a profile- they just don’t know it. It looks like a resume.

4)      Click on Documents Top Right (2nd and middle tab)

5)      Upload document (resume)

Write a paper ( 1000- 1500 words) that demonstrates the statistic analysis of your research? 

/in /by

How statistically can  you study the phenomena of culture and decision-making and to identify how these dynamics affects the variations in how and why people from different cultures sometimes tend to decide differently? How can you  use to collect, describe, organize, examine, interpret, and report data or information?

Write a paper ( 1000- 1500 words) that demonstrates the statistic analysis of your research?

Discuss how the equilibrium price and quantity change when a change in demand occurs and the supply stays constant, and when a change in supply occurs and the demand stays constant.

/in /by

Discuss how the equilibrium price and quantity change when a change in demand occurs and the supply stays constant, and when a change in supply occurs and the demand stays constant. To illustrate answer each of the following:

Discuss what happens to the equilibrium price and quantity of Colgate Toothpaste when there is an increase in the demand for Colgate Toothpaste but no change in the supply. What could cause an increase in the demand for Colgate Toothpaste but no change in supply?
Discuss what happens to the equilibrium price and quantity of Colgate Toothpaste when there is a decrease in the demand for Colgate Toothpaste but no change in the supply. What could cause a decrease in the demand for Colgate Toothpaste but no change in supply?
Discuss what happens to the equilibrium price and quantity of Colgate Toothpaste when there is an increase in the supply of Colgate Toothpaste but no change in the demand. What could cause an increase in the supply of Colgate Toothpaste but no change in demand?
Discuss what happens to the equilibrium price and quantity of Colgate Toothpaste when there is a decrease in the supply of Colgate Toothpaste but no change in the demand. What could cause a decrease in the supply of

Make a recommendation to EPA on how unused medicines should be disposed. Make your case for who should pay for the disposal program: the patient, the manufacturer, or the government?

/in /by

In 2002, a study was conducted on 139 streams in 30 states to look for micro-contaminants in waters that are used as sources of drinking water in the United States. In 80% of these streams, pharmaceutical active substances were identified, along with components used in personal care products (cosmetics) (Koplin et al., 2002). Further studies found that many of these chemical substance passed through municipal wastewater treatment plants without being degraded or removed. The result is that these compounds are being discharged into streams, and it is alleged that these compounds are responsible for exerting adverse effects on wildlife, including the feminization of male fish and inducing sluggish activity levels in fish; three legged amphibians have also been observed (Koplin et al., 2002).

With a focus on the residual pharmaceuticals in the environment (PIE), it is clear that these are a direct result of human excretion and direct disposal of medicines into the environment. In 2005, the State of Washington averaged 8.5 prescriptions per capita with a total of 53 million being filled by retail outlets (Koplin et al., 2002). This does not include institutional medicines prescribed in hospitals and nursing homes.

The PIE issue has nothing to do with the manufacture of pharmaceuticals as their waste is segregated with specialized treatments for hazardous wastes and for non-hazardous wastes. Hazardous wastes will mostly go to thermal oxidizers for destruction. Non-hazardous waste is regulated by pretreatment categorical standards and by wastewater discharge permits, holding the manufacturing facility to strict performance standards.

 

Assignment:

Using articles that you find in in your research, put the PIE issue into perspective. Do this by including relevant discussion and analysis on the following areas:

  • Outline the political and societal concerns that are related to this issue.
  • The sources and impacts of these pharmaceutical residuals (chemical substances) being discharged into streams.
  • Describe the recommendations and programs in the United States for disposing of unused medicines. Compare these to how medicines are disposed in Europe.
  • Make a recommendation to EPA on how unused medicines should be disposed. Make your case for who should pay for the disposal program: the patient, the manufacturer, or the government?

Regardless of which option you choose to write about, your final product should be a minimum of four pages in length, not including your title page and reference page, and should be in APA style. You are required to use a minimum three scholarly sources, which must be cited and referenced appropriately.

By the end of week 2, you will identify and arrange to interview an experienced nurse educator about the trends in nursing education that she/he has observed or experienced during her/his career in education. You will also develop 10–12 interview questions.

/in /by

Arrange a Nurse Educator Interview

By the end of week 2, you will identify and arrange to interview an experienced nurse educator about the trends in nursing education that she/he has observed or experienced during her/his career in education. You will also develop 10–12 interview questions.

Assignment Guidelines

  • The person you select to interview must have a minimum of 5 years experience as a nurse educator currently practicing in academia, staff development, or a clinical nurse educator or patient educator. No family members please.
  • You may arrange to conduct the interview in person, by phone, or by online web conferencing.
  • In general, when you contact a prospective interviewee, state who you are and explain that the interview is for a university course assignment.
  • Ask for a convenient time to meet for a 30-minute interview.
  • Review the literature related to the nurse educator’s specific field of nursing education.
  • Type 10–12 interview questions.

General Guidelines for Developing Interview Questions

  • Your interview questions will depend on the method of interview (formal or informal, face to face, or online web meeting/conferencing) and the specific area the nurse educator is practicing.
  • Word your questions clearly and concisely.
  • Ask open-ended questions.
  • Begin the interview with simple, factual questions that are easy to answer (icebreakers). This will help put the nurse educator at ease and help you establish a rapport. For example:
    • You may ask about qualifications, credentials, expertise, experience, level of education, responsibilities, and/or a typical day.
    • You may wish to ask questions that elicit feedback about how the person became interested in nursing education, how education was selected as a career path, and what steps were taken to become a nurse educator.
  • Next, seek information about personal experiences and opinions, such as:
    • Teaching philosophy and goals related to nursing education
    • Experiences with curricula
    • Experiences with evaluation
    • Ways of knowing that student goals are met
    • Ways of engaging and/or enriching student learning
    • Outlook on the future of nursing education
    • The most effective teaching strategies
    • Positive experiences in teaching
    • Challenges faced as a nurse educator

Discussion board 250 word count and two additional response post.

/in /by

The claim review process is very complex. Give an overview of the process and explain the importance of each step.

Discussion board 250 word count and two additional response post. 

Please include references and APA Format. 

Please use some information from text as well as your own research.

As nurse practitioners strive to achieve full-autonomous practice across the country, it should be noted that many states grant this ability to practice independently to psychiatric mental health nurse practitioners. To that end, you will be engaging in projects this semester that assume that you are practicing in a state that allows full-practice authority for NPs, meaning that the PMHNP may be the “captain of the ship” concerning caring for a patient population. The “captain of the ship” is the one who makes referrals to specialists, coordinates care for their patients/clients, and is responsible and accountable for patient/client outcomes overall. This is a decided change from a few decades ago when physicians were the “captain of the ship” and NPs played a peripheral role.

/in /by

Assignment 1: “ 1: “Captain of the Ship” Project – DeAssignmentpressive Disorder

As nurse practitioners strive to achieve full-autonomous practice across the country, it should be noted that many states grant this ability to practice independently to psychiatric mental health nurse practitioners. To that end, you will be engaging in projects this semester that assume that you are practicing in a state that allows full-practice authority for NPs, meaning that the PMHNP may be the “captain of the ship” concerning caring for a patient population. The “captain of the ship” is the one who makes referrals to specialists, coordinates care for their patients/clients, and is responsible and accountable for patient/client outcomes overall. This is a decided change from a few decades ago when physicians were the “captain of the ship” and NPs played a peripheral role.

In this Assignment, you will become the “captain of the ship” as you provide treatment recommendations and identify medical management, community support resources, and follow-up plans for a client with a depression disorder.

Students will:
  • Recommend psychopharmacologic treatments based on therapeutic endpoints for clients with depression disorders
  • Recommend psychotherapy based on therapeutic endpoints for clients with depression disorders
  • Identify medical management needs for clients with depression disorders
  • Identify community support resources for clients with depression disorders
  • Recommend follow-up plans for clients with depression disorders

To prepare for this Assignment:

  • Select an adult or older adult client with a depressive disorder you have seen in your practicum.

