This document provides information and instructions for a semester project on researching and presenting on a disease. Students will:
1. Choose a disease to research and write a 3-5 page paper on, covering topics like symptoms, diagnosis, treatment, prevention, and prognosis.
2. Create a slideshow presentation summarizing their research to present to the class. The presentation must be 3-5 minutes long and include 7-12 slides covering introductory information, symptoms, diagnosis, treatment/prevention, and prognosis.
3. The project is worth 20% of the student's grade and consists of the research paper due January 22nd and the presentation due January 24th. Students will be evaluated based on rub
Health Professions Advising Foundation TalkEmil Chuck
General information about health professions (premedical) advising at George Mason University. These slides were given for talks introducing the advising system in October 2006.
Running head FINAL WRITTEN PROPOSAL1FINAL WRITTEN PROPOSAL.docxcharisellington63520
Running head: FINAL WRITTEN PROPOSAL1
FINAL WRITTEN PROPOSAL2
Final Written Proposal
Toni Stewart
Rasmussen College
Author Note
This paper is being submitted on December 6, 2015 for Professor Kerley’s G171/COMM1388 Communicating in Your Profession course.
Problems Faced in the Medical Industries
Executive Summary
It is important for all health care professionals to ensure that due care is provides to them. This requires all qualified medical doctors give patients the time for diagnosis and subsequent treatment. In many health care centers, doctors may be overwhelmed leading to cases where their assistants have to step in and take over their role. In the process, this may compromise the quality of care accorded to the patients and may have significant ramifications legally and otherwise. There are, however, certain measures that can be taken to deal with this problem. One such measure rests on restructuring the system in a manner which the PA’s see them first and do the initial assessment, and then one of the doctors do the final assessment. This might mean cutting down the number of patients seen per day so that the PA’s and Doctors can better focus on taking good care of the ones they do see. This proposal will examine who this system will be implemented in a selected health care center highlighting the benefits that accrue from it.
Purpose
At Family Healthcare Associates, Inc., physicians and their assistants have always been challenged with huge number of patients in their clinics. The aim of this strategy is to reduce the cost of operation for the clinic due to huge medical expenses available in the market today. Senior management needs to adopt a business like strategy to ensure the clinic remain a float and doctors have enough time to focus on each patient per specific period of time (Fattal, 2011).
Problem
The cost of maintaining Family Healthcare Associates, Inc. has been a challenge due to increase in salaries and financial packages. These increases in financial expenditure by the clinic have made it impossible to manage doctor-patient relationship that most clinics have set standards for. These challenges can pose a threat to the health of many patients who require immediate medical attention on time. The Doctors have such a busy schedule that they do not have the personal one on one relationships with any of their patients that they need to have in order to fully know what is going on with their patients.
One of the most common scenarios where patients and doctors experience these challenges happens during emergencies. Doctors have to abandon their current patients in order to attend to more urgent emergencies of another patient (Gropper, 2009). This isn’t always a big problem in small clinics today, but it does happen from time to time. Sometimes doctors can leave the patient unattended for a long time which can cause health care problems for the patient in the future.
Sometimes doctors and other medical sta.
Health Professions Advising Foundation TalkEmil Chuck
General information about health professions (premedical) advising at George Mason University. These slides were given for talks introducing the advising system in October 2006.
Running head FINAL WRITTEN PROPOSAL1FINAL WRITTEN PROPOSAL.docxcharisellington63520
Running head: FINAL WRITTEN PROPOSAL1
FINAL WRITTEN PROPOSAL2
Final Written Proposal
Toni Stewart
Rasmussen College
Author Note
This paper is being submitted on December 6, 2015 for Professor Kerley’s G171/COMM1388 Communicating in Your Profession course.
Problems Faced in the Medical Industries
Executive Summary
It is important for all health care professionals to ensure that due care is provides to them. This requires all qualified medical doctors give patients the time for diagnosis and subsequent treatment. In many health care centers, doctors may be overwhelmed leading to cases where their assistants have to step in and take over their role. In the process, this may compromise the quality of care accorded to the patients and may have significant ramifications legally and otherwise. There are, however, certain measures that can be taken to deal with this problem. One such measure rests on restructuring the system in a manner which the PA’s see them first and do the initial assessment, and then one of the doctors do the final assessment. This might mean cutting down the number of patients seen per day so that the PA’s and Doctors can better focus on taking good care of the ones they do see. This proposal will examine who this system will be implemented in a selected health care center highlighting the benefits that accrue from it.
Purpose
At Family Healthcare Associates, Inc., physicians and their assistants have always been challenged with huge number of patients in their clinics. The aim of this strategy is to reduce the cost of operation for the clinic due to huge medical expenses available in the market today. Senior management needs to adopt a business like strategy to ensure the clinic remain a float and doctors have enough time to focus on each patient per specific period of time (Fattal, 2011).
Problem
The cost of maintaining Family Healthcare Associates, Inc. has been a challenge due to increase in salaries and financial packages. These increases in financial expenditure by the clinic have made it impossible to manage doctor-patient relationship that most clinics have set standards for. These challenges can pose a threat to the health of many patients who require immediate medical attention on time. The Doctors have such a busy schedule that they do not have the personal one on one relationships with any of their patients that they need to have in order to fully know what is going on with their patients.
One of the most common scenarios where patients and doctors experience these challenges happens during emergencies. Doctors have to abandon their current patients in order to attend to more urgent emergencies of another patient (Gropper, 2009). This isn’t always a big problem in small clinics today, but it does happen from time to time. Sometimes doctors can leave the patient unattended for a long time which can cause health care problems for the patient in the future.
Sometimes doctors and other medical sta.
Clinical Skills Self-Assessment Everyone ought to have specifiWilheminaRossi174
Clinical Skills Self-Assessment
Everyone ought to have specific attributes, including their strengths and weaknesses. My experience as a nurse has equipped me with several skills that will come in handy when I start working as a psychiatrist. Recognizing the signs and symptoms of mental illness is one of my strengths, thanks to the knowledge and abilities I have gained over the years. On the other side, I must have a lot of weaknesses. The options for professional development that I need to investigate during my career to increase my skills in making use of the results of psychological tests. This paper will discuss three strengths and weaknesses and three clinical skills that a nursing student would like to become a professional before graduating from a nursing program. These strengths and weaknesses will be compared to three clinical skills that a nursing student would like to have.
PRAC 6665/6675 Clinical Skills
Self-Assessment Form
Desired Clinical Skills for Students to Achieve
Confident (Can complete independently)
Mostly confident (Can complete with supervision)
Beginning (Have performed with supervision or needs supervision to feel confident)
New (Have never performed or does not apply)
Comprehensive psychiatric evaluation skills in:
Recognizing clinical signs and symptoms of psychiatric illness across the lifespan
Differentiating between pathophysiological and psychopathological conditions
Performing and interpreting a comprehensive and/or interval history and physical examination (including laboratory and diagnostic studies)
Performing and interpreting a mental status examination
Performing and interpreting a psychosocial assessment and family psychiatric history
Performing and interpreting a functional assessment (activities of daily living, occupational, social, leisure, educational).
Diagnostic reasoning skill in:
Developing and prioritizing a differential diagnoses list
Formulating diagnoses according to DSM 5-TR based on assessment data
Differentiating between normal/abnormal age-related physiological and psychological symptoms/changes
Pharmacotherapeutic skills in:
Selecting appropriate evidence based clinical practice guidelines for medication plan (e.g., risk/benefit, patient preference, developmental considerations, financial, the process of informed consent, symptom management)
Evaluating patient response and modify plan as necessary
Documenting (e.g., adverse reaction, the patient response, changes to the plan of care)
Psychotherapeutic Treatment Planning:
Recognizes concepts of therapeutic modalities across the lifespan
Selecting appropriate evidence based clinical practice guidelines for psychotherapeutic plan (e.g., risk/benefit, patient preference, developmental considerations, financial, the process of informed consent, symptom management, modality appropriate for situation)
Applies age-appropriate psychotherapeutic counseling techniques with ...
Curtis HillHA3110D - Quality Improvement and Risk ManagementLP.docxdorishigh
Curtis Hill
HA3110D - Quality Improvement and Risk Management
LP03.2 Assignment Self-Improvement Project
Self-improvement Project Worksheet
HA3110
Healthcare Quality Improvement & Risk Management
1. Perhaps the most widely used improvement model is the PDSA model which is what you will use for your self-improvement project in this course.
2. You have the autonomy to choose your project from this list:
a. accepting criticism
b. budgeting (personal or family)
c. communication skills
d. healthy Lifestyle (includes weight loss, diet and exercise)
e. smoking cessation
f. stress reduction
g. stress related to time management
h. time management.
3. Due to time constraints and the scope of this course, your measures and resulting data display has been done for you.
Use this form for your work: Just click in the box and type, although with extensive dialogue, the format might change, but it will not affect the content of the document.
1. What is it you want to improve: (Also referred to as your Aim Statement)
(
Smoking cessation.
)
(
Full smoking cessation
) (
By
t
KLH
he
end of the year.
)
2. How much: 3. By when:
3. (
Plan
)By completing the above, you have described how you will know if the changes create
an improvement.
4. (
I will use a 7 weeks
likert
survey and a line graph.
)What Likert Survey and run chart will you use?
Complete to here for LP3.2 Drop Box: Project Topic
This is where you continue your planning stage (perhaps the most important phase of the PDSA cycle). Find evidence-based information on best practice related to your topic. Remember, in quality improvement it is not always up to you to reinvent the wheel. What works for others and supported by studies and research should work for you. (However, always give them credit when credit is due). Although you will be using the Likert survey, you are required to provide the “theory” behind you work.
In your update for Week 4, provide a review of how you have implemented the Plan stage of the PDSA Improvement Model (250-350 words). Copy any paste your response to the LP4.2 drop box.
(
The first step of
quiting
smoking is having a reason why one really wants to
quit .There
are a number of reasons of wanting to quit smoking which include:
Improving health-this is mostly the main
reason.In
some
cases,quiting
smoking because of health issues comes from the doctor’s advice but most times it is a self
madedecision.oking
increases once risk of throat
cancer,lungcancer,heartdisease,emphysema
gumdisease,ulcers
and high blood
pressure.In
some instances the victim just wants to feel healthier by avoiding smoke caused
coughing,sore
throats and poor athletic ability thus the urge to quit.
Better looks-smoking can result to stained
teeth,dull
skin and wrinkles
therefore an urge to quit.
)
(
Plan
)
In the ideal situation, you would begin the DO stage by testing on a small scale.
Here you wi.
A Lean Six Sigma Case Study
If you want to prosper for a year, grow rice. If you want to prosper for a decade, plant trees. If
you want to prosper for a century, grow people -- a wise old farmer reflecting back on a life
of toil in the soil
PROJECT DESCRIPTION
The following Lean Six Sigma case study will reflect a real-life healthcare problem with
Continuous Improvement and Lean Six Sigma Tools to show how some of the tools are put into
place in the real world. The object of this project is your appropriate use of Lean Six Sigma
tools and the data provided. Project completion is required to pass the course. Project
assignments are assessed on a Complete/Incomplete basis. Each Phase of the DMAIC process in
the Project has an assignment. Assignments must be submitted to the instructor by the end of the
week corresponding to the DMAIC Phase. The exception is the week 8 or Control phase
assignment which needs to be submitted early in the last week of the course to allow grading.
The Instructor will determine if the student has submitted a Project assignment that is Complete.
If the assignment is Incomplete, there will be interaction between the Instructor and student until
the assignment is Complete. All project assignments must be assessed as Complete for the
student to pass the course. An Incomplete project will result in a Failing grade for the course.
Student Case Study
Case Study:
Process Improvement –
Reduction in Wait Time for
Patients in a Doctor Office
Executive Summary
Dr. Deasley is a popular Doctor in Tampa, Florida specializing in primary care. He spends a great deal of
time with each of his patients, typically, 45 minutes to one (1) hour. As a result, there are many other
patients waiting in the waiting room who become impatient at the long wait time. The Doctor has hours
every day except Wednesdays. He has Hospital Clinic on Wednesdays and does not have office hours.
