Outdoor life manufactures snowboards. its cost of making 2-000

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Outdoor Life manufactures snowboards. Its cost of making 2,000 bindings is as follows P20-25A Outdoor Life manufactures snowboards. Its cost of making 2,000 bindings is as follows:Direct materials$ 17,550Direct labor3,400Variable overhead2,040Fixed overhead6,300Total manufacturing costs for 2,000 bindings  Suppose Lancaster will sell bindings to Outdoor Life for $14 each. Outdoor Life would pay $3 per unit to transport the bindings to its manufacturing plant, where it would add its own logo at a cost of $0.70 per binding. Requirements1. Outdoor Life’s accountants predict that purchasing the bindings from Lancaster will enable the company to avoid $2,100 of fixed overhead. Prepare an analysis to show whether Outdoor Life should make or buy the bindings. 2. The facilities freed by purchasing bindings from Lancaster can be used to manufacture another product that will contribute $2,700 to profit. Total fixed costs will be the same as if Outdoor Life had produced the bindings. Show which alternative makes the best use of Outdoor Life’s facilities: (a) make bindings, (b) buy bindings and leave facilities idle, or (c) buy bindings and make another product.

DESCRIBING THE DIFFERING APPROACHES OF NURSING LEADERS AND MANAGERS TO ISSUES IN PRACTICE.

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DESCRIBING THE DIFFERING APPROACHES OF NURSING LEADERS AND MANAGERS TO ISSUES IN PRACTICE.

Details: In this assignment, you will be writing a 1,000-1,250-word essay describing the differing approaches of nursing leaders and managers to issues in practice. To complete this assignment, do the following:

Select an issue from the following list: nursing shortage and nurse turn-over, nurse staffing ratios, unit closures and restructuring, use of contract employees (i.e., registry and travel nurses), continuous quality improvement and patient satisfaction, and magnet designation. Compare and contrast how you would expect nursing leaders and managers to approach your selected issue. Support your rationale by using the theories, principles, skills, and roles of the leader versus manager described in your readings. Identify the approach that best fits your personal and professional philosophy of nursing and explain why the approach is suited to your personal leadership style. Use at least two references other than your text and those provided in the course. Prepare this assignment according to the APA guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

This assignment uses a grading rubric. Instructors will be using the rubric to grade the assignment; therefore, students should review the rubric prior to beginning the assignment to become familiar with the assignment criteria and expectations for successful completion of the assignment.

You are required to submit this assignment to Turnitin. Refer to the directions in the Student Success Center. Only Word documents can be submitted to Turnitin.

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National Electrical Code Graded Project

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Need answers 

MRI for Diagnosis of Mycetoma or Madura Foot

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“Dot in Circle” sign — a unique attribute of mycetoma foot on MRI: a report of two cases

Aggarwal A, Gupta M, Patel B N, Patel S B


Abstract

Mycetoma or Madura Foot is a chronic localized granulomatous disease characterized by exuberant granulomatous tissue formation involving the subcutaneous plane. It is most common in tropical countries. Diagnosis has been traditionally done by microbiological culture and histopathological tissue diagnosis but these are often difficult to obtain and frequently inconclusive. MRI has recently emerged as a promising technique for early and prompt diagnosis of Mycetoma with the description of a highly specific sign called as “Dot in Circle” sign. We hereby present 2 cases showing this characteristic “Dot in circle” sign on MRI and thereby establishing the diagnosis of Madura Foot.


