· Identify and select appropriate interventions including diagnostic tests and nursing interventions.  · Analyze physiological and psychological responses to illness and treatment modalities Purpose: Examine case studies related to neurologic disease and answer the assigned questions. This assignment should help refine your clinical/critical thinking skills. Assignment Description: · Describe the pathophysiology of extradural and subdural hematomas. · Identify the surgical emergency and provided rationale for the choice. · Describe the most likely type of head injury and outline an appropriate treatment plan.  · Your answer must follow APA 7th edition format. · Submit the answer to this assignment area. Patient 1 – Two individuals come to the emergency department with head injuries. One, 25 years old, has just been in a motor vehicle accident (MVA) and has a temporal lobe injury. The other, 65 years old, has increasing confusion after a fall that happened earlier in the week. a. Differentiate the pathophysiology of extradural hematoma and subdural hematoma. b. Identify the patient in the above scenario requiring immediate emergency surgical intervention and provide rationale for your choice. Patient 2 – An 38 year old was driving his 1970 Chevy Corvette to a Milwaukee Brewers baseball game when a deer jumped out in front of him on the highway. He swerved his car and hit a telephone pole instead. His head hit the windshield and he suffered severe head trauma. a. Describe the most likely specific type of head injury he suffered. b. Outline the treatment plan for this patient. Estimated time to complete: 6 hours Rubric NU621 Unit 6 Case Study SAMPLE PAPER Patient Scenario-1 Two individuals come to the emergency department with head injuries. One, 25 years old, has just been in a motor vehicle accident (MVA) and has a temporal lobe injury. The other, 65 years old, has increasing confusion after a fall that happened earlier in the week. Extradural Hematoma vs Subdural Hematoma McCance and Huether (2014) define extradural hematomas as 1% to 2% of major head injuries, common in 20 to 40 year olds. Bleeding is located between the dura mater and skull. The most common mechanism for extradural hematomas to occur is a result of motor vehicle accidents (MVAs) with 90% being caused by temporal fracture and the temporal fossa being the primary location. In 85% of extradural hematomas an artery is the main culprit for bleeding. “The resulting shift of the temporal lobe medially precipitates uncal and hippocampal gyrus herniation through the tentorial notch” (p. 585). Those with extradural hematomas initially lose consciousness then have a lucid time period for a few hours to a day or two after depending on if the bleeding is arterial or venous. During that lucid time is when the bleeding is increasing. This is ultimately followed by severe headache, drowsiness, nausea, vomiting, potentially seizures, and confusion (McCance & Huether, 2014). If the patient ...

1. · Identify and select appropriate interventions including
diagnostic tests and nursing interventions.
· Analyze physiological and psychological responses to illness
and treatment modalities
Purpose: Examine case studies related to neurologic disease and
answer the assigned questions. This assignment should help
refine your clinical/critical thinking skills.
Assignment Description:
· Describe
the pathophysiology of extradural and subdural hematomas.
· Identify the surgical emergency and provided rationale for the
choice.
· Describe the most likely type of head injury and outline
an appropriate treatment plan.
· Your answer must follow APA 7th edition format.
· Submit the answer to this assignment area.
Patient 1 – Two individuals come to the emergency department
with head injuries. One, 25 years old, has just been in a motor
vehicle accident (MVA) and has a temporal lobe injury. The
other, 65 years old, has increasing confusion after a fall that
happened earlier in the week.
a. Differentiate
the pathophysiology of extradural hematoma and subdural hema
toma.
b. Identify the patient in the above scenario requiring immediate
emergency surgical intervention and provide rationale for your
choice.
Patient 2 – An 38 year old was driving his 1970 Chevy Corvette
to a Milwaukee Brewers baseball game when a deer jumped out
in front of him on the highway. He swerved his car and hit a
telephone pole instead. His head hit the windshield and he
suffered severe head trauma.
a. Describe the most likely specific type of head injury he
suffered.

