What ways can you identify compassion fatigue in others?

Please answer the questions below in one page or less, include APA references, as needed.
Week 6 Discussion Question #6 
Chapter 30 in your textbook deals with Home Health and Hospice Care
Please review Chapter 30, read the information below on Compassion Fatigue, and answer the questions below
BOX 30-9 Evidence-Based Practice
Nurses and Compassion Fatigue
Do you wonder how hospice nurses sustain compassionate practice as they work every day with suffering patients who always die? Expert hospice nurses embrace the suffering of the client and family and become susceptible to compassion fatigue. Compassion fatigue is often viewed as secondary stress. It is the stress felt by the caregiver from exposure to a traumatization. Nurses often describe this as overload. Although signs of compassion fatigue are individualized, they often include exhaustion and a reduced ability to express empathy for the client. This may result in withdrawal by the nurse emotionally from the client and family, as well as the role of nurse.
Staying psychologically as well as physically healthy as a hospice nurse requires a high level of self-awareness. Nurses must be aware of the signs and symptoms that they may have a tendency to exhibit. Symptoms are individualized based on how a particular nurse adapted to stress in the past and are often subject to developmental, spiritual, cultural, and environmental influences. Recognition of the symptoms allows the hospice nurse to institute stress-relieving activities early in the process. According to the Compassion Fatigue Awareness Project (2017), some symptoms that a nurse may experience include the following:
Isolating oneself; poor self-care (appearance, hygiene)Repressed emotions; apathy; mentally/physically exhaustedAlways finding blame with others; many complaints about job/administrationSubstance abuse; compulsive behaviors (e.g., eating, spending, gambling)In debt; legal problems; recurrent flashbacks/nightmares; chronic health problemsProblems concentrating; feeling preoccupied; denies problemsCompassion fatigue can affect an agency, if enough nurses suffer from the problem and nothing is done to assist them. It can cause problems between nurses and administrators, lead to high turnover and absenteeism, and lead to self-perpetuation. Organizations may exhibit these symptoms:
Poor teamwork; high absentee rates; continually changing coworker relationshipsChallenging/breaking agency rules; aggression among staff membersPoor task/assignment completion; unable to meet deadlines; lack of flexibilityNegative feelings toward management; reluctance toward changePoor vision of future; not able to believe that improvements can be made(Compassion Fatigue Awareness Project, 2017)
Compassion fatigue is not isolated to hospice nurses. All nurses are susceptible to the effects. This may lead to higher rates of turnover and an increase in the nursing shortage as nurses leave the profession.
Often, caregivers experiencing compassion fatigue are unable to identify it in themselves.
Answer EACH question below:
1. What ways can you identify compassion fatigue in others?
2. What recommendations can you make to reduce compassion fatigue for yourself?
3. How can you transform your organization to reduce compassion fatigue?
Source: Compassion Fatigue Awareness Project (2017); Upton (2018).
Once you have answered this DQ with at least 100 – 150 words, you will need to respond to at least one of your classmate’s posts with at least 50 – 100 words. Failure to respond to at least one of your classmate’s reponses will result in a score of no more than 80% for the week.  Please reference your response in APA format.

What must be done? On a personal, organizational, and societal level, how should we respond to homelessness?

The will be an exercise of critical reflection upon the student’s experiential learning, readings, online discussions, research, quizzes, and journal work. Include a bibliography at the end of the critical reflection, which should be 5-6 pages.
FINAL CRITICAL REFLECTION IS THE VINCENTIAN QUESTION:
What must be done? On a personal, organizational, and societal level, how should we respond to homelessness?
Please use at least 6 sources. Be sure to dedicate and clearly label two pages to each of your responses:  your personal response; your organizational response; and your societal response.
I.  (“I”) – How should I respond to homelessness?  For your personal response, please be sure to include:

If experienced, include any moment or point (a particular video, a reading, a classmate’s post, etc.) this past quarter when you noticed a change in you and/or a change in your previous understanding of homelessness.
How has, if at all, your experience in this class connected you to your spiritual or interior self?
How, if at all, have I seen spirituality and homelessness connected through the experience of this course?
What must I do about homelessness?  What realistic commitment(s) can I make?

