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Communication on a major project is suffering because several team members are in the habit of writing cryptic or careless instant messages that often force recipients to engage in several rounds of follow-up messaging to figure out what the sender had in mind. As project leader, you've spoken with these team members about the need to write clearer messages, but they respond that careful planning and writing defeats the whole purpose of instant messaging. How should you handle this situation? 250 WORDS .
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COMM 166 Final Research Proposal GuidelinesThe proposal should.docx
COMM 166 Final Research Proposal Guidelines
The proposal should contain well-developed sections (Put clear titles on the top of each section) of your outline that you submitted earlier. The proposal should have seven (7) major sections:
1. Introduction: A brief overview of all your sections. Approx. one page
2. A summary of the literature review. In this section you would summarize the previous research (summarize at least 8-10 scholarly research articles), and also your field data collection results (if it was connected to your proposal topic). Also indicate the gaps in the previous research, including your pilot study, and the need for your research study. Please devote around three pages in reviewing the previous research and finding the gaps.
3. Arising from the literature review, write the Purpose Statement of your research (purpose statement should have all its parts clearly written. Follow the examples from textbook).
4. Identify two to three main hypotheses or research questions (based on the quantitative/qualitative research design). Also give some of your supporting research questions. Follow the examples from textbook.
5. Describe the research strategy of inquiry and methods that you would use and why. The method part should be the substantial part of your paper, around three pages. Define your knowledge claims, strategies, and methods from the textbook (and cite), why you chose them, and how you will conduct the research in detail.
6. A page on the significance of your study.
7. A complete reference list of your sources in APA style.
The total length of the paper should be between 8-10 pages (excluding the reference and cover pages).
If you have further questions, please do not hesitate to contact me.
Best wishes
Dev
mportant notes about grading:
1. Compiler errors: All code you submit must compile. Programs that do not compile will receive an automatic zero. If you run out of time, it is better to comment out the parts that do not compile, than hand in a more complete file that does not compile.
2. Late assignments: You must submit your code before the deadline. Verify on Sakai that you have submitted the correct version. If you submit the incorrect version before the deadline and realize that you have done so after the deadline, we will only grade the version received before the deadline.
A Prolog interpreter
In this project, you will implement a Prolog interpreter in OCaml.
If you want to implement the project in Python, download the source code and follow the README file. Parsing functions and test-cases are provided.
Pseudocode
Your main task is to implement the non-deterministic abstract interpreter covered in the lecture Control in Prolog. The pseudocode of the abstract interpreter is in the lecture note.
Bonus
There is also a bonus task for implementing a deterministic Prolog interpreter with support for backtracking (recover from bad choices) and choice points (produce multiple results). Please refer to th.
COMMENTS You wrote an interesting essay; however, it is lacking t.docx
COMMENTS: You wrote an interesting essay; however, it is lacking the introduction and conclusion paragraphs (1/3 deduction.) Remove the notations from the Reference List. Not all of your sources came from the UOP library and are peer reviewed, so you need to locate additional. You need a minimum of three peer reviewed sources from the UOP library. Prove your arguments using academic sources. Some paragraphs are too short, every paragraph should be five to eight sentences. You received a five point deduction for not including the introduction or conclusion.
SCORE: 10/15 Points (Deduction for not including an introduction or conclusion.)
The Inappropriateness of the Death Sentence
Add an introduction paragraph. Comment by Darlene Bennett: The introduction needs a topic sentence that describes the main idea of the paragraph, then provide background information and finally, include the thesis statement. The introduction should be five to eight sentences in length.
Thesis Statement Comment by Darlene Bennett: The thesis statement cannot be isolated by itself. You need to insert it as the last sentence of the introductory paragraph.
The death penalty, as practiced in some societies in the world, has had its positive aspects and negative aspects and my stand are that it should be abolished in any democratic state that seeks to ensure justice for both the victims of crime and the offenders.
The death sentence is against the bible and other religious guidelines Comment by Darlene Bennett: Capitalize the word “Bible.”
Death sentences against convicted criminals in the society go against the spirit and guidelines provided by religious faiths regarding our stay here in the universe. Comment by Darlene Bennett: Casual tone, stay formal and do not use first person pronouns.
Religious laws quoted in religious books prohibited the execution of man whatsoever. According to these religious laws, there is no compromise or a reason big enough to necessitate the punishment of an offender through death. The ten commandments developed by God himself in the book of Deuteronomy, under commandment five, prohibits the killing of a man. Universal religious laws concur with the Christian teaching regarding the execution of man as a way of punishment (Goldman, 2017). Comment by Darlene Bennett: This is a generalization – do all religious books state this? By Old Testament law, people were stoned for certain infractions. Be specific and provide a source for your fact. Comment by Darlene Bennett:
Religious teachings in all religion term human life as sacred and one that is not subject to limitation, in all circumstance. According to the various religions, it is God only who can terminate the life of a human being. They recommend the use of other means of justice for offenders to reform and revert back to their normal lives in the society (Goldman, 2017).
Further, no method of executing criminals is humane, all the methods are painful, inhumane and disrespectful.
Commercial Space TravelThere are about a half dozen commercial s.docx
Commercial Space Travel
There are about a half dozen commercial space entrepreneurs globally today. Pick one of those companies, and then provide a short history of their company, outline their current projects, and describe their future plans for space travel. Describe the biggest obstacles that they will have to overcome to achieve their goals.
Your initial discussion post should be succinct (only about 200–300 words) and include references to your sources.
.
CommentsPrice is the easiest way to make profit – all you.docx
Comments:
Price is the easiest way to make profit – all you do is raise the price – it costs nothing and you have to do no work – just send out a new price sheet.
Distribution is the next easiest – sell the same stuff in different places – with minor changes.
Questions
1.
Define/explain:
A.
Supply chain
B.
Value delivery
C.
What/who are the distribution chain members:
D.
How does a distribution chain member add value to the consumer
E.
Vertical marketing system
F.
Horizontal marketing system
J.
Mutlichannel system
G.
Marketing logistics
H.
Supply chain management
I.
Major logistical functions
J.
Specialty stores
K. Department stores
L.
Supermarkets
M.
Convenience stores
N.
Discount stores
O.
Off price stores
P. Superstores
Q.
Corporate chain stores
R.
Voluntary chain
S.
Retailer Cooperative
T
Franchise organization
U.
Merchandising conglomerate
v.
Wholesalers
w.
Brokers
X.
Agents
2.
Read (or look up if needed)
“Zara – the technology giant of the fashion world”
-- explain how technology drives this company – remember women’s fashion has 4 to 5 seasons.
3.
What marketing mix decisions must retailers make:
A.
B.
C.
D.
E.
F.
G.
4.
Describe 4 distribution ideas/innovations you have witnessed:
A.
B.
C.
D.
.
COMM 1110 Library Research Assignment Objective To ensu.docx
COMM 1110 Library Research Assignment
Objective:
To ensure students begin library research in a timely manner, selecting worthwhile sources and justifying
their inclusion.
Assignment:
Select five credible sources that can be used for your speech. For each source, provide a full APA
citation, an explanation of where/how you found the source, a summary of the information the source
contains, and an explanation of why it is relevant to your speech. Credible sources contain worthwhile
and trustworthy information from reliable sources.
Make sure you number each source and separate each component: citation, how source was discovered,
summary, and relevance.
Pay attention to all of the requirements in order to complete the assignment to the Satisfactory level.
Specifications for Satisfactory Completion
1. Format: Submitted paper is/has:
a. Double-spaced, with no extra spaces before or after paragraphs.
b. Times New Roman font.
c. 1-inch margins.
d. 12-point font.
e. Document is submitted with only the student’s name placed in the header and nothing in
the footer, with NO date, class, or professor information on the document (this is tracked
by Georgia View).
f. Document is submitted in .docx format.
g. Document is submitted by the due date in Georgia View.
h. Citations are in proper APA format.
2. Content:
a. At least five sources are presented, with each source containing all the required
components listed above.
b. Fewer than 5 grammar, punctuation, or spelling errors.
c. All sources come from credible outlets, including and especially GALILEO.
d. No more than two sources are in common with any group members.
.
COMM 1110 Persuasive Speech Evaluation Objective To lea.docx
COMM 1110 Persuasive Speech Evaluation
Objective:
To learn how to identify areas for improvement in public speaking and evaluate observations, inferences,
and relationships in a speech.
Assignment:
Watch Dan Pink’s The Puzzle of Motivation at https://www.ted.com/talks/dan_pink_on_motivation/.
Prepare a paper that answers the following questions: How would you rate the speaker’s delivery? What
things did the speaker do well? What things need to be improved? What was the speaker trying to
accomplish? How many steps of Monroe’s Motivated Sequence were covered by the speech, and were
they in the correct order? When in the speech was each step of Monroe’s Motivated Sequence covered?
Pay attention to all of the requirements in order to complete the assignment to the Satisfactory level.
Specifications for Satisfactory Completion
1. Format: Submitted paper is/has:
a. Double-spaced, with no extra spaces before or after paragraphs.
b. Times New Roman font.
c. 1-inch margins.
d. 12-point font.
e. Document is submitted with only the student’s name placed in the header and nothing in
the footer, with NO date, class, or professor information on the document (this is tracked
by Georgia View).
f. Document is submitted in .docx format.
g. Document is submitted by the due date in Georgia View.
2. Content:
a. All questions are answered thoroughly.
b. Fewer than 5 grammar, punctuation, or spelling errors.
c. 300-600 words.
COMM 1110 Persuasive Speech EvaluationObjective:Assignment:Specifications for Satisfactory Completion
.
Comment The ANA is such an astonishing association. They help .docx
Comment
The ANA is such an astonishing association. They help with new enactment, state-of-the-art data on nursing issues, confirmations and proceeding with training, thus a lot increasingly significant nursing subjects. I turned into a part as an understudy, yet I didn't comprehend the significance of being associated with these associations. In the present changing social insurance framework, it is so imperative to be taught and included on the present issues. The ANA has been a promoter for profession improvement and improving the wellbeing for all Americans for more than 100 years. I need to turn into an individual from this long-standing association to keep awake to-date on issues, proceed with my training, and have any kind of effect in the nursing field.