Patient 1

A 52-year-old male farmer by occupation presented with a painless swelling involving the left foot, which had been operated on elsewhere two times. Previous reports of surgery were not available. Examination revealed a non tender, large swelling involving whole of the left foot and the ankle joint. It was associated with numerous chronic discharging sinuses. (Fig 1) General examination was unremarkable and the soft tissue was normal. Rotuine blood and biochemical investigations were also unremarkable. Plain radiograph revealed a soft tissue mass in the left foot with advanced bony destruction mainly involving the tarsal, metatarsals and phalanges without any calcification. MRI scan was performed to evaluate the disease further. MRI showed a soft tissue mass lesion, diffuse hyperintensity involving subcutaneous tissue, muscles, and intermuscular fascial planes. There were also multiple focal fluid collections seen in the fascial plane with ulceration of overlying skin. The mass demonstrated characteristically conglomerate areas of multiple, inconspicuous, small 3–4 mm oval to round hyperintense lesions, which were separated by a low-signal-intensity rim in the subcutaneous plane of the dorsum of the foot. The centre of few of these lesions showed a small hypointense focus, resulting in the dot-in-circle sign (Figs. 2, 3). The underlying bones showed cortical erosions mainly involving the tarsal, metatarsals and phalanges. On the basis of the above clinical and radiological findings, a diagnosis of mycetoma foot was put forward. A biopsy was performed to confirm the diagnosis which revealed granulomatous inflammation and presence of eumycetoma (Fig. 4).

Patient 2

A 37 year old male, complained of mass in the left foot for the past 2 years. Examination revealed multiple numerous discharging sinuses with skin ulcerations. The discharging sinuses did not contain any grains which is usually pathognomonic of Madura mycosis. Plain frontal radiograph of the left foot shows soft tissue mass with severe destruction of the bone along with a palisade type of periosteal reaction mainly involving the tarsals and metatarsals (Figs. 5). The patient underwent MRI for evaluation and extent of the disease. Similarly, the lesion showed marked inflammatory changes in the left foot with cortical erosion, with micro-abscesses formation. The characteristic dot in circle sign (Figs. 6) was described and diagnosis of mycetoma foot was made. The patient underwent an excision biopsy. Histopathology showed eumycetoma.


Images


C:UsersArvindDesktop11Madura foot1.JPG

C:UsersArvindDesktop11Madura footBhagwandas Patel 45Y-M-MRILt_Ankle__449487278eT2W_TSE_CLEAR_402--axial t2IM-0002-0010.jpg


Figure


2


. T2-weighted axial MR cut sections


of the left foot shows extensive inflammatory


changes. Multiple hyperintense


lesions which were small and round in shape and separated by tissue of low signal intensity


are noted. Some of these lesions



(arrows)



show a


central small focus of hypointensity, resulting in the characteristic


dot-in-circle sign.

C:UsersArvindDesktop11Madura footBhagwandas Patel 45Y-M-MRILt_Ankle__449487278STIR_longTE_601--coronal STIRIM-0004-0017.jpg


Figure


3


T2-weighted fat-saturated coronal MR image of


the left foot shows multiple microabscesses separated by


a low-intensity matrix seen posteriolaterally. Marked inflammatory changes with multiple fluid collections are noted in the fascial plane


.

C:UsersArvindDesktop11Madura footeumyecetoma footeumyecetoma foot.jpg

Figure 4 Haematoxylin and Eosin( H&E) : Fungal organisms surrounded by granulation tissue.

C:UsersArvindDesktopMADURA FOOT-- XRAY2.jpg

Figure 6

T2-weighted axial MR image


of the left foot shows extensive inflammatory


changes with cortical erosion. Multiple small spherical


hyper-intense lesions separated by tissue of low signal intensity


are noted. Some of these lesions



show



a


small foci of hypointensity centrally, resulting in the


dot-in-circle sign. Note the presence of multiple


microabscess.


Discussion

Madurai Mycosis is a chronic granulomatous disease caused by 2 group of organisms, the Eumyces which are also called as true fungi or eumycetoma, and the Actinomyces, which are the filamentous form also called as Actinomycetales or actinomycetoma. The disease was first described in the Madurai district in the state of Tamil Nadu, hence the eponym Madura foot. The infective organisms are normal inhabitants of the soil and cause infection by direct implantation into the skin, most commonly the foot in individuals walking bare foot. Patients classically present with multiple subcutaneous nodules which are characteristically painless. These may give rise to fistulae formation, often associated with a purulent discharge. The disease progresses slowly and over long term leads to abscess formation, sinus tracts, osteomyelitis, and fistula formation ultimately resulting in severe deformity and disability if treatment is not provided

[4]
.