2. b. Outline the treatment plan for this patient.
Estimated time to complete: 6 hours
Rubric
NU621 Unit 6 Case Study
SAMPLE PAPER
Patient Scenario-1
Two individuals come to the emergency department with head
injuries. One, 25 years old, has
just been in a motor vehicle accident (MVA) and has a temporal
lobe injury. The other, 65 years
old, has increasing confusion after a fall that happened earlier
in the week.
Extradural Hematoma vs Subdural Hematoma
McCance and Huether (2014) define extradural hematomas as
1% to 2% of major head
injuries, common in 20 to 40 year olds. Bleeding is located
between the dura mater and skull.
The most common mechanism for extradural hematomas to
occur is a result of motor vehicle
accidents (MVAs) with 90% being caused by temporal fracture
and the temporal fossa being the
primary location. In 85% of extradural hematomas an artery is
the main culprit for bleeding.
“The resulting shift of the temporal lobe medially precipitates
uncal and hippocampal gyrus
herniation through the tentorial notch” (p. 585). Those with
extradural hematomas initially lose
consciousness then have a lucid time period for a few hours to a
day or two after depending on if
the bleeding is arterial or venous. During that lucid time is
when the bleeding is increasing. This
is ultimately followed by severe headache, drowsiness, nausea,
vomiting, potentially seizures,
and confusion (McCance & Huether, 2014). If the patient is not

3. treated in time, herniation
followed by death can occur.
Subdural hematomas account for 10% to 20% of traumatic brain
injuries. The most
common cause is motor vehicle accidents (McCance & Huether,
2014). In older adults, falls can
be linked to chronic subdural hematomas. Additionally,
subacute hematomas can develop slower
over the course of two days to two weeks. Chronic hematomas
develop over two weeks to two
months. Subdural hematomas are a result of venous blood
occurring between the dura mater and
arachnoid mater (McCance & Huether, 2014). Depending how
many veins are torn will depend
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CASE STUDY 3
on amount of bleeding. When bleeding begins, the blood will
begin to compress the brain and
cause the intracranial pressure (ICP) to increase. As the ICP
increases, the bleeding veins are
compressed eventually slowing the bleeding. Symptoms include
headache, drowsiness,
confusion, slowed cognition and generalized rigidity (McCance
& Huether, 2014).
Most Emergent Patient
The patient requiring immediate emergency surgical
intervention would be the 25 year
old. This is in part due to the fact of extradural hematomas
primarily come from the artery
causing rapid bleeding. McCance and Huether (2014) report the
prognosis to be good prior to

4. bilateral dilated pupils noted. The authors also note these
hematomas to be medical emergencies
almost always. This is not to say the 65 year old patient doesn’t
need an intervention. They most
likely will due to becoming symptomatic. However with the
subdural hematoma most likely
being venous it is a slower bleed than arterial. Additionally,
with the fall occurring earlier in the
week and more recently developing increased confusion, he has
the potential of remaining more
stable than the 25 year old patient.
Patient Scenario 2
A 38 year old was driving his 1970 Chevy Corvette to a
Milwaukee Brewers baseball game when
a deer jumped out in front of him on the highway. He swerved
his car and hit a telephone pole
instead. His head hit the windshield and he suffered severe head
trauma.
Type of Head Injury
The patient ultimately suffered a focal traumatic brain injury,
more specifically a coup
and contrecoup brain injury. Upon hitting his head, it threw his
head forward hitting the
windshield (coup). This was then followed by his head going
backward (contrecoup). “The focal
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shared via CourseHero.com
CASE STUDY 4
injury may be a coup injury (directly below the point of impact)
or contrecoup (on the pole
opposite the site of impact)” (p. 583).
Treatment Plan

5. Treatment will depend on how much injury occurred. According
to the Mayo clinic
(2019), there is usually no treatment for mild traumatic brain
injuries other than rest and pain
relievers. It is recommended, however, for the patient to be
monitored and watched for
worsening symptoms. For moderate to severe injuries, it’s
crucial to prevent further injury to the
head or neck and also to maintain sufficient blood supply and
blood pressure. Additionally,
further treatment may be needed (Mayo Clinic, 2019). This
could involve surgery to remove and
stop bleeding in the brain or repairing skull fractures.
Medications such as diuretics, anti-seizure
medications and coma-inducing drugs to allow the body to rest
may also be indicated. Lastly,
treatment for the patient may include rehabilitation. Specialists
this may include are psychiatrist,
occupational therapist, physical therapist, speech pathologist,
neuropsychologist, rehabilitation
providers and recreational therapist (Mayo Clinic, 2019).
References
Mayo Clinic. (2019). Traumatic brain injury: Diagnosis and
treatment. Retrieved from
https://www.mayoclinic.org/diseases-conditions/traumatic-
brain-injury/diagnosistreatment/drc-20378561
McCance, K. & Huether, S. (2014). Pathophysiology: The
biologic basis for disease in adults and
children. 7th Edition. Elsevier Mosby: St. Louis, MO.
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NU621 Unit 6 Case Study
Criteria
Ratings
Pts
This criterion is linked to a Learning OutcomeContent &
Concepts

