Through the lens of the business novel The Goal, you have been following many characters, complex business issues, and various management methodologies proposed for correcting problems. In choosing to write a novel, the authors are able to explore abstract concepts in an informative and accessible format. In effect, they are comparing and contrasting strategies in a realistic setting, rather than presenting their argument in an article.

This week, the Shared Practice is a continuation from Week 5, in which you used critical thinking skills to analyze and evaluate the concepts and decisions concepts presented in The Goal. This Shared Practice will focus on Part 2 of the readings in The Goal.

To prepare for this Shared Practice, select one of the following options, based on the two course level outcomes below, which you will use to frame and analyze this week’s reading assignment in The Goal:

• Create a plan for ongoing improvement and increased capability based on an evaluation of an organization’s systemic constraints.

OR

• Analyze a complex value creation system using management concepts.

Then, using Part 2 of your The Goal readings, research and select three short passages that contain one or two essential concepts pertaining to management that you found to be compelling. Analyze each using the Course Outcome you selected as a framework. Note: A theme this week you can focus on is to explain why the techniques that the team are implementing working, and how “breaking the rules” in this case makes sense from a systems performance perspective).

For this Shared Practice, write a 3- to 4-paragraph essay. Identify the Course Outcome you selected and the passages from Part 2 of The Goal. Explain why each passage you chose is relevant and important in effective business management. Justify your response, and include citations for each passage. As you move on to next week, reflect on this statement, “If I had only known this, back when…”

Discussion: Treatment of Psychiatric Emergencies in Children Versus Adults

Post: APA FORMAT PLEASE

• Briefly describe the case you selected.
• Explain how you would treat the client differently if he or she were a child or adolescent.
• Explain any legal or ethical issues you would have to consider when working with a child or adolescent emergency case.

Week 6: Emergency Psychiatric Care in Childhood and Adolescence

“I can’t believe I am not dead. I want to be dead, but those pills did not work as fast as I expected. Dad found me and called 911. I cannot go on living after what they said about me on the Internet. My life is ruined and I cannot go back to school or even show my face around here. They all think I am that way, but I am not. Dad thinks this was a mistake, but he is wrong. When I get out of here, I am going to try something different, and this time it will work.”

Jessica, age 13

When psychiatric emergencies arise, they can present many challenges to the PMHNP. While there are many approaches to emergencies that are similar, there are also significant differences when dealing with children and adolescents versus adults. This is particularly true with coordination of care, availability of resources, and legal implications of the psychiatric emergency.

This week, you examine psychiatric emergencies that arise during childhood and adolescence and compare how those emergencies are assessed and treated to those of adult clients.

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Learning Resources

Note: To access this week’s required library resources, please click on the link to the Course Readings List, found in the Course Materials section of your Syllabus.

Required Readings

Sadock, B. J., Sadock, V. A., & Ruiz, P. (2014).
Kaplan & Sadock’s synopsis of psychiatry: Behavioral sciences/clinical psychiatry (11th ed.). Philadelphia, PA: Wolters Kluwer.

• Chapter 23, “Emergency Psychiatric Medicine” (pp. 785–790)
• Chapter 31, “Child Psychiatry” (pp. 1226–1253)

American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washington, DC: Author.

• “Bipolar and Related Disorders”

Stahl, S. M. (2014).
Prescriber’s Guide: Stahl’s Essential Psychopharmacology (5th ed.). New York, NY: Cambridge University Press.

Note: All Stahl resources can be accessed through the Walden Library using the link. This link will take you to a login page for the Walden Library. Once you log in to the library, the Stahl website will appear.

To access information on the following medications, click on The Prescriber’s Guide, 5th Ed. tab on the Stahl Online website and select the appropriate medication.

Review the following medications:

Reversal of benzodiazepine effects

• flumazenil

Aggression	Behavioral problems	Cataplexy syndrome
clozapine propranolol zuclopenthixol	aripiprazole asenapine chlorpromazine haloperidol iloperidone lurasidone olanzapine paliperidone quetiapine risperidone ziprasidone	clomipramine imipramine sodium oxybate

Catatonia	Extrapyramidal side effects	Mania
alprazolam chlordiazepoxide clonazepam clorazepate diazepam estazolam flunitrazepam flurazepam loflazepate lorazepam midazolam oxazepam quazepam temazepam triazolam	benztropine diphenhydramine trihexyphenidyl	alprazolam (adjunct) aripiprazole asenapine carbamazepine chlorpromazine clonazepam (adjunct) iloperidone lamotrigine levetiracetam lithium lorazepam (adjunct) lurasidone olanzapine quetiapine risperidone sertindole valproate (divalproex) ziprasidone zotepine

Note: Many of these medications are FDA approved for adults only. Some are FDA approved for disorders in children and adolescents. Many are used “off label” for the disorders examined in this week. As you read the Stahl drug monographs, focus your attention on FDA approvals for children/adolescents (including “ages” for which the medication is approved, if applicable) and further note which drugs are “off label.”