Dr. Deasley’s office hours are 7:30 AM to 5:30 PM (patients can be scheduled up until 5:30 PM) on
Tuesdays and Thursdays and 9:30 AM to 7:30 PM (patients can be scheduled up until 7:30 PM) on
Mondays and Fridays. He does Hospital Rounds from 6:00 AM to 8:00 AM. He conducts patient call
backs between patients, during his lunch hour and after office hours. We triage the calls so he gets back
to more seriously sick patients first. However, sometimes he doesn’t call back non-emergencies until the
next AM. Dr. Deasley is becomes overbooked because he likes to have 10 patients scheduled per day.
However, due to time constraints he frequently needs to rebook patients he is unable to see due to time
constraints.
Dr. Deasley’s patients and staff love him for his patience and attention. But, several long term patients
have left his practice because of this issue. This has resulted in a decrease in revenue for the office. In
addition, his office is experiencing a rather high rate of staff turnover. S ...
Running Head Case study1Case study 5Case Stud.docxtodd271
Running Head: Case study 1
Case study 5
Case Study
Walden University
Name
NURS – 6630N
March 9, 2019
Case Study
Optimizing the dosing of medicines for neonates and children remains a challenge. The importance of pharmacokinetic (PK) and pharmacodynamics (PD) research is recognized both in medicines regulation and pediatric clinical pharmacology, yet there remain barriers to undertaking high-quality PK and PD studies. While these studies are essential in understanding the dose–concentration–effect relationship and should underpin dosing recommendations, this review examines how challenges affecting the design and conduct of pediatric pharmacological studies can be overcome using targeted pharmacometric strategies. Model-based approaches confer benefits at all stages of the drug life-cycle, from identifying the first dose to be used in children, to clinical trial design, and optimizing the dosing regimens of older, off-patent medications. To benefit patients, strategies to ensure that new PK, PD and trial data are incorporated into evidence-based dosing recommendations are needed.
The client selected is an African American child having depression with normal development milestone. Other aspects reveal that the child has high ratings in depression scale. The criterion is used to diagnose the child.
Decision point one
In this case, we had to prescribe the first choice of drug to get an effective effect. Some Selective serotonin reuptake inhibitors (SSRIs) are the drugs of choice to use in children with depressive disorder. The best medicine is Zoloft having sertraline. Now we decided the starting dose and that was 25mg to be administered orally. According to Vitiello (2012), if the medicine does not work in starting dose, we need to increase the dose. The child had been prescribed Zoloft and he came back with no change in his mental health.
Decision point two
If the drug is not working in a low dose, we need to increase the dose. Decision point two involved increasing the dose from 25mg to 50mg.The purpose of increasing the dose was to lower the depressive symptoms. Being within the range, we expected minimal desired effects (Stahl, 2013). Giving a single dose is more likely to give persistent desired effects in client. The patient experienced 50 percent decrease in symptoms. Hence Zoloft was successful in managing the patient’s depression. You must be cautious about the side effects of sertraline. One of the major is suicidal thoughts.
Decision point three
Decision point three is to decide if the dose will be maintained or increased to get rid of symptoms completely. The best decision is to maintain the dose because if the patient has shown 50 percent improvement then he will show more with the passage of time. His dose had been maintained now he further experienced decrease in symptoms. The best treatment is the complete remission as it is the main aim in contemporary psychopharmacology (Stahl, 2013). Then I recommended.
Running head HOME HEALTHCARE TRAINING PROGRAM1HOME HEALTH.docxwlynn1
Running head: HOME HEALTHCARE TRAINING PROGRAM 1
HOME HEALTHCARE TRAINING PROGRAM 7
Home Healthcare Training Program
Student’s Name
Professor’s Name
Course
Date
Home Healthcare Training Program
Project Summary
Home healthcare training is a program that is meant for aspiring professionals in the field of home healthcare. It is a program which is meant to be an add-on to their qualification of the Certified Nursing Assistant. The main goal for this exercise is not only to necessarily intensify the skill of the healthcare employees, but also to assist them in recognizing and reporting problems that could affect the well-being of everyone who needs healthcare. In the healthcare industry, the highest number of healthcare providers who work in healthcare institutions. In some occasions, it may be difficult to find home healthcare aides, showing that there is a need to train more healthcare professionals to join the team. This project, therefore, is meant to increase the number of healthcare providers who work as home health aides.
Goals and Objectives
The goals of home healthcare training include:
· Helping individuals to have an improved function and be independent
· Supporting the best well-being level of a customer
· Help patients to avoid being hospitalized for a long-term
Home healthcare independence enables individuals to have improved function since the services are given include occupational, physical as well as speech-language therapy. It is the best method to promote the optimum level of well-being of a client, especially in situations where the patient cannot move from home to hospital if several medical attention services are required. This is an approach that is best for elderly people and those who are disabled (Mostaghel, 2016). They may experience illnesses where they are expected to seek medical services approximately four times a week. The type of services to be offered depends on the nature of the illness. If they should visit a healthcare facility more often, for such people, it is best that the healthcare professional attends to them at home due to their physical situation. The elderly and the disabled are most of the time not taken into close consideration in the society, and it is the reason for having fewer home healthcare aides (Mostaghel, 2016). Increasing the number of healthcare aides puts in mind such people in the society, giving them a sense of belonging. Home healthcare aides are the best in situations where physicians have referred patients to home healthcare services. In other situations, the services are requested by the patients or the family members of the patients (Fikar & Hirsch, 2017).
There are other factors that may result in the need for home healthcare services. These factors have to be taken into close consideration, to ensure that all people in society get to enjoy medical services from home if they are not able to get to a healthcare facility. One of these factors i.
The development of a Patient Safety Programme for Primary Care is being informed by the learning from two ongoing primary care safety projects. This session highlights the approaches used, the early findings and describes how to sustain and spread the success of this work.
Will Emerson pt EmpressedBP-15660O2 – 92 on 2LRR- 34.docxadolphoyonker
Will Emerson pt
Empressed
BP-156/60
O2 – 92% on 2L
RR- 34
HR – 110
Temp- 103 oral
Pain – 4/10; Located all over; chest and back area mainly, feels like an elephant is sitting on him. Nothing relieve the pain. No pain meds taken. Allergic to penicillin and morphine sulfate. Takes Xopenex daily. Not feeling lightheaded or dizzy, feels ok while sitting, doesn’t want to walk anywhere. Fall risk.
General appearance – anxious and unkept, breathing at 34bpm, disheveled, weak and tired.
Skin – pale, hot, clammy, diaphoretic. Clubbing noted, cap refill <3 secs, 1+ pitting edema lower extremities.
Heart – 110 tachy, S1S2 heard in all points, no mummers present, radial, dorsalis pedis, posterior tibialis pulses are weak bilaterally 1+. Carotid 3+. 1+ edema in lower extremities.
2nd intercoastal right of sternal boarder aortic
2nd intercoastal space left of boarder pulmonic
3rd intercoastal space left of boarder Erb’s point
4th intercoastal space
Respiratory –
History of COPD, use of assessor muscles, SOB, on O2 @ 2L pm
Anterior lung sounds; RUL, LUL, RML, LLL, RLL
posterior - RUL, LUL, LLL, RLL, LLL, RLL
Adventitious rhonchi sounds heard in all fields, barrel chested in appearance, pt shows signs of acute distress.
GI- weighs 70kg, and 175cm tall and belly is rounded soft and no pain on palpation, hyperactive bowel sounds heard in all quadrants.
GU – voiding dark yellow urine
Extremities – generalized weakness, not out of bed
Skin – no rashes, clubbing present and cap refill less than 3 seconds, pale, skin is hot and diaphoretic.
Neuro - alert and oriented x 4, pupils, equal, round, reactive to light and accommodation, EOM’s are intact, behavior is anxious, speech is clear and coherent.
Lymph nodes – Lymph nodes are enlarged and tender.
Title slide: delete this and enter your title slide information. See Guidelines.
Professor XXXXXXXX
Pathophysiology review
Medical Diagnoses
Assessment Data
Student:___________________
Date: ______________________
Patient initials: ______W.E._____
Age: _____ Male / Female
Nursing Diagnosis related to --- as evidence by---
Nursing Diagnosis related to --- as evidence by---
Cite Sources using APA additional page
Measurable Expected Outcomes
Measurable Expected Outcomes
Intervention
Intervention
Intervention
Intervention
Intervention
Intervention
Nursing Diagnosis related to --- as evidence by---
Measurable Expected Outcomes
Add as many intervention boxes as needed
Evaluation
Evaluation
Evaluation
Evaluation
Use as many pages as needed to complete your concept map
Communication
Infection Control
Safety
Assessment/Patho
Use this if needed for more room
Reference
NR226 Fundamentals – Patient Care
RUA: Concept Map Guidelines
NR226_RUA_Concept_Map _Guideline_V2.docx Revised: MAR20 1
Purpose
This assignment is designed to extend the learner’s use of concept mapping as a tool for clinical care planning. The
nursing process continues to provide the foundatio.
TOC 2011: Content as Application, presented by Reid SherlineSilverchair
Content as Application: Integrating Medical Books into the Healthcare Workflow. Presented at TOC 2011 by Reid Sherline, Vice President of Publishing for Wolters Kluwer Health, Professional and Education
1000 words, 2 referencesBegin conducting research now on your .docxvrickens
1000 words, 2 references
Begin conducting research now on your company/client. After brainstorming on your company’s industry and after your preliminary research information-gathering techniques, create a research profile proposal to deliver to your company’s management that includes the following:
State the specific research goal for the proposal.
What is the company’s current business problem?
Who is the company’s competition?
Establish your population sample for researching customer attitudes and behaviors about the company and product.
Identify the steps in the research process.
.
1000 words only due by 5314 at 1200 estthis is a second part to.docxvrickens
1000 words only due by 5/3/14 at 12:00 est
this is a second part to this assignment due at a different time
Part 1
Your fast-food franchise has been cleared for business in all 4 countries (United Arab Emirates, Israel, Mexico, and China). You now have to start construction on your restaurants. The financing is coming from the United Arab Emirates, the materials are coming from Mexico and China, the engineering and technology are coming from Israel , and the labor will be hired locally within these countries by your management team from the United States. You invite all of the players to the headquarters in the United States for a big meeting to explain the project and get to know one another. The people seem to be staying with their own groups and not mingling.
What is the cultural phenomenon at play here (what is it called/ term)?
How do you explain the lack of intercultural communication and interaction?
What do you know about these cultures—specifically their economic, political, educational, and social systems—that could help you in getting them together?
What are some of the contrasting cultural values of these countries?
You are concerned about some of the language barriers as you start the meeting, particularly the fact that the United States is a low-context country, and some of the countries present are high-context countries. Furthermore, you only speak English, and you do not have an interpreter present.
How will this affect the presentation?
What are some of the issues you should be concerned about regarding verbal and nonverbal language for this group?
What strategy would you use to begin to have everyone develop a relationship with each other that will help ease future negotiations, development, and implementation?
.
1000 words with refernceBased on the American constitution,” wh.docxvrickens
1000 words with refernce
Based on the American “constitution,” which internal and external stakeholders, in the policy making process, possess “constitutional legitimacy” for their role in making public policy? Do entities with explicit power have more influence than those entities with implied powers in making public policy? Should they? Why or why not?
1000 words with reference
Accountability and ethical conduct are important concepts in public administration. In Tennessee, recent political stakeholders and some bureaucratic stakeholders have been caught up in various scandals (Operation Tennessee Waltz, Operation Rocky Top etc.). Based on the readings, what could Tennessee do to make political and bureaucratic functionaries more accountable?
.
10.1. In a t test for a single sample, the samples mean.docxvrickens
10.1. In a
t
test for a single sample
,
the sample
'
s mean is
c
o
m
par
ed to the
population
.
