case study 770

case study.

You are a staff nurse working in an intensive care unit and assigned to care for a 75-year-old man who had coronary artery bypass graft surgery four days ago. The patient has a history of chronic obstructive pulmonary disease exacerbated by heavy smoking. His postoperative course has been difficult, and he has suffered a number of setbacks. Staff members, despite their diligent efforts, have not been able to wean him off the ventilator since the surgery. He has required frequent suctioning throughout the shift, and he is being evaluated for the development of ventilator-associated pneumonia.

Today, when returning from lunch, you observed that an experienced nurse was suctioning your patient. His secretions were thick, and you observed that the nurse was instilling saline into the patient’s endotracheal tube as she was suctioning him. The patient turned red and began coughing, and it was obvious he was in distress.

You asked the nurse why she was instilling saline into his endotracheal tube. She replied that this was being done to loosen the secretions. You told her this was no longer an acceptable practice. She stated that she many years of critical care experience and she didn’t care what anyone said, that the only way you could loosen the patient’s secretions would be to instill saline. She also said that would be the last time she would do something for one of your patients while you were at lunch.

Use the case study

Outline the strategies you will use to search for evidence related to best practices for suctioning and whether the instillation of saline while suctioning is an acceptable technique.

Search for evidence related to best practices and provide a summary of all evidence.

Develop a PICO question for the instillation of saline during endotracheal suctioning.

Consider how you could apply PICO to problems in the workplace to influence things in clinical practice.

Submit your search strategies, search results, and PICO question and application to clinical practice as one of the following:

  • 18- to 20-slide presentation
  • 860-word paper
 
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antigone study questions

I need the following questions answered in a sentence or two. I need correct answers, doesn’t need to be long.

Please use the following link to access the reading

http://classics.mit.edu/Sophocles/antigone.html

Assignment:

Before you begin reading, create a word processing document with a table that has three columns and six rows. In the first column, list the literary terms given below. In the second column, place the definition you find for each term. In the third column, identify specific quotations from the play that provide examples of the literary term. When you have completed the chart submit your assignment.

Term

Definition

Example

Foreshadowing

Deus ex Machina

Dramatic Irony

Pathos

Hubris

Answer all of the questions bwelow:

  • 1 When Antigone is captured and brought before Creon, whtat is the attitude of the Chorus and the Sentry with regard to her situation?
  • 2(How does Antigone defend her defianace of the edict? How does she view the relationship between laws made by man and those created by the gods?
  • 3 Does Ismene now try to share responsiblity with Antigone and why doesn’t Antigone let her?
  • 4 According to Creon’s son Haimon, what is the reaction of the common people to Creon’s death sentence for Antigone?
  • 5 What threat does Haemon make?
  • 6 (What advice does Haemon give Creon? Is it good advice, or is Haemon blinded by his love for Antigone?
  • 7 (What is Creon’s initial reaction to Teiresias’s report? Of what does he accuse Teiresias?
  • 8 The blind prophet Teiresias appears again. What omens does Teiresias report and what do these omens mean?
  • 9 Why does Chreon finally change his mind about Teiresias?
  • 10What course of action does the Chorus recomend to Creon, and how does Creon react to this advice?
  • 11 What is the dramatic purpose of the prologue?
  • 12 What moral lesson does the Chorus see in the fate of Creon at the close of the play?
  • 13What problems does Antigone report to her sister Ismene, and what does Antigone intend to do?
  • 14What is Ismene’s reaction to Antigone’s plan?
  • 15What is Ismene’s view of the relationship between men and women?
  • 16What are the main differences between Antigone and Ismene in terms of personality? ( hint: Ismene is a foil to Antigone).
  • 17(How is the way the people see Creon when he first appears in the play similar to the way people used to see Oedipus?
  • 18In his long speech, Creon outlines his guiding philosophy. What human institution does Creon believe to be most important in life?
  • 19How do Creon’s beliefs compare with Antigone’s?
  • 20What is the Chorus’s initial reaction toward Creon’s decree?
  • 21What view of Creon does the Sentry present to the audience?
  • 22(Why does Antigone say, “If that is whay you think, I should not want you, even if you wanted to come”?
  • 23What is the point that Haemon is trying to make through the analogies fo the tree and the ship?
  • 24Is Creon’s decision to arrest Ismene necesseary? Is it just vindictive?
  • 25Why is the Sentry afraid to tell Creon that Polyneices has been buried? Are his fears justified?
 
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word cloud

  1. This week’s assignment allows for you to be creative by designing a Word Cloud.
  2. To begin, navigate to one of the following websites to create a Word Cloud
  3. Using one of the websites above, type in key words to answer the following questions:
    • The reasons why we need user policies
    • The need of organizations to govern users with policies
    • How the user is the weakest link in the security chain

Submission Requirements

  • Format: Copy/paste your Word cloud image into a MS Word document. Below this image provide 1-2 paragraphs describing why you selected a few of these key terms to answer the question.
 
