New admit | Multidimentional Nursing care

Scenario
As a nurse on a general medical floor, the RN has received a new admit. Review the client data provided.

Richard Henderson
58 years old
Male
Admit diagnosis: GI bleed
History: no surgical history
Medical history: Gastritis & GERD
Medications: Prilosec 40 mg PO daily, Atenolol 25 mg PO BID, Fiber daily, Alka Seltzer PO – states he takes this at least daily.

Report from physician’s office: Mr. Henderson arrived to the physician’s office today for a complaint of increasing abdominal pain. He states that he is now throwing up coffee-ground emesis. He states that he didn’t take his BP medication this morning because he was dizzy. The physician is admitting him with a diagnosis of GI bleed with an EGD scheduled for tomorrow. He is NPO, and has a 22G IV lock in the left forearm. Last set of vital signs BP 106/60 mm Hg, HR 98 beats/min, RR 20 breaths/min, Temp. 98.8 degrees F, P.O. 90% on room air. He last vomited about 45 minutes ago with a small amount of dark coffee-ground emesis. His pain is 4/10 at present. No pain medication is ordered at this time.

Lab assessments ordered: CBC and chemistry panel
CT of the abdomen shows no signs of free air (no perforation)

When he arrives to the floor, he is pale, nauseous, and his skin is cool and clammy. When he is transferred to the bed from the stretcher, he vomits a large amount of coffee-ground emesis and loses consciousness.
Instructions
In the discussion post, address the following:

While receiving report, what concerns do you have regarding the client report?
What type of shock is occurring?
What stage of shock is the client experiencing?
What is your next intervention and why?
What additional lab assessments would you anticipate?
Provide additional thoughts and insights.

In the initial posting provide one additional resource other than the required reading.
When responding to the initial posting, provide an evidence-based article in support of your response.
References
Jones, D., DeVita, M., & Bellomo , R. (2011). Rapid-Response Teams. English Journal of Medicine, 365, 139-146. Retrieved from Client Safety Network.
Please make your initial post by midweek, and respond to at least two other students’ posts by the end of the week. Please check the Course Calendar for specific due dates.

Help finish group project | Marketing homework help

Below is a draft if the group project. I need help filling out the Market Analysis for the following: 
Our Potential Product A Portable Lightweight Charger/Starter which can be used for cars, boats, airplanes, medical equipment as well as laptops, mobile phones and most portable devices. The unit can be connected to preinstalled USB ports for recharging or its built-in solar platform. It’s ability to be recharged using 110/220 volts, 24 volts or solar power will be a standard feature. The product will be called Universal Solar Portable Charger. Selected Product This product was chosen because it can be used as a portable multipurpose equipment – in the automotive, aviation, medical field, and maritime industry. Also, it is a green product capable for being recharged using solar energy. The product is made with recyclable material and designed to minimize its environmental impacts during its whole life cycle and even after it is of no use. Target Market  The company would be setup in Delaware with a registered location in Florida and be called BMOT Industries. This is due to its proximity to the aviation, medical and marine industries, as well as expanding automotive dealers. The initial targeted country will be Brazil due to its massive population and critical mass consisting of two hundred and twelve million persons. Distribution The company’s distribution would be worldwide with a concentration in Brazil. Afterwards, we would target other populous countries in South America with proximity to Florida. Mainly countries with existing and expanding industries in aviation, marine, medical and the automotive industry.Entry ModesWe will determine the best entry mode for our product after carefully evaluating the advantages and disadvantages. This would require us to determine whether the entry mode for the product should be exporting, turnkey project, licensing, franchising, joint ventures, or wholly owned subsidiaries. We chose exporting as the initial mode of entry into Brazil and other foreign markets. As business progresses, the mode of entry into overseas markets can be reassessed. Reasons for Selecting the Mode of EntrySince we are introducing a new product, the company will be seeking to avoid any substantial costs, including that of having manufacturing operations in Brazil and the other foreign markets. Also, the company can possibly achieve significant scale economies by manufacturing the product in Florida, then exporting it to various countries.   

