Find the forces that the walls A and B exert on the beam when the person is standing at a point 1.6 m to the right of B.

A 20.0-m-long uniform beam weighing 550 N rests on walls A and B,Find the forces that the walls A and B exert on the beam when the person is standing at a point 1.6 m to the right of B.

Express your answers using two significant figures separated by a comma.

Describe an appropriate drug therapy plan based on the patient’s history, diagnosis, and drugs currently prescribed.

To Prepare:

· Review the case study assigned by your Instructor for this Assignment

· Reflect on the patient’s symptoms, medical history, and drugs currently prescribed.

· Think about a possible diagnosis for the patient. Consider whether the patient has a disorder related to the gastrointestinal and hepatobiliary system or whether the symptoms are the result of a disorder from another system or other factors, such as pregnancy, drugs, or a psychological disorder.

· Consider an appropriate drug therapy plan based on the patient’s history, diagnosis, and drugs currently prescribed.

Write a 1-page paper that addresses the following:

· Explain your diagnosis for the patient, including your rationale for the diagnosis.

· Describe an appropriate drug therapy plan based on the patient’s history, diagnosis, and drugs currently prescribed.

· Justify why you would recommend this drug therapy plan for this patient. Be specific and provide examples.

Case Study: 

DC is a 46-year-old female who presents with a 24-hour history of RUQ pain.  She states the pain started about 1 hour after a large dinner she had with her family.  She has had nausea and on instance of vomiting before presentation.

PMH:                 Vitals: 

HTN                                                                Temp:              98.8oF

Type II DM                                                     Wt:                  202 lbs

Gout                                                                Ht:                   5’8”

DVT – Caused by oral BCPs                          BP:                  136/82

                                                                        HR:                 82 bpm

Current Medications:     Notable Labs:

Lisinopril 10 mg daily                                   WBC:                          13,000/mm3

HCTZ 25 mg daily                                        Total bilirubin:           0.8 mg/dL

Allopurinol 100 mg daily                               Direct bilirubin:          0.6 mg/dL

Multivitamin daily                                          Alk Phos:                    100 U/L

                                                                     AST:                           45 U/L

                                                                      ALT:                           30 U/L

Allergies:

· Latex

· Codeine

· Amoxicillin

PE:

· Eyes: EOMI

· HENT: Normal

· GI:bNondistended, minimal tenderness

· Skin:bWarm and dry

· Neuro: Alert and Oriented

· Psych:bAppropriate mood

APA Format

min 2-3 resources 

What are the requirements for nurse practitioners in your state?

Responsibilities of a Nurse

Discuss the following with regard to the role and responsibilities of a nurse in a community:

  • How are the roles of the BSN and the advanced practice nurse in community health different?
  • How are nurse practitioners utilized in your community?
  • Do they increase access to health care or work for physicians?
  • What are the requirements for nurse practitioners in your state?
  • What privileges do they have that general nurses do not have?
  • Justify your responses using resources.
Explain the interrelationships between the providers and payers in audits and monitoring fraud across the health care delivery system.

Write a three- to four-page paper in APA format that addresses the following topics in a cohesive manner:

· How you will develop a coding audit plan (frequency and percentage of charts)? 

· How you will use the OIG work plan and other resources available to prepare and update your audit plan? 

· What policies and procedures will be needed to monitor abuse or fraudulent trends and how those relate to your audit plan? 

· Explain the interrelationships between the providers and payers in audits and monitoring fraud across the health care delivery system.

Do you think your MBTI style accurately portrays you?  Why or why not? 

Do you think your MBTI style accurately portrays you?  Why or why not? 

Words 300

Do you think that the penalty for violation of the internal control provision and the books and records provision of the FCPA is stiff enough to motivate companies to implement systems capable of detecting bribes?