Comment
Being an advocate means a lot, at many different levels. For instance, as LVN being an advocate is hands on, RN would be collaborating with many different discipling, BSN would be all the combination and take it to a management level. As working for hospice being a patient advocate is so important at the end of life. Working with dying patients and educating families about the medications needed for end of life comfort. For instance, Morphine 20mg/ml give 1 ml Po/SL q 2 hours PRN pain. (severe pain 7-10). With out this education on medication regimen patient would suffer in pain.
.
Comments Excellent paper. It’s obvious that you put quite a bit of .docx
Comments: Excellent paper. It’s obvious that you put quite a bit of work into this. Unfortunately, your paper needs adequate citations in the body of the text to meet our standards on plagiarism. You need to cite each textbook from your bibliography whenever you quote or use some information from the textbook or other resource. For example, writing (Jones 285) after the quote or information used means that you got it from the book whose author was Jones and the info came from page 285.
Laparoscopic cholecystectomy is a procedure in which laparoscopic techniques remove the gallbladder. It is the standard of care for symptomatic gallbladder disease, of which most are performed for symptomatic cholelithiasis. Other indications include acute cholecystitis, biliary dyskinesia, and gallstone pancreatitis.
Describe the reasons a patient might have the selected surgical procedure
The typical reason a cholecystectomy is a treatment of choice is inflammatory changes of gallbladder or blockage of bile flow by gallstones. Symptomatic cholelithiasis is the most common reason where gallstones in the gallbladder are blocking the bile flow and cause inflammation. The patient usually complains of episodic epigastric pain and right upper quadrant pain that radiates to the right shoulder. This pain is found to occur several hours after heavy meals and the patient experiences nausea, vomiting, bloating, fever, and right upper quadrant tenderness. Another condition is acute cholecystitis, where inflammation and symptoms are more prominent. The patient may have a fever, constant pain, positive Murphy's sign, or leukocytosis. Acute cholecystitis may be caused by calculous biliary tract disease with confirmed gallstones in the abdominal US. Acute acalculous cholecystitis usually occurs in critically ill patients, those with prolonged total parenteral nutrition, and some immunosuppressed patients. Patients with episodes of right upper quadrant pain (which are ‘classic' for biliary pain without evidence of cholelithiasis of US or ERCP) may also be referred for laparoscopic cholecystectomy. Gallstone pancreatitis (when small stones pass through the cystic duct) confirmed by cholangiography is another indication for laparoscopic cholecystectomy.
Describe the reasons a patient might be disqualified for this surgery and the options for the patient if any
A patient might be excluded for laparoscopic cholecystectomy due to acute general conditions that are a contraindication for any surgery such as an acute cardiac failure, uncontrolled hypertension, acute renal failure, pneumonia, etc. The condition should be treated by a primary care provider or specialist and the patient should be stable prior surgery. Additional contraindications may include the inability to tolerate general anesthesia, significant portal hypertension, uncorrectable coagulopathy, and multiple prior operations.
List the diagnostic tests and lab work that an attending surgeon might order and desc.
Recommended
COMM 166 Final Research Proposal GuidelinesThe proposal should.docx
COMM 166 Final Research Proposal Guidelines
The proposal should contain well-developed sections (Put clear titles on the top of each section) of your outline that you submitted earlier. The proposal should have seven (7) major sections:
1. Introduction: A brief overview of all your sections. Approx. one page
2. A summary of the literature review. In this section you would summarize the previous research (summarize at least 8-10 scholarly research articles), and also your field data collection results (if it was connected to your proposal topic). Also indicate the gaps in the previous research, including your pilot study, and the need for your research study. Please devote around three pages in reviewing the previous research and finding the gaps.
3. Arising from the literature review, write the Purpose Statement of your research (purpose statement should have all its parts clearly written. Follow the examples from textbook).
4. Identify two to three main hypotheses or research questions (based on the quantitative/qualitative research design). Also give some of your supporting research questions. Follow the examples from textbook.
5. Describe the research strategy of inquiry and methods that you would use and why. The method part should be the substantial part of your paper, around three pages. Define your knowledge claims, strategies, and methods from the textbook (and cite), why you chose them, and how you will conduct the research in detail.
6. A page on the significance of your study.
7. A complete reference list of your sources in APA style.
The total length of the paper should be between 8-10 pages (excluding the reference and cover pages).
If you have further questions, please do not hesitate to contact me.
Best wishes
Dev
mportant notes about grading:
1. Compiler errors: All code you submit must compile. Programs that do not compile will receive an automatic zero. If you run out of time, it is better to comment out the parts that do not compile, than hand in a more complete file that does not compile.
2. Late assignments: You must submit your code before the deadline. Verify on Sakai that you have submitted the correct version. If you submit the incorrect version before the deadline and realize that you have done so after the deadline, we will only grade the version received before the deadline.
A Prolog interpreter
In this project, you will implement a Prolog interpreter in OCaml.
If you want to implement the project in Python, download the source code and follow the README file. Parsing functions and test-cases are provided.
Pseudocode
Your main task is to implement the non-deterministic abstract interpreter covered in the lecture Control in Prolog. The pseudocode of the abstract interpreter is in the lecture note.
Bonus
There is also a bonus task for implementing a deterministic Prolog interpreter with support for backtracking (recover from bad choices) and choice points (produce multiple results). Please refer to th.
COMMENTS You wrote an interesting essay; however, it is lacking t.docx
COMMENTS: You wrote an interesting essay; however, it is lacking the introduction and conclusion paragraphs (1/3 deduction.) Remove the notations from the Reference List. Not all of your sources came from the UOP library and are peer reviewed, so you need to locate additional. You need a minimum of three peer reviewed sources from the UOP library. Prove your arguments using academic sources. Some paragraphs are too short, every paragraph should be five to eight sentences. You received a five point deduction for not including the introduction or conclusion.
SCORE: 10/15 Points (Deduction for not including an introduction or conclusion.)
The Inappropriateness of the Death Sentence
Add an introduction paragraph. Comment by Darlene Bennett: The introduction needs a topic sentence that describes the main idea of the paragraph, then provide background information and finally, include the thesis statement. The introduction should be five to eight sentences in length.
Thesis Statement Comment by Darlene Bennett: The thesis statement cannot be isolated by itself. You need to insert it as the last sentence of the introductory paragraph.
The death penalty, as practiced in some societies in the world, has had its positive aspects and negative aspects and my stand are that it should be abolished in any democratic state that seeks to ensure justice for both the victims of crime and the offenders.
The death sentence is against the bible and other religious guidelines Comment by Darlene Bennett: Capitalize the word “Bible.”
Death sentences against convicted criminals in the society go against the spirit and guidelines provided by religious faiths regarding our stay here in the universe. Comment by Darlene Bennett: Casual tone, stay formal and do not use first person pronouns.
Religious laws quoted in religious books prohibited the execution of man whatsoever. According to these religious laws, there is no compromise or a reason big enough to necessitate the punishment of an offender through death. The ten commandments developed by God himself in the book of Deuteronomy, under commandment five, prohibits the killing of a man. Universal religious laws concur with the Christian teaching regarding the execution of man as a way of punishment (Goldman, 2017). Comment by Darlene Bennett: This is a generalization – do all religious books state this? By Old Testament law, people were stoned for certain infractions. Be specific and provide a source for your fact. Comment by Darlene Bennett:
Religious teachings in all religion term human life as sacred and one that is not subject to limitation, in all circumstance. According to the various religions, it is God only who can terminate the life of a human being. They recommend the use of other means of justice for offenders to reform and revert back to their normal lives in the society (Goldman, 2017).
Further, no method of executing criminals is humane, all the methods are painful, inhumane and disrespectful.
Commercial Space TravelThere are about a half dozen commercial s.docx
Commercial Space Travel
There are about a half dozen commercial space entrepreneurs globally today. Pick one of those companies, and then provide a short history of their company, outline their current projects, and describe their future plans for space travel. Describe the biggest obstacles that they will have to overcome to achieve their goals.
Your initial discussion post should be succinct (only about 200–300 words) and include references to your sources.
.
CommentsPrice is the easiest way to make profit – all you.docx
Comments:
Price is the easiest way to make profit – all you do is raise the price – it costs nothing and you have to do no work – just send out a new price sheet.
Distribution is the next easiest – sell the same stuff in different places – with minor changes.
Questions
1.
Define/explain:
A.
Supply chain
B.
Value delivery
C.
What/who are the distribution chain members:
D.
How does a distribution chain member add value to the consumer
E.
Vertical marketing system
F.
Horizontal marketing system
J.
Mutlichannel system
G.
Marketing logistics
H.
Supply chain management
I.
Major logistical functions
J.
Specialty stores
K. Department stores
L.
Supermarkets
M.
Convenience stores
N.
Discount stores
O.
Off price stores
P. Superstores
Q.
Corporate chain stores
R.
Voluntary chain
S.
Retailer Cooperative
T
Franchise organization
U.
Merchandising conglomerate
v.
Wholesalers
w.
Brokers
X.
Agents
2.
Read (or look up if needed)
“Zara – the technology giant of the fashion world”
-- explain how technology drives this company – remember women’s fashion has 4 to 5 seasons.
3.
What marketing mix decisions must retailers make:
A.
B.
C.
D.
E.
F.
G.
4.
Describe 4 distribution ideas/innovations you have witnessed:
A.
B.
C.
D.
.
COMM 1110 Library Research Assignment Objective To ensu.docx
COMM 1110 Library Research Assignment
Objective:
To ensure students begin library research in a timely manner, selecting worthwhile sources and justifying
their inclusion.
Assignment:
Select five credible sources that can be used for your speech. For each source, provide a full APA
citation, an explanation of where/how you found the source, a summary of the information the source
contains, and an explanation of why it is relevant to your speech. Credible sources contain worthwhile
and trustworthy information from reliable sources.