10.2. When we use a paired-samples
t
test to compare the pret
es
t and
p
ostt
est
scores for a group of 45 people, the degrees of freedom
(
df
)
ar
e _____.
10.3. If we conduct a
t
test for independent samples
,
and
n1
=
32 and
n2
=
35,
the degrees of freedom
(df)
are
_____.
10.4
.
A researcher wants to study the effect of college education on p
eo
p
le's
earning by comparing the annual salaries of a randomly
-
selecte
d g
ro
up
of 100 college graduates to the annual salaries of 100 randoml
y-selected
group of people whose highest level of education is high
schoo
l.
To
compare the mean annual salaries of the two groups
,
th
e resea
r
cher
should use a
t
test for
______.
10.5. A training coordinator wants to determine the effectiveness
of a program
that makes extensive use of educational technology when t
raining new
employees. She compares the scores of her new emplo
yees who
completed the training on a nationally-normed test to th
e
me
a
n
s
c
ore of
all
those in the country who took the same test.
The a
p
pro
p
riate
statistical test the training coordinator should use for h
er analysis
i
s the
t
test for ______.
10
.
6. As part of the process to develop two parallel forms o
f a q
u
es
t
io
nn
aire
,
the persons creating the questionnaire may admin
i
st
e
r b
o
th
f
or
ms to a
group of students, and then use a
t
test for ______ s
a
mpl
es
t
o com
p
are
the mean scores on the two forms
.
Circle the
correct
answer:
10.7. A difference
o
f 4 points between two
homogeneous group
s
is lik
e
ly to
be
more/less
statistically significant than the
s
ame
d
i
ffe
r
e
n
ce (of 4
points) between two
heterogeneous
groups
,
when all fou
r g
r
o
up
s are
taking completing the same survey and have appro
x
im
a
tel
y t
h
e same
number of subjects.
10.8. A difference of 3 points on a 100-item test taken b
y t
w
o g
rou
ps is likely to be
more/less
statistically significant than a difference of 3 po
i
nt
s on a 30-item test taken by the sa
m
e
t
w
o g
r
oups.
10.9 When
a
t
test for paired samples is u
s
ed to
c
ompare th
e
p
re
t
est an
d
the posttest
means
,
the number of pretest scores i
s
the
same as/different than
the number of
po
s
t-t
e
st scor
e
s.
10.10. W
hen
w
e
w
ant to compar
e w
h
e
th
e
r female
s
' scor
es
on th
e
G
MAT are
di
fferent f
rom males' scores
,
we should use a
t
test for
paired samples/independen
t
samples
.
10
.11 In studi
e
s
w
h
e
re the alte
r
nati
ve (
r
es
ear
c
h
)
h
y
poth
es
i
s
i
s
directiona
l
,
t
h
e critical va
lu
es
for
a
one tailed test/two-tailed test
should b
e us
ed t
o
d
e
t
erm
i
ne the
l
e
vel o
f
signi
fi
cance (i
.
e.
,
the
p
va
lue).
10.12 W
h
e
n
t
h
e
alt
e
rnati
ve
h
y
poth
e
si
s
is: H
A
: u1=u2
,
the c
ri
ti
ca
l
v
alu
es for
one
tailed test/
two-tailed
test
should b
e
u
se.
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Clinical Skills Self-Assessment Everyone ought to have specifiWilheminaRossi174
Clinical Skills Self-Assessment
Everyone ought to have specific attributes, including their strengths and weaknesses. My experience as a nurse has equipped me with several skills that will come in handy when I start working as a psychiatrist. Recognizing the signs and symptoms of mental illness is one of my strengths, thanks to the knowledge and abilities I have gained over the years. On the other side, I must have a lot of weaknesses. The options for professional development that I need to investigate during my career to increase my skills in making use of the results of psychological tests. This paper will discuss three strengths and weaknesses and three clinical skills that a nursing student would like to become a professional before graduating from a nursing program. These strengths and weaknesses will be compared to three clinical skills that a nursing student would like to have.
PRAC 6665/6675 Clinical Skills
Self-Assessment Form
Desired Clinical Skills for Students to Achieve
Confident (Can complete independently)
Mostly confident (Can complete with supervision)
Beginning (Have performed with supervision or needs supervision to feel confident)
New (Have never performed or does not apply)
Comprehensive psychiatric evaluation skills in:
Recognizing clinical signs and symptoms of psychiatric illness across the lifespan
Differentiating between pathophysiological and psychopathological conditions
Performing and interpreting a comprehensive and/or interval history and physical examination (including laboratory and diagnostic studies)
Performing and interpreting a mental status examination
Performing and interpreting a psychosocial assessment and family psychiatric history
Performing and interpreting a functional assessment (activities of daily living, occupational, social, leisure, educational).
Diagnostic reasoning skill in:
Developing and prioritizing a differential diagnoses list
Formulating diagnoses according to DSM 5-TR based on assessment data
Differentiating between normal/abnormal age-related physiological and psychological symptoms/changes
Pharmacotherapeutic skills in:
Selecting appropriate evidence based clinical practice guidelines for medication plan (e.g., risk/benefit, patient preference, developmental considerations, financial, the process of informed consent, symptom management)
Evaluating patient response and modify plan as necessary
Documenting (e.g., adverse reaction, the patient response, changes to the plan of care)
Psychotherapeutic Treatment Planning:
Recognizes concepts of therapeutic modalities across the lifespan
Selecting appropriate evidence based clinical practice guidelines for psychotherapeutic plan (e.g., risk/benefit, patient preference, developmental considerations, financial, the process of informed consent, symptom management, modality appropriate for situation)
Applies age-appropriate psychotherapeutic counseling techniques with ...
Curtis HillHA3110D - Quality Improvement and Risk ManagementLP.docxdorishigh
Curtis Hill
HA3110D - Quality Improvement and Risk Management
LP03.2 Assignment Self-Improvement Project
Self-improvement Project Worksheet
HA3110
Healthcare Quality Improvement & Risk Management
1. Perhaps the most widely used improvement model is the PDSA model which is what you will use for your self-improvement project in this course.
2. You have the autonomy to choose your project from this list:
a. accepting criticism
b. budgeting (personal or family)
c. communication skills
d. healthy Lifestyle (includes weight loss, diet and exercise)
e. smoking cessation
f. stress reduction
g. stress related to time management
h. time management.
3. Due to time constraints and the scope of this course, your measures and resulting data display has been done for you.
Use this form for your work: Just click in the box and type, although with extensive dialogue, the format might change, but it will not affect the content of the document.
1. What is it you want to improve: (Also referred to as your Aim Statement)
(
Smoking cessation.
)
(
Full smoking cessation
) (
By
t
KLH
he
end of the year.
)
2. How much: 3. By when:
3. (
Plan
)By completing the above, you have described how you will know if the changes create
an improvement.
4. (
I will use a 7 weeks
likert
survey and a line graph.
)What Likert Survey and run chart will you use?
Complete to here for LP3.2 Drop Box: Project Topic
This is where you continue your planning stage (perhaps the most important phase of the PDSA cycle). Find evidence-based information on best practice related to your topic. Remember, in quality improvement it is not always up to you to reinvent the wheel. What works for others and supported by studies and research should work for you. (However, always give them credit when credit is due). Although you will be using the Likert survey, you are required to provide the “theory” behind you work.
In your update for Week 4, provide a review of how you have implemented the Plan stage of the PDSA Improvement Model (250-350 words). Copy any paste your response to the LP4.2 drop box.
(
The first step of
quiting
smoking is having a reason why one really wants to
quit .There
are a number of reasons of wanting to quit smoking which include:
Improving health-this is mostly the main
reason.In
some
cases,quiting
smoking because of health issues comes from the doctor’s advice but most times it is a self
madedecision.oking
increases once risk of throat
cancer,lungcancer,heartdisease,emphysema
gumdisease,ulcers
and high blood
pressure.In
some instances the victim just wants to feel healthier by avoiding smoke caused
coughing,sore
throats and poor athletic ability thus the urge to quit.
Better looks-smoking can result to stained
teeth,dull
skin and wrinkles
therefore an urge to quit.
)
(
Plan
)
In the ideal situation, you would begin the DO stage by testing on a small scale.
Here you wi.
A Lean Six Sigma Case Study
If you want to prosper for a year, grow rice. If you want to prosper for a decade, plant trees. If
you want to prosper for a century, grow people -- a wise old farmer reflecting back on a life
of toil in the soil
PROJECT DESCRIPTION
The following Lean Six Sigma case study will reflect a real-life healthcare problem with
Continuous Improvement and Lean Six Sigma Tools to show how some of the tools are put into
place in the real world. The object of this project is your appropriate use of Lean Six Sigma
tools and the data provided. Project completion is required to pass the course. Project
assignments are assessed on a Complete/Incomplete basis. Each Phase of the DMAIC process in
the Project has an assignment. Assignments must be submitted to the instructor by the end of the
week corresponding to the DMAIC Phase. The exception is the week 8 or Control phase
assignment which needs to be submitted early in the last week of the course to allow grading.
The Instructor will determine if the student has submitted a Project assignment that is Complete.
If the assignment is Incomplete, there will be interaction between the Instructor and student until
the assignment is Complete. All project assignments must be assessed as Complete for the
student to pass the course. An Incomplete project will result in a Failing grade for the course.
Student Case Study
Case Study:
Process Improvement –
Reduction in Wait Time for
Patients in a Doctor Office
Executive Summary
Dr. Deasley is a popular Doctor in Tampa, Florida specializing in primary care. He spends a great deal of
time with each of his patients, typically, 45 minutes to one (1) hour. As a result, there are many other
patients waiting in the waiting room who become impatient at the long wait time. The Doctor has hours
every day except Wednesdays. He has Hospital Clinic on Wednesdays and does not have office hours.
Dr. Deasley’s office hours are 7:30 AM to 5:30 PM (patients can be scheduled up until 5:30 PM) on
Tuesdays and Thursdays and 9:30 AM to 7:30 PM (patients can be scheduled up until 7:30 PM) on
Mondays and Fridays. He does Hospital Rounds from 6:00 AM to 8:00 AM. He conducts patient call
backs between patients, during his lunch hour and after office hours. We triage the calls so he gets back
to more seriously sick patients first. However, sometimes he doesn’t call back non-emergencies until the
next AM. Dr. Deasley is becomes overbooked because he likes to have 10 patients scheduled per day.
However, due to time constraints he frequently needs to rebook patients he is unable to see due to time
constraints.
Dr. Deasley’s patients and staff love him for his patience and attention. But, several long term patients
have left his practice because of this issue. This has resulted in a decrease in revenue for the office. In
addition, his office is experiencing a rather high rate of staff turnover. S ...
Running Head Case study1Case study 5Case Stud.docxtodd271
Running Head: Case study 1
Case study 5
Case Study
Walden University
Name
NURS – 6630N
March 9, 2019
Case Study
Optimizing the dosing of medicines for neonates and children remains a challenge. The importance of pharmacokinetic (PK) and pharmacodynamics (PD) research is recognized both in medicines regulation and pediatric clinical pharmacology, yet there remain barriers to undertaking high-quality PK and PD studies. While these studies are essential in understanding the dose–concentration–effect relationship and should underpin dosing recommendations, this review examines how challenges affecting the design and conduct of pediatric pharmacological studies can be overcome using targeted pharmacometric strategies. Model-based approaches confer benefits at all stages of the drug life-cycle, from identifying the first dose to be used in children, to clinical trial design, and optimizing the dosing regimens of older, off-patent medications. To benefit patients, strategies to ensure that new PK, PD and trial data are incorporated into evidence-based dosing recommendations are needed.
The client selected is an African American child having depression with normal development milestone. Other aspects reveal that the child has high ratings in depression scale. The criterion is used to diagnose the child.
