July-August 2013 • Vol. 22/No. 4246
Kimberly Foisy, MSN, RN, CMSRN, is Clinical Educator/Administrative Nursing Supervisor,
Orthopedic-Neurological Medical/Surgical Unit, North Shore Medical Center (NSMC), Salem
Hospital, an affiliate of Partners Healthcare System Inc.; and Assistant Professor, Massachusetts
College of Pharmacy and Health Sciences, School of Nursing, Boston, MA.
Acknowledgment: The author gratefully acknowledges Kathy Clune, MSN, RN, Nurse Manager,
Phippen 6 and 7; and Taryn Bailey, MSN, RN-BC, Executive Director, Professional Practice and
Patient Education Services, for their advice and guidance in the development of this article.
Thou Shalt Not Fall! Decreasing Falls
In the Postoperative Orthopedic
Patient with a Femoral Nerve Block
N
orth Shore Medical Center
(NSMC), Salem Hospital, an
affiliate of Partners Health -
care System Inc., is a 250-bed acute
care teaching hospital located in
Salem, MA, near Boston. The hospital
serves a diverse patient population
with 12,000 inpatient admissions per
year. The hospital’s 32-bed orthope-
dic-neurologic inpatient unit, which
is split between the 6th and 7th
floors of the Phippen Building, has
an average daily census of 30
patients. Unit leadership includes a
nurse manager, clinical educator,
unit coordinator, and one day-shift
charge nurse assigned to both floors.
Average daily staffing consists of
three nurses, two nursing assistants,
and a service associate for each 16-
bed unit; staff can be assigned to
either floor.
Improvement Needs
Decreasing patient falls is a
patient safety priority for direct-care
nurses. Many regulatory and govern-
mental agencies, such as the Centers
for Medicare & Medicaid Services
(CMS), have set standards and pay-
ment incentives to reduce or elimi-
nate falls in the health care setting.
For example, CMS (2011) no longer
reimburses for hospitalization if a
patient has an injury as a result of an
inpatient fall. Some health care
providers suggest falls cannot be
avoided (Muraskin, Conrad, Zheng,
Morey, & Enneking, 2007). However,
staff members for the involved units
at NSMC were determined to count-
er this view by taking action to
address a recent increase in patient
falls on the unit.
Phippen 6 and 7 house postoper-
ative orthopedic and neurological
surgical patients. Each floor has 16
private beds. A group of multidisci-
plinary professionals and unlicensed
staff from the two units convened to
form a team under the Transitioning
Care at the Bedside (TCAB) model
(Rutherford, Moen, & Taylor, 2009).
The team set a goal to eliminate falls
on the unit and started analyzing
falls data to determine the rate and
cause of falls that were occurring.
Data revealed as many as three falls
per month associated with femoral
nerve blocks (FNBs), with two
patients sustaining injury from
January to July 2009. The unit had a
fall rate of 5.2 per 1,000 patient days,
compared with a fall rate of 3.43 per
1,000 patient days for the facility.
Further data anal ...
Essentials of Evidence Based PracticeMAIN POSTIntroduction.docxSANSKAR20
Essentials of Evidence Based Practice
MAIN POST
Introduction
It is estimated that patient falls in hospitals occur among 700,000 to 1,000,000 people in the United States. As well, approximately one third is preventable (Agency for Healthcare Research and Quality [AHRQ], 2013). Fall risk assessment tools, and alarm systems which alert staff when patients attempt to leave the bed or chair unassisted, are two methods among others utilized to reduce falls incidences. Evidence-based practice (EBP) in accordance with patient falls and the applicability to the author’s organization are the topics of this paper.
Patient Care Experience
Recently, an 83 year old male with dementia was hospitalized for pneumonia and under my care, on the night shift. As part of the routine admission process, all patients are evaluated for fall risk. In this patient’s case, a fall risk evaluation tool was one EBP method used to predict and prevent such an incident. High risk status was concluded due to mobility issues, dementia, and incontinence, in accordance with the Hendrich Fall Risk Assessment tool in the electronic health record. Research by Hendrich, Bender, and Nyhuis, in 2003, as cited by Schmidt (2012, April 5) found that intrinsic factors such as “confusion, altered elimination needs and impaired gait and mobility” among others were predictors of falls (para 6). A second intervention used was a bed alarm. Evidence based research for this method showed mixed results. Ward-Smith, Barret, Rayson and Govro (2014) concluded that use of a bed alarm system did not prevent falls, with one reason being the frequency of false alarms caused ignorance by staff, over time. The authors also stated further research in evaluating which patients would be appropriate for the alarm use would be beneficial. Shorr, Chandler, Mion, Waters, Liu, Daniels, Kessler and Miller, (2012), cited a cluster randomized trial which supported a reduction in falls with alarms in use. Still, in searching CINAHL, no studies in the past 5 years were found in support of bed alarms as a fall reduction method. I surmise the use of bed alarms in my facility came as a result of the elimination of the previous routine practice of waist and vest restraint application.
Background and PICOT Questions
Since support of the use of alarm systems was either mixed or nonexistent, and given the previously mentioned in-hospital high incidence of patient fall statistics, more effective measures for reduction must be researched. In formulating an EBP research question, background definitions must be delineated and general knowledge questions answered. For example, in researching best practices for dementia patient fall reduction in acute care hospitals, I would answer the following questions
· What constitutes a patient fall?
· What is dementia?
· What are some common signs and symptoms of dementia?
· What factors place dementia patients at risk for falling?
· What are the effects of hourly ...
Running head: POSTOPERATIVE PAIN 1
POSTOPERATIVE PAIN 3
Postoperative Pain after Reconstructive Surgery
Carla S. Garcia
Nicole Wertheim College of Nursing and Health Sciences
Author Note
Carla S. Garcia, Nicole Wertheim College of Nursing and Health Sciences, Florida International University
Correspondence concerning this article should be addressed to Carla Garcia, Nicole Wertheim College of Nursing and Health Sciences, Florida International University, Miami, FL 33199. Contact: [email protected]
Abstract
Postoperative pain is common for most patients who have undergone reconstructive surgery after a burn. The American Society of Pain (ASP) has devised methods of dealing with postoperative pain since most patients report the incident and only half of them were reported to have recovered from it. The use of local anesthetic-based peripheral regional analgesic technique is an efficient way of reducing postoperative pain, as well as the multi-modal approach for pain management, which has been used for patients after a forty-eight-hour post operative period. The American Society of Regional Anesthesia (ASRA) has approved these methods, and through research, has prepared organizational plans that assist surgical and outpatients with postoperative pain management. Measures such as preoperative education, preoperative pain management and pharmacological and non-pharmacological modalities have been recommended. Evidence shows that multi-modal methods of dealing with postoperative pain have been used for most of the cases. This paper will explore the evidence of postoperative pain management after burn reconstruction surgery and include the comparison between the uses of local anesthetic to the use of multi-modal methods in dealing with postoperative pain. In adition, the paper will look at the use of these postoperative methods both in the United States of America (USA) and other countries, and how these methods impact patient outcome.
Keywords: Evidence-Based, Research, Nursing Research, Postoperative, Patient Response.
Significance and Background
Burn reconstruction is a common experience for patients both in the USA and other countries in the world. Postoperative pain is expected after a burn reconstruction, hence the incorporation of methods such as the use of local anesthesia and multi-modal techniques in dealing with pain are recommended. The inquiry is whether the use of local anesthetics is more effective than the multi-modal method in dealing with postoperative pain in adult patients recovering from reconstructive surgery within a forthy-eight-hour time frame.
During a study composed of members of the ASP with help from the American Society of Anesthesiologists (ASA), they assembled in a meeting where members with expertise in anesthesia or.
Running head: POSTOPERATIVE PAIN 1
POSTOPERATIVE PAIN 3
Postoperative Pain after Reconstructive Surgery
Carla S. Garcia
Nicole Wertheim College of Nursing and Health Sciences
Author Note
Carla S. Garcia, Nicole Wertheim College of Nursing and Health Sciences, Florida International University
Correspondence concerning this article should be addressed to Carla Garcia, Nicole Wertheim College of Nursing and Health Sciences, Florida International University, Miami, FL 33199. Contact: [email protected]
Abstract
Postoperative pain is common for most patients who have undergone reconstructive surgery after a burn. The American Society of Pain (ASP) has devised methods of dealing with postoperative pain since most patients report the incident and only half of them were reported to have recovered from it. The use of local anesthetic-based peripheral regional analgesic technique is an efficient way of reducing postoperative pain, as well as the multi-modal approach for pain management, which has been used for patients after a forty-eight-hour post operative period. The American Society of Regional Anesthesia (ASRA) has approved these methods, and through research, has prepared organizational plans that assist surgical and outpatients with postoperative pain management. Measures such as preoperative education, preoperative pain management and pharmacological and non-pharmacological modalities have been recommended. Evidence shows that multi-modal methods of dealing with postoperative pain have been used for most of the cases. This paper will explore the evidence of postoperative pain management after burn reconstruction surgery and include the comparison between the uses of local anesthetic to the use of multi-modal methods in dealing with postoperative pain. In adition, the paper will look at the use of these postoperative methods both in the United States of America (USA) and other countries, and how these methods impact patient outcome.
Keywords: Evidence-Based, Research, Nursing Research, Postoperative, Patient Response.
Significance and Background
Burn reconstruction is a common experience for patients both in the USA and other countries in the world. Postoperative pain is expected after a burn reconstruction, hence the incorporation of methods such as the use of local anesthesia and multi-modal techniques in dealing with pain are recommended. The inquiry is whether the use of local anesthetics is more effective than the multi-modal method in dealing with postoperative pain in adult patients recovering from reconstructive surgery within a forthy-eight-hour time frame.
During a study composed of members of the ASP with help from the American Society of Anesthesiologists (ASA), they assembled in a meeting where members with expertise in anesthesia or.
Please readRobert Geraci, Russia Minorities and Empire,” in .docxTatianaMajor22
Please read:
Robert Geraci, “Russia: Minorities and Empire,” in Abbott Gleason, ed., A Companion to Russian History (Oxford: Wiley-Blackwell, 2009), 243-260.
And discuss:
How does Geraci portray the legacy of the early Russian history for the make-up of 18-19th century Russia?
Please read: Leonard Victor Rutgers, “Roman Policy Towards the Jews: Expulsions from the City of Rome during the First Century C.E.,” in Classical Antiquity, Vol. 13, No. 1 (Apr., 1994), pp. 56-74.
And discuss: Rutgers surveys the different reasons historians have given for the expulsion of the Jews from Rome in the first century C.E. Who place did Jews have in Roman society at this time? Were they expelled because of their religious practices, or because they were ‘unruly’ as Rutgers argues? If so, what caused them to act in this way? What kind of historical evidence does the author use?
There are 2 essay, each one should write at least 300-350 words and plus one reference page.
MLA format. Must use quote( “ ”) for every source you use from website. And put (author, page number) behind quote.
Roman Policy towards the Jews: Expulsions from the City of Rome during the First Century
C.E.
Author(s): Leonard Victor Rutgers
Source: Classical Antiquity, Vol. 13, No. 1 (Apr., 1994), pp. 56-74
Published by: University of California Press
Stable URL: http://www.jstor.org/stable/25011005 .
Accessed: 26/08/2011 13:35
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University of California Press is collaborating with JSTOR to digitize, preserve and extend access to Classical
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LEONARD VICTOR RUTGERS
Roman Policy towards the Jews:
Expulsions from the City of Rome
during the First Century c. E.
Tant de causes secretes se melent souvent a la cause apparente, tant de ressorts
inconnus servent a persecuter un homme, qu'il est impossible de demeler dans les
siecles posterieures la source cachee des malheurs des hommes les plus consider
ables, a plus forte raison celle du supplice d'un particulier qui ne pouvait etre
connu que par ceux de son parti.
-Voltaire, Traite sur la tolerance (1763)
IN THIS ARTICLE I want to discuss the evidence for expulsions of Jews from
the city of Rome in the first century C.E. Scholars have long been interested in the
reasons underlying these expulsions. Because the anci.
Ford VS ChevroletThere are many reasons that make the Chevy.docxTatianaMajor22
Ford VS Chevrolet
There are many reasons that make the Chevy’s and Ford’s motors two most common trucks. Studies reveal that that they are the most popular vehicles on sales today. It is because they are powerful, versatile and reasonably priced. They also come in a wide variety of configurations and styles. However, many buyers and sellers have questioned themselves on the better vehicle compared to the other in terms of quality, Wi-Fi, price ranges, value, and costs. To compare and contrast on this subject, let us take an example of two vehicles each from each company to facilitate comparison.
Ford offers the full-size track with automatic high-beam control, automatic parallel parking and power-retractable running boards. Fords are elegant, and they are mostly aluminum making them save weight and bolster gas mileage. None of these features are offered Chevy’s. Chevrolets have outstanding quality. They are mostly comprised of steel, for instance, the Chevrolet Silverado. This makes them good for rough roads and difficult terrains.
Fords have employed the use of up to date Wi-Fi technology. Ford intends to provide the Ford Sync, which will provide robust connections for occupants. Latest Chevrolet brands Malibu utilize the 4G LTE Wi-Fi Technology that provides rich in-vehicle experiences. This technology is powerful compared to Ford Sync, and is used for connecting devices and executing few remote operations within the car.
From the value and cost standpoint, Ford can consume a little more, and its payload capacity is a little higher. Additionally, its mileage is too better. The prices vary from nation to nation. Chevrolet seems to be a little cheaper, and reasonably priced going for $33,044, which is slightly less than Ford, but the differences are not serious to propel buyers towards one truck leaving the other
Technophiles are likely to put their preferences on Ford to Chevrolet. On overall, Fords have many features as compared Chevy’s. However, they may be hard to maintain. Compared to Fords, Chevrolets are reliable and cheaper. However, the two brands are equally good performers. It is, therefore, prudent to pick what one thinks would fit his or her usage and preference and personal style
Ethical Systems, Research Paper, Spring 2015, Douglas Green, Page 1 of 1
Ethical
Systems/Final
Research
Paper
2,000
words
minimum,
double-‐spaced
Final
Draft
Due:
Tuesday,
April
28,
12:00
pm
(afternoon)
Please
email
your
final
research
paper
to
me
via
MS
Word
attachment
AND
by
cutting/pasting
the
entire
document
into
the
body
of
your
email.
IF
YOU
DO
NOT
RECEIVE
A
CONFIRMATION
EMAIL
BACK,
I
DID
NOT
RECEIVE
YOUR
ESSAY
AND
YOU
WILL
LOSE
ALL
CREDIT
FOR
THIS
REQUIREMENT.
NO
LATE
WORK
WILL
BE
ACCEPTED…
PERIOD!
.
Fairness and Discipline Weve all been disciplined at one.docxTatianaMajor22
Fairness and Discipline
We've all been disciplined at one time or another by a parent or a teacher. What disciplinary experiences have you had as a child that took a non-punitive approach?
I need paragraph or half page with reference
.
