Quality Improvement in a Medical Setting – nursing homework essays

You will analyzeperformance data in a medical setting and compare it to state and/or nationalstandards. You will also recommend ways to improve performance indicators in amedical setting.

So, analyze anEmergency Department data and other resources to identify areas where the careand services provided are not up to state or national comparisons. Conduct thisanalysis, using the Emergency Department HCAHPS Data (attached) and otherresources in the Learning Resources (attached). You will also addresshow you would improve the substandard performance indicators.
The attached chaptersof our course textbook will provide and guide your analysis. Kotters (1995,1996; as cited in Joshi et al., 2019) modelfor change is a realistic framework for managing qualityimprovements. The eight steps of Kotters theory include 1) unfreezing the oldculture; 2) forming a powerful guiding coalition; 3) developing a vision andstrategy; 4) communicating a vision and strategy; 5) empowering employees toact on the vision and strategy; 6) generating short-term wins; 7) consolidatinggains and producing more change; and 8) refreezing new approaches in theculture. 
 Joshi, M. S.,Ransom, E. R., Nash, D. B., & Ransom, S. B. (Eds.). (2019). Thehealthcare quality book: Vision, strategy, and tools (3rd ed.). Chicago,IL: Health Administration Press.

The Assignment:
The HCAHPS data for the Emergency Department wouldindicate there are areas where the care and services are not up to par, ascompared to state or national standards.

Using Kotters work as described in thisweek’s Learning Resources (attached), and other change models from the reading, analysisof the performance data for the Emergency Department, comparing the medicalcare and services to state and/or national standards. Provide recommendationsfor strategies to improve the Emergency Department substandard performanceindicators.
 
 

 
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Matrix of Ethical Theories – nursing homework essays

nstructions
Drawing from the material covered in the resources as well as your own research, complete this assessment using the .

For each theory, first describe the decision criteria. The decision criteria are the instructions the theory gives for how to reach the morally correct choice in a situation that requires action.
Then, provide your own example of how someone might act using the decision criteria of the theory.
Finally, briefly describe the strengths and weaknesses of each theory using the last two columns of the Ethical Theory Matrix Template.

The suggested resources for this assessment could help you get a start on completing the matrix, but do not hesitate to use any outside resources that you can find online, the Capella library, or elsewhere.
This matrix is a tool you will use throughout the rest of the course. Submit your completed matrix as an attachment to this assessment.

 
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Cases by City and Ages Impacted Report – nursing homework essays

Part I: Cases by City
 
Read the following scenario:
Data has been collected to identify specific cases of people who are infected with a dangerous virus. Your organization has an interest in knowing where the population is most affected in an effort to move resources to areas that need them.
 
Create a bar chart using Microsoft Excel and the data provided in the spreadsheet to identify the cities with the highest counts of cases.
 
Write a 525- to 700-word analysis of the data. Include an answer to the following questions:

What are the top 5 cities for infected cases?
How many infected cases do each of those cities have?
What is the prevalence rate per 100,000 people?
What else can be deduced after evaluating the chart?

 
Include your bar chart with the analysis.
 
Part II: Ages Impacted
 
Now that we know where the outbreaks are located, your organization wants to know more about who it affects. The age of the patient will determine what kind of resources will be needed in those areas.
 
Create a side-by-side bar graph using Microsoft Excel and the data provided in the spreadsheet to identify the age groups affected by the virus.
 
Note: This information will be used for further analysis in future assessments.
 
Write a 525- to 700-word analysis of the data. Include an answer to the following questions:

Which age groups are most affected?
Which age groups are least affected?
What is the prevalence rate per age demographic?
What else can be deduced after evaluating the chart?

 
Include your side-by-side bar graph with the analysis.
 
Format Format your report according to APA guidelines.
 
Compile Part I and Part II into a report that could be submitted to the leadership in your organization.
 
Submit your assignment.
 

