Imagine that you are a member of the HR department of a small retail company and upper management has asked you to create a new employee customer service training class for all new employees. Write a

Imagine that you are a member of the HR department of a small retail company and upper management has asked you to create a new employee customer service training class for all new employees.

Write a six to seven (6-7) pages paper in which you:

  1. Justify the use of a needs assessment of your company’s proposed employee customer service training, stressing five (5) ways in which such an assessment would expose any existing performance deficiencies.
  2. Develop a customer service training implementation plan and determine the method of training (i.e., presentation, discussion, case study, discovery, role play, simulation, modeling, or on-the-job training).
  3. Justify why you selected the training method that you did.
  4. Propose two (2) ways to motivate an employee who has no interest in attending a training class.
  5. Develop a survey to collect feedback from the employees who attend the training.
  6. Use at least four (4) quality academic resources in this assignment. Note: Wikipedia and other Websites do not qualify as academic resources.

How do you plan on being a just administrator? What challenges do administrators face in their efforts to be just? Our health care system resides in a market driven economy. How does this complicate t

How do you plan on being a just administrator? What challenges do administrators face in their efforts to be just? Our health care system resides in a market driven economy. How does this complicate the issue of providing help to those who need it? Share your thoughts about the concept of duty, as a person and a professional struggling with making decisions.

250 APA

Ethics in Health Administration:   A Practical Approach for  Decision Makers  (3rd ed)

Publisher:  Jones and Bartlett

Author:  Eileen Morrison

https://youtu.be/UL7Mu4Pna2o is a video that needs to be watched as well

Annual Review: Imagine you work at a company and it is time for an employee named Jim’s annual review. While he was a model employee the first nine (9) months of the year, recently Jim has been com

Annual Review:

Imagine you work at a company and it is time for an employee named Jim’s annual review. While he was a model employee the first nine (9) months of the year, recently Jim has been coming in late. It has not been just a few minutes each day, either. It is starting to cause problems in the production line. In this assignment, write a one (1) page summary of your conversation with Jim. How will you address his recent performance issues while still praising him for his previous nine (9) months of good work? Your goal is to balance the negative and positive feedback so that Jim will leave motivated to do his best.

Write a one (1) page paper in which you:

  1. Explain how you will address Jim’s recent performance issues.
  2. Suggest both constructive and positive feedback designed so that Jim will leave motivated to do his best.
  3. Format your assignment according to the following formatting requirements:
    1. Typed, double spaced, using Times New Roman font (size 12), with one-inch margins on all sides.
    2. Include a cover page containing the title of the assignment, your name, your professor’s name, the course title, and the date. The cover page is not included in the required page length.

The specific course learning outcomes associated with this assignment are:

  • Explain effective approaches to the broad spectrum of employee relations, including career development, fostering ethical behavior, discipline, labor relations, and dismissals.
  • Analyze various techniques, considerations, and designs of performance appraisal programs.
  • Use technology and information resources to research issues in human resource management.
  • Write clearly and concisely about human resource management using proper writing mechanics.

This Wiki assignment is a collaborative effort. Visit Stanford’s Encyclopedia of Philosophy (http://plato.stanford.edu/) and search for one of the Big 8 ethics theorists (St. Thomas Aquinas, Immanue

This Wiki assignment is a collaborative effort. Visit Stanford’s Encyclopedia of Philosophy (http://plato.stanford.edu/) and search for one of the Big 8 ethics theorists (St. Thomas Aquinas, Immanuel Kant, John Stuart Mill, John Rawls, Martin Buber, Lawrence Kohlberg, Victor Frankl). You may also use the web resources for each individual theorist provided in the text on page 27.

Read about the different theorists and then summarize your thoughts about the relevancy of the philosopher’s writings to today’s healthcare issues.

needs a good title

Morrison, E. (2018). Ethics in Health Administration: A Practical Approach for Decision   Makers ; Third Edition (3rd ed.). Jones and Bartlett Learning.

Annotated Bibliography on Technology in Nursing

Assessment 3 Instructions: Annotated Bibliography on Technology in Nursing

Write a 4-6 page annotated bibliography where you identify peer-reviewed publications that promote the use of a selected technology to enhance quality and safety standards in nursing.
Before you begin to develop the assessment you are encouraged to complete the Annotated Bibliography Formative Assessment. Completing this activity will help you succeed with the assessment and counts towards course engagement.
Rapid changes in information technology go hand-in-hand with progress in quality health care delivery, nursing practice, and interdisciplinary team collaboration. The following are only a few examples of how the health care field uses technology to provide care to patients across multiple settings:

  • Patient monitoring devices.
  • Robotics.
  • Electronic medical records.
  • Data management resources.
  • Ready access to current science.
  • Technology is essential to the advancement of the nursing profession, maintaining quality care outcomes, patient safety, and research.
    This assessment will give you the opportunity to deepen your knowledge of how technology can enhance quality and safety standards in nursing. You will prepare an annotated bibliography on technology in nursing. A well-prepared annotated bibliography is a comprehensive commentary on the content of scholarly publications and other sources of evidence about a selected nursing-related technology. A bibliography of this type provides a vehicle for workplace discussion to address gaps in nursing practice and to improve patient care outcomes. As nurses become more accountable in their practice, they are being called upon to expand their role of caregiver and advocate to include fostering research and scholarship to advance nursing practice. An annotated bibliography stimulates innovative thinking to find solutions and approaches to effectively and efficiently address these issues.
    Demonstration of Proficiency
    By successfully completing this assessment, you will demonstrate your proficiency in the course competencies through the following assessment scoring guide criteria:
  • Competency 3: Evaluate the impact of patient care technologies on desired outcomes.
    • Analyze current evidence on the impact of a selected patient care technology on patient safety, quality of care, and the interdisciplinary team.
    • Integrate current evidence about the impact of a selected patient care technology on patient safety, quality of care, and the interdisciplinary team into a recommendation.
  • Competency 4: Recommend the use of a technology to enhance quality and safety standards for patients.
    • Describe organizational factors influencing the selection of a technology in the health care setting.
    • Justify the implementation and use of a selected technology in a health care setting.
  • Competency 5: Apply professional, scholarly communication to facilitate use of health information and patient care technologies.
    • Create a clear, well-organized, and professional annotated bibliography that is generally free from errors in grammar, punctuation, and spelling.
    • Follow APA style and formatting guidelines for all bibliographic entries.
  • Preparation
    To successfully complete this assessment, perform the following preparatory activities:
  • Select a single direct or indirect patient care technology that is relevant to your current practice or that is of interest to you. Direct patient care technologies require an interaction, or direct contact, between the nurse and patient. Nurses use direct patient care technologies every day when delivering care to patients. Electronic thermometers or pulse oximeters are examples of direct patient care technologies. Indirect patient care technologies, on the other hand, are those employed on behalf of the patient. They do not require interaction, or direct contact, between the nurse and patient. A handheld device for patient documentation is an example of an indirect patient care technology. Examples of topics to consider for your annotated bibliography include:
    • Delivery robots.
    • Electronic medication administration with barcoding.
    • Electronic clinical documentation with clinical decision support.
    • Patient sensor devices/wireless communication solutions.
    • Real-time location systems.
    • Telehealth.
    • Workflow management systems.
  • Conduct a library search using the various electronic databases available through the Capella University Library.
    • Consult the BSN Program Library Research Guide for help in identifying scholarly and/or authoritative sources.
    • Access the NHS Learner Success Lab, linked in the courseroom navigation menu, for additional resources.
  • Scan the search results related to your chosen technology.
  • Select four peer-reviewed publications focused on your selected topic that are the most interesting to you.
  • Evaluate the impact of patient care technologies on desired outcomes.
    • Analyze current evidence on the impact of a selected patient care technology on patient safety, quality of care, and the interdisciplinary team.
    • Integrate current evidence about the impact of a selected patient care technology on patient safety, quality of care, and the interdisciplinary team into a recommendation.
  • Notes
  • Publications may be research studies or review articles from a professional source. Newspapers, magazines, and blogs are not considered professional sources.
  • Your selections need to be current—within the last five years.
  • Annotated Bibliography
    Prepare a 4–6 page annotated bibliography in which you identify and describe peer-reviewed publications that promote the use of your selected technology to enhance quality and safety standards in nursing. Be sure that your annotated bibliography includes all of the following elements:
  • Introduction to the Selected Technology Topic
    • What is your rationale for selecting this particular technology topic? Why are you interested in this?
    • What research process did you employ?
      • What databases did you use?
      • What search terms did you use?
      • Note: In this section of your bibliography, you may use first person since you are asked to describe your rationale for selecting the topic and the research strategies you employed. Use third person in the rest of the bibliography, however.
  • Annotation Elements
    • For each resource, include the full reference followed by the annotation.
    • Explain the focus of the research or review article you chose.
    • Provide a summary overview of the publication.
      • According to this source, what is the impact of this technology on patient safety and quality of care?
      • According to this source, what is the relevance of this technology to nursing practice and the work of the interdisciplinary health care team?
      • Why did you select this publication to write about out of the many possible options? In other words, make the case as to why this resource is important for health care practitioners to read.
  • Conclusion/Recommendation
    • How would you tie together the key learnings from each of the four publications you examined?
    • What organizational factors influence the selection of a technology in a health care setting? Consider such factors as organizational policies, resources, culture/social norms, commitment, training programs, and/or employee empowerment.
    • How would you justify the implementation and use of the technology in a health care setting? Consider the impact of the technology on the health care organization, patient care/satisfaction, and interdisciplinary team productivity, satisfaction, and retention.
  • Example Assessment: You may use the following to give you an idea of what a Proficient or higher rating on the scoring guide would look like:
  • Assessment 3 Example [PDF].
  • Additional Requirements
  • Written communication: Ensure written communication is free of errors that detract from the overall message.
  • Length: 4–6-typed, double-spaced pages.
  • Number of resources: Cite a minimum of 4 peer-reviewed resources.
  • Font and font size: Use Times New Roman, 12 point.
  • APA: Follow APA style and formatting guidelines for all bibliographic entries.
  • Portfolio Prompt: Save your presentation to your ePortfolio. Submissions to the ePortfolio will be part of your final capstone course.
  • SCORING GUIDE
    Use the scoring guide to understand how your assessment will be evaluated.