Decision point one
In this case, we had to prescribe the first choice of drug to get an effective effect. Some Selective serotonin reuptake inhibitors (SSRIs) are the drugs of choice to use in children with depressive disorder. The best medicine is Zoloft having sertraline. Now we decided the starting dose and that was 25mg to be administered orally. According to Vitiello (2012), if the medicine does not work in starting dose, we need to increase the dose. The child had been prescribed Zoloft and he came back with no change in his mental health.
Decision point two
If the drug is not working in a low dose, we need to increase the dose. Decision point two involved increasing the dose from 25mg to 50mg.The purpose of increasing the dose was to lower the depressive symptoms. Being within the range, we expected minimal desired effects (Stahl, 2013). Giving a single dose is more likely to give persistent desired effects in client. The patient experienced 50 percent decrease in symptoms. Hence Zoloft was successful in managing the patient’s depression. You must be cautious about the side effects of sertraline. One of the major is suicidal thoughts.
Decision point three
Decision point three is to decide if the dose will be maintained or increased to get rid of symptoms completely. The best decision is to maintain the dose because if the patient has shown 50 percent improvement then he will show more with the passage of time. His dose had been maintained now he further experienced decrease in symptoms. The best treatment is the complete remission as it is the main aim in contemporary psychopharmacology (Stahl, 2013). Then I recommended.
Running head HOME HEALTHCARE TRAINING PROGRAM1HOME HEALTH.docxwlynn1
Running head: HOME HEALTHCARE TRAINING PROGRAM 1
HOME HEALTHCARE TRAINING PROGRAM 7
Home Healthcare Training Program
Student’s Name
Professor’s Name
Course
Date
Home Healthcare Training Program
Project Summary
Home healthcare training is a program that is meant for aspiring professionals in the field of home healthcare. It is a program which is meant to be an add-on to their qualification of the Certified Nursing Assistant. The main goal for this exercise is not only to necessarily intensify the skill of the healthcare employees, but also to assist them in recognizing and reporting problems that could affect the well-being of everyone who needs healthcare. In the healthcare industry, the highest number of healthcare providers who work in healthcare institutions. In some occasions, it may be difficult to find home healthcare aides, showing that there is a need to train more healthcare professionals to join the team. This project, therefore, is meant to increase the number of healthcare providers who work as home health aides.
Goals and Objectives
The goals of home healthcare training include:
· Helping individuals to have an improved function and be independent
· Supporting the best well-being level of a customer
· Help patients to avoid being hospitalized for a long-term
Home healthcare independence enables individuals to have improved function since the services are given include occupational, physical as well as speech-language therapy. It is the best method to promote the optimum level of well-being of a client, especially in situations where the patient cannot move from home to hospital if several medical attention services are required. This is an approach that is best for elderly people and those who are disabled (Mostaghel, 2016). They may experience illnesses where they are expected to seek medical services approximately four times a week. The type of services to be offered depends on the nature of the illness. If they should visit a healthcare facility more often, for such people, it is best that the healthcare professional attends to them at home due to their physical situation. The elderly and the disabled are most of the time not taken into close consideration in the society, and it is the reason for having fewer home healthcare aides (Mostaghel, 2016). Increasing the number of healthcare aides puts in mind such people in the society, giving them a sense of belonging. Home healthcare aides are the best in situations where physicians have referred patients to home healthcare services. In other situations, the services are requested by the patients or the family members of the patients (Fikar & Hirsch, 2017).
There are other factors that may result in the need for home healthcare services. These factors have to be taken into close consideration, to ensure that all people in society get to enjoy medical services from home if they are not able to get to a healthcare facility. One of these factors i.
The development of a Patient Safety Programme for Primary Care is being informed by the learning from two ongoing primary care safety projects. This session highlights the approaches used, the early findings and describes how to sustain and spread the success of this work.
Will Emerson pt EmpressedBP-15660O2 – 92 on 2LRR- 34.docxadolphoyonker
Will Emerson pt
Empressed
BP-156/60
O2 – 92% on 2L
RR- 34
HR – 110
Temp- 103 oral
Pain – 4/10; Located all over; chest and back area mainly, feels like an elephant is sitting on him. Nothing relieve the pain. No pain meds taken. Allergic to penicillin and morphine sulfate. Takes Xopenex daily. Not feeling lightheaded or dizzy, feels ok while sitting, doesn’t want to walk anywhere. Fall risk.
General appearance – anxious and unkept, breathing at 34bpm, disheveled, weak and tired.
Skin – pale, hot, clammy, diaphoretic. Clubbing noted, cap refill <3 secs, 1+ pitting edema lower extremities.
Heart – 110 tachy, S1S2 heard in all points, no mummers present, radial, dorsalis pedis, posterior tibialis pulses are weak bilaterally 1+. Carotid 3+. 1+ edema in lower extremities.
2nd intercoastal right of sternal boarder aortic
2nd intercoastal space left of boarder pulmonic
3rd intercoastal space left of boarder Erb’s point
4th intercoastal space
Respiratory –
History of COPD, use of assessor muscles, SOB, on O2 @ 2L pm
Anterior lung sounds; RUL, LUL, RML, LLL, RLL
posterior - RUL, LUL, LLL, RLL, LLL, RLL
Adventitious rhonchi sounds heard in all fields, barrel chested in appearance, pt shows signs of acute distress.
GI- weighs 70kg, and 175cm tall and belly is rounded soft and no pain on palpation, hyperactive bowel sounds heard in all quadrants.
GU – voiding dark yellow urine
Extremities – generalized weakness, not out of bed
Skin – no rashes, clubbing present and cap refill less than 3 seconds, pale, skin is hot and diaphoretic.
Neuro - alert and oriented x 4, pupils, equal, round, reactive to light and accommodation, EOM’s are intact, behavior is anxious, speech is clear and coherent.
Lymph nodes – Lymph nodes are enlarged and tender.
Title slide: delete this and enter your title slide information. See Guidelines.
Professor XXXXXXXX
Pathophysiology review
Medical Diagnoses
Assessment Data
Student:___________________
Date: ______________________
Patient initials: ______W.E._____
Age: _____ Male / Female
Nursing Diagnosis related to --- as evidence by---
Nursing Diagnosis related to --- as evidence by---
Cite Sources using APA additional page
Measurable Expected Outcomes
Measurable Expected Outcomes
Intervention
Intervention
Intervention
Intervention
Intervention
Intervention
Nursing Diagnosis related to --- as evidence by---
Measurable Expected Outcomes
Add as many intervention boxes as needed
Evaluation
Evaluation
Evaluation
Evaluation
Use as many pages as needed to complete your concept map
Communication
Infection Control
Safety
Assessment/Patho
Use this if needed for more room
Reference
NR226 Fundamentals – Patient Care
RUA: Concept Map Guidelines
NR226_RUA_Concept_Map _Guideline_V2.docx Revised: MAR20 1
Purpose
This assignment is designed to extend the learner’s use of concept mapping as a tool for clinical care planning. The
nursing process continues to provide the foundatio.
TOC 2011: Content as Application, presented by Reid SherlineSilverchair
Content as Application: Integrating Medical Books into the Healthcare Workflow. Presented at TOC 2011 by Reid Sherline, Vice President of Publishing for Wolters Kluwer Health, Professional and Education
Similar to Introduction to Health Science ProfessionsSemester Project Exp.docx (18)
1000 words, 2 referencesBegin conducting research now on your .docxvrickens
1000 words, 2 references
Begin conducting research now on your company/client. After brainstorming on your company’s industry and after your preliminary research information-gathering techniques, create a research profile proposal to deliver to your company’s management that includes the following:
State the specific research goal for the proposal.
What is the company’s current business problem?
Who is the company’s competition?
Establish your population sample for researching customer attitudes and behaviors about the company and product.
Identify the steps in the research process.
.
1000 words only due by 5314 at 1200 estthis is a second part to.docxvrickens
1000 words only due by 5/3/14 at 12:00 est
this is a second part to this assignment due at a different time
Part 1
Your fast-food franchise has been cleared for business in all 4 countries (United Arab Emirates, Israel, Mexico, and China). You now have to start construction on your restaurants. The financing is coming from the United Arab Emirates, the materials are coming from Mexico and China, the engineering and technology are coming from Israel , and the labor will be hired locally within these countries by your management team from the United States. You invite all of the players to the headquarters in the United States for a big meeting to explain the project and get to know one another. The people seem to be staying with their own groups and not mingling.
What is the cultural phenomenon at play here (what is it called/ term)?
How do you explain the lack of intercultural communication and interaction?
What do you know about these cultures—specifically their economic, political, educational, and social systems—that could help you in getting them together?
What are some of the contrasting cultural values of these countries?
You are concerned about some of the language barriers as you start the meeting, particularly the fact that the United States is a low-context country, and some of the countries present are high-context countries. Furthermore, you only speak English, and you do not have an interpreter present.
How will this affect the presentation?
What are some of the issues you should be concerned about regarding verbal and nonverbal language for this group?
What strategy would you use to begin to have everyone develop a relationship with each other that will help ease future negotiations, development, and implementation?
.
1000 words with refernceBased on the American constitution,” wh.docxvrickens
1000 words with refernce
Based on the American “constitution,” which internal and external stakeholders, in the policy making process, possess “constitutional legitimacy” for their role in making public policy? Do entities with explicit power have more influence than those entities with implied powers in making public policy? Should they? Why or why not?
1000 words with reference
Accountability and ethical conduct are important concepts in public administration. In Tennessee, recent political stakeholders and some bureaucratic stakeholders have been caught up in various scandals (Operation Tennessee Waltz, Operation Rocky Top etc.). Based on the readings, what could Tennessee do to make political and bureaucratic functionaries more accountable?
.
10.1. In a t test for a single sample, the samples mean.docxvrickens
10.1. In a
t
test for a single sample
,
the sample
'
s mean is
c
o
m
par
ed to the
population
.
10.2. When we use a paired-samples
t
test to compare the pret
es
t and
p
ostt
est
scores for a group of 45 people, the degrees of freedom
(
df
)
ar
e _____.
10.3. If we conduct a
t
test for independent samples
,
and
n1
=
32 and
n2
=
35,
the degrees of freedom
(df)
are
_____.
10.4
.
A researcher wants to study the effect of college education on p
eo
p
le's
earning by comparing the annual salaries of a randomly
-
selecte
d g
ro
up
of 100 college graduates to the annual salaries of 100 randoml
y-selected
group of people whose highest level of education is high
schoo
l.
To
compare the mean annual salaries of the two groups
,
th
e resea
r
cher
should use a
t
test for
______.
10.5. A training coordinator wants to determine the effectiveness
of a program
that makes extensive use of educational technology when t
raining new
employees. She compares the scores of her new emplo
yees who
completed the training on a nationally-normed test to th
e
me
a
n
s
c
ore of
all
those in the country who took the same test.
The a
p
pro
p
riate
statistical test the training coordinator should use for h
er analysis
i
s the
t
test for ______.
10
.
6. As part of the process to develop two parallel forms o
f a q
u
es
t
io
nn
aire
,
the persons creating the questionnaire may admin
i
st
e
r b
o
th
f
or
ms to a
group of students, and then use a
t
test for ______ s
a
mpl
es
t
o com
p
are
the mean scores on the two forms
.
Circle the
correct
answer:
10.7. A difference
o
f 4 points between two
homogeneous group
s
is lik
e
ly to
be
more/less
statistically significant than the
s
ame
d
i
ffe
r
e
n
ce (of 4
points) between two
heterogeneous
groups
,
when all fou
r g
r
o
up
s are
taking completing the same survey and have appro
x
im
a
tel
y t
h
e same
number of subjects.
10.8. A difference of 3 points on a 100-item test taken b
y t
w
o g
rou
ps is likely to be
more/less
statistically significant than a difference of 3 po
i
nt
s on a 30-item test taken by the sa
m
e
t
w
o g
r
oups.
10.9 When
a
t
test for paired samples is u
s
ed to
c
ompare th
e
p
re
t
est an
d
the posttest
means
,
the number of pretest scores i
s
the
same as/different than
the number of
po
s
t-t
e
st scor
e
s.
