Author: chris

Please use New Zealand’s Newspaper or magazine

Understanding the Limitations in Risk Assessment.
A prominent group of citizens approach you to discuss the new uses and limitations of risk assessments for risk management decision making. They expressed to you their concern that the State’s decision makers (State Senate and Assembly) were overly impressed with scientific studies and refused to see its limitations. Specifically, they were concerned that exposure assessments were based on invalidated mathematical models which used too many assumptions about population’s exposure.
Respond to the following questions:
1. How would you respond to the citizens concerns?

2. Should all exposure assessments be based only on validated models? (Support your response with appropriate references.)

3. How would you determine if the assumptions made about the population’s exposure are valid?

After reviewing section 2.4 of the text titled International and Intercultural Interpersonal Communication, visit The Hofstede Centre and continue to explore national cultural dimensions. Using the navigation bar on the left, click Countries. Here you will choose two countries to compare and contrast in terms of cultural dimensions.
Develop a two-page, APA-formatted paper that addresses the following:
• Describe how the two countries are similar in terms of Hofstede’s five cultural dimensions.
• Describe how the two countries are different in terms of Hofstede’s five cultural dimensions.
• Given a scenario where two organizations, one located in each country, are to do business with each other, provide recommendations that would be beneficial in helping management address communications in terms of the different cultural perspectives.
Must be formatted according to APA style as outlined in the approved APA style guide. You must cite at least two scholarly sources in addition to the textbook.

Think deeply about the social causes that you gravitate towards, what are they? Why do they pull at you? What is at stake? Who is impacted, who stands to benefit if the issue were addressed broadly, and who/what is at risk in the light of these issues continuing? How are they manifested?

Week 7 – Healthy Grief

Perform a literature search on the grieving process, using readings from this module, the GCU Library, or other websites and materials at your disposal. Focus on the work of Kübler-Ross’ grieving process and the stages of grief.
Review the story of Job in the Bible, focusing on his suffering and grief. Examine how this story correlates to the grieving process defined by Kübler-Ross.
In a paper of 750-1,000 words, include the following:
1. Compare and contrast the grieving process as defined by Kübler-Ross and the story of Job with that of at least one other religion.
2. Compare the relationship and interaction between joy and the above grieving models and examples.
3. Relate your research to your own preferred method of handling grief. State whether your research has changed your view of grief.
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.

