Case 1 Nose Focused ExamRichard is a 50-year-old male with nasa.docx
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Case 1: Nose Focused Exam Richard is a 50-year-old male with nasal congestion, sneezing, rhinorrhea, and postnasal drainage. Richard has struggled with an itchy nose, eyes, palate, and ears for 5 days. As you check his ears and throat for redness and inflammation, you notice him touch his fingers to the bridge of his nose to press and rub there. He says he's taken Mucinex OTC the past two nights to help him breathe while he sleeps. When you ask if the Mucinex has helped at all, he sneers slightly and gestures that the improvement is only minimal. Richard is alert and oriented. He has pale, boggy nasal mucosa with clear thin secretions and enlarged nasal turbinates, which obstruct airway flow but his lungs are clear. His tonsils are not enlarged but his throat is mildly erythematous. ...
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2014
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Shocks
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infrastructure
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crises
in
key
economies
[1]
Failure
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Natural
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Greater
incidence
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Capstone Project Milestone
2:
Design for Change
Proposal
Guide
lines
Purpose
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P
ractice
I
ssue
and Evidence Summary
worksheet
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Course Outcomes
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•
CO1: Applies the theories and principles of nursing and related disciplines to individuals, families, aggregates, and communities from entry to the healthcare system through long-term planning. (PO #1)
•
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.
Points
Milestone
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225 points
.
Directions
1.
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NR451_Milestone2_Design_Proposal_
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1, your
practice issue
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worksheet
s
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practice
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that
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.
2.
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6
th
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3.
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4.
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a.
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Change
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c.
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d.
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·
·
naptha, kerosene, gasoline, and diesel hydrotreaters;
·
·
isomerization unit;
·
·
naptha reformer;
·
·
fluid catalytic cracker;
·
·
coker;
·
·
hydrocracker;
·
·
polymerization unit (petrochemical section of the refinery polymerizing olefin gases to produce polyethylene);
·
·
sulfur recovery Claus plant (catalytic reactors); and
·
·
distillate/gasoline blending tanks.
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·
·
The evacuation alarm was sounded and the refinery emergency response team (ERT) was activated.
·
·
The plant manager and the local fire department were notified of the incident.
·
·
The incident command was established at the refinery office near the main refinery access gate to the south (this
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Ceate a 2- to 3-page document in Microsoft Word for providing answer.docx
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Cite any sources in APA format.
Week 1 – Review Sheet
E
x
e
r
c
i
se1: Han
g
in
g
-
d
r
opand
w
e
t
-
m
o
untprepa
r
at
i
ons
1.
H
o
w
d
o
e
strue
m
ot
i
li
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ff
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r
f
r
o
m
B
r
o
w
n
i
an
m
o
v
e
m
e
n
t?
2.
W
h
at
m
orpho
l
o
g
i
c
a
l
s
tru
c
t
u
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e
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p
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n
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i
b
l
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f
orba
c
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l
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t
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?
3.
W
hy
i
sa
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p
arat
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arded
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i
s
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f
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c
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t
i
onor
b
i
o
h
a
z
ard
c
o
n
t
a
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r
?
4.
W
h
at
i
s t
h
e
v
a
l
ueofah
a
n
g
i
n
g-
dr
o
p
p
r
e
p
a
r
a
t
i
o
n?
5.
W
h
at
i
s t
h
e
v
a
l
ueofa
w
e
t
-
m
o
u
ntprepara
t
i
o
n
?
E
x
e
r
c
i
se2:
S
im
p
l
e
s
t
ai
n
s
1.
De
f
i
nea
c
i
d
i
ca
n
db
a
s
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c
d
y
e
s
.
W
h
a
t
i
s t
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e
p
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eofe
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2.
W
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3.
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hyarethe
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...
cenario Additional DetailsAs the system administrator, you are al.docx
cenario: Additional Details
As the system administrator, you are always looking for ways to improve your network. Although there are many different types of operating systems, there are many versions of the operating systems, as well. After much research, you have decided that proprietary operating systems would not fit well in a health care facility. An open-source operating system may be a better fit. Your company is currently using a proprietary operating system.
...
CDHPsA new type of third-party-reimbursement healthcare payment pl.docx
CDHPs
A new type of third-party-reimbursement healthcare payment plan is emerging in the United States. CDHPs strive to control costs and improve quality of care by requiring consumers to take control of their own healthcare decisions. Consumers decide how they want to spend their healthcare dollars, depending on what is important to them. CDHPs are geared to encourage participants to enroll in some type of wellness program and improve their lifestyles. Specific types of CDHPs are health reimbursement accounts (HRA), flexible spending accounts (FSA), and health savings accounts (HSA).
However, there are concerns about CDHPs. The consumer may neither understand nor have the education and the tools to manage his or her own healthcare appropriately. This may have long-term ramifications on the whole healthcare system and whether CDHPs can be successful for the consumer, the employer, the physician, and the healthcare facilities, as well as the insurers. Answer the following questions in regard to this development:
Are CDHPs more geared toward the healthier and younger population?
Are they effective for patients with chronic illnesses?
Will they discourage the use of preventative care and cause increased healthcare costs in the future?
After examining the above questions in your analysis, work around the following instructions and create a 8- to 10-page Microsft Word document:
Summarize the history of when, how, and why CDHPs were developed.
Explain HSA, HRA, and FSA with examples.