10.10. W
hen
w
e
w
ant to compar
e w
h
e
th
e
r female
s
' scor
es
on th
e
G
MAT are
di
fferent f
rom males' scores
,
we should use a
t
test for
paired samples/independen
t
samples
.
10
.11 In studi
e
s
w
h
e
re the alte
r
nati
ve (
r
es
ear
c
h
)
h
y
poth
es
i
s
i
s
directiona
l
,
t
h
e critical va
lu
es
for
a
one tailed test/two-tailed test
should b
e us
ed t
o
d
e
t
erm
i
ne the
l
e
vel o
f
signi
fi
cance (i
.
e.
,
the
p
va
lue).
10.12 W
h
e
n
t
h
e
alt
e
rnati
ve
h
y
poth
e
si
s
is: H
A
: u1=u2
,
the c
ri
ti
ca
l
v
alu
es for
one
tailed test/
two-tailed
test
should b
e
u
se.
100 WORDS OR MOREConsider your past experiences either as a studen.docxvrickens
100 WORDS OR MORE
Consider your past experiences either as a student, early child care professional, or teacher. Describe a creative episode similar to the two boys who found a frog in the text (Creativity and the Arts with Young Children, p.309), when the teacher (maybe you) seized the opportunity (the teachable moment) to inspire the children to branch out using their imagination, creativity, and interests. Why do you think this was such a memorable moment?
WHAT WAS OBSERVED?
Two boys were exploring the outdoors and found a small frog. The teacher recognized their high interest and determined that this was an appropriate topic for a study. Their experience in nature provided the interest and stimulus for a long-term project on frogs. The teacher demonstrated her belief that this study could not only include informational learning but also be enriched by the use of the arts. She didn't know a lot about frogs, so she joined the children in looking for information about them. Stories provided the content for the drama about frogs, and the music selection encouraged listening and moving to the “frog music.” A group mural was created through the collaboration of several children, who created visual representations of the frog's environment. Another group of children investigated building a habitat for the frog in their classroom aquarium. All of the children were involved in active learning and used methods that matched their interests. At the conclusion of the study, the children shared their learning by making a giant book about frogs, creating a song about frogs, and demonstrating the development of the frog aquarium that emulated its outdoor environment. Finally, they returned the frog to its home, which led to their understanding that it needed to live in its natural habitat.
.
1000 to 2000 words Research Title VII of the Civil Rights Act of.docxvrickens
1000 to 2000 words
Research Title VII of the Civil Rights Act of 1964 and discuss why it is so significant.
Your paper should discuss the state of race relations in the United States prior to the Civil Rights Act of 1964. It should also discuss the political environment that led to the passing of the Civil Rights Act of 1964. Additionally, please include a response to the following in your analysis:
What is the purpose of this law?
What groups does it protect? What groups does it not protect?
How were the Jim Crow laws tested during this time period?
What is the U.S. Supreme Court case
Plessy v. Ferguson
about? Is the rule established in the Plessy case still the rule today?
.
1000 word essay MlA Format.. What is our personal responsibility tow.docxvrickens
1000 word essay MlA Format.. What is our personal responsibility toward the natural world, toward what we term our natural resources? Use one of these readings and interpet it to the question reflecting your answer. Add perentheses when using quotes.
“May’s Lion” (Le Guin)
“Deer Among Cattle” (Dickey)
“Meditation at Oyster River” (Roethke)
“The Call of the Wild” (Snyder)
“Eco-Defense” (Abbey)
“The Present” (Dillard)
“Time and the Machine” (Huxley)
Mending wall(Frost)
.
100 wordsGoods and services that are not sold in markets.docxvrickens
100 words
Goods and services that are not sold in markets, such as food produced and consumed at home and some household articles, are generally not included in GDP.
How might the absence of these values mislead one when comparing the economic well-being of the United States and India?
What other items are not included in GDP and how might their exclusion impact policy?
.
100 word responseChicago style citingLink to textbook httpbo.docxvrickens
100 word response
Chicago style citing
Link to textbook: http://books.google.com/books?id=zutRiJJMBQYC&printsec=frontcover#v=onepage&q&f=false
Article is attached
The overwhelming similarities between the articles are perception of identity through self-focus or self-identity through culture. Mulvaney tells us “truth is socially constructed through language and other symbol systems” (Mulvaney, 222). And as an example, it was just such self-focus that landed Galileo in jail by asserting that the universe was sun-centered as opposed to earth centered. The people of that time had socially constructed their own truths based on their perceptions of that time, although we now know that both were incorrect. It was from this perception of correctness that power was assumed and asserted by the majority, which in this case led to Galileo’s arrest (Mulvaney 2004).
Jandt touches on an interesting fact regarding existentialism, the idea of the “other” and the idea that both the observer and the observed are changed in the process. He states, “that the observer is not independent of the observed; the observed is in some sense “created” or changed or both by the act of observation” (Jandt, 212). It is from this dynamic that Jandt speaks of that we can see the formation of societal roles, i.e. the roles of those in positions of power and those in a subservient roles.
The interesting culmination of the information from all three articles is that the process is not a stagnant one, but rather one that can, and often times does change. Through introspective analysis, asking ourselves the question “Who am I?” we can embrace our cultural differences and through the acceptance of our individual qualities can take back some of the power that was perhaps lost (Jandt, 210). For example, take the labels “Feminist” and “Gay” along with “queer” and “Chicano,” which were certainly negative when created, have been transformed into positive labels embraced by those within each perspective community (Jandt 2004).
Works Cited
Jandt, Fred E., Dolores V. Tanno. "Decoding Domination, Encoding Self-Determination - Intercultural Comminication Research Process." In Intercultural Communication: A Global Reader, by Fred E. Jandt, 205 - 221. Thousand Oaks, CA: Sage Publications, Inc., 2004.
Mulvaney, Becky Michelle. "Gender Differences in Communication - An Intercultural Experience." In Intercultural Communication - A Global Reader, by Fred E. Jandt, 221 - 229. Thousand Oaks, CA: Sage Publications, Inc., 2004.
.
100 word response to the followingBoth perspectives that we rea.docxvrickens
100 word response to the following:
Both perspectives that we read referenced Hofstede’s work. Merrit and Helmreich focused closely on Hofstede’s principles of individualism and power distance. They studied how American flight crews differed in these areas from Asian flight crews. The American flight crews proved to have much more individualism than the Asian, although power distance perceptions were mixed between pilots and flight attendants, with the flight attendants perceiving more power distance than the pilots (in Jandt, 2004). Aldridge also focused on individualism and power distance, with regards to the American culture. It is Aldridge’s thesis that it is the idea of the “natural rights of man” that underpins American culture (in Jandt, 2004, p.94). The natural rights of man are a value that is espoused by a culture with high individuality and low power distance. If man has natural rights, then he is an independent being, and in order to value all men, we must have a lower perception of the distance between those of high status and those with lower status.
I enjoyed both perspectives. I felt that the aviation study was very strong, as they were careful to make sure that they accounted for cultural differences in their measurements. I agree with the authors that although they confirmed some sociological theories and demonstrated that flight crews tend to follow their cultural norms, the study is likely skewed. In order to understand how different flight crews behave from standard Asian social norms, the surveys would have to be done from an Asian perspective and even then, there is not just one Asian culture, so that should be taken into account. We likely miss many of the subtle differences between Asian flight crews and their home culture, by not having a sensitive test to that culture.
My main complaint about Aldridge’s perspective is a lack of strong comparison to other cultures. I felt that the argument that American culture is strong based on our belief in natural human rights would have been better served by showing more comparison to other cultures that also espouse this value and/or to cultures that clearly do not. The comparison to Nazi culture was a start, but one that gets kind of old after a while, and is not a culture that is as current as I would prefer in a comparison.
Readings:
Texbook: Jandt, Fred E. (editor) Intercultural Communication: A Global Reader. Thousand Oaks, CA: Sage. 2004
“Human Factors on the Flight Deck: The Influence of National Culture,” Merritt and Helmreich, Jandt pages 13-27
“What is the Basis of American Culture,” Aldridge, Jandt pages 84-98
100 word response to the following
The perspectives learned this week relate to the evolution of human beings and their ability to evolve and survive. As it was state in Aldridge’s readings human beings have the capability to communicate and this ability makes them superior, than animals. All human beings came from the same land and eventually with th.
100 word response to the followingThe point that Penetito is tr.docxvrickens
100 word response to the following:
The point that Penetito is trying to make is that it is important for indigenous cultures to survive. He uses the case of the education of the Maori in New Zealand as an example to exhibit the declining influence of the culture because of the influence of the more dominant British culture. Penetito strengthens his argument by referencing problems that come with colonization and the negative on natives, most notably, the educational system. By attacking this one issue and using facts about the culture to enrich the discussion helps to focus his message that cultures being dominated is a bad thing. The Maori educational system has been moulded to fit the mainstream framework rather than a Maori one (Jandt, 2004, p. 173) and this creates many of the problems and contributes to the extinction of culture. He could use other examples of how colonizing countries leads to the destruction of less important areas of indigiounous cultures such as dress, language, or food in order to strengthen his arguments about the educational systems. The lack of attention in the educational field is having lasting effects on Maoris living in New Zealand and any more information he could use to support this would be important to know. Also examples of educational systems in other colonized countries, to compare and contrast them to New Zealand's would also help to influence readers. He references a report done by the Ministry of Maori Development which states that, "disparities between Maori and non-Maori in a variety of economic sectors such as employment and income" (Jandt, 2004, p. 181). The Maori are just an example of one culture that is fighting for survival out of many. The problem is that through colonization, diversity dwindles. Penetito's writing is valid for all endangered languages because all cultures can use it as a template and useful knowledge for preserving their cultures before they are completely gone.
Textbook: Jandt, F. (2004). Intercultural Communication:A Global Reader. Thousand Oaks, CA: Sage Publications Inc.
---------------------------------------------------------------------------------------------------------------------------
100 word response to the following:
I would like to ask a provocative question, or two.
Given that all of the indigenous languages in the USA are on the brink of extinction, should there be federal funding to protect these languages and these cultures?
Along the same lines, what do you think of English-only initiatives? Do these aid or hurt American culture?
http://www.endangeredlanguages.com/
.
100 word response to the folowingMust use Chicago style citing an.docxvrickens
100 word response to the folowing:
Must use Chicago style citing and the textbook: Jandt, Fred E. (editor) Intercultural Communication: A Global Reader. Thousand Oaks, CA: Sage. 2004. Part I Cultural Values
Culture has many different meanings anywhere from historical perspectives to behavioral perspectives to different traditions that have been passed down from generations to generations.
Levi Strauss was interested in structuralism which he defined as “the search for unusual harmonies” (pg 1 Jandt). “There are many more human cultures than human races”, human cultures are counted by the thousands and human races are divided up by units.
The collaboration between cultures is trying to compare the old world with the new world. “No society is intrinsically cumulative. Cumulative history is the way of life of cultures and how they get a long together. All cultural contributions are divided into two groups; isolated acquisitions or features, the features are important but at the same time they are limited. The second group is systemized contributions which is how each society has chosen to express human aspirations. According to Strauss the true contribution of a culture is its difference from others.
Geert Hostede looks at business cultures and states that culture may be divided into four categories symbols, heroes, rituals and values. “Understanding people means understanding their background from which their present and future behavior can be predicted”. There are also four national cultural differences: 1.power distance-the population from equal to extremely unequal 2. Individualism -people have learned to act as individuals rather than in a group 3.masculinity- assertiveness or masculine values prevail over the feminine ones 4.uncertainty avoidance- people in a country prefer structured over unstructured situations.
References:
Jandt, E. Fred. Intercultural Communications. Thousand Oaks; Sage Publications. 2004. Print.