Informatics and Nursing Sensitive Quality Indicators

Assessment 4 Instructions: Informatics and Nursing Sensitive Quality Indicators

Prepare an 8-10 minute audio training tutorial (video is optional) for new nurses on the importance of nursing-sensitive quality indicators.
As you begin to prepare this assessment you are encouraged to complete the Conabedian Quality Assessment Framework activity. Quality healthcare delivery requires systematic action. Completion of this will help you succeed with the assessment as you consider how the triad of structure (such as the hospital, clinic, provider qualifications/organizational characteristics) and process (such as the delivery/coordination/education/protocols/practice style or standard of care) may be modified to achieve quality outcomes.
The American Nursing Association (ANA) established the National Database of Nursing Quality Indicators (NDNQI®) in 1998 to track and report on quality indicators heavily influenced by nursing action.
NDNQI® was established as a standardized approach to evaluating nursing performance in relation to patient outcomes. It provides a database and quality measurement program to track clinical performance and to compare nursing quality measures against other hospital data at the national, regional, and state levels. Nursing-sensitive quality indicators help establish evidence-based practice guidelines in the inpatient and outpatient settings to enhance quality care outcomes and initiate quality improvement educational programs, outreach, and protocol development.
The quality indicators the NDNQI® monitors are organized into three categories: structure, process, and outcome. Theorist Avedis Donabedian first identified these categories. Donabedian’s theory of quality health care focused on the links between quality outcomes and the structures and processes of care (Grove, Gray, Jay, Jay, & Burns, 2015).
Nurses must be knowledgeable about the indicators their workplaces monitor. Some nurses deliver direct patient care that leads to a monitored outcome. Other nurses may be involved in data collection and analysis. In addition, monitoring organizations, including managed care entities, exist to gather data from individual organizations to analyze overall industry quality. All of these roles are important to advance quality and safety outcomes.
The focus of Assessment 4 is on how informatics support monitoring of nursing-sensitive quality indicator data. You will develop an 8–10 minute audio (or video) training module to orient new nurses in a workplace to a single nursing-sensitive quality indicator critical to the organization. Your recording will address how data are collected and disseminated across the organization along with the nurses’ role in supporting accurate reporting and high quality results.
Reference
Grove, S. K., Gray, J. R., Jay, G.W., Jay, H. M., & Burns, N. (2015). Understanding nursing research: Building an evidence-based practice (6th ed.). St. Louis, MO: Elsevier.
Demonstration of Proficiency
By successfully completing this assessment, you will demonstrate your proficiency in the course competencies through the following assessment scoring guide criteria:

  • Competency 1: Describe nurses’ and the interdisciplinary team’s role in informatics with a focus on electronic health information and patient care technology to support decision making.
    • Describe the interdisciplinary team’s role in collecting and reporting quality indicator data to enhance patient safety, patient care outcomes, and organizational performance reports.
  • Competency 3: Evaluate the impact of patient care technologies on desired outcomes.
    • Explain how a health care organization uses nursing-sensitive quality indicators to enhance patient safety, patient care outcomes, and organizational performance reports.
  • Competency 4: Recommend the use of a technology to enhance quality and safety standards for patients.
    • Justify how a nursing-sensitive quality indicator establishes evidence-based practice guidelines for nurses to follow when using patient care technologies to enhance patient safety, satisfaction, and outcomes.
  • Competency 5: Apply professional, scholarly communication to facilitate use of health information and patient care technologies.
    • Deliver a professional and effective audio tutorial on a selected quality indicator that engages new nurses and motivates them to accurately report quality data in a timely fashion.
    • Follow APA style and formatting guidelines for citations and references.
  • Preparation
    This assessment requires you to prepare an 8–10 minute audio training tutorial (with optional video) for new nurses on the importance of nursing-sensitive quality indicators. To successfully prepare for your assessment, you will need to complete the following preparatory activities:
  • Select a single nursing-sensitive quality indicator that you see as important to a selected type of health care system.
  • Conduct independent research on the most current information about the selected nursing-sensitive quality indicator.
  • Interview a professional colleague or contact who is familiar with quality monitoring and how technology can help to collect and report quality indicator data. You do not need to submit the transcript of your conversation, but do integrate what you learned from the interview into the audio tutorial. Consider these questions for your interview:
    • What is your experience with collecting data and entering it into a database?
    • What challenges have you experienced?
    • How does your organization share with the nursing staff and other members of the health care system the quality improvement monitoring results?
    • What role do bedside nurses and other frontline staff have in entering the data? For example, do staff members enter the information into an electronic medical record for extraction? Or do they enter it into another system? How effective is this process?
  • Watch the Informatics and Nursing-Sensitive Quality Indicators Video Examplar.
  • Recording Your Presentation
    To prepare to record the audio for your presentation, complete the following:
  • Set up and test your microphone or headset using the installation instructions provided by the manufacturer. You only need to use the headset if your audio is not clear and high quality when captured by the microphone.
  • Practice using the equipment to ensure the audio quality is sufficient.
  • Review the for Kaltura to record your presentation.
  • View Creating a Presentation: A Guide to Writing and Speaking. This video addresses the primary areas involved in creating effective audiovisual presentations. You can return to this resource throughout the process of creating your presentation to view the tutorial appropriate for you at each stage.
  • Notes:
  • You may use other tools to record your tutorial. You will, however, need to consult Using Kaltura for instructions on how to upload your audio-recorded tutorial into the courseroom, or you must provide a working link your instructor can easily access.
  • You may also choose to create a video of your tutorial, but this is not required.
  • If you require the use of assistive technology or alternative communication methods to participate in this activity, please contact DisabilityServices@Capella.edu to request accommodations.
  • Instructions
    For this assessment, imagine you are a member of a Quality Improvement Council at any type of health care system, whether acute, ambulatory, home health, managed care, et cetera. Your Council has identified that newly hired nurses would benefit from comprehensive training on the importance of nursing-sensitive quality indicators. The Council would like the training to address how this information is collected and disseminated across the organization. It would also like the training to describe the role nurses have in accurate reporting and high-quality results.
    The Council indicates a recording is preferable to a written fact sheet due to the popularity of audio blogs. In this way, new hires can listen to the tutorial on their own time using their phone or other device.
    As a result of this need, you offer to create an audio tutorial orienting new hires to these topics. You know that you will need a script to guide your audio recording. You also plan to incorporate into your script the insights you learned from conducting an interview with an authority on quality monitoring and the use of technology to collect and report quality indicator data.
    You determine that you will cover the following topics in your audio tutorial script:
    Introduction: Nursing-Sensitive Quality Indicator
  • What is the NDNQI®?
  • What are nursing-sensitive quality indicators?
  • Which particular quality indicator did you select to address in your tutorial?
  • Why is this quality indicator important to monitor?
    • Be sure to address the impact of this indicator on quality of care and patient safety.
  • Why do new nurses need to be familiar with this particular quality indicator when providing patient care?
  • Collection and Distribution of Quality Indicator Data
  • According to your interview and other resources, how does your organization collect data on this quality indicator?
  • How does the organization disseminate aggregate data?
  • What role do nurses play in supporting accurate reporting and high-quality results?
    • As an example, consider the importance of accurately entering data regarding nursing interventions.
  • After completing your script, practice delivering your tutorial several times before recording it.
    Additional Requirements
  • Audio communication: Deliver a professional, effective audio tutorial on a selected quality indicator that engages new nurses and motivates them to accurately report quality data in a timely fashion.
  • Length: 8–10 minute audio recording. Use Kaltura to upload your recording to the courseroom, or provide a working link your instructor can access.
  • References: Cite a minimum of three scholarly and/or authoritative sources.
  • APA: Submit along with the recording a separate Reference page that follows APA style and formatting guidelines. For an APA refresher, consult the APA Style and Format page on Campus.
  • Portfolio Prompt: Save your presentation to your ePortfolio. Submissions to the ePortfolio will be part of your final Capstone course.
  • SCORING GUIDE
    Use the scoring guide to understand how your assessment will be evaluated.

interprofessional staff update on HIPAA and appropriate social media use in health care

Assessment 2 Instructions: Protected Health Information (PHI): Privacy, Security, and Confidentiality Best Practices

Prepare a 2-page interprofessional staff update on HIPAA and appropriate social media use in health care.
As you begin to consider the assessment, it would be an excellent choice to complete the Breach of Protected Health Information (PHI) activity. The will support your success with the assessment by creating the opportunity for you to test your knowledge of potential privacy, security, and confidentiality violations of protected health information. The activity is not graded and counts towards course engagement.
Health professionals today are increasingly accountable for the use of protected health information (PHI). Various government and regulatory agencies promote and support privacy and security through a variety of activities. Examples include:

  • Meaningful use of electronic health records (EHR).
  • Provision of EHR incentive programs through Medicare and Medicaid.
  • Enforcement of the Health Insurance Portability and Accountability Act (HIPAA) rules.
  • Release of educational resources and tools to help providers and hospitals address privacy, security, and confidentiality risks in their practices.
  • Technological advances, such as the use of social media platforms and applications for patient progress tracking and communication, have provided more access to health information and improved communication between care providers and patients.
    At the same time, advances such as these have resulted in more risk for protecting PHI. Nurses typically receive annual training on protecting patient information in their everyday practice. This training usually emphasizes privacy, security, and confidentiality best practices such as:
  • Keeping passwords secure.
  • Logging out of public computers.
  • Sharing patient information only with those directly providing care or who have been granted permission to receive this information.
  • Today, one of the major risks associated with privacy and confidentiality of patient identity and data relates to social media. Many nurses and other health care providers place themselves at risk when they use social media or other electronic communication systems inappropriately. For example, a Texas nurse was recently terminated for posting patient vaccination information on Facebook. In another case, a New York nurse was terminated for posting an insensitive emergency department photo on her Instagram account.
    Health care providers today must develop their skills in mitigating risks to their patients and themselves related to patient information. At the same time, they need to be able distinguish between effective and ineffective uses of social media in health care.
    This assessment will require you to develop a staff update for the interprofessional team to encourage team members to protect the privacy, confidentiality, and security of patient information.
    Demonstration of Proficiency
    By successfully completing this assessment, you will demonstrate your proficiency in the course competencies through the following assessment scoring guide criteria:
  • Competency 1: Describe nurses’ and the interdisciplinary team’s role in informatics with a focus on electronic health information and patient care technology to support decision making.
    • Describe the security, privacy, and confidentially laws related to protecting sensitive electronic health information that govern the interdisciplinary team.
    • Explain the importance of interdisciplinary collaboration to safeguard sensitive electronic health information.
  • Competency 2: Implement evidence-based strategies to effectively manage protected health information.
    • Identify evidence-based approaches to mitigate risks to patients and health care staff related to sensitive electronic health information.
    • Develop a professional, effective staff update that educates interprofessional team members about protecting the security, privacy, and confidentiality of patient data, particularly as it pertains to social media usage.
  • Competency 5: Apply professional, scholarly communication to facilitate use of health information and patient care technologies.
    • Follow APA style and formatting guidelines for citations and references.
    • Create a clear, concise, well-organized, and professional staff update that is generally free from errors in grammar, punctuation, and spelling.
  • Preparation
    To successfully prepare to complete this assessment, complete the following:
  • Review the infographics on protecting PHI provided in the resources for this assessment, or find other infographics to review. These infographics serve as examples of how to succinctly summarize evidence-based information.
    • Analyze these infographics, and distill them into five or six principles of what makes them effective. As you design your interprofessional staff update, apply these principles. Note: In a staff update, you will not have all the images and graphics that an infographic might contain. Instead, focus your analysis on what makes the messaging effective.
  • Select from any of the following options, or a combination of options, the focus of your interprofessional staff update:
    • Social media best practices.
    • What not to do: Social media.
    • Social media risks to patient information.
    • Steps to take if a breach occurs.
  • Conduct independent research on the topic you have selected in addition to reviewing the suggested resources for this assessment. This information will serve as the source(s) of the information contained in your interprofessional staff update. Consult the BSN Program Library Research Guide for help in identifying scholarly and/or authoritative sources.
  • Instructions
    In this assessment, assume you are a nurse in an acute care, community, school, nursing home, or other health care setting. Before your shift begins, you scroll through Facebook and notice that a coworker has posted a photo of herself and a patient on Facebook. The post states, “I am so happy Jane is feeling better. She is just the best patient I’ve ever had, and I am excited that she is on the road to recovery.”
    You have recently completed your annual continuing education requirements at work and realize this is a breach of your organization’s social media policy. Your organization requires employees to immediately report such breaches to the privacy officer to ensure the post is removed immediately and that the nurse responsible receives appropriate corrective action.
    You follow appropriate organizational protocols and report the breach to the privacy officer. The privacy officer takes swift action to remove the post. Due to the severity of the breach, the organization terminates the nurse.
    Based on this incident’s severity, your organization has established a task force with two main goals:
  • Educate staff on HIPAA and appropriate social media use in health care.
  • Prevent confidentiality, security, and privacy breaches.
  • The task force has been charged with creating a series of interprofessional staff updates on the following topics:
  • Social media best practices.
  • What not to do: Social media.
  • Social media risks to patient information.
  • Steps to take if a breach occurs.
  • You are asked to select one of the topics, or a combination of several topics, and create the content for a staff update containing a maximum of two content pages. When distributed to interprofessional team members, the update will consist of one double-sided page.
    The task force has asked team members assigned to the topics to include the following content in their updates in addition to content on their selected topic(s):
  • What is protected health information (PHI)?
    • Be sure to include essential HIPAA information.
  • What are privacy, security, and confidentiality?
    • Define and provide examples of privacy, security, and confidentiality concerns related to the use of the technology in health care.
    • Explain the importance of interdisciplinary collaboration to safeguard sensitive electronic health information.
  • What evidence relating to social media usage and PHI do interprofessional team members need to be aware of? For example:
    • How many nurses have been terminated for inappropriate social media usage in the United States?
    • What types of sanctions have health care organizations imposed on interdisciplinary team members who have violated social media policies?
    • What have been the financial penalties assessed against health care organizations for inappropriate social media usage?
    • What evidence-based strategies have health care organizations employed to prevent or reduce confidentiality, privacy, and security breaches, particularly related to social media usage?
  • Notes
  • Your staff update is limited to two double-spaced content pages. Be selective about the content you choose to include in your update so that you are able to meet the page length requirement. Include need-to-know information. Leave out nice-to-know information.
  • Many times people do not read staff updates, do not read them carefully, or do not read them to the end. Ensure your staff update piques staff members’ interest, highlights key points, and is easy to read. Avoid overcrowding the update with too much content.
  • Also supply a separate reference page that includes 2–3 peer-reviewed and 1–2 non-peer-reviewed resources (for a total of 3–5 resources) to support the staff update content.
  • Additional Requirements
  • Written communication: Ensure the staff update is free from errors that detract from the overall message.
  • Submission length: Maximum of two double-spaced content pages.
  • Font and font size: Use Times New Roman, 12-point.
  • Citations and references: Provide a separate reference page that includes 2–3 current, peer-reviewed and 1–2 current, non-peer-reviewed in-text citations and references (total of 3–5 resources) that support the staff update’s content. Current mean no older than 5 years.
  • APA format: Be sure your citations and references adhere to APA format. Consult the APA Style and Format page for an APA refresher.
  • Portfolio Prompt: Save your presentation to your ePortfolio. Submissions to the ePortfolio will be part of your final capstone course.
  • SCORING GUIDE
    Use the scoring guide to understand how your assessment will be evaluated.
    VIEW SCORING GUIDE

