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Discussion help-Nursing

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Discussion Question:

Isaac has worked as a staff nurse on the telemetry floor for over 15 years. He holds seniority in the unit. His patient care is satisfactory; however, his interpersonal behaviors are becoming an increasing issue for his coworkers. He throws papers around the unit, gives short answers to questions, and seems generally miserable. He tells the staff that they are lazy and stupid. He is constantly questioning their decisions.

You have come from another local hospital in the role of the assistant nurse manager. Based on your observations, you have met with Isaac informally and discussed his behaviors, but they have not changed.

Now three new nurses have already come to you saying that this unit is a great match for them, except for one problem. Although they have not identified Isaac by name, they have told you that one of the nurses is extremely abusive verbally, and they have been calling in sick on the days they are scheduled to work with this person.

1.What are your responsibilities as an assistant nurse manager in regard to Isaac’s behavior problem?

2.What is the next step in dealing with Isaac’s behaviors?

3.How will you, as the manager, have Isaac develop more effective people skills?

4.Using your textbook, give examples of behaviors and activities of an effective manager that would help to address this situation.

Content Questions:

1.) What is the difference between leadership and management?

2.) What qualities do you think are most important to be a good nurse manager?

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Research Paper Instructions

You will write a research paper of 8 full –9 full pages on a management topic approved by your instructor. The topic must be unique to the topics covered in the course and have a management focus. Submit your request for your desired topic to the Research Paper Topic Approval Discussion Board by the end of Module/Week 1. A sample paper is available in the Assignment Instructions folder and should be referred to for proper formatting.

Paper Requirements: 

  • The paper is to be your original work and written solely for this course. Although past papers can be minimally referenced, papers previously submitted or work from previously submitted assignments cannot be used to fulfill this assignment.
  • The paper must be written using current APA format and include a title page, an abstract, and a references list (See APA sample paper).
  • The paper must have a minimum of 8 full pages (double-spaced on 8 ½ x 11 paper) and a  maximum of 9 full pages. The page count does not include the cover page, abstract, or reference pages.
  • It must be submitted as a Word document (.doc).
    • The finished paper must be uploaded, as an attachment, by the published deadline.
  • Headers must include short title and pagination. Running head is done on the first page.
  • It must have 1-inch margins (right, left, top, or bottom).
  • Do not use bullets or listing anywhere in the paper.
  • It must be written in third person.
  • It must use size 12 font in either Times or Times New Roman.
  • The body of the paper is left-justified only.
  • Paragraphs must be indented 5 spaces.
  • Any charts, graphs, pictures, etc. must be put in an appendix and do not count toward the minimum number of pages.
  • No more than 1 use of a block quote is to be used. Show block quotations of more than 40 words as follows:
    • Use single spacing within the quote and double spacing surrounding the quote.
    • Indent 5 spaces from left-hand margin.
    • Do not use quotation marks.

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  • References must be as follows:
    • A minimum of 9 different references must be used.
    • All references must be from peer-reviewed professional journals published within the last 3 years.
    • Textbooks, web blogs, abstracts, and other ancillary materials cannot be be counted as one of the required references.
    • All references must be cited somewhat equally in the narrative with no references over- or under-represented.
    • Quotations must not be more than 15% of the paper – paraphrase and properly quote the citations.
  • Reference Section
    • Double-space throughout references.

Submit this assignment via SafeAssign by 11:59 p.m. (ET) on Monday of Module/Week 7.


