Therapy Business Feasibility Plan

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Proton Therapy Center Business Feasibility Plan

(Therapy Business Feasibility Plan)

Question description

Proton Therapy Center Business Feasibility Plan

This team assignment is the preparation of a semester-long report/study applying the course contents to the issues of an actual business feasibility plan based on the contents of a case study.

The objective of this assignment is to demonstrate through application the course concepts by developing a real-life business feasibility plan (this is short of a full- fledged business plan). It is clear, that given the limited amount of time and resources, the plans can’t be fully fledged, ready-to-go business plans. Especially in the area of final supply side of businesses, teams will have to work with qualified guesses – since this class only introduces the topic of entrepreneurial finances.

This assignment is worth twenty (20) percent of the semester grade.

You have been asked to develop a Business Feasibility Plan based on the attached Case Study “Proton Cancer Therapy Center: An Entrepreneur’s Dilemma” by Marlene Mints Reed and Rochelle Reed Brunson (2011), Entrepreneurship Theory and Practice, 35: 1091–1100. This case analysis is to serve as the background information and launching-point for teams to being a contemporaneous business planning endeavor. Each team is to select a location for their project different from that of the Case Analysis (i.e., not in Houston, Texas).

Team Formation: You are to assemble a team of fellow classmates of your choosing of two (2) or three (3) members. It is expected that all group members make equal contributions to the project. A single grade will be given to all members of the team.

Business Feasibility Plan Content: A basic outline of a business plan is as follows. A Business Feasibility Plan differs in that the financial projections are not as robust. In this instance, financial projections will be limited to start-up costs, profit/loss, cash- flow and a breakeven analysis. Otherwise, each of these sections should be fully developed based on the information found within the Case Analysis and through research to being the business plan concurrent with 2018.

 Executive Summary
 Company/Entity Description  Market Analysis
 Organization & Management  Services or Product Line
Marketing & Sales
 Funding Request
 Financial Projections
 Appendix

Materials:

Relevant materials – articles, examples, forms, teaching notes, etc., for the development of a business plan will be provide during the semester. However, it is recommended that teams begin researching business planning, business plans, start-up guides, etc. to help form the contents of the plan.

A recommended initial source is the U.S. Small Business Administration (SBA) and their recommendations for creating a business plan.

SBA.gov » Starting & Managing a Business » Starting a Business » Create Your Business Plan

https://www.sba.gov/writing-business-plan

Reference all sources within your document (except for the textbook case analysis) in the accepted ASCE referencing style. To cite material found in the text, use a modified title-page method as follows: (Text, p.x) to identify the page within the textbook.

A comprehensive guide to the ASCE reference style is available on the ASCE Website on the “Home / Journals / Authors / Publishing in ASCE Journals” page as the e-book: “Publishing in ASCE Journals: A Guide for Authors.” Refer to the “Referencing” section therein.

http://ascelibrary.org/doi/book/10.1061/9780784479…

Criteria for the assignment will include elements such as:

 Depth of research investigation (covering Case Analyses content, Proton Therapy, medical development, etc.).

 Completion of all aspects of the assignment (research, business plan content, translation to contemporary location).

 Incorporation of course material.
 Writing clarity, organization, conciseness, and grammar.

Document: The Proton Therapy Center semester project is to be submitted in PDF form via e-mail and supplied in hardcopy at the time of presentation. Convert all text files (Word Documents), graphics, spreadsheets (Excel Files), or other file types into PDF format and combine into a single cohesive report.

Presentation: A twenty (20) minute presentation of the business feasibility plan is to be made. A copy of any presentation materials – PowerPoint slides, handouts, etc. are to be submitted in PDF form via e-mail and supplied in hardcopy at the time of presentation.

 
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Media & Crime Log Entry II

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Media & Crime Log Entry II

(Media & Crime Log Entry II)

In this module, you will have an opportunity to add to your media and crime log by applying theories presented in this course to media portrayals of crime. The American public is fascinated with crime and therefore, there is no shortage of media depictions of crimes and criminals. In this assignment, you will use the scholarly knowledge you have gained in the course to analyze how the media portrays crime.

You are now familiar with biological, psychological, and sociological theories of crime. In M2: Assignment 2, you wrote a log entry applying psychological theories of criminal behavior to analyze articles or news stories. In this assignment, you will write your second log entry.

Research newspaper or magazine articles related to crime using the print or online news media.

Select two articles or news stories and apply at least two theories from the biological, psychological, and/or sociological perspectives to each article or news story.

Write an analysis of each article or news story addressing the following:

  • What is the purpose of the story as you perceive it?
  • How is crime or criminal justice portrayed?
  • What feelings or reactions are evoked in you by the article?
  • How would you explain the reported criminal behavior using the two theories you selected? Explain your choice of theory.

Give complete citation for the selected article and include a digital copy if possible.