Examine different segments of the population. Describe which socioeconomic group is likely to benefit the most from CDHPs.
Explain the types of incentives to providers for efficiency in the delivery of healthcare services. Explain who bears the financial risk—the provider, the patient, or the CDHP.
Offer your recommendations for patients considering a CDHP, including which types are appropriate for which patients. Include your recommendations for each, to accept or decline, and also include your rationale behind such recommendations.
...
CC is a previously healthy 27-year-old man admitted to the critical .docx
CC is a previously healthy 27-year-old man admitted to the critical care unit after an accident in which he was hit by a car and dragged along the pavement for nearly 100 feet. He suffered a frontal contusion, fractured clavicle and ribs, and extensive abrasions on his arms, legs, side, back, and buttocks. On admission, he was tachycardic, hypotensive, unresponsive, and ventilating poorly. He was placed on a mechanical ventilator and given IV fluids for the treatment of his shock. CC responded well to fluids, with an increase in blood pressure and an improvement in urine output.
Based on his case history and responsiveness to fluid therapy, what type of shock was CC experiencing?
What other clinical findings would be helpful in confirming the type of shock? Why?
Because of his many open wounds and invasive lines, CC is at risk for sepsis and septic shock. What clinical findings would suggest that this complication has developed?
What is the link between sepsis and multiple organ dysfunction syndrome (MODS)?
...
Case Study Discharged for Off-Duty Behavior1.Given the f.docx
Case Study
Discharged for Off-Duty Behavior
1.
Given the facts of this case, should John have been discharged? Why or why not?
2.
Should the sales representatives of AEM be held to a higher standard of personal conduct than sales representatives for other types of organizations? Explain.
3.
Should management have considered John's past work record before deciding on discharge? Explain.
...
Case Study Executive and Legislative Shared Powers Read the foll.docx
Case Study
Executive and Legislative Shared Powers
Read the following article:
Webb, J. (2013, Spring). Remembrance of powers lost. Wilson Quarterly, 37(2), 65-67. Available from The National Interest.
Provide a case study paper, which examines the process of the shared powers between the executive and legislative federal branches of government as it relates to this particular article. You will want to relate the case study to what you have learned in this course and the course learning outcomes for this unit.
Case study should be at least two pages not including the title page and reference page. All sources used, including the textbook, must be referenced; paraphrased and quoted material must have accompanying citations in APA format.
Course Textbook
Hall, D. E., & Feldmeier, J. P. (2012). Constitutional law: Governmental powers and individual freedoms (2nd ed.). Upper Saddle River, NJ: Pearson.
...
Case StudyWhat escapes many businesses when they merge is a concer.docx
Case Study
What escapes many businesses when they merge is a concern for the changes in culture. As mergers progress a significant amount of research is done on financials, markets, sales operations, etc. Far less attention is paid to integration of employee/employer relationships after the details of the merger are complete (Featherly, 2006). Kevin Wilde, Chief Learning Officer at General Mills, compares culture to the water in a fish bowl. The water surrounds and sustains, but the fish remain unaware of it's exact properties. When two fishbowls merge, the resulting change is atmosphere is subtle, but still a shock to the system (Featherly, 2006).
One concern newly-merged companies have is the integration of the sales forces. When General Mills and Pillsbury merged in late October of 2001, the combined sales of the new company was estimated at $13 billion and it become the 5th largest food company, doubling it's annual sales (General Mills-Pillsbury gets the ok, 2001). This larger, more complex system took on 40 new countries and major markets (Whitney, 2004). The goal of the Chief Learning Officer on behalf of the organization was to get everyone working toward the same goals.
It's critical to engage the sales team immediately. Without revenue, the company will falter immediately. After some initial training, Wilde thought the two sales teams were working in tandem. It was quite a shock for him to find out that in a climate survey the original Pillsbury team gave very low scores to the question asking if they understood their jobs, their goals, and how to get things done (Whitney, 2004). This was clearly cause for concern.
Case Study Questions
After reading the case study consider the following questions.
What issues of integrating employees arise in a merger the size of that undertaken by General Mills and Pillsbury?
What do you think underlies the low scores of understanding jobs, goals, and getting things done from Pillsbury's original salesforce?
What should Kevin Wilde, the CLO, do to bring the two salesforces together? Be specific and consider the whole OD process.
What other kinds of training should the new company offer to ensure the workforce is ready for a new future together?
...
Case StudyThis chapter provided a general summary of the missi.docx
Case Study
This chapter provided a general summary of the mission of the community colleges in light of current and emerging trends facing these institutions (e.g., minority student initiatives, part-time faculty, bachelor’s degrees, and Obama administrations initiatives). Our goal has been to convey to leaders that all trends, in one way or another, relate directly to the mission of these institutions. These trends challenge community college leaders to serve as mavericks in realizing and advancing the mission of the community college.