Buy your Research Paper Online-ENGR 381 Contemporary Issue Assignment

Buy your Research Paper Online-ENGR 381 Contemporary Issue Assignment

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ENGR 381 Contemporary Issue Assignment
Review and Reflection on Hydraulic Fracturing
DUE DATE: 15th December
Thermodynamics is fundamentally a subject about energy, which affects our lives in many
different ways. The availability of energy impacts our lifestyle, environment, economy, and
health. One of the primary controversial current topics related to energy is hydraulic fracturing.
Our contemporary issue project this semester will focus on hydraulic fracturing, which is a
controversial technique for harvesting natural gas (and other hydrocarbons) from the earth. This
project has two parts, the first being related to objective aspects of hydraulic fracturing and the
second being subjective to yourself and your own values. The final product of this project will
be a formal written report. The breakdown for the report will be as follows:
1. Part 1: An overview of hydraulic fracturing (or fracking) (2-3 pages, 12 point font, single
a. A technical description of fracking
b. An overview of benefits, potential and realized
c. An overview of drawbacks, potential and realized
d. What biases do you detect?
e. Are there discrepancies in your resources?
2. Part 2: Your view on hydraulic fracturing (1-2 pages, 12 point font, single spacing)
a. Evaluate this technology from your personal perspective
b. Engage your values and beliefs as well as engineering ethics and virtues
c. Being as realistic as you can, what is your final recommendation regarding this
technology? Try to be convincing.
This project will require the gathering of information from a variety of sources. You should
include at least one from each of the following:
1. Documentary films
2. Mainstream newpaper articles
3. Blogs/editorial websites
4. Scientific articles
5. Editorials/articles/position statements from engineering societies (e.g. ASME, AIAA,
ACS, etc.)
6. Business magazines
Look for bias (implicit or explicit), and comment on it in your writing. Cite your research
materials throughout your report. Find your own references; I don’t expect to see the same set of
references for any two reports. Give proper citation to any figures used from your sources. See
the included materials on engineering ethics and virtues, and cite these as you make your
arguments in part 2.
Grading criterion: Quality of writing (including the use of citations) (25%), completeness of
background in part 1 (25%), articulation of your point of view in part 2 including citations to
ethics/virtue references (20%), persuasiveness (15%), effective use of figures (15%).
See attached documents on engineering ethics and virtues.

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Sports Nutrition Tips and the Nutrition Plan for Athletes

Sports Nutrition Tips and the Nutrition Plan for Athletes

Sometimes someone can ask you what your talent is and at some point when you were growing, you did not have any idea what talent is, right? Then you have grown now and am sure some of you here still don’t know their talents. For the lucky ones who have sports talent, and went to schools which considered co-curricular activities as a great deal, I know they realized what they are good in when it comes to sports. So today am here to discuss about athletes, sports nutrition tips for athletes especially the nutrition plan for athletes.

Many of you might be wondering why it is necessary to have a nutrition plan for athletes and I can assure you that there are numerous reasons behind this aspect. We all need energy to perform our daily activities and tasks and the same case applies to athletes. However, for them, they have to be vigilant on what their diet contains because that is what determines how they work and for those who have taken up athletic as  a career, the foods they eat is what determines their career and how long they will stay in course. That is why the nutrition plan for athletes is a very crucial element in sports.

In order to achieve the nutrition plan for athletes, the meals each individual takes before or after have a great impact on their energy formation, performance and the subsequent trainings. These individuals require a lot of energy in order to optimize their activities hence, it is very common to find them taking more calories in their diet compared to some of us. For instance, the nutrition plan for athletes must contain carbohydrates because as we all know carbohydrate foods are very rich in energy formation and athletes need this energy to avoid instant body fatigues when they are either exercising or performing.

We cannot forget proteins and fats too. I remember when we were young we used to be told how proteins can make you grow, however when I grew up, I realized that proteins have various benefits in our bodies. I will talk about the function of proteins from an athletic point of view, they are a source of energy and in addition to that, proteins help in building up muscles and new tissues. For athletes to achieve their goals they have to train continuously with a lot of resilience because without that commitment and passion, you cannot survive in the sports industry. Additionally proteins are vital in repairing worn out tissues. It is very clear that proteins play a huge role in the nutrition plan for athletes. Take a minute to imagine what if proteins dint exist? You and I know how much these athletes get injuries when they are out there playing or exercising meaning if we didn’t have proteins, injuries will mark the end of their athletic era. Additionally, their muscles will wear out and as a result, they will lack enough strength to help them achieve their sports goals. Therefore we can say proteins will always play a crucial role in the nutrition plan for athletes.