In 3–4 pages, write a treatment plan for your client in which you do the following:

  • Describe the HPI and clinical impression for the client.
  • Recommend psychopharmacologic treatments and describe specific and therapeutic endpoints for your psychopharmacologic agent. (This should relate to HPI and clinical impression.)
  • Recommend psychotherapy choices (individual, family, and group) and specific therapeutic endpoints for your choices.
  • Identify medical management needs, including primary care needs, specific to this client.
  • Identify community support resources (housing, socioeconomic needs, etc.) and community agencies that are available to assist the client.
  • Recommend a plan for follow-up intensity and frequency and collaboration with other providers.Captain of the Ship” Project – Depressive Disorder

How the Issue Influences Psychology Ethics from a Subjective (Personal) Perspective

/in /by

1000 words  due tomorrow

The legal landscape is perpetually changing. Psychologists must remain abreast of these changes to avoid potentially damaging issues to individuals and careers. In this assignment, you will consider the current federal and state legal issues discussed in the last two modules and their influence on psychology ethics. Choose either a current federal or a current state issue which is influenced by and/or is influencing psychology ethics.

1.   Explanation of Current Ethical Conflict Issue

2.   How the Issue Influences Psychology Ethics from an Objective (Scholarly)    Perspective

3.   How the Issue Influences Psychology Ethics from a Subjective (Personal) Perspective

4.  How, if at all, the Issue Is Influenced by Current Psychology Ethics

5.  Conclusion

The paper must address the following: 

The APA Ethics Code is the guide for all psychologists. Learners should be fully aware of this in order to regulate their behavior as psychologists and psychological researchers with regard to resolving ethical issues, human relations, advertising and public statements, research and publication, therapy.


           Analyze components of the APA ethics code.

            Propose applications of APA ethics code to varied fields.

            Evaluate state laws governing the practice of psychology and   psychological research.

            Analyze state sanctions for legal and/or ethical violations.

 Respond  by providing feedback based on an existential-humanistic  therapeutic perspective. Support your feedback with evidence-based  literature and/or your own experiences with clients.  

/in /by

 Respond  by providing feedback based on an existential-humanistic  therapeutic perspective. Support your feedback with evidence-based  literature and/or your own experiences with clients.

Main Post

 

Based on this case study, it is clear that the client is undergoing depression after the loss of her wife in a fatal accident. She has lost the motivation in the activities and he is no longer going to work and not finding everything fascinating despite the interve3ntions that have been put in place. Cognitive-behavioral therapy is a short-term strategy that can be relied on to help in addressing the situation of the patient. The first approach using this therapy is to identify the situations within the client’s life that are majorly contributing to or is causing the depression. The distorted perception or the present thinking patterns are identified and dealt with accordingly (Don, Driessen, Molenaar, Spijker, & Dekker, 2019).

Based on the information, the main cause of the client’s condition is the death of the wife. Using the CBT, the goal, in this case, is to help the patient to reconcile the death of the wife. This involves permitting him to grieve while also providing the guidance and support needed to build a new life. The patient is then allowed to express his thoughts, allowing him to make sense of what has happened, and to give the chance of building a new life without his wife. The patient is prevented from experiencing a feared situation, for example, any event or picture that can trigger the memory of his wife. This is helping in increasing the sense of the control and well-being to promote the adjustment (Don, Driessen, Molenaar, Spijker, & Dekker, 2019).

`Concerning the rational emotive behavior therapy (REBT) strategy, the goal is to help in the identification of the self-defeating thoughts and feelings. It also involves identification of the challenges that result in the defeating feelings then replacing them with healthier and more productive thoughts, therefore, the task, in this case, is to identify the reminders or the triggering factors that make the patient not to forget his wife and then making him increase his interaction with friends and participating in other productive activities such as going for vacations, taking part in the physical exercise (MacLaren, Doyle, & DiGiuseppe, 2016).

 

References

Don, F. J., Driessen, E., Molenaar, P. J., Spijker,  J., & Dekker, J. (2019). Early interventions in cognitive behavioral therapy  for depression: A study contrasting a low-adherent and a highly adherent case.  Psychotherapy, 56(1), 48.

MacLaren,  C., Doyle, K. A., & DiGiuseppe, R. (2016). Rational emotive behavior  therapy (REBT): Theory and practice. Contemporary theory and practice in  counseling and psychotherapy, 233-263.

The goal of this assignment is to analyze a contemporary movie using the various communication and leadership theories and approaches presented so far in the course.

/in /by

The goal of this assignment is to analyze a contemporary movie using the various communication and leadership theories and approaches presented so far in the course. You may select any movie that is of interest to you as long as it contains a prominent leadership aspect or theme and you are able to currently access and view (or re-view) the film for this assignment. Please be specific in your written analysis of the movie as I may have not seen the movie.

Questions to consider in your analysis include, but are not limited to, the following:

  • What is the title of the movie?
  • What is the general plot and setting of the movie?
  • Who are the key characters in the film?
  • What character(s), in particular, demonstrate leadership role(s) or traits in the film?
  • How is leadership enacted in particular scenes?
  • Which character was most effective in a leadership role and why?
  • Did any character who displayed leadership make any mistakes in his/her leadership style/approach that contributed to a crisis or issue? If yes, how did he/she grow as the movie unfolded? In what way could he/she have done a better job of leading?
  • How do specific moments in the film connect with the course content?
  • Overall, what important leadership lessons can you take away from this film?

Important! The paper will be no less than 3 pages in length (double-spaced) but no more than 4 pages.Be sure to support your analysis with specific examples and quotes from the film and references to leadership concepts and theories from the course readings and class discussions using in-text citations (in the body of the paper) and a Reference List (i.e., bibliography, at the end of the paper) following APA style/format (6th edition).

Discuss and compare Infection control standards, issues, and differences for patients with normal immune system function and those who are immunocompromised.

/in /by

For this activity you will log-on to the website for the Joint Commission to view the webinar: NPSG7 – Healthcare Associated Infections from the bedside to the C-suite.

Find and watch the webinar under NPSG Additional Resources on the page, and explore the contents for your own information and knowledge.

Also, log on to the website National Center for HIV/AIDS, Viral Hepatitis, STD, and TB to explore the contents of this website.

Choose one of these topics for your Discussion Board posts:

  • Discuss and compare Infection control standards, issues, and differences for patients with normal immune system function and those who are immunocompromised.
  • Discuss the webinar which discusses NPSG #7.
  • Discuss the National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention website.

In photography, it is not always a simple matter  of centering the subject in the frame and taking the shot. Two  photographers, when presented with the same scene, could end up with two  very different photographs. These changes may be based on what they  choose to leave in the frame, what they leave out, or the angle they  use. As a result, the two photographs could convey very different  meanings. In this Assignment, you will take a photograph, demonstrate  elements of framing in that photograph, and then describe its meaning.

/in /by

Assignment: Framing the Photograph

In photography, it is not always a simple matter  of centering the subject in the frame and taking the shot. Two  photographers, when presented with the same scene, could end up with two  very different photographs. These changes may be based on what they  choose to leave in the frame, what they leave out, or the angle they  use. As a result, the two photographs could convey very different  meanings. In this Assignment, you will take a photograph, demonstrate  elements of framing in that photograph, and then describe its meaning.

To prepare for this Assignment: 

  • Review Chapter 1 in The Photographer’s Eye.
  • Compose a photograph that reflects the following framing elements:
    • Type of frame
    • Orientation of the photograph
    • Filling the frame
    • Placement of the subject of the photograph in relationship to the space surrounding it
    • Division of the frame
    • Horizon line
By Day 7

The Assignment:

  • Upload your photograph into a 2-slide PowerPoint presentation (Note: If you need assistance with PowerPoint, view the tutorial in this week’s Optional Learning Resources.)
    • Slide 1: Photograph with a brief description of the subject.
    • Slide 2: Write a 1- to 2-paragraph description  of how you used elements of framing in the composition of your  photograph. Assess how effective you were at achieving your photographic  goal. Describe what you might do differently in future photographs.  Support your assertions by making at least two references to your course readings.