Optional Resources

Thapar, A., Pine, D. S., Leckman, J. F., Scott, S., Snowling, M. J., & Taylor, E. A. (2015).
Rutter’s child and adolescent psychiatry (6th ed.). Hoboken, NJ: Wiley Blackwell.

• Chapter 50, “Provision of Intensive Treatment: Intensive Outreach, Day Units, and In-Patient Units” (pp. 648–664)
• Chapter 64, “Suicidal Behavior and Self-Harm” (pp. 893–912)

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Discussion: Treatment of Psychiatric Emergencies in Children Versus Adults

The diagnosis of psychiatric emergencies can include a wide range of problems—from serious drug reactions to abuse and suicidal ideation/behaviors. Regardless of care setting, the PMHNP must know how to address emergencies, coordinate care with other members of the health care team and law enforcement officials (when indicated), and effectively communicate with family members who are often overwhelmed in emergency situations.

In this week’s Discussion, you compare treatment of adult psychiatric emergency clients to child or adolescent psychiatric emergency clients.

Learning Objectives

Students will:

• Compare treatment of adult psychiatric emergency clients to child or adolescent psychiatric emergency clients
• Analyze legal and ethical issues concerning treatment of child or adolescent psychiatric emergency clients

To Prepare:

• Review the Learning Resources concerning emergency psychiatric medicine.
• Consider a case where your adult client had a psychiatric emergency. (Note: If you have not had an adult client with a psychiatric emergency, ask your preceptor to describe one of their clients with a psychiatric emergency to use as an example for this Discussion.)

Note: For this Discussion, you are required to complete your initial post before you will be able to view and respond to your colleagues’ postings. Begin by clicking on the “Post to Discussion Question” link and then select “Create Thread” to complete your initial post. Remember, once you click submit, you cannot delete or edit your own posts and cannot post anonymously. Please check your post carefully before clicking Submit!

By Day 3

Post:

• Briefly describe the case you selected.
• Explain how you would treat the client differently if he or she were a child or adolescent.
• Explain any legal or ethical issues you would have to consider when working with a child or adolescent emergency case.

this writing assignment is due by Friday before 12 pm and all the instructions are on the paper

Students will select an organization and study information available on its website in order to answer questions and analyze that organization’s human resources subsystem.

The study will focus upon the selected organization’s human resources and employee relations objectives, structures, policies, practices, and selected administrative problems or challenges.

Students may choose one of the following subsystems to analyze:

• Labor Relations
• Human Resources Planning/Organizational Development
• Recruitment and Selection
• Training and Development
• Safety, Health and Wellness
• Employee Relations
• Compensation and Benefits

Students will prepare a research summary that provides an overview of the HR subsystem that they are analyzing. This research project will include: (1) a cover page, (2) an analysis of secondary information available on a current HRM sub-system presented through a short paper (i.e., essay), including reference citations, (3) a list of references used to support the research summary. Students must have a minimum of three (3) scholarly resources and one must include a book.

The research summary should include:

• Introduction: An overview of the topic and what will be discussed in the paper
• Overview of the HR Subsystem:
  • An explanation for why it is an important issue for the workplace from the human resources field’s point of view
  • Summary of relevant employment law
• Overview of Best Practices pertaining to the HR Subsystem
• Conclusion

Use 3rd person during your discussion (not the 1st or 2nd person — DON’T use “I”, “You, “We” or any of their forms).

provide answer underneath the question. no more than 100 word each… prove the sources

part 1: Title: It is all about the weapon

Based on this week’s required video and reading assignment from Transnational Crime and Justice, Chapter 5

• State your position on whether you believe that “arms brokering” makes a difference?
  • Be sure to explain why or why not. Consider the influences such as: politics, money, big business etc. Share with us how this impacts Transnational Trafficking in Weapons. Offer any solutions you may find in your research.

  part 2: In your DB 8 connect the dots , you must answer the following questions as they relate specifically to your assigned region. (Latin America )

  • Define illicit trafficking.
  • What are the major Small Arms and Light Weapons trafficked INTO your regions?
    • How are they trafficked?
  • What are the major Small Arms and Light Weapons trafficked OUT of your region?
    • How are they trafficked?
  • What are the Black markets associated with your region?
  • What are the Grey markets associated with your region?
  • Provide one very specific example of how to minimize the trafficking of weapons in and out of your region.