II.  (“You”) – What must you (a selected organization) do?  Select an organizational example below to respond from this “you” perspective.  Examples of organizational response include (not limited to):

A School/Institution of Higher Education
A Church/Faith Community
A Business
A Civic Organization

Please address the questions below to your organizational response: What should be done? How should it be done? When should it be done? What resources will be necessary for it to be done well? Where will the resources come from? Who should do it?
So, for example, if I chose my place of worship, or my daughter’s school, or Dominican University, or my internship organization, or a company I worked for, I would respond to these highlighted questions above having done research about how that organizational example currently addresses homelessness, and, based on the question prompts above, how from your research and insight the organization should respond to homelessness.  Be sure to begin with a baseline of research for your organizational example to what it already is doing, and build upon that existing response to homelessness with your what must be done analysis.
III.  (“We”) – What must we (society) do?  Choose one of the societal response options below:

United States Policy Context/Approach (laws, funding, congressional bills, etc.)

Please address policy at a local, state, and/or national level.

Provide research into and a brief overview of a current policy example addressing homelessness at the local, state, and/or national level.
What is your analysis of this policy in light of the question:  What must society do about homelessness?  Where is the policy addressing homelessness well and where does it fall short?
What (more) must be done to address homelessness at this level of policy you selected?

Another Country’s Policy Context/Approach

Please choose a country
Please address policy at a local, regional, and/or national level.

Provide research into and a brief overview of a current policy example addressing homelessness at the local, regional, and/or national level.
What is your analysis of this policy in light of the question:  What must society do about homelessness?  Where is the policy addressing homelessness well and where does it fall short?
What (more) must be done to address homelessness at this level of policy you selected?

the definition of the American Dream in this week’s lecture. You also learned about the American identity. Traits often associated with the American identity include boldness, confidence, perseverance, and integrity. These traits are often demonstrated through a character’s words or actions. This week, we’ll focus on boldness. How is boldness reflected in the characters of Rebecca Harding Davis’s story? Choose two characters from Life in the Iron Mills and explain how boldness applies to them in the story.   

Assignment #1
  You learned the definition of the American Dream in this week’s lecture. You also learned about the American identity. Traits often associated with the American identity include boldness, confidence, perseverance, and integrity. These traits are often demonstrated through a character’s words or actions. This week, we’ll focus on boldness. How is boldness reflected in the characters of Rebecca Harding Davis’s story? Choose two characters from “Life in the Iron Mills” and explain how boldness applies to them in the story.   

300 words minimum (excluding quotations and citations)
Include two properly integrated and cited direct quotations (one related to each character) to support your claims. See the Literary Analysis Tools Module from this week’s activities for information about integrating and citing direct quotations.

  https://www.gutenberg.org/files/876/876-h/876-h.htm – this is the article it is in reference to
 

There is a no-research policy in place for this class. Using any material other than the assigned readings and lectures, even if it is correctly quoted and cited, will result in a failing grade for this assignment. Contact your instructor if you have questions about this policy.

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Assignment #2
 Creative writing in response to literature is a way for students to respond to literature in a personal way. Creative writing provides a way for students to practice critical thinking and develop a stronger understanding of literary criticism while showing creativity and a bit of their own personalities. For this creative writing assignment, you will do a character analysis to allow you to get inside the mind of one of the characters. “Rip Van Winkle” and “Young Goodman Brown” are told as third-person narratives, not as first-person narratives. The difference is that a third-person narrative presents the characters to us in the words of a narrator rather than from the words of the characters themselves. The story contains descriptions such as “Rip Van Winkle did this” or “Young Goodman Brown said that,” but it’s not as if the characters themselves are telling everything from their perspective. Of course, sometimes they speak in the story, but they do not get to tell the story or what they thinking or feeling. It is up to the reader to determine what the characters might be thinking or feeling. For this assignment, choose one of the following options: (A) Imagine you are Rip Van Winkle’s daughter, Judith, writing a journal entry after her father reappears after 20 years. Try to get into the mind of Judith. Be imaginative and creative. Pretend you are Judith and have just seen your father after he has been missing for 20 years. You will not be retelling the plot of the story; you will be Judith reflecting on the events of the day. In this journal entry you can put down whatever thoughts she might have using absolute frankness and honesty.? OR(B) Imagine you are Young Goodman Brown writing a journal entry the day after the events described in the story. Try to get into the mind of Goodman Brown. Be imaginative and creative. Pretend you are Goodman Brown and have just experienced the events described in the story. You will not be retelling the plot of the story; you will be Goodman Brown interpreting and reflecting on the events of the day. In this journal entry you can put down whatever thoughts Goodman Brown might have using absolute frankness and honesty.? Criteria:

Discuss the nature of derivative financial instruments.