 
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Business Plan Proposal: Art Gallery Opening

As an individualized studies major in art and business, with a project management certification, this business plan proposal is to outline the opening of an art gallery that will donate a portion of its profit to charity. 

PLEASE SEE ATTACHED DOCUMENT FOR DETAILED DIRECTIONS.

 
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Immunizations

Review the YouTube video Adult Vaccines and Immunization Update, 20192020 that is featured in the instructional materials.  https://youtu.be/fjQGzou9nBQ
Then respond to each of the following points.

Identify two adult vaccinations and describe the illness that they help prevent.
List a misconception or reason that contributes to the older population forgoing these vaccinations.
Develop a solution that could increase the number of adults who are willing to receive these immunizations.

Initial posts should be between 300500 words. Please write following APA format and cite your references using APA style.

 
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The following exercises discuss the concepts covered in Chapters 1-4 in the text

The following exercises discuss the concepts covered in Chapters 1-4 in the textbook. Be certain to place your name on your submission and letter each answer correspondingly. Remember to cite your work and use references using APA style. Select a healthcare company. Name/briefly describe the company and answer the following questions (limit one page per question):
Conduct a stakeholder impact analysis for your company.
Search for a vision and mission statement of the company. Describe how the vision and mission statements are being manifested within your healthcare company.
Apply the PESTEL framework to identify the factors that are the most important for your company.
Conduct a SWOT analysis for your company to combine external and internal analysis and derive strategic implications.

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BIOL3955 Biological Oceanography- The Critical Depth Hypothesis

Task

The Critical Depth Hypothesis

Background and Goal:

One of the most fundamental hypotheses in all of Biological Oceanography is the Critical Depth Hypothesis, which puts forward a plausible mechanism to explain the initiation of phytoplankton blooms.   While the term “Critical Depth” was coined by a famous Norwegian oceanographer named Harald Sverdup in his 1953 paper, the idea was originally developed in 1932, when oceanographers Atkins and Gran published the basic tenets from observations made in none other than….the Bay of Fundy, Canada[ Read more about the origin of biological oceanography in the Bay of Fundy in: Behrenfeld. M. and Boss, E. 2018. Student’s tutorial on bloom hypotheses in the context of phytoplankton annual cycles.  Global Change Biology 24: 55-77 ].  The expedition was conducted out of what is now the Saint Andrews Biological Station in New Brunswick.  The discipline of biological oceanography was launched in our very own back yard!  Although more modern theories to explain phytoplankton bloom dynamics now exist (Critical Division Rate Hypothesis, Critical Turbulence Hypothesis, and Disturbance-Recovery Hypothesis1), they each contain elements of the original theory, and emerging theories are usually compared to the benchmark Critical Depth Hypothesis.  Critical Depth remains valid under some conditions, and is still published about today. The goal of this assignment is to explore the mathematics underlying Critical Depth.

You may answer the questions in a word document or on paper.  If you choose to use pen and paper, you will need to take photographs or scans of your written work and paste them into a word document before submitting.   If you choose to use pen and paper, ensure that your writing is neat and legible.   All submissions will be word documents submitted on D2L.   

Q1. In the early springtime at mid-day in the deep ocean off Halifax, you are sampling the ocean where the seafloor is located 2000 m below the water surface. The irradiance on the surface of the ocean here is 500  m-2 s-1.  50 % of surface radiation is PAR.  Assume the light extinction coefficient (k) is on average 0.14 m-1 in the PAR part of the irradiance spectrum.  Two species of phytoplankton are growing in this ecosystem.  Species A reaches a compensation light intensity at 1  m-2 s-1.  Species B reaches compensation light intensity at 10  m-2 s-1 .

a) At what depth in the water column does photosynthesis (P) exactly balance respiration (R) for each of the two species? ( /6 marks)

b) What is the gross rate of photosynthesis for each species at the depth calculated in part A (i.e., Species A and B will have different values), if Pmax = 10 mg C mg Chla-1 hr-1, and KI = 45  m-2 s-1  for both species?  Which population is growing more efficiently? (/6 marks)