100 word response to the folowing:
Must use Chicago style citing and the textbook: Jandt, Fred E. (editor) Intercultural Communication: A Global Reader. Thousand Oaks, CA: Sage. 2004 Part I Cultural Values
Our culture is something that has been ingrained in us from an early age, and is largely unconscious. Levi-Strauss says that while certain biological traits were selected for us in the beginning of evolution, as soon as culture came into being, those biological traits were influenced by the dynamics of culture (Jandt, p. 6). Essentially, we are not able to separate ourselves from culture, and to do so would be to ruin what is wonderful and unique about each culture. According to Hofstede, all cultures have their processes, and their values. While things like symbols and rituals in a culture vary greatly, he says; “Values represent the deepest level of culture. (Jandt, p. 9)”
Because culture is deeply ingrained in us, all of the variants that Levi-Strauss and Hofstede discussed must be taken in account when dealing wit.
100 word response using textbook Getlein, Mark. Living with Art, 9t.docxvrickens
100 word response using textbook: Getlein, Mark. Living with Art, 9th Ed., New York: McGraw-Hill, 2010. Citing in MLA Format:
Between the Baroque and Rococo era, according to Getlein in Living with Art 2010, Rococo is a development and extension of the baroque style. Rococo is not only a play on the word baroque, but also French for rocks and shells. Rococo is known for its ornate style and several points of contrast. Baroque on the other hand was an art of cathedrals and palaces (Getlein p. 397). The Mirror Room of the Amailienburg in Nymphenburg is a great example of the Rococo style of art with its gentle pastels, overall intimacy, multiple mirrors and its illusion of the sky and with that baroque is large in scale and rococo is lighter. According to Getlein p. 398, Rococo architecture first originated in France but was soon exported, some examples of this type of art are found in Germany. Hall of mirrors on page 392 by Charles Le Brun is an example of baroque art, it is a more intense piece of work that is more vibrant and energetic vice the lighter decoration s used in The Mirror Room.
100 word response using textbook: Getlein, Mark. Living with Art, 9th Ed., New York: McGraw-Hill, 2010. Citing in MLA Format:
The Renaissance covered the period from 1400 to 1600, which brought numerous changes that included new techniques in art, the way art was viewed, and how people viewed themselves. The term renaissance means "rebirth" and it refers to the renewal of interest in Roman and Greek cultures. During the period scholars who called themselves humanists believed in the pursuit of knowledge and striving to reach their full creative and intellectual potential. This new way of thinking had many impacts for art during this period. Artists became interested in observing the natural world and studied new techniques on how to accurately depict it. Various techniques were developed such as the effect of light known as chiaroscuro; noting that distant objects appeared smaller than nearer ones they developed linear perspective; seeing how detail and colored blurred with distance, they developed atmospheric perspective. (Getlein page 361) The nude also reappeared in art, for the body was one of God's most noble creations; an example of this can be seen in figure 16.8 the statue of David, by the artist Michelangelo. (Getlein page 368) The primary difference between the Renaissance and the prior period of time was that artists were no longer viewed craftsmen, they were now recognized as intellectuals. (Getlein page 362)
The Northern Renaissance developed more gradually than in Italy. Northern artists did not live among the ruins of Rome nor did they share the Italians’ sense of a personal link to the creators of the Classical past; thus affecting the focus and characteristics between the two cultures. (Getlein page 374) Renaissance artists in northern Europe focused more on small details of the visible world, such as decoration or the outer appearanc.
100 word response to the following. Must cite properly in MLA.Un.docxvrickens
100 word response to the following. Must cite properly in MLA.
Unlike the Egyptian culture that created statues of themselves as gods and pharaohs. Muslims did not worship false idols or statues so no pictures or statues or gods are present in their mosques. According to Geitlein (2010), “The Qur’an contains a stern warning against the worship of idols, and in time this led to a doctrine forbidding images of animate beings in religious contexts” (p. 410). Instead the Muslims of the Islam culture used geometry and plants to design buildings, like the Egyptian pyramids, Muslims built beautiful mosques with grand designs. Islam became a world religion, like Christians, they needed a place of worship and prayer. They also used fine textiles, sun dried brick, and ceramics to create their designs. An example would be the popular Cordoba mosque of Spain. A lot of mosques use the arch and dome technique like that of the Romans and Byzantine architecture. Arabic script also became popular and appeared inside the mosque temples. Islam used calligraphy as art and to illustrate writing. Egyptians were also big on scripting but theirs was called hieroglyphics, which not only had letters, but pictures were a big part of their writing system as well. The Egyptians didn’t technically worship false idols at all times, at some times they had statues created of themselves but there wasn’t really a religion in Egypt until the one god religion began there. Egypt gave you a visual of the life and world of Egypt, Islam leaves it more up to the imagination with no pictures of what any of the past history looked like.
References
Getlein, Mark. Living With Art. 9th ed. New York: McGraw-Hill, 2010. Print.
100 word response to the following. Must cite properly in MLA:
Realism was a mid to late 19th century movement in which artist should represent the world at it is regardless of artistic and social understandings. Realist were seeking to free art from social regulation and depicting how society shapes the lives of people (Little, page 80).
In his Fur Traders Descending the Missouri, American-born George Caleb Bingham a self taught artist and the first major painter to live and work west of the Mississippi River illustrates the realism of life for a French trapper and his son on the Missouri River hunting from a dugout canoe. The painting is simple to understand, it represents the calmness of a time to me when life was simple.
Abstract Expressionism was a movement that got its start following World War TWO. Developed in New York and often referred to as the New York School or Action Painting it is characterized to depict universal emotions. Additionally this was the first American movement to gain international recognition (Little, page 122).
Jackson Pollock’s perfected Abstract Expressionism through his “drip technique”, a technique in which you apply paint to a canvas on the floor indirectly from a brush. Pollock the youngest of five boys in a family that moved a.
100 original, rubric, word count and required readings must be incl.docxvrickens
100% original, rubric, word count and required readings must be included
This is 3 assignments in one. The final is all the assignments from M1A2- M5A2
The assignments are highlighted in yellow and the rubics are in red and attached for M3A2 and M5A2
Assignment 2: LASA 1—Preliminary Strategy Audit
The end result of this course is developing a strategy audit. In this module, you will outline and draft a preliminary framework for your final product. This provides you with the opportunity to get feedback before a final submission.
In
Module 1
, you reviewed the instructions for the capstone strategy audit assignment and grading rubric due in
Module 5
. By now, you have completed the following steps:
Identified the organization for your report
Interviewed at least one key mid-level or senior-level manager
Created a market position analysis
Conducted an external environmental scan in preparation of your final report and presentation
In this assignment, you will generate a preliminary strategy audit in preparation for your final course project.
Prepare a report that includes the following:
In preparation for your course project, prepare the preliminary strategy audit using the tools and framework you have focused on so far including the following:
Analysis of the company value proposition, market position, and competitive advantage
External environmental scan/five forces analysis
Identify the most important (5–7) strategic issues facing the organization or business unit.
You may modify the strategic issues in your final report based on the additional analysis you will conduct in the next module as well as the feedback you receive on this paper from your instructor.
Keep in mind that it is important to look at the strategic issue(s) from more than just one perspective in the business unit or company—speak to or research the issue from more than one angle to offer a 360-degree approach that does not cause more problems or issues.
Strategic issues arise from a mismatch between internal capabilities and external trends such that important opportunities are not being pursued or significant external threats are not being addressed under the current strategy.
Include a preliminary set of recommended tactics for improving your company’s strategic alignment and operating performance.
You may modify these recommendations in your final report based on the additional analysis you will conduct in the next module as well as the feedback you receive on this paper from your instructor.
Keep in mind that recommendations can include, but are not limited to, tactics in marketing, branding, alliances, mergers and acquisitions, integration, product development, diversification or divestiture, and globalization. If you recommend your company to go global, you must include a supply chain analysis and an analysis of your firm’s global capabilities.
Write your report as though you are a consultant to your company and are addressing the executive officers of this comp.
100 or more wordsFor this Discussion imagine that you are speaki.docxvrickens
100 or more words
For this Discussion imagine that you are speaking to a group of parents or early childcare professionals. Identify the characteristics of the group so that your readers know who is being addressed. Explain to the group why play is so important to children, including:
How and what children learn through play
Give examples of how they can encourage and support play for children
.
10. (TCOs 1 and 10) Apple, Inc. a cash basis S corporation in Or.docxvrickens
10.
(TCOs 1 and 10) Apple, Inc. a cash basis S corporation in Orange, Texas, formerly was a C corporation. Apple has the following assets and liabilities on January 1, 2010, the date the S election is made:
Adjusted Basis
Fair Market Value
Cash
$200,000
$200,000
Accounts receivable
-0-
$105,000
Equipment
$110,000
$100,000
Land
$1,800,000
$2,500,000
Accounts payable
-0-
$110,000
During 2010, Apple collects the accounts receivable and pays the accounts payable. The land is sold for $3 million, and taxable income for the year is $590,000. What is Apple's built-in gains tax?
(Points : 5)
.
10-12 slides with Notes APA Style ReferecesThe prosecutor is getti.docxvrickens
10-12 slides with Notes APA Style Refereces
The prosecutor is getting feedback from local law enforcement officers explaining that they are discouraged from making arrests in cases of domestic violence and child abuse. They claim that they have been either not making arrests in domestic violence situations or arresting both parties when they go out on a call. It seems that abused women often go back to the abusers, and children who get removed from the homes where they have been abused often return after removal. These occurrences have been especially demoralizing to law enforcement.
One of your jobs in working as a victim witness assistant is to help educate law enforcement on the nature and behaviors involved in domestic violence and child abuse. The prosecutor’s office has decided that you should present each of these topics for the next training session:
Topic 1: Domestic violence:
Your goal is to educate law enforcement to use best practices in the investigation of domestic abuse cases. Include the following topics:
How to approach a domestic violence situation when responding to an emergency call
when the parties should be separated
how to interview parties
what information needs to be in the report and why
how best to help a victim
what laws protect victims, including the use of protection orders
why victims return to abusers
length of time it may take to stay away from their abusers
Arrests
the legal standard needed to make an arrest in a domestic violence case
What evidence should be collected at the arrest?
Are dual arrests effective law enforcement?
how to assist domestic violence victims
reluctant victims
help for victims
Topic 2: Child Abuse:
Your goal will be to educate law enforcement about the dynamics of abuse and neglect cases. Include the following topics:
signs of child abuse and categories (physical, sexual, emotional)
difference between abuse and neglect
legal description of neglect
use of guardian
ad litems
the legal standards that must be met in removal from the home
termination of parental rights
requirements of Indian Child Welfare Act (ICWA)
role of court-appointed special advocates (CASA) in child abuse and neglect cases
role of social services in abuse and neglect cases
For more information on creating PowerPoint Presentations, please visit the Microsoft Office Applications Lab.
.
10-12 page paer onDiscuss the advantages and problems with trailer.docxvrickens
10-12 page paer on
Discuss the advantages and problems with trailers for temporary housing, the issues for FEMA, and recommendations for improvements to the housing program. Discuss how Public Assistance was used in New York for Hurricane Sandy recovery, and why this was so different than previous housing policies.
.
10. Assume that you are responsible for decontaminating materials in.docxvrickens
10. Assume that you are responsible for decontaminating materials in a large hospital.
How would you sterilize each of the following? Briefly justify your answers.
a. A mattress used by a patient with bubonic plague
b. Intravenous glucose-saline solutions
c. Used disposable syringe
d. Tissues taken from patients
.
Unit 8 - Information and Communication Technology (Paper I).pdfThiyagu K
This slides describes the basic concepts of ICT, basics of Email, Emerging Technology and Digital Initiatives in Education. This presentations aligns with the UGC Paper I syllabus.
The Art Pastor's Guide to Sabbath | Steve ThomasonSteve Thomason
What is the purpose of the Sabbath Law in the Torah. It is interesting to compare how the context of the law shifts from Exodus to Deuteronomy. Who gets to rest, and why?
How to Create Map Views in the Odoo 17 ERPCeline George
The map views are useful for providing a geographical representation of data. They allow users to visualize and analyze the data in a more intuitive manner.