Make sure you number each source and separate each component: citation, how source was discovered,
summary, and relevance.
Pay attention to all of the requirements in order to complete the assignment to the Satisfactory level.
Specifications for Satisfactory Completion
1. Format: Submitted paper is/has:
a. Double-spaced, with no extra spaces before or after paragraphs.
b. Times New Roman font.
c. 1-inch margins.
d. 12-point font.
e. Document is submitted with only the student’s name placed in the header and nothing in
the footer, with NO date, class, or professor information on the document (this is tracked
by Georgia View).
f. Document is submitted in .docx format.
g. Document is submitted by the due date in Georgia View.
h. Citations are in proper APA format.
2. Content:
a. At least five sources are presented, with each source containing all the required
components listed above.
b. Fewer than 5 grammar, punctuation, or spelling errors.
c. All sources come from credible outlets, including and especially GALILEO.
d. No more than two sources are in common with any group members.
.
COMM 1110 Persuasive Speech Evaluation Objective To lea.docx
COMM 1110 Persuasive Speech Evaluation
Objective:
To learn how to identify areas for improvement in public speaking and evaluate observations, inferences,
and relationships in a speech.
Assignment:
Watch Dan Pink’s The Puzzle of Motivation at https://www.ted.com/talks/dan_pink_on_motivation/.
Prepare a paper that answers the following questions: How would you rate the speaker’s delivery? What
things did the speaker do well? What things need to be improved? What was the speaker trying to
accomplish? How many steps of Monroe’s Motivated Sequence were covered by the speech, and were
they in the correct order? When in the speech was each step of Monroe’s Motivated Sequence covered?
Pay attention to all of the requirements in order to complete the assignment to the Satisfactory level.
Specifications for Satisfactory Completion
1. Format: Submitted paper is/has:
a. Double-spaced, with no extra spaces before or after paragraphs.
b. Times New Roman font.
c. 1-inch margins.
d. 12-point font.
e. Document is submitted with only the student’s name placed in the header and nothing in
the footer, with NO date, class, or professor information on the document (this is tracked
by Georgia View).
f. Document is submitted in .docx format.
g. Document is submitted by the due date in Georgia View.
2. Content:
a. All questions are answered thoroughly.
b. Fewer than 5 grammar, punctuation, or spelling errors.
c. 300-600 words.
COMM 1110 Persuasive Speech EvaluationObjective:Assignment:Specifications for Satisfactory Completion
.
Comment The ANA is such an astonishing association. They help .docx
Comment
The ANA is such an astonishing association. They help with new enactment, state-of-the-art data on nursing issues, confirmations and proceeding with training, thus a lot increasingly significant nursing subjects. I turned into a part as an understudy, yet I didn't comprehend the significance of being associated with these associations. In the present changing social insurance framework, it is so imperative to be taught and included on the present issues. The ANA has been a promoter for profession improvement and improving the wellbeing for all Americans for more than 100 years. I need to turn into an individual from this long-standing association to keep awake to-date on issues, proceed with my training, and have any kind of effect in the nursing field.
Comment
Being an advocate means a lot, at many different levels. For instance, as LVN being an advocate is hands on, RN would be collaborating with many different discipling, BSN would be all the combination and take it to a management level. As working for hospice being a patient advocate is so important at the end of life. Working with dying patients and educating families about the medications needed for end of life comfort. For instance, Morphine 20mg/ml give 1 ml Po/SL q 2 hours PRN pain. (severe pain 7-10). With out this education on medication regimen patient would suffer in pain.
.
Comments Excellent paper. It’s obvious that you put quite a bit of .docx
Comments: Excellent paper. It’s obvious that you put quite a bit of work into this. Unfortunately, your paper needs adequate citations in the body of the text to meet our standards on plagiarism. You need to cite each textbook from your bibliography whenever you quote or use some information from the textbook or other resource. For example, writing (Jones 285) after the quote or information used means that you got it from the book whose author was Jones and the info came from page 285.
Laparoscopic cholecystectomy is a procedure in which laparoscopic techniques remove the gallbladder. It is the standard of care for symptomatic gallbladder disease, of which most are performed for symptomatic cholelithiasis. Other indications include acute cholecystitis, biliary dyskinesia, and gallstone pancreatitis.
Describe the reasons a patient might have the selected surgical procedure
The typical reason a cholecystectomy is a treatment of choice is inflammatory changes of gallbladder or blockage of bile flow by gallstones. Symptomatic cholelithiasis is the most common reason where gallstones in the gallbladder are blocking the bile flow and cause inflammation. The patient usually complains of episodic epigastric pain and right upper quadrant pain that radiates to the right shoulder. This pain is found to occur several hours after heavy meals and the patient experiences nausea, vomiting, bloating, fever, and right upper quadrant tenderness. Another condition is acute cholecystitis, where inflammation and symptoms are more prominent. The patient may have a fever, constant pain, positive Murphy's sign, or leukocytosis. Acute cholecystitis may be caused by calculous biliary tract disease with confirmed gallstones in the abdominal US. Acute acalculous cholecystitis usually occurs in critically ill patients, those with prolonged total parenteral nutrition, and some immunosuppressed patients. Patients with episodes of right upper quadrant pain (which are ‘classic' for biliary pain without evidence of cholelithiasis of US or ERCP) may also be referred for laparoscopic cholecystectomy. Gallstone pancreatitis (when small stones pass through the cystic duct) confirmed by cholangiography is another indication for laparoscopic cholecystectomy.
Describe the reasons a patient might be disqualified for this surgery and the options for the patient if any
A patient might be excluded for laparoscopic cholecystectomy due to acute general conditions that are a contraindication for any surgery such as an acute cardiac failure, uncontrolled hypertension, acute renal failure, pneumonia, etc. The condition should be treated by a primary care provider or specialist and the patient should be stable prior surgery. Additional contraindications may include the inability to tolerate general anesthesia, significant portal hypertension, uncorrectable coagulopathy, and multiple prior operations.
List the diagnostic tests and lab work that an attending surgeon might order and desc.
Community Assessment and Analysis PresentationThis assignment co.docx
Community Assessment and Analysis Presentation
This assignment consists of both an interview and a PowerPoint (PPT) presentation.
Assessment/Interview
Select a community of interest in your region. Perform a physical assessment of the community.
1. Perform a direct assessment of a community of interest using the "Functional Health Patterns Community Assessment Guide."
2. Interview a community health and public health provider regarding that person's role and experiences within the community.
Interview Guidelines
Interviews can take place in-person, by phone, or by Skype.
Develop interview questions to gather information about the role of the provider in the community and the health issues faced by the chosen community.
Complete the "Provider Interview Acknowledgement Form" prior to conducting the interview. Submit this document separately in its respective drop box.
Compile key findings from the interview, including the interview questions used, and submit these with the presentation.
PowerPoint Presentation
Create a PowerPoint presentation of 15-20 slides (slide count does not include title and references slide) describing the chosen community interest.
Include the following in your presentation:
1. Description of community and community boundaries: the people and the geographic, geopolitical, financial, educational level; ethnic and phenomenological features of the community, as well as types of social interactions; common goals and interests; and barriers, and challenges, including any identified social determinates of health.
2. Summary of community assessment: (a) funding sources and (b) partnerships.
3. Summary of interview with community health/public health provider.
4. Identification of an issue that is lacking or an opportunity for health promotion.
5. A conclusion summarizing your key findings and a discussion of your impressions of the general health of the community.
While APA style, and thesis is required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA format ting guidelines.
Functional Health Patterns Community Assessment Guide
Functional Health Pattern (FHP) Template Directions:
This FHP template is to be used for organizing community assessment data in preparation for completion of the topic assignment. Address every bulleted statement in each section with data or rationale for deferral. You may also add additional bullet points if applicable to your community.
Value/Belief Pattern
Predominant ethnic and cultural groups along with beliefs related to health.
Predominant spiritual beliefs in the community that may influence health.
Availability of spiritual resources within or near the community (churches/chapels, synagogues, chaplains, Bible studies, sacraments, self-help groups, support groups, etc.).
Do the community members value health promotion measures? What is the evidence that they do or do not (e.g., involvement in education, fundrai.
Comment Commentonat least 3 Classmates’Posts (approximately 150.docx
Comment
Commentonat least 3 Classmates’Posts (approximately 150 -300 words each)§
- comment must address the R2R prompt and your classmate’s response substantively; if you agree or disagree, provide reasoning and rational evidence from the readings to support your position
- build on the ideas of what your classmate has written and dig deeper into the ideas
- support your views through research you have read or through your personal and/or professional experiences§demonstrate a logical progression of ideas
- comments need to be thoughtful and substantive; not gratuitous comments like “this was a good post” or simply that “you agree”. Simply congratulating the writer on their astute insights is insufficient.
- cite the readings in your response by using proper APA Style format and conventions.
classmate 1
Pragmatism is defined as a philosophical approach in which experience is the fundamental concept. Radu explains that in pragmatism, each experience is based on the interaction between subject and object, between self and its world and represents only the result of the integration of human beings into the environment (Radu, 2011). All in all, pragmatism promotes activity based learning. Pragmatism relates to Dewey’s work in many ways. The most significant being its rejection of traditional learning, and its emphasis on solving problems in a sensible way that suits conditions that really exist rather than obeying fixed theories, ideas, or rules (Cambridge, 2016).
Progressivism is a philosophical concept belonging to ‘new education’, is ‘a Copernican revolution’ in pedagogy, promoting ‘a child-centered school’ (Radu, 2011). Radu states that Dewey’s pedagogic view is not based on his philosophical concept, but al on the social, economic and cultural realities of American society (pg. 87). Progressivism is featured around the learning capacity continuing into adulthood; Dewey called this “permanent education”. Learning is done by doing; this is because Dewey believed authentic knowledge is achieved only through direct experience. Although Dewey though some target methods were necessary when teaching, he did not believe in teachers being forced to stick to routines (Radu 2011). This idea leads to the problem-problem solving method which in short states that in order to solve problem, an individual must: define the problem, analyze the problem, determine possible solutions, propose solutions, evaluate and select a solution, and determine strategies to implement solution. The progressive theory encourages learning through discovery, this allows the learner to acquire knowledge through interest, rather than effort.