Bus 399-week 3 – assignment 1

  
1. Strategic Management and Strategic Competitiveness
Overview
Choose one public corporation in an industry with which you are familiar. Research the company on its own website, the public filings on the Securities and Exchange Commission EDGAR database, the University’s online databases, the Nexis Uni database, and any other sources you can find. The annual report will often provide insights that can help address some of these questions.
Requirements
Write a four- to six-page paper in which you do the following:
· Assess how globalization and technology changes have impacted the corporation you researched.
· Apply the industrial organization model and the resource-based model to determine how your corporation could earn above-average returns.
· Assess how the vision statement and mission statement of the corporation influence its overall success.  
· Evaluate how each category of stakeholder impacts the overall success of this corporation.  
· Go to Basic Search: Strayer University Online Library and locate at least three quality references. Note: Wikipedia and similar Websites do not quality as academic resources.
Use the Assignment 1 Template [DOCX] to ensure that your assignment meets the above requirements.
Your assignment must follow these formatting requirements:
· This course requires use of new Strayer Writing Standards (SWS). The format is different than other Strayer University courses. Please take a moment to review the SWS documentation for details.
· Be typed, double spaced, using Times New Roman font (size 12), with one-inch margins on all sides; citations and references must follow SWS 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 outcome associated with this assignment is the following:
·  Determine the impact of globalization and technology changes, strategic models, vision and mission statements, and stakeholders on a corporation’s success.
Grading for this assignment will be based on answer quality, logic and organization of the paper, and language and writing skills, using the scoring rubric.
2. By submitting this paper, you agree: (1) that you are submitting your paper to be used and stored as part of the SafeAssign™ services in accordance with the Blackboard Privacy Policy; (2) that your institution may use your paper in accordance with your institution’s policies; and (3) that your use of SafeAssign will be without recourse against Blackboard Inc. and its affiliates

Week 4 assignment | Social Science homework help

Interpersonal Conflict in Television
 
Choose one television show from the list provided below.
 
Bellisario, D. & Brennan, S. (Producers). (2003-2014). NCIS: Naval criminal investigative service [Television Series]. United States: Columbia Broadcasting System.This television show can be found for no charge with closed captioning at NCIS – CBS.Kaplan, E., Holland, S., Molaro, S., Lorre, C., & Cohen, R. (Executive producers). (2007-2014). The big bang theory [Television series]. United States: Columbia Broadcasting System.This television show can be found for no charge with closed captioning at The Big Bang Theory – CBS.Rhymes, S. (Executive producer). (2012-2014). Scandal [Television series]. United States: American Broadcasting Company.This television show can be found for no charge with closed captioning at Scandal TV Show – ABC.com.Walsh, R., Levitan, S., Richman, J., Chupack, C., & O’Shannon, D. (Producers). (2009-2014). Modern family [Television series]. United States: American Broadcasting Company.This television show can be found for no charge with closed captioning at Modern Family TV Show – ABC.com.Wilmore, L. (Executive producer). (2014).Black-ish [Television series]. United States: American Broadcasting Company.This television show can be found for no charge with closed captioning at black-ish TV Show – ABC.com.
 
Watch one episode of one of the above television programs and identify and describe one interpersonal conflict that was not handled effectively. Based on what you have learned in class this week in Chapters 8 and 9 of our text, write a paper explaining why the conflict was not handled effectively and what could have been done differently. Be sure to focus on one particular interpersonal conflict and not the television show as a whole. The television programs can be found in syndication, weekly on air, and through the links provided above.
 
Please Note: A synopsis of the television program (e.g., which actors are in the television show or what it is about) should not be included. Be sure to reference at least one of your course readings from this week in your paper.
 
The assignment
 
Must be at least two double-spaced pages in length (not including title and references pages) and formatted according to APA style as outlined in the Ashford Writing Center.Must include a separate title page with the following:Title of paperStudent’s nameCourse name and numberInstructor’s nameDate submittedMust use at least one of this week’s resources to support points.Must document all sources in APA style as outlined in the Ashford Writing Center.Must include a separate references page that is formatted according to APA style 

Crr week 5: evaluating source materials

 
CRR Week 5: Evaluating Source Materials
500 WORDS
A unique title needed
Description: 
Now that you’ve selected your final research topics that you will build upon for the last 4 weeks of this course, we are going to take a deep dive into research and source evaluation. To this point, you’ve had experience evaluating other author’s arguments, sources, logic, and claim types and now it’s your turn to try your hand at crafting a multidimensional and hybrid argument of your own.
The choices we make surrounding what kinds of source material help us form our arguments are rhetorical choices. Selecting high quality source material and practicing ethical and sound research is not only important in the context of academia but can tremendously increase your writerly ethos when done well. Using research strategies and techniques outlined by our authors alongside practicing important source annotation techniques will be the first and most vital step in crafting your final hybrid argument and extended research pa.PER.
Module Objectives: 

Integrate outside perspectives into texts
Distinguish high quality source materials 
Practice accurate citation style and MLA formatting conventions