Write a 2–3-page log entry in Word format.

Media & Crime Log Entry IIArticle 1: “Teen Vandalism in the Suburbs”

This article describes a series of vandalism incidents committed by teenagers in a suburban area. Applying the sociological theory of social disorganization, the high crime rate can be attributed to the breakdown of communal institutions such as schools and family structures, leading to diminished social controls and increased deviance among youth. Additionally, the biological theory of genetics and temperament suggests that some teenagers might possess genetic predispositions towards impulsive behavior and risk-taking, which, when combined with a lack of community supervision, results in criminal activities like vandalism.

Article 2: “Corporate Fraud Scandal: CEO Indicted”

The second article details a corporate fraud scandal where a CEO was indicted for embezzling millions. The psychological theory of moral development is relevant here; the CEO’s actions can be understood as a failure in moral reasoning, indicative of a pre-conventional level where personal gain overrides societal norms. Furthermore, the sociological theory of strain (anomie) explains the CEO’s criminal behavior as a response to societal pressures to achieve financial success by any means necessary. This pressure creates a strain that leads individuals to commit crimes when legitimate avenues appear insufficient or blocked.

By examining these articles through the lenses of various theories, we gain a deeper understanding of the multifaceted nature of criminal behavior.

 
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EvidenceBased Practice Proposal Evaluation

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EvidenceBased Practice Proposal Evaluation

(EvidenceBased Practice Proposal Evaluation)

Question description

Evidence-Based Practice Proposal: Section G: Evaluation of Process

In 500 words (not including the title page and reference page), develop an evaluation plan to be included in your final evidence-based practice project. Provide the following criteria in the evaluation, making sure it is comprehensive and concise:

  1. Describe the rationale for the methods used in collecting the outcome data.
  2. Describe the ways in which the outcome measures evaluate the extent to which the project objectives are achieved.
  3. Describe how the outcomes will be measured and evaluated based on the evidence. Address validity, reliability, and applicability.
  4. Describe strategies to take if outcomes do not provide positive results.
  5. Describe implications for practice and future research.

Prepare this assignment according to the APA guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are required to submit this assignment to Turnitin. Please refer to the directions in the Student Success Center.

Upon receiving feedback from the instructor, refine “Section G: Evaluation” for your final submission. This will be a continuous process throughout the course for each section.

Below is the previous section please use this information in section G

Evidence Based Practice Proposal- Section F Implementation Plan

Setting(EvidenceBased Practice Proposal Evaluation)

This EBP project is proposed to take place in a small rural critical access hospital emergency department providing care 24 hours each day and 365 days each year. The proposed service area includes 1 county in rural Georgia and 2 adjacent counties also in rural Georgia.

Participants

The participants will be those patients > 18 years of age presenting to ED triage with possible sepsis and NEWS score of > 3. The project will compare electronic medical records (EMR) of pre- implementation (before protocol initiation) with those EMRs from post- implementation. This will involve identification, initial contact and nurse compliance with sepsis protocols. An approval form for the implementation will be obtained from administration prior to the implementation. All patients < 18 years of age will be excluded. The project sponsor will avoid any manipulation, participant’s privacy and confidentiality will be protected completely any information that is obtained will be for the purpose of selecting subjects.

Timeline

The timeline for the project will be 16 months’ implementation, and data collection of EMRs for the same amount of time.

Resources

Putting evidence- based research into practice requires a number of resources for effective implementation. These resources aid the healthcare professional in getting to know the answers to important questions. There will be a need for funding resources such as education and personnel, equipment such as computers and labels, educational materials and information technology.

Methods and Instruments

Data collection will be from EMRs pre- and post- implementation by chart review. Data will be entered into a purchased and downloaded Statistical Package for the Social Sciences (SPSS) and compared.

Intervention

This will be a multi-faceted project. With first step being the identification and appraisal of best available evidence pertaining to the care of patients with sepsis, severe sepsis and septic shock in the ED. Sepsis screening tools will be added to the computer system to include the NEWS score which will trigger activation of the steps included in the sepsis protocol including activation of code sepsis alert, moving the patient immediately to an ED bed, blood samples being drawn for cultures, CBC, CMP, chest radiograph, and alerting the ED physician of potential sepsis for implementation of the sepsis care bundles described in the SSC guidelines of 2012. All nurses, lab and radiology personnel, and physicians will be trained and educated on all protocol steps.

Data Collection Plan(EvidenceBased Practice Proposal Evaluation)

Data collection will be from the EMRs pre-and post-implementation. Data to be collected includes, chief complaint on arrival to triage, age > 18 years, NEWS score, SIRS criteria, sepsis screening information, and nurse compliance with sepsis care protocol components. Primary data results are nurse compliance with sepsis care bundle components, secondary data to be compared are mortality rates, ICU admissions, and length of stay. All due diligence will be taken to ensure that information will be kept private and confidential. All data will be managed and maintained by the project manager. Data analysis will be entered the SPSS for statistical analysis. Utilizing a chi square test of independence to calculate screening compliance pre-and post- implementation. Secondary analysis will include examining compliance impact on the secondary data on pre-and post- protocol implementation patients whose EMR indicates a diagnosis of sepsis.