Then explain how the factors you selected might impact the diagnosis and prescription of treatment for these two types of diabetes

/in /by

Discussion: Diabetes

According to the American Diabetes Association (2011), 25.8 million children and adults have been diagnosed with diabetes in the United States. Approximately 2 million more are diagnosed every year, with another 79 million people considered to be in a pre-diabetes state. These millions of people are at risk of several alterations, including heart disease, stroke, kidney failure, neuropathy, and blindness. Since diabetes has a major impact on the health of millions of people around the world, it is essential for nurses to understand the pathophysiology and associated alterations of this disorder. In this Discussion, you compare two types of diabetes—diabetes mellitus and diabetes insipidus.

To Prepare

· Review Chapter 19 in the Huether and McCance text and Chapter 18 in the McPhee and Hammer text. Identify the pathophysiology of diabetes mellitus and diabetes insipidus. Consider the similarities and differences between resulting alterations of hormonal regulation.

· Select two of the following patient factors: genetics, gender, ethnicity, age, or behavior. Think about how the factors you selected might impact the diagnosis and prescription of treatment for these two types of diabetes.

Write (Plz include sub heading when writing)

· an explanation of the pathophysiology of diabetes mellitus and diabetes insipidus. (I am looking for an explanation at the cellular or molecular level (whenever possible).

·  Describe the differences and similarities between resulting alterations of hormonal regulation. 

· Then explain how the factors you selected might impact the diagnosis and prescription of treatment for these two types of diabetes.

Marriage, Couple, and Family Counseling and the DSM-V

/in /by

Though the philosophy and values surrounding marriage, couple, and family counseling emphasize prevention and wellness, awareness of diagnosis is important when interacting with other mental health professionals who may view mental health issues through the medical model. The DSM-V, the primary diagnostic system/manual used in the United States by such professionals, identifies and describes individual mental health disorders, not relational issues or disorders.
 

Those mental health professionals who adopt a systems or relational view of mental health have been able to implement small changes within the DSM in its subsequent editions, and these changes acknowledge the systemic influence on certain individual disorders. Nevertheless, there is not yet an adopted diagnostic structure for relational problems. Therefore, you may sometimes need to negotiate your relational perspective with other professionals and communicate client matters with insurance reimbursement boards (who see mental health problems as individual in nature) in their language.

Reply to:

Hi Dr.Jackson and Class
Advantages and Disadvantages of.Diagnostic Statistical Manual
In response to your your post,the DSM-V known to many as the psychiatry’s bible. This method offers a number of advantages, such as standardization of diagnoses across different treatment providers(Lisa Fritscher,2018).But increasingly, mental-health professionals are considering the drawbacks, including the possibility of over-diagnosis(Lisa Fritscher,2018).The advantages also include the standardization of billing and coding, the DSM provides a number of important benefits to both the therapist and the client(Lisa Fritscher,2018).Beyond the standardization of billing and coding, the DSM provides a number of important benefits to both the therapist and the client(Lisa Fritscher,2018).
Standardization of diagnoses helps to ensure that clients receive appropriate, helpful treatment regardless of geographic location, social class or ability to pay(Lisa Fritscher,2018). However,provides a concrete assessment of the issues and assists in developing specific goals of therapy, as well as a standard of measure in assessing the effectiveness of treatment(Lisa Fritscher,2018).In addition, the DSM helps guide research in the mental health field(Lisa Fritscher,2018).The diagnostic checklists help ensure that different groups of researchers are actually studying the same disorder—although this may be more theoretical than practical, as so many disorders have such widely varying symptoms(Lisa Fritscher,2018).
 

Disadvantages of the DSM
The latest round of criticism seems to echo a long-running debate on the nature of mental health(Lisa Fritscher,2018).Many critics of the DSM see it as an oversimplification of the vast continuum of human behavior( Lisa Fritscher,2018).Some worry that by reducing complex problems to labels and numbers, the scientific community risks losing track of the unique human element(Lisa Fritscher,2018).
Possible risks include misdiagnosis or even over-diagnosis, in which vast groups of people are labeled as having a disorder simply because their behavior does not always line up with the current “ideal(Lisa Fritscher,2018).”Childhood attention deficit and hyperactivity disorder (ADHD) is often singled out as an example(Lisa Fritscher,2018).Shifts in terminology and diagnostic criteria between DSM-II and DSM-IV coincided with a massive upturn in the number of children on Ritalin or other attention-enhancing medications(Lisa Fritscher,2018).Other risks involve the possibility of stigmatization(Lisa Fritscher,2018).Although mental health disorders are not viewed in the negative light that they once were, specific disorders can be perceived as labels(Lisa Fritscher,2018).Some therapists take great care to avoid attaching labels to their clients, although for insurance reasons, a specific diagnosis may be required(Lisa Fritscher,2018).
 

For this assignment you will select 2-3 human service theories that relates to the attached

/in /by

Can anyone assist with writing a 3-4 page paper.

For this assignment you will select 2-3 human service theories that relates to the attached. The theories selected should help explain the scenario created in the case study. The paper should provide an analysis of the selected theories and how they support the case study. 

-apa format

-12 pt time new roman -double space 

-4 academic sources 

– 3-4 pages (Not including cover page and reference page)

Attach you will find a copy of the case study. 

The demand for healthcare and the shortage of providers to offer this care, especially in geographically and economically challenged populations, has put a strain on healthcare availability. The Creating Opportunities Now for Necessary and Effective Care Technologies for Health (CONNECT) Act of 2019 looks to promote access through increased use of telehealth. 

/in /by

Respond to at least two of your colleagues* by either supporting or respectfully challenging their explanation on whether there is an evidence base to support the proposed health policy they described.

 

Introduction

The demand for healthcare and the shortage of providers to offer this care, especially in geographically and economically challenged populations, has put a strain on healthcare availability. The Creating Opportunities Now for Necessary and Effective Care Technologies for Health (CONNECT) Act of 2019 looks to promote access through increased use of telehealth.

What It Means

Currently, telehealth is limited by geography, billing and reimbursement, and provider restrictions. The CONNECT bill HR 4932, proposes removal of some or all of these stipulations to expand access to care. Specifically, the bill targets Medicare restrictions and lack of coverage to improve access to the elderly and disabled (Wicklund, 2019).

The Evidence

The evidence to support telehealth expansion has been proven. As discussed by Totten et al., (2016) numerous studies have shown an increase in positive outcomes regarding patient/provider communication, education, and the management of chronic health conditions. Passing of this bill could provide a multitude of benefits to involved parties.

First and foremost, it would improve access to care for those limited by age, disability, geography, or finances. Improved access to care promotes health prevention and decreases more costly care due to complications associated with delay of treatment. The expansion of telehealth could also reduce the strain placed on providers by the shortage. The bill looks to permit telehealth use by more providers and remove some of the travel and point of origin restrictions. Greater use of telehealth would also encourage better insurance coverage and reimbursement (H.R. 4932, 2019).

Conclusion

With all the changes in healthcare and the concerns over cost and accessibility, the need for legislation to address these issues cannot be ignored. The promotion of telehealth and removal of current restrictions could solve many of these dilemmas. As healthcare providers, we can continue to conduct the research and provide the evidence needed to advocate for legislative change to improve healthcare.

The topic for the paper is homeostasis.

/in /by

The  project paper report must be written in your own words and must be a  minimum of 5 double-spaced typed pages with at least three (3)  references or bibliography. The topic for the paper is homeostasis.  After studying all the body systems and the functions of each of them,  you will be able to describe the process of homeostasis and to give  examples of how your body maintains it.

figures and right a description to every figure from the PowerPoint attached do everything then copy it in word

/in /by

I attached 9 codes and a PowerPoint showing info to every code topic 

the assignment is to do get the 9 codes figures and right a description to every figure from the PowerPoint attached do everything then copy it in word

Unlike the Toulmin and Rogerian methods where one side is argued over another, the Middle Ground argument mediates between two sides of an issue hopefully arriving at a compromise solution between two positions

/in /by

Your initial response should be at least 200 words.