Introduction
This assessment will allow you to practice two approaches for hedging an exposure to the change in a foreign currency.
Demonstration of Proficiency
By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies through corresponding scoring guide criteria:

Competency 1: Apply advanced accounting techniques to organizational situations. 

Discuss the nature of derivative financial instruments.
Indicate the factors that might influence the value of the USD against the Ghanaian Cedi.
Explain how much was won or lost by purchasing a 90-day option.
Discuss how a defined purchase contract could hedge against a change in exchange rate between the USD and the Ghanaian Cedi.

Competency 5: Communicate in a manner that is professional and consistent with expectations for members of the business professions. 

Communicate in a manner that is professional and consistent with expectations for members of the business professions.

Scenario
Hopkins Chocolate Company buys green cocoa beans that are processed into consumer products. Cocoa beans are currently selling for $2,000 United States Dollars (USD) per metric ton. Hopkins buys 100 tons at a time from Abamo Chocolate in Ghana, Africa. Normal purchase procedures stipulate that the purchase contract is denominated in Ghanaian Cedi and payment in Cedi is due 90 days after purchase.
Recently, the treasurer of Hopkins became concerned that the U.S. Dollar would change in value against the Ghanaian Cedi. Consequently, Hopkins bought a 90-day option.
Your Role
You are the controller for Hopkins Chocolate Company.
Requirements
As the controller of Hopkins Chocolate Company, you work closely with the treasurer. She has requested that you prepare a report to help explain the recent purchase of the 90-day option to members of the board of directors. Address the following in your report (3–5 pages):

Discuss the nature of derivative financial instruments.
Explain the factors that might influence the value of the USD against the Ghanaian Cedi. Discuss at least three factors.
Hopkins bought a 90-day option to exchange $200,000 USD for 900,000 Cedi. They paid $8,000 USD for the option and today it has been 90 days. Locate today’s value of the Cedi at XE.com’s Live Exchange Rates and calculate how much Hopkins won or lost by purchasing the 90-day option. Explain your calculations in detail.
Discuss how Hopkins could use a defined purchase contract to hedge against a change in exchange rate between the USD and the Cedi.

Deliverable Format
Since you plan to share your report with the treasurer and the board of directors, you want this report to be clear, well-organized, and readable. Your supervisor has requested that your report be 2-3 pages so that you have enough space to develop your ideas and provide some scholarly and/or professional context.

Communication: Communicate in a manner that is scholarly, professional, and consistent with the needs and expectations of senior corporate leadership and other stakeholders. For this scenario, assume the treasurer and the board of directors expect original work, critical thinking, and scholarly sources. Your writing must be free of errors that detract from the overall message.
Your report is a professional document and should therefore follow the corresponding MBA Academic and Professional Document Guidelines, including single-spaced paragraphs.
Resources: At least three resources that are scholarly and/or professional. So that your imaginary board of directors can locate more information about derivative instruments and currency options, include a reference page at the end of your report.
Report length: Minimum of 2-3 pages, not including reference pages.
Font and font size: Times New Roman, 12 pt.

Faculty will use the scoring guide to review your deliverable as if s/he were a director on the board. Review the scoring guide prior to developing and submitting your assessment.