Ragu also states that there are reactions against Dewey’s progressive education. Perennialism says that permanence is the fundamental feature of the world; not change. School is intended to promote the permanent values of the past and present. Essentialists believed the main purpose of school was to prepare th.
Communication permeates all that we do, no matter who we are. In thi.docx
Communication permeates all that we do, no matter who we are. In this discussion forum, we are going to explore this concept by looking at the changes in how we communicate through written and spoken formats with the introduction of new technologies.
Begin by reading the following:
Mobile telephony and democracy in Ghana: Interrogating the changing ecology of citizen engagement and political communication
.
Towards the Egyptian Revolution: Activists' Perceptions of Social Media for Mobilization
Peacebuilding in a Networked World
Clay Shirky interview:
Social Media Acts as Catalyst for Policy Change
Technologies enable people to connect by shared beliefs and social movements, rather than by just national or ethnic identification. There is no longer a location-bound or time element in global communication. We seek out those who share our beliefs, and this allows us to harness the power of ideas across borders. Conduct some research into the power of social media to effect political change and consider the following questions, sharing one recent example:
Has the advent of “technology assisted communication” contributed to an expansion of the democratic process? If so, in what way(s)? Is this approach to democratic interaction workable for the future or just a unique event?
How has social media contributed to political change? Examine this question using the example from your research.
.
Combating BriberyIn May 2011, the Commission for Eradication of .docx
Combating Bribery
In May 2011, the Commission for Eradication of Corruption in Indonesia (K.P.K.) and the Organization for Economic Cooperation and Development (O.E.C.D.) met to devise a treaty against international bribery practices. First, read the Conference Conclusions document. Then discuss how the twelve conclusions from the conference will help the international anti-corruption community forge ahead in fighting foreign bribery with a mutual understanding of how to achieve its goals. Respond to at least two of your classmates’ posts.
Shell’s Values
Review the Shell: Our Values page on Shell’s corporate website. To what major issues does Shell highlight its commitment? Do you think the organization’s statements are useful as a guide to ethical and socially responsible decision making? Why or why not? Respond to at least two of your classmates’ posts.
.
Comment using your own words but please provide at least one referen.docx
Comment using your own words but please provide at least one reference for each comment.
Do a half page for discussion #1, half page for discussion #2, half page for discussion #3 and half page for discussion #4 for a total of two pages.
Provide the comment for each discussion separate.
.
Communicating and Collaborating Family InvolvementIn this uni.docx
Communicating and Collaborating: Family Involvement
In this unit you will read about the importance of developing partnerships with families in the preschool classroom. You will learn about rights and responsibilities of parents of children with disabilities as well as how to act as an advocate for children with special needs. You will discuss challenges of being sensitive and responsive to children and families from a variety of cultural backgrounds. You will also explore strategies to help empower a family of a child with special needs
.
Community Health Assessment and Health Promotion-1000 words-due .docx
Community Health Assessment and Health Promotion-1000 words-due 9/23/2020
In 1000 words respond to each question below. Use the textbook and source to support statements
1. Elaborate on the effectiveness of children immunization program as a primary community health diseases prevention method within the Peoria Illinois community.
2. Identify at least 2 immunization health promotion program and initiatives within the Peoria Illinois community.
3. What are current population trends and attitudes regarding immunization?
4. Elaborate on the obesity epidemic and its public health impact.
5. Speak on at least two programs or initiative/programs that community and public health officials have taken to reduce the prevalence of obesity within the Peoria Illinois community.
Cite all source with credible scholarly articles. Use at least 3 reference. Sources must be 5 years old or less. Use APA format 7th edition. Use statistical data to support each question.
.
COMMUNITY HEALTH ASSESSMENTWINSHIELD SURVEYGUIDELINES1. C.docx
This document provides guidelines for conducting a community health assessment using a windshield survey method. It outlines topics to address such as community description, health status data, the role of the community, key health indicators, and a conclusion. An appendix table is required listing housing, transportation, demographics, open space, services, and sociopolitical characteristics of the community. The assessment must be written in APA style with at least three recent references and in-text citations.
COMMUNITY CORRECTIONSPrepared ByDatePROBATIONDescr.docx
COMMUNITY CORRECTIONS
Prepared By:
Date:
PROBATION
Description:
Purpose(s) served:
Advantages:
1.
2.
3.
Drawbacks:
1.
2.
3.
INTERMEDIATE SANCTIONS
Name of punishment: COMMUNITY SERVICE
Description:
Purpose(s) served:
Advantages:
1.
2.
3.
Drawbacks:
1.
2.
3.
Name of punishment: RESTITUTION
Description:
Purpose(s) served:
Advantages:
1.
2.
3.
Drawbacks:
1.
2.
3.
Name of punishment: HOUSE ARREST
Description:
Purpose(s) served:
Advantages:
1.
2.
3.
Drawbacks:
1.
2.
3.
REFERENCES
1
Day 08 ActivityFisher & HughesSeptember 21, 2018Study
A study was conducted to determine the effects of alcohol on human reaction times. Fifty-seven adult individuals within two-age groups were recruited for this study and were randomly allocated into one of three alcohol treatment groups – a control where the subjects remain sober during the entire study, a moderate group were the subject is supplied alcohol but is limited in such a way that their blood alcohol content (BAC) remains under the legal limit to drive (BAC of 0.08) and a group that received a high amount of alcohol to which their BAC may exceed the legal limit for driving. Each subject was trained on a video game system and their reaction time (in milliseconds) to a visual stimulus was recorded at 7 time points 30 minutes apart (labeled T0=0, T1=30, T2=60 and so on). At time point T0, all subjects were sober and those in one of the alcohol consumption groups began drinking after the first measured reaction time (controlled within the specifications outlined). The researcher is interested in determining the influence alcohol and age (namely, is reaction time different for those in the 20s versus 30s) has on reaction times.
The task for today is to do a complete analysis for this study and dig into the effects of alcohol, age and time have on reaction times.Data input and wrangling
First read in the data:alcohol <- read.csv("alcoholReaction.csv")
head(alcohol)## Subject Age Alcohol T0 T1 T2 T3 T4 T5 T6
## 1 1 24 Control 255.3 254.8 256.4 255.1 257.0 256.1 257.0
## 2 2 34 Control 250.1 249.2 249.0 248.0 248.0 248.9 248.1
## 3 3 31 Control 248.2 247.1 246.9 246.7 246.0 246.0 247.0
## 4 4 24 Control 253.9 253.8 254.9 254.1 253.2 254.1 255.0
## 5 5 38 Control 250.0 251.0 250.0 249.9 248.8 249.1 249.9
## 6 6 38 Control 246.0 248.0 247.0 248.1 248.1 246.9 244.0
Note, the Age variable is recorded as an actual age in years, not the category of 20s or 30s like we want – we need to dichotomize this variable. Also note the data is in wide format – the reaction times (the response variables) are spread over multiple columns. We need a way to gather these columns into a single column. So we need to do some data processing.
First consider the below code:head(alcohol %>%
mutate(Age = case_when(Age<31 ~ "20s",
Age %in% 31:40 ~ "30s")))## Subject Age Alcohol .
Community Concerns Please respond to the followingIn your.docx
Community Concerns"
Please respond to the following:
In your opinion, what are the most pressing and significant concerns facing communities today? Why do you think so? Respond to at least one of your classmates. How would a business' community relations department address the concern that your classmate has posted? Support your reasoning with at least one quality reference.
.
Community Engagement InstructionsPart I PlanStudents wi.docx
Community Engagement Instructions
Part I: Plan
Students will submit the Community Engagement Plan Form that includes a paragraph informing the instructor of the plan for the required 10-hour volunteer service in a community setting, including the supervising organization’s name and other pertinent information.
Submit Part I: The Plan for Community Engagement by 11:59 p.m. (ET) on Sunday of Module/Week 3.
.
Community Career DevelopmentRead the following case study an.docx
Community Career Development
Read the following case study and in 700- to 1050-words (2-3 pages) answer the questions posed after the case study. Use headings to separate the responses to each question. Use at least two (2) resources.
Frank is a 25-year-old veteran who has served two tours of duty in Iraq. While there, he lost his right arm while removing wounded soldiers from the combat zone. He is suffering from posttraumatic stress disorder. His military specialty is artillery maintenance specialist. Now he faces the need to get housing and a civilian job that provides enough income to support himself, his wife, and their two children. While he has been away, his wife and children have lived with her parents, but now Frank and his wife would like to have their own home.
Frank has a high school diploma but has not pursued any education beyond that. Before entering the military, he drove a florist delivery truck. Linda, his wife, has completed an associate degree in paralegal studies at the local community college while Frank has been away. She is willing to work if they could find a way to acquire good child care services.
Questions:
What kinds of next steps would you investigate with Frank as you work with him on an action plan?
To what agencies and resources might you refer Frank?
What kinds of support services does this family need?
.
Community College Initiative Paper 5-7 pages. Must be SUBMITTED BY 2.docx
Community College Initiative Paper 5-7 pages. Must be SUBMITTED BY 2pm Central Time 06/15/20.
Students can choose one of six topics to present a paper thoroughly explaining the assigned initiative, stakeholders involved, expected results, attached legislation, if any, and information on supporters and critics.
The six topics are: community college academic achievement gap, student equity, 4 year transfer, workforce development, online education, and
GUIDED PATHWAYS (Highlighted)
. • Paper should be in APA format, typed, double spaced. • Paper must be written from third person point of view.
.