We all have good and bad thoughts from time to time and situation to situation. We are bombarded daily with spiraling thoughts(both negative and positive) creating all-consuming feel , making us difficult to manage with associated suffering. Good thoughts are like our Mob Signal (Positive thought) amidst noise(negative thought) in the atmosphere. Negative thoughts like noise outweigh positive thoughts. These thoughts often create unwanted confusion, trouble, stress and frustration in our mind as well as chaos in our physical world. Negative thoughts are also known as “distorted thinking”.
Ethnobotany and Ethnopharmacology:
Ethnobotany in herbal drug evaluation,
Impact of Ethnobotany in traditional medicine,
New development in herbals,
Bio-prospecting tools for drug discovery,
Role of Ethnopharmacology in drug evaluation,
Reverse Pharmacology.
How to Split Bills in the Odoo 17 POS ModuleCeline George
Bills have a main role in point of sale procedure. It will help to track sales, handling payments and giving receipts to customers. Bill splitting also has an important role in POS. For example, If some friends come together for dinner and if they want to divide the bill then it is possible by POS bill splitting. This slide will show how to split bills in odoo 17 POS.
Welcome to TechSoup New Member Orientation and Q&A (May 2024).pdfTechSoup
In this webinar you will learn how your organization can access TechSoup's wide variety of product discount and donation programs. From hardware to software, we'll give you a tour of the tools available to help your nonprofit with productivity, collaboration, financial management, donor tracking, security, and more.
Read| The latest issue of The Challenger is here! We are thrilled to announce that our school paper has qualified for the NATIONAL SCHOOLS PRESS CONFERENCE (NSPC) 2024. Thank you for your unwavering support and trust. Dive into the stories that made us stand out!
Synthetic Fiber Construction in lab .pptxPavel ( NSTU)
Synthetic fiber production is a fascinating and complex field that blends chemistry, engineering, and environmental science. By understanding these aspects, students can gain a comprehensive view of synthetic fiber production, its impact on society and the environment, and the potential for future innovations. Synthetic fibers play a crucial role in modern society, impacting various aspects of daily life, industry, and the environment. ynthetic fibers are integral to modern life, offering a range of benefits from cost-effectiveness and versatility to innovative applications and performance characteristics. While they pose environmental challenges, ongoing research and development aim to create more sustainable and eco-friendly alternatives. Understanding the importance of synthetic fibers helps in appreciating their role in the economy, industry, and daily life, while also emphasizing the need for sustainable practices and innovation.
Introduction to Health Science ProfessionsSemester Project Exp.docx
1. Introduction to Health Science Professions
Semester Project Explanation
Throughout your future careers of healthcare professionals you
will come across many different types of diseases. For your
semester project, you are going to pick one disease to learn
about, write a research paper and present on to your classmates.
This project is graded on an A-F, summative scale and is worth
20% of your final grade. You will be given multiple
opportunities to work on it in class, take advantage of those!
Due Dates:
Research Paper: Wednesday, January 22th - by midnight
Slideshow/Presentation: Friday, January 24th - by 8am
Part 1: Pick a Disease
As a class, we will sign up for your picks for your project
A disease may only be used once, no repeats!
Part 2: Research Paper (50 points)
Using the following information, write a research paper about
your disease, submitted through Google Classroom, in YOUR
OWN WORDS. It is possible to re-word a list of symptoms!
Minimum of 3 pages in length, double spaced & maximum of 5
pages in length
Need to add page numbers to the bottom right corner
Each paragraph needs to be at least 5 complete sentences (worth
6 points - all or nothing)
APA citation is required and expected; all papers will be
checked for plagiarism (no need for title page) → use the APA
Citation handout on Google Classroom for help.
Use the rubric to guide you!!!
Introductory Paragraph (4 points total)
2. Introduce the disease you are researching
State why you chose this particular disease
Include basic information about the disease
Name, Rare or common?, Age range of those who usually get it
Give a brief history of the disease; If known, where did it
originate from?
What risk factors can lead to the disease?
Common Signs & Symptoms (4 points total)
List the signs and symptoms
What does a person experience or feel who has the disease?
How does a person get the disease?
Diagnosis (4 points total)
How is it diagnosed?
What tests do they need to run?
Are there any telltale signs of the disease?
Treatment (4 points total)
What treatments are used? Can they completely get rid of the
disease?
List 3 medical and 3 non-medical treatments for the disease
Can it be cured?
Prevention (4 points total)
What can be done to prevent, if any?
What preventions can be done?
Complications (4 points total)
What types of complications can occur?
Does it get worse if not treated? If so, what happens?
Are there any illnesses or diseases that are common with this
disease?
How might the disease get worse?
Prognosis (4 points total)
Can people die from the disease? If do, do they usually die,
sometimes die or only rarely live?
What are the short-term effects of the disease? Long-term?
Are there any problems that occur from this disease that never
go away?
Do people usually recover from the disease?
3. Conclusion (4 points total)
Reiterate what you learned during the first parts of your essay.
How will you reduce your risk for the disease?
Tell me any new or surprising information you learned
Turning In On Time (8 points total)
Due by midnight on Wed, January 22nd via Google Classroom
assignment.
Citations (4 points total)
Include 4 different sources in APA format
Part 3 - Slideshow/Presentations (50 points)
The final part of this project is to teach us about the disease you
chose in a 3-5 min presentation with a minimum of 7 slides,
maximum of 12 slides
Must include APA in-text citations on all slides
Images, short videos, media, etc. are encouraged
Need to NOT have to read word for word on your slides; it is
important to have eye contact with your audience
The requirements are as follows:
Title slide (4 points total)
Disease name
Your name
Intro slide (4 points total)
Summary of the basic information of the disease
Common signs and symptoms (4 points total)
List with citation(s)
Diagnosis (4 points total)
How is it diagnosed?
What tests do they need to run?
Treatment/Prevention (4 points total)
What treatments are used? Can they completely get rid of the
disease?
What preventions can be done?
Prognosis (4 points total)
Can people die from the disease? If do, do they usually die,
sometimes die or only rarely live?
4. What are the short-term effects of the disease? Long-term?
Conclusion (4 points total)
Tell us any new or surprising information you learned
Prepared? (4 points total)
Presentation in on time
Ready when called
Well Rehearsed (6 points total)
Material presented in a smooth, organized way
Crafted to fit in time allotted
Comfortable with vocabulary
Does not need to read word for word
Professional (6 points total)
Attire (no jeans!)
Appropriate language
Eye contact
Voice (confident, clear, easy to hear)
Professional Slides (6 points total)
Legible (large font, clear color)
Key points
Free of grammatical errors
Graphically appealing
A Lean Six Sigma Case Study
If you want to prosper for a year, grow rice. If you want to
prosper for a decade, plant trees. If
5. you want to prosper for a century, grow people -- a wise old
farmer reflecting back on a life
of toil in the soil
PROJECT DESCRIPTION
The following Lean Six Sigma case study will reflect a real-life
healthcare problem with
Continuous Improvement and Lean Six Sigma Tools to show
how some of the tools are put into
place in the real world. The object of this project is your
appropriate use of Lean Six Sigma
tools and the data provided. Project completion is required to
pass the course. Project
assignments are assessed on a Complete/Incomplete basis. Each
Phase of the DMAIC process in
the Project has an assignment. Assignments must be submitted
to the instructor by the end of the
week corresponding to the DMAIC Phase. The exception is the
week 8 or Control phase
assignment which needs to be submitted early in the last week
of the course to allow grading.
The Instructor will determine if the student has submitted a
Project assignment that is Complete.
6. If the assignment is Incomplete, there will be interaction
between the Instructor and student until
the assignment is Complete. All project assignments must be
assessed as Complete for the
student to pass the course. An Incomplete project will result in
a Failing grade for the course.
Student Case Study
Case Study:
Process Improvement –
Reduction in Wait Time for
Patients in a Doctor Office
Executive Summary
Dr. Deasley is a popular Doctor in Tampa, Florida specializing
in primary care. He spends a great deal of
time with each of his patients, typically, 45 minutes to one (1)
hour. As a result, there are many other
patients waiting in the waiting room who become impatient at
the long wait time. The Doctor has hours
every day except Wednesdays. He has Hospital Clinic on
Wednesdays and does not have office hours.
7. Dr. Deasley’s office hours are 7:30 AM to 5:30 PM (patients
can be scheduled up until 5:30 PM) on
Tuesdays and Thursdays and 9:30 AM to 7:30 PM (patients can
be scheduled up until 7:30 PM) on
Mondays and Fridays. He does Hospital Rounds from 6:00 AM
to 8:00 AM. He conducts patient call
backs between patients, during his lunch hour and after office
hours. We triage the calls so he gets back
to more seriously sick patients first. However, sometimes he
doesn’t call back non-emergencies until the
next AM. Dr. Deasley is becomes overbooked because he likes
to have 10 patients scheduled per day.
However, due to time constraints he frequently needs to rebook
patients he is unable to see due to time
constraints.
Dr. Deasley’s patients and staff love him for his patience and
attention. But, several long term patients
have left his practice because of this issue. This has resulted in
a decrease in revenue for the office. In
addition, his office is experiencing a rather high rate of staff
turnover. Staff are responsible for booking
patients and managing the workflow in the office. When
backlogs occur and patients become annoyed
about wait times, the staff usually experience the brunt of the
patient dissatisfaction, which effects staff
morale. Each time the office hires replacement staff, it takes a
significant amount of time to train new
employees and it is costly to advertise and recruit competent
staff. Dr. Deasley is very concerned about
both his patients and staff.
His Office Manager, Ms. Smith, who recently was employed at
Memorial Hospital of Tampa, participated
in several Continuous Improvement Projects at the hospital. She
is a certified Lean Six Sigma Green Belt.
8. As a result, Ms. Smith has suggested a plan to the doctor to
conduct a Lean Six Sigma project with the
objective of Reducing Patient Wait Time and Improving Office
Workflow. Ms. Smith explained the
project improvements and objectives. Dr. Deasley has approved
the project. As an initial step, the Office
Manager has established her team. Each employee has a role in
the project. Based on patient
complaints and the doctor’s requirements, they have some
initial Voice of Customer (VOC). Patients
would like to see the Doctor within 10 minutes of arriving and
spend no more than 30 minutes in the
office total for routine visits. The Doctor would like to see 15
patients per day. These changes need to
be made within 3 months in order to minimize patient
dissatisfaction, stop patients leaving the practice
due to long wait times and rescheduling and improve employee
morale and retention.
Define
1. Complete a Project Charter with all of the required
Information
a. Please write the Problem Statement:
b. Please write the Goal Statement utilizing S.M.A.R.T.
objectives (Specific,
Measureable, Attainable, Relevant and Time Bound):
c. What is in Scope? What is out of Scope?
9. d. Who are Key Stakeholders?
e. What are key Milestones?
2. Please complete a High Level “As Is” Process Map.
3. Please create a SIPOC of the process based on the
information that you know. Feel free to
use your imagination for this.
a. Describe methods for collecting Voice of the Customer. (SEE
APPENDIX A for VOC)
4. Please create an Affinity Diagram or List based on VOC so
you can identify Customer
“NEEDS” for CTQ Tree
5. Please create a Critical to Quality Tree utilizing the Voice of
the Customer. Identify the
Needs, Drivers and Requirements or Metric to needed to meet
these needs
Conclusion of Define: The output of the DEFINE stage is a
PROJECT CHARTER (PC) and
STAKEHOLDER ANALYSIS (SA). The PC shall include a
Problem Statement with Goals
utilizing S.M.A.R.T. methodology to address the problems
identified. The Goal shall be
aligned with the customer CTQ Requirements. A clearly defines
SCOPE is included in
the PC. What is IN SCOPE and what is OUT OF SCOPE? Your
Team is identified and
Roles & Responsibilities are defined. A SIPOC Map is
completed. An “As Is” Process
Map is completed in order to better visualize the Work Flow in
the current process. The
DEFINE Phase provides for identification of the VOC and
CTQs, their needs, Drivers and
10. Requirements. The student will have evaluated and Affinitized
the VOC. CTQ trees
were created to identify key requirements for meeting the
customer’s needs. The
Project Team should have a list of external Key stake Holders,
if applicable, e.g.,
Hospital Radiology, who may be impacted by process changes
within the Doctor’s
medical practice. If the Doctor’s staff schedule testing
appointments for patients and
are required to make frequent changes, this has an impact on the
department or
entity conducting the testing. The Project Team will have met
with Dr. Deasley for his
approval to proceed and now has a baseline to begin the
Measure phase.