Appendix 12A Statement of Cash Flows—Direct MethodLEARNING .docxTatianaMajor22
Appendix 12A
Statement of Cash Flows—Direct Method
LEARNING OBJECTIVE
6
Prepare a statement of cash flows using the direct method.
To explain and illustrate the direct method, we will use the transactions of Computer Services Company for 2014, to prepare a statement of cash flows. Illustration 12A-1 presents information related to 2014 for Computer Services Company.
To prepare a statement of cash flows under the direct approach, we will apply the three steps outlined in Illustration 12-4.
Illustration 12A-1
Comparative balance sheets, income statement, and additional information for Computer Services Company
STEP 1: OPERATING ACTIVITIES
DETERMINE NET CASH PROVIDED/USED BY OPERATING ACTIVITIES BY CONVERTING NET INCOME FROM AN ACCRUAL BASIS TO A CASH BASIS
Under the direct method, companies compute net cash provided by operating activities by adjusting each item in the income statement from the accrual basis to the cash basis. To simplify and condense the operating activities section, companies report only major classes of operating cash receipts and cash payments. For these major classes, the difference between cash receipts and cash payments is the net cash provided by operating activities. These relationships are as shown in Illustration 12A-2.
Illustration 12A-2
Major classes of cash receipts and payments
An efficient way to apply the direct method is to analyze the items reported in the income statement in the order in which they are listed. We then determine cash receipts and cash payments related to these revenues and expenses. The following pages present the adjustments required to prepare a statement of cash flows for Computer Services Company using the direct approach.
CASH RECEIPTS FROM CUSTOMERS.
The income statement for Computer Services Company reported sales revenue from customers of $507,000. How much of that was cash receipts? To answer that, companies need to consider the change in accounts receivable during the year. When accounts receivable increase during the year, revenues on an accrual basis are higher than cash receipts from customers. Operations led to revenues, but not all of these revenues resulted in cash receipts.
To determine the amount of cash receipts, the company deducts from sales revenue the increase in accounts receivable. On the other hand, there may be a decrease in accounts receivable. That would occur if cash receipts from customers exceeded sales revenue. In that case, the company adds to sales revenue the decrease in accounts receivable. For Computer Services Company, accounts receivable decreased $10,000. Thus, cash receipts from customers were $517,000, computed as shown in Illustration 12A-3.
Illustration 12A-3
Computation of cash receipts from customers
Computer Services can also determine cash receipts from customers from an analysis of the Accounts Receivable account, as shown in Illustration 12A-4.
Illustration 12A-4
Analysis of Accounts Receivable
Illustration.
Effects of StressProvide a 1-page description of a stressful .docxTatianaMajor22
Effects of Stress
Provide a 1-page description of a stressful event currently occurring in your life.
Discuss I am married work a full time job as an occupational therapy assistant am taking two courses
Have to take care of a home feed the animals attend to laundry
Think of my pateitns worry about their well being and what I can do for them ( I bring home my patients issues)
Constantly doing paper work for work such as documentation for billing
I feel like I have no free time for me some days I don’t even eat dinner or lunch because I don’t have time to make anything or am just too tired to cook
On top of this I am married and married ppl do argue and my husband am I have been bunting heads on finances.
Then, referring to information you learned throughout this course, address the following:
· What physiological changes occur in the brain due to the stress response?
· What emotional and cognitive effects might occur due to this stressful situation?
· Would the above changes (physiological, cognitive, or emotional) be any different if the same stress were being experienced by a person of the opposite sex or someone much older or younger than you?
· If the situation continues, how might your physical health be affected?
· What three behavioral strategies would you implement to reduce the effects of this stressor? Describe each strategy. Explain how each behavior could cause changes in brain physiology (e.g., exercise can raise serotonin levels).
· If you were encouraging an adult client to make the above changes, what ethical considerations would you have to keep in mind? How would you address those ethical considerations?
In addition to citing the online course and the text, you are also required to cite a minimum of four scholarly sources. For reputable web sources, look for .gov or .edu sites as opposed to .com sites. Please do not use Wikipedia.
Your paper should be double-spaced, in 12-point Times New Roman font, and with normal 1-inch margins; written in APA style; and free of typographical and grammatical errors. It should include a title page with a running head, an abstract, and a reference page.
The body of the paper should be at least 6 pages in length total
not including the reference or title page
Assignment 1 Grading Criteria
Maximum Points
Described a stressful event.
20
Explained the physiological changes that occur in the brain due to the stress response.
36
Explained the emotional and cognitive effects that may occur due to this stressful situation.
32
Analyzed potential differences in physiological, cognitive, and emotional responses in someone of a different age or sex.
32
Discussed the physical health risks.
28
Provided three behavioral strategies to reduce the effects of the stressor and explained how each could cause changes in brain physiology.
40
Analyzed ethical considerations in implementing behavioral strategies and offered suggestions for addressing these.
40
Integrated at least two scholarly references .
Design Factors NotesCIO’s Office 5 People IT Chief’s Offi.docxTatianaMajor22
Design Factors
Notes
CIO’s Office
5 People
IT Chief’s Office
5 People
LAN/WAN Maint.
20 People
Reception
4 People
Telecommunications
20 People
LAN Management
50 People
Server Room A
2 Person
Server Room B
4 Person
Equipment:
Patch Cable
Computer to Wall
Patch Cable
LAN Room
Cable Trays/Runs
Horizontal Runs
Cisco Border Router
Research: Attached to 5 Floor Switches
Server Room A
10 Servers
Server Room B
10 Servers
Computers
One Per Person
Standard floor (first floor) Lesson 2 Project Plan info
Design Factors
Notes
CIO’s Office
5 People
IT Chief’s Office
5 People
LAN/WAN Maint.
20 People
Reception
4 People
Telecommunications
20 People
LAN Management
50 People
Server Room A
2 Person
Server Room B
4 Person
Equipment:
Patch Cable
Computer to Wall
Patch Cable
LAN Room
Cable Trays/Runs
Horizontal Runs
Cisco Border Router
Research: Attached to 5 Floor Switches
Server Room A
10 Servers
Server Room B
10 Servers
Computers
One Per Person
Basement floor
Design Factors
Notes
Vertical Riser Run
On Outside Wall of LAN Room on Each Floor.
Fiber-Optic Multimode
Riser Runs: Backbone
SC Connectors
Fiber-Optic Cable
Cisco Catalyst: Switch: WS-C3750G-24PS-S: 24 Ports
Leave a Minimum of four ports free on each switch
Color Laser Printer
Minimum of One per Room or One per 20 people
Vertical Riser Run
On Outside Wall of LAN Room on Each Floor and Server RM B on this floor.
Fiber-Optic Multimode
Riser Runs: Backbone
SC Connectors
Fiber-Optic Cable
Cable Trays/Runs
Horizontal Runs
Horizontal Runs
Leave a Minimum of four ports free on each switch
Applicataion
U.S. Minimum Requirement Ranges
Space per Employee - 1997
Two people, such as a supervisor and an employee, can meet in an office with a table or desk between them
60" to 72" x 90" to 126:/5.78m2 to 11.7m2
280Sq. Ft./26.0m2
Worker has a primary desk plus a return
60" to 72"x60"to 84"/5.78 to 7.8m2
193Sq. Ft./17.9m2
Executive office - three to four people can meet around a desk
105 to 130"x96 to 123"/9.75 to 11.4 m2
142Sq. Ft./13.2m2
Basic workstation such as a call center
42" to 52" x 60" to 72"/3.9 to 6.7 m2
114Sq. Ft./10.6 m2
NT1310: Project
Page 1
PRO JECT D ESC RIPT ION
As the project manager for the Cable Planning team, you will manage the creation of the cable plan for
the new building that will be built, with construction set to begin in six weeks.
The deliverables for the entire Cable Plan will consist of an Executive Summary, a PowerPoint
Presentation and an Excel Spreadsheet. You will develop different parts of each of these in three parts.
The final organization should contain these elements:
The Executive Summary:
o Project Introduction
o Standards and Codes
Cable Standards and Codes
Building Standards and Codes
o Project Materials
o Copper Cable, Tools, and Test Equipment
o Fiber-Optic Cable, Tools, and Test Equipment
o Fiber-Optic Design Considerations
o Basement Server Comp.
Question 12.5 pointsSaveThe OSU studies concluded that le.docxTatianaMajor22
Question 1
2.5 points
Save
The OSU studies concluded that leaders exhibit two main types of behavior: structure behavior and consideration behavior.
True
False
Question 2
2.5 points
Save
Fiedler suggests when there is a mismatch between the type of situation in which leaders find themselves, and the leaders style of leadership:
leaders should shift to situations for which they are best suited
the situation should be changed
immediate training is necessary no matter how long it may take
any leadership style is appropriate
the leaders should be flexible enough to adapt to the new situation
Question 3
2.5 points
Save
The OSU studies concluded that leaders exhibit two main styles of behavior:
employee-centered behavior and job-centered behavior
structure behavior and consideration behavior
boss-centered behavior and subordinate-centered behavior
consideration behavior and job-centered behavior
structure behavior and employee-centered behavior
Question 4
2.5 points
Save
The life cycle theory of leadership maintains that:
as a manager becomes more mature, he/she should become more participatory
the organization should match the individual with a specific leadership situation
a manager's leadership style should be independent of the follower's maturity levels
the leader's abilities will peak when the leader is 45 years old, and decline thereafter
a manager's leadership style will be effective only if it is appropriate for the maturity level of the followers
Question 5
2.5 points
Save
According to the characteristics of the emerging leader versus characteristics of the manager, which of the following would be associated with the leader?
problem-solving
independent
consulting
stabilizing
authoritative
Question 6
2.5 points
Save
Under which of the following conditions would Fiedler say a considerate leader would be most effective?
good leader-member relations, high task structure, and strong leader position power
moderately poor leader-member relations, high task structure, and weak leader position power
moderately poor leader-member relations, weak task structure and weak leader position power
good leader-member relations, high task structure, and weak leader position power
good leader-member relations, weak task structure, and weak leader position power
Question 7
2.5 points
Save
Which approach to leadership suggests successful leadership requires a unique combination of leaders, followers, and leadership situations?
transformational leadership
the trait approach
the situational approach to leadership
contingency approach
the contemporary leader approach
Question 8
2.5 points
Save
According to the Vroom-Yetton-Jago Model, when a manager and subordinates meet as a group to discuss the situation, and the group makes the decision, it is the ________ de.
Case Study 1 Questions1. What is the allocated budget .docxTatianaMajor22
Case Study 1 Questions:
1. What is the allocated budget ? $250,000
2. Where does the server room located? Currently, there is no server room
3. What is the number of users with PCs inside each existing site?
Currently there are
4. What is the current cabling used in each location? (cat5e or cat6) Current cabling does not meet the company’s current and future needs
5. Do want us to upgrade token Ring or use a completely new Ethernet network What is your recommendation and why?
6. regarding the ordering system , it is not clear what the we should do , do you want to talk about how to connect the system to the network or how to built the ordering online system because it is more software engineering than networking . Talk about the kind of network (hardware) you recommend based on the business requirements
7. all the sites should have access to our servers in the main branch? yes
8. Regarding the order software, do you need more details about the way it works or just about its connection with the network? Your solution should be from a network point of view
9. Distances are given in Meters or feet? feet
10. Shipment is done by truck, or ships? Currently, only trucking
11. In Dimebox branch, where are administration offices located? See Business goals # 4
12. What is the current network connectivity status? How many devices are currently on the network? How they are physically laid out? Is cabling running all over the floor, hidden in walls or threaded through the ceiling? What are the switches used and its speed? Currently, only the office is networked (token ring) NOVELL
13. What is the minimum Internet speed wanted? See Business Goals on page 2 – I only can tell you what we need the network for, you must tell me what we need to meet the business needs
14. Will the corporation provide wireless access? If yes will it be in all department and buildings? Wireless access would be helpful if we can justify the cost
15. Are there phones in offices? yes
16. What is the internet speed available now? What speed do you want for future? Internet access is through time warner cable company which is not very reliable
17. Do employees access their emails outside the company? yes
18. Do you have plans for future expansion? We like to increase our customer base by 20% over the next year
REMEMBER, you are the IT expert, I’m only a business person who must rely on your expertise.
Network Design and Performance
Case Study
Dooma-Flochies, Inc. with headquarters located on Podunk Road in Trumansburg, NY, is the sole manufacturer of Dooma-Flochies (big surprise). They currently have a manufacturing facility in, Lake Ridge, NY (across Cayuga Lake) on Cayuga Dr. and have recently diversified by purchasing a company, This-N-That, on Industry Ave. in, Dime Box Texas. This-N-That is the sole competitor of Domma-Flochies with their product Thinga-Ma-Jigs. This acquisition gives Dooma-Flochies, Inc a monopoly in this mark.
Behavior in OrganizationsIntercultural Communications Exercise .docxTatianaMajor22
Behavior in Organizations
Intercultural Communications Exercise Response Paper –
Week 5
The most overt cultural differences, such as greeting rituals and name format, can be overcome most easily. The underlying, intangible differences are very difficult to overcome. In this case, the underlying cultural differences are
· Assumptions about the purpose of the event (is the party strictly for fun and for relationship building, or are their business matters to take care of?).
· Assumptions about the purpose and the nature of business relationship.
· Assumptions about power and leadership relationships (who makes the decisions and how?).
· Response styles (verbal and nonverbal signals of agreement, disagreement, politeness, etc.).
Many (though not all) cultural differences can be overcome if you carefully observe other people, think creatively, remain flexible, and remember that your own culture is not inherently superior to others.
The Scenario
Three corporations are planning a joint venture to sponsor an international concert tour. The corporations are Decibel, an agency representing the musicians (from the US, Britain, and Japan); Images, a marketing firm which will handle sales of tickets, snacks and beverages, clothing, and CDs; and Event, a special events company which will hire the ushers, concessionaires, and security officers; print the programs; and clean up the arenas after the shows. The companies come from three different cultures: Blue, Green, and Red. Each has specific cultural traits, customs, and practices.
You are a manager in one of these companies. You will attend the opening cocktail party in Perth, Australia the evening before a 3-day meeting during which the three companies will negotiate the details of the partnership. Your management team includes a Vice President and a number of other managers.
During the 3-day meeting, the companies have the following goals:
Decibel
· As high a royalty rate as possible on sales of T-shirts, videos, and CDs
· Aggressive marketing and advertising to increase attendance and sales
· Good security, both before and during the show Image
Image
· Well known bands that will be easy to market
· As much income as possible from the concerts
· Smoothly functioning event so that publicity from early concerts is positive
Event
· Bands that are not likely to provoke stampedes, riots, or other antisocial behavior
· Bands that are reliable and will show up on time, ready to play
· As much income as possible from the concerts
The cultures that are assigned to the various companies are:
BLUE CULTURE
Image (Marketing Company)
Beliefs, Values, and Attitudes that Underlie This Culture’s Communication
Believe that fate and luck control most things.
Believe in feelings more than reasoning.
An authoritarian leader makes the ultimate decisions.
Nonverbal Traits of This Culture
Treat time as something that is unimportant. It is not a commodity that can be lost.
Conversation distance is close (about 15 inches, face-.
