Create your Assignment submission and be sure to cite your sources if needed, use APA style as required, and check your spelling.

Assignment:

• Mrs. R., an 87- year- old patient, has a past history that includes coronary artery disease, a previous stroke, and advanced Alzheimer’s disease. Ten days ago, Mrs. R. was hospitalized for aspiration pneumonia and has been ventilator dependent since being admitted to the intensive care unit in a small rural hospital. Family members visit daily and have repeatedly voiced their concern to the nursing staff about the continued ventilator support that Mrs. R. is receiving, most notably the fact that Mrs. R. would never have wanted such care. They also note that Mrs. R. has not recognized them in past months and that they plan to visit less in future days, but can be contacted should any change in Mrs. R.’ s condition occur. Her primary physician has practiced in this community for multiple years; he is well known for his reluctance to discontinue any type of life support for any patient. When questioned, Dr. G.’ s consistent response is, if this were his frail 92- year- old mother, he would prescribe the very same treatment for her. Dr. G. has now requested that the nurses talk to the family about moving Mrs. R. to a major medical center, where she can receive more advanced care, including vigorous rehabilitation and physical therapy, so that she may eventually return to a long- term nursing care facility. How might the nurses in this scenario respond to the physician’s request? How would this scenario begin to cause moral distress among the nursing staff, and what are the positive actions that the nurses might begin to take to prevent moral distress?
• Read Exercise 4.1 (Guido, p. 44) and apply the MORAL model to resolve the dilemma.
• Read the case study presented at the end of Chapter 3. Examine the above scenario from the perspective of health care policy. How would you begin to evaluate the need for the policy and the possible support or lack of support for the policy from your peers, nursing management, and others who might be affected by the policy? Do the 10 questions outlined by Malone (as listed in Guido, p. 50) assist in this process? Draft a proposed policy to address the issue you have identified.
  • What compelling right does this case address?
  • Whose rights should take precedence?
  • Does a child (here, a competent 14-year old) have the right to determine what will happen to him? Should he ethically have this right?
  • How would you have decided the outcome if his disease state had not intervened?

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Please combine all of these responses into a single Microsoft Word document for submission

Please submit only complete assignments (not partial or “draft” assignments).
Submit only the assignments corresponding to the module in this section.

You are not required to adhere to the 500-1000 word count for each of the responses, but please be thorough in your responses so that you adequately address all aspects of each question.

Need help for my history essay:

Complete and submit this assignment by the due date to receive full credit.

• Write an essay on one unintended consequence of the Columbian Exchange. To begin, read the examples of actions and consequences below, and note how each consequence was unintended.

• Some European sailors have smallpox. They come in contact with Native Americans and pass the disease on to them. The disease devastates whole cultures.
• Europeans take potatoes back to the New World. Some European countries become overly dependent on the potato as a main food source.
• Affluent Europeans buy sugar from the New World. The slave trade burgeons as European colonists buy slaves to work on sugar cane plantations.
• Conquistadors bring horses with them to the New World. Plains Indians and other Native Americans become expert horsemen.

Conduct Research, Choose a Topic, and Write a Thesis Statement

Conduct some online exploration to find more consequences of the Columbian Exchange, and decide whether they are intended or unintended. Choose one unintended consequence and do in-depth research on it. Gather details such as locations or countries, key people, populations involved, and ways in which the unintended consequence can be seen many years or even centuries later. Then, write the consequence in the form of a question, such as, “How did the introduction of the horse to the New World change the lives of Native Americans?”

Use the question to formulate a thesis statement for your essay. The thesis should answer the question. Using the sample question above, the thesis would be, “Plains Indians domesticated horses from Europe. They became famous for their skill in hunting and fighting from horseback.” Write your thesis statement in one or two clear sentences.

Works Cited:

You must have a works cited page. Without it you will only receive half credit, 25 points, until you have turned it in. Also, if you use Wikipedia you will lose a whole letter grade on your assignment.

Thesis Statement:

Write Your Essay

Write an essay that supports your thesis statement. Include details such as locations or countries, key people, populations involved, and ways in which the unintended consequence can be seen many years or even centuries later.

Please develope a thoughtful and articulate response to this persons discussion post:

Hi everyone,

I’m Lisa Towles and I’m a Senior Manager of Operations for a global tech company. I’ve been lucky to have worked all over the business world in different roles and in different industries, and for the past 18 years I’ve worked in software engineering. I feel like this degree program (MBA in IT Management) has allowed me to sort of lift the veil and see what’s going on inside the business world and, in the context of my final project, dig deep into the oil industry.

Throughout my program, I’ve focused on Exxon Mobil and fracking (hydraulic fracturing), an extension of oil and gas drilling that adds a horizontal axis onto the vertical wellbore that goes into the ground. Though fracking brings tremendous efficiency to oil and gas exploration, it’s one of the most dangerous industrial operations ever created and it wreaks havoc on the environment and on nearby communities. My particular fracking interest is water. Fracking a single well can use up to 10 million gallons of water and up to 70% of that water typically comes from surface waters (rivers, lakes, and streams), and those limited natural resources are permanently depleted (Carroll, 2015). My project within Exxon Mobil proposes a sustainable water filtration technology to purify post-consumer gray water (drained from sinks, washers, and bathtubs) using nothing but earthworms for use in fracking, in lieu of draining our natural surface waters. It’s a zero-waste, super energy efficient, renewable, and sustainable technology, and it would not only save our water supply but allow Exxon Mobil to pioneer the first ever sustainable fracking solution across the entire energy landscape.

