What special challenges are associated with trying to treat septic shock in a patient with cardiovascular disease?

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A patient who is 48 hours post–mitral valve replacement surgery has become progressively more hypotensive, tachycardic, tachypneic, and restless over the past several hours. You suspect that the patient is going into shock.

a.            Since this patient is at high risk for both cardiogenic and septic shock, how would you go about determining what type of shock (if any) is present? Support your approach.

b.            What special challenges are associated with trying to treat septic shock in a patient with cardiovascular disease?

What kinds of foods provide fiber in the diet and what does fiber help with?

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1. What kinds of foods provide fiber in the diet and what does fiber help with?

2. What are the different kinds of fats and some properties of them?

3. Why do we need water in our diet?

4. How is obesity defined?

5. What is the most prevalent underlying source of death in the United States?

6. What happens when a person goes on a very low calorie diet?

7. How many calories do one pound of fat represent?

8. What are the daily-suggested lower limits of calorie consumption for both men and women?

9. What happens when you exercise at a low-intensity rate as compared to a high intensity rate as far as types of calories burned?

10. What causes blood cholesterol to be raised?

11. How many calories does a gram of fat, protein or carbohydrate contain?

12. What are some risk factors for coronary heart disease?

13.  How does cancer start in the body?

14.  How many minutes of daily activity are required to prevent weight gain and to maintain substantial weight loss?

15. What kind of results can be expected when a person exercises and exhibits good lifestyle choices?

16. What mechanism seems to regulate how much a person weighs?

17. What are some results of sleep deprivation?

18. What are the different types of stresses?

19. What causes the stress response to occur?

20. What is the purpose of the “stress response” and what are some of the manifestations it has been turned on?

21. Are certain types of individuals at a greater risk of disease related to stress?

22. What are some good techniques to deal with stress?

Do you think that Southwest should try to expand who their customers are? Do you think that it hurts them at all not playing in the market of a ‘fancy flight’?

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QA: In line with the HBS case reprint, Southwest’s plan to serve La Guardia. Do you think that Southwest should try to expand who their customers are? Do you think that it hurts them at all not playing in the market of a ‘fancy flight’?

QB: In line with tendencies that change management professionals/leaders will face some sort of obstacles in the process of carrying out the projected change.

I wonder though if you take a look at what and who a stakeholder is – it could be the community, it could be suppliers, it could be employees – can you discuss a bit more some of the various objections that each type could have?

Identify which management tactics and strategies you will implement to meet your strategic goals for each of the stakeholders, departments, or business functions impacted by your plan: MBO, MBM, single-use or standing plans, competitive advantage, contingency planning, building scenarios, crisis planning, and innovation.

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Topic: Tactical Planning (Continued)

Benchmark – Strategic Planning: Action Plan

Details:

Use your completed strategy map to formulate functional-level strategy for the primary business functions included in your plan. Functional-level strategies are the action plans used by departments within organizations to support the execution of business-level strategy at the managerial level. Create a 500-750 word action plan that addresses the following:

  1. Identify which management tactics and strategies you will implement to meet your strategic goals for each of the stakeholders, departments, or business functions impacted by your plan: MBO, MBM, single-use or standing plans, competitive advantage, contingency planning, building scenarios, crisis planning, and innovation.
  2. Provide an explanation of how you will apply managerial decision-making methods throughout your action plan.
  3. Which business functions will be impacted by your action plan? What tactics will you use to manage implementation across business functions? What can you do to enhance collaboration/cross-functionality to ensure the success of      your plan?
  4. Identify leadership strategies you plan to implement throughout the execution of your action plan. In particular, explain which strategies you would implement to foster team collaboration among the multiple stakeholders who must collaborate to successfully implement the plan. Why do you think these will be successful?

RESOURCES

Textbook

1. Management

Read Chapters 9 and 12 in Management. Review Chapters 7 and 8.

http://gcumedia.com/digital-resources/cengage/2013/management_ebook_11e.php

2. Southwest Airlines: In a Different World

Review Harvard Business School (HBS) case reprint, “Southwest Airlines: In a Different World”(2013).

http://gcumedia.com/digital-resources/harvard-business-school-press/2010/southwest-airlines_in-a-different-world_ebook_1e.php

e-Library Resource

1. (How) Does the HR Strategy Support an Innovation Oriented Business Strategy? An Investigation of Institutional Context and Organizational Practices in Indian Firms

Read “(How) Does the HR Strategy Support an Innovation Oriented Business Strategy? An Investigation of Institutional Context and Organizational Practices in Indian Firms,” by Fang and Saini, from Human Resource Management (2010).

https://lopes.idm.oclc.org/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=inh&AN=11820768&site=eds-live&scope=site

2. Big Data: An Innovative Way to Gain Competitive Advantage Through Converting Data into Knowledge

Read “Big Data: An Innovative Way to Gain Competitive Advantage Through Converting Data into Knowledge,”

by Bhadani, from International Journal of Advanced Research in Computer Science (2015).

https://lopes.idm.oclc.org/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=aci&AN=101309175&site=eds-live&scope=site