Module 5 Lecture

Understanding and Overcoming Grief
Introduction
Many people are uncomfortable interacting with people who are grieving deeply. Some avoid such encounters at all cost. Others try to say that all will be well, when in reality it will not. Some spout platitudes that they think are comforting, while others try to be philosophical about it and say that?no matter how bad it is now?”this too shall pass.” Cultures teach, in one way or another, that life is transitory, so there is no need to be overly concerned about things that cause exceptional happiness or sadness right now (Gangoli, n.d.). Unfortunately, words are often not comforting at all.
Although it may be true that life’s crises will pass in time, it is also true that grief is an important process that people experience time after time in life. Those who are grieving must be able to experience all of grief’s stages in order to move on in life in a healthy manner. Grief in the health care setting is often assumed to be related to death, but in reality, the grieving process relates to any loss. People who lose health, limbs, abilities, jobs, houses, friendships, and other relationships all experience a type of grief that should not be ignored. Grief follows a natural cycle of denial, anger, bargaining, depression, and finally acceptance (Kübler-Ross, 1969).
Denial
The first natural stage of grief is denial. When people hear news of a loss, oftentimes they do not believe it is true at first. They will believe they will wake up from the nightmare or that the situation is not really as bad as they think. For example, when a person receives a cancer diagnosis, he or she may immediately go for a second opinion, hoping that the first report was inaccurate. A person who loses a job may wait by the phone expecting a call saying it was all a mistake. People have been known to call loved ones over and over, expecting them to pick up the phone even though their death has already been reported. These are all normal reactions to the grief people experience. The denial stage may last a short time or it may last months, and many times it recurs even after one has moved out of the stage for the first time. People who do not know that this is a normal part of the grieving process may wonder about their mental health when this happens, but they should be encouraged to know that their minds are giving them time to adjust to the news and that they will in time accept the grief as a matter of life.
Anger
After denial, when one can no longer act as if the news is false, a person moves into a second stage of grief that is characterized by anger. The anger may be directed toward the person who caused the loss, the one who experienced the loss, the one who was not careful enough to protect against the loss, or anyone who is nearby. No matter how irrational the anger, people blame themselves, the sick person, God, the driver, the passenger, the one who should have been the driver, the president, the boss, the doctor, or anyone else.
Doctors, nurses, paramedics, respiratory therapists, and other caregivers can feel the same anger that the patient and the patient’s loved ones feel. For example, a surgeon can experience anger as he deals with the death of one of his patients. Caregivers need to allow themselves to go through their own grieving process even though they may need to continue their work relatively uninterrupted. Individuals should be present with others going through the grieving process instead of attempting to fix that grief (Chapman, 2007).
Bargaining
As people move beyond the anger stage, they often try to bargain with themselves or God. They offer to change their way of living, give up a bad habit, trade something they love, or do something very difficult in exchange for a new opportunity, for a different outcome of the present situation. Grieving people try to bargain with what they do not control. They may not do this openly, but in their minds, they are trying to substitute what they are feeling in return for something valuable to them.
Depression
Since bargaining is out of their control, this stage easily gives way to depression, despondence, and hopelessness. The hole they find themselves in is unpleasant, but because of their hopelessness, they can wallow in their sadness for an extended time, either openly or silently, feeling like they have nowhere to turn. This stage of the process, as well as any previous stage, must run its course until the person gets to the point where he or she can see beyond the sadness that has engulfed them.
Acceptance
When the time comes that the person can see a glimmer of hope or a new focus for life, he or she moves into a peaceful stage of acceptance. It is not as though the pain is gone or the loss is any less, but rather that the person has realized that life has become a new type of normal, one without the person, ability, job, or health that was so important in life before the loss.
The Irony?Finding Joy in Grief
Is it possible to be joyous in the midst of challenging and difficult times? The Greek and Latin etymology of the word joy means to rejoice. Would rejoicing then be considered a way of taking action against grief? Therefore, finding joy in grief requires action. Following acceptance, it is important for a caregiver to determine what he or she can do to assist patients to pursue joy, such as joy in peace, conversations with loved ones, journaling of thoughts, and participating in activities that create memories. Therefore, joy will come in various forms from both the patient and the family. Joy can begin with the caregiver by demonstrating compassion, providing encouragement, or just sharing a smile, ultimately helping the patient to transition from tears of sadness to tears of joy.
Conclusion
This process of grief is normal and culminates in a new normalcy (Chapman, 2007). In no way can a caregiver, patient, or onlooker minimize the grief that characterizes the shocks and disappointments of life. The only way to respond is to be present with self and with others throughout the process. Words are unnecessary in many cases. A solution may not exist in many situations. The only real option is to continue to live, to allow yourself to grieve, to support those who are grieving with comforting presence, and to find hope in a renewed focus on life.
References
Chapman, E. (2007). The caregiver medications: Reflections on loving presence. Nashville: Vaughn Printing.
Gangoli, N. (n.d.). This too shall pass. Retrieved June 26, 2009, from http://1stholistic.com/prayer/A2005/hol_buddhism-this-too-shall-pass.htm
Kübler-Ross, E. (1969). On death and dying: What the dying have to teach doctors, nurses, clergy, and their own families. New York: Macmillan.

Please refer to these references below:
1)Film: Blood Diamond
2)Reading: Michael Klare, Resource Wars , Chapter 8.

What to do?

1. A description of the film and its relationship to historical events.
2. A short summary of the war or conflict the film depicts.
3. Critical reflection and insight into what the movie’s message about war is.
4. A description of the companion readings to the film and how they influenced your viewing of the film.

Many real-world situations require an understanding of measurement and geometry. As you examined in Week 1, for example, measurement, geometry, and estimation are required to create a parking lot. Parking spaces may be parallel, perpendicular, or angled (such as 45, 60, or 75 degrees). But which arrangement will accommodate the most vehicles and maximize the number of parking spaces possible in a parking lot?

In this Application, you will reexamine the Parking Lot Problem from Week 1 to determine if incorporating angled parking spaces will impact the overall number of the parking spaces in the lot. You also will further develop the mathematical task you created in Week 1 to include concepts of points, lines, planes, and angles.

The Parking Lot Problem Revisited

There has been a change in the parking lot scenario at the CRC. After consulting with city planners, the CRC manager has concluded that angled parking spaces may be easier for drivers to navigate than the 90-degree spaces. Angled parking spaces can only be entered from one direction and drivers must enter these spaces “head-on.”

If each parking space in the CRC lot must now be angled at 60 degrees, how will this new requirement impact the overall number of parking spaces possible?

Solve this mathematical task. As you do so:

•Make note of your problem-solving strategies, particularly the estimation and/or approximation strategies you utilize.
•Create a drawing to represent the new angled spaces in the parking lot.
Then, revisit the mathematical task you developed for students in Week 1 and consider how you might expand the task to include the following concepts:

•Points
•Lines (such as perpendicular, parallel, intersecting)
•Planes
•Angles
How might you use one or more of the technology tools introduced in this week’s Discussion to further enhance this task?