Unlike the Toulmin and Rogerian methods where one side is argued over another, the Middle Ground argument mediates between two sides of an issue hopefully arriving at a compromise solution between two positions. 

Middle Ground Discussion:  For this discussion, choose an issue that you wrote about previously in this course (Capital punishment debate). Let the class know your previous claim and briefly how you proved this claim in your essay. After this brief review discussion, discuss how you would have approached this particular topic if you were to write a Middle Ground argument, instead of a Toulmin or Rogerian argument. Would you have adjusted your claim? If so, what sort of adjustment would you need? Would you have to find additional sources about your topic in order to prove this new claim? Is a middle ground solution a more practical solution to your chosen issue?

Explain why (or why not) you would expect respiration to occur when the illumination is 100%?

/in /by

Procedure I – Net Photosynthesis Rates – 100% Illumination

Complete the tables below using your data and information found under the Background tab (see the Summary of Needed Formulas section)

4

TableTop Science – All Rights Reserved

1

LeafSampleTypeIlluminationLevelOxygenConcentrationChange Data (ppm)ElapsedTime(s)OxygenChange Rate(ppm/s)
Sun-Adapted100%21.3640.0 (s)
Shade-Adapted100%12.9640.0 (s)
LeafSampleTypeIlluminationLevelCarbon DioxideConcentrationChange Data(ppm)ElapsedTime(s)Carbon DioxideChange Rate(ppm/s)
Sun-Adapted100%-21.3640.0 (s)
Shade-Adapted100%-12.9640.0 (s)

Observations and Questions

[1] Show your oxygen change rate calculation for the Sun-Adapted data run.

[2] Show your carbon dioxide change rate calculation for the Shade-Adapted data run.

[3] Examine your results. Do your results reveal a possible relationship between (rates of) production of oxygen and carbon dioxide? Explain. Cite your results as part of your explanation.

[4] Using your results for change in oxygen concentration as a reference, discuss whether your Procedure I results confirm research findings about differences in the amount of chlorophyll production for sun-adapted and shade-adapted leaves.

[5] How is the net photosynthesis rate related to the rates you determined? (note that this is not a calculation)

[6] Explain why (or why not) you would expect respiration to occur when the illumination is 100%?

Procedure II – Respiration Rates – 0% Illumination Data Run

Complete the tables below using your data and information found under the Background tab (see the Summary of Needed Formulas section)

2

3

LeafSampleTypeIlluminationLevelOxygenConcentrationChange Data (ppm)ElapsedTime(s)OxygenChange Rate(ppm/s)
Sun-Adapted0%-14.0140.0 (s)
Shade-Adapted0%-8.4140.0 (s)
LeafSampleTypeIlluminationLevelCarbon DioxideConcentrationChange Data (ppm)ElapsedTime(s)Carbon DioxideChange Rate(ppm/s)
Sun-Adapted0%14.0140.0 (s)
Shade-Adapted0%8.4140.0 (s)

Observations and Questions

[7] Sample Calculation: Show your oxygen change rate calculation for the Sun-Adapted data run.

[8] Sample Calculation: Show your carbon dioxide change rate calculation for the Shade-Adapted data run.

[9] Cite your results for the change in carbon dioxide concentration as a reference and compare the respiratory rates for sun-adapted and shade-adapted leaves. Explain the biological principles/bases underlying this comparison.

[10] What would be the photosynthesis rate if you measured it at 0% illumination in Procedure II? Explain your answer. Cite your results from Procedure I to assist with your explanation.

Procedure III – Low-Light Net Photosynthesis Rates – 15% Illumination

Complete the table below using your data and information found under the Background tab (see the Summary of Needed Formulas section)

LeafSampleTypeIlluminationLevelOxygenConcentrationChange Data (ppm)ElapsedTime(s)OxygenChange Rate(ppm/s)
Sun-Adapted15%4.7840.0 (s)
Shade-Adapted15%8.1940.0 (s)

4

TableTop Science – All Rights Reserved

5

Observations and Questions

[11] Sample Calculation: Show your oxygen change rate calculation for the Sun-Adapted data run.

[12] Based on the data you collected in Procedures I (100% illumination) and III (15% illumination), which system of leaves produces the most oxygen: Sun-adapted or shade-adapted? Explain how your results support your answer.

[13] Are your results from Procedure II and Procedure III consistent with research findings that there are differences in chlorophyll production and enzyme activity between shade-adapted leaves and sun-adapted leaves? Explain your reasoning. Cite your results from Procedure II and Procedure III to support your explanation.

factors that affect chronic illness

/in /by

Discussion Question

There are many factors that affect chronic illness—chronic pain, stigma, social isolation, altered mobility, or fatigue. Utilizing your learning from your readings and the South University Online Library resources, respond to one the following questions:

Based on the research, which of these factors have the greatest impact on a patient? Why? Contrast at least two ways the factors would affect a twelve-year-old with the way they would affect a seventy-five-year-old.
Consider the twelve-year-old and the seventy-five-year-old have a chronic illness. How does the chronically ill patient’s illness trajectory influence the plan of care?
Review Healthypeople.gov website. Discuss how you feel these goals will impact the health of the nation. Briefly discuss how you could incorporate these goals/objectives into your day-to-day nursing practice.

Your essay MAY NOT use sources other than the materials assigned in this course. That means that NO additional research is permitted.

/in /by

Sport in American Life––Winter 2019

Second Paper Prompt (Due February 18)

For your second paper, please write 1,000 words on the prompt below:

Write an essay supported by evidence drawn from our readings, lecture materials, and discussions in response to the following question: Did sport overall (as in not one specific sport, but all sports) become more or less accessible and egalitarian in the 1800s and early 1900s?

Your essay MUST have a clear, concise, and specific thesis statement/argument that guides the rest of your paper. This thesis statement must directly respond to the prompt. Please refer to the documents on Bb Learn about constructing an effective thesis statement for recommendations on how to do this.

Your essay MUST properly use Chicago Style footnotes or endnotes. Please consult the documents on Bb Learn regarding Chicago Style citations for any questions on how to properly cite your sources. (You do not need to cite materials from the lecture notes or the videos, only from the primary and secondary source readings.)

Your essay MAY NOT use sources other than the materials assigned in this course. That means that NO additional research is permitted.

Please DO pay attention to the general guidelines for papers listed on the syllabus under “Class Procedures and Policies.” Please also title your paper.

Your essay will be graded on the effectiveness of your thesis statement, your grammar usage and writing style, the clarity of your writing, your use of the materials we read for this class, and your use of proper citation style.

Your essay must be submitted electronically via Bb Learn’s TurnItIn feature by 10 am on February 18 and in person in class on that date. Email submissions will not be accepted.

I am willing to comment on full drafts of this paper submitted to me electronically until 11:59pm Wednesday, February 13. After that and until 11:59pm on Friday, February 15, I will only give feedback on your thesis statement. Both of these are optional on your part, but recommended. So if you would like feedback on a draft of your paper, or on your thesis statement, feel free to email me before the above deadlines.

Identify ways in which this communication is helpful for patients

/in /by

Describe the non-verbal communication. Identify ways in which this communication is helpful for patients. Also identify why this communication is helpful for the healthcare provider. Discuss ways in which this form of communication may be nontherapeutic or may lead to miscommunication. Elaborate on ways or key points that can be used to educate other healthcare providers of the advantage of using this type of communication.

I have five references and you need to use at least 3 of the references given

Word count requirements for this paper is 1,250-1,500.

Consider the U.S. national/federal health policies that have been adapted for the global health issue you selected from the WHO global health agenda. Compare these policies to the additional country you selected for study.

/in /by
  • Review the World Health Organization’s (WHO) global health agenda and select one global health issue to focus on for this Assignment.
  • Select at least one additional country to compare to the U.S. for this Assignment.
  • Reflect on how the global health issue you selected is approached in the U.S. and in the additional country you selected.
  • Review and download the Global Health Comparison Matrix provided in the Resources.