Communities of practice 1 A brief.docx
Communities
of
practice
1
A
brief
introduction
–
V
April
15,
2015
Communities
of
practice
a
brief
introduction
Etienne
and
Beverly
Wenger-‐Trayner
A
group
of
internal
auditors
in
the
public
sector
from
different
countries
in
Eastern
Europe
and
Central
Asia
were
having
their
34th
official
meeting.
For
seven
years
now
they
had
been
coming
together
to
hear
how
others
in
the
region
were
engaged
in
internal
audit
and
to
create
manuals
and
other
publications
that
they
felt
were
missing
from
their
profession.
Only
a
few
of
the
original
members
were
still
part
of
the
group,
but
the
shared
work,
stories,
and
artifacts
created
over
time
gave
their
meetings
a
sense
of
continuity
and
purpose.
If
you
were
a
fly-‐on-‐the
wall
at
one
of
their
events
you
would
notice
how
new
members
were
warmly
welcomed
into
“the
family”,
how
many
people
stepped
up
to
take
initiative
or
share
their
war
stories,
and
how
ambitious
core
members
were
to
advance
the
practice
of
internal
audit
in
the
public
sector
in
the
region.
Evening
events,
organized
by
the
host
country,
were
always
lively
-‐
with
singing,
dancing
and
the
singing
of
a
hymn
composed
and
sung
by
members.
-‐ The
PEMPAL
Internal
Auditors
Community
of
Practice
-‐
The
term
"community
of
practice"
is
of
relatively
recent
coinage,
even
though
the
phenomenon
it
refers
to
is
age-‐old.
The
concept
has
turned
out
to
provide
a
useful
perspective
on
knowing
and
learning.
A
growing
number
of
people
and
organizations
in
various
sectors
are
now
focusing
on
communities
of
practice
as
a
key
to
improving
their
performance.
This
brief
and
general
introduction
examines
what
communities
of
practice
are
and
why
researchers
and
practitioners
in
so
many
different
contexts
find
them
useful
as
an
approach
to
knowing
and
learning.
What
are
communities
of
practice?
Communities
of
practice
are
formed
by
people
who
engage
in
a
process
of
collective
learning
in
a
shared
domain
of
human
endeavor:
a
tribe
learning
to
survive,
.
Community Concerns Please respond to the followingIn you.docx
"Community Concerns"
Please respond to the following:
In your opinion, what are the most pressing and significant concerns facing communities today? Why do you think so? Respond to at least one of your classmates. How would a business' community relations department address the concern that your classmate has posted? Support your reasoning with at least one quality reference.
.
COMMUNITY ASSESSMENT 1COMMUNITY ASSESSMENT .docx
COMMUNITY ASSESSMENT
1
COMMUNITY ASSESSMENT
2
Example A
Introduction
Public Polies are created when social changes occur. This paper discusses an overview of Burlington County which is a County in New Jersey that currently has 449,284 residents. It is a diverse County that is growing day by day. As in any other County throughout the State, Burlington County has experienced its share of social change concerns. This paper will discuss two specific concerns: Recycling and School Safety issues this is happening in Burlington County and need to be addresses. It will also discuss the important of community demographics and how that affects the decisions that are made when it comes to policy.
An Overview of Burlington County New Jersey
The United States of America consist of 50 different States and 3,142 different Counties. Burlington County is a County located in New Jersey within the United States of America. It is the second largest County in the State of New Jersey. According to the Statistical Atlas (2015), Burlington County consist of six Boroughs, three cities, thirty-two Townships, thirteen unincorporated places, eighteen unified school districts, eighteen elementary school districts, four secondary school districts, seven neighboring Counties, and ten nearby Counties. Burlington County is considered to be a suburban place to live as it is a residential community within commuting distance from large cities such has Philadelphia and New York. There are many residents of Burlington County that more than likely travel to nearby cities for work. When driving through Burlington County, for the most part you will see single-family homes with front and backyards, beautiful grass and trees throughout, shopping malls, office buildings, and nice parks. Burlington County is a fairly quiet and safe place to live and quite different from your urban and rural areas.
Community Demographics
Burlington County, New Jersey currently has a population of 449,284 people with a median age of 41.5 and a median household income of $80,254 (DataUSA). Burlington County is a very diverse County. People from all different cultural backgrounds reside in Burlington County, living door to door from one another, sharing workplaces, schools, stores, parks etc. According to DataUSA, the ethnic configuration of the population in this County, is composed of 304,085 White residents (67.7%), 71,882 Black residents (16%), 35,295 Hispanic residents (7.86%), 23,582 Asian residents (5.25%), and 12,831 Two+ residents (2.86%). The most common spoken language in this County is English but the most common foreign spoken language is Spanish with that population size being 20,774 speakers. Following that is Asian, Portuguese, Gujarati, Greek, and Urdu speakers totaling 54,626 County citizens who do not speak English. Many Burlington County residences own their homes. This rate has increased from 63.1% to 75.8% with all Burlington County residences responsibly for pro.
CommunicationSkillsfor theHealth CareProfessio.docx
This document discusses communicating with patients with low health literacy. It outlines that low health literacy is a problem in the US and is associated with poorer health outcomes. It describes assessing a patient's health literacy level and provides ways for healthcare providers to improve communication, such as using plain language, allowing extra time, and employing techniques like teach-back to ensure understanding. The document emphasizes that improving health literacy requires communication that helps patients understand providers and helps providers understand patients.
COMMUNICATIONS STYLE INVENTORYThis is an informal survey, .docx
COMMUNICATIONS STYLE INVENTORY
This is an informal survey, designed to determine how you usually act in everyday
related situations. The idea is to get a clear description of how you see yourself.
On the answer sheet, circle A or B in each pair of statements below, which shows
the one that MOST, describes you.
1. A) I'm usually open to getting to know people personally and establishing
relationships with them.
B) I'm not usually open to getting to know people personally and establishing
relationships with them.
2. A) I usually react slowly and deliberately.
B) I usually react quickly and spontaneously.
3. A) I'm usually guarded about other people's use of my time.
B) I'm usually open to other people's use of my time.
4. A) I usually introduce myself at social gatherings.
B) I usually wait for others to introduce themselves to me at social
gatherings.
5. A) I usually focus my conversations on the interests of the people involved,
even if that means straying from the business or subject at hand.
B) I usually focus my conversations on the tasks, issues, business, or subject
at hand.
6. A) I'm usually not assertive, and I can be patient with a slow pace.
B) I'm usually assertive, and at times I can be impatient with a slow pace.
7. A) I usually make decisions based on facts or evidence.
B) I usually make decisions based on feelings, experiences or relationships.
8. A) I usually contribute frequently to group conversations.
B) I usually contribute infrequently to group conversations.
9. A) I usually prefer to work with and through others, providing support when
possible.
B) I usually prefer to work independently or dictate the conditions in terms
of how others are involved.
15. A) I usually prefer to keep personal feelings and thoughts private, sharing
only when I wish to do to.
B) I usually find it natural and easy to share and discuss my feelings with
others.
10. A) I usually ask questions or speak tentatively and indirectly.
B) I usually make empathic statements or directly expressed opinions.
11. A) I usually focus primarily on ideas, concepts, or results.
B) I usually focus primarily on persons, interactions, and feelings.
12. A) I usually use gestures, facial expression, and voice intonations to
emphasize points.
B) I usually do not use gestures, facial expressions, and voice intonations to
emphasize points
13. A) I usually accept others' points of view (ideas, feelings, and concerns).
B) I usually don't accept others' points of view (ideas, feelings. and
concerns)
14. A) I usually respond to risk and change in a cautious or predictable manner.
B) I usually respond to risk and change in dynamic or unpredictable manner.
16. A) I usually seek out new or different experiences and situations.
B) I usually choose known or similar situations and relationships.
17. A) I'm usually responsive to others' agendas, interests, and concerns.
B) I'm usually directed toward my own agendas, interests and concerns.
18. A) I usually respon.
Community activism is defined as actions through which organizations.docx
Community activism is defined as actions through which organizations, groups and individual work together to promote economic, social, cultural policies and practice changes. Basically, the key goal of community activism is to endorse actions that decrease health disparities, improve living conditions and enhance community environments. Nowadays, advanced nurse practitioners engage in cooperative and nonstop actions to remove barriers (e.g., social, political, economic barriers, etc.) and change underlying structures aimed to improve the lives of patients subjected to unequal and discriminatory conditions (e.g., minorities groups, LGBTQs, etc.) (Maryland & Gonzalez, 2012).
The key concepts associated with community activism include social justice, praxis, empowerment, critical reflection and consciousness raising. Consciousness raising is a key concept in which is involves the presentation of pertinent information in order to engage with others in critical reflection. Critical reflection is a key concept through which community activists activate possible collective actions and transformations. On the other hand, praxis is a decisive reflective action derived of individual and collective consciousness and theories to create commitment in order to build a justice society (Murphy, 2018).
In addition, empowerment is another key concept that entails processes and results of the implemented transformational actions through which people, communities and organizations increase their control and mastery within political, social and economic frameworks in order to enhance a better quality of life. On the other hand, social justice is a fundamental concept which involves philosophical, public health and political elements embedded in the epitome of human rights and social fairness and impartiality (Murphy, 2018).
Recent data estimates that approximately 38 millions of people are smokers in the United States. Basically, Big Tobacco targets communities such as lower-income ones and creates products which include more addictive substances. These are the key reasons why the prevalence of smokers is higher, particularly among individuals with lower incomes. Therefore, it is crucial that nurses engage in community activism to halt or decrease the negative health impact from Big Tobacco. Some of the actions nurses can implement include the promotion of smoking cessation, education about the negative effects of smoking, increase their understanding of the tobacco industry, and increase awareness about the relationship between smoking and chronic medical conditions such as COPD, cancer, aortic aneurisms, etc. (Savell, Gilmore & Fooks, 2014).
In addition, nurses can alert patients to watch out for deceptions and lies used by these companies to prevent them from quitting. Moreover, nurses must alert smokers the multiple strategies these companies implement to increase their addiction, for instance; several studi.
