Expert Answers

chief complaint:" I haven't been feeling good, I am so tired, and i have gained so much weight lately" Patient is a 45 y/o female, who came to discuss test results, she indicates started with complaints of persistent fatigue, unexplained weight gain, and a noticeable decrease in energy levels. She also mentions feeling unusually cold, experiencing dry skin, and having some hair thinning. Her menstrual cycles have become irregular over the past few months, blood test results showed elevated cholesterol levels,- TSH: Elevated and- Free T4: Low, we started on levothyroxine and we will evaluate response in 6 weeks ICD 10  E03.9 

Guided Worksheet 4 Considerations and Challenges for Implementation and Outcomes section Week Five For this worksheet, you will identify considerations and challenges for implementation and the expected outcomes sections of your project. You will post this as your initial post, receive suggestions and questions from faculty and student colleagues, then copy/paste the worksheet contents into the full project.  Considerations and Challenges for Implementation In this section, discuss potential barriers and/or facilitators, which could impact your proposed project’s implementation. Is there a resistance to change? Is there currently a culture in your chosen community setting that would be open to evidence-based information on your topic?  Will it be difficult to reach your population of interest?  What strategies could you use to overcome any barriers you might face? How will you capitalize upon any facilitators you have identified? Outcomes In this section, you will explain how you will measure the efficacy of your evidence-based education intervention.  Though you will not be able to track the long-term implications of the education, you will likely see some immediate response from your audience indicating their willingness to make a change.  Use the objectives you developed in the prior worksheet to guide you. Objectives/outcomes MUST be measurable.  If they aren’t measurable, you’ll have to rewrite the objectives.  Using the bicycle safety exemplar, some outcome measures may be as follows: Project Objective 1: Increase public awareness of the number of serious and fatal bicycle injuries each year in the US, the state, and locally Project Outcome 1: During the Q&A session following the talk, participants actively engage in discussion about how to reduce the number of bicycle related injuries in their community. Project Objective 2: Engage local officials/stakeholders in the development of a bicycle safety campaign and discounted helmets Project Outcome 2:  The RN-BSN student met with the local police department, and they agreed to hold monthly education sessions on proper helmet fitting.  Project Objective 3: Demonstrate the proper sizing/fit of a helmet for maximum safety benefit. Project Outcome 3:  Participants practice adjusting their helmet (or on a model helmet brought to session) and place the helmet on their heads properly.

A healthcare risk management case emerges when a patient sues an outpatient provider due to a missed cancer diagnosis related to a failure to conduct timely and appropriate colon cancer screening. A patient visits an outpatient clinic complaining of gastrointestinal symptoms, but the provider overlooks the patient's risk factors and fails to recommend or perform a colonoscopy as part of the screening protocol.

Please help  Do you recommend criminalizing healthcare errors as an effective approach to holding healthcare providers accountable for their mistakes? Why or why not?  How can healthcare providers balance the goal of high-quality care with the potential risks and consequences of errors?  Are current legal and regulatory frameworks adequate to address healthcare errors? If so, why? If not, what changes are necessary to ensure the regulations best serve clients and providers?  

Week 2 Discussion Shauna Floyd is a 16-year-old black woman who is being seen by Whitney, the school nurse, because of complaints of headaches. Shauna does not have a primary care physician who does wellness care. Shauna tells Whitney that she just told her teacher she was having headaches so she would send her to the nurse. Shauna tells the nurse that she has been having sexual intercourse with a classmate for the past few months and is now pregnant. She is not sure what to do. Shauna has not shared any of this information with her mother. Question 1 Whitney realizes that Shauna is still growing through adolescence. What do you think Shauna is going through at this stage of her life? Question 2 Whitney wants to make sure that Shauna is getting prenatal teaching. What is important for Whitney to tell Shauna? Question 3 Shauna visits Whitney 2 weeks after she delivered a 6-lb baby boy. Whitney notices that Shauna holds the baby at a distance from her. What would be appropriate for Whitney to explain to Shauna regarding this behavior? ____________________________________________________________________________________________________________________________________________________________________________________________________ Submission Instructions: Your initial post should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic sources.  You should respond to at least two of your peers by extending, refuting/correcting, or adding additional nuance to their posts.  All replies must be constructive and use literature where possible. Please post your initial response by 11:59 PM ET Wednesday, and comment on the posts of two classmates on two different days by 11:59 PM ET Sunday. You can expect feedback from the instructor within 48 to 72 hours from the Sunday due date. 