Describe the technologies, hardware, and software used within the information technology field

Competency
In this project, you will demonstrate your mastery of the following competency:

Describe the technologies, hardware, and software used within the information technology field

Scenario
You are working as a contracted information technology specialist. You have been contacted by James Otis Tax Associates, a small tax preparation company. The company is growing rapidly and is opening a new office. They are focused on hiring and retaining the best in the field, and they believe that one way to do this is to provide every employee with the appropriate tools and technology they need to effectively complete their work. Your company has been asked to provide its expertise in identifying the technology components needed for the computer systems and network for the three employees in the new office. They would also like you to address the security needs of the various employees.
Directions
The manager at James Otis Tax Associates has asked you to submit a report describing the technology hardware and software needed to build a computer network for the new office. The manager has asked you to describe the computer system for each new employee, including an explanation of the purpose for each selected technology component, and to identify specific software programs that the employees would need. He has also asked you to describe the security measures needed to support the systems. In your explanation, include how your knowledge of human-computer interaction (HCI) impacted your choices for each component.
The manager has provided the following employee descriptions:

Certified Public Accountant (CPA): The CPA is a senior position at a tax preparation company. The CPA will be not only handling sensitive customer data from personal tax returns but also preparing tax returns for corporate clients. The CPA is also responsible for the personal tax returns filled out by the tax and data-entry specialist employees.
Tax Specialist: The tax specialist has the dual role of entering data and verifying that tax returns are correct. This position involves customer interaction in gathering data for minimizing taxes owed or maximizing tax refunds.
Data-Entry Specialist: This position requires data entry for personal tax returns for customers who walk in the door. Although the data-entry specialist works with sensitive customer data, they do not have access to the tax returns once the returns are submitted to the tax specialist for review.

For each employee, you must:

Describe all hardware components, including peripherals, needed to create the systems
Identify specific software programs (more than one) that would be beneficial to each identified employee. Programs could include:

Operating systems
Applications such as:

Office automation products
Security products

Describe security measures needed to support this system. Security measures could focus on:

Access
Administration and user passwords
Firewalls

Along with each description, explain the purpose of each technology component in each system. In your explanation, include how your knowledge of human-computer interaction (HCI) impacted your choices for components.
Finally, choose a network topology that could be used to connect all of the new employees identified by the manager. Create a Visio diagram to identify the networking equipment needed to enable the workflow between the employees.
What to Submit
To complete this project, you must submit the following:
Technology Needs ReportYour technology needs report should be 3–4 pages in length. For each of the new employees, you must describe all hardware components needed to create the system, identify specific software programs that the employees would need, and describe security measures needed to support the systems. Along with each description, explain the purpose of each technology component in each system. In your explanation, include how your knowledge of human-computer interaction (HCI) impacted your choices for each component.
Network DiagramYou have also been asked to include a visual representation of the topology you selected and the network equipment needed to support interactions between these employees. Use Visio if possible to create a 1-page (or 1-slide) diagram that identifies the networking equipment needed to enable the workflow between these employees.

Navigate to https://www.sans.org/reading-room/whitepapers/policyissues/information-security-policy-development-guide-large-small-companies-1331. Summarize the Policy Development Guides recommendations for organizing a policy hierarchy and selecting policy topics.

Part 1: Research Security Policy Frameworks (0/2 completed)
Note: In this part of the lab, you will review internet resources on security policy frameworks in order to form a basis for their purpose and usage. Understanding the reason behind a security policy framework is key to understanding the component policies and procedures. Please take the time to review the research thoroughly and think through the concepts behind the framework itself.
1. In your browser, navigate to https://www.sans.org/reading-room/whitepapers/policyissues/information-security-policy-development-guide-large-small-companies-1331.
2. Read Sections 1-5 of the SANS Policy Development Guide.
3. Summarize the Policy Development Guide’s recommendations for organizing a policy hierarchy and selecting policy topics.
Note: It is important to understand how and why a policy differs from a standard, a procedure, and a guideline. From the top down, the policy should not change or need modification unless a major shift in corporate values or business process occurs. On the contrary, guidelines should be reviewed, and possibly changed, often.
Similarly, even though a policy should be written clearly and concisely, it is a high-level document answering the “why” questions. Standards are also high level, but they answer the “what” questions. Finally, the procedures and guidelines provide the “how.”
Examples of security policy and guideline templates are available from the SANS Institute at https://www.sans.org/information-security-policy/.
In the next steps, you will learn about COBIT 2019, a popular industry-standard policy framework.
4.  In your browser, navigate to https://www.cio.com/article/3243684/what-is-cobit-a-framework-for-alignment-and-governance.html.
5. Describe the core principles and objectives of COBIT 2019.
Part 2: Define a Security Policy Framework (0/2 completed)
Note: Understanding both unique and universal risks to your organization’s IT infrastructure is essential to developing an appropriate IT security policy framework for your organization. In this part of the lab, you will review a list of risk, threats, and vulnerabilities and define appropriate policies to mitigate them. Next, you will organize your policies into a policy framework.
1. Review the following list of risks, threats, and vulnerabilities at the fictional Healthwise Health Care Company.