Community Acquired Pneumonia IntroCommunity-acquired pneumo.docx
Community Acquired Pneumonia: Intro
Community-acquired pneumonia (CAP) is a common group of infectious diseases that are responsible for significant global health and economic burden. CAP affects approximately 5.5/1000 people annually, and is a leading cause of hospital admissions, morbidity, and mortality in developed countries (especially for older people). Among all patients with CAP, those aged 65 or older account for about one-third, but they account for more than half of all health costs due to this disease. COPD is one of the most common comorbidities in patients with CAP, characterized by persistent respiratory symptoms. COPD was the third-most common cause of death in 2008, and the morbidity from COPD is projected to increase by 2020 (Liu, Han, & Liu, 2018).
Brief Summary of Client Case
Client HH is a 68 year-old male admitted with a diagnosis of community-acquired pneumonia for the past 3 days. This client’s medical HX includes COPD, HTN, hyperlipidemia, and diabetes. Mr. HH is on day three of two empiric antibiotics (ceftriaxone 1 g IV daily and azithromycin 500 mg IV daily). The client’s clinical status has improved since admission, with decreased oxygen requirements. However, he is not tolerating anything PO at this time and complains of nausea and vomiting. The client’s height is 5’8” and he weighs 89 kg. The only known drug allergy is PCN which results in a rash.
Analysis
The client in this scenario is responding well to the current antibiotic therapy, as evidence by a drop in WBC count from 18.2 upon admission to 14.6 currently (normal range is between 5.0 and 10). It is also pleasing that the client’s O2 saturation is now 92% on room air alone, compared to 90% while requiring 4L of supplemental oxygen upon admission. Overall, the client’s lab results are not significantly concerning. Neutrophil (normal range 40-60%) and band (normal range 0.0-03%) percentages are slightly elevated as expected given the infectious process (NIH, 2020). Aside from an elevated WBC count that is trending down, a marginally elevated blood glucose, and a HCO3 elevated eight points above the normal limit, the other lab results are within the normal ranges of a healthy adult male (Farinde, 2019). The issues of concern in this client case are the client’s inability to tolerate a diet due to nausea and vomiting, elevated temperature, and continuing antibiotics to treat the pneumonia.
Treatment Considerations
According to Donovan (2019), the client’s empiric antibiotic regime is consistent with what is recommended by the Infectious Diseases Society of America (IDSA). Initial empiric antimicrobial treatment should be initiated until laboratory results can be obtained to guide more specific therapy. Also, a combination of a beta-lactam (ceftriaxone 1 g IV q24h or cefotaxime 1 g IV q8h or ceftaroline 600 mg IV q12h) plus azithromycin 500 mg IV q24h is consistent with IDSA guidelines for a client with comorbidities such as COPD and diab.
NIPER 2024 MEMORY BASED QUESTIONS.ANSWERS TO NIPER 2024 QUESTIONS.NIPER JEE 2...
NIPER JEE PYQ
NIPER JEE QUESTIONS
MOST FREQUENTLY ASK QUESTIONS
NIPER MEMORY BASED QUWSTIONS
BÀI TẬP BỔ TRỢ TIẾNG ANH LỚP 9 CẢ NĂM - GLOBAL SUCCESS - NĂM HỌC 2024-2025 - ...
BÀI TẬP BỔ TRỢ TIẾNG ANH LỚP 9 CẢ NĂM - GLOBAL SUCCESS - NĂM HỌC 2024-2025 - ...Nguyen Thanh Tu Collection
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Community Assessment and Analysis PresentationThis assignment co.docx
Community Assessment and Analysis Presentation
This assignment consists of both an interview and a PowerPoint (PPT) presentation.
Assessment/Interview
Select a community of interest in your region. Perform a physical assessment of the community.
1. Perform a direct assessment of a community of interest using the "Functional Health Patterns Community Assessment Guide."
2. Interview a community health and public health provider regarding that person's role and experiences within the community.
Interview Guidelines
Interviews can take place in-person, by phone, or by Skype.
Develop interview questions to gather information about the role of the provider in the community and the health issues faced by the chosen community.
Complete the "Provider Interview Acknowledgement Form" prior to conducting the interview. Submit this document separately in its respective drop box.
Compile key findings from the interview, including the interview questions used, and submit these with the presentation.
PowerPoint Presentation
Create a PowerPoint presentation of 15-20 slides (slide count does not include title and references slide) describing the chosen community interest.
Include the following in your presentation:
1. Description of community and community boundaries: the people and the geographic, geopolitical, financial, educational level; ethnic and phenomenological features of the community, as well as types of social interactions; common goals and interests; and barriers, and challenges, including any identified social determinates of health.
2. Summary of community assessment: (a) funding sources and (b) partnerships.
3. Summary of interview with community health/public health provider.
4. Identification of an issue that is lacking or an opportunity for health promotion.
5. A conclusion summarizing your key findings and a discussion of your impressions of the general health of the community.
While APA style, and thesis is required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA format ting guidelines.
Functional Health Patterns Community Assessment Guide
Functional Health Pattern (FHP) Template Directions:
This FHP template is to be used for organizing community assessment data in preparation for completion of the topic assignment. Address every bulleted statement in each section with data or rationale for deferral. You may also add additional bullet points if applicable to your community.
Value/Belief Pattern
Predominant ethnic and cultural groups along with beliefs related to health.
Predominant spiritual beliefs in the community that may influence health.
Availability of spiritual resources within or near the community (churches/chapels, synagogues, chaplains, Bible studies, sacraments, self-help groups, support groups, etc.).
Do the community members value health promotion measures? What is the evidence that they do or do not (e.g., involvement in education, fundrai.
Comment Commentonat least 3 Classmates’Posts (approximately 150.docx
Comment
Commentonat least 3 Classmates’Posts (approximately 150 -300 words each)§
- comment must address the R2R prompt and your classmate’s response substantively; if you agree or disagree, provide reasoning and rational evidence from the readings to support your position
- build on the ideas of what your classmate has written and dig deeper into the ideas
- support your views through research you have read or through your personal and/or professional experiences§demonstrate a logical progression of ideas
- comments need to be thoughtful and substantive; not gratuitous comments like “this was a good post” or simply that “you agree”. Simply congratulating the writer on their astute insights is insufficient.
- cite the readings in your response by using proper APA Style format and conventions.
classmate 1
Pragmatism is defined as a philosophical approach in which experience is the fundamental concept. Radu explains that in pragmatism, each experience is based on the interaction between subject and object, between self and its world and represents only the result of the integration of human beings into the environment (Radu, 2011). All in all, pragmatism promotes activity based learning. Pragmatism relates to Dewey’s work in many ways. The most significant being its rejection of traditional learning, and its emphasis on solving problems in a sensible way that suits conditions that really exist rather than obeying fixed theories, ideas, or rules (Cambridge, 2016).
Progressivism is a philosophical concept belonging to ‘new education’, is ‘a Copernican revolution’ in pedagogy, promoting ‘a child-centered school’ (Radu, 2011). Radu states that Dewey’s pedagogic view is not based on his philosophical concept, but al on the social, economic and cultural realities of American society (pg. 87). Progressivism is featured around the learning capacity continuing into adulthood; Dewey called this “permanent education”. Learning is done by doing; this is because Dewey believed authentic knowledge is achieved only through direct experience. Although Dewey though some target methods were necessary when teaching, he did not believe in teachers being forced to stick to routines (Radu 2011). This idea leads to the problem-problem solving method which in short states that in order to solve problem, an individual must: define the problem, analyze the problem, determine possible solutions, propose solutions, evaluate and select a solution, and determine strategies to implement solution. The progressive theory encourages learning through discovery, this allows the learner to acquire knowledge through interest, rather than effort.
Ragu also states that there are reactions against Dewey’s progressive education. Perennialism says that permanence is the fundamental feature of the world; not change. School is intended to promote the permanent values of the past and present. Essentialists believed the main purpose of school was to prepare th.
Communication permeates all that we do, no matter who we are. In thi.docx
Communication permeates all that we do, no matter who we are. In this discussion forum, we are going to explore this concept by looking at the changes in how we communicate through written and spoken formats with the introduction of new technologies.
Begin by reading the following:
Mobile telephony and democracy in Ghana: Interrogating the changing ecology of citizen engagement and political communication
.
Towards the Egyptian Revolution: Activists' Perceptions of Social Media for Mobilization
Peacebuilding in a Networked World
Clay Shirky interview:
Social Media Acts as Catalyst for Policy Change
Technologies enable people to connect by shared beliefs and social movements, rather than by just national or ethnic identification. There is no longer a location-bound or time element in global communication. We seek out those who share our beliefs, and this allows us to harness the power of ideas across borders. Conduct some research into the power of social media to effect political change and consider the following questions, sharing one recent example:
Has the advent of “technology assisted communication” contributed to an expansion of the democratic process? If so, in what way(s)? Is this approach to democratic interaction workable for the future or just a unique event?
How has social media contributed to political change? Examine this question using the example from your research.
.
Combating BriberyIn May 2011, the Commission for Eradication of .docx
Combating Bribery
In May 2011, the Commission for Eradication of Corruption in Indonesia (K.P.K.) and the Organization for Economic Cooperation and Development (O.E.C.D.) met to devise a treaty against international bribery practices. First, read the Conference Conclusions document. Then discuss how the twelve conclusions from the conference will help the international anti-corruption community forge ahead in fighting foreign bribery with a mutual understanding of how to achieve its goals. Respond to at least two of your classmates’ posts.
Shell’s Values
Review the Shell: Our Values page on Shell’s corporate website. To what major issues does Shell highlight its commitment? Do you think the organization’s statements are useful as a guide to ethical and socially responsible decision making? Why or why not? Respond to at least two of your classmates’ posts.
.
Comment using your own words but please provide at least one referen.docx
Comment using your own words but please provide at least one reference for each comment.
Do a half page for discussion #1, half page for discussion #2, half page for discussion #3 and half page for discussion #4 for a total of two pages.