Strategies to manage barriers

There are a variety of strategies that are utilized in overcoming barriers to the implementation of evidence-based practice, there is need for formal evaluation to ascertain the impact on the proposed change, knowledge, attitude and skills of nurses are identified as the main barriers to EBP in sepsis care included in this is the lack of baseline knowledge of sepsis care, lack of triage recognition and delay of diagnosis leading to decrease protocol use and poor patient outcomes. Utilization of online systems to obtain databases with appraised evidence to enhance the awareness along with education and training on good communication. A commitment must be made to advance evidence-based practice and allocate efficient resources for implementation.

Feasibility(EvidenceBased Practice Proposal Evaluation)

Evaluation of the feasibility of the implementation of the EBP practice focuses on the knowledge, skills, personnel cost and computer related cost. Clinician knowledge and skills indicate that they are prepared to get the research into practice. Personnel costs are justified in that there will be staff employed to ensure the effective implementation of the plan. All special lab labels will be used to identify stat lab tests for sepsis patients ensuring that results are obtained in < 1 hour as recommended in the SSC guidelines. Computer related costs will be incurred with the purchase of SPSS program, and the addition of the NEWS score trigger and are justified in their necessity for the project.

Plan to maintain, revise, extend or discontinue

Here the project team will evaluate the efficacy of the timely implementation for the ED sepsis care protocol. If the proposed ED sepsis care protocol is ascertained as ineffective, it shall be discontinued. The project manager anticipated providing the required education and training to identify the any needed revisions early to ensure implementation of the best evidence- based sepsis protocols. There will be ongoing education and updates as needed to ensure that all practitioners are using all the best evidence in practice and all protocols remain up to date. Extension of the implementation period is not anticipated now due to the extended length of the current plan, any possible need for extension will be assessed later.

 
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Comparative Religious Approaches Assignment2

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Assignment2: Comparative Religious Approaches

(Comparative Religious Approaches Assignment2)

The origins of Judaism and Hinduism are almost 4,000 years old. Buddhism arose from the teachings of a single Hindu teacher more than two thousand years ago. All three have changed and developed over the centuries. All three are very much alive today.

Concentrating on their current forms, compare the approaches of the three religions to the basic religious questions:

  • How should I think about ultimate reality (Hinduism)? Is there a Supreme Being (Judaism)? Should I even think of god, letting myself be my supreme authority (Buddhism)?
  • What is the relationship of human beings to this reality (God)?
  • What exactly is the concept of faith to each of these three religions? Is it the same as belief, or not? Consider all three religions and compare.
  • How do these concepts of the Ultimate Reality, Supreme Being or self help address the following questions: What is wrong with the world, and how can I help to fix it? What am I supposed to do with my life?

Consider the three religions, Buddhism, Hinduism, and Judaism. In an essay of approximately 700 to 800 words in length, answer the questions listed above. Be sure to use appropriate APA format for citations and to include at least one reference for each religion.

Assignment 2 Grading Criteria Maximum Points
Compares, contrasts, and applies concepts of Ultimate Reality, Supreme Being, and the authority of self to personal philosophical position on religion. 24
Uses critical thinking to describe and explain the relationship of humans and God. 16
Considers and measures the relationship between faith and belief from the three perspectives. 16
Considers and analyzes the application of concept of Ultimate Reality, Supreme Being (monotheism) and Self-actualization in addressing world problems. 20
Wrote in a clear, concise, and organized manner; demonstrated ethical scholarship in accurate representation and attribution of sources; displayed accurate spelling, grammar, and punctuation. 20
Justified ideas and responses by using appropriate examples and references from texts, Web sites, and other references, including correct APA format. 4
Total: 100

 

 
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Advanced Nursing Philosophy Presentation

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Advanced Nursing Philosophy Presentation

(Advanced Nursing Philosophy Presentation)

MN502 Final Presentation, Theorist, Model, Philosophy, health and medicine homework help

Question description

In Unit 9, you will present your philosophy of nursing. The presentation should include the meta-paradigms and other key components learned in the course. Your presentation should bring together the theory that best fits your concept of advance practice nursing, the model that you will use to translate this into practice, and your final philosophy of advance practice nursing related to your role after graduation. Unit 9 assignment is not an “add-on” of Unit 3 assignment.

Be sure to read directions for Unit 9 Assignment carefully.

Bringing It All Together

This Assignment addresses this course outcome:

MN502-4: Develop a philosophy that supports advanced nursing practice reflecting the values, beliefs, and cultural competencies relative to nursing practice, science, and theory.