Histologically the disease is characterized by formation of so called ‘‘grains’’, which are found embedded in the abscesses. These grains are nothing but aggregates of the organism and are surrounded by extensive granulation tissue. Initially there is soft tissue swelling with induration which later progresses to form multiple discharging sinus with or without bone involvement.

[5]

Radiological investigations play a significant role in arriving at the diagnosis swiftly especially since tissue cultures are seldom diagnostic. Radiographs may be normal early in the disease process but later show varying degree of soft tissue swelling with destruction of the bone in form of sclerosis, cavity formation and classical palisade type of periosteal reaction. This is followed by expansion of the bone with scalloping of the cortex or osteoporosis. This condition mimics bacterial osteomyelitis but in mycetoma the bones are usually detsroyed from the outside, giving rise to characteristic “Moth eaten appearance”.

[2]

The “Dot in circle” sign has emerged has a highly specific sign for the diagnosis of this condition and is based on the understanding of the pathogenesis of the disease process. It reflects the unique

pathological feature of mycetoma and consists of multiple small round hyperintense lesions of size measuring around 3-5 mm surrounded by a hypointense rim. The small hyperintense lesions represent the granulation tissue and the surrounding hypointense rim represents the intervening stroma having fibrous septations. The low-signal intensity dot in the centre is due to the presence of fungal grains which causes a susceptibility effect on MRI. This is a unique appearance and is easily recognisable in mycetoma.

[1]
This sign was proposed by Sarris et al. in 2003 on T2-weighted, STIR, and T1-weighted fat-saturated gadolinium enhanced images.


Conclusion

We conclude by saying that mycetoma is a severe debilitating disease with high morbidity. Until now the diagnosis of the disease was limited to clinical picture supplemented by biopsy and microbiological culture which were difficult to obtain and proved to be inconclusive in many cases. MRI has emerged as an excellent investigation in mycetoma and helps to arrive at the diagnosis much earlier in the course of disease thereby further helping in reducing the morbidity and rate of complications. Awareness of this characteristic sign is important in view of the scarcity of reports that describe it in the literature and with increasing use of MRI in the evaluation of soft tissue tumours.

[3]

Ref:

  1. S, Betty M, Manipadam MT, Cherian VM, Poonnoose PM, Oommen AT, et al. The “dot-in-circle” sign – A characteristic MRI finding in mycetoma foot: A report of three cases.Br J Radiol.2009;82:662–5.
  1. Mycetoma revisited. Incidence of various radiographic signs. Abd El-Bagi ME, Fahal AH Saudi Med J. 2009 Apr; 30(4):529-33.
  1. Kumar J, Kumar A, Sethy P, Gupta S. The dot-in-circle sign of mycetoma on MRI.Diagn Interv Radiol.2007;13:193–5.
  1. Lewall DB, Ofole S, Bendl B. Mycetoma. Skeletal Radiol 1985; 14:257–262.
  1. Magana M. Mycetoma, some clinical and histopathological features.Turk J Dermatopathol.1994;3:94.

Worst coworker | MAN3240 | mIAMI dADE cOLLEGE

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Think again about the worst coworker you’ve ever had—the one who did some of the things listed in Table 1-1. Think about what that coworker’s boss did (or didn’t do) to try to improve his or her behavior.

What did the boss do well or poorly?

What would you have done differently, and which ORGANIZATIONAL BEHAVIOR TOPICS would have been most relevant?

This assignment asks you to consider a current or past coworker who has low levels of either job performance, organizational commitment, or both. Draw on concepts from the course to explain exactly why this coworker is so ineffective, and how you and his/her supervisors might react, given that knowledge.

Should be 200-250 words in length.

459 randomly selected light bulbs were tested in a laboratory, 291 lasted more than 500 hours. Find a point estimate of the true proportion of all light bulbs that last more than 500 hours.

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459 randomly selected light bulbs were tested in a laboratory, 291 lasted more than 500 hours. Find a point estimate of the true proportion of all light bulbs that last more than 500 hours.

