Case Study: Ann is a seventy-seven-year-old grandmother. She has one daughter and three grandchildren. Two years ago, she was diagnosed with moderately advanced Alzheimer’s disease, which causes her to have periods of confusion, frustration, anger, and obsessive thinking. Explain, as a nurse, what advice would you give to Frank and Sarah.
Read the following case study and submit a 1- to 2-page essay in a Microsoft Word document using APA 6th edition in response to the questions.
Case Study:
Ann is a seventy-seven-year-old grandmother. She has one daughter and three grandchildren. Two years ago, she was diagnosed with moderately advanced Alzheimer’s disease, which causes her to have periods of confusion, frustration, anger, and obsessive thinking. Support your responses with examples
When speaking, she is uncertain and her speech patterns are choppy. Before her mental deterioration, Ann was a woman of love, intelligence, and patience. Realizing they were getting older, she and her husband, Frank, discussed their wishes should anything happen to them. She told Frank that if there was no chance of survival, she would not want to be hooked to a breathing machine. They never got around to filling any papers.
Frank is a sweet and sensitive man. His wife’s state frightens him. Ann’s love for him has been the focus of his life for sixty years. His urgent desire for the best care for Ann shows his devotion and love. Their daughter, Sarah, is a businesswoman. She is a hard worker and a good mother. She is forty-five, successful, and intelligent. Although she loves her parents dearly, she lives ten hours away. She regrets not seeing much of them, especially recently. Frank feels his role is to take care of Ann. He has spent the past year with her, watching after her, cooking for her, cleaning the home, and witnessing her deterioration. Finally, Ann is unable to walk alone safely and he finds he must have her admitted to a long-term care facility. He calls Sarah to come and help with the arrangements. After having Ann admitted to a local nursing home, both Frank and Sarah remember the pleading look in Ann’s eyes as they walk away.
After three weeks in the nursing home, Ann starts to cough and run a fever. She is seen by doctors and diagnosed as having pneumonia. She is transferred to a local hospital, where she is given intravenous antibiotics. Although the progress of her pneumonia is halted by the antibiotics, she stops talking and refuses to eat. The physician calls Frank to insert a feeding tube. Frank calls Sarah to ask what to do. They wonder, Is a feeding tube equivalent to a breathing machine? Would it be possible to allow Ann to lie there and die of starvation? Is that murder? What would she want? What is the right thing to do? (Burkhardt & Nathaniel, 2008).
Respond to the following:
Discuss the ethical decisions you would make.
Discuss the legal decisions you would make.
Explain, as a nurse, what advice would you give to Frank and Sarah. Support your responses with examples
Discuss the Sierpinski gasket.
This week’s discussion has introduced working with graphics programming, particularly with respect to primitives and attributes. One of these applications is the Sierpinski gasket. Discuss the Sierpinski gasket.
In your answer, specifically think of and give a real-life scenario where:
The Gasket can be utilized.
Recursion can/cannot be applied.
Describe several examples of sexual harassment in the workplace. Discuss methods of dealing with these instances.
Chapter 11
1. Why is the subject of workplace health and safety of concern to nurses?
How are these concepts related to patient safety and patient outcomes?
2. What action is suggested when you are faced with an angry or hostile coworker?
3. Why is substance misuse among nurses a serious concern? What is the most appropriate way to handle a suspicion that a coworker may be involved in serious substance misuse?
4. What is the most common physical injury experienced by LPNs and nursing assistants? How can a nurse manager help staff avoid physical injury at work?
5. Describe several examples of sexual harassment in the workplace. Discuss methods of dealing with these instances.
6. Review the policies and procedures on the following safety issues in your current clinical rotation. Compare with other students in the class. What are the similarities and differences? What might this mean in terms of workplace safety?
Latex allergies
Needle-stick injuries
Violence
3. Go to the ANA website and explore the sections on workplace and patient safety under the heading Professional Nursing Practice.
Which concepts discussed in these sections are particularly important to the beginning RN? Why?
4. Interview one of the staff nurses on your unit. Explore his or her feelings and concerns related to the following topics. Based on the comments, develop strategies to address the concerns.
Substance abuse among nurses
Emergency preparation
Quality of work life within the organization
Describe strategies for safe, effective multidimensional nursing care for clients with acid-base imbalances.
