Use the image in “Discussion Question Resource: Chest X-Ray” to answer the following Critical Thinking Questions.

Examine the x-ray of a patient diagnosed with pneumonia due to infection with Mucor. Refer to the “Module 4 DQ Chest Xray” resource in order to complete the following questions.

Critical Thinking Questions

  1. Explain what Mucor is and how a patient is likely to become infected with Mucor. Describe the pathophysiologic progression of the infection into pneumonia and at least two medical/nursing interventions that would be helpful in treating the patient.
  2. Examine the laboratory blood test results and arterial blood gases provided in “Discussion Question Resource: Laboratory Blood Test Results.” What laboratory values are considered abnormal? Explain each abnormality and discuss the probable causes from a pathophysiologic perspective.
  3. What medications and medical treatments are likely to be prescribed by the attending physician on this case? List at least three medications and three treatments. Provide rationale for each of the medications and treatments you suggest.

Information Technology Case: Twitter Data Breach
SOUTHERN NEW HAMPSHIRE UNIVERSITY
 
Student: James L. Bradden
 
Professor: Pamela Boyett
 
Date: 10 October 2020
 
4-2 Final Project Milestone Two: Case Analysis and Incident Impacts
1
 
 
Twitter Data Breach
The case involves a hack that hit several individuals with high profile users such as Elon mask, Jeff Bezos, U.S presidential candidate Joe Biden, Apple, and Uber, to mention a few. The organization suggests that the hack was a result of a well-planned social engineering attack. The attack was called a horror since the world’s most influential individuals had their accounts hijacked (Salahdine & Kaabouch, 2019). The hack involved fake tweets that were suggesting that any amount of bitcoin sent to a link provided in the tweet would be sent back double the amount. Unlike the previous attacks on Twitter, which mainly targeted a single account, this attack targeted the account holders themselves. It had the possibility of affecting all accounts since it gets to the internal backend of the system.
According to Twitter, some of their employee’s personal devices led to this, creating vulnerability to the main system where hackers were able to gain access to the internal tools leading to the breach. One of the ethical issues within the Twitter organization is that some of the employees were used by the hackers to do all their activities for the attack, which shows a lack of employees’ trustworthiness in the organization. It was found that an internal employee was used in this hack to reset involved email locations of hacked accounts to complicate the process of the account holders regaining control. Lack of proper employee training of the organization’s policies and regulations is another ethical factor that could have led to this attack.
One of the legal compliance issues within the Twitter organization is that it has poor data loss prevention, which reduces the possibility of losing data by limiting access to sensitive information. According to the organization, it was one of its employees who had assisted the attackers in accessing the system tools where the hacker was able to access all information that was unrestricted to the employee. The organization requires beginning sensitive sorting information such as personal data and intellectual property and making sure that all employees have access to the information they require to avoid cases where the employees can leak sensitive data to outside attackers (Mubarak, 2016). After a thorough investigation, the organization reported that hackers had accessed the private direct message and used the account takeover to promote the bitcoin scam, which resulted in individuals sending around $120,000 cryptocurrency to a digital wallet address attached in the messages.
As an organization that has faced a number of attacks, it has since then ensured that it has further secured its network via the installation of additional firewalls and malware software. Though this is a good start, these security measures are not effective if employees are connecting their personal devices to the network. Most users have stored passwords, which would make it easier for hackers to access that information in order to gain unrestricted access to the organization’s protected data. Additionally, allowing employees to access the organizational network via public networks using their personal devices is not a good practice. This lack of proper work from home guidelines is another weakness that the hacker could have exploited. Working from should require a level of security in which the employee can gain access to organizational information via a VPN.
Recent research shows that more than 22% of internet users in America use Twitter, whereby around 8% of the amount are teens. With regard to gender, males have a higher likely hood of actively using Twitter than women. From this information, it is clear that in cases where Twitter is attacked, such as the bitcoin case, males and teens are the ones who are most impacted by the breach.
 