Discussion 2 Review Chapter 9 slide in module Activity: Examine the five factors to be assessed before delegating (potential for harm, etc.) for a particular task. In making a decision to delegate a nursing task, the following five factors should be assessed: 1. Potential for harm: The nurse must determine how much risk the activity carries for an individual patient. 2. Complexity of the task: The more complex the activity, the less desirable it is to delegate. 3. Amount of problem solving and innovation required: If an uncomplicated task requires special attention, adaptation, or an innovative approach, it should not be delegated. 4. Unpredictability of outcome: When a patient’s response to the activity is unknown or unpredictable it is not advisable to delegate that activity. 5. Level of patient interaction: It is not advisable to delegate so many tasks that the amount of time the nurse spends with the patient is decreased to the point that a therapeutic relationship cannot be established between the nurse and the patient. (AACN, 2004Links to an external site., p.10) Explain why or why not a task would be delegated depending on each factor. using an example you can share, and/or face at your current practice setting? (I work at a needle exchange program where understaff and delegation has become a big problem as more work has to be divided when staff is already burnout).  Submission Instructions: Your initial post should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic sources. Your initial post is worth 8 points. You should respond to at least two of your peers by extending, refuting/correcting, or adding additional nuance to their posts. Your reply posts are worth 2 points (1 point per response.)  All replies must be constructive and use literature where possible. Please post your initial response by 11:59 PM ET Thursday, and comment on the posts of two classmates by 11:59 PM ET Sunday. You can expect feedback from the instructor within 48 to 72 hours from the Sunday due date. 