Below, we present a case study that requires leaders to utilize their understanding of the historical, current, and future trajectory of these institutions in responding to a leadership dilemma. In addressing the case study scenario, pay particular attention to the role of emerging trends (presented in this chapter) in resolving the case. President Cathryn Addy Tunxis Community College Farmington, Connecticut Converging Issues as an Opportunity for Change Background Doe Community College, located in an eastern city of 100,000, was founded in 1952. It has an enrollment of 6,780 FTE (full-time equivalent) and a headcount enrollment of slightly over 8,000 in credit classes. Noncredit enrollment is around 3,000 annually. There are 100 full-time faculty who ← 286 | 287 → teach a 12 credit load on average, 280 adjunct faculty, and approximately 60 other professionals and administrators. There is one campus of approximately 300,000 square feet on 10 acres of land, and one satellite campus 50 miles away in a rural area that opened in a renovated high school 20 years ago. Doe CC is one of 14 publicly supported community colleges in the state but gets one-third of its funding locally, drawn proportionately from each of the 17 school districts in its service area. Another one-third comes from the state according to a long established allocation formula, and the remaining one-third comes from tuition, fees, and auxiliary income from grants, noncredit enrollments, and other enterprises such as the bookstore and a small restaurant on campus run by the culinary students. Over the last three years, the local districts have become more and more vocal about no longer being able to afford to provide funding to Doe, and have been threatening to withdraw from the partnership. The college has just been given an 18-month window in which to develop an alternate plan for the funding its needs at the local level. The state has made it clear that it does not intend to make up the difference, and has also limited the amount that can be raised from a tuition increase. Programmatically, Doe CC has always been strong in the applied technology and science areas, and its students have reflected that: 80 percent (60 percent male) are enrolled in Associate of Applied Science programs, while the remaining 20 percent (80 percent female) are in Associate of Arts program areas. Recently the college has struggled to maintain its enrollment levels ...
Case Study The New Union Battles Public Unions vs. Rich World Gov.docx
Case Study
The New Union Battles: Public Unions vs. Rich World Governments
Why were politicians in 2011 so interested in trying to repeal collective bargaining rights for public sector employees?
What risks does losing their collective bargaining rights hold for public employees?
As an elected politician charged with major cuts in your state budget, how would you negotiate with the public sector unions? As a public sector union leader, how would you negotiate with the state legislature?
...
Case StudyJohn Doe is an individual who left his country in an ef.docx
Case Study:
John Doe is an individual who left his country in an effort to make a better life. However, he does not have legal status in America and was recently arrested for shoplifting merchandise, which was valued over $1,000. At the time of his arrest, John voluntarily began to make incriminating statements to the arresting officers. At the police station, detectives conducted an interview of John asking him about the theft. John Doe has had no prior arrests, is 35 years old, and most of John Doe’s family still resides in his home country. Due to the amount of money involved, the crime is deemed a felony and John was arrested and placed in the county jail in Toms River, NJ. He is going to face the judge in the Ocean County Superior Court; however, he has no money for bail.
Please discuss the following questions, explaining your answers in detail by analyzing the facts presented and other factors you consider relevant; defining and explaining key legal terms and principles; and citing legal authority (your text and other legal authority) to support your conclusions in a 2–3 page paper (excluding the title page and reference page).
Since John was in custody, what are the procedural steps the police were required to take once John began to incriminate himself?
What procedural steps must the officers perform following John’s arrest and interview at the police station?
The court could choose either a preliminary hearing or a grand jury proceeding to establish probable cause for the felony charges in this case. Compare and contrast the two procedures.
Identify what issues the judge would take into consideration when setting bond for John.
Explain what an arraignment is and what occurs during an arraignment.
Note:
This Assignment will require outside research. Use at least two credible sources beyond the text material, and discuss how you evaluated the credibility of the resources used. You may consult the Kaplan Online Library, the internet, the textbook, course material, and any other outside resources in supporting your task. Use proper citations in APA style.
The paper should contain a cover page and a list of references in APA format.
All internal citation of outside sources plus the listing of all references should also adhere to APA format.
...
Case Study, MohrCHAPTER 38, Homeless ClientsIn completing the ca.docx
Case Study, Mohr
CHAPTER 38, Homeless Clients
In completing the case study, students will be addressing the following learning objectives:
Discuss factors that contribute to homelessness in people with mental illness.
Discuss barriers that prevent homeless people with mental illness from receiving care measures to promote access.
Kevin, a 39-year-old unemployed homeless male who has paranoid schizophrenia, was brought to the psychiatric hospital by the police. Citizens called the police because Kevin was in the street directing pedestrians and traffic in opposition to the traffic lights and verbally abusing everyone who did not follow his directions. Kevin is known to the police since he is often homeless, and states that his family does not want him. Kevin also has a history of poly substance abuse with alcohol, heroin, and crack cocaine, and he has been jailed for public intoxication several times. The nursing assessment reveals that Kevin has not been taking his prescribed psychotropic medications for 3 weeks. Kevin states that he does not have any money, and he does not remember where to go for mental health care (Learning Objectives: 2)
a. What are the major factors that contribute to Kevin’s frequent homelessness?
b. What barriers does Kevin face in the receiving treatment? How can these barriers be addressed?
...
CASE STUDY ONE COLLEEN M.Colleen M. is a 15-year-old Caucasia.docx
CASE STUDY ONE: COLLEEN M.
Colleen M.
is a 15-year-old Caucasian girl. She has lived in the state for her entire life. Her father abandoned the family when she was an infant and her mother is currently in a drug rehabilitation facility. Colleen has been living on a farm with her aunt. Although she has no prior contact with the law, she admits to having run away from her aunt in the past, though she always returned on her own.
Colleen’s current trouble is centered on a neighbor’s dispute about her dog. After the dog bit the neighbor, the neighbor threatened and attempted to take the dog to animal control. When the neighbor later found Colleen and the dog trespassing on her property, the neighbor verbally threatened to “get” them both. Apparently, the neighbor set fire to a scarecrow on her property to emphasize her point.