Many of us when we hear about fats, our minds rush to weight gain. However, we have types of fats and the ones recommended for athletes are unsaturated fats. So what do unsaturated fats include? We have examples like nuts, avocadoes, salmon and oils such as olive oil and sunflower oil. These fats helps in forming fatty acids that are not produced directly by our bodies and they are also a major player in the production of bile that breaks other fats in the body. What does this mean? It shows that if a body lacks some fats, it may lead to accumulation of more fats in the body due to lack of bile and I know that if there are extra fats in the body, the end result will be critical health conditions like diabetes, heart attacks and weight gain. No athlete will want to undergo all the above mentioned health issues therefore a little consumption of fats is important in the diet as it also helps in formation of cell membranes and production of more energy.

Sports nutrition also advocates for supplements. The supplements may either be vitamins, minerals or even amino acids supplements. As much as our bodies have different hormones and metabolic processes, sometimes they cannot produce all the required elements in the body, some have to be taken artificially and that is where supplements come in. For instance if we look at minerals, there are a great number of tasks that they help in our bodies for example, transportation of oxygen, balancing the acidic and basic amounts in the blood, maintaining healthy bones and also activation of various enzymes in our bodies. All these processes are crucial and human beings especially the athletes cannot survive without these functions. The most important minerals that take part in these activities are mainly iron and calcium and the bodies don’t produce enough of these at times. That is where supplements come in. Dietary foods with these minerals must be included in the nutrition plan for athletes to ensure their bodies are fit and healthy for the purpose of incredible productivity.

I cannot forget to tell you about the essence of water and other energy drinks in the nutrition plan for athletes. Dehydration is very dangerous and that is why health specialists insist that we must always take a lot of water on a daily basis. Water is essential in all the metabolic process that take place in our bodies. The moment we become dehydrated, that is the point where our health is at risk. Therefore athletes also need water and other energy drinks to keep them hydrated during exercises. Energy drinks help in adding sugar to the body during exercise to avoid extreme fatigue by producing more energy to carry the athletes through the activity.

As much as all the above discussed aspects are important in the nutrition plan for athletes, the most important point here is that they should be taken in the right amounts in order to achieve the goal of keeping the athletes fit and productive.

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Buy your Research paper Online-Amphibians

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Buy your Research paper Online-Amphibians

Answer the following questions using the information provided above.

  1. What problem are amphibians experiencing worldwide? Please explain it as clearly and completely as you can in the space provided (approximately 150 words). Make sure you address broadly what is happening as well as causal factors involved. (max. 2 pts)



  1. What does the “climate-linked epidemic” hypothesis of Pounds et al. (2006) propose (that is, what is hypothesized to be causing the problem)? Summarize it in 1-2 sentences, using your own words. (max. 1 pt)



  1. List two distinct lines of evidence used to support the “climate-linked epidemic” hypothesis in your own words. (This is data that corresponds to one of the predictions of the hypothesis.

max. 2 pts)



  1. What does the “spatio-temporal spread” hypothesis of Lips et al. (2008) propose? Summarize it in 1-2 sentences, using your own words. (max. 1 pt)




  1. List two distinct lines of evidence used to support the “spatio-temporal spread” hypothesis in your own words. (max. 2 pts)



  1. How are these two hypotheses different in terms of their predictions? Contrast the predictions of each hypothesis. Explain in 2-4 sentences, using your own words. (max. 2 pts)




  1. Please list and explain one strength and one weakness of each hypothesis in the chart below. A weakness is something about the hypothesis (an assumption, way something is measured, piece of data, combination of data, or absence of data, etc.) that makes it less convincing. A strength is something that makes it more convincing. (max. 4 pts)


  Weaknesses Strengths
Climate-Linked Epidemic    

































  1. If you were Ms. Torres, and you had to briefly describe to your students why the frogs have disappeared in this forest, and what you think is the most likely explanation, what would you say? Write your explanation as if you are talking to high school students. Be sure to synthesize the information available; your explanation should include an informed evaluation of the evidence. Please explain it as clearly and completely as you can in the space provided (~100-150 words). (max. 2 pts)




Finally, read carefully the following information and answer the last two questions.