Develop a 7-page process improvement plan for a provided scenario or a business and process of your choice, using data to support your recommendations. Collapse All Introduction This portfolio work project, a process improvement plan, will help you demonstrate competencies in process documentation, process analysis, and process improvement. Scenario For this assessment, choose either Option 1 or Option 2. You do not need to do both. You will apply one of these scenarios in the Requirements below. Both options will be graded using the same scoring guide. Option 1 Wild Dog Coffee Company, a locally owned company with a single coffee shop location, serves a wide selection of espresso products, small breakfast and lunch menu items, and a limited evening menu. The company is planning to expand the business by adding an additional location. While different menu items may be tested at the new location, the espresso beverage preparation process will remain exactly the same. The company wants to ensure that the espresso beverage preparation process is documented and refined before the move. Option 2 Select a business and process of your choosing. Note: It is recommended that you use the same business for each assessment in this course. Before choosing a company, read all three of the assessments thoroughly to ensure the following: The company fits the assessment requirements and you have access to the information needed to complete the assessment. The business information is disclosed in the assessment for faculty's reference. You can distribute the business data without disclosing confidential information. Contact faculty with questions. Your Role Option 1 You are one of three owners of Wild Dog Coffee Company. Your background is primarily in operations. Your business partners' backgrounds are in marketing and sales. While they are working on the external aspects of the business that will bring customers in, you are focused on making the internal customer-facing processes as efficient as possible. You are preparing an analysis and recommendations that will help manage a core process improvement for the successful opening of a second location. Option 2 Your boss, a director, has tasked you with a process improvement project. She is relying on you to prepare an analysis and recommendations that can be presented to the executive team of the company. Requirements Include the following in your process improvement plan: Assess the steps for a selected process. Develop a flowchart showing the process' steps. You may include as many steps as are relevant for your selected scenario. If using Wild Dog Coffee Company, show the steps for preparing an espresso beverage (for example, latté, cappuccino); there are two steps that must be included: (1) order is submitted and (2) beverage is handed to the customer. Hint: You may want to visit a local coffee shop to observe the beverage preparation process. Prepare a procedure documenting the selected process. At a minimum, the procedure must document the following for your selected process: Metrics. Identify at least two metrics that will be useful in determining how well the new process is performing. Be sure to identify the target value of the metric and how you will measure it. For Wild Dog Coffee Company, it could be how well the beverage preparation process is performing. A third metric is already identified for you: order delivery time. (This is the time between when the order is submitted and the time the beverage is handed to the customer.) Procedure. This section describes each step of the process. For Wild Dog Coffee Company, your procedure should be titled, “Espresso Beverage Preparation Process.” Be sure to include order submittal and handing the beverage to the customer as part of the procedure. Purpose (of the procedure). This section describes what the procedure is intended to do. Analyze data for process changes for a selected process. Respond to the following questions: Is the process centered? Provide the results of your calculations and the rationale for your decision by thinking about the process capability. Is the process capable at 3-sigma? Provide the results of your calculations and the rationale for your decision by thinking about the process capability index. Is the process in statistical control? Provide the appropriate numbers and the rationale for your decision using a control chart for individuals. For Wild Dog Coffee Company, analyze the Beverage Service Times [XLSX] Download Beverage Service Times [XLSX]data. This data is for 50 beverage preparation events and was collected using their order processing system. Each individual order gets a time-stamp when it is placed and again when the beverage is handed to the customer. The senior barista thinks the beverage delivery times should range between 2 and 3 minutes. The known process standard deviation, which has been calculated on an on-going basis, is 0.5903 minutes. Analyze the cause and effect of process variances. Brainstorm possible sources of variation to create a cause-and-effect diagram to help analyze potential sources of variation in the espresso beverage preparation process at Wild Dog Coffee Company or for your selected business' process. Your diagram must include at least four of the “6 Ms” (that is, management, manpower, method, measurement, machine, materials). Recommend quality and customer service improvements for a selected process. Detail the results of your analysis for Wild Dog Coffee Company or your selected business' process to substantiate your recommendations. Deliverable Format Requirements: The process improvement plan is to be a minimum of 7 pages, not including the title, reference, and appendix pages. Use a process improvement plan template of your choice. Related company standards: The process improvement plan is a professional document and should therefore follow the corresponding MBA Academic and Professional Document Guidelines (available in the MBA Program Resources), including single-spaced paragraphs. In addition to the title and reference pages, include the following in the appendix: Flowchart. Procedure. Detailed results of order delivery time analysis. Cause-and-effect diagram. Use American Society for Quality (ASQ) data analysis tools and 2-3 additional scholarly or academic sources where applicable. Use APA formatting for citations and references. Evaluation By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies through corresponding scoring guide criteria: Competency 1: Analyze how operations management theories and models effect the development and delivery of products or services to the marketplace. Assess the steps for a selected process. Competency 2: Use logistics and supply chain management tools to manage the distribution of products and services. Prepare a procedure documenting a selected process. Competency 3: Use data to evaluate the effect of operations management decisions on organizational goals. Analyze data for process changes for a selected process. Analyze the cause and effect of process variances. Competency 4: Evaluate the effectiveness of operations management strategies to achieve quality and customer service goals. Recommend quality and customer service improvements for a selected process. Competency 5: Communicate business needs, opportweekies, and strategies with multiple stakeholders. Write coherently to support a central idea with correct grammar, usage, and mechanics as expected of a business professional. Faculty will provide feedback as if they were the recipient of your deliverable in the workplace, using the scoring guide. Refer to the scoring guide to ensure that you meet the grading criteria for this assessment before submission. ePortfolio This portfolio work project demonstrates your competency in applying knowledge and skills required of a MBA learner in the workplace.   Use the resources linked below to help complete this assessment. Expand All Process Management The following resources provide information about process management, process measures, and quality tools: Assessment 1 - Process Improvement Plan reading list. Krajewski, L. J., & Malhotra, M. K. (2022). Operations management: Processes and supply chains (13th ed.). Pearson. Available in the courseroom via the VitalSource Bookshelf link. Chapter 1: Using Operations to Create Value. Chapter 2: Process Strategy and Analysis. Chapter 3: Quality and Performance. Chapter 4: Lean Systems. Chapter 5: Capacity Planning. Chapter 6: Constraint Planning. Chapter 7: Project Management.  