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history united states history since 1877 1

Required Course Textbooks:

Corbett, P. Scott, Volker Janssen, John M. Lund, Todd Pfannestiel, and Paul Vickery, U.S. History, Houston, Open Stax, 2016.

Chapters 17-27

I choose Theodore Roosevelt, President Wilson and William Seward.

The purpose of this assignment is to choose three important people or events in American history through the readings of weeks 1-4 . You have some flexibility with this assignment. Write about a topic that you find interesting, but check with your instructor if you think your topic may be outside of the boundaries of a history paper. Contact your instructor if you need guidance regarding a topic and feel free to send along a rough draft of your thesis statement in advance of the due date. Note: if you feel comfortable in doing so, you may write in depth about one person, event, or topic. In other words, instead of devoting each of the three body paragraphs to a different person or event, you would be writing three in-depth paragraphs on one topic.

The assignment asks you to find a minimum of two academically credible sources (one may be your textbook), develop a clear, focused thesis statement, and to support your thesis with clear, insightful, consistent writing. This assignment will enhance your research and writing skills, both of which are applicable not only to this course but to many different careers. Note: web sites cannot be used as sources for this assignment.

The primary goal is to analyze factual information and support your thesis statement. This is not a book report. Therefore, do not summarize vast amounts of information without making a point or including analysis. Papers that merely tell the reader “what happened,” without supporting the thesis with analysis, will be penalized significantly. Your ideas must be supported by information from your sources since you are using these sources to prove your thesis. After all, the purpose of a research paper is to make a case and to convince the reader that your writing and research supports your thesis.

Whether you quote information directly from your sources, or paraphrase, you must cite your sources generously to give credit to the sources and to avoid plagiarism. You may utilize any citation method in this course as long as you are consistent throughout the paper (MLA, Chicago, APA.)

Your paper must contain a proper heading, an introduction paragraph, three body paragraphs (one paragraph for each of your three people/events) and a conclusion paragraph. The paper length is 2.5 to 3 pages, double-spaced. Please read over the sample/model student essay in the Resources section of the classroom for guidance. Refer to this document to get a visual representation of what your essay should look like. During the two weeks before each writing assignment is due, your primary goal should be to read carefully, to collect additional source material, and to start thinking about ideas for your paper. Compose an outline or rough draft (not required) in order to begin the process of getting your ideas down on paper.

As far as your writing is concerned, here are the important components of a college-level paper which I will be grading along with your ideas (these and other components are found in the writing rubric and general writing guidelines found in your course documents):

1. Develop a clear, strong thesis statement letting the reader know your plan for the paper. Never use “I” or “you” in a history or English paper. Here is an example: Unacceptable: I am going to tell you about three important events in American history in this paper which I have written for you. Better: An analysis of three important events in American history reveals how each was critical in the development of the nation.

2. Develop sentences that are more complex. A sentence does not have to be five lines, but avoid a sentence with less than ten words.

3. Each paragraph should contain a topic sentence. The topic sentence introduces the main idea which will be explored in the paragraph. For example, if your second paragraph will focus on the presidency of George Washington, your topic sentence may look like this: A second important person who had a major impact on the development of the American nation is George Washington whose presidency was characterized by many challenges.

4. Each paragraph should contain a closing sentence. The closing sentence briefly summarizes the main idea which you have just explored in the paragraph. For example, in the same paragraph about George Washington, your closing sentence may look like this: The overall impact of Washington’s contributions to the young republic cannot be diminished, for the country emerged from his presidency more unified, more stable, and more prosperous.

5. Quotations in a short paper should not be more than three lines. The majority of your paper should contain your writing and your ideas. In a short paper there should only be one quote per body paragraph. Whenever you include a quotation, make sure the quote is fully integrated into the text of your paper. Below I have an example of a quote that stands alone (unacceptable) and a quote that is fully integrated (required): “A group of Separatists in Holland, after negotiating with the Virginia Company, at length secured rights to settle under its jurisdiction.” The future of North America changed forever when a “group of Separatists in Holland, after negotiating with the Virginia Company, at length secured rights to settle under its jurisdiction.” Your final paper will be penalized for each quote which is not integrated, or for quotations which are not integrated properly.

6. Each quotation must be followed by a certain degree of analysis. After all, the reader does not know why your quote is important. As the historian/researcher/writer it is your responsibility to present evidence and then analyze this information clearly. This will become very important as you prepare for the research paper. Unlike a book report, a research essay must go beyond summarizing facts or merely telling the reader “what happened.” A research paper should seek to prove a point or main idea, but in either case should leave the reader with something to think about (new ideas, new conclusions, new discoveries, lessons, etc.)

7. Avoid sentence fragments, run-on sentences, spelling mistakes, and grammar errors. Your work reflects strongly upon you as a scholar, so please make sure your paper represents the very best you can offer to the academic community! I respect your experiences and your ideas and I want to be able to reward you with the grade you deserve. For additional information, you are strongly encouraged to read a document in the “Resources” area of the classroom entitled “Writing Papers: Twelve keys to writing a great paper.”