Discussion Question Comparison of Theories on Anxiety Disord.docxTatianaMajor22
Discussion Question:
Comparison of Theories on Anxiety Disorders
There are numerous theories that attempt to explain the development and manifestation of psychological disorders. Some researchers hold that certain disorders result from learned behaviors (behavioral theory), while other researchers believe that there is a genetic or biological basis to psychological disorders (medical model), while still others hold that psychological disorders stem from unresolved unconscious conflict (psychoanalytic theory). How would each of these theoretical viewpoints explain anxiety disorders? Does one explain the development and manifestation of anxiety disorders better than the others?
200- 400 words please
Three min resources with
in text citations and examples
you can use the following as a module reference
cite as university 2014
Anxiety Disorders
Anxiety disorders such as panic disorder, specific phobias, and social anxiety disorder feature a heightened autonomic nervous system response that is above and beyond what would be considered normal when faced with the object or situation that the person reacts to. For example, a person with a specific phobia of spiders (called arachnophobia) experiences a heightened autonomic response when confronted with a spider (or even an image of a spider). This anxiety response must result in significant distress or impairment. In general, anxiety disorders have been linked to underactive gamma-aminobutyric acid (GABA) in the brain, resulting in overexcitability of the amygdala and the anterior cingulate cortex. Additionally, genetic research shows that anxiety disorders demonstrate a clear pattern of genetic predisposition
Charles Darwin's Perspective
We talked about Charles Darwin when discussing evolution and natural selection. Darwin was also very interested in emotions. One of his books published in 1872,The Expression of Emotions in Man and Animals, was devoted to this topic.
Darwin believed that emotions play an important role in the survival of the species and result from evolutionary processes in the same way as other behaviors and psychological functions. Darwin's writing on this topic also prompted psychologists to study animal behavior as a way to better understand human behavior.
James–Lange Theory of Emotions
Modern theories of emotion can be traced to William James and Carl Lange (Pinel, 2011). William James was a renowned Harvard psychologist who is sometimes called the father of American psychology. Carl Lange was a Danish physician. James and Lange formulated the same theory of emotions independently at about the same time (1884). As a result, it is called the James–Lange theory of emotions. This theory reversed the commonsensical notion that emotions are automatic responses to events around us. Instead, it proposes that emotions are the brain's interpretation of physiological responses to emotionally provocative stimuli.
Cannon–Bard Theory of Emotions
In 1915, Harvard physiologist Walt.
I have always liked Dustin Hoffmans style of acting, in this mov.docxTatianaMajor22
I have always liked Dustin Hoffman's style of acting, in this movie he takes on a sexually deprived young male just out of college, and has never been with a female, and is duped by horny older woman that feels neglected. Dustin Hoffman takes the characters form of a young male, goofy, respectful virgin and intelligent male, missing something but not really sure at the beginning till Ann Bancroft coaxes him with seduction to fulfill her own needs. In an other movie called "The life of Little Big Man" he plays almost the same character but as a white child raised by the Native Americans and a wise old chief that deeply care and loves him as his own, and Fay Dunaway plays a Holy rollers wife that is older and sexually deprived and feeling neglected by her husband and also she goes through major changes in her life from devoted wife, to a honey bell/ house hooker, whats funny Dustin Hoffman is a awesome actor but has to have his surrounding characters bring his character to life. The Graduate was Dustin Hoffman's first big movie of his career.
I actually liked movie "Little Big man" way better due to he went through major changes in his life, from being a Native boy warrior, captured by Yankees, meets Fay Dunaway who loves to give baths, to finding his sister who teaches him to be a gunslinger and then returns to his Grand Father to be a native again and tells his blind Grand Father the world of the white man is a crazy one, then his see the Psyho Col. Custer and gets his revenge by telling Custer the truth. The movie Little Big Man makes you laugh, teaches you things about people and survial and cry at times... its a must see...
Although a stray away from the Benjamin Braddock written about in the novel The Graduate, Dustin Hoffman does an awesome job with this character on film. When you first meet Ben he is at a party that his parents are throwing in his academic honor upon his graduation from school and return home. The whole night, Hoffman stumbles though various conversations and tries to coyly escape from the festivities. Small things such as this Hoffman did a great job at, conveying the hesitance and crisis that Ben was going through as a graduate. There are multiple times in the movie he hardly expresses anything at all, yet it clearly shows you that Ben is having a very hard time internally with everything going on. Even through his relationships with Mrs. Robinson and her daughter Elaine you see the young man struggling with himself through either failed attempts at affection or lack thereof.
.
Is obedience to the law sufficient to ensure ethical behavior Wh.docxTatianaMajor22
Is obedience to the law sufficient to ensure ethical behavior? Why, or why not? Support your answer with at least three reasons that justify your position.
100 words
Discuss the differences between an attitude and a behavior. Provide 4 substantive reasons why it is important for organizations to monitor and mitigate employee behavior that is either beneficial or detrimental to the organization's goals and existence.
150 words
.
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Essentials of Evidence Based PracticeMAIN POSTIntroduction.docxSANSKAR20
Essentials of Evidence Based Practice
MAIN POST
Introduction
It is estimated that patient falls in hospitals occur among 700,000 to 1,000,000 people in the United States. As well, approximately one third is preventable (Agency for Healthcare Research and Quality [AHRQ], 2013). Fall risk assessment tools, and alarm systems which alert staff when patients attempt to leave the bed or chair unassisted, are two methods among others utilized to reduce falls incidences. Evidence-based practice (EBP) in accordance with patient falls and the applicability to the author’s organization are the topics of this paper.
Patient Care Experience
Recently, an 83 year old male with dementia was hospitalized for pneumonia and under my care, on the night shift. As part of the routine admission process, all patients are evaluated for fall risk. In this patient’s case, a fall risk evaluation tool was one EBP method used to predict and prevent such an incident. High risk status was concluded due to mobility issues, dementia, and incontinence, in accordance with the Hendrich Fall Risk Assessment tool in the electronic health record. Research by Hendrich, Bender, and Nyhuis, in 2003, as cited by Schmidt (2012, April 5) found that intrinsic factors such as “confusion, altered elimination needs and impaired gait and mobility” among others were predictors of falls (para 6). A second intervention used was a bed alarm. Evidence based research for this method showed mixed results. Ward-Smith, Barret, Rayson and Govro (2014) concluded that use of a bed alarm system did not prevent falls, with one reason being the frequency of false alarms caused ignorance by staff, over time. The authors also stated further research in evaluating which patients would be appropriate for the alarm use would be beneficial. Shorr, Chandler, Mion, Waters, Liu, Daniels, Kessler and Miller, (2012), cited a cluster randomized trial which supported a reduction in falls with alarms in use. Still, in searching CINAHL, no studies in the past 5 years were found in support of bed alarms as a fall reduction method. I surmise the use of bed alarms in my facility came as a result of the elimination of the previous routine practice of waist and vest restraint application.
Background and PICOT Questions
Since support of the use of alarm systems was either mixed or nonexistent, and given the previously mentioned in-hospital high incidence of patient fall statistics, more effective measures for reduction must be researched. In formulating an EBP research question, background definitions must be delineated and general knowledge questions answered. For example, in researching best practices for dementia patient fall reduction in acute care hospitals, I would answer the following questions
· What constitutes a patient fall?
· What is dementia?
· What are some common signs and symptoms of dementia?
· What factors place dementia patients at risk for falling?
· What are the effects of hourly ...
Running head: POSTOPERATIVE PAIN 1
POSTOPERATIVE PAIN 3
Postoperative Pain after Reconstructive Surgery
Carla S. Garcia
Nicole Wertheim College of Nursing and Health Sciences
Author Note
Carla S. Garcia, Nicole Wertheim College of Nursing and Health Sciences, Florida International University
Correspondence concerning this article should be addressed to Carla Garcia, Nicole Wertheim College of Nursing and Health Sciences, Florida International University, Miami, FL 33199. Contact: [email protected]
Abstract
Postoperative pain is common for most patients who have undergone reconstructive surgery after a burn. The American Society of Pain (ASP) has devised methods of dealing with postoperative pain since most patients report the incident and only half of them were reported to have recovered from it. The use of local anesthetic-based peripheral regional analgesic technique is an efficient way of reducing postoperative pain, as well as the multi-modal approach for pain management, which has been used for patients after a forty-eight-hour post operative period. The American Society of Regional Anesthesia (ASRA) has approved these methods, and through research, has prepared organizational plans that assist surgical and outpatients with postoperative pain management. Measures such as preoperative education, preoperative pain management and pharmacological and non-pharmacological modalities have been recommended. Evidence shows that multi-modal methods of dealing with postoperative pain have been used for most of the cases. This paper will explore the evidence of postoperative pain management after burn reconstruction surgery and include the comparison between the uses of local anesthetic to the use of multi-modal methods in dealing with postoperative pain. In adition, the paper will look at the use of these postoperative methods both in the United States of America (USA) and other countries, and how these methods impact patient outcome.
Keywords: Evidence-Based, Research, Nursing Research, Postoperative, Patient Response.
Significance and Background
Burn reconstruction is a common experience for patients both in the USA and other countries in the world. Postoperative pain is expected after a burn reconstruction, hence the incorporation of methods such as the use of local anesthesia and multi-modal techniques in dealing with pain are recommended. The inquiry is whether the use of local anesthetics is more effective than the multi-modal method in dealing with postoperative pain in adult patients recovering from reconstructive surgery within a forthy-eight-hour time frame.
During a study composed of members of the ASP with help from the American Society of Anesthesiologists (ASA), they assembled in a meeting where members with expertise in anesthesia or.
Running head: POSTOPERATIVE PAIN 1
POSTOPERATIVE PAIN 3
Postoperative Pain after Reconstructive Surgery
Carla S. Garcia
Nicole Wertheim College of Nursing and Health Sciences
Author Note
Carla S. Garcia, Nicole Wertheim College of Nursing and Health Sciences, Florida International University
Correspondence concerning this article should be addressed to Carla Garcia, Nicole Wertheim College of Nursing and Health Sciences, Florida International University, Miami, FL 33199. Contact: [email protected]
Abstract
Postoperative pain is common for most patients who have undergone reconstructive surgery after a burn. The American Society of Pain (ASP) has devised methods of dealing with postoperative pain since most patients report the incident and only half of them were reported to have recovered from it. The use of local anesthetic-based peripheral regional analgesic technique is an efficient way of reducing postoperative pain, as well as the multi-modal approach for pain management, which has been used for patients after a forty-eight-hour post operative period. The American Society of Regional Anesthesia (ASRA) has approved these methods, and through research, has prepared organizational plans that assist surgical and outpatients with postoperative pain management. Measures such as preoperative education, preoperative pain management and pharmacological and non-pharmacological modalities have been recommended. Evidence shows that multi-modal methods of dealing with postoperative pain have been used for most of the cases. This paper will explore the evidence of postoperative pain management after burn reconstruction surgery and include the comparison between the uses of local anesthetic to the use of multi-modal methods in dealing with postoperative pain. In adition, the paper will look at the use of these postoperative methods both in the United States of America (USA) and other countries, and how these methods impact patient outcome.
Keywords: Evidence-Based, Research, Nursing Research, Postoperative, Patient Response.
Significance and Background
Burn reconstruction is a common experience for patients both in the USA and other countries in the world. Postoperative pain is expected after a burn reconstruction, hence the incorporation of methods such as the use of local anesthesia and multi-modal techniques in dealing with pain are recommended. The inquiry is whether the use of local anesthetics is more effective than the multi-modal method in dealing with postoperative pain in adult patients recovering from reconstructive surgery within a forthy-eight-hour time frame.
During a study composed of members of the ASP with help from the American Society of Anesthesiologists (ASA), they assembled in a meeting where members with expertise in anesthesia or.
Please readRobert Geraci, Russia Minorities and Empire,” in .docxTatianaMajor22
Please read:
Robert Geraci, “Russia: Minorities and Empire,” in Abbott Gleason, ed., A Companion to Russian History (Oxford: Wiley-Blackwell, 2009), 243-260.
And discuss:
How does Geraci portray the legacy of the early Russian history for the make-up of 18-19th century Russia?
Please read: Leonard Victor Rutgers, “Roman Policy Towards the Jews: Expulsions from the City of Rome during the First Century C.E.,” in Classical Antiquity, Vol. 13, No. 1 (Apr., 1994), pp. 56-74.
And discuss: Rutgers surveys the different reasons historians have given for the expulsion of the Jews from Rome in the first century C.E. Who place did Jews have in Roman society at this time? Were they expelled because of their religious practices, or because they were ‘unruly’ as Rutgers argues? If so, what caused them to act in this way? What kind of historical evidence does the author use?
There are 2 essay, each one should write at least 300-350 words and plus one reference page.
MLA format. Must use quote( “ ”) for every source you use from website. And put (author, page number) behind quote.
Roman Policy towards the Jews: Expulsions from the City of Rome during the First Century
C.E.
Author(s): Leonard Victor Rutgers
Source: Classical Antiquity, Vol. 13, No. 1 (Apr., 1994), pp. 56-74
Published by: University of California Press
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LEONARD VICTOR RUTGERS
Roman Policy towards the Jews:
Expulsions from the City of Rome
during the First Century c. E.
Tant de causes secretes se melent souvent a la cause apparente, tant de ressorts
inconnus servent a persecuter un homme, qu'il est impossible de demeler dans les
siecles posterieures la source cachee des malheurs des hommes les plus consider
ables, a plus forte raison celle du supplice d'un particulier qui ne pouvait etre
connu que par ceux de son parti.
-Voltaire, Traite sur la tolerance (1763)
IN THIS ARTICLE I want to discuss the evidence for expulsions of Jews from
the city of Rome in the first century C.E. Scholars have long been interested in the
reasons underlying these expulsions. Because the anci.
Ford VS ChevroletThere are many reasons that make the Chevy.docxTatianaMajor22
Ford VS Chevrolet
There are many reasons that make the Chevy’s and Ford’s motors two most common trucks. Studies reveal that that they are the most popular vehicles on sales today. It is because they are powerful, versatile and reasonably priced. They also come in a wide variety of configurations and styles. However, many buyers and sellers have questioned themselves on the better vehicle compared to the other in terms of quality, Wi-Fi, price ranges, value, and costs. To compare and contrast on this subject, let us take an example of two vehicles each from each company to facilitate comparison.
Ford offers the full-size track with automatic high-beam control, automatic parallel parking and power-retractable running boards. Fords are elegant, and they are mostly aluminum making them save weight and bolster gas mileage. None of these features are offered Chevy’s. Chevrolets have outstanding quality. They are mostly comprised of steel, for instance, the Chevrolet Silverado. This makes them good for rough roads and difficult terrains.
Fords have employed the use of up to date Wi-Fi technology. Ford intends to provide the Ford Sync, which will provide robust connections for occupants. Latest Chevrolet brands Malibu utilize the 4G LTE Wi-Fi Technology that provides rich in-vehicle experiences. This technology is powerful compared to Ford Sync, and is used for connecting devices and executing few remote operations within the car.