Statistic Assignment.

Title: Confidence Intervals

1.459 randomly selected light bulbs were tested in a laboratory, 291 lasted more than 500 hours. Find a point estimate of the true proportion of all light bulbs that last more than 500 hours.

Find the critical value for zα/2 that corresponds to a degree of confidence of 98%.
Find the margin of error for the 95% confidence interval used to estimate the population proportion with n = 163 and x = 96.
Construct the confidence interval for question 3.
Interpret the confidence interval found in question 4.
What are the requirements for a Student’s t-distribution?
Find the critical value for tα/2 corresponding to n = 12 and 95% confidence level.
Use the confidence level and sample data to find the margin of error E.
College students’ annual earnings:

99% confidence, n = 81, = $3967, s = $874

Construct the confidence interval for question 8 above.

Interpret and describe the confidence obtained in question 9 in non-technical terms.
Attachments:

statistics_math_assgn._one.docx

Spirituality and Sexuality in Palliative Care

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  • Anjum zahoor


Significance of spirituality and sexuality in palliative care

According to WHO (2012) “Palliative care is an approach that improves the quality of life of patients and their families facing the problem associated with life-threatening illness, through the prevention and relief of suffering by means of early identification and impeccable assessment and treatment of pain and other problems, physical, psychosocial and spiritual”. The aim of palliative care is to provide comfort care and support system at end of life, to relieve suffering and cope with problem associated with life changes due to illness. Literature also supported that Palliative care does not depend on prognosis, as the life is at end stage, or cure the disease. But it focuses primarily on anticipating, preventing, diagnosing, and treating symptoms experienced by patients with a serious or life-threatening illness and helping patients and their families make medically important decisions.

During my palliative course clinical I encountered with 80 year old male patient admitted with complain of drowsiness, hiccups and upper GI bleed. At Aku he was treated as aspiration pneumonia. During history taking patient stated that, from two days I was feeling weak and unable to move myself. After investigations, reports revealed that he was suffering from bilateral brain atrophy, subdural hygromas and Pleural effusion in left lung. In Four days clinical I observed that his son took care of his father, reciting holy Quran and sprinkle holy water on his face. When I assessed patient’s spiritual Domain, his son verbalized that before hospitalization he was very punctual in his rituals, offered prayers. Due to hospitalization he was unable to perform his rituals. During care when I asked about patient’s memorable day he stated that my memorable day is when me and my wife went to America to meet my daughter .we enjoyed a lot, visited the entire beautiful place and spend good time with my family. Suddenly patient stop conversation and cried. I shocked for a while, elaborating further he mention that he lost his wife. I felt very sad. The moment is very emotional, and my eyes are full of tears. I felt like crying. I felt the pain he was going through from which he can get relief after peace full death. I was very sorry for the absence of his family members, during his last movement who can give at least moral support for him.

As a nursing student my responsibility is to provide holistic care to the patient and his family. During care I identified several affected domains, like physical (pain in leg and stomach, drowsiness), psycho-social (death of wife), spiritual (religious), and many others. Here all domains of palliative care are interlinked to each other but I focused on two affected domains: spiritual and sexual.

This paper is about issues, intervention, recommendations regarding spirituality and sexuality. I would like to discuss the highlighted domain which was spirituality. Many patients find changes in their spirituality when they are at end of life. Some patients get very closer to God, offer their rituals and find religion as a coping mechanism to enhance their well-being. While some people get confused and stack in spiritual conflicts, blaming God for illness and denied from happening as result they separate themselves from supreme-power. Similar is the case with my patient, because of his illness his religious practice was greatly altered. As patient was CBR and has pain in his leg and right hand. He used to offer regular rituals prior, to his illness and now he is upset as he is unable to do. But he is very satisfied with his God’s blessing. He says that “God gave me everything, fulfill my wishes, and I am very happy with my life. But now he considers himself unkempt because of urine bag, NG tube. I encouraged patient and his family to reconnect with God. Sulmasy, D. P. (2006). Stated that “spirituality play a vital role in a person’s coping style. It can also provide a network of social support that promote and to maintain emotional and psychological wellbeing”. As a nurse when I assess patients need, he verbalized that he wants to offer prayers. At that time I provide table covered with clean white clothes, so that patient put his tasbii on it and offer his prayer. Due to his physical illness he does not able to stand so, I encourage patient to offer ritual on his bed and I assist him with physical limitation. I curtain patients bed provided privacy and encouraged patient’s family to recite holy Quran near bed side, and assist to show the direction of kiblah. During feeding his son requested me to give holy water I give. The family really appreciates me and my effect comes fruitful. It makes me so happy and proud.