6. NU621-CO1; NU621-CO2; NU621-CO3; PRICE-P; PRICE-I
50 pts
5
Ideas and concepts are consistently clear and always well
explained. Relationships between concepts and ideas are always
discussed fairly and always synthesized in a logical fashion
with strong, well-founded supporting arguments. All discussion
and arguments are thoroughly supported with research and/or
resource materials that are pertinent, valid, and reliable.
48.34 pts
4
Ideas and concepts are clear and well explained. Relationships
between concepts and ideas are discussed fairly and synthesized
in a logical fashion with well-founded supporting arguments.
Discussion and arguments are supported with research and/or
resource materials that are pertinent, valid, and reliable
45 pts
3
Ideas and concepts are reasonably well explained. Discussion
and arguments are, for the most part, supported with research
and/or resource materials that are pertinent, valid, and reliable
relationships between concepts, and ideas are discussed. These
could be further strengthened with additional research or
resource materials.
38.34 pts
2
Basic ideas and concepts are presented; however, they are
under-developed and poorly explained. There is minimal
evidence of a relationship between ideas and concepts.
Discussion and arguments are not supported with additional
research or research that is pertinent and valid.
33.34 pts
1
Some basic ideas and concepts are started, but not developed.
There is no identifiable relationship between ideas and
concepts. There is little or no discussion and/or argument with

7. supporting research.
0 pts
0
There are no developed ideas or concepts. There is no
supporting research.
50 pts
This criterion is linked to a Learning OutcomeAnalysis
NU621-CO1; NU621-CO2; NU621-CO3; PRICE-I; PRICE-P
30 pts
5
Organizes and synthesizes evidence to reveal insightful
patterns, differences, or similarities related to focus.
27 pts
4
Organizes and analyzes evidence to reveal insightful patterns,
differences, or similarities related to focus.
24 pts
3
Organizes evidence to reveal important patterns, differences, or
similarities related to focus.
21 pts
2
Organizes evidence, but the organization is not effective in
revealing important patterns, differences, or similarities.
18 pts
1
Describes evidence, but it is not organized and/ or is unrelated
to focus.
0 pts
0
Lists evidence, but it is not organized and/ or is unrelated to
focus.
30 pts
This criterion is linked to a Learning OutcomeWriting

8. Conventions
PRICE-P; PRICE-I
10 pts
5
The paper exhibits a superior command of written English
language conventions. The paper has no errors in mechanics,
grammar, or spelling.
9 pts
4
The paper exhibits a strong command of written English
language conventions. The paper has no errors in mechanics,
grammar, or spelling that impair the flow of communication.
8 pts
3
The paper exhibits command of written English language
conventions. The paper has minor errors in mechanics,
grammar, or spelling that impact the flow of communication.
7 pts
2
The paper exhibits a limited command of written English
language conventions. The paper has frequent errors in
mechanics, grammar, or spelling that impede the flow of
communication.
6 pts
1
The paper exhibits little command of written English language
conventions. The paper has errors in mechanics, grammar, or
spelling that cause the reader to stop and reread parts of the
writing to discern meaning.
0 pts
0
The paper does not demonstrate command of written English
language conventions. The paper has multiple errors in
mechanics, grammar, or spelling that cause the reader difficulty
discerning the meaning.