Provide the comment for each discussion separate.
.
Communicating and Collaborating Family InvolvementIn this uni.docx
Communicating and Collaborating: Family Involvement
In this unit you will read about the importance of developing partnerships with families in the preschool classroom. You will learn about rights and responsibilities of parents of children with disabilities as well as how to act as an advocate for children with special needs. You will discuss challenges of being sensitive and responsive to children and families from a variety of cultural backgrounds. You will also explore strategies to help empower a family of a child with special needs
.
Community Health Assessment and Health Promotion-1000 words-due .docx
Community Health Assessment and Health Promotion-1000 words-due 9/23/2020
In 1000 words respond to each question below. Use the textbook and source to support statements
1. Elaborate on the effectiveness of children immunization program as a primary community health diseases prevention method within the Peoria Illinois community.
2. Identify at least 2 immunization health promotion program and initiatives within the Peoria Illinois community.
3. What are current population trends and attitudes regarding immunization?
4. Elaborate on the obesity epidemic and its public health impact.
5. Speak on at least two programs or initiative/programs that community and public health officials have taken to reduce the prevalence of obesity within the Peoria Illinois community.
Cite all source with credible scholarly articles. Use at least 3 reference. Sources must be 5 years old or less. Use APA format 7th edition. Use statistical data to support each question.
.
COMMUNITY HEALTH ASSESSMENTWINSHIELD SURVEYGUIDELINES1. C.docx
This document provides guidelines for conducting a community health assessment using a windshield survey method. It outlines topics to address such as community description, health status data, the role of the community, key health indicators, and a conclusion. An appendix table is required listing housing, transportation, demographics, open space, services, and sociopolitical characteristics of the community. The assessment must be written in APA style with at least three recent references and in-text citations.
COMMUNITY CORRECTIONSPrepared ByDatePROBATIONDescr.docx
COMMUNITY CORRECTIONS
Prepared By:
Date:
PROBATION
Description:
Purpose(s) served:
Advantages:
1.
2.
3.
Drawbacks:
1.
2.
3.
INTERMEDIATE SANCTIONS
Name of punishment: COMMUNITY SERVICE
Description:
Purpose(s) served:
Advantages:
1.
2.
3.
Drawbacks:
1.
2.
3.
Name of punishment: RESTITUTION
Description:
Purpose(s) served:
Advantages:
1.
2.
3.
Drawbacks:
1.
2.
3.
Name of punishment: HOUSE ARREST
Description:
Purpose(s) served:
Advantages:
1.
2.
3.
Drawbacks:
1.
2.
3.
REFERENCES
1
Day 08 ActivityFisher & HughesSeptember 21, 2018Study
A study was conducted to determine the effects of alcohol on human reaction times. Fifty-seven adult individuals within two-age groups were recruited for this study and were randomly allocated into one of three alcohol treatment groups – a control where the subjects remain sober during the entire study, a moderate group were the subject is supplied alcohol but is limited in such a way that their blood alcohol content (BAC) remains under the legal limit to drive (BAC of 0.08) and a group that received a high amount of alcohol to which their BAC may exceed the legal limit for driving. Each subject was trained on a video game system and their reaction time (in milliseconds) to a visual stimulus was recorded at 7 time points 30 minutes apart (labeled T0=0, T1=30, T2=60 and so on). At time point T0, all subjects were sober and those in one of the alcohol consumption groups began drinking after the first measured reaction time (controlled within the specifications outlined). The researcher is interested in determining the influence alcohol and age (namely, is reaction time different for those in the 20s versus 30s) has on reaction times.
The task for today is to do a complete analysis for this study and dig into the effects of alcohol, age and time have on reaction times.Data input and wrangling
First read in the data:alcohol <- read.csv("alcoholReaction.csv")
head(alcohol)## Subject Age Alcohol T0 T1 T2 T3 T4 T5 T6
## 1 1 24 Control 255.3 254.8 256.4 255.1 257.0 256.1 257.0
## 2 2 34 Control 250.1 249.2 249.0 248.0 248.0 248.9 248.1
## 3 3 31 Control 248.2 247.1 246.9 246.7 246.0 246.0 247.0
## 4 4 24 Control 253.9 253.8 254.9 254.1 253.2 254.1 255.0
## 5 5 38 Control 250.0 251.0 250.0 249.9 248.8 249.1 249.9
## 6 6 38 Control 246.0 248.0 247.0 248.1 248.1 246.9 244.0
Note, the Age variable is recorded as an actual age in years, not the category of 20s or 30s like we want – we need to dichotomize this variable. Also note the data is in wide format – the reaction times (the response variables) are spread over multiple columns. We need a way to gather these columns into a single column. So we need to do some data processing.
First consider the below code:head(alcohol %>%
mutate(Age = case_when(Age<31 ~ "20s",
Age %in% 31:40 ~ "30s")))## Subject Age Alcohol .
Community Concerns Please respond to the followingIn your.docx
Community Concerns"
Please respond to the following:
In your opinion, what are the most pressing and significant concerns facing communities today? Why do you think so? Respond to at least one of your classmates. How would a business' community relations department address the concern that your classmate has posted? Support your reasoning with at least one quality reference.
.
Community Engagement InstructionsPart I PlanStudents wi.docx
Community Engagement Instructions
Part I: Plan
Students will submit the Community Engagement Plan Form that includes a paragraph informing the instructor of the plan for the required 10-hour volunteer service in a community setting, including the supervising organization’s name and other pertinent information.
Submit Part I: The Plan for Community Engagement by 11:59 p.m. (ET) on Sunday of Module/Week 3.
.
Community Career DevelopmentRead the following case study an.docx
Community Career Development
Read the following case study and in 700- to 1050-words (2-3 pages) answer the questions posed after the case study. Use headings to separate the responses to each question. Use at least two (2) resources.
Frank is a 25-year-old veteran who has served two tours of duty in Iraq. While there, he lost his right arm while removing wounded soldiers from the combat zone. He is suffering from posttraumatic stress disorder. His military specialty is artillery maintenance specialist. Now he faces the need to get housing and a civilian job that provides enough income to support himself, his wife, and their two children. While he has been away, his wife and children have lived with her parents, but now Frank and his wife would like to have their own home.
Frank has a high school diploma but has not pursued any education beyond that. Before entering the military, he drove a florist delivery truck. Linda, his wife, has completed an associate degree in paralegal studies at the local community college while Frank has been away. She is willing to work if they could find a way to acquire good child care services.
Questions:
What kinds of next steps would you investigate with Frank as you work with him on an action plan?
To what agencies and resources might you refer Frank?
What kinds of support services does this family need?
.
Community College Initiative Paper 5-7 pages. Must be SUBMITTED BY 2.docx
Community College Initiative Paper 5-7 pages. Must be SUBMITTED BY 2pm Central Time 06/15/20.
Students can choose one of six topics to present a paper thoroughly explaining the assigned initiative, stakeholders involved, expected results, attached legislation, if any, and information on supporters and critics.
The six topics are: community college academic achievement gap, student equity, 4 year transfer, workforce development, online education, and
GUIDED PATHWAYS (Highlighted)
. • Paper should be in APA format, typed, double spaced. • Paper must be written from third person point of view.
.
Communities of practice 1 A brief.docx
Communities
of
practice
1
A
brief
introduction
–
V
April
15,
2015
Communities
of
practice
a
brief
introduction
Etienne
and
Beverly
Wenger-‐Trayner
A
group
of
internal
auditors
in
the
public
sector
from
different
countries
in
Eastern
Europe
and
Central
Asia
were
having
their
34th
official
meeting.
For
seven
years
now
they
had
been
coming
together
to
hear
how
others
in
the
region
were
engaged
in
internal
audit
and
to
create
manuals
and
other
publications
that
they
felt
were
missing
from
their
profession.
Only
a
few
of
the
original
members
were
still
part
of
the
group,
but
the
shared
work,
stories,
and
artifacts
created
over
time
gave
their
meetings
a
sense
of
continuity
and
purpose.
If
you
were
a
fly-‐on-‐the
wall
at
one
of
their
events
you
would
notice
how
new
members
were
warmly
welcomed
into
“the
family”,
how
many
people
stepped
up
to
take
initiative
or
share
their
war
stories,
and
how
ambitious
core
members
were
to
advance
the
practice
of
internal
audit
in
the
public
sector
in
the
region.
Evening
events,
organized
by
the
host
country,
were
always
lively
-‐
with
singing,
dancing
and
the
singing
of
a
hymn
composed
and
sung
by
members.
-‐ The
PEMPAL
Internal
Auditors
Community
of
Practice
-‐
The
term
"community
of
practice"
is
of
relatively
recent
coinage,
even
though
the
phenomenon
it
refers
to
is
age-‐old.
The
concept
has
turned
out
to
provide
a
useful
perspective
on
knowing
and
learning.
A
growing
number
of
people
and
organizations
in
various
sectors
are
now
focusing
on
communities
of
practice
as
a
key
to
improving
their
performance.
This
brief
and
general
introduction
examines
what
communities
of
practice
are
and
why
researchers
and
practitioners
in
so
many
different
contexts
find
them
useful
as
an
approach
to
knowing
and
learning.
What
are
communities
of
practice?
Communities
of
practice
are
formed
by
people
who
engage
in
a
process
of
collective
learning
in
a
shared
domain
of
human
endeavor:
a
tribe
learning
to
survive,
.
Community Concerns Please respond to the followingIn you.docx
"Community Concerns"
Please respond to the following:
In your opinion, what are the most pressing and significant concerns facing communities today? Why do you think so? Respond to at least one of your classmates. How would a business' community relations department address the concern that your classmate has posted? Support your reasoning with at least one quality reference.
.