Your individual project in this Unit is based on the “SAP Found in Violation of FCPA” case study located at the end of Chapter 2 in your textbook. In order to complete this assignment, read that case study and respond to the questions below, 

  1. Do you think that the penalty for violation of the internal control provision and the books and records provision of the FCPA is stiff enough to motivate companies to implement systems capable of detecting bribes? What changes, if any, would you suggest to the FCPA?
  2. When an organization implements a major accounting software package, it also inherits the system of internal control that is built into the software—good, bad, or indifferent. What can be done if it is discovered, months after the software has been purchased and installed, that the software is lacking in good internal control?
  3. IT workers have a key role in designing and implementing the internal controls associated with systems that automate the processing of business transactions, such as the payment of suppliers, employees, and business partners and the receipt of payments from customers. What can IT workers do to prepare themselves for this responsibility? Who should the IT workers collaborate with when evaluating or designing the automated internal controls of a computer-based information systems?
Debate and list the security measures law offices or courts can take to prevent potential privacy breaches posed by widespread electronic filing.

Discussion Question 2: Preventing Client Confidentiality Breaches

With nationwide electronic filing anyone with Internet access and specialized software for reading electronic court documents can open up all court documents. This poses a privacy risk because court documents often contain personal information such as names and addresses and financial information.

Debate and list the security measures law offices or courts can take to prevent potential privacy breaches posed by widespread electronic filing. Research the bar rules of your state regarding confidentiality to see whether electronic filing is mentioned

Discuss how management activities are beneficial to local public health agencies in protecting public health and how they have shaped public health practice and policy.

The aim of public health is to increase the health of the community in its entirety. So long as health is considered a good and the community is the public, public health would always promote public good. But, this has always been a problem because there has always been a struggle to limit the scope of public health as a public good.For this assignment:

  1. Discuss the role of state, local, and federal agencies in public health practice. Provide examples within your community, which could be the local, state, or federal community. 
  2. Explain how policy makers affect the ability for agencies to direct public health policy and management activities.
  3. Discuss how management activities are beneficial to local public health agencies in protecting public health and how they have shaped public health practice and policy.
  4. Explain the importance of a community’s perspective in public health policies and management and discuss historical developments that have shaped public health policies in the United States.
  5. How have the national health objectives shaped public health practice in your community? Provide examples.

Your paper must be at least three pages in length, not counting the title and reference pages. You must have an introduction, a conclusion, and a minimum of three sources (one of which must be academic in nature). All sources used must have proper citations. Adhere to APA Style when constructing this assignment, including in-text citations and references for all sources that are used. Please note that no abstract is needed. 

**Live in Columbus,GA***

Use your current or past experience to identify a change project to implement.

Change management is key to ensuring that an organization remains adept in providing state-of-the-art health care. As the world changes and communities evolve, patient and personnel needs require fresh and effective ways to meet them. Operating as a reactionary wears heavily on organizations and leaders. Planning for innovation and its diffusion breathes new life into the world of care and of work. Day-to-day operations can be a garden for growth when leadership is skilled at change management.

This Leadership Project assessment requires you to create a change project implementation plan designed for making an impact in your organization. You will create a Microsoft PowerPoint® presentation incorporating the details of your change project and daily leadership plan.

Create a 15- to 20-slide PowerPoint® presentation that includes the following: Please put in “notes page view”. Otherwise, I have to download to grade the speaker notes and upload. I want to grade in the gradebook without downloading. The link below create speaker notes gives directions. 

Leadership Change Project

Leaders seek out change opportunities regularly. Innovation, critical thinking, and decision making are key to making an impact on an organization through change management. This assessment is designed to help you look at aspects of your own clinical practice and become a change agent in your organization. Use your current or past experience to identify a change project to implement.

Evaluate the value and relevance of the evidence that supports the need for a practice change.

Create a poster presentation to communicate an implementation plan to bridge the gap between the evidence you will research and clinical practice. NOTE SPEAKER NOTE UNDER THE POSTER

Introduction

Master’s-level nurses need to be able to think critically about the evidence, outcomes data, and other relevant information they encounter throughout their daily practice. Often the evidence or information that a nurse encounters, researches, or studies is not presented in the exact context of that nurse’s practice. A key skill of the master’s-level nurse is to transfer evidence from the context in which it was presented and apply it to a different context in order to maximize the benefit to patients in that new context.

Professional Context

Master’s-level nurses understand the importance of utilizing evidence-based practice in their healthcare setting. The challenge is bridging the gap between the evidence and clinical practice. “This is the way we’ve always done it,” is a common response and may not indicate evidence-based practice is being utilized. Furthermore, when a practice problem is identified, what are the steps to communicate the need for change with the interprofessional team?

