Just answer questions as trhoughly as possible, and concentrate on the questions and dont focus on the scenario

Nursing DB questions

Just answer questions as trhoughly as possible, and concentrate on the questions and dont focus on the scenario

L.N. is a 49-year-old white woman with a history of type 2 diabetes, obesity, hypertension, and migraine headaches. The patient was diagnosed with type 2 diabetes 9 years ago when she presented with mild polyuria and polydipsia. L.N. is 5’4″ and has always been on the large side, with her weight fluctuating between 165 and 185 lb. Initial treatment for her diabetes consisted of an oral sulfonylurea with the rapid addition of metformin. Her diabetes has been under fair control with a most recent hemoglobin A1c of 7.4%.Hypertension was diagnosed 5 years ago when blood pressure (BP) measured in the office was noted to be consistently elevated in the range of 160/90 mmHg on three occasions. L.N. was initially treated with Lisinopril, starting at 10 mg daily and increasing to 20 mg daily, yet her BP control has fluctuated. One year ago, microalbuminuria was detected on an annual urine screen, with 1,943 mg/dl of micro-albumin identified on a spot urine sample. L.N. comes into the office today for her usual follow-up visit for diabetes and HTN.Subjective data reveals that she is experiencing increased exertional SOB. She expresses concern because when this happens it takes her awhile to get her breath back to normal. Denies any pain or dizziness with these episodes.Physical examination reveals an obese woman with a BP of 154/86 mmHg and a pulse of 78 bpm. Otherwise exam is unremarkable.CC: “I am more short of breath when walking up stairs than I used to be”.Questions1. What are the effects of controlling BP in people with diabetes?2. What is the target BP for patients with diabetes and hypertension?3. Which antihypertensive agents are recommended for patients with diabetes?4 What testing does this woman need ordered due to her change in status both SHORTNESS OF BREATH and BLOOD PRESSURE?5. What is the significance of microalbuminuria in this woman? How does this affect her cardiovascular risk?Write this case study up as a clinical note including all elements of plan of care regarding issues presented in the case.

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Quality Improvement Initiative

When attempting to garner support for a quality improvement initiative, it is important to demonstrate how the initiative supports the organization’s mission, vision, and values, as well as external factors that influence an organization’s priorities. Delivering a proposal for a quality improvement initiative requires clear, concise communication of the plan.

By tomorrow Tuesday 01/09/18 by 10 pm, write a minimum of 550 words essay with at least 2 references in APA format. Include the level one headings as numbered below:

1) Choose a QI initiative which has been the subject of focus in any healthcare setting. Explain the rationale that your senior leaders used in selecting this initiative for attention and focus.

2) Explain how adverse events are handled in your organization from the public’s perspective and well as internally.

3) Find a scholarly article or one from the public press, published within the last 5 years which recounts a serious error. Relate this error to any organization with which you have some familiarity.

Required Readings

Joshi, M.S., Ransom, E.R., Nash, D.B., & Ransom, S.B., (Eds.). (2014). The Healthcare Quality Book, 3rd ed. Chicago, IL: Health Administration Press.

Chapter 11: “Patient Safety and Medical Errors”

Clarke, C. M., & Persaud, D. D. (2011). Leading clinical handover improvement: a change strategy to implement best practices in the acute care setting. Journal of Patient Safety, 7(1), 11–18. doi:10.1097/PTS.0b013e31820c98a8

Designed for leaders who want to improve quality care, this article focuses on clinical handovers that occur within acute care facilities. It provides a model for improvement and is intended to be a supplemental resource that can be used with the existing research and literature on this topic.

Sennett, C. (2010). Healthcare reform: Quality outcomes measurement and reporting. American Health & Drug Benefits. Retrieved from http://www.ahdbonline.com/article/healthcare-reform-quality-outcomes-measurement-and-reporting 

The article on this website discusses features of the Patient Protection and Affordable Care Act (PPACA), focusing on the outcomes and implications for quality outcomes measuring and reporting.

Lazarus, I.R. (2011). What will It take? Exploiting trends in strategic planning to prepare for reform. Journal of Healthcare Management, 56(2), 89–93.

Required Media

Laureate Education, Inc. (Executive Producer). (2011). Organizational and systems leadership for quality improvement: Organizational priorities for quality improvement. Baltimore: Author.

Note: The approximate length of this media piece is 9 minutes.

This video provides an overview of organizational factors that influence quality. Lillee Gelinas discusses the importance of teamwork and enlisting leadership to help move quality initiatives forward. Other topics addressed include the role of stakeholders in improving patient safety and the responsibility of hospital board members in setting the quality and safety agenda.