Explain cellular adaptations and in particular, dysplasia and how testing and or additional testing is done regarding this condition.

Instructions

After having read Chapters 1–3 and reviewed the learning materials for this week, please complete the following case study. Remember that your answers may be combined with medical terminology, but they must be defined and explained in physiological terminology.

Mrs. K.B. is age 64 and has been a patient of yours for many years. You are calling her today to tell her the results of her Pap test which was done last week during her routine annual checkup in your office. The test showed marked dysplasia of cervical cells but no sign of infection. Unfortunately, when you call, there is no answer.

Since you saw Mrs. K.B. last week she has had gastritis with severe vomiting for 3 days. She has a history of heart problems and is presently feeling dizzy and lethargic. Her eyes appear sunken, her mouth is dry, she walks unsteadily, and she complains of muscle aching, particularly in the abdomen, and she is concerned about her chronic back pain as well and how she is going to handle her pain if she can’t keep her medication down. She is thirsty but is unable to retain food or fluid. A neighbor has brought Mrs. K.B. to the hospital, where examination shows that her blood pressure is low, and her pulse and respirations are rapid. Laboratory tests demonstrate elevated hematocrit, hypernatremia, decreased serum bicarbonate, serum pH 7.35, and urine of high specific gravity. This case study illustrates a combination of fluid, electrolyte, and acid-base imbalances. Specific laboratory values are not given to focus on the basic concepts. For clarity, this case study is discussed in multiple parts. Further information about the specific problems involved is given in each part and is followed by a series of questions.

Part 1

Later in the afternoon, you receive a phone call from Mrs. K.B.’s daughter Sara who tells you that she has been admitted to the hospital with vomiting. Sara is asking about her mother’s test results. Please answer the following questions regarding your conversation with Sara.

1. Sara is requesting her Mother’s test results and she seems to know that her Mom had a Pap test last week. Sara is really concerned because her Mom had an abnormal Pap test a few years ago and her sister also has a history of Ovarian Cancer. How do you handle this conversation with Sara?

2. In thinking about how you might discuss these results with Mrs. K.B. or Sara, explain how each of these terms might apply to this scenario: prognosis, latent stage, remission, exacerbations, and predisposing factors.

3. Explain cellular adaptations and in particular, dysplasia and how testing and or additional testing is done regarding this condition.