From the value and cost standpoint, Ford can consume a little more, and its payload capacity is a little higher. Additionally, its mileage is too better. The prices vary from nation to nation. Chevrolet seems to be a little cheaper, and reasonably priced going for $33,044, which is slightly less than Ford, but the differences are not serious to propel buyers towards one truck leaving the other
Technophiles are likely to put their preferences on Ford to Chevrolet. On overall, Fords have many features as compared Chevy’s. However, they may be hard to maintain. Compared to Fords, Chevrolets are reliable and cheaper. However, the two brands are equally good performers. It is, therefore, prudent to pick what one thinks would fit his or her usage and preference and personal style
Ethical Systems, Research Paper, Spring 2015, Douglas Green, Page 1 of 1
Ethical
Systems/Final
Research
Paper
2,000
words
minimum,
double-‐spaced
Final
Draft
Due:
Tuesday,
April
28,
12:00
pm
(afternoon)
Please
email
your
final
research
paper
to
me
via
MS
Word
attachment
AND
by
cutting/pasting
the
entire
document
into
the
body
of
your
email.
IF
YOU
DO
NOT
RECEIVE
A
CONFIRMATION
EMAIL
BACK,
I
DID
NOT
RECEIVE
YOUR
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AND
YOU
WILL
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WORK
WILL
BE
ACCEPTED…
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Fairness and Discipline Weve all been disciplined at one.docxTatianaMajor22
Fairness and Discipline
We've all been disciplined at one time or another by a parent or a teacher. What disciplinary experiences have you had as a child that took a non-punitive approach?
I need paragraph or half page with reference
.
Appendix 12A Statement of Cash Flows—Direct MethodLEARNING .docxTatianaMajor22
Appendix 12A
Statement of Cash Flows—Direct Method
LEARNING OBJECTIVE
6
Prepare a statement of cash flows using the direct method.
To explain and illustrate the direct method, we will use the transactions of Computer Services Company for 2014, to prepare a statement of cash flows. Illustration 12A-1 presents information related to 2014 for Computer Services Company.
To prepare a statement of cash flows under the direct approach, we will apply the three steps outlined in Illustration 12-4.
Illustration 12A-1
Comparative balance sheets, income statement, and additional information for Computer Services Company
STEP 1: OPERATING ACTIVITIES
DETERMINE NET CASH PROVIDED/USED BY OPERATING ACTIVITIES BY CONVERTING NET INCOME FROM AN ACCRUAL BASIS TO A CASH BASIS
Under the direct method, companies compute net cash provided by operating activities by adjusting each item in the income statement from the accrual basis to the cash basis. To simplify and condense the operating activities section, companies report only major classes of operating cash receipts and cash payments. For these major classes, the difference between cash receipts and cash payments is the net cash provided by operating activities. These relationships are as shown in Illustration 12A-2.
Illustration 12A-2
Major classes of cash receipts and payments
An efficient way to apply the direct method is to analyze the items reported in the income statement in the order in which they are listed. We then determine cash receipts and cash payments related to these revenues and expenses. The following pages present the adjustments required to prepare a statement of cash flows for Computer Services Company using the direct approach.
CASH RECEIPTS FROM CUSTOMERS.
The income statement for Computer Services Company reported sales revenue from customers of $507,000. How much of that was cash receipts? To answer that, companies need to consider the change in accounts receivable during the year. When accounts receivable increase during the year, revenues on an accrual basis are higher than cash receipts from customers. Operations led to revenues, but not all of these revenues resulted in cash receipts.
To determine the amount of cash receipts, the company deducts from sales revenue the increase in accounts receivable. On the other hand, there may be a decrease in accounts receivable. That would occur if cash receipts from customers exceeded sales revenue. In that case, the company adds to sales revenue the decrease in accounts receivable. For Computer Services Company, accounts receivable decreased $10,000. Thus, cash receipts from customers were $517,000, computed as shown in Illustration 12A-3.
Illustration 12A-3
Computation of cash receipts from customers
Computer Services can also determine cash receipts from customers from an analysis of the Accounts Receivable account, as shown in Illustration 12A-4.
Illustration 12A-4
Analysis of Accounts Receivable
Illustration.
Effects of StressProvide a 1-page description of a stressful .docxTatianaMajor22
Effects of Stress
Provide a 1-page description of a stressful event currently occurring in your life.
Discuss I am married work a full time job as an occupational therapy assistant am taking two courses
Have to take care of a home feed the animals attend to laundry
Think of my pateitns worry about their well being and what I can do for them ( I bring home my patients issues)
Constantly doing paper work for work such as documentation for billing
I feel like I have no free time for me some days I don’t even eat dinner or lunch because I don’t have time to make anything or am just too tired to cook
On top of this I am married and married ppl do argue and my husband am I have been bunting heads on finances.
Then, referring to information you learned throughout this course, address the following:
· What physiological changes occur in the brain due to the stress response?
· What emotional and cognitive effects might occur due to this stressful situation?
· Would the above changes (physiological, cognitive, or emotional) be any different if the same stress were being experienced by a person of the opposite sex or someone much older or younger than you?
· If the situation continues, how might your physical health be affected?
· What three behavioral strategies would you implement to reduce the effects of this stressor? Describe each strategy. Explain how each behavior could cause changes in brain physiology (e.g., exercise can raise serotonin levels).
· If you were encouraging an adult client to make the above changes, what ethical considerations would you have to keep in mind? How would you address those ethical considerations?
In addition to citing the online course and the text, you are also required to cite a minimum of four scholarly sources. For reputable web sources, look for .gov or .edu sites as opposed to .com sites. Please do not use Wikipedia.
Your paper should be double-spaced, in 12-point Times New Roman font, and with normal 1-inch margins; written in APA style; and free of typographical and grammatical errors. It should include a title page with a running head, an abstract, and a reference page.
The body of the paper should be at least 6 pages in length total
not including the reference or title page
Assignment 1 Grading Criteria
Maximum Points
Described a stressful event.
20
Explained the physiological changes that occur in the brain due to the stress response.
36
Explained the emotional and cognitive effects that may occur due to this stressful situation.
32
Analyzed potential differences in physiological, cognitive, and emotional responses in someone of a different age or sex.
32
Discussed the physical health risks.
28
Provided three behavioral strategies to reduce the effects of the stressor and explained how each could cause changes in brain physiology.
40
Analyzed ethical considerations in implementing behavioral strategies and offered suggestions for addressing these.
40
Integrated at least two scholarly references .
Design Factors NotesCIO’s Office 5 People IT Chief’s Offi.docxTatianaMajor22
Design Factors
Notes
CIO’s Office
5 People
IT Chief’s Office
5 People
LAN/WAN Maint.
20 People
Reception
4 People
Telecommunications
20 People
LAN Management
50 People
Server Room A
2 Person
Server Room B
4 Person
Equipment:
Patch Cable
Computer to Wall
Patch Cable
LAN Room
Cable Trays/Runs
Horizontal Runs
Cisco Border Router
Research: Attached to 5 Floor Switches
Server Room A
10 Servers
Server Room B
10 Servers
Computers
One Per Person
Standard floor (first floor) Lesson 2 Project Plan info
Design Factors
Notes
CIO’s Office
5 People
IT Chief’s Office
5 People
LAN/WAN Maint.
20 People
Reception
4 People
Telecommunications
20 People
LAN Management
50 People
Server Room A
2 Person
Server Room B
4 Person
Equipment:
Patch Cable
Computer to Wall
Patch Cable
LAN Room
Cable Trays/Runs
Horizontal Runs
Cisco Border Router
Research: Attached to 5 Floor Switches
Server Room A
10 Servers
Server Room B
10 Servers
Computers
One Per Person
Basement floor
Design Factors
Notes
Vertical Riser Run
On Outside Wall of LAN Room on Each Floor.
Fiber-Optic Multimode
Riser Runs: Backbone
SC Connectors
Fiber-Optic Cable
Cisco Catalyst: Switch: WS-C3750G-24PS-S: 24 Ports
Leave a Minimum of four ports free on each switch
Color Laser Printer
Minimum of One per Room or One per 20 people
Vertical Riser Run
On Outside Wall of LAN Room on Each Floor and Server RM B on this floor.
Fiber-Optic Multimode
Riser Runs: Backbone
SC Connectors
Fiber-Optic Cable
Cable Trays/Runs
Horizontal Runs
Horizontal Runs
Leave a Minimum of four ports free on each switch
Applicataion
U.S. Minimum Requirement Ranges
Space per Employee - 1997
Two people, such as a supervisor and an employee, can meet in an office with a table or desk between them
60" to 72" x 90" to 126:/5.78m2 to 11.7m2
280Sq. Ft./26.0m2
Worker has a primary desk plus a return
60" to 72"x60"to 84"/5.78 to 7.8m2
193Sq. Ft./17.9m2
Executive office - three to four people can meet around a desk
105 to 130"x96 to 123"/9.75 to 11.4 m2
142Sq. Ft./13.2m2
Basic workstation such as a call center
42" to 52" x 60" to 72"/3.9 to 6.7 m2
114Sq. Ft./10.6 m2
NT1310: Project
Page 1
PRO JECT D ESC RIPT ION
As the project manager for the Cable Planning team, you will manage the creation of the cable plan for
the new building that will be built, with construction set to begin in six weeks.
The deliverables for the entire Cable Plan will consist of an Executive Summary, a PowerPoint
Presentation and an Excel Spreadsheet. You will develop different parts of each of these in three parts.
The final organization should contain these elements:
The Executive Summary:
o Project Introduction
o Standards and Codes
Cable Standards and Codes
Building Standards and Codes
o Project Materials
o Copper Cable, Tools, and Test Equipment
o Fiber-Optic Cable, Tools, and Test Equipment
o Fiber-Optic Design Considerations
o Basement Server Comp.
Question 12.5 pointsSaveThe OSU studies concluded that le.docxTatianaMajor22
Question 1
2.5 points
Save
The OSU studies concluded that leaders exhibit two main types of behavior: structure behavior and consideration behavior.
True
False
Question 2
2.5 points
Save
Fiedler suggests when there is a mismatch between the type of situation in which leaders find themselves, and the leaders style of leadership:
leaders should shift to situations for which they are best suited
the situation should be changed
immediate training is necessary no matter how long it may take
any leadership style is appropriate
the leaders should be flexible enough to adapt to the new situation
Question 3
2.5 points
Save
The OSU studies concluded that leaders exhibit two main styles of behavior:
employee-centered behavior and job-centered behavior
structure behavior and consideration behavior
boss-centered behavior and subordinate-centered behavior
consideration behavior and job-centered behavior
structure behavior and employee-centered behavior
Question 4
2.5 points
Save
The life cycle theory of leadership maintains that:
as a manager becomes more mature, he/she should become more participatory
the organization should match the individual with a specific leadership situation
a manager's leadership style should be independent of the follower's maturity levels
the leader's abilities will peak when the leader is 45 years old, and decline thereafter
a manager's leadership style will be effective only if it is appropriate for the maturity level of the followers
Question 5
2.5 points
Save
According to the characteristics of the emerging leader versus characteristics of the manager, which of the following would be associated with the leader?
problem-solving
independent
consulting
stabilizing
authoritative
Question 6
2.5 points
Save
Under which of the following conditions would Fiedler say a considerate leader would be most effective?
good leader-member relations, high task structure, and strong leader position power
moderately poor leader-member relations, high task structure, and weak leader position power
moderately poor leader-member relations, weak task structure and weak leader position power
good leader-member relations, high task structure, and weak leader position power
good leader-member relations, weak task structure, and weak leader position power
Question 7
2.5 points
Save
Which approach to leadership suggests successful leadership requires a unique combination of leaders, followers, and leadership situations?
transformational leadership
the trait approach
the situational approach to leadership
contingency approach
the contemporary leader approach
Question 8
2.5 points
Save
According to the Vroom-Yetton-Jago Model, when a manager and subordinates meet as a group to discuss the situation, and the group makes the decision, it is the ________ de.
Case Study 1 Questions1. What is the allocated budget .docxTatianaMajor22
Case Study 1 Questions:
1. What is the allocated budget ? $250,000
2. Where does the server room located? Currently, there is no server room
3. What is the number of users with PCs inside each existing site?
Currently there are
4. What is the current cabling used in each location? (cat5e or cat6) Current cabling does not meet the company’s current and future needs
5. Do want us to upgrade token Ring or use a completely new Ethernet network What is your recommendation and why?
6. regarding the ordering system , it is not clear what the we should do , do you want to talk about how to connect the system to the network or how to built the ordering online system because it is more software engineering than networking . Talk about the kind of network (hardware) you recommend based on the business requirements
7. all the sites should have access to our servers in the main branch? yes
8. Regarding the order software, do you need more details about the way it works or just about its connection with the network? Your solution should be from a network point of view
9. Distances are given in Meters or feet? feet
10. Shipment is done by truck, or ships? Currently, only trucking
11. In Dimebox branch, where are administration offices located? See Business goals # 4
12. What is the current network connectivity status? How many devices are currently on the network? How they are physically laid out? Is cabling running all over the floor, hidden in walls or threaded through the ceiling? What are the switches used and its speed? Currently, only the office is networked (token ring) NOVELL
13. What is the minimum Internet speed wanted? See Business Goals on page 2 – I only can tell you what we need the network for, you must tell me what we need to meet the business needs
14. Will the corporation provide wireless access? If yes will it be in all department and buildings? Wireless access would be helpful if we can justify the cost
15. Are there phones in offices? yes
16. What is the internet speed available now? What speed do you want for future? Internet access is through time warner cable company which is not very reliable
17. Do employees access their emails outside the company? yes
18. Do you have plans for future expansion? We like to increase our customer base by 20% over the next year
REMEMBER, you are the IT expert, I’m only a business person who must rely on your expertise.
Network Design and Performance
Case Study
Dooma-Flochies, Inc. with headquarters located on Podunk Road in Trumansburg, NY, is the sole manufacturer of Dooma-Flochies (big surprise). They currently have a manufacturing facility in, Lake Ridge, NY (across Cayuga Lake) on Cayuga Dr. and have recently diversified by purchasing a company, This-N-That, on Industry Ave. in, Dime Box Texas. This-N-That is the sole competitor of Domma-Flochies with their product Thinga-Ma-Jigs. This acquisition gives Dooma-Flochies, Inc a monopoly in this mark.
Behavior in OrganizationsIntercultural Communications Exercise .docxTatianaMajor22
Behavior in Organizations
Intercultural Communications Exercise Response Paper –
Week 5
The most overt cultural differences, such as greeting rituals and name format, can be overcome most easily. The underlying, intangible differences are very difficult to overcome. In this case, the underlying cultural differences are
· Assumptions about the purpose of the event (is the party strictly for fun and for relationship building, or are their business matters to take care of?).
· Assumptions about the purpose and the nature of business relationship.
· Assumptions about power and leadership relationships (who makes the decisions and how?).
· Response styles (verbal and nonverbal signals of agreement, disagreement, politeness, etc.).
Many (though not all) cultural differences can be overcome if you carefully observe other people, think creatively, remain flexible, and remember that your own culture is not inherently superior to others.