At this point, Colleen threw a nearby bucket of liquid on the neighbor. The liquid was later determined to be a pesticide. The pesticide burned the skin on contact and triggered an extreme allergic reaction in the neighbor, resulting in her death. Colleen was charged with involuntary manslaughter and was determined delinquent by the court. Colleen claims that she was simply attempting to douse the fire.
Coincidentally, a few weeks prior, Colleen had been a passenger of a motor home that had collided with a vehicle driven by the neighbor’s sister. This accident resulted in the neighbor’s sister’s death, though it was ruled an accidental homicide. Witnesses report that Colleen took a pair of fancy shoes off the feet of the corpse and immediately put them on her own feet. Colleen defends her actions by claiming that an observer told her to do this.
At the time of her arrest, Colleen’s blood tested positive for opiates. Colleen claims that while traveling with three homeless men, they unknowingly stumbled upon a field of poppies and that before they knew it; the intoxicating aroma caused her to pass out. Colleen claims not to have a drug problem. Colleen states that all she wants to do now is go home and that she misses her Aunt Emily.
CASE STUDY TWO: XANDER L.
Xander L
. is a 17-year-old African American male and documented gang member. His prior juvenile adjudications include purse snatching, breaking and entering, and drug possession. His first juvenile adjudication occurred when he was 13 years old. He has served a year of custody in the juvenile correctional facility and has been placed on probation twice previously. His latest arrest is for possession of a concealed weapon, to which he has pled guilty.
Xander lives with his mother in the housing projects. He reports no contact with his father. His mother presently works two jobs. Although she is supportive of him, and Xander reports a close relationship with his mother, she does not approve of his conduct. In the past, she has reported him to the police. Xander indicates that he has dropped out of high school, but would like to get his general equivalency d ...
Overview on Edible Vaccine: Pros & Cons with Mechanism
This ppt include the description of the edible vaccine i.e. a new concept over the traditional vaccine administered by injection.
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Chamberlain College of NursingNR451RN Capstone CourseCapsto.docx
Chamberlain College of Nursing
NR451:
RN Capstone Course
Capstone Project Milestone
2:
Design for Change
Proposal
Guide
lines
Purpose
You are to create a Design for Change proposal inclusive of your
P
ractice
I
ssue
and Evidence Summary
worksheet
from your Capstone Project Milestone #1. Your plan is to convince your management team of a nursing problem you have uncovered and you feel is significant enough to change the way something is currently practiced. In the event you are not currently working as a nurse, please use a hypothetical clinical situation you experienced in nursing school, or nursing education issue you identified in your nursing program.
Course Outcomes
This assignment enables the student to meet the following course outcomes.
•
CO1: Applies the theories and principles of nursing and related disciplines to individuals, families, aggregates, and communities from entry to the healthcare system through long-term planning. (PO #1)
•
CO2: Proposes leadership and collaboration strategies for use with consumers and other healthcare providers in managing care and/or delegating responsibilities for health promotion, illness prevention, health restoration and maintenance, and rehabilitative activities. (PO #2)
Due Date
Milestone
2 consists of the proposal for your Design for Change
Capstone Project. Submit this assignment
to the Dropbox by the end of
Week 4
.
Points
Milestone
2 is worth
225 points
.
Directions
1.
Create a proposal for your Design for Change Capstone Project. Open the
NR451_Milestone2_Design_Proposal_
template in Course Resources
to create your paper
. You will include
the information from Milestone
1, your
practice issue
and evidence summary
worksheet
s
, as you compose this proposal. Your plan is to convince your management team of a
practice
problem you have uncovered
that
is significant enough to change
current practice
.
2.
The format for this proposal will be a paper following the
Publication manual of APA
6
th
edition.
3.
The paper is to be four- to six-pages excluding the Title page and Reference page.
4.
As you organize your information and evidence, include the following topics.
a.
Introduction:
Write an introduction but do not use “Introduction” as a heading in accordance with the rules put forth in the
Publication manual of the American Psychological Association
(2010, p. 63).
Introduce the reader to the plan with evidence-based problem identification and solution.
b.
Change
Model Overview:
Overview of ACE Star model; define the scope of the EBP; identify the stakeholders, and determine the responsibility of the team members.
c.
Evidence:
Conduct internal and external searches of evidence; integrate and summarize the evidence summary worksheet from Milestone 1; develop a recommendation for change.
d.
Translation:
develop a hypothetical action plan; include measurable outcomes, reporting to stakeholders; identify next steps and disseminate the findings.
e.
...
Change and Personal Reflection Please respond to the following.docx
"Change and Personal Reflection" Please respond to the following:
Identify a reason to necessitate change in the criminal justice organization of your choice (police, courts corrections, etc.) and discuss the process in which the change will occur.
Discuss where you expect to be in five years after receiving your degree in Criminal Justice, e.g. do you expect to be in your current job, in another job, etc.?
...
CH 1-11 do not plagiarize! Take a moment to reflect on what you .docx
CH 1-11 do not plagiarize!
Take a moment to reflect on what you believe to be defining characteristics of entrepreneurs and answer the following questions:
(1) What is an entrepreneur?
(2) What do you believe to be three defining characteristics of entrepreneurs? Why?