Other highlighted domain was sexuality. Sexuality is fundamental desire for all human being. According to WHO as cited in (Tierney,D.K. (2008). “Sexuality is the combination of physical, emotional, intellectual, and social aspects of sexual beings in positive ways to enrich and enhance personality, communication, and love”. Most of the health care professionals are hesitant in asking about these issues. Health care provider always address physical, social, psychological domain and many times they neglect the domain of sexuality in their care. As a palliative care nurse it’s my responsibility to provide holistic care to patients so it’s important to discuss the impact of their illness on sexuality. Sexuality is not only about intercourse or not refer to just a physical act but it means identity, gender roles and orientations, libido, pleasure, and attachment. It is experienced and may be expressed through thoughts and feelings and love. It doesn’t matter patient is so aged, weak or drowsy, but we have to assess patient sexual component. According to Julie (2004) sexuality is a lifelong natural need that is not limited by age, physical appearance, health status, or functional abilities. Referring to my patient’s sexual domain. No doubt patient’s wife is no more, he feel alone and misses his wife, he seems weak or aged but we have to assess patient’s sexual need, his feeling toward it. May be patient wants to meet his daughter share his feeling and emotion with her, gave any advice to them. As a nurse it is not necessary that I help patient to meet with his wife to fulfill his sexual desire, it doesn’t mean that. Delivering physical care also come in sexuality. Moreover, during our palliative course theory session, one of our faculties told us that physical appearance also comes under component of sexuality. If a person is looking well, his self-esteem also improves, while if a person is unkempt, his self-esteem declines which ultimately affects patient’s sexuality too. I give fully attention to my patient in care, I give mouth care, bedding, encourage to change clothes. Encourage patient’s family to share his feeling with him.

Now a day Palliative care nursing is a very new and fruitful concept. It is started in our country but on a very slow moving and special effort is needed to build up this field. Moreover at organization level we have to work on it. Awareness session, programs are required. So we should conduct session with collaboration of other institution to come close to holistic care during last moment of live. As a student nurse it is our responsibility to assess all domain of palliative care. I would like to share a model that would further enhance our capabilities to understand the qualities of nurses that would help the nurses to play an effective role in palliative care. The model I am discussing is

“

The Nursing Role Effectiveness Model

.”

This model focuses on the nursing variables such as education and working experience that had a direct impact on patient’s effective palliative care. If a nurse is well aware and educated about the technical ways of communication with a dying patient, so she can ease his suffering in an effectual manner (Lange, Thom & Kline, 2008). Furthermore, health care team should have knowledge about spirituality so that they can identify and fulfill the need of patients by providing them holistic care. It is also recommended that there should be a separate room for patient and family, where they can peace fully performed their rituals. There should a system in hospital policy that provides a spiritual leader.

For sexuality it is necessary that nurse should perform a profound sexual assessment and build a therapeutic relationship. It would allow the client to comfortably verbalize his feelings. Moreover, if his family would be there so we would encourage them to spend time with the patient, hug him, kiss him or be intimate with him. Hereother ways of conveying intimacy. Legg, M. (2013).

In conclusion, palliative nursing care plays a vital role in terminally ill patients and family to enhance their wellbeing. It is very important component of holistic care and we nurses also play very crucial role in improving condition of patients, providing moral support, which include social, sexual, spiritual emotional and psychological domain. By end of two week of clinical I realized that how much palliative course is important to enhanced or support for patient. In future I will tried my best to help them ,provide a moral care .i used this knowledge in to practice in my community to promote this course.