The Assignment: (1- to 2-page Global Health Comparison Matrix; 1-page Plan for Social Change)

Part 1: Global Health Comparison Matrix

Focusing on the country you selected and the U.S., complete the Global Health Comparison Matrix. Be sure to address the following:

  • Consider the U.S. national/federal health policies that have been adapted for the global health issue you selected from the WHO global health agenda. Compare these policies to the additional country you selected for study.
  • Explain the strengths and weaknesses of each policy.
  • Explain how the social determinants of health may impact the global health issue you selected. Be specific and provide examples.
  • Using the WHO’s Organization’s global health agenda as well as the results of your own research, analyze how each country’s government addresses cost, quality, and access to the global health issue selected.
  • Explain how the health policy you selected might impact the health of the global population. Be specific and provide examples.
  • Explain how the health policy you selected might impact the role of the nurse in each country.
  • Explain how global health issues impact local healthcare organizations and policies in both countries. Be specific and provide examples.

Part 2: A Plan for Social Change

Reflect on the global health policy comparison and analysis you conducted in Part 1 of the Assignment and the impact that global health issues may have on the world, the U.S., your community, as well as your practice as a nurse leader.

In a 1-page response, create a plan for social change that incorporates a global perspective or lens into your local practice and role as a nurse leader.

  • Explain how you would advocate for the incorporation of a global perspective or lens into your local practice and role as a nurse leader.
  • Explain how the incorporation of a global perspective or lens might impact your local practice and role as a nurse leader.
  • Explain how the incorporation of a global perspective or lens into your local practice as a nurse leader represents and contributes to social change. Be specific and provide examples

What considerations should be made by the nurse, to provide a physically and emotionally safe environment for the interview and assessment of this client who has experienced domestic abuse?

/in /by

Discussion
A 10-year-old child named Elizabeth is brought into the emergency department by her mother. The mother appears anxious but sits quietly next to her daughter in the waiting room. When called into the triage area, the mother gives a history of coming home from work to find Elizabeth sitting on the couch watching television. Elizabeth did not go to the door to greet her or look toward her when she said hello. The mother thought the daughter’s behavior was odd because she always greeted her at the door with a hug. As she approached Elizabeth, she noticed that she was clutching her right arm as if in pain. The mother asked what was wrong, but Elizabeth remained silent. Then she said “Nothing is wrong.” The father is sleeping upstairs. The mother gives a family history of having an alcoholic husband who usually drinks himself to sleep. She said he has abused Elizabeth physically and psychologically in the past, and she brought her to the emergency room because she fears he has hurt her. When Elizabeth is asked about the abuse she appears scared, insecure, and withdrawn.

What considerations should be made by the nurse, to provide a physically and emotionally safe environment for the interview and assessment of this client who has experienced domestic abuse?
In your response, include some special considerations that should be taken when interviewing a child.

The brand is caught in a warp of its own making.

/in /by

The seekers and the aspirers together formed the middle class and were the backbone of consumption for a variety of products and services in India. The study showed that the number of consumers in the deprived category would decline, while the aggregate income levels of the Indian middle class would increase, together leading to a four-fold hike in aggregate consumption (see Exhibit 2). COMPANY BACKGROUND In 1929, Parle had started its operations as a manufacturer of candies in suburban Mumbai in western India. A decade later, it diversified into making biscuits. The company deployed state-of-the-art machinery that provided automatic printing and packaging, and its biscuit baking oven was the largest in Asia. Parle had 10 manufacturing sites of its own, in addition to 60 contract manufacturing facilities, located across India. In terms of managerial focus, the biscuit market was gaining ground at Parle, in part because it was a larger market than confectionery.9 The company had 40 per cent share of the total biscuit market in India and 15 per cent share of the total confectionary market in India. Many of Parle’s products were perceived as offering good value for money and were market leaders in their respective categories. Parle recorded a compound annual growth rate of 15 per cent. It had a research and development (R&D) wing focused on new product development. Its role was to use the customer insights, received from the field sales force, in developing new brand extensions and also new product categories, in both candies and biscuits. Parle produced approximately 650,000 tons of biscuits per annum, of which Parle-G, the flagship brand, comprised 500,000 tons. The company recorded sales revenue of INR35 billion in 2008/09, of which Parle-G’s contribution alone was 68 per cent. Even within the Parle-G brand, the single largest contribution came from the INR4.00 SKU, which was contributing to 50 per cent of the brand’s annual sales revenue. The biscuit portfolio included not only Parle-G in the glucose category but also Marie in the tea time category and Hide n Seek, Monaco, Krack Jack, Cheeslings, Jeffs, Sixer and Fun Centre in the premium category. The margin of premium brands typically ranged between 25 and 30 per cent. Parle-G, Monaco and Krack Jack were considered to be the core brands because of their individual contribution to the top line. Although Parle clearly had a broad biscuit portfolio with product offerings in each of the major biscuit categories, there was room to grow Parle’s presence in the premium category, which registered a growth rate of approximately 20 per cent per annum. Exports formed five per cent of Parle’s revenues. The company had adopted a “follow the customer” strategy of targeting the Indian diaspora,10 whereby the potential customers were already aware of the Parle-G brand in their home country. Parle had three contract manufacturing facilities outside India — one in Bangladesh and two in South Africa. All the facilities catered to local demand; however, the bulk of exports were manufactured in India.

9 Parle, “Smart Cookie,” press release, November 2004; available at http://www.parleproducts.com/media/media_press7.asp, accessed February 22, 2010. 10 Disapora refers to persons of Indian origin working and living outside India. An estimated 20 million Indians comprised the diaspora. The single largest majority of 3.5 million diaspora lived in the countries of the Middle East.

This document is authorized for use only in Kyuseop Kwak’s SPR_2019_24760_Pricing and Revenue Management at University of Technology Sydney from Jul 2019 to Sep 2020.

Page 5 9B10A022

Said Kulkarnii:

It is the domestic demand which drives Parle-G. The opportunities for moving the tonnage are greater in the home market than in any of the overseas markets. Exports are less of a priority for us, relatively speaking, because we believe that our resources are better spent on meeting local demand. Home market is also a market we know best.11

Parle prized — and was keen on retaining — Parle G’s ranking as the largest selling biscuit brand in the world, by tonnage. Closely linked to this ranking were two other rankings that were also valuable to Parle: the company’s share of the domestic biscuits market at 40 per cent and Parle-G’s share of the domestic glucose category at 74 per cent. The latter rankings were based on sales revenue. CONSUMERS The most widely used consumer classification system in India was known as socio-economic classification (SEC), which was developed by the Market Research Society of India in the early 1980s. SEC was uniquely suited to the Indian market. The basis of classification was not the individual consumer but the consumer’s household. In 2005/06, India had 207.1 million households12 (see Exhibit 3), of which Parle-G had penetrated 96.8 million households (see Exhibit 4). Its penetration rate of the glucose category of the Indian biscuits industry was 84 per cent. The company segmented its customers for Parle-G into two types: retail consumers and institutional consumers. Children and mothers comprised the first segment. Children formed 60 per cent of the target audience for the company. The 5- to 14-year-old age group was considered to represent both users and influencers. This group, which formed approximately 20 per cent of the population (see Exhibit 5), had the potential to generate lifelong revenues for the brand. The brand association started early because biscuits were among the first ready-to-eat foods offered to children. The second segment, the institutional consumers, included hospitals, factories, railway stations, schools, government offices and corporate offices, which usually received a discount of 3 to 4 per cent on bulk purchases. The institutional segment contributed to approximately 10 per cent of Parle’s sales revenue. Several Indian companies, even in the organized sector, focused exclusively on the institutional segment. Some of these companies regularly bid for official tenders to set up kiosks at railway stations across the country to sell a range of processed agro-products, including biscuits. COMPETITORS It was not until 1996, when Britannia Industries Ltd. (BIL), a British multinational, launched its Tiger Glucose brand of biscuits, that Parle faced nationwide competition in the domestic market in the glucose category. In 2003, a new competitor, ITC Ltd. (ITC), an Indian conglomerate with interests in hotels, agri- businesses, paper products and retailing, launched Sunfeast Glucose. Both new entrants were backed by high-powered budgets. Parle-G continued, however, to rule the mass market (see Exhibit 6). Hindustan Unilever, a multinational consumer packaged goods (CPG) company, had also entered the glucose category in 2003. Its foray was an extension of its faltering breads business. The company was 11 Based on a personal interview on June 04, 2010. 12 These data are from the last decennial national census held in 2001.