Part 2: Day 1

Initially, Mrs. K.B. lost water, sodium in the mucus content, and hydrogen and chloride ions in the hydrochloric acid portion of the gastric secretions.

Alkalosis develops for two reasons, the first being the direct loss of _______________ ions, and the second being the effects of chloride ion loss. When chloride ions are lost in the gastric secretions, it is replaced by chloride from the serum (See Fig. 2.9 in Chapter 2 of your Gould text). To maintain equal numbers of cations and ____________ in the serum, chloride ions, and bicarbonate ions can exchange places when needed. Therefore, more bicarbonate ions shift into the serum from storages sites in the _______________ to replace the lost chloride ions. More bicarbonate ions in the serum raise serum pH, and the result is hypochloremic alkalosis.

1. Which compartments are likely to be affected in this case by early fluid-loss?

2. Explain how a loss of sodium ions contributes to dehydration.

3. Describe the early signs of dehydration in Mrs. K.B.

4. Describe the compensations for the losses of fluid and electrolytes that should be occurring in Mrs. K.B.

5. Explain why Mrs. K.B. may not be able to compensate for losses as well as a younger adult.

Part 3: Days 2–3

As Mrs. K.B. continues to vomit and is still unable to eat or drink any significant amounts, loss of the duodenal contents, which include intestinal, pancreatic, and biliary secretions, occurs. No digestion and absorption of any nutrients occurs.

Losses at this stage include water, sodium ions, potassium ions, and bicarbonate ions. Also, intake of glucose and other nutrients is minimal. Mrs. K.B. shows elevated serum sodium levels.

Sara has been at the hospital all morning waiting for the provider to come by with an update. Sara is rubbing her Mom’s back and she continues to complain back pain.

1. Explain why serum sodium levels appear to be in high in this case

2. Explain how high serum sodium levels might affect the intracellular fluid

3. Using your knowledge of normal physiology, explain how continued fluid loss is likely to affect the following:

a. Blood volume

b. Cell function

c. Kidney function

4. Given Mrs. K.B.’s history, why might a potassium imbalance have more serious effects on her?

5. As the provider, when you enter the room, you find Sara rubbing her Mom’s back – you introduce yourself and what is the first thing that you would then need to do?

6. In regard to Mrs. K.B.’s back pain, what type of questions or history would you like to obtain?

Mrs. K.B. reports using herbal compresses at home to help her back pain and that she usually takes two “extra-strong” Acetaminophen tablets every 4 hours and a Tylenol #3 whenever the pain is severe. Sara states that she has tried to get her Mom to use “more natural” treatments for her back but she “loves her Tylenol.”

1. When considering sources for Herbal and Natural Remedies there are many to choose from but not all are FDA approved, and who has time to vet every website. Take a look at Natural Medicines, which is in the Research Guides at the Regis Library. What type of Natural Medicine treatment would you recommend for Mrs. K.B. knowing that her back pain is due to arthritis that was diagnosed 10 years prior, that could offer her relief from her back pain?

2. What should Mrs. K.B. and Sara understand about the dosage of acetaminophen that she is taking?

3. Finally, Sara commented that her Mom seems to be suffering more frequently from insomnia but claims that her medication controls her back pain. Could the Tylenol #3 tablets be interring with her sleep and if so how is this occurring?

Part 4: Day 3 

Mrs. K.B. has spent the night in the ED due to a bed shortage and she is finally admitted to Med-Surg.

After a prolonged period of vomiting, metabolic acidosis develops. This change results from several factors.

· Loss of bicarbonate ions in duodenal secretions

· Lack of nutrients leading to ______________ of stored fats and protein with production of excessive amounts of ketoacids

· Dehydration and decreased blood volume leading to decreased excretion of acids by the __________________

· Decreased blood volume leading to decreased tissue perfusion, less oxygen to cells, and increased _________________ metabolism with increased lactic acid.

· Increased muscle activity and stress leading to increased metabolic acid production.

· These factors lead to an increased amount of acids in the blood, which bind with bicarbonate buffer and result in decreased serum bicarbonate and decreased serum pH or metabolic _________________.

1. List several reasons why Mrs. K.B. is lethargic and weak.

2. Predict the serum level of carbon dioxide, lactic acid, pH, pO2, K+, Na+, LFTs—note you should indicate low, normal or high and explain why in a brief sentence to indicate you understand the pathophysiology of the process.

3. If Mrs. K.B. continues to lose body fluid, why might serum pH decrease below 7.35?

4. If serum pH drops below 7.35 what signs would be observed in Mrs. K.B.

5. Describe the effect of acidosis on serum potassium levels.

6. Mrs. K.B. will be given replacement fluid therapy. Why is it important that sodium and potassium be given as well as water?

Please refer to the Grading Rubric for details on how this activity will be graded.