Readings/Videos:

Understanding Rhetoric: A Graphic Guide to Writing 2e, Issue 6 “More Than Detective Work”  p. 220-253
Writing Arguments: A Rhetoric with Readings 11e 

Chapter 4 “Using Evidence Effectively” p. 52-66
Chapter 16 “Finding and Evaluating Sources” p. 341-359
Chapter 17 “Incorporating Sources into your Own Argument” p. 360-374
Chapter 18 “Citing and Documenting Sources” p. 375-396 

Video: Annotation 

Instructions: You will need to post initial responses and peer responses in a timely manner, responding to instructor discussion threads/prompts or posting uniquely generated content.
Initial Post:
Instructor Prompt #1:
Reflecting upon your research style, what was surprising as you read Issue 6 “More than Detective Work” from Understanding Rhetoric: A Graphic Guide to Writing 2e? As we think about forming claim types, how might this affect the kind of research we conduct? What does “thinking rhetorically” about sources mean to you
Instructor Prompt #2:
Chapter 16 “Finding and Evaluating Sources“ suggests that source evaluation goes hand in hand with cultivating stronger rhetorical awareness. When we consider online source material, reliability, credibility, angle of vision, and political stance is increasingly important as information and media are produced and available rapidly to millions of consumers. I want you to select one online source you frequently consume information from and link the online source in your discussion post. Using table 16.4 “Criteria for Evaluating Websites” vet your online source keeping in mind the rhetorical indent of the online source.After you complete this evaluation, consider how the idea of evaluating online source materials intersect the ideas of 24-hour news media and the concept of “fake news.”

Week 6 discussion hp | Nursing homework help

PLEASE USE APA STYLE REFERENCES AND NO LONGER THEN 5 YEARS AGO. IN ORDER TO ANSWER THE QUESTIONS BELOW THE COMPLETE CASE STUDI HAS TO BE READ. I ATTACHED THE CASE STUDI TO THIS POST. You are required to answer all the DISCUSSION QUESTIONS listed below in each domain.
DOMAIN: HISTORY 1a) Identify two (2) additional questions that were not asked in the case studi and should have been? 1b) Explain your rationale for asking these two additional questions. 1c) Describe what the two (2) additional questions might reveal about the patient’s health.
DOMAIN: PHYSICAL EXAMm For each system examin in this case; 2a) Explain the reason the provider examin each system. 2b) Describe how the examm findings would be abnormal based on the information in this case. If it is a wellness visit, based on the patient’s age, describe what examm findings could be abnormal. 2c) Describe the normal findings for each system. 2d) Identify the various diagnostic instruments you would need to use to examin this patient.
DOMAIN: ASSESSMENT (Medical Diagnosis) Discuss the pathophysiology of the: 3a) Diagnosis and, 3b) Each Differential Diagnosis 3c) If it is a Wellness, type ‘Not Applicable’
DOMAIN: LABORATORY & DIAGNOSTIC TESTS Discuss the following: 4a) What labs should be ordered in the case? 4b) Discuss what lab results would be abnormal. 4c) Discuss what the abnormal lab values indicate. 4d) Discuss what diagnostic procedures you might want to order based on the medical diagnosis. 4e) If this is a wellness visit, discuss what the U.S. Preventive Taskforce recommends for patients in this age group. 

Change Control Management Discussion

1.BBC DIGITAL MEDIA INITIATIVE REVISITED: The National Audit Office (NAO) scrutinizes public spending in the United Kingdom. Its memorandum on the BBC’s DMI project reported on several key findings. First, the in-house team was severely challenged by the fact that the project was already 18 months behind schedule when they began work on the project. Second, the technology team issued releases throughout the project that did not meet end-user expectations and eroded confidence in the project. Third, the BBC focused more on the technological development rather than on encouraging organization-wide changes in workflow that would encourage adoption. Finally, the NAO concluded, the DMI lacked governance arrangements for the scale, risk, and complexity of the projectGiven the NAO’s findings and what you discover about available off-the-shelf products, would it have been wiser for the BBC to adopt a collection of these existing products? What actions would be necessary to gain the cooperation of the business units to incorporate this collection of products into their work processes?2.Steve Jobs was a strong, charismatic leader who co-founded Apple and is credited with much of the success of the company. Some believe that Tim Cook, who became CEO in 2011, embraces a more collaborative leadership style. Do research to compare and contrast the leadership styles of the two CEOs. (You may wish to view the 2013 movie JOBS, which portrays the story of Steve Jobs’ ascension from college dropout to Apple CEO.) Which CEO—Jobs or Cook—do you think developed and executed the most effective strategic plan? What evidence can you find to support your opinion?