Submit a written response that addresses the following:

•Explain how you solved the Parking Lot Problem Revisited. Include an explanation of your mathematical thinking and reasoning, the drawing you created to represent the new angled spaces in the parking lot, any estimation strategies you may have employed, and whether this new requirement for angled parking spaces impacts the overall number of parking spaces possible at the CRC.
•Summarize your ideas for incorporating the concepts of points, lines, planes, and angles into the mathematical task you originally developed in Week 1 for students. Explain how you might use one or more technology tools to enhance students’ understanding of these concepts.

Use the following Case Scenario, Subjective Data, and Objective Data to answer the Critical Thinking Questions.

 

Case Scenario

 

Mrs. J. is a 63-year-old woman who has a history of hypertension, chronic heart failure, and sleep apnea. She has been smoking two packs of cigarettes a day for 40 years and has refused to quit. Three days ago, she had an onset of flu with fever, pharyngitis, and malaise. She has not taken her antihypertensive medications or her medications to control her heart failure for 4 days. Today, she has been admitted to the hospital ICU with acute decompensated heart failure.

 

Subjective Data

 

Is very anxious and asks whether she is going to die.

Denies pain but says she feels like she cannot get enough air.

Says her heart feels like it is “running away.”

Reports that she is so exhausted she cannot eat or drink by herself.

Objective Data

 

Height 175 cm; Weight 95.5 kg

Vital signs: T 37.6 C, HR 118 and irregular, RR 34, BP 90/58

Cardiovascular: Distant S1, S2, S3, S4 present; PMI at sixth ICS and faint; all peripheral pulses are 1+; bilateral jugular vein distention; initial cardiac monitoring indicates a ventricular rate of 132 and atrial fibrillation

Respiratory: Pulmonary crackles; decreased breath sounds right lower lobe; coughing frothy blood-tinged sputum; SpO2 82%

Gastrointestinal: BS present: hepatomegaly 4 cm below costal margin

Critical Thinking Questions

 

What nursing interventions are appropriate for Mrs. J. at the time of her admission? Drug therapy is started for Mrs. J. to control her symptoms. What is the rationale for the administration of each of the following medications?

 

IV furosemide (Lasix)

Enalapril (Vasotec)

Metoprolol (Lopressor)

IV morphine sulphate (Morphine)

Describe four cardiovascular conditions that may lead to heart failure and what can be done in the form of medical/nursing interventions to prevent the development of heart failure in each condition.

 

Taking into consideration the fact that most mature adults take at least six prescription medications, discuss four nursing interventions that can help prevent problems caused by multiple drug interactions in older patients. Provide rationale for each of the interventions you recommend.

Case Study 1

 

Case Study 1

Ms. A. is an apparently healthy 26-year-old white woman. Since the beginning of the current golf season, Ms. A has noted increased shortness of breath and low levels of energy and enthusiasm. These symptoms seem worse during her menses. Today, while playing in a golf tournament at a high, mountainous course, she became light-headed and was taken by her golfing partner to the emergency clinic. The attending physician’s notes indicated a temperature of 98 degrees F, an elevated heart rate and respiratory rate, and low blood pressure. Ms. A states, “Menorrhagia and dysmenorrheal have been a problem for 10-12 years, and I take 1,000 mg of aspirin every 3 to 4 hours for 6 days during menstruation.” During the summer months, while playing golf, she also takes aspirin to avoid “stiffness in my joints.”

 

Laboratory values are as follows:

Hemoglobin = 8 g/dl

Hematocrit = 32%

Erythrocyte count = 3.1 x 10/mm

RBC smear showed microcytic and hypochromic cells

Reticulocyte count = 1.5%

Other laboratory values were within normal limits.

 

Question

Considering the circumstances and the preliminary workup, what type of anemia does Ms. A most likely have? In an essay of 500-750 words, explain your answer and include rationale.

REQUIRED READING:

•Barlaup, K., Hanne, I. D., & Stuart, I. (2009). Restoring trust in auditing: Ethical discernment and the Adelphia scandal. Managerial Auditing Journal, 24(2), 183-203. Retrieved on November 19, 2012 from ProQuest.
•Markon, J., & Frank, R. (2002, July 25). Adelphia officials are arrested, charged with ‘massive’ fraud – three in the Rigas family, two other executives held, accused of mass looting. The Wall Street Journal. Retrieved November 19, 2012 from ProQuest

ASSIGNMENT:
please write a 5-6 page paper in which you address the following:

Drawing upon deontological ethics, discuss how Adelphia Communications’ executives violated the trust of the company’s shareholders and the trust of that of the larger public.