(3) Do you agree with Peter Drucker's assessment? Why or why not?
(4) What is innovation and how is it related to entrepreneurship?
...
Chambliss discusses the efforts to revitalize the economically distr.docx
Chambliss discusses the efforts to revitalize the economically distressed urban core in several major cities. What are the potential effects of urban renewal and gentrification on the economy and current residents of the neighborhood? How can urban renewal be balanced with the needs of the residents who may be displaced? For those who have lived in a city, do you have examples that support or contradict the description of urban renewal from the reading?
...
Certified medical administrative assistants (CMAAs) need to be aware.docx
Certified medical administrative assistants (CMAAs) need to be aware of the many medical options that are available in their community.
For this assignment, develop a document that contains the community resources for breast cancer patients.
Discuss the steps that will be taken to gather and present the information.
Include a procedure to update the information on a regular basis.
I HAVE ALREADY DONE THE FIRST PORTION OF COLLECTING COMMUNITY RESOURCES FOR BREAST CANCER PATIENTS..
I NEED HELP WITH THE LAST TWO PORTIONS IN BOLD! THIS IS DUE TONIGHT BY 6PM CENTRAL TIME.. I NEED HELP..
...
Chapter 1 (The Expansion of Criminological Theory)1. Compare and con.docx
Chapter 1 (The Expansion of Criminological Theory)1. Compare and contrast the sociological (Mills) and criminological (Williams imaginations.2. Why do you think social science and criminological theories are less successful and prediction and focus more on description and low-level explanation?The written answers (1.5-2 pages each question, typed, double-spaced, one-inch margins all around, 10-point font
...
Challenges in Rebuilding and ReconstructionA small community is de.docx
Challenges in Rebuilding and Reconstruction
A small community is devastated by a flood, and the historic Main Street of the community suffers severe damages. The community has been experiencing economic hardship for the last decade and many argue that this disaster represents an opportunity to gentrify Main Street with parks, walkways, and bike paths. This reconstruction also offers an opportunity to improve the community’s economy with new buildings and businesses. However, there is a good deal of opposition to this plan because of the historical nature of Main Street. Opponents argue that the installation of walkways, bike paths, parks, and new buildings is incompatible with the historical nature of Main Street. The extent to which emergency managers and city officials decide to rebuild or reconstruct will vary depending on individual community needs.
For this Discussion, review the Learning Resources for this week. Reflect on why historical properties and landscapes are important to people and communities. Consider the implications related to rebuilding and reconstructing after a disaster event specifically as it applies to historic structures.
Post
a brief explanation of two or three challenges that officials might face in deciding whether to rebuild or reconstruct historic and cultural structures after an emergency event.
Be sure to use the Learning Resources and current literature to support your response.
Phillips, B. D. (2015).
Disaster recovery
(2nd ed.). Boca Raton, FL: Taylor & Francis Group.
Chapter 4, “Debris Management” (pp. 91-128)
Chapter 6, “Historic and Cultural Resources” (pp. 163-194)
...
Catherine OwensRead the incident scenario, and write a response th.docx
Catherine Owens
Read the incident scenario, and write a response that is at least three pages in length. Your response must include answers to the questions being asked. All sources used, including the textbook, must be referenced. Paraphrased and/or quoted materials must have accompanying in-text and reference citations in APA format.
Scenario:
You are the Refinery Emergency Response Coordinator for an incident at the SJV Refinery which has been in operation since 1966. The refinery processes 120,000 bbls of crude oil per day, which has a sulfur content of 2.5 percent. The refinery converts crude oil to naptha, light oil, and heavy oils using the Atmospheric/Vacuum Distillation Unit with key equipment such as the following:
·
·
naptha, kerosene, gasoline, and diesel hydrotreaters;
·
·
isomerization unit;
·
·
naptha reformer;
·
·
fluid catalytic cracker;
·
·
coker;
·
·
hydrocracker;
·
·
polymerization unit (petrochemical section of the refinery polymerizing olefin gases to produce polyethylene);
·
·
sulfur recovery Claus plant (catalytic reactors); and
·
·
distillate/gasoline blending tanks.
The refinery was initiating work on a major plant turnaround at the time of the incident to complete required maintenance repairs, mechanical integrity inspections, and modifications to existing equipment. Twenty contractor companies (approximately 150 employees) have been contracted to perform this work under the direction of refinery staff. All of the contractor workers completed the refinery orientation training.
Work for the contractor crews is assigned/scheduled each morning. On the day of the incident, the day-shift (6 am to 6 pm) crew had been tasked with isolating the acid gas feed stream for the Claus unit. Due to other work priorities, the crew did not isolate the line as planned. A shift turnover for the night contractor crew did not happen due to mandatory safety training that delayed their arrival at the worksite. Upon their arrival at the work site, the night crew held a job safety analysis (JSA) review of the scheduled task (line breaking of the acid gas feed line to replace a segment) to be performed and the hazards present. No pressure gauges or monitoring was present to indicate that the acid gas feed line was operational. The crew initiated the line breaking activity (open the line to the atmosphere) at approximately 7:45 pm under self-contained breathing apparatus (SCBA), which almost immediately resulted in the uncontrolled release of acid gas. A nearby ignition source from a welding operation ignited the flammable gas. The following actions were initially taken:
·
·
The evacuation alarm was sounded and the refinery emergency response team (ERT) was activated.