Unauthorized access from public Internet
Hacker penetrates IT infrastructure
Communication circuit outages
Workstation operating system (OS) has a known software vulnerability
Unauthorized access to organization-owned data
Denial of service attack on organization’s e-mail
Remote communications from home office
Workstation browser has software vulnerability
Weak ingress/egress traffic-filtering degrades performance
Wireless Local Area Network (WLAN) access points are needed for Local Area Network (LAN) connectivity within a warehouse
User destroys data in application, deletes all files, and gains access to internal network
Fire destroys primary data center
Intraoffice employee romance gone bad
Loss of production data
Need to prevent rogue users from unauthorized WLAN access
LAN server OS has a known software vulnerability
User downloads an unknown e-mail attachment
Service provider has a major network outage
User inserts a USB hard drive with personal photos, music, and videos on organization-owned computers
Virtual Private Network (VPN) tunneling between the remote computer and ingress/egress router

2. For each risk, threat, or vulnerability in the list above, select an appropriate security policy that might help mitigate it. You can select one of the SANS policies or choose one from the following list.
Security Policies

Acceptable Use Policy
Access Control Policy
Business Continuity—Business Impact Analysis (BIA) Policy
Business Continuity and Disaster Recovery Policy
Data Classification Standard and Encryption Policy
Internet Ingress/Egress Traffic Policy
Mandated Security Awareness Training Policy
Production Data Backup Policy
Remote Access Policy
Vulnerability Management and Vulnerability Window Policy
Wide Area Network (WAN) Service Availability Policy

3. Organize the security policies you selected so that they can be used as part of an overall framework for a layered security strategy.
Challenge Exercise (0/2 completed)Note: The following challenge exercise is provided to allow independent, unguided work – similar to what you will encounter in a real situation.
A user at Digital Innovation Products has been using company network resources to download torrent files onto a USB drive and transfer those files to their home computer. IT tracked down the torrent traffic during a recent network audit. Unfortunately, the company does not have a current policy that restricts this type of activity.
Identify at least two appropriate policies that should be in place to define this type of behavior and the consequences thereof.
Write a brief overview for C-level executives explaining which policies should be added to the company’s overall security policy framework, why they should be added, and how those policies could protect the company.

Post an explanation of your choice of a nursing specialty within the program. Describe any difficulties you had (or are having) in making your choice, and the factors that drove/are driving your decision. Identify at least one professional organization affiliated with your chosen specialty and provide details on becoming a member.

DISCUSSION

Post an explanation of your choice of a nursing specialty within the program. Describe any difficulties you had (or are having) in making your choice, and the factors that drove/are driving your decision. Identify at least one professional organization affiliated with your chosen specialty and provide details on becoming a member.

Responds to the discussion question(s) and is reflective with critical analysis and synthesis of knowledge gained from the course readings for the module. … At least 75% of post has exceptional depth and breadth. … Supported by at least three credible sources. … Written clearly and concisely with one or no grammatical or spelling errors and fully adheres to current APA manual writing rules and style.
39 to >34 pts
Fair
Responds to some of the discussion question(s). … One or two criteria are not addressed or are superficially addressed. … Is somewhat lacking reflection and critical analysis and synthesis. … Somewhat represents knowledge gained from the course readings for the module. … Post is cited with two credible sources. … Written somewhat concisely; may contain more than two spelling or grammatical errors. … Contains some APA formatting errors.
34 to >0 pts
Poor
Does not respond to the discussion question(s) adequately. … Lacks depth or superficially addresses criteria. … Lacks reflection and critical analysis and synthesis. … Does not represent knowledge gained from the course readings for the module. … Contains only one or no credible sources. … Not written clearly or concisely. … Contains more than two spelling or grammatical errors. … Does not adhere to current APA manual writing rules and style.
REQUIRED READINGS