COMMUNITY ASSESSMENT 1COMMUNITY ASSESSMENT .docx
COMMUNITY ASSESSMENT
1
COMMUNITY ASSESSMENT
2
Example A
Introduction
Public Polies are created when social changes occur. This paper discusses an overview of Burlington County which is a County in New Jersey that currently has 449,284 residents. It is a diverse County that is growing day by day. As in any other County throughout the State, Burlington County has experienced its share of social change concerns. This paper will discuss two specific concerns: Recycling and School Safety issues this is happening in Burlington County and need to be addresses. It will also discuss the important of community demographics and how that affects the decisions that are made when it comes to policy.
An Overview of Burlington County New Jersey
The United States of America consist of 50 different States and 3,142 different Counties. Burlington County is a County located in New Jersey within the United States of America. It is the second largest County in the State of New Jersey. According to the Statistical Atlas (2015), Burlington County consist of six Boroughs, three cities, thirty-two Townships, thirteen unincorporated places, eighteen unified school districts, eighteen elementary school districts, four secondary school districts, seven neighboring Counties, and ten nearby Counties. Burlington County is considered to be a suburban place to live as it is a residential community within commuting distance from large cities such has Philadelphia and New York. There are many residents of Burlington County that more than likely travel to nearby cities for work. When driving through Burlington County, for the most part you will see single-family homes with front and backyards, beautiful grass and trees throughout, shopping malls, office buildings, and nice parks. Burlington County is a fairly quiet and safe place to live and quite different from your urban and rural areas.
Community Demographics
Burlington County, New Jersey currently has a population of 449,284 people with a median age of 41.5 and a median household income of $80,254 (DataUSA). Burlington County is a very diverse County. People from all different cultural backgrounds reside in Burlington County, living door to door from one another, sharing workplaces, schools, stores, parks etc. According to DataUSA, the ethnic configuration of the population in this County, is composed of 304,085 White residents (67.7%), 71,882 Black residents (16%), 35,295 Hispanic residents (7.86%), 23,582 Asian residents (5.25%), and 12,831 Two+ residents (2.86%). The most common spoken language in this County is English but the most common foreign spoken language is Spanish with that population size being 20,774 speakers. Following that is Asian, Portuguese, Gujarati, Greek, and Urdu speakers totaling 54,626 County citizens who do not speak English. Many Burlington County residences own their homes. This rate has increased from 63.1% to 75.8% with all Burlington County residences responsibly for pro.
CommunicationSkillsfor theHealth CareProfessio.docx
This document discusses communicating with patients with low health literacy. It outlines that low health literacy is a problem in the US and is associated with poorer health outcomes. It describes assessing a patient's health literacy level and provides ways for healthcare providers to improve communication, such as using plain language, allowing extra time, and employing techniques like teach-back to ensure understanding. The document emphasizes that improving health literacy requires communication that helps patients understand providers and helps providers understand patients.
COMMUNICATIONS STYLE INVENTORYThis is an informal survey, .docx
COMMUNICATIONS STYLE INVENTORY
This is an informal survey, designed to determine how you usually act in everyday
related situations. The idea is to get a clear description of how you see yourself.
On the answer sheet, circle A or B in each pair of statements below, which shows
the one that MOST, describes you.
1. A) I'm usually open to getting to know people personally and establishing
relationships with them.
B) I'm not usually open to getting to know people personally and establishing
relationships with them.
2. A) I usually react slowly and deliberately.
B) I usually react quickly and spontaneously.
3. A) I'm usually guarded about other people's use of my time.
B) I'm usually open to other people's use of my time.
4. A) I usually introduce myself at social gatherings.
B) I usually wait for others to introduce themselves to me at social
gatherings.
5. A) I usually focus my conversations on the interests of the people involved,
even if that means straying from the business or subject at hand.
B) I usually focus my conversations on the tasks, issues, business, or subject
at hand.
6. A) I'm usually not assertive, and I can be patient with a slow pace.
B) I'm usually assertive, and at times I can be impatient with a slow pace.
7. A) I usually make decisions based on facts or evidence.
B) I usually make decisions based on feelings, experiences or relationships.
8. A) I usually contribute frequently to group conversations.
B) I usually contribute infrequently to group conversations.
9. A) I usually prefer to work with and through others, providing support when
possible.
B) I usually prefer to work independently or dictate the conditions in terms
of how others are involved.
15. A) I usually prefer to keep personal feelings and thoughts private, sharing
only when I wish to do to.
B) I usually find it natural and easy to share and discuss my feelings with
others.
10. A) I usually ask questions or speak tentatively and indirectly.
B) I usually make empathic statements or directly expressed opinions.
11. A) I usually focus primarily on ideas, concepts, or results.
B) I usually focus primarily on persons, interactions, and feelings.
12. A) I usually use gestures, facial expression, and voice intonations to
emphasize points.
B) I usually do not use gestures, facial expressions, and voice intonations to
emphasize points
13. A) I usually accept others' points of view (ideas, feelings, and concerns).
B) I usually don't accept others' points of view (ideas, feelings. and
concerns)
14. A) I usually respond to risk and change in a cautious or predictable manner.
B) I usually respond to risk and change in dynamic or unpredictable manner.
16. A) I usually seek out new or different experiences and situations.
B) I usually choose known or similar situations and relationships.
17. A) I'm usually responsive to others' agendas, interests, and concerns.
B) I'm usually directed toward my own agendas, interests and concerns.
18. A) I usually respon.
Community activism is defined as actions through which organizations.docx
Community activism is defined as actions through which organizations, groups and individual work together to promote economic, social, cultural policies and practice changes. Basically, the key goal of community activism is to endorse actions that decrease health disparities, improve living conditions and enhance community environments. Nowadays, advanced nurse practitioners engage in cooperative and nonstop actions to remove barriers (e.g., social, political, economic barriers, etc.) and change underlying structures aimed to improve the lives of patients subjected to unequal and discriminatory conditions (e.g., minorities groups, LGBTQs, etc.) (Maryland & Gonzalez, 2012).
The key concepts associated with community activism include social justice, praxis, empowerment, critical reflection and consciousness raising. Consciousness raising is a key concept in which is involves the presentation of pertinent information in order to engage with others in critical reflection. Critical reflection is a key concept through which community activists activate possible collective actions and transformations. On the other hand, praxis is a decisive reflective action derived of individual and collective consciousness and theories to create commitment in order to build a justice society (Murphy, 2018).
In addition, empowerment is another key concept that entails processes and results of the implemented transformational actions through which people, communities and organizations increase their control and mastery within political, social and economic frameworks in order to enhance a better quality of life. On the other hand, social justice is a fundamental concept which involves philosophical, public health and political elements embedded in the epitome of human rights and social fairness and impartiality (Murphy, 2018).
Recent data estimates that approximately 38 millions of people are smokers in the United States. Basically, Big Tobacco targets communities such as lower-income ones and creates products which include more addictive substances. These are the key reasons why the prevalence of smokers is higher, particularly among individuals with lower incomes. Therefore, it is crucial that nurses engage in community activism to halt or decrease the negative health impact from Big Tobacco. Some of the actions nurses can implement include the promotion of smoking cessation, education about the negative effects of smoking, increase their understanding of the tobacco industry, and increase awareness about the relationship between smoking and chronic medical conditions such as COPD, cancer, aortic aneurisms, etc. (Savell, Gilmore & Fooks, 2014).
In addition, nurses can alert patients to watch out for deceptions and lies used by these companies to prevent them from quitting. Moreover, nurses must alert smokers the multiple strategies these companies implement to increase their addiction, for instance; several studi.
Community Acquired Pneumonia IntroCommunity-acquired pneumo.docx
Community Acquired Pneumonia: Intro
Community-acquired pneumonia (CAP) is a common group of infectious diseases that are responsible for significant global health and economic burden. CAP affects approximately 5.5/1000 people annually, and is a leading cause of hospital admissions, morbidity, and mortality in developed countries (especially for older people). Among all patients with CAP, those aged 65 or older account for about one-third, but they account for more than half of all health costs due to this disease. COPD is one of the most common comorbidities in patients with CAP, characterized by persistent respiratory symptoms. COPD was the third-most common cause of death in 2008, and the morbidity from COPD is projected to increase by 2020 (Liu, Han, & Liu, 2018).
Brief Summary of Client Case
Client HH is a 68 year-old male admitted with a diagnosis of community-acquired pneumonia for the past 3 days. This client’s medical HX includes COPD, HTN, hyperlipidemia, and diabetes. Mr. HH is on day three of two empiric antibiotics (ceftriaxone 1 g IV daily and azithromycin 500 mg IV daily). The client’s clinical status has improved since admission, with decreased oxygen requirements. However, he is not tolerating anything PO at this time and complains of nausea and vomiting. The client’s height is 5’8” and he weighs 89 kg. The only known drug allergy is PCN which results in a rash.
Analysis
The client in this scenario is responding well to the current antibiotic therapy, as evidence by a drop in WBC count from 18.2 upon admission to 14.6 currently (normal range is between 5.0 and 10). It is also pleasing that the client’s O2 saturation is now 92% on room air alone, compared to 90% while requiring 4L of supplemental oxygen upon admission. Overall, the client’s lab results are not significantly concerning. Neutrophil (normal range 40-60%) and band (normal range 0.0-03%) percentages are slightly elevated as expected given the infectious process (NIH, 2020). Aside from an elevated WBC count that is trending down, a marginally elevated blood glucose, and a HCO3 elevated eight points above the normal limit, the other lab results are within the normal ranges of a healthy adult male (Farinde, 2019). The issues of concern in this client case are the client’s inability to tolerate a diet due to nausea and vomiting, elevated temperature, and continuing antibiotics to treat the pneumonia.
Treatment Considerations
According to Donovan (2019), the client’s empiric antibiotic regime is consistent with what is recommended by the Infectious Diseases Society of America (IDSA). Initial empiric antimicrobial treatment should be initiated until laboratory results can be obtained to guide more specific therapy. Also, a combination of a beta-lactam (ceftriaxone 1 g IV q24h or cefotaxime 1 g IV q8h or ceftaroline 600 mg IV q12h) plus azithromycin 500 mg IV q24h is consistent with IDSA guidelines for a client with comorbidities such as COPD and diab.
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