·
·
The plant manager and the local fire department were notified of the incident.
·
·
The incident command was established at the refinery office near the main refinery access gate to the south (this
is the furthest distance within the refinery boundary ...
Ceate a 2- to 3-page document in Microsoft Word for providing answer.docx
Ceate a 2- to 3-page document in Microsoft Word for providing answers to questions in the following review sheets:
Support your responses with examples.
Cite any sources in APA format.
Week 1 – Review Sheet
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...
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As the system administrator, you are always looking for ways to improve your network. Although there are many different types of operating systems, there are many versions of the operating systems, as well. After much research, you have decided that proprietary operating systems would not fit well in a health care facility. An open-source operating system may be a better fit. Your company is currently using a proprietary operating system.
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CDHPsA new type of third-party-reimbursement healthcare payment pl.docx
CDHPs
A new type of third-party-reimbursement healthcare payment plan is emerging in the United States. CDHPs strive to control costs and improve quality of care by requiring consumers to take control of their own healthcare decisions. Consumers decide how they want to spend their healthcare dollars, depending on what is important to them. CDHPs are geared to encourage participants to enroll in some type of wellness program and improve their lifestyles. Specific types of CDHPs are health reimbursement accounts (HRA), flexible spending accounts (FSA), and health savings accounts (HSA).
However, there are concerns about CDHPs. The consumer may neither understand nor have the education and the tools to manage his or her own healthcare appropriately. This may have long-term ramifications on the whole healthcare system and whether CDHPs can be successful for the consumer, the employer, the physician, and the healthcare facilities, as well as the insurers. Answer the following questions in regard to this development:
Are CDHPs more geared toward the healthier and younger population?
Are they effective for patients with chronic illnesses?
Will they discourage the use of preventative care and cause increased healthcare costs in the future?
After examining the above questions in your analysis, work around the following instructions and create a 8- to 10-page Microsft Word document:
Summarize the history of when, how, and why CDHPs were developed.
Explain HSA, HRA, and FSA with examples.
Examine different segments of the population. Describe which socioeconomic group is likely to benefit the most from CDHPs.
Explain the types of incentives to providers for efficiency in the delivery of healthcare services. Explain who bears the financial risk—the provider, the patient, or the CDHP.
Offer your recommendations for patients considering a CDHP, including which types are appropriate for which patients. Include your recommendations for each, to accept or decline, and also include your rationale behind such recommendations.
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CC is a previously healthy 27-year-old man admitted to the critical .docx
CC is a previously healthy 27-year-old man admitted to the critical care unit after an accident in which he was hit by a car and dragged along the pavement for nearly 100 feet. He suffered a frontal contusion, fractured clavicle and ribs, and extensive abrasions on his arms, legs, side, back, and buttocks. On admission, he was tachycardic, hypotensive, unresponsive, and ventilating poorly. He was placed on a mechanical ventilator and given IV fluids for the treatment of his shock. CC responded well to fluids, with an increase in blood pressure and an improvement in urine output.
Based on his case history and responsiveness to fluid therapy, what type of shock was CC experiencing?
What other clinical findings would be helpful in confirming the type of shock? Why?
Because of his many open wounds and invasive lines, CC is at risk for sepsis and septic shock. What clinical findings would suggest that this complication has developed?
What is the link between sepsis and multiple organ dysfunction syndrome (MODS)?
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Case Study Discharged for Off-Duty Behavior1.Given the f.docx
Case Study
Discharged for Off-Duty Behavior
1.
Given the facts of this case, should John have been discharged? Why or why not?
2.
Should the sales representatives of AEM be held to a higher standard of personal conduct than sales representatives for other types of organizations? Explain.
3.
Should management have considered John's past work record before deciding on discharge? Explain.
...
Case Study Executive and Legislative Shared Powers Read the foll.docx
Case Study
Executive and Legislative Shared Powers
Read the following article:
Webb, J. (2013, Spring). Remembrance of powers lost. Wilson Quarterly, 37(2), 65-67. Available from The National Interest.
Provide a case study paper, which examines the process of the shared powers between the executive and legislative federal branches of government as it relates to this particular article. You will want to relate the case study to what you have learned in this course and the course learning outcomes for this unit.
Case study should be at least two pages not including the title page and reference page. All sources used, including the textbook, must be referenced; paraphrased and quoted material must have accompanying citations in APA format.
Course Textbook
Hall, D. E., & Feldmeier, J. P. (2012). Constitutional law: Governmental powers and individual freedoms (2nd ed.). Upper Saddle River, NJ: Pearson.
...
Case StudyWhat escapes many businesses when they merge is a concer.docx
Case Study
What escapes many businesses when they merge is a concern for the changes in culture. As mergers progress a significant amount of research is done on financials, markets, sales operations, etc. Far less attention is paid to integration of employee/employer relationships after the details of the merger are complete (Featherly, 2006). Kevin Wilde, Chief Learning Officer at General Mills, compares culture to the water in a fish bowl. The water surrounds and sustains, but the fish remain unaware of it's exact properties. When two fishbowls merge, the resulting change is atmosphere is subtle, but still a shock to the system (Featherly, 2006).
One concern newly-merged companies have is the integration of the sales forces. When General Mills and Pillsbury merged in late October of 2001, the combined sales of the new company was estimated at $13 billion and it become the 5th largest food company, doubling it's annual sales (General Mills-Pillsbury gets the ok, 2001). This larger, more complex system took on 40 new countries and major markets (Whitney, 2004). The goal of the Chief Learning Officer on behalf of the organization was to get everyone working toward the same goals.