REFERENCE

Baldacchino, D.R. (2011). Teaching On Spiritual Care: The perceived impact on qualified nurses. Nurse Education in practice, 11, 47-53.

Julie,M. (2004). Sexuality at the end of life.American Journal of Hospice & Palliative Care,21.

Lange, M., Thom, B., & Kline, N. (2008). Assessing Nurses’ Attitudes toward Death and Caring for Dying Patients in a Comprehensive Cancer Center.

Oncology Nursing Forum

,

35

(6), 955-959. doi:10.1188/08.onf.955-959

Legg, M. (2013). What is psychosocial care and how can nurses better provide it to adult oncology patients.

Australian Journal of Advance Nursing

, 28(3), pp.1-13..

Olasinde, T. A. (2012). Religious and Cultural Issues surrounding Death and Bereavement in Nigeria.

Online Journal of African Affairs

,

1

(1), 1-3

Tierney,D.K.(2008). Sexuality: A Quality-of-Life Issue for Cancer Survivors.Seminars in Oncology Nursing,24(2), 71-79. doi:10.1016/j.soncn.2008.02.001

Sulmasy, D. P. (2006). Spiritual Issues in the Care of Dying Patients: “… It’s Okay Between Me and God”. Jama, 296(11), 1385-1392.

World Health Organization. (2012). WHO definition of palliative care nursing.

Strategies to enhance emotional intelligence

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Strategies to enhance emotional intelligence

Order Description

Dear writer

Answer this question as new graduate nurse as good leader
Allocated students will research the topic ‘Strategies to enhance emotional intelligence’ and complete a PowerPoint presentation to their peers illustrating how competence in the topic area will make them a good leader, i.e. to manage patients, staff and work well as a team member.

this speech presentation ,
could you please add the main point or outline in 2 slides PowerPoint. and the rest of the words writer it in papers.

Introduction (Strategies to enhance emotional intelligence)
Becoming part of the team is much more than TeamSTEPPS® even though using all of the prescribed elements of TeamSTEPPS® contributes significantly to team success in acute situations. As a new graduate registered nurse you will have to settle in to a new situation. However, even highly desirable change can be stressful at the beginning. Emotionally you need to see any move as an adventure, a chance to learn and expand. Since it is inevitable, aim to get absolutely everything you can out of it. Regulating your emotional responses is critical, so develop a plan to explore all of the new situation and the people involved. See any new situation as a fresh start and be a new person in a new area.

Emotions matter is the overarching principle with regard to emotional intelligence (Yale Centre for Emotional Intelligence 2013). Early researchers had to overcome the commonly held notion that emotions were to be taken out of the equation and that people could function independently or were considered robotic. Emotional intelligence can affect decision making and is considered more important than IQ with regard to future success (Yale Centre for Emotional Intelligence 2013).

Emotional intelligence is defined as: a type of social intelligence that involves the ability to monitor one’s own and others’ emotions, to discriminate among them, and to use the information to guide one’s thinking and actions.
(Johns Hopkins University n.d., p. 1)

The skills to recognise emotions, understanding emotions and how they affect behaviour, labelling emotions accurately which means having a sophisticated vocabulary to describe the full range of emotions, expressing emotions appropriately, regulating emotions effectively are critical in nursing (Yale Centre for Emotional Intelligence 2013). By sensing others feelings and perspective, taking an active interest in their concerns the emotionally intelligent nurse does not take things personally and is able to accurately identify the emotional side of issues, such as the fear that underlies what appears to be demanding behaviour.

Emotional intelligence involves being able to use your emotions effectively (Yale Centre for Emotional Intelligence 2013):
•Positive mood may enable problem solving and creativity. An increase in confidence with regard to capabilities. Improved memory may also be present at these times.
•Anxiety motivates better preparation for tests and exams etc.
•Mood swings may assist with considering a wider variety of outcomes and better preparation.
•Negative mood may enable empathy or a focus on detail or critique.