Required Readings

· Bickford, C. J., Marion, L., & Gazaway, S. (2015). 
Nursing: Scope and standards of practice, third edition – 2015
Links to an external site.
. Retrieved from http://ebooks.iospress.nl/publication/12524

· Cherry, B., Caramanica, L, Everett, L. Q., Fennimore, L., & Elaine, S. (2019).
Leveraging the power of board leadership in professional nursing organizations
Links to an external site.
. JONA: The Journal of Nursing Administration, 49(11), 517-519.

· Echevarria, I. M. (2018). 
Make connections by joining a professional nursing organization
Links to an external site.
. Nursing, 48(12), 35–38.  

· Truant, R., & Chan, R. J. (2017). 
Future ready: Strengthening oncology nursing leadership in the context of professional oncology nursing organizations
Links to an external site.
. Canadian Oncology Nursing Journal, 27(1), 2-4.

Ms. Z is a 28-year-old assistant store manager who arrives at your outpatient clinic complaining of sadness after her boyfriend of 6 months ended their relationship 1 month ago. She describes a history of failed romantic relationships, and says, “I don’t do well with breakups.” Ms. Z reports that, although she has no prior psychiatric treatment, she was urged by her employer to seek therapy. Ms. Z has arrived late to work on several occasions because of oversleeping. She also has difficulty in getting out of bed stating, “It’s difficult to walk; it’s like my legs weigh a ton.” She feels fatigued during the day despite spending over 12 hours in bed and is concerned that she might be suffering from a serious medical condition. She denies any significant changes in appetite or weight since these symptoms began. Ms. Z reports that, although she has not missed workdays, she has difficulty concentrating and has become tearful in front of clients while worrying about not finding a significant other. She feels tremendous guilt over “not being good enough to get married,” and says that her close friends are concerned because she has been spending her weekends in bed and not answering their calls. Although during your evaluation Ms. Z appeared tearful, she brightened up when talking about her newborn nephew and her plans of visiting a college friend next summer. Ms. Z denied suicidal ideation. Summarize the clinical case including the significant subjective and objective data. Generate a primary and two differential diagnoses.  Use the DSM5 to support the assessment.  Include the DSM5 and ICD 10 codes. Discuss a pharmacological treatment would you prescribe? Use the clinical guidelines to support the rationale for this treatment. Discuss non-pharmacological treatment would you prescribe?  Use the clinical guidelines to support the rationale for this treatment. Describe a health promotion intervention that would be appropriate for this patient.

After studying Module 4: Lecture Materials & Resources, discuss the following:
Case StudyMs. Z is a 28-year-old assistant store manager who arrives at your outpatient clinic complaining of sadness after her boyfriend of 6 months ended their relationship 1 month ago. She describes a history of failed romantic relationships, and says, “I don’t do well with breakups.” Ms. Z reports that, although she has no prior psychiatric treatment, she was urged by her employer to seek therapy. Ms. Z has arrived late to work on several occasions because of oversleeping. She also has difficulty in getting out of bed stating, “It’s difficult to walk; it’s like my legs weigh a ton.” She feels fatigued during the day despite spending over 12 hours in bed and is concerned that she might be suffering from a serious medical condition. She denies any significant changes in appetite or weight since these symptoms began.
Ms. Z reports that, although she has not missed workdays, she has difficulty concentrating and has become tearful in front of clients while worrying about not finding a significant other. She feels tremendous guilt over “not being good enough to get married,” and says that her close friends are concerned because she has been spending her weekends in bed and not answering their calls. Although during your evaluation Ms. Z appeared tearful, she brightened up when talking about her newborn nephew and her plans of visiting a college friend next summer. Ms. Z denied suicidal ideation.
Summarize the clinical case including the significant subjective and objective data.
Generate a primary and two differential diagnoses.  Use the DSM5 to support the assessment.  Include the DSM5 and ICD 10 codes.
Discuss a pharmacological treatment would you prescribe? Use the clinical guidelines to support the rationale for this treatment.
Discuss non-pharmacological treatment would you prescribe?  Use the clinical guidelines to support the rationale for this treatment.
Describe a health promotion intervention that would be appropriate for this patient.