9. 10 pts
This criterion is linked to a Learning OutcomeAPA
PRICE-I; PRICE-P
10 pts
5
The required APA elements are all included with correct
formatting, including in-text citations and references.
8 pts
4
The required APA elements are all included with minor
formatting errors, including in-text citations and references.
6 pts
3
The required APA elements are all included with multiple
formatting errors, including in-text citations and references.
4 pts
2
The required APA elements are not all included. AND/OR there
are major formatting errors, including in-text citations and
references.
2 pts
1
Several APA elements are missing. The errors in formatting
demonstrate limited understanding of APA guidelines, in-text-
citations, and references.
0 pts
0
There is little to no evidence of APA formatting. AND/OR there
are no in-text citations AND/OR references.
10 pts
Total Points: 100
PreviousNext

10. Section XI, XII, XIII: Risk Management & Risk Matrix,
Security, Additional Implementation Issues
Trusty Carpets
DynaTech
IFSM 495: Capstone Course
December 5, 2021
Christopher Kichinko
Nadia Ekeme
Tasian Berryman
Executive SummaryI. Background and Environmental Analysis
A. Background
Trusty Carpets is a successful family-owned business that has
been operating from a single location for the past 20 years.
Currently, total carpet sales is in the ballpark of $1.2 million
annually, with a net profit of $100,000. The business is poised
for major growth through the recent acquisition of Metro
Carpets, a business located on the other side of town that sees
$3 million in sales annually with a profit of $360,000.
Additionally, Trusty Carpets will be combining operations with
their previously contracted carpet installer.
The original location has basic existing IT infrastructure to aid

11. with sales and ordering, the new location does not. A
technology solution is required to manage two separate
locations and the installation operation as a single business. The
targeted solution will also enable increased sales through an
online presence that connects Trusty Carpets with home
builders, and directly with consumers via in-home sales. The
primary business objective is increased profit margins, while
ensuring that Trusty Carpets is operating in an environmentally
friendly manner.
B. Environmental Analysis
There is a rising number of residential and commercial
construction activities in numerous countries globally indicating
a boost in growth in the global rugs and carpet industry. This
coupled with an increasing focus in aesthetically pleasing
interior decor and a shift toward environmentally friendly
carpets, is further driving market revenue growth. Currently, the
global carpets and rugs market is projected to hit $164 billion
by 2028. Other stats indicative of this growth include nylon
material accounting for the largest revenue share of 32.5% in
2020, with North America owning major revenue share followed
by the Asia Pacific market (Global Carpets and Rugs Market
Size, 2020). COVID-19 has also been a stressor in this industry,
stunting the construction of housing and building projects and
in turn limiting the purchasing of carpet tile flooring and a
subset of services. With re-openings, increased renovation and
remodeling activities in the real estate realm, high consumer
interest in interior decor, and revamping of commercial
buildings (Carpet Tiles Market, 2021), there is an increased
post-COVID need for the carpet tile services, which expose
great business opportunities for Trusty Carpets.
Opportunity or Change to Business Vision, Strategy or
Objectives

12. Expansion is a single driving factor for increase in profit
margins, Trusty Carpet’s primary business goal. Acquiring
Metro Carpets and merging with Mike’s installation company is
an exponential step towards that objective. This new business
direction presents several opportunities. First, obtaining Metro
Carpets presents 50% non-utilized space which can be leveraged
to store recyclable carpets before they are picked up, and
installation equipment that are otherwise stored in trucks.
Having space to store recyclable carpets also means scouting for
individuals who would like to dispose of old carpets and
offering to facilitate the process, all the while offering Trusty
Carpets as replacements. In light of finding customers, the
enterprise can leverage the digital space for marketing and e-
commerce efforts. Otherwise, in-person outreach can include
attending niched events including but not limited to real estate
conventions and establishing partnerships with interior design
showcases like those at IKEA, or local home improvement
vendors to aid in promoting/selling Trusty carpets.
Expanding also indicates recruiting more employees and
obtaining an adept information system that will handle
data/information generated from billing, accounting, HR,
business partnerships, supply chain logistics, e-commerce
management, and marketing efforts. This system must ensure
privacy and security of data, while maintaining downtimes, and
offering mobility, speed, and efficiency. These will help
optimize current business processes and technology.
Inefficient Business Processes or Technology
Currently, Trusty Carpets utilizes the local paper for its
advertising and marketing efforts, which proves inefficient
especially as the pandemic accelerated digital transformation by
3 to 7 years in just months (Boulton, 2021). Trusty Carpet’s
accountant handles all paperwork as well as processes relating
to finances, bill payments, invoice distribution, payment