Regulating emotions is helpful to the new graduate registered nurse; tune in to people, their interests, their concerns, so that your own self-consciousness reduces. People paid the compliment of undivided attention do respond positively in most instances. If you have tried your best then the problem is probably the other person’s, a headache, concerns at home, a recent loss or many other reasons that could have doomed your encounter from the beginning. Having empathy for other people is one of the keys to emotional intelligence. Show people you like them, greeted by a smile, genuine warmth and sympathetic interest, even those who are shy and insecure (these insecurities afflict preceptors and other staff at all levels) are likely to respond positively. Emotionally you need to send out positive signals, negative thinking such as ‘I am dreading this, I wish I could go home … no one will talk to me’, will show on your face and body language, you will be sending out subconscious signals that people will feel. It is often you who create your own reality.

There are many responsibilities and accountabilities that cannot easily be tested as an undergraduate (Hickey 2009). The skills to endure hardship, the skills of emotional intelligence and conflict are all strategies that may assist the NGRN (Hart et al. 2012).

Further information

Activity 3—Emotional intelligence competencies in nursin

You will be directed through a number of exercises by your lecturer including the following:

In your groups/as a whole group:

1 Review the pre-tutorial activity where you consulted the ‘Nursing core performance standards and capabilities and emotional intelligence’, developed by Johns Hopkins University, and asked yourself ‘how successful am I in each of these areas?’.
?If you feel comfortable, discuss any insights that result from completing the self-assessment.
?What areas do you need to work on, if any?

2 Undertake activities with regard to RULER and the MOOD METER as directed:

Recognising emotions in self and others

Understanding the causes and consequences of emotions

Labelling emotions accurately

Expressing emotions appropriately

Regulating emotions effectively

It includes valuing the importance of learning and teaching these skills to promote effective personal, social and workplace success.

(Sourced from: Yale Centre for Emotional Intelligence 2013, ‘Ruler Overview,’ https://ei.yale.edu/ruler/ruler-overview/)

Identify stakeholders impacted by health care reform and describe two pros and two cons of health care reform related to impacted stakeholders.

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Identify stakeholders impacted by health care reform and describe two pros and two cons of health care reform related to impacted stakeholders.

Identify stakeholders impacted by health care reform and describe two pros and two cons of health care reform related to impacted stakeholders.

1. What are some examples, other than temperature, where similar averages can be associated with very different distributions? A few thoughts: costs (e.g., cost of illegally downloading a song online is the same average cost of driving above the speed limit, assuming that you are only caught speeding occasionally); ERA of pitchers (i.e., some are very consistent, others are sometimes brilliant, sometimes horrible); success rates in surgery (i.e., do we want an operation that most surgeons can do pretty well, or one in which a few surgeons are nearly perfect and some have very poor results?)

2.Give some practical uses of knowing variation. A few thoughts: You are traveling to a job interview; what clothes do you need to pack for a trip? Doctors need to know distributions of blood values to know whether a patient is out of range; industrial engineers need to know distributions, for example the strength of a certain part to see if there is a problem with a manufacturing machine; clothing manufacturers need to know the distribution of sizes, for example children’s clothes for a certain age.

Demonstrate accountability and responsibility for professional development and practice within the ethical framework of nursing

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Demonstrate accountability and responsibility for professional development and practice within the ethical framework of nursing

 

assignment #3 only

Assignment #3 (Due 06/05/15)
Ecomap and Genogram
15% of grade (Grading Rubric found in Appendix II)

Paper #3 Goal:To meet the over-arching goals of Community, Health and Wellness, Professional Values, Communication, Leadership, and Analytical Reasoning through:
• Communicate effectively in writing and speech
• Demonstrate accountability and responsibility for professional development and practice within the ethical framework of nursing
• Increase awareness of limitations in knowledge and seeking opportunities to enhance competent practice
• Demonstrate critical thinking, competent clinical reasoning and analytical skills necessary for safe quality nursing practice
• Demonstrate culturally varied family systems sensitivity in delivery of care
• Empower individuals, families, and the community to develop positive health behaviors through health promotion and health education
• Integrate methods of research process and findings in planning, implementing and evaluating care and in support of evidence based practice
• Demonstrate the ability to positively adapt to the dynamic of change present in all families
• Provide holistic health care that enhances diverse families dignity and reflects a commitment to caring
• Demonstrate leadership abilities and political skills to attain quality care for individuals, families and community members

Paper #3 Objective:
The student will create a realistic ecomap and genogram for three generations of one family.