Q2. Finding and understanding Compensation Depth

a) Sketch the Photosynthesis vs Depth (P vs D) and Respiration vs. Depth (R vs D) curves for each species.  Make a separate plot for each species.  Draw both the P vs D and R vs D curves on the same plot (as in Fig. 3.6 in your textbook).  Display and label the Compensation Depth on each plot.  Refer to the grading scheme for plots to make sure you include all of the elements that will be graded. (/11 marks)

b) What is the respiration rate at the compensation depth for each species? (/2)

c) Using the information in parts A through C, what process is driving the difference in Compensation Depth between the two species? (/2)

Q3. Scientists want to predict which of these two species will be the first to bloom with the onset of springtime conditions, assuming the Critical Depth Hypothesis holds. To do this, they collected CTD profiles from the deep ocean off Halifax from two time periods; March and May. 

a) Calculate the Critical Depth for each of Species A and Species B using the information given in Question 1.  (/5)

b) Which species (A and/or B) is likely to bloom under the conditions measured in each of spring and summer that are shown in Figure 1 on the next page? Explain your answer in the context of the Critical Depth Hypothesis. (/4)

 
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Describe three major forms of pollution in the oceans and consequences of each.

Describe three major forms of pollution in the oceans and consequences of each.
Describe the composition, structure, and function of Earth’s atmosphere. In what part of the atmosphere is the ozone layer? Why is tropospheric ozone harmful to people, whereas stratospheric ozone is beneficial?
What are the major causes of increased air pollution over very large cities? How have these cities approached improving their air quality? Is the developing world learning from our mistakes or duplicating them? Use events from the last year to support your answer.
What are the two most significant greenhouse gases? What conditions and activities are contributing to their rise, what approaches are being considered to address the rise of these greenhouse gases, and are these approaches uniformly effective around the world?

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BIOL 1131 Biology- Hormones are classified as water or fat soluble

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BIOL 1131 Biology

Task

Part 1 – Hormones in action     

1. [3 marks] Hormones are classified as water-soluble or fat-soluble. Fat-soluble hormones directly pass through the phospholipid membrane. Water-soluble hormones require a secondary messenger. Provide three water-soluble hormones and three fat-soluble hormones in the appropriate container. An example of each one has been provided.

2. [3 marks] Answer the following True/False questions regarding steroid and peptide hormones by highlighting your answer.

a. Peptide hormones are lipid-soluble. [True / False]

b. Steroid hormones require a secondary messenger to stimulate protein synthesis in the target cells. [True / False]

c. Both steroid and peptide hormones bind to receptors like a lock-and-key. [True/False]

3. [9 marks] Complete the table below by providing the

full name

of the hormones, their functions and target organs.

Gland

Hormone Produced

Target Organ

Hormone Function

Anterior Pituitary

Luteinizing hormone (LH)

Testosterone production in males

Posterior Pituitary

Kidney

Adrenal Medulla

Epinephrine

Most body cells

Adrenal Cortex

Increases blood volume

Pancreas

Glucagon

Liver, Muscles, Adipose Tissue

Raises blood sugar level

Ovary

Uterus

Testes

Reproductive organs

Stimulates growth in reproductive organs

4. [4 marks] The glands listed in the table above are endocrine glands. The pancreas, however is both an endocrine and an exocrine gland. 

You can navigate and zoom using the tools on the bottom of the page. There is also some helpful information provided on the right side of the page. Use this, in addition to the information in your content module, to answer the following questions.

a. State one difference between endocrine and exocrine glands.

b. The exocrine portion of the pancreas secretes its products directly into the blood. [True / False]

c. The majority of the pancreas is made up of endocrine cells. [True / False]

d. Islands of “lightly stained” endocrine cells exist within the “darkly stained” exocrine cells. [True / False ]

Part 2 – Endocrine Disorders

5. You are a freshly minted endocrinologist (a physician who has specialized in disorders related to the endocrine system). You received the following lab test results on several patients summarized in the chart below. Answer the questions that follow to assure that you are ready for the job.