You are a medical professor in charge of creating college assignments and answers for medical college students. You design and conduct lectures, evaluate student performance and provide feedback through examinations and assignments. Answer each question separately. Include and Introduction. Provide an answer to this content

A mother brings in her 11 year old son, Branch, because he has had a nosebleed.  She is concerned about it because they have been applying pressure by pinching it and the nosebleed won’t stop.  He has no history of nosebleeds.  He has no significant medical history and no known allergies.  He is on no medications.  Mom and Branch deny trauma to the nose.  He says he just woke up with a nosebleed and it won’t stop.  He tells you that the left side is the side that is bleeding. Vital signs:  BP 110/70 P 84 R 14 T 97.8 oral Pulse ox 99% You recognize that simple pressure is not going to stop the nosebleed so you know that you will not have to intervene.  Prior to any      type of procedure, you have the mother sign an informed consent for a      procedures.  What are the three major areas you must discuss      when doing any type of procedure?

 To Prepare:
· Consider what physical assessments and diagnostic tests would be appropriate in order to gather more information about the patient’s condition. Reflect on how the results would be used to make a diagnosis. 
· Identify three to five possible conditions that may be considered in a differential diagnosis for the patient. 
· Consider the patient’s diagnosis. Think about clinical guidelines that might support this diagnosis. 
· Develop a treatment plan for the patient that includes health promotion and patient education strategies for patients with HEENT conditions. 
The Assignment
Case study
A mother brings in her 11 year old son, Branch, because he has had a nosebleed.  She is concerned about it because they have been applying pressure by pinching it and the nosebleed won’t stop.  He has no history of nosebleeds.  He has no significant medical history and no known allergies.  He is on no medications.  Mom and Branch deny trauma to the nose.  He says he just woke up with a nosebleed and it won’t stop.  He tells you that the left side is the side that is bleeding.
Vital signs:  BP 110/70 P 84 R 14 T 97.8 oral Pulse ox 99%
You recognize that simple pressure is not going to stop the nosebleed so you know that you will not have to intervene. 

Prior to any      type of procedure, you have the mother sign an informed consent for a      procedures.  What are the three major areas you must discuss      when doing any type of procedure?
Nosebleeds can      be divided into three groups.  What are they? 
90% of      nosebleeds fall into which group? 
Name 4 indications      for intervention by a provider for a nosebleed. 
You place      Branch on the assessment table at approximately 45 degrees.  You      drape him appropriately.  You have him blow his nose gently to      remove clots.  You then inspect the right side to familiarize      yourself with his anatomy.  You then inspect the left side using      a nasal speculum.  When using the nasal speculum, it      is important to use it ______________ (HORIZONTALLY/VERTICALLY).
Why is it      important to use the nasal speculum a certain way?
You note that the      bleeding is coming from an area on the septum.  You know that      the next step is to apply a vasconstrictive solution to the      nose.  What are two ways you can deliver      the vasoconstrictive solution? 
You note that      the area that is the source of the bleeding is about 3 mm in      diameter.  You make the decision to use a silver nitrate      stick.    How long should you apply pressure with the      stick?
Why it is it      important not to use the silver nitrate for over that time frame? 
After hemostasis is      obtained, what are three types of treatment methods that can be used to      protect the cauterization site? 
If that had not      stopped the bleeding and you had to make the decision to use a nasal      sponge or nasal tampon, the sponge/tampon should be coated in      _____________ and left in place for __________ hours. 
After putting in the      nasal sponge/tampon, approximately 2 ml of ________ or _______ should be      dripped onto the tip to help the sponge expand. 
After placing the      nasal sponge/tampon, the patient should be closely monitored for 3-5      minutes.  Why is that?
After the close      monitoring, the patient should be kept in observation status for ______      minutes. 
If a sponge/tampon      is used, it is not necessary to use antibiotics. 
If it is      necessary to pack the nose, it may be advisable to give the patient a      narcotic or sedative medication (unless a contraindication      exists).  Why? 
Name 5 complications      of the above procedures. 
After the procedure,      you tell the pt and his mother that he can take acetaminophen for any      pain/discomfort.  Why is it important not to have him take      ibuprofen? 
What is the leading      cause of nosebleeds in adolescents? 
What CPT code would      you use for the above procedure? 
What is the      definition of the above code?