The Scenario
Three corporations are planning a joint venture to sponsor an international concert tour. The corporations are Decibel, an agency representing the musicians (from the US, Britain, and Japan); Images, a marketing firm which will handle sales of tickets, snacks and beverages, clothing, and CDs; and Event, a special events company which will hire the ushers, concessionaires, and security officers; print the programs; and clean up the arenas after the shows. The companies come from three different cultures: Blue, Green, and Red. Each has specific cultural traits, customs, and practices.
You are a manager in one of these companies. You will attend the opening cocktail party in Perth, Australia the evening before a 3-day meeting during which the three companies will negotiate the details of the partnership. Your management team includes a Vice President and a number of other managers.
During the 3-day meeting, the companies have the following goals:
Decibel
· As high a royalty rate as possible on sales of T-shirts, videos, and CDs
· Aggressive marketing and advertising to increase attendance and sales
· Good security, both before and during the show Image
Image
· Well known bands that will be easy to market
· As much income as possible from the concerts
· Smoothly functioning event so that publicity from early concerts is positive
Event
· Bands that are not likely to provoke stampedes, riots, or other antisocial behavior
· Bands that are reliable and will show up on time, ready to play
· As much income as possible from the concerts
The cultures that are assigned to the various companies are:
BLUE CULTURE
Image (Marketing Company)
Beliefs, Values, and Attitudes that Underlie This Culture’s Communication
Believe that fate and luck control most things.
Believe in feelings more than reasoning.
An authoritarian leader makes the ultimate decisions.
Nonverbal Traits of This Culture
Treat time as something that is unimportant. It is not a commodity that can be lost.
Conversation distance is close (about 15 inches, face-.
Discussion Question Comparison of Theories on Anxiety Disord.docxTatianaMajor22
Discussion Question:
Comparison of Theories on Anxiety Disorders
There are numerous theories that attempt to explain the development and manifestation of psychological disorders. Some researchers hold that certain disorders result from learned behaviors (behavioral theory), while other researchers believe that there is a genetic or biological basis to psychological disorders (medical model), while still others hold that psychological disorders stem from unresolved unconscious conflict (psychoanalytic theory). How would each of these theoretical viewpoints explain anxiety disorders? Does one explain the development and manifestation of anxiety disorders better than the others?
200- 400 words please
Three min resources with
in text citations and examples
you can use the following as a module reference
cite as university 2014
Anxiety Disorders
Anxiety disorders such as panic disorder, specific phobias, and social anxiety disorder feature a heightened autonomic nervous system response that is above and beyond what would be considered normal when faced with the object or situation that the person reacts to. For example, a person with a specific phobia of spiders (called arachnophobia) experiences a heightened autonomic response when confronted with a spider (or even an image of a spider). This anxiety response must result in significant distress or impairment. In general, anxiety disorders have been linked to underactive gamma-aminobutyric acid (GABA) in the brain, resulting in overexcitability of the amygdala and the anterior cingulate cortex. Additionally, genetic research shows that anxiety disorders demonstrate a clear pattern of genetic predisposition
Charles Darwin's Perspective
We talked about Charles Darwin when discussing evolution and natural selection. Darwin was also very interested in emotions. One of his books published in 1872,The Expression of Emotions in Man and Animals, was devoted to this topic.
Darwin believed that emotions play an important role in the survival of the species and result from evolutionary processes in the same way as other behaviors and psychological functions. Darwin's writing on this topic also prompted psychologists to study animal behavior as a way to better understand human behavior.
James–Lange Theory of Emotions
Modern theories of emotion can be traced to William James and Carl Lange (Pinel, 2011). William James was a renowned Harvard psychologist who is sometimes called the father of American psychology. Carl Lange was a Danish physician. James and Lange formulated the same theory of emotions independently at about the same time (1884). As a result, it is called the James–Lange theory of emotions. This theory reversed the commonsensical notion that emotions are automatic responses to events around us. Instead, it proposes that emotions are the brain's interpretation of physiological responses to emotionally provocative stimuli.
Cannon–Bard Theory of Emotions
In 1915, Harvard physiologist Walt.
I have always liked Dustin Hoffmans style of acting, in this mov.docxTatianaMajor22
I have always liked Dustin Hoffman's style of acting, in this movie he takes on a sexually deprived young male just out of college, and has never been with a female, and is duped by horny older woman that feels neglected. Dustin Hoffman takes the characters form of a young male, goofy, respectful virgin and intelligent male, missing something but not really sure at the beginning till Ann Bancroft coaxes him with seduction to fulfill her own needs. In an other movie called "The life of Little Big Man" he plays almost the same character but as a white child raised by the Native Americans and a wise old chief that deeply care and loves him as his own, and Fay Dunaway plays a Holy rollers wife that is older and sexually deprived and feeling neglected by her husband and also she goes through major changes in her life from devoted wife, to a honey bell/ house hooker, whats funny Dustin Hoffman is a awesome actor but has to have his surrounding characters bring his character to life. The Graduate was Dustin Hoffman's first big movie of his career.
I actually liked movie "Little Big man" way better due to he went through major changes in his life, from being a Native boy warrior, captured by Yankees, meets Fay Dunaway who loves to give baths, to finding his sister who teaches him to be a gunslinger and then returns to his Grand Father to be a native again and tells his blind Grand Father the world of the white man is a crazy one, then his see the Psyho Col. Custer and gets his revenge by telling Custer the truth. The movie Little Big Man makes you laugh, teaches you things about people and survial and cry at times... its a must see...
Although a stray away from the Benjamin Braddock written about in the novel The Graduate, Dustin Hoffman does an awesome job with this character on film. When you first meet Ben he is at a party that his parents are throwing in his academic honor upon his graduation from school and return home. The whole night, Hoffman stumbles though various conversations and tries to coyly escape from the festivities. Small things such as this Hoffman did a great job at, conveying the hesitance and crisis that Ben was going through as a graduate. There are multiple times in the movie he hardly expresses anything at all, yet it clearly shows you that Ben is having a very hard time internally with everything going on. Even through his relationships with Mrs. Robinson and her daughter Elaine you see the young man struggling with himself through either failed attempts at affection or lack thereof.
.
Is obedience to the law sufficient to ensure ethical behavior Wh.docxTatianaMajor22
Is obedience to the law sufficient to ensure ethical behavior? Why, or why not? Support your answer with at least three reasons that justify your position.
100 words
Discuss the differences between an attitude and a behavior. Provide 4 substantive reasons why it is important for organizations to monitor and mitigate employee behavior that is either beneficial or detrimental to the organization's goals and existence.
150 words
.
If you are using the Blackboard Mobile Learn IOS App, please clic.docxTatianaMajor22
If you are using the Blackboard Mobile Learn IOS App, please click "View in Browser." V BUS 520Week 9 Assignment 4 Paper
I need the paper as soon as possible
Students, please view the "Submit a Clickable Rubric Assignment" in the Student Center.
Instructors, training on how to grade is within the Instructor Center.
Assignment 4: Leadership Style: What Do People Do When They Are Leading?
Due Week 9 and worth 100 points
Choose one (1) of the following CEOs for this assignment: Larry Page (Google), Tony Hsieh (Zappos), Gary Kelly (Southwest Airlines), Meg Whitman (Hewlett Packard), Ursula Burns (Xerox), Terri Kelly (W.L. Gore), Ellen Kullman (DuPont), or Bob McDonald (Procter & Gamble). Use the Internet to investigate the leadership style and effectiveness of the selected CEO. (Note: Just choose one that is easier for you to right about.) It does not matter to me which CEO you pick
Write a five to six (5-6) page paper in which you:
1. Provide a brief (one [1] paragraph) background of the CEO.
2. Analyze the CEO’s leadership style and philosophy, and how the CEO’s leadership style aligns with the culture.
3. Examine the CEO’s personal and organizational values.
4. Evaluate how the values of the CEO are likely to influence ethical behavior within the organization.
5. Determine the CEO’s three (3) greatest strengths and three (3) greatest weaknesses.
6. Select the quality that you believe contributes most to this leader’s success. Support your reasoning.
7. Assess how communication and collaboration, and power and politics influence group (i.e., the organization’s) dynamics.
8. Use at least five (5) quality academic resources in this assignment. Note: Wikipedia and other Websites do not qualify as academic resources.
Your assignment must follow these formatting requirements:
· Be typed, double spaced, using Times New Roman font (size 12), with one-inch margins on all sides; citations and references must follow APA or school-specific format. Check with your professor for any additional instructions.
· Include a cover page containing the title of the assignment, the student’s name, the professor’s name, the course title, and the date. The cover page and the reference page are not included in the required assignment page length.
The specific course learning outcomes associated with this assignment are:
· Analyze the formation and dynamics of group behavior and work teams, including the application of power in groups.
· Outline various individual and group decision-making processes and key factors affecting these processes.
· Examine the primary conflict levels within organization and the process for negotiating resolutions.
· Examine how power and influence empower and affect office politics, political interpretations, and political behavior.
· Use technology and information resources to research issues in organizational behavior.
· Write clearly and concisely about organizational behavior using proper writing mechanics.
Click here.
Is the proliferation of social media and communication devices a .docxTatianaMajor22
Is the proliferation of social media and communication devices a good thing or a bad thing for society? Use personal examples to support your opinion.
( I’m currently a freshmen in university)
.
MATH 107 FINAL EXAMINATIONMULTIPLE CHOICE1. Deter.docxTatianaMajor22
MATH 107 FINAL EXAMINATION
MULTIPLE CHOICE
1. Determine the domain and range of the piecewise function.
A. Domain [–2, 2];
B. Domain [–1, 1];
C. Domain [–1, 3];
D. Domain [–3/2, –1/2];
2. Solve:
A. 3
B. 3,7
C. 9
D. No solution
3. Determine the interval(s) on which the function is increasing.
A. (−1.3, 1.3)
B. (1, 3)
C. (−∞,−1)and (3,∞)
D. (−2.5, 1)and (4.5,∞)
4. Determine whether the graph of y = 2|x| + 1 is symmetric with respect to the origin,
the x-axis, or the y-axis.
A. symmetric with respect to the origin only
B. symmetric with respect to the x-axis only
C. symmetric with respect to the y-axis only
D. not symmetric with respect to the origin, not symmetric with respect to the x-axis, and
not symmetric with respect to the y-axis
5. Solve, and express the answer in interval notation: | 9 – 7x | ≤ 12.
A. (–∞, –3/7]
B. (–∞, −3/7] ∪ [3, ∞) C. [–3, 3/7]
D. [–3/7, 3]
6. Which of the following represents the graph of 7x + 2y = 14 ?
A. B.
C. D.
7. Write a slope-intercept equation for a line parallel to the line x – 2y = 6 which passes through the point (10, – 4).
A.
B.
C.
D.
8. Which of the following best describes the graph?
A. It is the graph of a function and it is one-to-one.
B. It is the graph of a function and it is not one-to-one.
C. It is not the graph of a function and it is one-to-one.
D. It is not the graph of a function and it is not one-to-one.
9. Express as a single logarithm: log x + log 1 – 6 log (y + 4)
A.
B.
C.
D.
10. Which of the functions corresponds to the graph?
A.
B.
C.
D.
11. Suppose that a function f has exactly one x-intercept.
Which of the following statements MUST be true?
A. f is a linear function.
B. f (x) ≥ 0 for all x in the domain of f.
C. The equation f(x) = 0 has exactly one real-number solution.
D. f is an invertible function.
12. The graph of y = f(x) is shown at the left and the graph of y = g(x) is shown at the right. (No formulas are given.) What is the relationship between g(x) and f(x)?
y = f (x) y = g(x)
A. g(x) = f (x – 3) + 1
B. g(x) = f (x – 1) + 3
C. g(x) = f (x + 3) – 1
D. g(x) = f (x + 1) .
If the CIO is to be valued as a strategic actor, how can he bring.docxTatianaMajor22
If the CIO is to be valued as a strategic actor, how can he bring to the table the ethos of alignment, bound to the demands of process strategic planning to move IT to the forefront of the organization's future? Is there a lack of information on strategic planning? Nope. I think the process of planning is poorly understood, and rarely endorsed. The reasons are simple enough. Planning requires a commitment of resources (time, talent, money); it requires insight; it requires a total immersion in the corporate culture. While organizations do plan, planning is invariably attached to the budget process. It is typically here that the CIO lays out his/her vision for the coming year Now a few years ago authors began writing on the value of aligning IT purpose to organizational purpose. They wrote at a time when enterprise architectural planning was fairly new, and enterprise resource management was on the lips of every executive. My view is that alignment is a natural process driven by the availability of the tools to accomplish it. Twenty years ago making sense of IT was more about processing power, and database management. We are in a new age of IT, and it is the computer that is the network, not the network as an independent self-contained exchange of information. If you will spend some time reviewing the basic materials I provided on strategic planning and alignment, we can begin our discussions for the course. Again, here is the problem I would like for us to tackle: If the CIO is to be valued as a strategic actor, how can he bring to the table the ethos of alignment, bound to the demands of process strategic planning to move IT to the forefront of the organization's future? Most of the articles I bundled together for this week are replete with tables and charts. These can be a heavy read. Your approach should be to review these articles for the "big ideas" or lessons that are take away. I think these studies are significant enough that we will conclude our first week with an understanding of the roles between executive leaders, and how they see Information Technology playing a role in shaping a business strategy.
Read the articles to answer the question. Please No Plagerism or verbatim but you are allowed to quote from the article.
Achieving and Sustaining
Business-IT Alignment
Jerry Luftman
Tom Brier
I
n recent decades, billions of dollars have been invested in intormation tech-
nology (IT). A key concern of business executives is alignment—applying IT
in an appropriate and timely way and in harmony with business strategies,
goals, and needs. This issue addresses both how IT is aligned with the busi-
ness and how the business should be aligned with IT Frustratingly, organizations
seem to find it difficult or impossible to harness the power of information tech-
nology for their own long-term benefit, even though there is worldwide evi-
dence that IT has the power to transform whole industries and markets.' How
can companies.
I am showing below the proof of breakeven, which is fixed costs .docxTatianaMajor22
I am showing below the proof of breakeven, which is fixed costs/ contribution margin.
We start with the definition of breakeven and proceed using elementary algebra to derive the formula. Breakeven is a number and is created by knowing fixed and variable costs, and the retail sales price. It is thus not a point of discussion but is based on the assumptions of these variables.
Proof of Breakeven
Definition of BreakevenVolume: Total Revenue = Total Expenses
Definition
1.Total Revenue = Total Expenses
Breakdown of Definition
2. Retail Price * Volume = Fixed Expenses + Variable Expenses
Further Analysis
3. Retail Price * Volume = Fixed Expenses + (Volume * Unit Variable Expenses)
Subtract (Volume * Unit Variable Expenses) from both sides
4. Fixed Expenses = (Retail Price * Volume) — (Volume * Unit Variable Expenses)
Factor
5. Fixed Expenses = Volume * (Retail Price – Unit Variable Expenses)
Divide both sides by (Retail Price – Unit Variable Expenses)
6. Volume = Fixed Expenses
(Retail Price – Unit Variable Expenses)
Substitution based on Definition
7. Since (Retail Price — Unit Variable Expenses) is called Contribution Margin,
Therefore:
Breakeven Volume = Fixed Expenses / Contribution Margin
NAME_________________________________________________ DATE ____________
1. Explain some of the economic, social, and political considerations involved in changing the tax law.
2. Explain the difference between a Partnership, a Limited Liability Partnership (LLP) and a Limited Liability Company (LLC). In each structure who has liability?