Prepare a 7-page demand management plan, including a forecasting, inventory management, and scheduling analysis, as well as recommendations, for a provided scenario or business of your choice. Introduction This portfolio work project, a demand management plan, will help you demonstrate competency in forecasting, inventory management, and scheduling. Scenario For this assessment, choose either Option 1 or Option 2. You do not need to do both. You will apply one of these scenarios in the Requirements below. Both options will be graded using the same scoring guide. Option 1 Wild Dog Coffee Company, a locally owned company with a single coffee shop location, serves a wide selection of espresso beverages, small breakfast and lunch menu items, and a limited evening menu. The company is planning to expand the business by adding an additional location. While different menu items may be tested at the new location, their core processes will remain the same. You have been working on a process improvement in preparation for the expansion and are now turning your attention to demand management. Option 2 If you chose Option 2 for Assessment 1, use the same business for this assessment, or select a different business. Note that it is recommended that you use the same business for each assessment in this course, using the following criteria for your selection: The company fits the assessment requirements and you have access to the information needed to complete the assessment. The business information is disclosed in the assessment for faculty's reference. You can distribute the business data without disclosing confidential information. Contact faculty with questions. Your Role Option 1 As an owner of Wild Dog Coffee Company, you and your business partners are planning the opening of a second location. You need to prepare an analysis and recommendations for demand management, including forecasting, inventory, and scheduling, for your current location, so you can refine the model before opening the second location. Option 2 Your boss, a director, has tasked you with a demand management project. She is relying on you to prepare an analysis and recommendations for demand management that can be presented to the executive team of the company. You completed a special project for her a few months ago that went very well, and you are pleased to have received this new assignment. Requirements Include the following in your demand management plan: Assess the impact of advertising on product demand. If using Wild Dog Coffee Company, the following basic assumptions will help you prepare a demand forecast: The other owners of Wild Dog Coffee Company handle the business' marketing and sales functions, and they believe that advertising expenditures impact the sale of coffee beverages. They want you to confirm whether or not their advertising dollars are driving sales. Here is what was agreed upon by all the owners: Interpret the forecasting model for the selected product. Use a simple linear regression model to show your forecast. If using Wild Dog Coffee Company, forecast the pounds of espresso beans needed for month 7 if the advertising budget for month 7 is $1,350. Interpret the model and respond to the following questions for Wild Dog Coffee Company: How many espresso beverages will the company need to prepare, on average, each day? How many pounds of espresso beans will the company need, on average, each day? To what extent do advertising dollars predict the need for espresso beans? Prepare an inventory management analysis for the selected product. In your analysis, include two different approaches to inventory management. What are the pros and cons of each system you analyzed? If using Wild Dog Coffee Company, the following provides additional information you have gathered from the inventory management analysis: Since Wild Dog Coffee Company is small, the company must manage inventory very carefully. While larger companies can have lots of inventory on the shelf, Wild Dog simply does not have the cash to do that. As such, you have a number of pressures for small inventories. Wild Dog does not have the ability to store a lot of beans, to cover the cost of capital, or to withstand unnecessary expenditures for taxes, insurance, and shrinkage. Shrinkage is important because roasted espresso beans only maintain their optimal freshness for two weeks. Demand is approaching 1,400 pounds of espresso beans per month. Only one type of espresso bean is stocked. Demand is not constant on a daily or weekly basis. If you run out of espresso beans at any point, you will have to close the business until the next shipment of beans arrives. Espresso beans are shipped in 25-pound packages. (This is your base inventory week.) The cost per pound of beans averages $9.00. Espresso beans are delivered seven (7) days after placing the order and on any day of the week. Shipping is free on orders over $250. Otherwise, shipping is $19.95 per order, regardless of weight. (This is the only ordering cost you incur.) Holding costs are 10 percent/year/week. Standard deviation for daily demand is 1.84 pounds. Analyze the business’ scheduling management. In your analysis, detail two different staffing scenarios for Wild Dog Coffee Company or your selected business. What are the pros and cons of each staffing scenario? Use a Word table or Excel spreadsheet to show both staffing scenarios for each day of the week. Include the daily and weekly total staffing