4-2 Final Project Milestone Two: Case Analysis and Incident Impacts
 
2
 
 
According to Twitter, the recent data breach took place through a well-coordinated social engineering strategy to persuade the organization’s employees to give the hackers direct access to the main system. By using an attack known as “phone spear phishing,” the hackers were able to prompt the employees to give them the information required to access the system. At present, Twitter is still working on data breach issues. This incident had the most significant impact on the legal and ethical information technology regulations of the present time. This is the third security breach that has taken place on Twitters’ network since the organization made the 2011 decree consent with the federal trade commission due to weaknesses in their security activities.
Due to these attacks on Twitter, most organizations have started to take a more concerned and proactive approach to better protect their networks and their employees from the different vulnerabilities that a hacker can exploit. This includes the implementation of new ethical duties to secure and preserve information depending on the legal ethics where all organizations are required to keep confidential as well as the information of current and past clients. Most organizations have started to preserve data to ensure that important information is not lost, and the implemented cybersecurity measures ensure compliance and transparency (Syed & Dhillon, 2015). Information protection has become a major objective since it operates to create and implement strategies that ensure that data privacy policy, guidelines, standards, and activities are properly improved, communicated, and complied with effectively.
Twitter serves to improve public communication between individuals with rules in place to make sure that all users take part in public conversation freely and safely. This is similar to the IT standards that focus on system and data security to ensure that services delivered are efficient to provide customer satisfaction while reducing competition in this ever-growing field. Twitter standards ensure that there is quality management for the content made public as a major security responsibility. In the current, highly competitive social media sector, Twitter has strived through continuously improving its operations to gain a competitive edge over their competitors. Like the standards of information technology, Twitter standards ensure that there are several legal, contractual, and regulatory compliances in place regarding their data security management systems. Although Twitter has very standardized views as a business, there is a misappropriation of security-related standards required in the protection of user information. In the past several years, the organization has been faced with many instances where user information was at risk. The failure of Twitter to adequately protect system access is what led to the breach, such as the current incident causing significant brand and reputation damage, which had destructive financial results. Adhering to network security standards, the implementation of proper access controls, and reliable system technology allows for the immediate mitigation of vulnerabilities and the reduction of data loss.
The data breach that took place on Twitter has had some cultural impacts on information technology, cyber communication, and commerce. Organizations that have had similar experiences have adopted new requirements such as the frequent changing of passwords and identity monitoring, among other activities. Most web-based businesses have started to notice that they have to improve their information security to eliminate or reduce the possibility of data loss (Juma’h & Alnsour, 2020). After the Twitter data breach, organizations have started providing employee security awareness training to better prepare them on how to recognize and react to suspicious emails, as well as, to protect their personal information.
 
 
References
 
Juma’h, A. H., & Alnsour, Y. (2020). The effect of data breaches on company performance.
 
International Journal of Accounting & Information Management.
 
Mubarak, S. (2016). Developing a theory-based information security management framework for human service organizations. Journal of Information, Communication, and Ethics in Society.
Salahdine, F., & Kaabouch, N. (2019). Social engineering attacks: A survey. Future Internet, 11(4), 89.
Syed, R., & Dhillon, G. (2015). Dynamics of data breaches in online social networks: Understanding threats to organizational information security reputation.

Healthcare Ethics and Morals

Consider the scenarios given below and answer the questions listed after each scenario. Justify your answers with appropriate research and reasoning.
Scenario 1
The rising number of uninsured patients has led to an increased reliance on the hospital emergency room for routine nonemergency care. EMTALA ensures patients’ access to the emergency room of any hospital, regardless of patients’ insurance status or their ability to pay. Using the Internet, read about EMTALA. You can search for this act by using the keyword, “EMTALA” and respond to the following question:
•How do the law and the medical profession’s code of ethics impact those individuals who seek care from emergency departments for reasons other than those that are truly emergencies?
Scenario 2
Autonomy is one of the most important ethical principles discussed in long-term care. Often, autonomy is in danger of being sacrificed when a patient is in need of a higher level of care. Imagine you are part of the staff at the local nursing home. The administrator has asked you and a group of other employees to discuss the principle of autonomy and how it can be applied to the nursing home setting. As a staff member, answer the following questions:
•How would you decide the best way to honor a patient’s autonomy in a nursing home and what will you decide?
•How would you handle differences of opinion in the group as you try to come to a consensus on the best way to preserve autonomy?

W1A1: Professional Goals 

Developing professional goals is critical to guiding your career and transitioning to become a practicing NP. The goals that you develop should be SMART. SMART goals are: Specific, Measurable, Attainable, Relevant, and Time-specific (Massachusetts Institute of Technology Human Resources, n.d.). Keeping your goals SMART will increase your chances of meeting or exceeding your professional career goals.

For this Assignment, you will identify three short-term and three long-term goals. You also will explain how each goal relates to your professional career development and how you might achieve each of these goals.

References: use these source and 1 or 2 more.

1. Massachusetts Institute of Technology Human Resources (n.d.). SMART goals. Retrieved from http://hrweb.mit.edu/performance-development/goal-setting-developmental-planning/smart-goals.

2. Paul, R., & Elder, L. (2013). Critical thinking: Tools for taking charge of your professional and personal life. Pearson Education.