It's critical to engage the sales team immediately. Without revenue, the company will falter immediately. After some initial training, Wilde thought the two sales teams were working in tandem. It was quite a shock for him to find out that in a climate survey the original Pillsbury team gave very low scores to the question asking if they understood their jobs, their goals, and how to get things done (Whitney, 2004). This was clearly cause for concern.
Case Study Questions
After reading the case study consider the following questions.
What issues of integrating employees arise in a merger the size of that undertaken by General Mills and Pillsbury?
What do you think underlies the low scores of understanding jobs, goals, and getting things done from Pillsbury's original salesforce?
What should Kevin Wilde, the CLO, do to bring the two salesforces together? Be specific and consider the whole OD process.
What other kinds of training should the new company offer to ensure the workforce is ready for a new future together?
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Case StudyThis chapter provided a general summary of the missi.docx
Case Study
This chapter provided a general summary of the mission of the community colleges in light of current and emerging trends facing these institutions (e.g., minority student initiatives, part-time faculty, bachelor’s degrees, and Obama administrations initiatives). Our goal has been to convey to leaders that all trends, in one way or another, relate directly to the mission of these institutions. These trends challenge community college leaders to serve as mavericks in realizing and advancing the mission of the community college.
Below, we present a case study that requires leaders to utilize their understanding of the historical, current, and future trajectory of these institutions in responding to a leadership dilemma. In addressing the case study scenario, pay particular attention to the role of emerging trends (presented in this chapter) in resolving the case. President Cathryn Addy Tunxis Community College Farmington, Connecticut Converging Issues as an Opportunity for Change Background Doe Community College, located in an eastern city of 100,000, was founded in 1952. It has an enrollment of 6,780 FTE (full-time equivalent) and a headcount enrollment of slightly over 8,000 in credit classes. Noncredit enrollment is around 3,000 annually. There are 100 full-time faculty who ← 286 | 287 → teach a 12 credit load on average, 280 adjunct faculty, and approximately 60 other professionals and administrators. There is one campus of approximately 300,000 square feet on 10 acres of land, and one satellite campus 50 miles away in a rural area that opened in a renovated high school 20 years ago. Doe CC is one of 14 publicly supported community colleges in the state but gets one-third of its funding locally, drawn proportionately from each of the 17 school districts in its service area. Another one-third comes from the state according to a long established allocation formula, and the remaining one-third comes from tuition, fees, and auxiliary income from grants, noncredit enrollments, and other enterprises such as the bookstore and a small restaurant on campus run by the culinary students. Over the last three years, the local districts have become more and more vocal about no longer being able to afford to provide funding to Doe, and have been threatening to withdraw from the partnership. The college has just been given an 18-month window in which to develop an alternate plan for the funding its needs at the local level. The state has made it clear that it does not intend to make up the difference, and has also limited the amount that can be raised from a tuition increase. Programmatically, Doe CC has always been strong in the applied technology and science areas, and its students have reflected that: 80 percent (60 percent male) are enrolled in Associate of Applied Science programs, while the remaining 20 percent (80 percent female) are in Associate of Arts program areas. Recently the college has struggled to maintain its enrollment levels ...
Case Study The New Union Battles Public Unions vs. Rich World Gov.docx
Case Study
The New Union Battles: Public Unions vs. Rich World Governments
Why were politicians in 2011 so interested in trying to repeal collective bargaining rights for public sector employees?
What risks does losing their collective bargaining rights hold for public employees?
As an elected politician charged with major cuts in your state budget, how would you negotiate with the public sector unions? As a public sector union leader, how would you negotiate with the state legislature?
...
Case StudyJohn Doe is an individual who left his country in an ef.docx
Case Study:
John Doe is an individual who left his country in an effort to make a better life. However, he does not have legal status in America and was recently arrested for shoplifting merchandise, which was valued over $1,000. At the time of his arrest, John voluntarily began to make incriminating statements to the arresting officers. At the police station, detectives conducted an interview of John asking him about the theft. John Doe has had no prior arrests, is 35 years old, and most of John Doe’s family still resides in his home country. Due to the amount of money involved, the crime is deemed a felony and John was arrested and placed in the county jail in Toms River, NJ. He is going to face the judge in the Ocean County Superior Court; however, he has no money for bail.
Please discuss the following questions, explaining your answers in detail by analyzing the facts presented and other factors you consider relevant; defining and explaining key legal terms and principles; and citing legal authority (your text and other legal authority) to support your conclusions in a 2–3 page paper (excluding the title page and reference page).
Since John was in custody, what are the procedural steps the police were required to take once John began to incriminate himself?
What procedural steps must the officers perform following John’s arrest and interview at the police station?
The court could choose either a preliminary hearing or a grand jury proceeding to establish probable cause for the felony charges in this case. Compare and contrast the two procedures.
Identify what issues the judge would take into consideration when setting bond for John.
Explain what an arraignment is and what occurs during an arraignment.
Note:
This Assignment will require outside research. Use at least two credible sources beyond the text material, and discuss how you evaluated the credibility of the resources used. You may consult the Kaplan Online Library, the internet, the textbook, course material, and any other outside resources in supporting your task. Use proper citations in APA style.