Now that you have spent the last 8 weeks discussing theory development and exploring models and philosophies that guide advance practice nursing, it is time for you to put it all together. In this Assignment, you will create a presentation using any form of presentation software (e.g., PowerPoint®, Prezi™, Movenote™, Powtoons™, Slidedog™, and so on). Your presentation should bring together the theory that best fits your concept of advance practice nursing, the model that you will use to translate this into practice, and your final philosophy of advance practice nursing related to your role after graduation.

Please remember that your presentation should contain slides that have bullet points. The bullets should number no more than four to six per slide. The bullet point is not written as a complete sentence. It contains key words. You, as the presenter will explain in depth what each bullet point means in the audio portion of the presentation. Slides may contain graphics, but should be uncluttered. Background and font colors should be of sufficient contrast to make reading them easy on the eyes. Attention to colors should be paid so that a person who is colorblind can easily read the presentation.

Assignment Details(Advanced Nursing Philosophy Presentation)

The presentation should consist of a series of slides that include:

  • Title Slide: A title slide that identifies the title of the presentation and name of the student.
  • Introduction Slide: An introduction slide that includes brief information about you and your program track. The slide should also explain to the audience the purpose of the presentation.
  • Model Slides: The third and fourth slides will address your chosen model. The bullet points should consist of the specific characteristics of the model. You will need at least one citation that identifies where the model came from. Your audio will expound upon the model and what the characteristics mean. The fourth slide should include why you chose the model and how you will apply it in practice.
  • Theory Slides: The next three slides will focus on your chosen theory. The first slide should present your theory and why you chose it. The next slide would present the key concepts of the theory and how it has been used to date in past research no older than 5 years ago. The third slide will discuss how you will use this theory in practice as an advance practice nurse upon graduation.
  • Philosophy Slide: The next area will consist of one slide that presents your philosophy of advance practice nursing in the post-graduate role you will assume. The philosophy statement will consist of one to three sentences that distill the essence of what you believe advance practice nursing is and your conception of nursing as a profession. It is written in the first person and present tense. It is a personal statement of your beliefs about the profession of nursing. This should present guiding statements for your future practice in the advanced practice role. An example of a philosophy statement might read this way: Advanced practice nursing takes the art and science of nursing to a level of “other” and “self” interacting together to reach a state of optimal wellness guided with compassion and love for the culture of the “other.”
  • Graphical Slide: The next-to-last slide will be a graphical representation of how the model, theory, and your philosophy fit together.
  • Conclusion Slide: The last slide will be a conclusion that brings together everything you have presented. It is not a summary that just reiterates what you presented. It is a judgment about what you presented and bring the audience home, ending the presentation on a positive note about the future.

You will need supporting citations for your theory and model slides, and possibly for your philosophy, as appropriate. You will include the citations where appropriate and your very last slide will be a reference slide.

The total slide count should not exceed 15 slides. This does not include the reference slide(s) or the title slide.

  1. Organization, documentation, references formatting guidelines must follow APA 6th edition: To view the Grading Rubric for this Assignment, please visit the Grading Rubrics section of the Course Home.

Total points: 300

Assignment Requirements

Before finalizing your work, you should:

  • be sure to read the Assignment description carefully (as displayed above);
  • consult the Grading Rubric (under the Course Home) to make sure you have included everything necessary; and
  • utilize spelling and grammar check to minimize errors.

Your writing Assignment should:

  • follow the conventions of Standard American English (correct grammar, punctuation, etc.);
  • be well ordered, logical, and unified, as well as original and insightful;
  • display superior content, organization, style, and mechanics; and
  • use APA 6th Edition format.
 
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Reducing Intergroup Conflict2

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Reducing Intergroup Conflict2

(Reducing Intergroup Conflict2)

Research suggests a number of strategies to reduce intergroup conflict. To further explore these strategies, in addition to readings in your text, read the following article paying particular attention to pages 588 to 593. Hewstone, M., Rubin, M., & Willis, H. (2002). Intergroup bias. Annual Review of Psychology, 53, 575-604.

You are a counselor in a detention center for delinquent adolescent boys. Your current project is to devise a way to reduce intergroup conflict that has been escalating between the boys at the center, many of whom were active in local gangs.

    • Discuss in detail the concepts that lead to the intergroup conflict, such as stereotypes, prejudice, and discrimination. How have these attitudes and behaviors created and perpetuated the ongoing conflict?
    • Discuss the different strategies to reduce intergroup conflict found in your text and the Hewstone article.
    • Looking back at the course discuss 2 to 3 additional concepts that could be applied in helping a person overcome these negative attitudes and behaviors.
  • Keeping these strategies and concepts in mind, what activities and/or programs can you create that will help these boys overcome this conflict and learn to work together, respect each other, and come to see each other’s differences as valuable. Briefly summarize each program/strategy in 2 to 3 sentences each in preparation for part 2 of this project.