3. How is “control” defined for purposes of Section 351 of the IRS Code?
4. What are the advantages and disadvantages of using debt in a firm’s capital structure?
5. Under what circumstances is a corporation’s assumption of liabilities considered boot in a Section 351exchange?
6. What are the tax consequences for the transferor and transferee when property is transferred to a newly created corporation in an exchange qualifying as nontaxable under Section 351?
7. Why are corporations allowed a dividend-received deduction? What dividends qualify for this special deduction?
8. Provide 3 examples of a Constructive Dividend. Are these Constructive Dividends taxable?
9. Discuss the tax consequences of a new Partnership Formation and give details to gain and losses and basis?
10. Provide 2 similarities and 2 differences when comparing Sections 351 and 721 of the IRS Code.
11. What is the difference between inside and outside basis with a partnership?
12. ABC Partnership distributes $12,000 of taxable income to partner Bob and $24,000 of tax-exempt income to Partner Bob. As a result of these two distributions, how does Bob’s basis change?
13. On January 1, Katie pays $2,000 for a 10% capital, profits, and loss interest in a partnership.
Examine the way in which death and dying are viewed at different .docxTatianaMajor22
Examine the way in which death and dying are viewed at different points in human development.
Using only my text as a reference:
Berger, K.S. (2011). The developing person through the life span (8th ed.).
I need 3 detailed PowerPoint slide with very detailed speaker notes. There must be detailed speaker notes on each slide. The 4th slide will be the reference.
.
Karimi 1 Big Picture Blog Post First Draft College .docxTatianaMajor22
Karimi 1
Big Picture Blog Post First Draft
College Girls in Media
Sogand Karimi
Media and Hollywood movies have affected and influenced society’s perception on
female college students. Due to Hollywood movies and media, society mostly recognizes the
negative stereotypes of a college women. Saran Donahoo, an associate professor and education
administration of Southern Illinois University, once said, “The messages in these films
consistently emphasized college as a place where young women come to have fun, engage in
romances with young men, experiment with sex and alcohol, face dilemmas regarding body
image, and encounter difficulties in associating with other college women.” In this essay I will
be talking about the recurring stereotypes and themes portrayed in three hollywood movies,
Spring Breakers, The house bunny and Legally Blond and how these stereotypes affect our
society.
The movie Spring Breakers is about four college girls who are bored with their daily
routines and want to escape on a spring break vacation to Florida. After realizing they don’t have
enough money, they rub a local diner with fake guns and ski masks. They break the laws in order
to get down to Florida, just to break more rules and laws once they’re there. During the film, you
will notice a lot of partying, drugs and sexual activity. The four girls wear bikinis for majority of
the film and are overly sexual. These are some common themes and stereotypes seen in all three
movies. Media and movies like spring breakers have made it a norm to constantly want to party,
get drunk and have sex as a college woman. In an article by Heather Long, she mentions how the
movie can even be seen as supporting rape culture. She believes because of these stereotypes
always being shown in media, it is contributing to the “girls asking for it” excuse when it comes
to rape cases with young girls. Long also said “...never mind the fact that thousands of college
students are spending their spring break not on a beach, but volunteering with groups like Habitat
for Humanity and the United Way, especially after Hurricanes Katrina and Sandy.” THIS shows
how media only displays one side of a certain group or story. Even though not all college girls
like to party and lay on a beach naked for spring break, that’s what media likes to portray. Not
only does this give the wrong message to our society but it influences bigger issues like rape, as
the author mentioned.
http://www.huffingtonpost.com/2010/03/10/alternative-spring-break_n_494028.html
http://www.huffingtonpost.com/2010/03/10/alternative-spring-break_n_494028.html
Karimi 2
The movie House bunny. The House bunny is a movie about an ex playmate or girlfriend
if Hugh Hefner that gets kicked out of the Playboy Mansion due to her aging. She then becomes
a mother of an unpopular sorority with girls that are bit geeky, and unusual compared to other
girls on campus. The story.
Please try not to use hard words Thank youWeek 3Individual.docxTatianaMajor22
Please try not to use hard words Thank you
Week 3
Individual
Problems and Goals Case Study
Select one of the following three case studies in Ch. 6 of The Helping Process:
· Case Susanna
· Case James and Samantha
· Case Alicia and Montford
Identify three to five problems in the case study you have selected.
Write a 500- to 700-word paperthatincludes the following:
· A problem-solving strategy and a goal for each problem
· The services, resources, and supports the client may need and why
· A description of how goals are measurable and realistically attainable for the client
Here is the case studies
Exercise 3: Careful Assessment
The following case studies are about Susanna, James, Samantha, Alicia, and Montford, all
homeless children attending school. The principal of the school has asked you to conduct
an assessment of these children and provide initial recommendations.
Before you begin this exercise, go to the website that accompanies this book: www.
wadsworth.com/counseling/mcclam, Chapter Three, Link 1, to read more about homeless
families and children.
Susanna
Susanna is 15 years old. Th e city where she lives has four schools: two elementary, one
middle, and one high school. Th ere are about 1,500 students enrolled in the city/county
school district and about 450 in the local high school that Susanna is attending. For the
past six months, Susanna has been living with her boyfriend and his parents. Prior to this,
she left her mother’s home and lived on the streets. She is pregnant and her boyfriend’s
parents want her to move out of their home. Her father lives in a town with his girlfriend,
about 50 miles from the city. Her mother lives outside the city with Susanna’s baby brother.
Right now Susanna’s mother is receiving child support for the two children. Susanna wants
to have a portion of the child support so that she can find a place of her own to live. Her
mother says that the only way that Susanna can have access to that money is to move back
home. Susanna refuses to move back in with her mother.
You receive a call from the behavior specialist at Susanna’s high school. Susanna’s
mother is at the school demanding that Susanna be withdrawn from school. Susanna’s
mother indicates that Susanna will be moving in with her and will be enrolling in another
school district.
Currently Susanna is not doing very well in school. She misses school and she tells the
helper it is because she is tired and that she does not have good food to eat. She has not told
the helper that she is looking for a place to live. Right now she is failing two of her classes
and she has one B and two Ds. Her boyfriend has missed a lot of school, too.
James and Samantha
James is 10 years old and he has a sister, Samantha, who is 8. At the beginning of the
school year, both of the children were attending Boone Elementary School. Both children
live with their aunt and uncle; their parents are in prison. In the middle of the scho.
A Strategic Approach: GenAI in EducationPeter Windle
Artificial Intelligence (AI) technologies such as Generative AI, Image Generators and Large Language Models have had a dramatic impact on teaching, learning and assessment over the past 18 months. The most immediate threat AI posed was to Academic Integrity with Higher Education Institutes (HEIs) focusing their efforts on combating the use of GenAI in assessment. Guidelines were developed for staff and students, policies put in place too. Innovative educators have forged paths in the use of Generative AI for teaching, learning and assessments leading to pockets of transformation springing up across HEIs, often with little or no top-down guidance, support or direction.
This Gasta posits a strategic approach to integrating AI into HEIs to prepare staff, students and the curriculum for an evolving world and workplace. We will highlight the advantages of working with these technologies beyond the realm of teaching, learning and assessment by considering prompt engineering skills, industry impact, curriculum changes, and the need for staff upskilling. In contrast, not engaging strategically with Generative AI poses risks, including falling behind peers, missed opportunities and failing to ensure our graduates remain employable. The rapid evolution of AI technologies necessitates a proactive and strategic approach if we are to remain relevant.
Embracing GenAI - A Strategic ImperativePeter Windle
Artificial Intelligence (AI) technologies such as Generative AI, Image Generators and Large Language Models have had a dramatic impact on teaching, learning and assessment over the past 18 months. The most immediate threat AI posed was to Academic Integrity with Higher Education Institutes (HEIs) focusing their efforts on combating the use of GenAI in assessment. Guidelines were developed for staff and students, policies put in place too. Innovative educators have forged paths in the use of Generative AI for teaching, learning and assessments leading to pockets of transformation springing up across HEIs, often with little or no top-down guidance, support or direction.
This Gasta posits a strategic approach to integrating AI into HEIs to prepare staff, students and the curriculum for an evolving world and workplace. We will highlight the advantages of working with these technologies beyond the realm of teaching, learning and assessment by considering prompt engineering skills, industry impact, curriculum changes, and the need for staff upskilling. In contrast, not engaging strategically with Generative AI poses risks, including falling behind peers, missed opportunities and failing to ensure our graduates remain employable. The rapid evolution of AI technologies necessitates a proactive and strategic approach if we are to remain relevant.
Acetabularia Information For Class 9 .docxvaibhavrinwa19
Acetabularia acetabulum is a single-celled green alga that in its vegetative state is morphologically differentiated into a basal rhizoid and an axially elongated stalk, which bears whorls of branching hairs. The single diploid nucleus resides in the rhizoid.
Model Attribute Check Company Auto PropertyCeline George
In Odoo, the multi-company feature allows you to manage multiple companies within a single Odoo database instance. Each company can have its own configurations while still sharing common resources such as products, customers, and suppliers.
2024.06.01 Introducing a competency framework for languag learning materials ...Sandy Millin
http://sandymillin.wordpress.com/iateflwebinar2024
Published classroom materials form the basis of syllabuses, drive teacher professional development, and have a potentially huge influence on learners, teachers and education systems. All teachers also create their own materials, whether a few sentences on a blackboard, a highly-structured fully-realised online course, or anything in between. Despite this, the knowledge and skills needed to create effective language learning materials are rarely part of teacher training, and are mostly learnt by trial and error.
Knowledge and skills frameworks, generally called competency frameworks, for ELT teachers, trainers and managers have existed for a few years now. However, until I created one for my MA dissertation, there wasn’t one drawing together what we need to know and do to be able to effectively produce language learning materials.
This webinar will introduce you to my framework, highlighting the key competencies I identified from my research. It will also show how anybody involved in language teaching (any language, not just English!), teacher training, managing schools or developing language learning materials can benefit from using the framework.
1. July-August 2013 • Vol. 22/No. 4246
Kimberly Foisy, MSN, RN, CMSRN, is Clinical
Educator/Administrative Nursing Supervisor,
Orthopedic-Neurological Medical/Surgical Unit, North Shore
Medical Center (NSMC), Salem
Hospital, an affiliate of Partners Healthcare System Inc.; and
Assistant Professor, Massachusetts
College of Pharmacy and Health Sciences, School of Nursing,
Boston, MA.
Acknowledgment: The author gratefully acknowledges Kathy
Clune, MSN, RN, Nurse Manager,
Phippen 6 and 7; and Taryn Bailey, MSN, RN-BC, Executive
Director, Professional Practice and
Patient Education Services, for their advice and guidance in the
development of this article.
Thou Shalt Not Fall! Decreasing Falls
In the Postoperative Orthopedic
Patient with a Femoral Nerve Block
N
orth Shore Medical Center
(NSMC), Salem Hospital, an
affiliate of Partners Health -
care System Inc., is a 250-bed acute
care teaching hospital located in
Salem, MA, near Boston. The hospital
serves a diverse patient population
2. with 12,000 inpatient admissions per
year. The hospital’s 32-bed orthope-
dic-neurologic inpatient unit, which
is split between the 6th and 7th
floors of the Phippen Building, has
an average daily census of 30
patients. Unit leadership includes a
nurse manager, clinical educator,
unit coordinator, and one day-shift
charge nurse assigned to both floors.
Average daily staffing consists of
three nurses, two nursing assistants,
and a service associate for each 16-
bed unit; staff can be assigned to
either floor.
Improvement Needs
Decreasing patient falls is a
patient safety priority for direct-care
nurses. Many regulatory and govern-
mental agencies, such as the Centers
for Medicare & Medicaid Services
(CMS), have set standards and pay-
ment incentives to reduce or elimi-
nate falls in the health care setting.
For example, CMS (2011) no longer
reimburses for hospitalization if a
patient has an injury as a result of an
inpatient fall. Some health care
providers suggest falls cannot be
avoided (Muraskin, Conrad, Zheng,
Morey, & Enneking, 2007). However,
staff members for the involved units
at NSMC were determined to count-
er this view by taking action to
3. address a recent increase in patient
falls on the unit.
Phippen 6 and 7 house postoper-
ative orthopedic and neurological
surgical patients. Each floor has 16
private beds. A group of multidisci-
plinary professionals and unlicensed
staff from the two units convened to
form a team under the Transitioning
Care at the Bedside (TCAB) model
(Rutherford, Moen, & Taylor, 2009).
The team set a goal to eliminate falls
on the unit and started analyzing
falls data to determine the rate and
cause of falls that were occurring.
Data revealed as many as three falls
per month associated with femoral
nerve blocks (FNBs), with two
patients sustaining injury from
January to July 2009. The unit had a
fall rate of 5.2 per 1,000 patient days,
compared with a fall rate of 3.43 per
1,000 patient days for the facility.
Further data analysis showed 5 of 30
falls reported during that time
occurred in patients with a femoral
nerve block in place following knee
arthroplasty.
A process flow analysis revealed
the nursing practice protocol recent-
ly had been replaced by a standard
computerized nursing order set that
did not include assessment parame-
4. ters for the patient or a plan of care.
Furthermore, the signs at the head of
the patients’ beds stating “Fall Risk
Femoral-Nerve Block” were being
removed as soon as the FNB was dis-
continued. A learning needs assess-
ment demonstrated nursing assis-
tants did not have adequate knowl-
edge of the definition, purpose, and
precautions needed in caring for a
patient with a current or recently
discontinued femoral nerve block. In
addition, patients and families were
not aware of the safety risks needed
during and after the use of a contin-
uous femoral nerve block.
Literature Review
Two searches of the CINAHL data-
base were performed to identify best
practices (June 2009; May 2011) for
literature of the preceding 6 years.
The terms searched included femoral
nerve block, falls, and orthopedic sur-
gery. The search revealed no pub-
lished nursing literature that demon-
strated a decrease in falls in persons
with femoral nerve blocks after an
Advanced PracticeAdvanced Practice
Kimberly Foisy
A Transforming Care at the Bedside model was used to decrease
5. falls in the femoral nerve block (FNB) patient population on a
32-
bed orthopedic/neurologic unit in a community hospital setting.
A multifaceted, strategic practice and educational bundle was
implemented, resulting in a 75% decrease in falls among
patients
with FNB.
July-August 2013 • Vol. 22/No. 4 247
educational intervention was imple-
mented to nursing staff. Results of
two medical studies are described in
the following paragraphs.
Sharman, Iorio, Specht, Davies-
Lepie, and Healy (2010) reported
patients with a FNB have a shorter
length of stay. According to these
authors, patients ambulate earlier as
a result of the comfort maintained
with the block. A large percentage of
postoperative falls among this group
of patients have quadriceps weak-
ness as a contributing factor.