The paper should contain a cover page and a list of references in APA format.
All internal citation of outside sources plus the listing of all references should also adhere to APA format.
...
Case Study, MohrCHAPTER 38, Homeless ClientsIn completing the ca.docx
Case Study, Mohr
CHAPTER 38, Homeless Clients
In completing the case study, students will be addressing the following learning objectives:
Discuss factors that contribute to homelessness in people with mental illness.
Discuss barriers that prevent homeless people with mental illness from receiving care measures to promote access.
Kevin, a 39-year-old unemployed homeless male who has paranoid schizophrenia, was brought to the psychiatric hospital by the police. Citizens called the police because Kevin was in the street directing pedestrians and traffic in opposition to the traffic lights and verbally abusing everyone who did not follow his directions. Kevin is known to the police since he is often homeless, and states that his family does not want him. Kevin also has a history of poly substance abuse with alcohol, heroin, and crack cocaine, and he has been jailed for public intoxication several times. The nursing assessment reveals that Kevin has not been taking his prescribed psychotropic medications for 3 weeks. Kevin states that he does not have any money, and he does not remember where to go for mental health care (Learning Objectives: 2)
a. What are the major factors that contribute to Kevin’s frequent homelessness?
b. What barriers does Kevin face in the receiving treatment? How can these barriers be addressed?
...
CASE STUDY ONE COLLEEN M.Colleen M. is a 15-year-old Caucasia.docx
CASE STUDY ONE: COLLEEN M.
Colleen M.
is a 15-year-old Caucasian girl. She has lived in the state for her entire life. Her father abandoned the family when she was an infant and her mother is currently in a drug rehabilitation facility. Colleen has been living on a farm with her aunt. Although she has no prior contact with the law, she admits to having run away from her aunt in the past, though she always returned on her own.
Colleen’s current trouble is centered on a neighbor’s dispute about her dog. After the dog bit the neighbor, the neighbor threatened and attempted to take the dog to animal control. When the neighbor later found Colleen and the dog trespassing on her property, the neighbor verbally threatened to “get” them both. Apparently, the neighbor set fire to a scarecrow on her property to emphasize her point.
At this point, Colleen threw a nearby bucket of liquid on the neighbor. The liquid was later determined to be a pesticide. The pesticide burned the skin on contact and triggered an extreme allergic reaction in the neighbor, resulting in her death. Colleen was charged with involuntary manslaughter and was determined delinquent by the court. Colleen claims that she was simply attempting to douse the fire.
Coincidentally, a few weeks prior, Colleen had been a passenger of a motor home that had collided with a vehicle driven by the neighbor’s sister. This accident resulted in the neighbor’s sister’s death, though it was ruled an accidental homicide. Witnesses report that Colleen took a pair of fancy shoes off the feet of the corpse and immediately put them on her own feet. Colleen defends her actions by claiming that an observer told her to do this.
At the time of her arrest, Colleen’s blood tested positive for opiates. Colleen claims that while traveling with three homeless men, they unknowingly stumbled upon a field of poppies and that before they knew it; the intoxicating aroma caused her to pass out. Colleen claims not to have a drug problem. Colleen states that all she wants to do now is go home and that she misses her Aunt Emily.
CASE STUDY TWO: XANDER L.
Xander L
. is a 17-year-old African American male and documented gang member. His prior juvenile adjudications include purse snatching, breaking and entering, and drug possession. His first juvenile adjudication occurred when he was 13 years old. He has served a year of custody in the juvenile correctional facility and has been placed on probation twice previously. His latest arrest is for possession of a concealed weapon, to which he has pled guilty.
Xander lives with his mother in the housing projects. He reports no contact with his father. His mother presently works two jobs. Although she is supportive of him, and Xander reports a close relationship with his mother, she does not approve of his conduct. In the past, she has reported him to the police. Xander indicates that he has dropped out of high school, but would like to get his general equivalency d ...
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BÀI TẬP BỔ TRỢ TIẾNG ANH GLOBAL SUCCESS LỚP 3 - CẢ NĂM (CÓ FILE NGHE VÀ ĐÁP Á...
BÀI TẬP BỔ TRỢ TIẾNG ANH GLOBAL SUCCESS LỚP 3 - CẢ NĂM (CÓ FILE NGHE VÀ ĐÁP Á...
Instructions for Submissions thorugh G- Classroom.pptx
Instructions for Submissions thorugh G- Classroom.pptx
The French Revolution Class 9 Study Material pdf free download
The French Revolution Class 9 Study Material pdf free download
Case 1 Nose Focused ExamRichard is a 50-year-old male with nasa.docx
- 1. Case 1: Nose Focused Exam Richard is a 50-year-old male with nasal congestion, sneezing, rhinorrhea, and postnasal drainage. Richard has struggled with an itchy nose, eyes, palate, and ears for 5 days. As you check his ears and throat for redness and inflammation, you notice him touch his fingers to the bridge of his nose to press and rub there. He says he's taken Mucinex OTC the past two nights to help him breathe while he sleeps. When you ask if the Mucinex has helped at all, he sneers slightly and gestures that the improvement is only minimal. Richard is alert and oriented. He has pale, boggy nasal mucosa with clear thin secretions and enlarged nasal turbinates, which obstruct airway flow but his lungs are clear. His tonsils are not enlarged but his throat is mildly erythematous.