Your Assignment:
• Draw a three generation genogram of your family
• Complete an ecomap for your family at the current/present time
• Follow instructions provided in Friedman, Bowden, and Jones for genograms and ecomaps
o Ch 8, p.230-236 (Genograms), Ch 17, p.496-498 (Ecomaps), Ch 9, p.247-261
Note: Pay special attention to “Characteristics of the neighborhood and community environments” p.254-261
• Note health, cultural, and social issues of all family members. Include a family chronology/history or narrative as appropriate.
• Compare and contrast the type of information obtained from the genograms and ecomap (APA format: 2 pages in length)
• Turn the Compare and Contrast paper in with your genogram and ecomap
• You may use a computer to construct the genogram and ecomapOR you can free-draw (legibly) the genogram and ecomap

Grading Rubric of the assignment

Evaluation Criteria Emerging: (0.0-1.4) Need for improvement overshadows apparent strengths. Evidence of the outcomes is present. Developing: (1.5-2.4) Strengths and need for improvement are about equal. Competent: (2.5-3.4) Shows skill in this outcome. Improvement still desired. Strong: (3.5-4.0) Applies outcome in multiple contexts. Many strengths are present.
Leadership
(MOC, MOP) Has an elementary level of understanding of healthcare delivery systems. Understands healthcare delivery systems as shaped by public health policies and societal issues. Informs individual and families about quality healthcare through understanding of healthcare delivery systems shaped by public health policies and societal issues. Advocates quality healthcare for groups and communities through in-depth understanding of healthcare delivery systems shaped by public health policies and societal issues.
Analytic Reasoning (MOC, POC) Beginning level of integrating research and scholarship for the care of individuals & families. Intermediate level of integrating research and scholarship for the care of individuals, families, groups & communities. Able to critique research findings to determine applicability and appropriateness to diverse populations. Can apply epidemiological, clinical research, outcomes research, social science & health systems information to identify efficient, evidence-based quality improvement approaches to healthcare.
Community Health & Wellness (MOC, POC) Beginning level of implementing nursing care that is directed toward improving the overall health and quality of life for vulnerable, diverse, and/or marginalized populations. Intermediate level of implementing nursing care that is directed toward improving the overall health and quality of life for vulnerable, diverse, and/or marginalized populations. Able to implement nursing care that is directed toward creating, modifying and/or enhancing environments to promote overall health and quality of life for vulnerable, diverse, and/or marginalized populations. Assists individuals, families, groups, & communities to incorporate attitudes and behaviors that maintain/sustain wellness within the cultural frameworks in which they make decisions.
Professional Values/
Role Development (MOP) Integrates caring behaviors in their professional nursing practice. Demonstrates professional role behaviors in their professional nursing practice. Demonstrates accountability for one’s own practice. Engages in ongoing independent, self-directed, life-long learning. Increases public awareness regarding the roles and values of the Professional Nurse as they relate to healthcare.
Scholarly Inquiry (MOC, MOP, POC) Recognizes that nursing theorists, models, and ethical frameworks exist. Demonstrates beginning level of incorporating nursing theorists, models, and ethical frameworks into clinical decisions. Utilizes nursing theorists, models, and ethical frameworks to make clinical decisions. Critiques, applies, and promotes the use of nursing theorists, models and ethical frameworks to design and implement clinical decisions.
Communication (MOC, MOP, POC) APA format absent. APA format utilized inconsistently. APA format utilized with few errors. APA format complete.