8. Web sites cannot be used as sources for this essay (10% penalty). Watch my short video in the Resources section of the classroom for guidance regarding how to find scholarly sources in the databases.

9. A thesis statement should not be descriptive, but should seek to prove a point. Here is an example of a poor thesis statement: Thomas Jefferson was an important president. Here is an example of an effective thesis statement: Thomas Jefferson made three significant contributions to American history by trying to abolish slavery in Virginia, authoring the Declaration of Independence, serving as President of the United States.

Please contact me if you are uncertain about my expectations, or if you need me to clarify one or more aspects of this particular assignment. I am looking forward to reading your work! Sincerely, Prof. Weber

Here are the rubric categories which the professor will use to grade your Short Paper and your Research Paper:

1) Has the student cited sources properly? Are sources scholarly (no web sites)?

2) Is the student’s writing free of sentence fragments, run-on sentences, and other major grammatical errors?

3) Has the student integrated all quotations and followed each quotation with adequate reflection and analysis, and do the quotations offer insight into the topic?

4) Has the student balanced historical, factual information with prose that is insightful, reflective, and analytical, or does the student’s writing merely state the obvious or paraphrase the factual information?

5) Is the thesis statement clear, focused, and well-developed?

6) Does each paragraph begin with a topic sentence that introduces the content of the paragraph to the reader and connects to the thesis?

7) Is the student’s writing clear, fluid, consistent, insightful, and reflective?

8) Did the student cite all sources and include a bibliography page?

9) Did the student include scholarly/academic sources (no web sites!)?

 
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operations management 1 1

Open the attachment for the essay question to complete this assignment.



 
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write an essay 1000 words mla format with works cited on a separate page

Discuss the similarities and differences in William Hogarth’s engraving The Marriage Transaction and Jean-Baptiste Greuze’s painting Village Betrothal

 
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db question 4

Discuss common themes across the assigned journal articles relative to public health preparedness from the emergency and disaster healthcare perspective.

Many of you without a clinical background will be shocked or dismayed by some of the findings here. Those of you who already work in the healthcare sector may not. Regardless, the objective here is to generate a discussion where everyone learns new information.


Therefore, keep in mind the overall instructions for completion of discussion boards. Those of you who post later should not be writing exactly the same information as the students who post first. Read what has already been written and strive to paint a different picture, cite new references, add something to the discussion that nobody else has found or take a dissenting point of view

350 words and the referances in APA style

 
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religion paper 8

I have upload the requirements for the religion paper. No plagarism. Accurate usage of English including careful documentation (including ability to paraphrase and use quotations) and good organizational plan. The topic I chose was SIN and it’s highlighted on the directions that I uploaded.

 
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statistics case study 8

You are the manager of a retail store. You want to investigate how metrics can improve the way you manage your business.

Use the Week 5 Data Set to create and calculate the following in Excel®:

  1. Conduct a goodness of fit analysis which assesses orders of a specific item by size and items you received by size.
    • Conduct a hypothesis test with the objective of determining if there is a difference between what you ordered and what you received at the .05 level of significance.
    • Identify the null and alternative hypotheses.
  2. Generate a scatter plot, the correlation coefficient, and the linear equation that evaluates whether a relationship exists between the number of times a customer visited the store in the past 6 months and the total amount of money the customer spent.
    • Set up a hypothesis test to evaluate the strength of the relationship between the two variables.
    • Use a level of significance of .05.
  3. Use the regression line formula to forecast how much a customer might spend on merchandise if that customer visited the store 13 times in a 6 month period. Consider the average monthly sales of 2014, $1310, as your base to:
    • Calculate indices for each month for the next two years.
    • Graph a time series plot.
  4. In the Data Analysis Toolpak, use Excel’s Exponential Smoothing option.
    • Apply a damping factor of .5, to your monthly sales data.
    • Create a new time series graph that compares the original and the revised monthly sales data.
 
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problem solving lesson plan

One of the most crucial components of instructing a mathematics lesson is to find a way for the instruction to be relevant to the students. Another is how mathematics can apply real-world context giving students the chance to problem solve. Verbal and nonverbal communication techniques are strategies used during the lesson that guide the teacher to meet the needs of all students. Nonverbal communication techniques may consist of environmental clues and manipulatives that can be added to enhance the lesson.

This lesson will be focused on the content area of problem solving.

Part 1: Lesson Plan

For this assignment, select a K-8 grade level and state standard in the area of measurement and use the “COE Lesson Plan Template” to design an original lesson plan. Be sure to focus on problem solving in a real-world context (e.g., building a house, measuring for carpet, etc.), and include a media component to enhance the lesson to facilitate conceptual understanding and higher order thinking processes

Use the “Class Profile” to decide on differentiation strategies to meet the diverse needs of students.

Part 2: Reflection

In 250-500 words, provide a rationale that explains how you will use effective verbal, nonverbal, and media communication techniques to foster students’ active inquiry, collaboration, and supportive interaction in the mathematics content area. Explain mathematical instructional strategies that create a real-world context and relevance to students.

Support your findings with three scholarly resources.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

This assignment uses a rubric.

 
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