Answer the above points in a 3- to 4-page paper. Your paper should be double-spaced, typed in 12-point Times New Roman font with normal one-inch margins, written in APA style, and free of typographical and grammatical errors. It should include a title page with a running head, an abstract, and a reference page.

Part 2:

Create a 4- to 8-slide PowerPoint presentation (not including title and reference slides) to present to the board of directors for the detention center that will cover the following:

    • A detailed outline of each of the 3 to 4 programs/strategies that you would like to put into place at the center.
  • Discuss for each program/strategy why you believe it will be effective within the context of your detention center.
 
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NR511 Midterm Exam Guide

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NR 511 Week 4 Midterm (Exam Version 5)
NR511 Midterm Exam Guide

(NR511 Midterm Exam Guide)

Question 1: How often should the clinician examine the feet of a person with diabetes?

a. Once a year
b. Every 6 months
c. Every 3 months
d. Every visit

Question 2: Which drug for Alzheimer’s disease should be administered beginning at the time of diagnosis?

a. Cholinesterase inhibitors
b. Anxiolytics
c. Antidepressants
d. Atypical antipsychotics

Question 3: Most adult poisonings are:

a. intentional and self-inflicted.
b. accidental.
c. caused by someone wishing to do harm to the person.
d. not attributed to any reason.

Question 4: A 58-year-old woman presents with a breast mass. Which of the following responses by the clinician would be most appropriate?

a. “It is probably just a cyst, because that is the most common breast mass.”
b. “We will order a mammogram and ultrasound to help establish a diagnosis.”
c. “We will go ahead and schedule you for a biopsy because that is the only way to know for sure.”
d. “Because your lump is painful, it is most likely not cancer.”

Question 5: Which of the following is a specific test for multiple sclerosis (MS)?

a. Magnetic resonance imaging (MRI)
b. Computed tomography (CT) scan
c. A lumbar puncture
d. There is no specific test.

Question 6: After removing a tack from a type 2 diabetic’s heel and evaluating the site for infection, what is the best plan for this patient?

a. Suggest she use a heating pad to improve circulation
b. Refer to a podiatrist for a foot care treatment plan
c. Send her for acupuncture treatments
d. All of the above

Question 7: Which characteristic of delirium helps to distinguish delirium from dementia?

a. Abrupt onset
b. Impaired attention
c. Affective changes
d. Delusions

Question 8: Which clinical feature is the first to be affected in increased intracranial pressure (ICP)?

a. Decrease in level of consciousness (LOC)
b. Headache
c. Nausea
d. Widening pulse pressure

Question 9: Jennifer is an 18-year-old girl who comes to the emergency room after a fall during a soccer game. Jennifer explains that she fell on her left side and kept her arm out straight to break her fall. She has been experiencing severe pain and limited range of motion in her left shoulder. The clinician has diagnosed Jennifer with a dislocated shoulder. Which of the following statements are true concerning shoulder dislocation?

a. Posterior dislocations are more common than anterior dislocations.
b. There is a risk of neurovascular and neurosensory trauma, so the clinician should check for distal pulses.
c. Recurrent dislocations are uncommon and would require a greater force to result in injury.
d. Surgery is most commonly the treatment of choice.

Question 10: Which of the following signs or symptoms indicate an inflammatory etiology to musculoskeletal pain?

Question : Which of the following statements is true concerning the musculoskeletal exam?

a. The uninvolved side should be examined initially and compared to the involved side.
b. The part of the body that is causing the patient pain should be examined first.
c. The patient should not be asked to perform active range-of-motion (ROM) exercises whenever possible to avoid causing pain.
d. Radiographs should always be obtained prior to examination so as not to cause further injury to the patient.

NR511 Midterm Exam Guide

Question 11: The clinician sees a patient who is 5 feet tall and weighs 150 pounds. How would the clinician classify this patient?

a. Overweight

b. Mild obesity

c. Moderate obesity
d. Morbid obesity

Question 12: The vegetarian patient with gout asks the clinician about food that he should avoid. The clinician should advise the patient to avoid which of the following foods?

a. Rice
b. Carrots
c. Spinach
d. Potatoes

Question 13: A 23-year-old sexually active woman presents for her first Pap smear. Her history includes nulligravida, age at first intercourse 14, and more than 10 sexual partners. Which of the following conditions should the clinician be particularly alert for during her exam?

a. Human papillomavirus (HPV)
b. Endometrial hyperplasia
c. Vagismus
d. Polycystic ovarian syndrome

Question 14: Which of the following classes of drugs should be used as first-line therapy for treatment of delirium?

a. Benzodiazepines
b. Antipsychotics
c. Anticonvulsants
d. Antidepressants

Question 15: What is the treatment of choice for a patient diagnosed with testicular cancer?