13. collection, and payroll. This can be overwhelming and lead to
errors. Transferring the workload to the new information billing
system will help, and the accountant can own managerial tasks
like overseeing processes and performing quality control. Order
forms will also need to be managed by the system, as well as all
customer records and handwritten ledges generated by Metro
Carpets. Carol handles the bookkeeping which is organized but
paper-based; these records should be stored in the cloud for
backup, additional security, and ease of access. Mike currently
runs his installation business from home and stores equipment
in trucks. Leveraging the additional space acquired, installation
services can be moved onsite.
New Technology Trends
Carpets still continue to be trendy despite the rise in popularity
for hardwood floors; and technology is being used to improve
their beauty and durability. Manufacturing remains constant
with the standard principle of fiber being woven or tufted into a
roll of modular-backed finished product (Morris, 2021).
Aesthetic ability in regard to color, texture and pattern are
controlled to match a disposable mentality among consumers to
keep the margin between carpet and hardwood floors thin.
Design-capable tufting machines have allowed for more
decorative and comfortable/”soft” modular carpets. Multiple-
dye technologies help to achieve better blended coloration.
Antimicrobial technologies help eliminate damaging microbial
growth without compromising aesthetics and functionality
(Ryan, 2020). Eco-friendly carpets are being manufactured by
materials like recycling plastic bottles all to protect occupants
and the environment (Morris, 2021).
Commercial or Operational Trends

14. Operational efficiency is an important aspect of ensuring
commercial and industrial activities result in value and
profitability. Operational efficiency and best business practices
are essential in the carpet industry. Companies are absorbing
and implementing operational efficiency as well as best
practices which in turn provide them with a competitive
advantage in the industry. Trusty Carpets should design its
operations so that they are efficient, environmentally friendly,
customer oriented, technologically advanced, and profitable.
New or Better Products & Technologies
There are other competitors in the carpeting industry, and
Trusty Carpets is not a unique firm. Jerry will be required to
maintain a competitive advantage, which will be accomplished
through an investigation of the enterprise's information
technology infrastructure. A large number of small firms have
made the transition away from paper bookkeeping, payments,
billing, invoicing, and inventory management practices (Silva,
Filho, & Fontoura, 2020). These companies have discovered
that deploying an information technology system that automates
these operations is considerably more effective, accurate, and
saves money and resources. Additionally, businesses have
discovered that advertising online, whether through a website or
social media, reaches a greater number of potential customers
than any other form of marketing.
The latest technological advances, such as social media, have
made advertising considerably easier, cheaper, and more
effective in terms of reaching a wider audience in a shorter
amount of time. Many competitors are using social media,
allowing them to easily reach a larger audience of young people
who are looking to purchase the latest trends in carpet
manufacturing. Trusty Carpets can leverage social media –
Facebook, Twitter, Instagram, and other platforms – to quickly
reach this technologically savvy segment of the population.
Changes to Statutory Legislative or Other Environmental
Requirements

15. The environmental rules and policies may need to be revised.
As a result, the government may alter policies in order to better
safeguard the environment. These rules frequently lead to new
regulations governing company activities. Existing laws and
policies may also be revised or updated by the governmen t.
Ignorance of the law is not an acceptable justification for
breaking the law. It is Trusty Carpet’s obligation to keep up to
date on environmental laws, rules, and regulations that apply to
its particular industry and firm. Trusty Carpets should create a
Compliance Management System (CMS) to ensure that they are
in compliance. (Dittmers, 2018). A CMS is used to manage the
risk associated with new legislation and changes in the
marketplace. Incorporating requirements into business
processes, conducting operations reviews to guarantee
adherence to requirements, developing corrective action plans,
and updating materials are all made possible through the use of
a CMS.
II. Problem Analysis
A. Business Problem
Trusty Carpets’ has an immediate need to select and implement
an IT infrastructure solution or system that enables the
management of two separate brick-and-mortar locations and the
installation operation as a single business. The existing IT
solution only services one location and the new location on the
other side of town operates with non-digitized legacy business
processes. The recent acquisition of Metro Carpets and
expansion of the business exacerbates a problem that already
existed: Inefficient processes lead to poor profit margins, this
being the chief business problem that a new solution will
address, in addition to facilitating online sales, establishing
home builder contacts, in-home sales and environmentally
responsible carpet disposal. The business is currently negatively
affected financially, which will be compounded operationally
with the expansion and operation of two disparate locations that
are not connected by and managed within a single system that