Measure
1. Based on Customer requirements the project team collected
initial data. Use Pareto Analysis
of # occurrences data to determine the 5 factors which are
causing over 95% of the problem
with wait time. You need to determine the 'biggest contributors
to the problem. One tool to
accomplish this is the Pareto Chart. You need to know if it is
reasonable to assume that
these five 'parameters' are normally distributed. (SEE
11. APPENDIX B)
a. Based on Pareto Analysis what are the focus areas?
b. Set up appropriate methods for tracking focus areas. You will
need to track # of
occurrences of each category and actual for measuring the
ability to meet the
requirements.
2. Define your Data Collection Plan. Include the types of data
you will be collecting (Discrete or
Continuous), Why? (In many instances you will have a mix of
both types of data depending
on the Data source.
3. Based on the data collected Construct FIVE (5) histograms
for the below data sets. (SEE
APPENDIX C) for data sets
a. Interpret each of the histograms to determine whether the
assumption of normality
is reasonable.
b. If the data are not approximately normally distributed, why
not?
4. The team also believed there was a Motorola shift during the
process. Please describe the
Motorola Shift and potential causes that they could have
experienced the shift.
a. Calculate the PPM/DPMO for this process and determine the
baseline sigma with
the Motorola shift.
5. Calculate the Process Performance, Pp and Ppk, based on the
12. current process. Student will
be able to compare current Process performance to Capability
Study performed for process
improvements. Tint: drawing a picture of the data based on a
Normal Curve may help
student visualize if data is skewed when evaluating population
distribution. Use UCL = 60
minutes and LCL = 0 Minutes. In Healthcare LCL will
frequently be “O”
Conclusion of Measure: A Data Collection Plan was created.
Data was taken of as many
parameters as possible before changing any variables. Key Data
has been provided for your
use as directed in the instructions above. Pareto harts have been
created and based on the
VOC. The 5 Largest Contributing Factors will have been
identified. These should have aligned
with the data provided. A method for tracking data to capture
for analysis should have been
identified even if the actual data is already provided. Then from
the categories and data
“collected”, 5 Histograms should have been created along with
the narrative for Analysis,
specifically related to determination if data was normally
distributed. An explanation of the
Motorola Shift is provided. PPM/DPMO is calculated. Pp/Ppk
are calculated and current
process Sigma Level is defined. It was found that Dr. Deasley
was spending more time with his
patients than necessary. The process needs to be analyzed
13. based on the data.
Analyze
1. Create a Stem and Leaf Plot for the downtimes that were
captured from the patient wait times
in the waiting rooms. (SEE APPENDIX D for data set)
2. Calculate Measures of central Tendency with Downtime data.
What can you interpret from
these measures? Please document a conclusion (SEE
APPENDIX D for data set)
3. Calculate Measures of Dispersion with Downtime data. What
can you interpret from these
measures? Please document a conclusion (SEE APPENDIX D
for data set)
4. Two individual staff members were being observed
performing identical activities in the
Doctor’s office. 25 random samples were taken for each staff
member. One of the Medical
Assistants is a new employee. Medical Assistant #1 has been
with Dr. Deasley for several years.
Medical Assistant #2 is a new employee and has been with this
medical practice for 9 months.
We want to determine how Assistant 2 performs when compared
to Medical Assistant #1. Since
she is a new employee. (SEE APENDIX E for data sets)
5. Please provide the following information based on your
analysis of the two Medical Assistants
a. Medical Assistant #2 Average
b. Medical Assistant #2 Standard Deviation
c. Null Hypothesis
d. Alternative Hypothesis
14. e. T-Test Statistic
f. Critical Value
g. Statistical Conclusion for the null and alternative hypothesis.
Conclusion of Analyze: Stem and Leaf Plots were created from
Downtime data provided, Measures of
Central Tendency were also determined using Downtime data
and an interpretation of the results
were made. Data was analyzed to review if different staff
members were performing similarly or not.
Students should have established a Null Hypothesis and
Alternative Hypothesis from the data for the 2
staff members. An appropriate test was performed and
conclusions made based on the outcome.
IMPROVE
1. A staff member has been stating for months that there is a
correlation between the Room
Availability and the Patient arrival time. Should the Office
Manager have listened to this staff
member’s observation? After completing items 2 through 5,
provided your thoughts on staff
observations and how they might have achieved Office Manager
15. Buy-In sooner.
2. Construct a scatter diagram and calculate the correlation
coefficient to see if she is correct. SEE
APPENDIX F for data set
a. Is there strong correlation between room availability and
patient arrival time?
b. IF there is strong correlation, is it positive or negative?
(Answer with positive, negative
or N/A)
c. What is the correlation coefficient between the two variables?
(Use 6 decimal places).
What does this mean?
3. Discuss the 8 Deadly Wastes (MUDA) of the process.
4. Create a Fishbone Diagram. List Potential Root Causes.
Narrow Potential Root Causes to Key
Root Causes. Explaining some of the key Root causes.
5. Discuss Improvements that you would suggest based on
findings from FISHBONE Analysis.
Conclusion of Improve: A Scatter Plot was constructed and a
Correlation completed. The
determination of whether the 2 factors Correlate based on a
Correlation Coefficient determination is
stated and comments on whether the correlation is Positive or
Negative are included. 8 Wastes were
evaluated and identified where applicable. A FISHBONE
DIAGRAM was created and many ideas were
brainstormed for Potential Root Cause. These were then
narrowed to the critical few Root Causes.
Many improvement suggestions were made.
16. CONTROL
An I-MR chart was plotted for the Doctor’s office to ensure the
specifications were performing as
planned and the patients and Doctors were satisfied.
1. Please indicate if the control chart is stable and if any
Shewhart Rules have occurred.
2. A normality test was conducted. Please advise if the data is
normal.
3. A capability study was completed. Please advise if the
process is stable and any analysis you
find is relevant.
17. 4. Please complete a Control and Monitoring Plan for the
project.
5. Create a Dashboard which the office can utilize to monitor
the performance of the
improvements as well as supporting the sustainability of the
improvements
Conclusion of Control: Conclusion regarding the stability of the
Control Chart was made and any
violations of the Shewhart Rules were noted. Students then
observed the WET LAB TESTING and
discussed the Normality of the data. A Capacity Study was done
presumably using data from
improvements made and analysis of the Mini Tab output was
discussed. A Control and Monitoring
Plan was created to ensure monitoring of improvements for
Sustainability. Final a Dashboard was
developed to be used for staff to visually track their
performance and for discussion with Dr. Deasley.
We have collected data after making many improvements to see
if the process is now stable. We will
continue to monitor our progress and follow the control plan.
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>
APPENDIX A: VOICE OF THE CUSTOMER
18. Feedback from Patients:
I wait too long. I only have an hour for Lunch. I make my
appointments specifically at Lunch
time because I can’t come after work.
I like to come very early and be one of Dr. D’s first patients. If
I am not his 1st, I end up waiting
and am late for work. My company is very strict about being on
time.
I wouldn’t mind if the doctor spent less time with me. I only
usually come for an Annual
Checkup and a Flu shot. If I feel really sick, I call the office.
When I broke my arm last year, the
doctor sent me right to the hospital. You guys made the
arrangements for my X-Ray so I didn’t
need to wait.
I can’t be late when I come in the afternoon. I need to pick my
daughter up from school. If I
come in the afternoon, can you make it a short visit?
The doctor spends so much time asking me questions, can’t he
look at my chart before I get
into the exam room?
The last time I was here, you put me in a room with someone
else’s clothes. The woman had
gone to the Ladies’ room and came back to get dressed. I had to
wait in the hallway.
Feedback from Staff
19. We need to organize the exam rooms. Dr. Deasley is always
looking for something and I need to
go find it.
We can’t have multiple people at the Front desk assigning
patients to rooms. They don’t always
assign patients to the right room and equipment is not available
Dr. D keeps taking equipment with him from room to room,
The patients are not getting here early enough to get them ready
for the doctor. He like to have
their Blood Pressure, Weight and Temperature done before he
comes in.
Patients keep arriving the last minute, then they get angry
because they miss their appointment
and need to wait.
I hope I never have to reschedule Mrs. Smyth for a new
appointment because the doctor
couldn’t see her. She was practically screaming at me.
We had 2 patients, Mrs. Jones and Mr. Thomas ask for their
records to be sent to a new
doctor’s office. That is the 4th time that has happened this year
and we are only ½ way through
the year.
The new Medical Assistant was complaining because she said
there is too much chaos here. I
think she might be sorry she came her. I hope she doesn’t go
back to the hospital. It takes so
much time to find good people and train them.
20. Feedback from Doctor
I don’t always have the instruments I need in the Exam Room. I
need to have my Assistant go
find what I need. I’ve started taking Instruments with me to my
next patient only to find 3 of
the same instrument I am carrying in the next Exam Room.
I have seen several patients waiting in the hall outside the Exam
Room. I don’t like that
situation. We need to stop this practice.
I see some staff running around like crazy and others sitting
around appearing to have nothing
to do.
I am not one of these “hands off’ doctors, I like to spend time
with my patients. But sometimes
a patient will sit there with nothing to say and another patient
will have a long list of issues.
If this improvement project is successful, I would like to see 15
Patients a day. We need to keep
operating costs in mind. We need to keep our equipment up to
date and I need to ensure we
plan for salaries and bonuses at year end.
I notice we have had 3 people leave within the past 18 months. I
would like to understand why.
It is very expensive to recruit staff and it takes time before they
are proficient in their jobs. The
team we have now is very good. I would like to keep all of
them. We do monitor salaries and
compare with market standards so I know our salaries and
benefits are competitive.
21. Feedback from Other Sources
Radiology Department is complaining because they state we
make too many changes to the
patient appointments.
The Laboratory department is complaining because our patients
are coming for testing outside
their assigned appointment time and too late in the day.
APPENDIX B: Based on VOC data to be used to construct
CTQ’s. Project Team will
identify key focus areas in Doctor’s Office using Pareto
Diagram. These focus
areas will then be monitored as defined in Data Collection Plan.
Time the Doctor was spending with Patients – 79
Number of times Dr arrives late - 4
Proper Medical Devices not Available - 30
Number of times patient is left in the hallway - 17
Rooms Available at Doctor’s Office -22
Number of times staff arrive late - 3
Staffing of Doctor’s Office -41
22. Number of times scheduling changes were made for patient
testing - 15
Number of times patient had to be rescheduled for Dr visit - 10
Arrival Time of Patients - 52
APPENDIX C: Data set to be used to construct 5 Histograms
Proper
Medical
Devices
N/A
Rooms
Available
at Dr.
Office
27. APPENDIX D: Data represents Wait Time in minutes beyond
their scheduled
Appointment Time for the last 70 patients. Use to create Stem
and Leaf Plots.
PATIENT
WAITING
TIME
PATIENT
WAITING
TIME
PATIENT
WAITING
TIME
PATIENT
WAITING
TIME
PATIENT
WAITING
TIME
PATIENT
WAITING
29. historical mean for Medical Assistant #1 was .0126.
MEDICAL ASSISTANT #2
Data
MEDICAL ASSISTANT #2
Data
0.009
0.015
0.010
0.011
0.011
0.011
0.011
0.012
0.010
0.008
0.011
0.011
0.013
0.008
0.012
0.010