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History homework help

Another matter that contemporary life might draw into the Jus in bello orbit is Drone Warfare or Targeted Killing.  No longer the domain of science fiction, targeted killing is already within developed countries’ capabilities.  Always in the vanguard of reality (and ethical thinking), the Star Trek universe foreshadowed humanity’s genius for self-extinction.  The Original Series episode (#23) “A Taste of Armageddon” gives us a sense of how future war can be unbloody yet ‘civilized’ (easily Googled, by the way).
Any ethical valuation will certainly refer to the usual Utilitarian vs Deontological perspectives.  But not much has been written and circulated.  An additional light on the subject might be shed by Virtue Ethics (Module 8 in our Canvas postings).  Maybe “What should we do” might be complemented  by “What kind of people should we be?”  If widening the circle of affected persons says something about torture, might the same widening be effective regarding targeted killing?
Possible questions:

  • Are our moral imaginations entranced by a paradigm of efficiency, low risk, and success?
  • Have we settled for managing the conflict by focusing on military security, while lessening attention on human security that addressed the needs of people caught in the conflict?
  • Should drone attacks be the default choice?
  • What kind of people are we becoming through the wars we prosecute and the violence we inflict?

Assignment:  Watch:  “Eye in the Sky” (2015).
Essay:  Given the above material and your viewing the movie, How would you morally evaluate drone warfare (targeted killing)?  [I’m looking for a thoughtful, reflective essay]

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Identify and state when end of life conversations should occur and why at that time(s).

Nursing

When people are faced with terminal illnesses and death, they usually need support and guidance to identify how they want to live the end of their life. The RN can play a vital role in this process. Ellen Goodman started what is called “The Conversation project” in 2012 to champion this need.

Initial Discussion Post:

  • Identify and state when end of life conversations should occur and why at that time(s).
  • Identify and describe how as a RN you can promote and support this end of life decision process.
  • Identify and state how the RN’s personal beliefs and feelings can impact having these end of life conversations with patients and families.

Base your initial post on your readings and research of this topic. Your initial post must contain a minimum of 250 words. References, citations, and repeating the question do not count towards the 250 word minimum.

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Management homework help

 week 4

Answer the questions below.
Chapter 8: Organizational structure, culture, and change
1. Over the years, large business organizations have steadily reduced the number of layers in the organization structure. What purpose has this profound change in structure served?
2. Many career counselors believe that you are more likely to succeed in an organization in which you fit the culture. How could you determine before joining an organization whether you fit its culture?
Chapter 9: Human Resource and Talent Management
3. Why should a manager who does not work in the human resources department be familiar with the various aspects of talent management?
4. What have you learned about the talent management that you might apply to your own job search?
All the answers should be a 200-word response minimum to get full credit. Please, check carefully the originality of your submission. If there are similarities with external sources your work will be graded only based on the original portions of your responses, the portions taken from external sources will not be considered for grading.

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Applied Sciences homework help

Instructions
The business that this risk analysis should be based off of is a future trucking company.
 
Every program has risks associated with it. This week, I want you to review your idea and provide a risk analysis. What are the potential risks involved with this program, and what processes can be put in place to manage these risks? One specific risk that I want you to discuss is related to cultural differences. Please assume that your company is a multinational corporation…will this program work in all areas of the business? If not, how can it be adapted for the other country/countries involved?
 
This does not need to be written as a formal research paper, but all research provided does need to be cited in APA format. You may write in the first person because you are presenting your own ideas. You do not need to provide an abstract, but you do need an APA formatted title page and reference page. Your paper should be a minimum of 2 pages (approx. 700 words) not including the title and reference.
 

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Ethical decision-making and legal issues that influence your role as a nursing leader

Nursing Leaders as Ethical-Legal Change Agents in Health Care In the course, you will research ethical decision-making and legal issues that influence your role as a nursing leader. Please take this opportunity to introduce yourself and explain how you see your role as a nursing leader making ethical-legal and moral decisions. Include what actions you plan to take to solve moral distress caused by ethical dilemmas and the values that support your actions. (More than three references including Essential nursing law and ethics by Susan Westrick second edition. Please I will do the self-introduction)

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>Literature homework help

for this five-page essay, you are required to give a summary presentation of the some ethical theories discussed in the Introduction, Moral Isolationism, and Egoism and Moral Skepticism. You only have to make use of two of the chapters.
So, for example, you might devote three of the five pages to reflecting on the different kinds of deontological ethics (divine command theory, cultural relativism, and Kantianism) discussed in the Introduction, and then two pages discussing Moral Isolationism. You decide how much space to devote to specific material from the chapters. The final product, though, must be a total of five pages.
You are also required to cite when you quote directly from the material. You are allowed to bring in outside material, but must cite that material too.
Moral theory: Deontology, Kant “Groundwork for the Metaphysics of Morals”
Moral theory” Utilitarianism, Mill “Utilitarianism”
Introduction and Ethical relativism: Andrew T. Forcehimes, “Ethical Theories and Their Application; Mary Midgley “Moral Isolationism”
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>Applied Sciences homework help