a. Radical orchidectomy

b. Lumpectomy

c. Radiation implants
d. All of the above

Question 16: A 24-year-old woman presents to the clinic with dysuria, dyspareunia, and a mucopurulent vaginal discharge. Her boyfriend was recently treated for nongonococcal urethritis. What sexually transmitted disease (STD) has she most probably been exposed to?

a. Gonorrhea
b. Human papillomavirus (HPV)
c. Chlamydia
d. Trichomonas

Question 17: A 58-year-old woman who had a total abdominal hysterectomy at the age of 45 is diagnosed with atrophic vaginitis. Which of the following is the most appropriate treatment?

a. Conjugated estrogen 0.625 mg/day oral
b. Estradiol 7.5 mcg/24 hr vaginal ring
c. Medroxyprogesterone 10 mg/day oral
d. Conjugated estrogen 0.3 mg + medroxyprogesterone 1.5 mg/day oral

Question 18: When looking under the microscope to diagnose an intravaginal infection, you see a cluster of small and oval to round shapes. What do you suspect they are?

a. Spores

b. Leukocytes

c. Pseudohyphae
d. Epithelial cells

NR511 Midterm Exam Guide

Question 19: Patients with a spontaneous pneumothorax should be counseled that up to what percentage may experience a reoccurrence at some point?

a. 10%

b. 20%

c. 30%
d. 50%

Question 20: John is a 16-year-old boy who presents to the emergency room after hurting his knee in a football game. He described twisting his knee and then being unable to extend it completely. John tells the clinician that he heard a pop when the injury occurred and has been experiencing localized pain. The clinician suspects a meniscal tear. Which test would be most appropriate to assess for the presence of a meniscal tear?

a. Valgus stress test
b. McMurray circumduction test
c. Lachman test
d. Varus stress test

Question 21: During a digital rectal exam (DRE) on a 75-year-old man, the clinician suspects the patient has prostate cancer. What physical finding should make the clinician suspicious?

a. An enlarged rubbery gland

b. A hard irregular gland

c. A tender gland
d. A boggy gland

Question 22: Janet is a 30-year-old woman who has been recently diagnosed with a herniated disc at the level of L5-S1. She is currently in the emergency room with suspicion of cauda equina compression. Which of the following is a sign or symptom of cauda equina compression?

a. Gastrocnemius weakness
b. A reduced or absent ankle reflex
c. Numbness in the lateral foot
d. Paresthesia of the perineum and buttocks

Question 23: The criteria for diagnosing generalized anxiety disorder in the American Psychiatric Association’s Diagnostic and Statistical Manual of Mental Disorders (text revision) (DSM-IV-TR) state that excessive worry or apprehension must be present more days than not for at least:

a. 1 month.
b. 3 months.
c. 6 months.
d. 12 months.

Question 24: A patient is diagnosed with hypothyroidism. Which of the following electrocardiogram (ECG) changes should the clinician expect as a manifestation of the disease?

a. Sinus bradycardia

b. Atrial fibrillation

c. Supraventricular tachycardia
d. U waves

Question 25: Which type of burn injury results in destruction of epidermis with most of the dermis, yet the epidermal cells lining hair follicles and sweat glands remain intact?

a. Superficial burns
b. Superficial partial-thickness burns
c. Deep partial-thickness burns
d. Full-thickness burns

Question 26: Immunizations are an example of which type of prevention?

a. Primary
b. Secondary
c. Tertiary

Question 27: If a previously frostbitten area becomes frostbitten again after it has healed, what might occur?

a. Permanent tissue damage may occur, resulting in necrosis to that body part.
b. The area will be super sensitive.
c. The area is prone to a repeat frostbite.
d. The area is as susceptible as any other area.

Question 28: A 26-year-old woman is seen with complaints of irregular vaginal bleeding. Which of the following tests should be the first priority?

a. Pregnancy test

b. Pelvic ultrasound

c. Endometrial biopsy
d. Platelet count

Question 29: Julie, aged 50, has migraine headaches, frequent asthma attacks, coronary artery disease, and hypertension. Which of the following prophylactic medications would you order for her migraines?

a. Propranolol

c. Ergotamine
b. Timolol

d. Topiramate

Question 30: A 64-year-old man with type 2 diabetes presents to the clinic with the complaint of “my feet feel like they are on fire.” He has a loss of vibratory sense, +1 Achilles reflex, and a tack embedded in his left heel. Which of the following would be an appropriate treatment?

a. Tricyclic antidepressants
b. Capsacin cream
c. Vitamin B12 injections
d. Insulin

 
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Health Promotion Concepts

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Health Promotion Concepts

(Health Promotion Concepts)

can you help me with this assignment with good quality and be on time please?