To prepare: Due Nov.22.2017

· 1. Review the SMART Goals Learning Resources

· 2. Consider professional goals that you might select to help focus on your transition from RN to NP practice

3. For this Assignment, write a paper that is (1 &1/2 )pages long that addresses the following:

· 4. Identify at least three short-term goals (1-2 years)

· 5. Identify at least three long-term goals (3-5 years)

· 6. Explain why you selected each goal and how they relate to your professional career development (Family Nurse Practitioner).

· 7. Create a strategic plan that explains how you might achieve each of these goals

· NO PLAGIRISM

· Please cite scholarly references/source of your info

· 2 pages

· 3-4 References.

  • Posted: 2 years ago
  • Due: 22/11/2017
  • Budget: $12
  • Identify your selected unit (or department) in the first line of your posting.
  • Identify the key inputs and outputs of this unit.
  • Briefly discuss factors that should be considered when establishing the primary productivity measure for your selected unit.
  • Propose one productivity measure for this unit and provide a rationale.
  • What are possible consequences—positive or negative—of the selection of this productivity measure?

Readings

  • Course Text:
  • Langabeer II, J. R., & Helton, J. (2016). Health care operations management: A systems perspective (2nded.). Burlington, MA: Jones and Bartlett.
  • Chapter 6, “Productivity and Performance Management”This chapter explains fundamental concepts of productivity management, and describes the usefulness of performance scorecards in conveying data that can help managers monitor productivity.

For this assignment, first review the assigned article:

Article: Database Design – What HIM Professionals Need to Know
Used with Copyright Permission received from AHIMA in April 2017.

Then, in a 1 page paper, written in APA format using proper spelling/grammar, address the following:

What purposes can relational databases fulfill for healthcare organizations?
Explain at least 5 skills the HIM professional should have for using databases. 

Remember to explain them; do not just list them. 
You may use the article as a basis, but you should expand upon items using your own impressions and ideas.

What have you learned about the needs of end users (such as physicians, HIM professionals, etc.) and the kinds of communications skills HIM professionals may use to determine the needs of end users such as physicians, charge nurses, etc.?
Describe any personal experience you have had so far with using databases at work or school.

Be sure to write your paper in APA format and to provide APA citations for any additional resources you used as references. 

These are two discussion questions DQ1 and DQ2 

posts must be at least 150 words and have at least one reference cited for each question. In-text citation, please 

Tutor MUST have a good command of the English language Sources need to be journal/scholarly articles.  

Use only articles that are published between 2015-2018 (except for your theory articles which will be older as you must cite primary sources). 

No textbook or direct quotes 

Please separate the two DQ with their reference page 

DQ 1 

How do servant leaders, as compared with leaders who follow the transformational model of leadership, manage organization dynamics and lead change to ensure the continued success of the stakeholders to be served? 

Is servant leadership or transformational leadership the best approach to these tasks?  

DQ 2 

Considering the various virtues or dimensions of character for a servant leader (e.g., virtue, credibility, trust), how might the application of servant leadership be appraised in a health care setting? 

Is servant leadership, versus transformational leadership, plausible in the health care setting that often depends on a hierarchy of command for the safety of patients?

nursing leadership

The patient in 4D had been admitted for multidrug resistant pneumonia. Given her advanced age and a host of other medical problems, the outlook was dire. Over the weeks she and the night nurse had struck up something of a friendship. Other than that she had no visitors, not a soul listed to notify in case of death, and no known friends or relatives. As he dropped by on his night rounds, the nurse was her only visitor, and the visits were limited to the short conversations she could manage. Now her vital signs were failing, and the nurse recognized that the patient in 4D was near death. So he tried to spend every spare minute on his shift in her room, just being present. He was there to hold her hand during her last moments of life. How did his supervisor respond to this gesture of human kindness? 

—Goleman, 2006, p. 252

How do aspects of emotional intelligence relate to leadership and management success? Does an effective leader–manager have to be emotionally sensitive and literate? Why or why not?

ReferenceGoleman, D. (2006). Social intelligence: The revolutionary new science of human relationships. New York, NY: Bantam Dell.

To Prepare

  • Following the passage above, Goldman continues on to explain that the nurse supervisor reprimanded the nurse. Does this line up with what you were expecting? Why or why not?
  • Based on the information in the Learning Resources, think of a recent experience in your organization and consider how a nursing administrator demonstrated or failed to demonstrate emotional intelligence. How did this impact the outcome of the situation?
  • Reflect on your identified strengths and opportunities for growth related to emotional intelligence from the information in the Learning Resources. What surprises you about the concept of emotional intelligence? How would you rate your own emotional intelligence?