3. Outsourcing: A Strategic Risk? 

Read “Outsourcing: A Strategic Risk?” by Relph and Parker, from Management Services (2014).

https://lopes.idm.oclc.org/login?url=http://search.proquest.com.lopes.idm.oclc.org/docview/1584943851?accountid=7374

4. Practicing Human Resource Strategy: Understanding the Relational Dynamics in Strategic HR Work by Means of a Narrative Approach 

Read “Practicing Human Resource Strategy: Understanding the Relational Dynamics in Strategic HR Work by Means of a Narrative Approach,” by Kaudela-Baum and Endrissat, from German Journal of Research in Human Resource Management (2009).

https://lopes.idm.oclc.org/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=bth&AN=40395722&site=eds-live&scope=site

5. Responsible Leadership and Stakeholder Management: Influence Pathways and Organizational Outcomes

Read “Responsible Leadership and Stakeholder Management: Influence Pathways and Organizational Outcomes,” by Doh and Quigley from the Academy of Management Perspectives (2014).

https://lopes.idm.oclc.org/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=bth&AN=97816322&site=ehost-live&scope=site

6. The Relationship Between Intellectual Capital With Economic Value Added and Financial Performance

Read “The Relationship Between Intellectual Capital With Economic Value Added and Financial Performance,” by Salehi, Enayati, and Javadi, from Iranian Journal of Management Science: A Quarterly (2014).

http://library.gcu.edu:2048/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=edb&AN=96560290&site=eds-live&scope=site 

Explore relevant laws/legal issues, including emerging trends, if applicable, and laws from other jurisdictions and countries as needed, that relate to or impact your scenario. Use proper APA citation to cite legislation 9.0 pts

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Mandatory staffing ratios in hospitals

A nurse in the ICU comes on to her first of three shifts, and told that she is going to be receiving a transfer from a smaller hospital at some point in her shift. The patient that she is going to be receiving is a 79 year old patient that takes blood thinners and had a fall. Due to fall is believed to have both subdural hematoma and subarachnoid hematoma with a 1 cm x 1 cm midline shift. Currently on unit she is to receive report on a patient that is 66 years old that was extubated 2 hours earlier whom is having labored breathing with respiration rate of 52 breaths per minute. The third patient is a vented 64 year old patient that was admitted for acute respiratory failure related to COPD exacerbation due to lower lobe pneumonia.

RUBRIC

Statement of Issue: Present issue you have chosen in the context of a realistic, hypothetical patient scenario. A healthcare worker should be part of the scenario and is faced with the ethical/legal decision or is assisting someone who is facing the decision.

4.0 pts

This criterion is linked to a Learning OutcomeEthical Analysis: Discuss the ethical issues created by the chosen topic as described in your case scenario. A. Include in your analysis: relevant provisions and interpretative statements from the ANA Code of Ethics for Nurses; B. examine ethical principles, citing your assigned readings; and C. apply one of the ethical theories, citing your assigned readings

9.0 pts

This criterion is linked to a Learning OutcomeLegal Analysis: Explore relevant laws/legal issues, including emerging trends, if applicable, and laws from other jurisdictions and countries as needed, that relate to or impact your scenario. Use proper APA citation to cite legislation

9.0 pts

This criterion is linked to a Learning OutcomeEthical/Legal Decision: Reach a conclusion for the issue you presented which is supported by the ethical and legal analysis above.

4.0 pts

This criterion is linked to a Learning OutcomeScholarly Writing : A. Correct grammar, sentence structure, spelling, etc. B. Correct APA formatting C. A minimum of 5 current (published within the last 5 years), scholarly references. Case references are acceptable beyond 5 years if no cases more recent. D. Minimum of 5 pages of content – not including in the 5 pages: title page, Abstract & References

6.0 pts

Total Points: 32.0

Discuss how genetic and genomics can play a role in a demand for new   health services and how it may impact health care expenditures in the   chronic disease population. Give one example.

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Discuss how genetic and genomics can play a role in a demand for new   health services and how it may impact health care expenditures in the   chronic disease population. Give one example.

1 page, APA, and 2 sources.

What is your perception of this tension? Use the lecture and the topic readings to support your response.

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The ethos of scientism and postmodernism has exacerbated the perceived philosophical and cultural tension between science and religion. What is your perception of this tension? Use the lecture and the topic readings to support your response.

Describe one method that includes using evidence-based data to   support a new or innovative way to care for those with chronic disease   now or in the future. How will it impact care and what are the   anticipated outcomes?

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Describe one method that includes using evidence-based data to   support a new or innovative way to care for those with chronic disease   now or in the future. How will it impact care and what are the   anticipated outcomes?

1 page, APA and 2 sources.

, describe the ethical, cultural, religious, legal, fiscal, and societal implication. 1 page, APA.

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Choose one recent (within last 2 years) news story about genetic or genomic technology. Describe the issue presented. From the perspective as an RN or APRN, describe the ethical, cultural, religious, legal, fiscal, and societal implication.

1 page, APA.