There are currently some vague movements in the oil industry towards sustainable solutions, but I haven’t come across anything that really moves the needle in terms of environmental stewardship or, specifically, water conservation (Amis, 2015). I’ve proposed that my idea, called SafeWater Fracking, would headline a new Sustainability Division of Exxon Mobil that not only pioneers water conservation for fracking but will ultimately be able to filter fracking “flowback”, which is the toxic soup that comes up from the ground after a fracking cycle is complete.

The Exxon Mobil business leaders running SafeWater Fracking within their new Sustainability Division would be the intrapreneurs driving this new process, using creative strategies to ensure its profitability, and ultimately influencing other oil and gas competitors to create similar internal processes. Or in an entrepreneurial model, I would take on the role of the business leader securing funding to develop the new industry process on my own and with my own resources.

What was most intriguing about this week’s video (Harvard Business Review, 2012) was the idea of pursuing other markets outside of your typical customers. SafeWater Fracking would use this idea to create meaningful change by attracting a different market than the typical oil and gas consumer, as it’s a renewable, green technology. This would have market advantages because it would potentially build new revenue streams with these new environmentally-conscious consumers while still nurturing the company’s existing customer base by making fracking more efficient and its resulting products more affordable. And the projected cost-savings would please Exxon Mobil’s shareholders through improved margins.

Ultimately, my goal is for Exxon Mobil to “teach” other oil and gas companies how to create and run the SafeWater Fracking water filtration technology so that it becomes an industry standard and, 5-10 years from now, no one will be draining our natural surface waters for oil and gas exploration any longer and that will set the stage for other needed sustainability improvements.

References:

Amis, Mohomad (2015). Issues Impacting Sustainability in the Oil and Gas Industry. Retrieved from www.researchgate.net

Caroll, R. (2015). California Used 70 Million Gallons of Water. Retrieved from www.reuters.com

Harvard Business Review (2012). Disruptive Innovation Explained (Video). Retrieved from

Overview: This section of the marketing plan addresses the organizational objectives and the target market plan for your company. This milestone is due in
Module Four.
You need to develop at least five marketing objectives as part of your planning process. These answer the question, “What do you plan to accomplish?”
Objectives should be realistic, measurable, and time specific. Objectives must also be consistent, and indicate the priorities of the organization.
The target market strategy identifies which market segment or segments to focus on in light of what the competition is doing. For this assignment you need to
identify segmentation data and determine your target market. The process begins with a market opportunity analysis, or MOA, which describes and estimates
the size and sales potential of market segments that are of interest to the firm. In addition, an assessment of key competitors in these market segments is
performed. After the market segments are described, one or more may be targeted by the firm.
Your target market section should address the following:
 Describe your target market, whether a business or consumer market, using segmentation variables. These include the use of demographics,
psychographics, geodemographics, geographies, behavioral segments, or other segmentation criteria.
 Describe your rationale for selecting the target market(s) that you did. State why these markets are attractive to you as a marketer.
 Describe the market in terms of its anticipated growth, revenue opportunities, past performance, etc. Utilize our author’s criteria for segmentation
to demonstrate that your target market(s) suggest the likelihood of success—the market needs to be identifiable, measurable, sustainable,
accessible, and reachable.
If your segmentation is too general, you will find that your subsequent promotional mix will be equally general, as you will not have described your market with
sufficient specifics. Thus, have you provided measurable segmentation variables or have you described your market as “everyone who needs PC storage” or
“everyone in Smithville who likes Italian food”?
In order to be effective, you need to know what your competition is up to. Therefore, a competitive analysis is helpful here. This analysis will be highly
dependent on your extensive research into the competitive arena. You want to know what is out there and what the competition is doing. When you enter the
market you will either a) already have competition or b) your success will likely invite competition. Regardless, any successful business venture usually results in
competition entering the market and reacting accordingly. Your competitive analysis should focus on two key competitors. This may also include potential
substitutes if competition is not currently perceived. Your competition might be organized along several tangents—by industry, company type, or firm.
For your top two primary competitors:
 Indicate why you have selected these two competitors. Offer a SWOT analysis that focuses on the strengths and weaknesses of each competitor.
 Describe each company, its current market share, its product or service set offerings, its financials (e.g., revenues, profitability, etc.), current
positioning within the market, target market that it seeks to reach, recent history (how are they doing?), and how they market themselves to the
target market that you also wish to reach.
 Do a comparison of your product or service with that offered by the competition. How will you differentiate your product/service from that which is
offered by the competition? Inherent in your presentation will be why your target market would likely select your offering over that of the
competition. If you do not have a differentiator, your target market will not see one either.
 Describe the likely response that these two competitors will take once you begin to make ample waves, assuming that you are entering a market in
which competition already exists. What response should you anticipate? What do you think their likely response will be to your entry into the
market, and how will you respond to that?
Be sure to address substitutes. Are there any substitutes for your service or product offering? Identify any key substitutes, discussing the strengths and
weaknesses of those substitutes when compared to your offering.
Guidelines for Submission: Short paper assignments must follow these formatting guidelines: Microsoft Word document with double spacing, 12-point Times
New Roman font, one-inch margins, and APA formatting. Page length requirements: 4–6 pages.

Outline 1

1

Introduction

A. Possibly a hook

B. Background on the issue

C. Thesis Statement

2

Body

A. Describe the problem (water scarcity ).

1. Provide faces and details to show that the problem is real.

2. Explain why we need to be concerned about this problem.

B. Propose a solution (Maybe an action that the government can take ).

1. Explain why the solution works

2. Provide face and details to demonstrate the effectiveness of this solution.

C. Conclusion

A. Perhaps restate your thesis and main points.

B. Remind the reader why we need to take this information seriously.

C. Your final thoughts : a call to action , a prediction , atc .