This document is authorized for use only in Kyuseop Kwak’s SPR_2019_24760_Pricing and Revenue Management at University of Technology Sydney from Jul 2019 to Sep 2020.

Page 6 9B10A022

subcontracting manufacturing of its products at two locations. It exited the biscuits business two years later due, among other reasons, to a mismatch between costs and margins. Parle also faced a few regional players, whose impact was minimal at the national level. Similar to Parle-G, both Tiger Glucose and Sunfeast Glucose were being retailed at several SKUs, and both had price points that averaged US$1 per kilogram. Rising costs had affected the two new brands more sharply because they were relatively new entrants. Their experience with SEC penetration was similar to Parle-G. Both had extensive retail network, built over years of operations in Indian CPG business. Both had built up brand equity with children in a short time, led by strong advertising campaigns (see Exhibit 7). Overseas majors, such as Nabisco in the United States, United Biscuits in the United Kingdom and Campbell Arnott’s of Australia, were eyeing the Indian biscuits market, attracted by the potential of the larger Indian foods market. Their focus was likely to be on the premium category of biscuits for three reasons: it was set to grow in future years, it was amenable to brand building and it ensured higher margins. PRICING Launched in 1939, Parle-G was targeted, from the beginning, at the Indian mass market. Parle had generally refrained from increasing the price of Parle-G, even when it had no competition. In holding to the price line, Parle had brought a disciplining factor to the Indian market. The new entrants, BIL and ITC, were under compulsion to keep prices low. When Parle opted for reducing the weight of the biscuit, BIL and ITC followed the leader. Parle-G was priced at US$1.00 a kilogram. For decades, the company had used a low price to build the glucose category in India. Parle’s dominance in the category was so strong that competitors such as BIL (which entered the glucose category in 1996) and ITC (which entered in 2003) did not adopt higher pricing. They simply stayed the course of the market leader. Decisions related to the margins for trade channels were decentralized at the local level, whereas decisions related to the end prices that the consumer paid were centralized at the corporate office in Mumbai. POSITIONING Traditionally, Indian consumers had viewed all biscuits, including glucose biscuits, more as a commodity than as a brand. Prior to 1980, Parle glucose biscuits had been called Parle Gluco. The name was changed to Parle-G so that consumers could differentiate it from the prevailing competition, which at the time was restricted to the unorganized sector. A series of innovative campaigns, in print and TV, were also developed to drive home the health benefit of the brand. However, the prevailing consumer perception was that Parle-G, and the glucose biscuit category in general, offered “value for money.” This perception was reinforced by the price points of Parle-G’s SKUs. Strength was a generic attribute to the glucose category. Physical fitness carried an appeal for the young. Boys, in particular, were drawn to evidence of muscular strength. All glucose brands used the attribute of strength in some form in their communications. Parle added a new emotional layer to the core attribute to arrive at a positioning that was unoccupied, competitive, sustainable and contemporary. The new campaign incorporated values such as honesty, sharing and caring to bring home the product’s “goodness.” Riding on

This document is authorized for use only in Kyuseop Kwak’s SPR_2019_24760_Pricing and Revenue Management at University of Technology Sydney from Jul 2019 to Sep 2020.

Page 7 9B10A022

the equity of goodness, the brand was established as enabling people to be true to who they were and to be able to go on achieve their innate goals and aspirations. The company started focusing on kids during the late 1990s, with a campaign that identified the brand with the mind of a “genius.” The next campaign tapped into a key marketing insight — that mothers wanted their sons and daughters to be an “all-rounders” rather than brilliant in studies alone. The tag line — “Smart kids grow up on a daily diet of Parle-G” — worked for the brand. In this context, Parle-G acquired the image of an affordable and wholesome meal. Parle-G was positioned on a combination of energy and taste — as a food item that could be used as a “charger” when low on energy and a “tasty” accompaniment for a cup of tea or coffee. Although priced at the low end, the brand was straddling all SEC classifications. Parle-G was a leveler of social and economic strata in a vast country such as India. A single pack of Parle-G offered 450 calories, which was the value proposition Parle used effectively when promoting to the government, the benefits of using Parle-G as a meal substitute in primary schools. The federal government had mandated that every child attending school would receive a mid-day meal containing 300 calories and 8 to 12 g of protein per day for a minimum of 200 days a year. Parle-G had replaced cooked meals. It was positioned as “fortified nourishment” that nurtured an overall development of mind and body and enabled both mental and physical agility among children (see Exhibit 8). PACKAGING Small packages were the norm in India for attracting what was widely known as the bottom of pyramid (BOP) market. Several multinationals operating in India were customizing their unit packages to unlock local demand. Coca-Cola, for example, began selling 200-milliliter bottles of Coke in India in 2003. Also, 80 per cent of shampoo sales in India, from companies such as Hindustan Lever, derived from 8-ml and 16-ml sachets, costing INR0.50 and INR1.00 respectively. Small packages helped attract non-users, one-time users and new users. They were convenient and affordable for customers and translated into volumes for large companies. Single-serve packages were particularly useful in creating demand for low-penetration categories such as health food. The smallest SKU of Parle-G was a 16.5-g package containing four biscuits and priced at INR1 (US$0.023 cents). Small packages synergized with the Indian habit of top-up shopping, as opposed to the North American habit of buying large quantities in a single visit to the store.13 ADVERTISING AND PROMOTION Every year since 2004, Parle had spent between INR600 million and INR700 million on advertising and sales promotion. The ad spend was approximately two per cent of annual revenues. Of late, the company had begun to rely on celebrity endorsements, a promotions tactic popular with some of Parle-G’s competitors. Parle was airing commercials in which Aamir Khan, a popular Indian film actor, became entangled in humorous situations, which supported the tagline “G for genius.” 13 Atul Tandon, “Small Is Big”; available at 220.225.146.34/Open/MICA/Faculty/PAT/Small_Big/Small.ppt, accessed February 21, 2010.

This document is authorized for use only in Kyuseop Kwak’s SPR_2019_24760_Pricing and Revenue Management at University of Technology Sydney from Jul 2019 to Sep 2020.

Page 8 9B10A022

In its advertising, ITC Ltd. was using, among others, Sachin Tendulkar, an Indian cricketer, to endorse its Sunfeast Glucose brand. Focusing on the attributes of health and wellness, which were becoming popular among Indian consumers, ITC had launched a sub-brand it called Sunfeast Sachin’s FitKit in March 2007. Based on the cricketer’s own dietary regimen, FitKit came in two varieties — Sunfeast Sachin’s Vitamin & Protein Enriched (VPE) biscuits and Sunfeast Sachin’s Multigrain (MG) biscuits. BIL was targeting its Tiger brand of glucose biscuits almost exclusively at children. Focusing on the attributes of intelligence and physical fitness, which appealed to school-aged children, the advertisements also played on the brand name that symbolized strength. DISTRIBUTION India had 15 million retail outlets spread across the country. Parle-G was sold in 2.5 million outlets. It was available in every village with a population of 500 people, on a par with pre-paid mobile cards. The company had 8,000 wholesalers who had their own sales force. The company’s sales organization structure was based on geographies and included zonal sales managers, divisional sales managers, area managers, sales executives and sales officers. The logistics were handled by depots, which also served as clearing and forwarding agents. ISSUES IN DECEMBER 2009 Pricing was a larger issue that had spawned two other dilemmas for Kulkarnii. First, Parle-G had, no doubt, remained relevant and contemporary as a brand over the years. However, consumer perception was rooted so strongly in Parle-G’s low price that it was undermining other product attributes such as quality and taste. Said a marketing manager of a rival firm:

Companies build brand equity in order to deflect the focus of customers from price. Customers don’t mind paying a premium when a brand delivers value on a dimension as perceived by them. They also don’t mind loosening their wallets when prices are increased. They, in fact, expect periodic upward revisions. Parle-G has formidable equity in the Indian biscuits industry. But the paradox is that company cannot increase its price. The brand is caught in a warp of its own making. Its equity is built on VFM positioning. VFM is the only value dimension consumers seem to be plugged into with Parle-G. It is also the only value dimension they are plugged into with the glucose category which Parle-G leads. The situation is forcing peers, some with strong equity of their own, to hold the price line. It is compelling them to cope, like Parle- G, cope with lower margins.14

Parle needed a big idea to overcome the entrenched VFM perception, which could make a huge difference in Parle-G’s handling the current pricing dilemma. The right big idea could help customers loosen up and revive Parle-G’s marketing strategy. Kulkarnii wondered: “What would that big idea be?” 14 Based on a personal interview July 03, 2010.