Continuous FNB provides effec-
tive pain management as an anal-
gesic adjunct to other modalities for
orthopedic patients. A FNB reduces
the required doses of general anes-
thetic agents and hence their side
effects, including nausea, vomiting,
drowsiness, and respiratory depres-
6. sion. The FNB also confers superior
pain management, decreases opioid
requirements, and enables earlier
ambulation and hospital discharge
(Atkinson, 2008). The use of FNB
with general anesthesia also places
the patient at a higher risk for falls.
A continuous FNB is used as an
anesthetic. A catheter is placed just
below the skin surface, next to the
femoral nerve. The catheter coats the
nerve with anesthetic, blocking
transmission of neuronal messages
and creating a feeling of localized
numbness for the patient (Kasibhatia
& Russon, 2009). This block allows
the patient to achieve more effective
pain management. The block does
not alleviate the pain on the posteri-
or portion of the knee. An adjunct
therapy, such as patient-controlled
analgesia, often is prescribed for this
reason. Because the block causes a
weakness of the quadriceps muscle,
the patient needs assistance with
every transfer (Atkinson, 2008).
One of the cases analyzed by the
team involved a patient who was
ambulating with a nursing assistant.
The continuous femoral nerve block
had been discontinued 2 hours earli-
er. The patient’s knee buckled, and
he proceeded to fall to the floor. The
nursing assistant hit the door and
7. sustained a minor back injury. The
patient’s knee wound opened as a
result of the fall, requiring minor
suturing. Fortunately, the patient’s
length of stay did not increase as a
result of this fall.
Continuous Quality
Improvement Model
After reviewing the data, the team
developed a multifaceted plan to
educate unit staff on the safety and
care of patients with femoral nerve
block, as well as standardize the
process for patient care following
femoral nerve block. The Nerve
Block Bundle included developing
and implementing a:
1. Patient and family education
sheet to engage patients in their
care (see Figure 1).
2. Revised nursing protocol to
standardize the process for care.
3. Nursing education plan.
4. Fall prevention signage specific
to this population (see Figures 2
& 3).
5. Tip sheet for unlicensed assistive
personnel (UAP) to reinforce the
8. care and safety needs of the
patient with a FNB (see Figure 4).
The education plan and bundle
were presented at the NSMC Nursing
Professional Practice Council, ac -
cepted into practice, and imple-
mented August-October 2009.
Patient/Family Education
Sheet
Patient and family education are
vital in preventing falls (Agency for
Healthcare Research and Quality,
2010). The patient/family education
sheet (see Figure 1) includes informa-
tion related to pain management,
duration of the femoral nerve block,
sensation of the lower extremity,
and safety guidelines to reinforce the
patient’s need to call for assistance to
get out of bed.
Nursing Protocol
Sharma and co-authors (2010) rec-
ommended hospitals develop proto-
cols addressing decreased quadriceps
function as a result of a continuous
FNB. Prolonged nerve blockade can
last up to 30 hours after termination
of the continuous femoral nerve
block (Atkinson, 2008). This study
recommended the implementation
9. of a postoperative evaluation that
included proprioceptive function.
FIGURE 1.
Femoral Nerve Block Patient Information Sheet
• The femoral nerve block is a regional anesthetic technique
used in con-
junction with general anesthesia for pain relief.
• It is an effective block that provides both safe and excellent
surgical
anesthesia and postoperative pain control.
• Your leg will feel numb, but you can still move your leg
• You will have little or no pain in the front of your leg or knee.
However,
you will probably have some discomfort behind your knee. That
is
expected.
• Remember to discuss your pain plan with each nurse.
• REMEMBER: Ring your call bell for assistance.
• You MUST NOT get out of the bed or chair, or off the
commode without
assistance.
• Your therapist and/or nurse will instruct you on the safest
ways to move.
• The numbness and weakness from the block usually lasts 8-20
hours
and occasionally more than 24 hours once it is removed from
your
groin.
10. • As the block begins to wear off, you should start your pain
medicine that
was prescribed by the surgeon. REMEMBER: Ask the nurse for
your
pain medication. The nurse will be offering you pain
medication, but you
need to ask as well.
Thou Shalt Not Fall! Decreasing Falls in the Postoperative
Orthopedic Patient with a Femoral Nerve Block
July-August 2013 • Vol. 22/No. 4248
Based upon this evidence, a nurs-
ing protocol was written to include
the following:
1. Assess the sensory, motor, and
vascular condition of the
extremity every 4 hours during
and after removal of the femoral
nerve block until the patient
obtains full sensation and motor
function returns.
2. Maintain fall precautions for the
duration of the patient stay,
regardless of assessment of
FIGURE 2.
Fem Block Stop Signage
STOP
11. Do Not Get Out of Bed
Call for Help
FIGURE 3.
Fall Prevention Signage
Fem-Block
High Risk for Falls!
Patient:
Room:
Date/Time Stopped:
return of motor function and
sensory function.
3. Maintain fall risk signage for the
duration of the patient stay.
4. Place signage at the head and
foot of the bed to reinforce mes-
saging for the patient, family,
and staff (see Figures 2 & 3).
Fall Risk Signage
Patients typically have the FNB
removed on postoperative day 2 in
the early morning. Patients generally
are discharged on postoperative day
4 either to home or a rehabilitation
facility. To im prove patient safety,
the team decided signage would
remain for the entire length of stay.
12. UAP Education/Tip Sheet
Based on findings from the litera-
ture, a one-page educational sheet
was developed for all UAP (see Figure
4). The tips were developed by the
FIGURE 4.
Safety in Caring for the Patient with a Femoral Nerve Block
A femoral nerve block is a peripherally inserted catheter that
delivers a numbing
medicine to cover the femoral nerve. A TKR patient usually has
the catheter in
place for 48 hours.
Structures Seen on Ultrasound in Left Femoral Space
(viewed from foot)
The catheter is placed just below the skin surface, next to the
femoral nerve. The
catheter coats the nerve with numbing medicine; this allows for
blocking of the
painful sensations from the hip down the patient’s leg.
The medicine will numb the patient’s leg. The thigh muscle, or
quadriceps, will be
very weak.
The leg will be warm, and may be slightly warmer than the non-
affected leg.
The patient will always need two assists when getting out of bed
with this catheter
in place and for a certain period of time after removal.
13. Maintain the patient on The Falling Star Program.
After removal of the femoral nerve block, the same safety
precautions will remain
until the patient has regained complete sensation in the leg. You
need to check with
the nurse before moving the patient to determine if the patient
has feeling back in
his/her leg and identify if the patient can be transferred with
one assist.
Source: Reprinted with permission from Vander Beek, J. (2005).
Advanced Practice
July-August 2013 • Vol. 22/No. 4 249
Atkinson, H.D. (2008). Postoperative fall after
the use of the 3-in-1 femoral nerve block
for knee surgery: A report of four cases.
Journal of Orthopaedic Surgery, 16(3),
381-384.
Centers for Medicare and Medicaid Services
(CMS). (2011). Medicare fact sheet:
Proposals for improving quality of care
during inpatient stays in acute care hospi-
tals in the fiscal year 2011 notice of pro-
posed rulemaking. Retrieved from http://
www.cms.gov/Medicare/Medicare-Fee-
for-Service-Payment/AcuteInpatientPPS/
downloads/FSQ09_IPLTCH11_NPRM04
1910.pdf
14. Kasibhatia, R.D., & Russon, K. (2009).
Femoral nerve blocks. Journal of
Perioperative Practice, 19(2), 65-69.
Muraskin, S.I., Conrad, B., Zheng, N., Morey,
T.E., & Enneking, M.D. (2007). Falls
associated with lower-extremity-nerve
blocks: A pilot investigation of mecha-
nisms. Regional Anesthesia and Pain
Medicine, 32(1), 67-72.
Rutherford, P., Moen R., & Taylor, J. (2009).
TCAB: The “how” and the “what.”
American Journal of Nursing, 109(11), 5-
17.
Sharma, S., Iorio, R., Specht, L.M., Davies-
Lepie, S., & Healy, W.L. (2010). Compli -
cations of femoral nerve block for total
knee arthroplasty. Clinical Ortho paedics
and Related Research, 468(1), 135-140.
Vander Beek, J. (2005). Finding the femoral
nerve. Retrieved from http://www.neurax
iom.com/html/finding_the_femoral.php
ADDITIONAL READINGS
Schulz-Stubner, S., Henszel, A., & Hata, J.S.
(2005). A new rule for femoral nerve
blocks. Regional Anesthesia and Pain
Medicine, 30(5), 473-477.
Turjanica, M.A. (2007). Postoperative continu-
ous peripheral nerve blockade in the
15. lower extremity total joint arthroplasty
population. MEDSURG Nursing, 16(3),
151-154.
FIGURE 5.
Falls Associated with Femoral Nerve Blocks per Month
(January 2009 – September 2010)
TCAB team in collaboration with
physical therapists. This education
guide was reviewed with and sup-
plied to all UAPs, and has been
incorporated into new hire orienta-
tion for employees on these units.
The educational process consisted of
either 1:1 education or group ses-
sions. The educator continued to
contact UAPs individually to vali-
date understanding of the informa-
tion provided.
Nursing Implications
In the calendar year 2009, Phippen
6 and 7 had a reported falls rate of 5.2
per 1,000 patient days. Following
implementation of the FNB educa-
tion plan and bundle, the unit fall
rate decreased to 2.9 per 1,000 patient
days, with a facility reported rate of
3.52 per 1,000 patient days (see Figure
5). The bundle was effective in
decreasing falls among patients with
FNB, also contributing to the im -
proved overall fall rate.
16. The team has been able to sustain
the gains, in large part because of the
interdisciplinary and multifaceted
approach to analyzing the issue, pro-
viding education, and implementing
necessary practice changes. The sig-
nage has continued to have a posi-
tive influence on the fall prevention
project as it serves as a helpful visual
reminder for staff, patients, and fam-
ilies. Education, audits, and re mind -
ers to keep signs in place are ongo-
ing. Staff members now utilize the
two-person assist method with all
affected patients during the duration
of the FNB as well as after the block
is removed, until sensation and
motor function have returned as
determined by the nurse. Patients
are more aware of the need for assis-
tance now due to the signage and
education sheet. Patients and fami-
lies have identified the value of the
information. All newly hired staff
members review the bundle during
the orientation period. Fall data also
continue to be evaluated.
Conclusion
The TCAB approach engaged unit
leaders, clinicians, and patients to
improve the quality and safety of
patient care on two orthopedic-
17. neurologic units. There was only one
recorded fall in patients with FNB
after implementation of the FNB
bundle, from September 2009 to
December 2010. It is amazing what a
little bit of knowledge and education
can accomplish!
REFERENCES
Agency for Healthcare Research and Quality.
(2010). The falls management program:
A quality improvement initiative for nurs-
ing facilities. Retrieved from http://www.
ahrq.gov/research/ltc/fallspx/fallspxman
ual.htm
Jan
2009
Mar
2009
May
2009
July
2009
Sept
2009
Nov
2009
Jan
19. 1
0.5
0
Date
Thou Shalt Not Fall! Decreasing Falls in the Postoperative
Orthopedic Patient with a Femoral Nerve Block
Reproduced with permission of the copyright owner. Further
reproduction prohibited without
permission.
Kobe Thomas-Joshua
ENGL 2331.701 (13669)
02/23/2022
What conception of evil does The Turn of the Screw present to
the reader?
How do we understand the problem of evil in the story if the
governess is reliable and the ghosts are real? (Be sure to anchor
your discussion in a specific passage or two-to-three narrative
details)
The governess and the narrator of the turn of the screw can be
interpreted as being both villain and heroine in the tale. The act
of expressing the ghost as real and the governess as sane makes
the governess be a heroine who succeeds in protecting her
charges and eliminates the demon from Miles and hence,
finishes the evil work of the demon. However, taking the
governess to be saner and the ghosts to be imaginary, the
governess becomes a real villain in the story. Therefore, it
20. creates unreal ghosts and makes one of her students to be sacred
and develops fear while another student also dies. While
deliberately incorporating ambiguity, James accepts and
motivates all of Governess’s interpretations. He has
incorporated a dual character. The dual character will be single
for one group and single nature for the second group. Both
groups are implemented in the prologue when Douglas
introduces the governess and tells him that he would judge
easily her character. Hence, James makes the readers understand
that they would have to determine the governess’s nature by
themselves.
How do we understand the problem of evil in the story if the
governess isn’t reliable and the ghosts are a figment of her
imagination? (Be sure to anchor your discussion in a specific
passage or two to three narrative details.)
By changing his artistic work to the turn of the screw, James
notes that the words, “the turn of the screw” blends in the tale’s
representation. It is a metaphor that provides a comparison of
the effects of the tale to its recipient to a screw being bored into
a hole. Every turn of the screw the recipients are pierced
deeper. The screws are turned several times by James to modify
his Novella’s ability to enter. He interprets the tales with an
interesting but difficult prologue that predicts the delicious
dread. The screw is turned by James when Douglas does the
same. The story introduces two children that become prey to
supernatural events. The screw turns further and we begin to
understand that governess’s children's stories are not only the
victims but participants in the ghost’s realm and may even be
plotting evil deeds by themselves. With claims that the
governess is insane and that she is a villain and not her
imaginary world, the plot becomes even more interesting.
In this paragraph, bring together your preceding discussions and
answer the overarching question. What is the relation between
the two ideas about the evil you developed in your first two
paragraphs? Don’t just assert, explain. More importantly, don’t
just summarize what you’ve already said, synthesize your
21. answers from the three preceding paragraphs by putting them
into conversation with one another. What’s further revealed
about the idea of evil in the work by juxtaposing your previous
findings? Develop a nuanced claim that answers the overarching
question. Add a final twist to your discussion by considering
why James would present this idea about evil in a text with
unlikely elements.
Towards the end, the turn of events is an important story that
highlights the struggle between good and evil. The two concepts
are removed at the end of the book. However, all the characters
also become vague, and hence, it becomes difficult to judge
them. The screw turns analyze and makes the relationship
between the innocence and youths to become difficult. The
youths and innocence are difficult to analyze and hence, the
children seem to be excellent (according to the words of the
governess) and wicked. However, at the same time, they are
depicted, to be honest, and innocent victims of a complicated
situation. The ghosts are both real and are bad. On the other
hand, the governess is portrayed as being good and heroic.
Flora’s illness and Miles’s death prove the ghost's evil effect
and lack of responsibility for the governess who died all he
could to save the children from the disaster. Ghosts are
remnants of our thoughts. There is no concrete evidence of the
existence of ghosts. If there were substantial evidence, it would
have been produced for analysis and hence, theories about
ghosts are unreal and not proven scientifically. They come as a
result of human brains and their quest to fill gaps with unproven
knowledge or insight. However, when no information is
available, they often fill their minds with all the information
they can get. The majority of the people have terrifying
experiences that might be true according to them. However,
scholars and scientists, are always seen as being illusions or
imaginations in response to fear. Ghosts are not real but are
awful. The government cannot be crazy but cannot tolerate such
cases. However, part of the children’s fate is her responsibility.