For this paper, you will  select a multicultural leader and discuss their leadership. After  selecting a leader, write a 1,250-1,500-word paper addressing the  following:

  1. Trait Leadership Theory identifies and  prescribes individual characteristics and behaviors needed for effective  leadership. Provide a brief bio and overview of the leader you chose  and discuss the traits they possess that make them an effective leader.
  2. Styles  Leadership Theory describes a collection of specific behaviors that can  be categorized into autocratic, democratic, or laissez-faire leadership  styles. Select the style that most appropriately describes the leader  you chose and explain why this style most accurately reflects your  leader.
  3. Power can stem from either one’s position or personal  characteristics. Describe the types of power the leader uses to help  achieve goals.
  4. Multicultural leaders relate effectively to and  motivate people across race, gender, age, social attitudes and  lifestyles. How has the leader you’ve selected effectively motivated  their audience?

You must use a minimum of five cited and referenced sources.
This  assignment uses a rubric. Please review the rubric prior to beginning  the assignment to become familiar with the expectations for successful  completion.
Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center.
You are required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance.
All  B.A. in Communication majors should save the final version of this  assignment with edits that incorporate faculty feedback after grading.  Students should also save the assignment directions. COM-490:  Communication Capstone will require students to prepare a portfolio that  showcases their work in the program. Please save this assignment in  multiple locations. See the “Communication Professional Portfolio Guide”  under course materials for further instructions.

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Accounting homework help

Assignment – Lesson Five

Lesson Five Assignment Instructions: Objective Update and Journal Critical Analysis review
Instructions:
Lesson Five is due at the end of week thirteen. The Lesson Report assignment is generally submitted every two weeks Lessons One through Five. The Report contains three graded activities:

  1. Overall format (do not overuse: page breaks, excess line returns, or increased margins size), readable of your assignment, and citations. Include page footers and page numbers on all assignments.
  2. A unique Business Journal Article Critique Essay.
  3. Internship update summary of internship site activities:
    • Hours (containing a statement of activities).
    • Hours worked or volunteered.
    • Submit the status of the three Internship SMART Objectives with supporting raw data. Additionally, submit a current analysis (a state where you are in completing the objective and what you have learned so far) of collected raw data. If the objective is complete, state so.
    • To assist…review the SMART Objective Update Requirements item found in the Lesson Tools.

The report includes the following components in this order (use a bold section header for each critical report element):
TRANSMITTAL LETTER: to the decision-maker (for this purpose that is the Professor) —watch the video found in Lesson Tools for more information.
TITLE PAGE: assignment title, plagiarism statement, and course information.
SECTION I: a short executive summary (ES) of the entire report —not to exceed (NTE) a half-page followed by a page break and NTE three paragraphs/single-spaced.
Executive Summary (ES) should answer this…if the decision-maker only reads your ES would decision-maker want to move on through your report, or could they make a decision based on your ES?
SECTION II: the unique business journal critique essay (the article provided as part of the assignment)—watch the video found in Lesson Tools for more information.
SECTION III: The Internship Site update

  • A current update of three internship objectives.
  • raw data proof of internship objectives current status (analyze and graphically present raw data).
  • performance hours for the period and to date.

SECTION IV: Reference page, with references listed in APA format.

  • Any appendices, if needed (outside sources must be referenced in the main report to be valid to report).

Length:

  • Journal Critique 4 to 5 pages
  • Site and Objectives update 4 to 5 pages
  • Transmittal memorandum, cover page, and references are not in the page count.

Sources:
The completed report cites three outside sources. Two sources should be from reviewed business journals.
JOURNAL ARTICLE: “Leading the Team You Inherit” by Michael Watkins.  Sign in to the CTC Library database to obtain the Article.
Resource Material critique deck v.2
Assignment RubricReport Assignment BMGT 2488 Requirements & CriteriaTransmittal Letter and Administrative Format (5%)Title Page (5%)Section I (10%)Section II (35%)Section III (40%)Section IV (5%)Total of 100 points (100%)Total (late assignments NTE 5 days – 15% reduction based on approval)
please include all of that 
he executive summary should be single-spaced.
2. reduce the white space in your report.  No more than one carriage return between sections or subsections.
3. Journal article did not use the required analysis format.
4. missing two Objective updates
5. missing cumulative and period hours spent on the internship site.

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