Competency
Describe strategies for safe, effective multidimensional nursing care for clients with acid-base imbalances.
Scenario
Tony is a 56-year-old, Hispanic male that presented to the Emergency Room with complaints of shortness of breath, which he has been experiencing for the past two days. He states I havent felt good for about a week, but couldnt afford to miss work. He complains of a cough, fever, and feeling exhausted. Past medical history includes asthma, chronic obstructive pulmonary disease and diabetes. Upon physical examination, you notice that Tony is struggling to breathe, his respiratory rate is 36 breaths per minute and labored, heart rate 115 beats per minute, blood pressure 90/40 mm Hg, and his pulse oximetry is 84% on room air. You notify the MD. He orders oxygen at 2 L via NC and an arterial blood gas.
Tonys ABG results:
pH 7.28
PaCO2 55 mm Hg
PaO2 70 mm Hg
HCO3 30 mEq/L
Instructions
In a 2 page Word document:
Determine Tonys acid-base imbalance
Describe possible causes of the imbalance
Identify the signs and symptoms that Tony is exhibiting as a result of the acid-base imbalance
List the multidimensional care strategies that are appropriate for the care of Tony
What are your impressions of the Nacirema people?
In this paper, you will evaluate the article you chose in assignment #4 as evidence. The purpose of this assignment is to demonstrate how evidence is critically examined and recommendations for practice are generated.
Elements you need to include in your critique of your chosen article are: (also be sure to use these points as headings in your paper)
Problem/purpose
Review of the literature
Research question/hypothesis
Sample
Research Design
Threats to external/internal validity
Methodology
The level in the evidence hierarchy
Instruments
Legal/ethical issues handling
Data analysis
Conclusions/recommendations
Implications for EBP and how this article could be used to make an evidence-based change
Begin with an introductory paragraph, end with a closing paragraph.
The paper will be 4-5 pages, use APA format, a title page, a reference page, and a total of 4 references is required.
One reference will be your article.
The other references should be information about critiquing research and making this evidence-based change.
You are a medical professor in charge of creating college assignments and answers for medical college students. You design and conduct lectures, evaluate student performance and provide feedback through examinations and assignments. Answer each question separately. Include and Introduction. Provide an answer to this content
In this paper, you will evaluate the article you chose in assignment #4 as evidence. The purpose of this assignment is to demonstrate how evidence is critically examined and recommendations for practice are generated.
Elements you need to include in your critique of your chosen article are: (also be sure to use these points as headings in your paper)
Problem/purpose
Review of the literature
Research question/hypothesis
Sample
Research Design
Threats to external/internal validity
Methodology
The level in the evidence hierarchy
Instruments
Legal/ethical issues handling
Data analysis
Conclusions/recommendations
Implications for EBP and how this article could be used to make an evidence-based change
Begin with an introductory paragraph, end with a closing paragraph.
The paper will be 4-5 pages, use APA format, a title page, a reference page, and a total of 4 references is required.
One reference will be your article.
The other references should be information about critiquing research and making this evidence-based change.
. Do not write who you are in the answer.
Identify current trends in globalization.
Assignment 2: Global Economy: Between Free Trade and Protectionism
Globalization was welcomed around the world at the beginning of the 1990s. Different trade theories were used to explain benefits of free trade and market liberalization. However, by the end of the twentieth century, voices of discontent were beginning to rise from Asia to North America.
Identify and read at least three journal articles focused on trends in globalization. Then, respond to the following:
Identify current trends in globalization.
Reason whether the global economy will return to the mercantilist stage, or if benefits of free trade and market liberalization will prevail. Why or why not?
Write a two-to-three-page paper in Word format. Utilize at least three scholarly sources in your research.
Make sure you write in a clear, concise, and organized manner; demonstrate ethical scholarship in accurate representation and attribution of sources; and display accurate spelling, grammar, and punctuation.
Use the following file naming convention: LastnameFirstInitial_M2_A2.doc. By Wednesday, August 13, 2014, deliver your assignment to the M2: Assignment 2 Dropbox.
Assignment 2 Grading Criteria
Maximum Points
Identified a variety of trends including past and current trends that focus on the global market.
42
Explained whether the global economy will return to the mercantilist stage. Provided justification and discussed specific trends in support of the future of the global economy.
46
Wrote in a clear, concise, and organized manner; demonstrated ethical scholarship in accurate representation and attribution of sources; and displayed accurate spelling, grammar, and punctuation.