Case Study Rubric

Note: Scholarly resources are defined as evidence-based practice, peer-reviewed journals; textbook (do not rely solely on your textbook as a reference); and National Standard Guidelines. Review assignment instructions, as this will provide any additional requirements that are not specifically listed on the rubric.

Case Study Rubric – 100 Points
Criteria Exemplary Exceeds Expectations
Content of Case Study The writer demonstrates a well-articulated understanding of the

case study subject matter in a clear, complex, and informative manner.

The case study content and theories are well developed and linked to the

course content, assignment requirements, and practical experience.

The case study includes relevant material that fulfills all objectives

of the assignment. Cites three or more references, using at least one new scholarly

resource that was not provided in the course materials. 30 points

Analysis and Synthesis of Case Study Content and Meaning Through critical analysis, the submitted case study provides an accurate,

clear, concise, and complete summary of the scenario. Information from scholarly resources is synthesized,

providing new information or insight related to the context of the

assignment by providing both supportive and alternative information or viewpoints. All instruction requirements noted. 30 points

Application of Knowledge The summary of the case study provides information validated via

scholarly resources that offer a multidisciplinary approach to the scenario

provided. The student’s application in practice is accurate and plausible, and

additional scholarly resource(s) supporting the application are provided. All questions posed within the assignment are answered correctly

in a well-developed manner, applying knowledge with citations for validation. All instruction requirements noted. 30 points

Organization Well-organized content with a clear and complex purpose statement and

content argument. Writing is concise with a logical flow of ideas. 5 points

APA, Grammar, and Spelling Correct APA formatting with no errors. The writer correctly identifies reading audience, as demonstrated by

appropriate language (avoids jargon and simplifies complex concepts

appropriately). Writing is concise, in active voice, and avoids awkward transitions and

overuse of conjunctions. There are no spelling, punctuation, or word-usage errors. 5 points

Total Points 100

Stress and Corporate Social Responsibility” Please respond to the following:Describe a challenging workplace situation that you have encountered in the past or are anticipating in the future. Assess

Stress and Corporate Social Responsibility”  Please respond to the following:

  • Describe a challenging workplace situation that you have encountered in the past or are anticipating in the future. Assess your level of stress before, during, and after the situation. Next, create a stress management plan that includes three (3) of the following components: time management, relaxation, nutrition, exercise, positive thinking, and support network. Explain concrete actions you can take in each chosen area to manage the stress the situation causes.
  • Review the video below titled “Starbucks CEO Howard Schultz on Social Responsibility” (2 min 2 s). Click here to access the video if it is not playing correctly below. Next, from Chapter 15 of your text, determine which level of Corporate Social Responsibility (Legal, Ethical, or Benevolent) Starbucks demonstrates based on the information you learned in the video. Suggest two (2) actions other comparable companies could take to increase their level of Corporate Social Responsibility. Provide a rationale for your response.
  • https://youtu.be/uHIoK4LviCc

Imagine that you have just been hired by a new company as the director of the HR department. You have been tasked to hire a new secretary for the department and to develop an employee compensation and

Imagine that you have just been hired by a new company as the director of the HR department. You have been tasked to hire a new secretary for the department and to develop an employee compensation and benefits package that will be used for that position upon hire. Develop a PowerPoint presentation to present this information to your Vice President. Go to the Bureau of Labor Statistics’ (BLS) Website, located at www.bls.gov, for information regarding organizations and pay in the geographical area.  (please use South Carolina (Charleston Area)

https://www.bls.gov/regions/southeast/news-release/occupationalemploymentandwages_charleston.htm

Part 1: Write a two to five (2-3) page paper in which you:

1.     Choose the type of organization for which you are designing the package.

2.     Develop an employee compensation and benefits package for this new position. Support your ideas for the compensation/benefits package.

3.     Use at least four (4) quality academic resources in this assignment. Note: Wikipedia and other Websites do not qualify as academic resources.

APA Format (including references and in text citation).

Section 2: Presentation

Create a twenty (20) slide PowerPoint presentation in which you:

4. Provide an overview of the employee compensation and benefits package that you developed in the narrative portion of this assignment.

5. Determine if the employee will be exempt or nonexempt and discuss how overtime will be handled.

6. Suggest other benefits that might be considered within the next few months to enhance employee performance and provide job motivation.

7. Provide information on how government regulations will influence the compensation.

8. Examine data from two (2) organizations listed in the BLS Website with packages similar to yours, focusing on salary, compensation, and benefits in order to convince upper management that your package should be accepted and implemented.

9. Describe how the competitive compensation and benefits package will align with the HRM strategy.

PLEASE BE SURE TO ANSWER OUTLINE QUESTIONS COMPLETELY AND BE DETAILED. NO PLAGERISM PLEASE.