its an outline for the research paper and  the topic is osteoarthritis disease. 3 peer reviewed journal articles. Write about the 5 levels and how health promotion can be used at each. Intrapersonal-individual knowledge, attitude, and skills. Interpersonal/social support-friends/families, doctors, etc. Organizational-state/local health departments, professional associations, etc. Public policy-ACA, CDC, NIH, HP2020, etc.

 students will submit an outline of their signature assignment-ecological research paper with APA 6th edition in-text citations/references. The assignment is to identify which information will be used in the final paper and to research appropriate and relevant information based on the topic chosen.  A sample of how to structure an outline is provided for your guidance. It is not information that pertains to your research paper. Instructor will provide feedback based on outline submitted.

sample outline

Developing Outline and Annotated Bibliography

The purpose of this assignment is to develop the outline of empirical studies you plan to include in your final paper. Do not use this information for your own paper. This is a sample on how to structure an outline. 

Paper Outline. The outline should be at least 1 page, single spaced, using standard outline numbering/lettering, and should break down the major issues (i.e., Health issue, community, 5 levels of ecological model) you plan to cover in your final signature assignment. For example, an outline for developing an educational program on breast cancer screening (see section IV. b of the outline) might look like this:

I. Introduction.

A. High incidence of breast cancer among Vietnamese women (Deepen & Cockburn, 2010; ACS, 2013).

B. Importance of breast cancer screening for early detection (ACS, 2013; ASCO, 2009).

C. Lower rates of mammography among Vietnamese (Tanjasiri, 2007; Kagawa-Somger & Pourat, 2009).

II. Individual psychological factors associated with Asian breast cancer screening.

A. Fear and other cultural beliefs about breast cancer (McPhee, 2008; Kagawa-Singer, 2003).

B. Cultural modesty and lack of breast cancer screening (Kagawa-Singer, 2003; Tanjasiri, 2007).

C. Summary: Asian women tend not to discuss screening with anyone.

III. Interpersonal factors-Importance of social support for Asian women.

A. Role of social support in coping with cancer (Ashing-Giwa, 2012; Pasick, 2008).

B. Importance of medical providers promoting screening to women (McPhee & Nguyen, 2009; Tran, 2009).

C. Role of community health educators to promote screening among women and providers (Nguyen, 2009; Kagawa-Singer, 2008).

D. Summary: Social support from family and friends is promising to promote screening among Asian women.

IV. Organizational

A. Health insurance coverage on mammograms (Yi, 2010; McPhee, 2006).

B. State/local health departments to support breast cancer screening (CDC, 2007).

V.  Community

A. Community based organizations to support breast cancer screenings (CDC, 2008).

B. Comprehensive cancer control coaliation on breast cancer screening (NIH, 2013).

VI. Policy/Societal

A. Healthy People 2020 goals on national breast cancer screenings

B. Affordable Care Act policies

VII. Summary

A. Paragraph summarizing gaps regarding lack of efforts to increase women’s social support around screening.

B. The purpose of this project is to develop and pilot test an educational program to increase social support among friends to promote screening among Vietnamese women in Orange County.

Annotated Bibliography (OPTIONAL). Write a brief summary of each empirical study you plan to include in your final paper. Each entry should start with a full reference to the study in APA style followed by a 100-150 word description and evaluation of the articles. Do not merely copy the abstract – you should highlight only the things relevant to your topic.

Specific Instructions

1. Typed, single spaced, one inch margins on all sides, 12 point font (preferably Times New Roman).

2. Use APA style for citations and reference page.

 
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Discussion 1: Play Therapy

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Discussion 1: Play Therapy

(Discussion 1: Play Therapy)

Children who have been abused or traumatized in some way may benefit from working with a therapist. Children often reenact trauma through repetitious play in order to establish mastery over their emotions and integrate experiences into their history on their own terms. Through the use of toys and props, children may naturally share their emotions and past experiences without feeling the pressure they might encounter with traditional talk therapy.

For this Discussion, review the course-specific case study for Claudia and the Chiesa (2012) and Taylor (2009) articles.

· Post an explanation of ways play therapy might be beneficial for Claudia. 

· Using the insights gained from the articles, describe ways you might have worked with Claudia to address her fears and anxiety related to the mugging she witnessed.

Support your posts with specific references to the Learning Resources. Be sure to provide full APA citations for your references.

References (use 3 or more)

Plummer, S.-B., Makris, S., & Brocksen, S. M. (Eds.). (2014b). Social work case studies: Concentration year. Baltimore, MD: Laureate International Universities Publishing. [Vital Source e-reader].

Ruffolo, M. C., & Allen-Meares, P. (2013). Intervention with children. In M. J. Holosko, C. N. Dulmus, & K. M. Sowers (Eds.), Social work practice with individuals and families: Evidence-informed assessments and interventions (pp. 41–69). Hoboken, NJ: Wiley.