By Day 3

Post a description of a situation in which a nursing administrator demonstrated or did not demonstrate emotional intelligence when managing a situation. Explain how this may have impacted the outcome of the situation. Describe how you would handle the situation differently based on your own identified emotional intelligence strengths.

Chinese Medicine and Therapeutic Modalities

Write a three- to five-page paper (excluding title and reference pages) in APA format which addresses an ailment or illness that you, a friend, or a family member has had. Your paper must contain the following:

  1. Pick an ailment that you, a friend, or family member, have suffered from. If you are not able to identify an ailment within those parameters, create a fictitious case.
  2. Describe how this person was treated (or would have been treated if this is a hypothetical case) by Western medicine.
  3. Describe how this person could also be treated with Chinese medicine. Use the Ashford University Library to locate a scholarly research study related to how Chinese medicine may help a person with this ailment. If it pertains to this situation, you may use the article from this week’s discussion.
  4. Do you feel that an integrated approach can be applied to this case? Explain your answer.
  5. What are the benefits of using both Western medicine and Chinese medicine in the treatment of this individual? Are there any potential disadvantages to using both?
  6. Analyze the ways in which the eastern and western medical systems intersect and the future of Chinese medicine with regards to integrative health. You may also incorporate Ayurvedic medicine in this assignment.

 Case Studies

 A 15-year-old gymnast has noted knee pain that has become progressively worse during the past several months of intensive training for a statewide meet. Her physical examination indicated swelling in and around the left knee. She had some decreased range of motion and a clicking sound on flexion of the knee. The knee was otherwise stable. Studies Results Routine laboratory values Within normal limits (WNL) Long bone (femur, fibula, and tibia) X-ray No fracture Arthrocentesis with synovial fluid analysis Appearance Bloody (normal: clear and straw-colored) Mucin clot Good (normal: good) Fibrin clot Small (normal: none) White blood cells (WBCs) <200 WBC/mm3 (normal: <200 WBC/mm3 ) Neutrophils <25% (WNL) Glucose 100 mg/dL (normal: within 10 mg/dL of serum glucose level) Magnetic resonance imaging (MRI) of the knee Blood in the joint space. Tear in the posterior aspect of the medial meniscus. No cruciate or other ligament tears Arthroscopy Tear in posterior aspect of medial meniscus Diagnostic Analysis The radiographic studies of the long bones eliminated any possibility of fracture. Arthrocentesis indicated a bloody effusion, which was probably a result of trauma. The fibrin clot was further evidence of bleeding within the joint. Arthrography indicated a tear of the medial meniscus of the knee, a common injury for gymnasts. Arthroscopy corroborated that finding. Transarthroscopic medial meniscectomy was performed. Her postoperative course was uneventful. 

Critical Thinking Questions 

1. One of the potential complications of arthroscopy is infection. What signs and symptoms of joint infection would you emphasize in your patient teaching?

 2. Why is glucose evaluated in the synovial fluid analysis?

 3. What are special tests used to differentiate type of Tendon tears in the knee ? 

Explain how they are performed (Always on boards)  

 Testicular Cancer

 Case Studies

 A 21-year-old male noted pain in his right testicle while studying hard for his midterm college examinations. On self-examination, he noted a “grape sized” mass in the right testicle. This finding was corroborated by his healthcare provider. This young man had a history of delayed descent of his right testicle until the age of 1 year old. Studies Results Routine laboratory studies Within normal limits (WNL) Ultrasound the testicle Solid mass, right testicle associated with calcifications HCG (human chorionic gonadotropin) 550mIU/mL (normal: <5) CT scan of the abdomen Enlarged retroperitoneal lymph nodes CT scan of the chest Multiple pulmonary nodules Diagnostic Analysis At semester break, this young man underwent right orchiectomy. Pathology was compatible with embryonal cell carcinoma. CT directed biopsy of the most prominent pulmonary nodule indicated embryonal cell carcinoma, compatible with metastatic testicular carcinoma. During a leave of absence from college, and after banking his sperm, this young man underwent aggressive chemotherapy. Repeat testing 12 weeks after chemotherapy showed complete resolution of the pulmonary nodules and enlarged retroperitoneal lymph nodes.

 Critical Thinking Questions 

1. What impact did an undescended testicle have on this young man’s risk for developing testicular cancer? 

2. What might be the side effects of cytotoxic chemotherapy? 

3. What was the purpose of preserving his sperm before chemotherapy?

 4. Is this young man’s age typical for the development of testicular carcinoma? 

  • Posted: 2 months ago
  • Due: 16/07/2019
  • Budget: $6

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