This document is authorized for use only in Kyuseop Kwak’s SPR_2019_24760_Pricing and Revenue Management at University of Technology Sydney from Jul 2019 to Sep 2020.

Page 9 9B10A022

Second, the dependence on a single brand and a single SKU within it a brand seemed perilous. Parle-G was contributing 68 per cent of the company’s annual sales revenue, and the INR4.00 SKU was contributing to 50 per cent of Parle-G’s annual sales revenue. It was a vulnerable position. The company risked Parle-G being unseated from its leadership position by an upstart with deep pockets. The glucose category was already competitive and likely to become more competitive in future. Furthermore, customers were migrating to high-end biscuits belonging to the sweet, cream and milk categories. The migration was happening both in the biscuits industry and within Parle’s own portfolio. The contribution of Parle-G to the company’s sales revenue was expected to reduce to 62 per cent in 2010 and settle at approximately 50 per cent in a few years. Forecasts for 2010, streaming in from the field staff in a month, would likely point to an upward swing in the demand for brands other than Parle-G. Cannibalization of Parle-G seemed imminent without immediate action. A decline in the sales of Parle-G would invariably lead to a decline in market share. Said Kulkarnii:

A flagship brand should be generating a margin of 15 to 20 per cent of revenue. A margin of less than 10 per cent is unacceptable for Parle-G. I have to bite the bullet at some time on pricing. The concerns are several. Should I make tactical moves like launching new SKUs and new price points? Should I continue to tinker with the grammage? Is there a strategic move?15

15 Based on a personal interview July 04, 2010.

This document is authorized for use only in Kyuseop Kwak’s SPR_2019_24760_Pricing and Revenue Management at University of Technology Sydney from Jul 2019 to Sep 2020.

Page 10 9B10A022

Exhibit 1

PARLE-G –SKU HISTORY, 2006–2009

Maximum Retail Price

Stock Keeping Unit

(in grams)

Duration Maximum Retail Price

Stock Keeping Unit

(in grams)

Duration

INR1

19.0 Jan 08 – Jan 09 INR6 150.0 Jan 06 – Feb 07 16.0 Dec 05 – May 06

INR10

250.0 Jan 06 – Jan 07 17.5 Jun 07 – Dec 07 220.0 Jan 07 – Jan 09 16.5 Dec 08 – Dec 09 231.0 Sep 09 – Dec 09

INR2

50.0 Jun 06 – Dec 06 192.0 Jan 08 – Dec 08 44.0 Jan 07 –Dec 08 178.5 Dec 08 – Dec 09 38.5 Jan 09 – Dec 09 209.0 Dec 08 – Dec 09

INR3

75.0 Jan 06 – Jan 07 210.5 Nov 09 – Dec 09 66.0 Jan 07 – Dec 08 212.0 Aug 09 – Sep 09 77.0 Jan 07 – Jul 07 INR12 300.0 Jan 06 – Mar 07 79.2 Jul 07– Jan 09

INR15 330.0 Jan 07 – Jun 07

66.5 Dec 08 – Dec 09 313.0 May 07 – Jun 08 60.5 Dec 08 – Dec 09

INR20

500.0 Jan 06 – Feb 07 72.6 Dec 08 – Dec 09 440.0 Nov 07 – Jan 09

INR4

100.0 Jan 06 – Feb 07 462.0 May 07 – Apr 08 88.0 Jan 07 – Dec 08 418.0 Dec 08 – Dec 09 99.0 Jan 07 – May 07

INR25 550.0 Apr 08 – Nov 08

93.5 May 07– Apr 08 577.5 Jun 07 – Apr 08 82.5 Dec 08- Dec 09

INR40 1,000.0 Jan 06 – Jan 07

INR5

110.0 Jan 08 – Feb 08 880.0 Jan 08 – Jan 09 99.0 Dec 08 – Dec 09 935.0 May 07 – Jan 08 88.0 Dec 08 – Dec 09 825.0 Dec 08 – Dec 09

Source: Company files.

This document is authorized for use only in Kyuseop Kwak’s SPR_2019_24760_Pricing and Revenue Management at University of Technology Sydney from Jul 2019 to Sep 2020.

Page 11 9B10A022

Exhibit 2

INDIAN CONSUMERS – CHANGING PROFILE

Consumer Category

Annual Income Range at the

Individual Level

Number of Households at the

National Level

Aggregate Income at the National

Level

Aggregate Consumption at

the National Level (in thousands of

INR) (in millions) (in trillions of

INR) (in trillions of

INR) 2005 Globals Strivers Seekers Aspirers Deprived Total

(1,001 – plus) 501–1,000 201–500 91–200

<90 –

1.2 2.4 10.9 91.3 101.3 207.1

2.0 1.6 3.1 11.4 5.4 23.5

1.2 1.0 2.0 8.5 4.1 16.8

2015 Globals Strivers Seekers Aspirers Deprived Total

(1,001 – plus) 501–1,000 201–500 91–200

<90 –

3.3 5.5 55.1 106.1 74.0 244.0

6.3 3.8 15.2 14.6 3.8 43.7

4.1 2.7 11.8 12.2 3.3 34.1

2025 Globals Strivers Seekers Aspirers Deprived Total

(1,001 – plus) 501–1,000 201–500 91–200

<90 –

9.5 33.1 94.9 93.1 49.9 280.5

21.7 20.9 30.6 13.7 2.6 89.5

14.1 16.5 24.6 11.9 2.4 69.5

Source: www.mckinsey.com/McKinsey_Global_Institute/research_topics/Consumer_Demand_and_Demographics. Adapted from exhibit 3 on page 13 of McKinsey and Company, “The Bird of Gold: The Rise of India’s Consumer market,” McKinsey Global Institute, May 2007.

This document is authorized for use only in Kyuseop Kwak’s SPR_2019_24760_Pricing and Revenue Management at University of Technology Sydney from Jul 2019 to Sep 2020.

Page 12 9B10A022

Exhibit 3

INDIA’S SOCIO ECONOMIC CLASSIFICATIONS AND NUMBERS OF HOUSEHOLDS, 2005

SEC Class

Estimated Number of Households (in millions)

A1 A2 B1 B2 C D E1 E2 R1 R2 R3 R4

2.2 4.1 5.3 5.3 12.8 14.2 6.7 10.8 5.8 15.9 56.7 67.3

Total 207.1 Notes: SEC = socio economic classification. SEC indicates the affluence level of a household to which an individual belongs. SEC of an urban household is defined by the education and occupation of the chief wage earner of a household. It has 8 categories, A1, A2, B1, B2, C, D, E1 and E2, which are rated in descending order of affluence. SEC of a rural household is defined by the education and occupation of the chief wage earner of a household. It has four categories, R1, R2, R3 and R4, rated in descending order of affluence. The top band of purchasing power in India, Urban A1A2, comprised a little more than 6 million households. The next band, which would qualify for the “middle-class India” label, comprising B1R1B2C, harbored approximately 30 million households. The ABCR1 target group, which would form the broadest possible target group for most consumer goods, comprised approximately 36 million households. The lower middle-class comprised DE1R2 at approximately 37 million households. Source: Market Research Society of India.