16. must unify the ledger of both entities. DynaTech recommends
an aggressive timeline of 4 months for system selection and
implementation.
III. Proposed
Solution
Trusty Carpets has several separate programs that handle
finance, inventory, sales, marketing, payroll, and customer
relations; fragmented data should be streamlined to ensure
enterprise decision-making is data driven. A good ERP option is
Oracle’s NetSuite. It is cost effective, easy to use,
customizable, secure and offers support services.
Oracle’s NetSuite is a cloud-based business management
platform that gives companies tools needed to nurture growth
and efficiently run their businesses. Enterprise Resource
Planning (ERP) tools offered include applications for finance,
supply chain management, customer relationship management
(CRM), human resources, ecommerce, inventory, order,
procurement, payroll and more; all of which are needed in the
merging of Trusty Carpets and Metro Carpets. With a
centralized data source, information inputted across the system
updates in real-time allowing authorized users to access the

17. most accurate information on demand. NetSuite uses the SaaS
model where a subscription fee is paid to access the platform,
but system maintenance and management of the platform is
owned by the vendor, Oracle. With an established LAN for
Trusty carpets and a WAN to support the connectivity of the
additional site at Metro Carpets, the enterprise is set to support
the implementation of NetSuite. This acquisition will provide a
unified view of the business bringing together disparate
systems, bookkeeping tasks will be automated, the complexity
of managing invoicing, billing and subscriptions will be
simplified, inventory will be centralized, and Salesforce
automation will help to manage leads(McCue, 2021).
Capabilities with NetSuite are endless as required by Trusty
Carpets.
IV. Expected Improvements
The modern economic landscape indicates a business need for
Management Information Systems and solutions. These can be
presented in the forms of infrastructure, platform, or software
that can be built-in or outsourced to enable small businesses to
operate like enterprise-scale businesses (Gratch, 2015). Since
Trusty Carpets is a small start-up with an in-house IT
infrastructure and an expansion underway, it would benefit
greatly from an Enterprise Resource Planning (ERP) system
which would be outsourced and hosted on the cloud. Therefore,

18. it is important when acquiring ERP that only features needed by
the carpet retailer like CRM, web hosting, ecommerce platform,
etc. are obtained.
The proposed solution, NetSuite, can address ineffective
business processes in finance management, operations, and
customer relationship optimization all of which will lead to
increases in profit. The software’s financial management
solution will help manage bookkeeping tasks by automatically
updating ledgers. Accounts receivable, payable, and invoices
will be tracked efficiently - previous methods used that were
manual and at risk of human error will be replaced. The solution
will provide a single view of inventory, streamlining data
relating to carpets and equipment’ stock. Order processing will
be automated and fulfilled across channels, helping to manage
the ordering lifecycle. With a 360-view of customers, the lead-
to-cash process will be sped up as critical customer data like
sales history and active support cases are consolidated.
Forecasting tools provided by the solution will be used to
predict future sales, and the customer experience will be
personalized. These are in line with the strategy of the business
since its main aim is to go digital and generate greater revenue.
Lastly, value gained by the organization will aid with the cost
of production of the carpets which will in-turn decrease, hence
more profit.

19. V. Alternatives Analysis
The following alternative analysis information exposes four
options that Trusty Carpets may adopt moving forward
regarding IT infrastructure and related business processes. The
status quo, proposed solution, different solution and process
change are further detailed by description, benefits, cost
elements, feasibility, risks and defining issues. These attributes
are compared in a matrix and finally a justification is provided
regarding which system is selected.
A. Status Quo
1. Description: Do nothing, continue existing basic IT workflow
with google docs at the original store, and non-IT processes at
the new store while advertising in the local paper.
2. Benefits: No new capital investment or monthly fees,
however no problems from section II are addressed.
3. Cost Elements: No additional cost.
4. Feasibility: Not feasible while attempting to manage the
entire business with one solution in addition to seeking
increased profit margins.
5. Risks: Discontinuity between store finances, inventory, lost
sales and the same (or worse) decreased profit margins.
6. Defining Issues: Does not allow for the management of
separate locations and the installation business. Does not

20. establish an online presence for marketing and business
communications. Does not address carpet recycling
requirements.B. The Proposed