12
Total:
100
Explain for how a VLAN could be implemented so that bandwidth is not consumed.
Assignment: VLAN
Consider the following scenario:
Your company moves into a new building. Marketing is on the first floor, engineering is on the second floor, operations is on the third floor, and the call center is on the fourth floor. The LAN is organized neatly, with each floor having its own switch. Some of the groups on the floor are connected through hubs and the network is planned for orderly growth. The company grows faster and much differently than was planned, however, and the call
center must be expanded. Some of the engineering department employees on the second floor and operations employees on the fourth floor move offsite and the call center expands. Space is compressed and users move to other parts of the building, but their communities of interest do not change. The same users still need to communicate with the same services.
Explain for how a VLAN could be implemented so that bandwidth is not consumed. Your plan must ensure that the network is not flooded with packets, and that members of the same VLAN can be located in different buildings or cities.
Include the following:
The benefit of creating a VLAN A plan to segment the network into different broadcast domains to avoid bandwidth consumption A plan to improve security The type of VLAN membership and the value of that choice over other options The type of switch to be used, layer 2 or layer 3, and why you would choose it over the other The types of trunking configured on the switch The purpose and benefit of using the VLAN trunk protocol (VTP) A definition of the VTP mode used to configure the switches. Backup plan
Do you agree with the concept of civil commitment? Why or why not? What is the role of a forensic psychologist in such cases?
Discussion Question Do you agree with the concept of civil commitment? Why or why not? What is the role of a forensic psychologist in such cases? Here is a pdf about the job description for a forensic psychologist.http://www.michigan.gov/documents/ForensicPsychologist_12008_7.pdf
Identify those responsible for creating and maintaining an emergency plan.
Case Study: Hurricane Katrina
No single emergency is more indicative of the need for emergency planning than the 2005 Hurricane Katrina which struck the city of New Orleans and the Gulf Coast of the United States. The response to this natural disaster has been used as an example of poor emergency planning that led to catastrophic mismanagement and subsequent loss of life and property.
Conduct an analysis of the Hurricane Katrina emergency plan that led to the failures to respond to this natural disaster. Use this general outline to conduct the case study analysis.
The analysis should be three to four double-spaced pages in length (excluding title and reference pages) in APA format.
· Introduction (1/2 page)
o Provide a brief overview of the dates and facts of the Hurricane Katrina catastrophe.
o Identify those responsible for creating and maintaining an emergency plan.
· Preparedness for Hurricane Katrina (one to two pages)
o Prior to Hurricane Katrinas arrival, what entities were responsible for emergency response to a hurricane striking New Orleans and the Gulf Coast?
o What emergency plans were in place prior to the arrival of Hurricane Katrina?
o What training and exercises were conducted to prepare for a hurricane prior to Katrina?
o Did the populace know what the emergency plan was prior to the arrival of Hurricane Katrina?
· Emergency Planning Lessons Learned from Katrina (one to two pages)
o What were the major emergency planning failures that were uncovered by Hurricane Katrina?
o What organizational and policy factors led to the planning failures of Hurricane Katrina?
o What lessons learned from the Katrina disaster can now be used to improve the emergency planning for other natural and man-made disasters in the U.S.?
o What actions have been taken by the federal government to improve emergency planning?
Use at least three resources other than the course textbook to support your analysis. Two of these resources should be:
· U.S. House of Representatives. (2006). A failure of initiative: Final report of the select bipartisan committee to investigate the preparation for the response to Hurricane Katrina. 109th Cong., 2nd Sess. Washington, DC: U.S. Government Printing Office.
· The White House. (2006). The federal response to Hurricane Katrina: Lessons learned. (H. Rpt. 109-377). Retrieved May 6, 2010, from http://georgewbush-whitehouse.archives.gov/reports/katrina-lessons-learned/
· Third source from a Hurricane Katrina case study.
Must be APA format 6th edition
Explain why governments use fund accounting
Create a 10- to 12-slide presentation, with speaker notes, to a nonfinancial audience explaining how increasing scrutiny and demand for accountability by the public has influenced reporting for governmental entities.
Explain why governments use fund accounting.
Analyze the importance of budget and control of government resources.
Explain how the GASB revenue and expense recognition model may improve the usefulness of the information governments report to the public.