One way to communicate the need for quality improvements, as well as your plans for achieving specific changes, is through a presentation poster. This type of communication tool is used both in the workplace and at professional and academic conferences. Being able to convey the essence and value of a project in a compelling and succinct way is a valuable skill, and it is vital within the constraints of a single poster.

Scenario

You have been asked to give a poster presentation based around your work and research on a clinical problem in your practice setting. The purpose is to lay out the evidence and a potential implementation plan to your colleagues in order to bridge the gap between the evidence and the practice to improve the quality and outcomes of care.

Instructions

Identify a clinical problem (HOSPITAL ACQUIRED PRESSURE ULCER)in your work setting and develop an implementation plan to carry out your evidence-based practice proposal using a poster presentation. You may use the Poster Presentation Template [PPTX] to help structure and organize your assessment submission.

Your Implementation Plan should include the following:

  • Background on the clinical problem.
  • PICOT question.
  • Stakeholders that will be impacted.
  • Action plan for implementation.
  • Potential barriers to project implementation.
  • Baseline data that will be needed to evaluate outcomes.
  • Search strategy and databases used.
  • Summary of the evidence with a critical appraisal of its quality.

The bullet points below correspond to the grading criteria in the scoring guide. Be sure that your poster presentation addresses all of them.

  • Develop a PICOT question for a chosen clinical problem.
    • Include a graphic that is relevant to the clinical problem.
    • Provide a background on the clinical problem identified.
  • Outline an action plan to implement the EBP project that includes:
    • The recommended practice change.
    • Proposed timeline for implementation.
    • The tools or resources that will be needed to support the project.
  • Identify the stakeholders and potential barriers to project implementation.
    • Who are the stakeholders that will be impacted?
    • What are the potential barriers, such as a lack of knowledge, time, skill level, motivation, or resources that could impact project implementation?
  • Propose outcome criteria to evaluate the evidence-based practice project.
    • How will outcomes be measured?
    • How do your outcomes align with the Quadruple Aim?
  • Evaluate the evidence that supports the need for practice change.
    • In the notes section of your poster presentation:
      • Describe your search strategy and databases that were used.
      • Summarize your findings with a critical appraisal of the quality and relevance of your resources.
  • Convey purpose of the poster presentation in an appropriate tone and style, incorporating supporting evidence and adhering to organizational, professional, and scholarly communication standards.
    • Integrates relevant and credible sources of evidence to support assertions, using current APA style.

If you choose not to use the provided template, there are templates in PowerPoint or on the Internet that can help you get a start designing your poster.

Submission Requirements

  • Font and font size: Appropriate size and weight for a presentation, generally 24–28 points for headings; no smaller than 18 points for bullet-point text. Use a suitable professional typeface, such as Times or Arial, throughout the presentation.
  • Length of presentation: No more than five minutes.
  • Number of references: Cite a minimum of 3–5 sources of current scholarly or professional evidence that support your evaluation, recommendations, and plans. Current source material is defined as no older than five years unless it is a seminal work.
  • APA formatting: Resources and citations are formatted according to current APA style.

Competencies Measured

By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and scoring guide criteria:

  • Competency 1: Apply evidence-based practice to plan patient-centered care.
    • Outline an action plan to implement the evidence-based practice project that includes the recommendations for practice change, a timeline, and tools or resources needed.
  • Competency 2: Apply evidence-based practice to design interventions to improve population health.
    • Identify the stakeholders and potential barriers to project implementation.
  • Competency 3: Evaluate outcomes of evidence-based interventions.
    • Develop a PICOT question for a chosen clinical problem.
    • Propose outcome criteria for evaluating the evidence-based practice project and how the outcomes will be measured.
  • Competency 4: Evaluate the value and relative weight of available evidence upon which to make a clinical decision.
    • Evaluate the value and relevance of the evidence that supports the need for a practice change.
  • Competency 5: Synthesize evidence-based practice and academic research to communicate effective solutions.
    • Convey purpose of the poster presentation in an appropriate tone and style, incorporating supporting evidence and adhering to organizational, professional, and scholarly communication standards.
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