costs and number of hours worked for each employee. If using Wild Dog Coffee Company, the following provides additional information you have gathered from the staffing analysis: Shifts have been scheduled according to who wants to work which shift. This has generally worked out well, but you realize you need to tighten up the scheduling process in order to optimize a staffing model. Two employees are required to make a coffee beverage. One employee takes the orders, and a barista makes the coffee drink and hands it to the customer. Baristas are paid $14/hour, regardless of whether they are full-time or part-time. Full-time employees (up to 40 hours/week), other than baristas, are paid $12/hour. Part-time employees (up to 20 hours/week), other than baristas, are paid $9/hour. All full-time employees receive company benefits that equate to 15 percent of their hourly rate. (This is known as a benefits load.) All full-time employees are paid at 150 percent of their regular rate for all hours worked over 40 hours per week. Full-time employees can only work a maximum of 50 hours per week. The benefits load is not applied to overtime hours. All part-time employees are paid at 150 percent of their regular rate for all hours worked over 20 hours per week. Part-time employees can only work a maximum of 26 hours per week. It costs $500 to hire each additional employee, and it costs $250 to terminate an employee. Full-time employees are likely to resign if moved to part-time status. The coffee shop is open 84 hours per week. There are two additional hours allocated each day for one employee to perform opening and closing activities. (That is, one hour is allocated for opening duties and one hour is allocated for closing duties.) Your current level of staffing for coffee beverages is as follows: Baristas - 1 full-time; 3 part-time. Non-barista - 1 full-time; 2 part-time. Recommend an inventory management system and staffing plan for a selected business and product. Detail the results of your analysis for Wild Dog Coffee Company or your selected business' product to substantiate your recommendations. Deliverable Format Requirements: The demand management plan is to be a minimum of 7 pages, not including the title, reference, and appendix pages. Use a demand management plan template of your choice. Related company standards: The demand management plan is a professional document and should therefore follow the corresponding MBA Academic and Professional Document Guidelines (available in the MBA Program Resources), including single-spaced paragraphs. In addition to the title and reference pages, include the following in the appendix: Linear regression model for product forecasting. Word table or Excel spreadsheet for staffing scenarios. Use 2-3 scholarly or academic sources, where applicable, one of which must come from the Wall Street Journal, Forbes, or MIT Sloan Management Review. Use APA formatting for citations and references. Evaluation By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies through corresponding scoring guide criteria: Competency 1: Analyze how operations management theories and models effect the development and delivery of products or services to the marketplace. Interpret the forecasting model for the selected product. Competency 2: Use logistics and supply chain management tools to manage the distribution of products and services. Prepare an inventory management analysis for the selected product. Competency 3: Use data to evaluate the effect of operations management decisions on organizational goals. Assess the impact of advertising on product demand. Analyze the business’ scheduling management. Competency 4: Evaluate the effectiveness of operations management strategies to achieve quality and customer service goals. Recommend an inventory management system and staffing plan for a selected business and product. Competency 5: Communicate business needs, opportweekies, and strategies with multiple stakeholders. Write coherently to support a central idea with correct grammar, usage, and mechanics as expected of a business professional. Faculty will provide feedback as if they were the recipient of your deliverable in the workplace, using the scoring guide. Refer to the scoring guide to ensure that you meet the grading criteria for this assessment before submission. ePortfolio This portfolio work project demonstrates your competency in applying knowledge and skills required of a MBA learner in the workplace.   Use the resources linked below to help complete this assessment. Demand Management The following resources provide information about demand management's role and how to plan and manage demand: Assessment 2: Demand Management Plan reading list. Krajewski, L. J., & Malhotra, M. K. (2022). Operations management: Processes and supply chains (13th ed.). Pearson. Available in the courseroom via the VitalSource Bookshelf link. Chapter 8: Forecasting. Chapter 10: Operations Planning and Scheduling. Chapter 11: Resource Planning.  

I have a brochure with 2 pages but I need to add a page and a cover page. Please use the current info and just spread it out and add some additional pictures to fill in the brochure. I tried fixing it but I am just messing it up.

An acceptable analysis should be 1500 words (+/- 10%) integrating a minimum of 4 academic sources (evidenced by citations). The word count should not include the title page, an abstract, reference pages, appendices, etc. APA format.