Disorder

Symptoms

Lab Test Results

Acromegaly

Enlarged hands and feet, excessive sweating, fatigue, muscle weakness, pain, limited joint mobility

Elevated levels of insulin-like growth factor I

Addison’s Disease

Fatigue, increased pigment in the skin, weight loss, muscle weakness

Low sodium, high potassium, high ACTH, low cortisol in the blood

Cushing’s Syndrome

Backache, anxiety, muscle weakness, extra fat deposits on the back of the neck and upper back (aka “buffalo hump”), females may experience irregular menstrual cycle

High levels of cortisol in the blood

Diabetes Insipidus

Frequent urination, excessive thirst

Normal blood glucose level, no glucose in the urine, low ADH level in the blood

Hyperparathyroidism

Excessive thirst, weak or broken bones, fatigue, nausea

High calcium and parathyroid hormone levels in the blood

Hyperthyroidism

Elevated body temp, extreme sweating, nervousness, rapid heart rate, weight loss, irregular menstrual cycle in females

High thyroxine and low TSH in the blood

Hypothyroidism

Fatigue, muscle weakness, depression, weight gain, low body temperature, intolerant of cold

Low thyroxine and high TSH in the blood

Polycystic Ovarian Syndrome (PCOS)

Acne, unwanted hair growth, weight gain, fatigue, infertility, mood changes, sleep problems

Elevated levels of testosterone and LH, low levels of FSH in blood

a. [1 mark] What type of sample was used for

all

the lab tests? [urine / blood]

b. [1 mark] Why is the sample type you chose in 6a the preferred sample for lab tests in diagnosing endocrine disorders?

c. [1 mark] Hyperthyroidism is a condition caused by high levels of thyroxine (T4) released into the blood from the thyroid gland. Name one other hormone produced by the thyroid gland.

6. A 28-year-old woman has complained of menstrual irregularities and infertility despite actively trying to get pregnant for 14 months. She also mentioned that she has to wax her face a lot of hair growth that doesn’t align with her gender identity.

a. [1 mark] Which of the disorders listed in the table is this patient likely to have?

b. [2 marks] Once you identify the disorder, which specific hormone in the associated lab test results is likely responsibly for the unwanted hair growth? Provide a brief explanation.

Part 3 – Feedback Loops

The endocrine system plays an important role in homeostasis because hormones regulate the activity of body cells. The release of hormones into the blood is controlled by a stimulus. For example, the stimulus either causes an increase or a decrease in the amount of hormone secreted. A typical example is the homeostasis of blood sugar, which is maintained by the pancreatic hormones, insulin and glucagon. An effective way of summarizing the mechanisms by which hormones maintain homeostasis is using a feedback loop. For example, the feedback loop for blood sugar looks like this:

 7. [8 marks] Using the blood sugar homeostasis feedback loop as a template, create a feedback loop for blood calcium homeostasis.

BIOL 1131 Biology

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Programing

Programming: 4 Pages, Deadline:
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The student will complete 4 Discussions in this course. The student will post one thread of 300-500 words by 11:59 p.m. (ET) on Monday of the assigned Module: Week. The student must then post 2 replies of 250-350 words by 11:59 p.m. (ET) on Monday of the assigned Module/Week.

The student will complete 4 Discussions in this course. The student will post one thread of 300-500 words by 11:59 p.m. (ET) on Monday of the assigned Module: Week. The student must then post 2 replies of 250-350 words by 11:59 p.m. (ET) on Monday of the assigned Module/Week. For each thread, students must support their assertions with at least 2 scholarly citations plus the text in current APA format. Each reply must incorporate at least 1 scholarly citation plus the text and Scripture reference in current APA format. Any sources cited must have been published within the last five years. Acceptable sources include the textbook, the Bible, and scholarly sources.

 
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