Address the following:
Create documentation in the Focused SOAP Note Template about the patient in the case study to which you were assigned. 
In the Subjective section, provide: • Chief complaint • History of present illness (HPI) • Current medications • Allergies • Patient medical history (PMHx) • Review of systems 
In the Objective section, provide: • Physical assessment documentation of systems pertinent to the chief complaint, HPI, and history • Diagnostic results, including any labs, imaging, or other assessments needed to develop the differential diagnoses 
In the Assessment section, provide: • At least three differentials with supporting evidence. Explain what rules each differential in or out and justify your primary diagnosis selection. Include pertinent positives and pertinent negatives for the specific patient case. 
In the Plan section, provide: • A detailed treatment plan for the patient that addresses each diagnosis, as applicable. Includes documentation of diagnostic studies that will be obtained, referrals to other healthcare providers, therapeutic interventions, education, disposition of the patient, and any planned follow up visits. • A discussion related to health promotion and disease prevention taking into consideration patient factors, PMH, and other risk factors. • Reflections on the case describing insights or lessons learned. 
Provide at least three evidence-based, peer-reviewed journal articles or evidenced-based guidelines that relate to this case to support your diagnostics and differentials diagnoses. Be sure they are current (no more than 5 years old) and support the treatment plan in following current standards of care.

Conduct an evaluation of virtual technologies for server and desktop consolidation, data replication, backup and archiving, Voice over Internet Protocol (VoIP), and cloud computing.

Assignment Details
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Unit 2 – Individual Project (100 points)

Due: Sun, Sep 10 |Printer Friendly Version

Description

One of the first tasks in the development of a virtual Technology Implementation Plan is to determine how virtualization can benefit the organization. Identification of the potential benefits will help match available technologies with the organization’s needs, and it will also allow focus on the key technologies available to implementation.
For this assignment, you will conduct an evaluation of virtual technologies for server and desktop consolidation, data replication, backup and archiving, Voice over Internet Protocol (VoIP), and cloud computing. These virtualization categories will be matched to the needs of the organization, and appropriate technologies will be selected for the plan.
The project deliverables are as follows:
· Update the Virtual Technology Implementation Plan document title page with a new date and project name.
· Update the previously completed sections based on instructor feedback.
· Evaluate the impact of virtualization on TSG.
· Complete the following for the Evaluation of Virtualization for the Organization section:
· Review and benefits:
· Explain how virtualization can benefit TSG in the areas of server and desktop consolidation, data replication, backup and archiving, VoIP, and cloud computing.
· Provide general explanations as well as specific examples that use measurable outcomes.
· Comparison and matching:
· Compare the technologies that you reviewed in the review and benefits section with the virtual technologies reviewed in Unit 1.
· Analyze and match available technologies with the needs of the organization.
· At this stage, you will likely be making recommendations to the TSG executive management that could require significant investments and major changes in the way the company does business.
· Considering these potential impacts on the company, you will need to include a significant level of justification for your recommendations.
· Your justification should include a cost and benefit analysis of virtual versus nonvirtual approaches as well as a discussion of the value of the intangible benefits of virtualization.
· Remember that your justification will be used to seek management approval for the plan.
· Be sure to update your table of contents section before submission.
· Name the document “yourname_IT645_IP2.doc.”
· Submit the document for grading.
The following documents are part of a worked example that will be helpful to you in completing this assignment:
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Part 1: To help you with this assignment, download the 

Worked Example Problem Description
.

·
Part 2: To help you with this assignment, download the 

Data Center Dimension Calculation Process
.

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Part 3: To help you with this assignment, download the 

Worked Example of Rack Configuration
.

Please submit your assignment.

For assistance with your assignment, please use your textbook, all course resources, and any external research and resources you have gathered.

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