This document is authorized for use only in Kyuseop Kwak’s SPR_2019_24760_Pricing and Revenue Management at University of Technology Sydney from Jul 2019 to Sep 2020.

Page 13 9B10A022

Exhibit 4

INDIAN BISCUIT CATEGORY AND BRAND PENETRATION

Number of Indian Households That Purchased Biscuits, October 2008 to December 2009 (in millions)

SEC Class

Biscuits (all categories) Glucose Category Parle-G Brand 178.8 % 114.9 % 96.8 %

A1 and A2 B1 and B2 C D E1 and E2 R1 R2 R3 R4

7.0 10.7 12.4 13.2 14.7 6.0 17.2 50.0 47.6

3.9 6.0 6.9 7.4 8.2 3.3 9.6 28.0 26.6

3.2 5.6 7.3 8.4 9.9 3.6 11.4 32.7 32.8

2.8 4.9 6.3 7.3 8.6 3.1 9.9 28.4 28.5

2.4 4.6 6.0 7.0 8.5 3.0 9.3 27.7 28.3

2.4 4.7 6.2 7.2 8.7 3.1 9.6 28.6 29.2

Source: Company files.

This document is authorized for use only in Kyuseop Kwak’s SPR_2019_24760_Pricing and Revenue Management at University of Technology Sydney from Jul 2019 to Sep 2020.

Page 14 9B10A022

Exhibit 5

INDIAN DEMOGRAPHY

(Population in millions) Age group in years 2001 2011* 2021*

0–4 5–9 10–14

110.45 128.31 124.85

115.58 115.43 120.43

110.96 112.69 113.07

15–19 20–24 25–29 30–34

100.21 89.76 83.44 74.27

119.99 116.21 103.84

92.33

114.31 119.10 118.23 114.23

YOUNG POPULATION (15–34) 347.68 432.38 465.88 35–39 40–44 45–49 50–54 55–59 60–64

70.57 55.74 47.40 36.58 27.67 27.52

83.62 74.09 63.51 52.43 41.82 32.58

101.85 90.19 80.96 70.58 59.03 47.02

WORKING POPULATION (15–64) 613.16 780.43 915.51 65–69 70–74 75–79 80 plus Age not stated

19.81 14.71 6.55 8.03 2.74

24.92 18.74 12.55 8.46

–

35.56 25.71 17.53 15.99

– TOTAL POPULATION 1,028.61 1,196.55 1,347.02

* Projected population Note: The government of India conducted the official census once each decade. The most recent census was held in 2001. Source: http://mospi.nic.in/Adapted from Youth in India – Profiles and Programmes, Ministry of Statistics and Programme Implementation of the Government of India, October 2006, Table 2(a) “Distribution of population by age and sex, 2001- 2021,” p. 37; available at htpp://www.mospi.gov.in, accessed July 14, 2010.

This document is authorized for use only in Kyuseop Kwak’s SPR_2019_24760_Pricing and Revenue Management at University of Technology Sydney from Jul 2019 to Sep 2020.

Page 15 9B10A022

Exhibit 6

MARKET SHARES OF THE INDIAN GLUCOSE BISCUIT CATEGORY

Brand 2007 2008 2009 Parle-G 67 69 74 Tiger Glucose 18 16 13 Sunfeast Glucose 10 10 9 Others 5 5 4

Source: Company files.

Exhibit 7

PARLE’S COMPETITORS IN THE BISCUIT CATEGORY

Existing Company Biscuit Category Future Plans Year of

Entry Brands

Britannia Industries Ltd.

1999 Glucose category: Tiger Tea time category: Marie Gold Premium categories: Good Day, Bourbon, 50-50, Treat, Milk Bikis, Timepass, NutriChoice, Little Hearts

• Outsource production • Invest INR400 million in the biscuit segment. • Launch a variety of products around the Tiger brand

Hindustan Unilever Ltd.

2003 Glucose category: Modern Withdrawn

ITC Ltd. 2002 Glucose category: Sunfeast Tea time category: Marie Light Other categories: Milky Magic, Golden Bakery, Dark Fantasy, Dream Cream, Snacky, Sweet n Salt, Nice, Benne, Vita Flaxseed, Sunfeast Special

–

Surya Food & Agro Ltd.

1992 Glucose category: Priya Gold Tea time category: Marie Lite Premium categories: Big Boss Milk Classic, Bourbon, Magic Gold, Coconut Crunch

Moving beyond the institutional markets

Anmol Biscuits Ltd.

– Glucose category: Anmol Premium categories: Yummy, Lemon Mazaa, Coconutty, Funfill

Going beyond eastern and northern Indian markets

Imminent GlaxoSmithKline Consumer Healthcare: Junior Horlicks Biscuits PepsiCo India: Aliva to be produced by foods division Frito Lay India United Biscuits (UK) Kellogg India Nestle India Nabisco Foods Campbell Arnott’s Source: Company files.

This document is authorized for use only in Kyuseop Kwak’s SPR_2019_24760_Pricing and Revenue Management at University of Technology Sydney from Jul 2019 to Sep 2020.

Page 16 9B10A022

Exhibit 8

PARLE-G – POSITIONING HIGHLIGHTS

Year Goal Target Audience Core Messaging 1982 To seek differentiation through a

name change from Parle-Glucose to Parle-G

Mass market Parle-G is healthy.

1990 To reinforce health benefits Mothers and children Parle-G brings out the essential goodness.

1996 To seize a market opportunity by targeting consumers in South and East India who were short on milk intake

Mothers and children Parle-G makes up for lack of milk.

1998 To communicate a new attribute Mothers and children Parle-G provides energy and personal power.

2003 To communicate a new attribute Mothers and children Parle-G is more than a biscuit, it is fortified nourishment.

2004 To enhance communications with celebrity endorsements and new messaging

Mothers and children Parle-G makes kids smart, turns them into geniuses.

Source: Company files.

This document is authorized for use only in Kyuseop Kwak’s SPR_2019_24760_Pricing and Revenue Management at University of Technology Sydney from Jul 2019 to Sep 2020.

Understanding legal and ethical issues in mental health as well as the stigma related to this field is extremely important. You must be able to assess your own bias and develop a style of practice. Another important aspect of patient care is developing resources that can be used by you and the client to provide education and community-based resources.

/in /by

Introduction and Alignment
Understanding legal and ethical issues in mental health as well as the stigma related to this field is extremely important. You must be able to assess your own bias and develop a style of practice. Another important aspect of patient care is developing resources that can be used by you and the client to provide education and community-based resources.

Upon completion of this assignment, you should be able to:

Apply legal and ethical principles to the practice PMHNP practice
Apply reflection to your practice
Resources
Website: Legal and Ethical Issues for Mental Health Professionals
Website: TED Talk Elyn Saks: A Talk of Mental Illness: https://www.ted.com/talks/elyn_saks_seeing_mental_illness
Instructions
Navigate to the discussion topic and respond to the following:
View both of the above videos and script a 2-3 paragraph overview of key concepts that you took away from the videos. Reflect on your own biases and how they were addressed.
Find 3 reputable online sites for the following populations: child/adolescent, adult, and older adult to use as patient education resources on mental illness for each population.
Post a summary that includes the website URL, name, and a brief paragraph on how and why you would use this resource. This means you will write on a minimum of 9 on-line resources (3 for each population discussed).
Your initial post is due by the end of the workshop.
Read and respond to at least three of your classmates’ postings, as well as all follow-up instructor questions directed to you, by day 1 of workshop 2.
Your postings should also:
Be well developed by providing clear answers with evidence of critical thinking.
Add greater depth to the discussion by introducing new ideas.
Provide clarification to classmates’ questions and provide insight into the discussion.
Click here to access the discussion topic.

Assessment Criteria
Assessed Item

Points

Reflections on both videos fully developed and includes personal reflection (at least 3 paragraphs in length)20Minimum of 9 on-line resources discussed (1 paragraph supporting each resource)25

Writing style/punctuation/grammar/APA

5

Total Points

50