Ebp: ai in clinical decision support

Evidence-Based Practice in CDS and Quality Improvement
Develop a 12- to 14-slide (total for all topics, plus reference slide/s) PowerPoint presentation in which you present research and data to support a clinical decision support (CDS) recommendation for quality improvement in your workplace.
TOPIC: Artificial intelligence
 Select 1 article based specifically on the chosen topic: Artificial intelligence and its use in clinical decision support.

Find 4 additional articles focused on evidence-based practice in the improvement of clinical decision support.

Based on your research, address the following in your Powerpoint presentation:

Explain how theoretical models and the concepts of data, information, knowledge, and wisdom relate to evidence-based practice in clinical decision support. Be specific and provide examples.
Explain how the topic you selected (big data, machine learning, deep learning, cognitive science, or artificial intelligence) informs evidence-based practice in clinical decision support.
Explain how the topic you selected informs improved outcomes in nursing. Be specific and provide examples.
Synthesize your findings from your articles, focusing on applicable models and/or theories relevant to CDS, quality improvement in your workplace, and on applicable evidence-based practice in nursing.
Recommend clinical decision support or information to consider in clinical decision making. Be specific.
Justify your recommendation. Be specific and provide examples.
Recommend how you would address possible limitations or challenges, including:

Explain how you would avoid alert fatigue.
Explain under what conditions you would allow an override to an alert.
Explain how you would monitor compliance.
Identify factors that might contribute to continuous overrides.
Justify conditions under which an override may be necessary.

Provide your references in APA style at the end of your presentation—the reference slide or slides do not count toward your assignment total. 

I have attached APA presentation format to use.

Cis 210 assignment | Computer Science homework help

Assignment 3: Website Migration Project
Tony’s Chips has recently been sold to a new independent company. The new company has hired you to manage a project that will move the old Website from an externally hosted solution to an internal one. The company’s leadership is very concerned about redundancy for their site, insisting that a back-up site be available as a failover in case the main site goes down. In addition, they want the site redesigned to allow customers to order products online.
As part of your job, you must complete a 5 page paper that follows this project through the system development life cycle (SDLC). This assignment will require you to do the following:

Discuss what it will take to build a Web architecture, move an existing Website with minimal downtime, and provide a disaster recovery solution to ensure the site is always available.

The Web architecture should describe and justify operating system choices (i.e., Linux, Apache, MYSQL, PHP, Windows, IIS, SQL, etc.).

Evaluate alternatives to the company self-hosting the site.
Build a Gantt chart using Microsoft Project or equivalent software, showing all tasks associated with implementing the Website.
The chart should include a minimum of five (5) tasks, each with three (3) sub-tasks.
Explain and justify the system architecture you have selected.
Illustrate the system architecture using Visio or equivalent software.
Create a use case that documents the event of a customer ordering a bag of chips from the new Website.
The use case should include a graphical representation using Visio or equivalent software and a text description of the events.
Discuss the support operations that the internally hosted Website will require after implementation.
Explain how you will evaluate the performance of the new site and the success of your project.

Module 1 the foundation of healthcare quality

 
You are the Quality Director of a local health system. Your organization has decided to seek accreditation through the Joint Commission. Your first task has been penned by the CEO to prepare for the accreditation process by conducting a literature review on the impact of accreditation on quality of care. The review of literature should include the historical underpinnings of quality initiatives since the publishing of the blockbuster report by the Institute of Medicine – To Err is Human – and an evaluation of the developments in quality initiatives over the past two decades. Upon completing the review of literature, you are asked to compile a report highlighting the history of quality improvement and the significance of quality initiatives on the future of care delivery. Your report should support the organization’s goal of earning accreditation through the Joint Commission.
Instructions
Complete a report that encompasses the history of Quality Healthcare, which focuses on the ways in which quality improvement has changed over time and how past initiatives shape current and future quality initiatives. At a minimum, your report should include:

An assessment of the accreditation process and its role in improving quality of care.
A review of the quality initiatives that have been developed in recent years and the impact of the initiatives on the quality of care delivered.
Support for accreditation based on the review of literature on quality from the historical perspective to future implications.
A discussion on the fundamental changes that have been implemented since the IOM’s report and potential for continuous quality improvement.

Recommendations for your organization to prepare for the accreditation process based on your review of literature and your assessment of the overall process.