Henry James always showed an interest in the children’s private
22. lives and both mature and intelligent members of the universe
and innocent people in the universe. Henry James was sharply
drawn to the children as victims of adult affairs. On the other
hand, the children demonstrate their difficult lives in the past
with Miss Peter quint and Jessel and how they were abandoned
by almost all the people in their lives. However, it granted them
maturity and seriousness associated with the innocence of young
children. The ghost story demonstrates fantasy as a story but
also highlights the psychological and moral reality of life. The
ghosts are significant and should be analyzed according to the
governess’s reaction to them because it creates irony by the
logic of the narrative. However, neither the representatives nor
the hallucinations of a puritan asceticism or Manichean dualism,
the ghosts are a symbol of the origins of fear in human beings in
the sense of adults of sexual guilt, a sense which cannot be
avoided but passed to a child. Therefore, the governess is not
mad or abnormal but is not able to accept the innocence of the
children. The loss of innocence that James felt could be
understood as a failure of a person’s personal life that may
include the origin of sin. They are self-made and passed from
one generation to the next.
James, Henry. The Turn of the Screw. 1898. Link to Project
Gutenberg. Produced by Judith Boss and David Widger.
Accessed 23 February 2022.
Kobe Thomas-Joshua
ENGL 2331.701 (13669)
02/23/2022
What conception of evil does The Turn of the Screw present to
the reader?
23. How do we understand the problem of evil in the story if the
governess is reliable and the
ghosts are real? (Be sure to anchor your discussion in a specific
passage or two-to-three
narrative details)
The governess and the narrator of the turn of the screw can be
interpreted as being both villain and
heroine in the tale. The act of expressing the ghost as real and
the governess as sane makes the
governess be a heroine who succeeds in protecting her charges
and eliminates the demon from
Miles and hence, finishes the evil work of the demon. However,
taking the governess to be saner
and the ghosts to be imaginary, the governess becomes a real
villain in the story. Therefore, it
creates unreal ghosts and makes one of her students to be sacred
and develops fear while another
student also dies. While deliberately incorporating ambiguity,
James accepts and motivates all of
Governess’s interpretations. He has incorporated a dual
character. The dual character will be single
for one group and single nature for the second group. Both
groups are implemented in the prologue
24. when Douglas introduces the governess and tells him that he
would judge easily her character.
Hence, James makes the readers understand that they would
have to determine the governess’s
nature by themselves.
How do we understand the problem of evil in the story if the
governess isn’t reliable and the
ghosts are a figment of her imagination? (Be sure to anchor
your discussion in a specific
passage or two to three narrative details.)
Bryan Conn
90820000000007485
Bryan Conn
90820000000007485
Bryan Conn
90820000000007485
Bryan Conn
90820000000007485
You don't develop an interpretation of the story here. What idea
of evil is expressed if the ghosts are real? What kind of evil do
the ghosts symbolize?
By changing his artistic work to the turn of the screw, James
notes that the words, “the turn of the
25. screw” blends in the tale’s representation. It is a metaphor that
provides a comparison of the effects
of the tale to its recipient to a screw being bored into a hole.
Every turn of the screw the recipients
are pierced deeper. The screws are turned several times by
James to modify his Novella’s ability
to enter. He interprets the tales with an interesting but difficult
prologue that predicts the delicious
dread. The screw is turned by James when Douglas does the
same. The story introduces two
children that become prey to supernatural events. The screw
turns further and we begin to
understand that governess’s children's stories are not only the
victims but participants in the ghost’s
realm and may even be plotting evil deeds by themselves. With
claims that the governess is insane
and that she is a villain and not her imaginary world, the plot
becomes even more interesting.
In this paragraph, bring together your preceding discussions and
answer the overarching
question. What is the relation between the two ideas about the
evil you developed in your
first two paragraphs? Don’t just assert, explain. More
importantly, don’t just summarize
26. what you’ve already said, synthesize your answers from the
three preceding paragraphs by
putting them into conversation with one another. What’s further
revealed about the idea of
evil in the work by juxtaposing your previous findings? Develop
a nuanced claim that
answers the overarching question. Add a final twist to your
discussion by considering why
James would present this idea about evil in a text with unlikely
elements.
Towards the end, the turn of events is an important story that
highlights the struggle between good
and evil. The two concepts are removed at the end of the book.
However, all the characters also
become vague, and hence, it becomes difficult to judge them.
The screw turns analyze and makes
the relationship between the innocence and youths to become
difficult. The youths and innocence
are difficult to analyze and hence, the children seem to be
excellent (according to the words of the
Bryan Conn
90820000000007485
How does this answer the question that you've posed as your
heading?
27. Bryan Conn
90820000000007485
I'm not sure what you mean here...
governess) and wicked. However, at the same time, they are
depicted, to be honest, and innocent
victims of a complicated situation. The ghosts are both real and
are bad. On the other hand, the
governess is portrayed as being good and heroic. Flora’s illness
and Miles’s death prove the ghost's
evil effect and lack of responsibility for the governess who died
all he could to save the children
from the disaster. Ghosts are remnants of our thoughts. There is
no concrete evidence of the
existence of ghosts. If there were substantial evidence, it would
have been produced for analysis
and hence, theories about ghosts are unreal and not proven
scientifically. They come as a result of
human brains and their quest to fill gaps with unproven
knowledge or insight. However, when no
information is available, they often fill their minds with all the
information they can get. The
majority of the people have terrifying experiences that might be
true according to them. However,
scholars and scientists, are always seen as being illusions or
28. imaginations in response to fear.
Ghosts are not real but are awful. The government cannot be
crazy but cannot tolerate such cases.
However, part of the children’s fate is her responsibility. Henry
James always showed an interest
in the children’s private lives and both mature and intelligent
members of the universe and innocent
people in the universe. Henry James was sharply draw n to the
children as victims of adult affairs.
On the other hand, the children demonstrate their difficult lives
in the past with Miss Peter quint
and Jessel and how they were abandoned by almost all the
people in their lives. However, it granted
them maturity and seriousness associated with the innocence of
young children. The ghost story
demonstrates fantasy as a story but also highlights the
psychological and moral reality of life. The
ghosts are significant and should be analyzed according to the
governess’s reaction to them
because it creates irony by the logic of the narrative. However,
neither the representatives nor the
hallucinations of a puritan asceticism or Manichean dualism, the
ghosts are a symbol of the origins
of fear in human beings in the sense of adults of sexual guilt, a
29. sense which cannot be avoided but
Bryan Conn
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?
Bryan Conn
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Another good point
Bryan Conn
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Good!
Bryan Conn
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I agree with all of this, but it isn't relevant for an analysis of the
story.
passed to a child. Therefore, the governess is not mad or
abnormal but is not able to accept the
innocence of the children. The loss of innocence that James felt
could be understood as a failure
of a person’s personal life that may include the origin of sin.
They are self-made and passed from
one generation to the next.
James, Henry. The Turn of the Screw. 1898. Link to Project
Gutenberg. Produced by Judith Boss
and David Widger. Accessed 23 February 2022.
30. 3 paragraphs answering the questions on the story "The Turn
Screw"
Overview
The Three-Paragraph Writing Exercise asks you to respond to
an interpretive question on the idea of ethics in Henry James’s
The Turn of the Screw. The assignment has a unique structure—
it’s an exercise, not a traditional essay. Each of your first two
paragraphs will require you to respond to more specific
questions logically entailed by the broader one; you will
synthesize and build on your findings in your final paragraph.
Pay careful attention to the instructions for how to structure this
assignment!
Learning Objectives
In this writing assignment, you will be able to
· Analyze James's The Turn of the Screw for the thinking they
mobilize about ethics
· Analyze the thematization of virtue or evil in James's The
Turn of the Screw, respectively, in relation to their supernatural
and anti-mimetic elements
· Compose effective literary analyses of James's The Turn of the
Screw; to do this, you will be able to
· Select textual or narrative details that help extend your
analysis
· Demonstrate that you can effectively situate textual and/or
narrative details in your writing
· Develop close readings of textual or narrative details in order
to elaborate or further flesh out your analysis
· Provide topic sentences that conceptually frame the
subsequent discussion and, if it isn’t self-evident, make explicit
the relation between the overarching interpretive question and
the content of the paragraph
· Integrate your paragraphs using transitions and stitching
between them so that the exercise feels like a single extended
discussion
31. General Instructions
Format: Times New Roman, 12 pt. font, double spaced, default
margins
Heading: Use the overarching question that you choose to
respond to as your heading (see below for your options)
Length: three paragraphs; each paragraph should be at minimum
250-350 words
Citations: Use MLA in-text citations for textual and narrative
evidence; you do not have to include bibliographic information
if you are using the assigned version posted in Canvas.
Specific Instructions
Interpretive question options and structure instructions
Please Note:
· You should not include an introductory paragraph.
· Each of your first two paragraphs should include either a
sustained close reading of a single passage (i.e. detailed
analysis of the language of that passage) or an analysis that
braids together two-to-three narrative or textual details.
Option #1
Overarching Question
What conception of evil does The Turn of the Screw present to
the reader?
Paragraph One:
How do we understand the problem of evil in the story if the
governess is reliable and the ghosts are real? (Be sure to anchor
your discussion in a specific passage or two-to-three narrative
details.)
Paragraph Two:
How do we understand the problem of evil in the story if the
governess isn’t reliable and the ghosts are a figment of her
imagination? (Be sure to anchor your discussion in a specific
passage or two to three narrative details.)
Paragraph Three:
In this paragraph, bring together your preceding discussions and
answer the overarching question. What is the relation among the
two ideas about evil you developed in your first two
32. paragraphs? Don’t just assert, explain. More importantly, don’t
just summarize what you’ve already said, synthesize your
answers from the three preceding paragraphs by putting them
into conversation with one another. What’s further revealed
about the idea of evil in the work by juxtaposing your previous
findings? Develop a nuanced claim that answers the overarching
question. Add a final twist to your discussion by considering
why James would present this idea about evil in a text with
unlikely elements.
Kobe Thomas-Joshua
ENGL 2331.701 (13669)
02/23/2022
What conception of evil does The Turn of the Screw present to
the reader?
How do we understand the problem of evil in the story if the
governess is reliable and the ghosts are real? (Be sure to anchor
your discussion in a specific passage or two-to-three narrative
details.)
We can interpret the governess and narrator of The Turn of the
Screw as both heroine and villain of the tale. If we take the
ghosts to be real and the governess sane, then the governess
seems to be a successful heroine who protects her charges at all
costs and rids Miles of his demon, thus ending the demon’s evil
work. If we take the ghosts to be imaginary and the governess
increasingly insane, then the governess seems to be the true
villain of the story, concocting imaginary ghosts and terrifying
one of her students into a fever and the other into death. With
deliberate ambiguity, James allows for and encourages both
interpretations of the governess. He has constructed a two-sided
character who will be of one nature for one group of readers and
of another nature for a second group of readers. These two
groups of readers are established in the prologue, when Douglas
introduces the governess and singles out the anonymous narrator
by telling him “you will easily judge” her character. In this
33. way, James alerts his readers that they will have to judge the
nature of the governess for themselves.
How do we understand the problem of evil in the story if the
governess isn’t reliable and the ghosts are a figment of her
imagination? (Be sure to anchor your discussion in a speci fic
passage or two to three narrative details.)
By titling his work The Turn of the Screw, James suggests that
the phrase “the turn of the screw” is a fitting representation of
the tale. The phrase works as a metaphor that compares a tale’s
effect on its recipients to a screw boring into a hole. With each
turn of the screw, the story’s point is driven home, and its
recipients are pierced further and on a deeper level. James turns
the screw several times to amplify his novella’s ability to
penetrate. He preambles the tale with an intriguing but
ambiguous prologue that foreshadows “delicious” dread. James
turns the screw when Douglas does, with the introduction of a
story involving not one but two children falling prey to
supernatural events. The screw turns again when we understand
that the children of the governess’s tale are not merely victims
but participants in the realm of ghosts and may even be plotting
deceits and evil deeds themselves. With the suggestion that the
governess is insane and that she, not her imaginary ghost world,
is the villain, the plot thickens even more.
In this paragraph, bring together your preceding discussions and
answer the overarching question. What is the relation among the
two ideas about evil you developed in your first two
paragraphs? Don’t just assert, explain. More importantly, don’t
just summarize what you’ve already said, synthesize your
answers from the three preceding paragraphs by putting them
into conversation with one another. What’s further revealed
about the idea of evil in the work by juxtaposing your previous
findings? Develop a nuanced claim that answers the overarching
question. Add a final twist to your discussion by considering
why James would present this idea about evil in a text with
unlikely elements.
At its core, The Turn of the Screw is fundamentally a story
34. about the struggle between good and evil. "Good" and "evil" are
eventually discarded by the end of this book; the growing
ambiguity of all the characters makes it impossible to continue
to define any of them as such. The Turn of the Screw explores
and complicates the relationship between youth and innocence.
Youth and innocence are difficult to pin down in the book, the
children seem precocious and (in the governess's words)
wicked, but at the same time they are presented as innocent and
honest victims of a difficult situation. The ghosts are real and
evil; the governess is heroic and good; Miles' death and Flora's
illness are proof of the ghosts' malignant effect and no
responsibility of the governess, who did everything possible to
save the children from perdition. Ghosts are just figments of
our imaginations. There is no science or scientific evidence
behind ghosts. If there were, such evidence would have been
produced for scientific examination long before now and cannot
be scientifically verified. Ghost are caused by the need for the
human mind to fill the gaps in knowledge with “something,”
and when nothing substantial can be found, insubstantial things
are fabricated up to fill the blank spaces. Many people have
frightening personal experiences that to them are real, but to
others they can be seen as thoughts of the imagination or
illusions in response to intense fear. The ghosts are sort of real
but not really that awful; the governess isn't totally crazy but
sometimes intolerable; the children's fate is at least partially her
responsibility. Henry James was known to have had an interest
in the inner lives of children, as both intelligent and mature
members of the world, and as innocent victims of that same
world; we see how sharply Henry James has drawn the children
as innocent victims of adult concerns. At the same time, though,
the children’s victimhood their difficult pasts with Miss
Jessel and Peter Quint, their abandonment by almost all adults
in their lives grants them a kind of seriousness and maturity not
typically associated with innocently youthful children. This is a
ghost story in which the fantasy of one level of meaning
ironically reveals the moral and psychological reality of another
35. level of meaning. The symbolic significance of the ghosts
should be sought in the governess's reaction to them, as it is
ironically qualified by the logic of the narrative itself. Neither
hallucinations nor representatives of a Manichean dualism or a
Puritan asceticism, the ghosts symbolize the origins of human
fear in the adult's sense of sexual guilt a sense which is
inevitably passed on to the child. Thus, the governess is neither
mad nor abnormal, but quite tragically typical, in her inability
to accept the genuine innocence of the children. The loss of
innocence, James felt, could be understood only as a failure in
the individual's personal life failures which, like original sin,
are self-perpetuating as they are passed from generation to
generation.