Taylor, E. R. (2009). Sandtray and solution-focused therapy. International Journal of Play Therapy, 18(1), 56–68.

van der Kolk, B. A. (2003). The neurobiology of childhood trauma and abuse. Child and Adolescent Psychiatric Clinics, 12, 293–317. Retrieved from http://www.traumacenter.org/products/pdf_files/neurobiology_childhood_trauma_abuse.pdf

van der Kolk, B. A. (2005a). Child abuse & victimization. Psychiatric Annals, 35(5),374–378. Retrieved from http://www.traumacenter.org/products/pdf_files/neurobiology_childhood_trauma_abuse.pdf

van der Kolk, B. A. (2005b). Developmental trauma disorder. Psychiatric Annals, 35(5), 401–408.

Gil, E. (1991). The healing power of play: Working with abused children. New York, NY: Guilford Press:

Chapter 2, “The Child Therapies: Application in Work With Abused Children (pp. 26–36) (PDF)

Chapter 3, “The Treatment of Abused Children” (pp. 37–82) (PDF)

Discussion 2:
Transference and Countertransference

Specific skills and knowledge are essential for a social worker working with children. Understanding transference and countertransference is crucial to a healthy therapeutic relationship. Both transference and countertransference can be evident in any client–therapist relationship, but are especially important in working with children because of a common instinct among adults to protect and nurture the young. The projection or relocation of one’s feelings about one person onto another, otherwise known as transference, is a common response by children (Gil, 1991). Countertransference, a practitioner’s own emotional response to a child, is also common.

For this Discussion, review the Malawista (2004) article.

· Post your explanation why transference and countertransference are so common when working with children. 

· Then, identify some strategies you might use to address both transference and countertransference in your work with children.

Support your posts with specific references to the Learning Resources. Be sure to provide full APA citations for your references.

References (use 3 or more)

Chiesa, C. (2012). Scripts in the sand: Sandplay in transactional analysis psychotherapy with children. Transactional Analysis Journal, 42(4), 285–293.

Ruffolo, M. C., & Allen-Meares, P. (2013). Intervention with children. In M. J. Holosko, C. N. Dulmus, & K. M. Sowers (Eds.), Social work practice with individuals and families: Evidence-informed assessments and interventions (pp. 41–69). Hoboken, NJ: Wiley.

Taylor, E. R. (2009). Sandtray and solution-focused therapy. International Journal of Play Therapy, 18(1), 56–68.

Malawista, K. L. (2004). Rescue fantasies in child therapy: Countertransference/ transference enactments. Child and Adolescent Social Work Journal, 21(4), 373–386

 
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Strategic Planning Process

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Strategic Planning Process

(Strategic Planning Process)

Question description

Please take note of the following info since the papers will all be in a way connected. The bolded information directly below is just for FYI for this week, and weeks to follow, the actual assignment follows. If any confusion please reach out to me.

Citation: Hitt, M.A., Ireland, R.D., & Hoskisson, R.E. (2015). Strategic Management: Competitiveness & Globalization: Concepts and Cases (11th Ed.). South-Western College Pub. (Please use at least two references)

I have attached the grading guide for this week for further clarity and the APA formatted paper

During Week 1 or in Workshop 1, be prepared to commit to the development of a detailed and comprehensive strategic plan for a real-world organization that you research and study during this capstone course.

You will choose an organization according to the following:

  • Current employer
  • Most recent or former employer
  • Place of business that you have patronized or have been familiar with over a long period of time.
    • Avoid choosing an organization that is so large that historical data would be difficult to apply. Firms in the Russell 2000® index may fit well, whereas firms in the Dow 30 Industrial index probably do not.

Each week, you will develop a portion of the Strategic Plan including a Microsoft® PowerPoint® presentation. You will develop all the individual parts week by week and assemble them for the Week 6 Strategic Plan and Implementation Paper and PowerPoint® presentation.

Week 1 Assignment Info:

Choose an organization that you would like to study and ultimately create your own strategic plan for. Consider using:

  • Current employer
  • Most recent or former employer
  • Place of business that you have patronized or have been familiar with over a long period of time
  • Organization that you want to work for once you complete your MBA
  • The organization can be a start-up that you or a significant other may create in the future. For a start-up, focus on an entrepreneurial idea that is of substantive interest, so this project leaves you with a product you may leverage in the future.

Write a 1,050-word paper in which you address the following:

  • Identify the major components of the strategic management process.
  • Discuss how these components work together to create value for the organization.
  • Evaluate the company’s mission statement, vision statement, motivation strategy, innovation strategy, and people strategy. If the organization does not have one or more of these, how does that affect the organization and its people?
  • Explain the role of ethics and corporate social responsibility in strategic planning. How does this direct their strategy? How does the organization’s vison and mission align with your own values and vision? If you are currently working for the organization, how does your role influence this and vice versa?
 
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