In a new study, Cheng et al. (2011) recently described a new genotyping technique —a way to discover the genotype of the sample— by which amphibian museum specimens can be tested for the presence of chytrid fungus through a simple swab. This DNA-based technique uses the polymerase chain reaction (PCR)2 to detect the presence of Bd DNA in the skin of specimens, and can be used for specimens collected up to 50 years ago.

  1. Please read carefully and as many times as needed. How would you use this new tool to help understand the causes of enigmatic amphibian declines knowing that many museums have been collecting specimens from Central and South America for decades? Provide a specific example or scenario of where and for what purpose, you could use this technique. (For example, what would you test for and in what populations? What would you expect to find, and what would it mean?). (max. 3 pts)


  1. Please read carefully and as many times as needed. How might new evidence from using PCR on specimens from several decades ago strengthen or reject the hypotheses above? Describe how new evidence could be used to produce data to strengthen each hypothesis, and what data that would be. Explain. (max. 6 pts) —-PCR is a molecular technique used to amplify specific fragments of DNA. If the chytrid fungus is present on a frog specimen, chytrid DNA fragments will be amplified with the PCR.


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Custom Essay Writers: We can help do Assignments for your Class

Source: Custom Essay Writers: We can help do Assignments for your Class

Homework help

Homework help


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Length: 2500 Words

Participants are required to adhere to the following points:

  • An introduction and conclusion is not required
  • Keep to the recommended word limit for each question
  • Support your assignment with a minimum of twenty contemporary (< 5 years old)

medical and nursing articles

  • Reference all work using either American Psychological Association (APA) or modified

Harvard for academic writing

  • A pass in all questions is required to gain an overall pass mark
  • Refer to the marking criteria for allocation of marks.


Kerry, a 68 year old female weighing 76kg, is admitted to the Intensive Care Unit (ICU)

with Community Acquired Pneumonia (CAP).

On admission her initial observations were:


  • Temperature 386 degrees Celsius
  • Heart rate 110b/min
  • Blood Pressure 110/60mmHg
  • Respiratory Rate 36b/min
  • Oxygen saturation 89% on a non-rebreather oxygen mask
  • Auscultation of lung sounds revealed decreased air entry on the left
  • Arterial blood gas: pH 7.25, PaCO2 62mmHg, PaO2 70mmHg, HCO3 26mEq/L, SaO2


  • GCS 11 (E3 V3 M5)


Question One (500 words)

Refer to Kerry’s assessment findings above, and outline the rationale for the decision to

intubate and mechanically ventilate. Your answer must include a systematic analysis of the

arterial blood gas and a discussion of the pathophysiology of community acquired



Question Two (650 words)

Outline the mechanical ventilator settings that

might be suitable for Kerry. Provide rationales for your choice of settings. Your outline

must include the following headings:


  • Mode (e.g: Synchronised Intermittent Mandatory Ventilation; Spontaneous; Controlled

Mandatory Ventilation)

  • Breath Type (e.g: Volume Controlled Ventilation)
  • Rate
  • Tidal Volume / Minute Ventilation
  • FiO2
  • Positive End Expiratory Pressure/ Pressure Support
  • Triggering / Sensitivity Mechanism
  • Alarms

Kerry was commenced on 0.9% Sodium Chloride infusion at 100mls/hour and a

Noradrenaline infusion. Her current observations are:

  • Temperature 39 degrees Celsius
  • Heart rate 128 b/min
  • Monitoring sinus tachycardia
  • Blood Pressure 85/55 mmHg
  • Central venous pressure 7 mmHg
  • Capillary refill > 2 seconds
  • Urinary output 20mls in the last hour.


Question Three (750 words)

Rationalise Kerry’s assessment data and her intravenous therapy provided above, in

relation to the determinants of cardiac output.


Question Four (600 words)

Discuss the nursing management of Kerry using only two of the following headings:

  • Oral care and eye care
  • Positioning
  • Communication
  • Co-ordination of care to allow rest and sleep

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Porter’s Value Chain Analysis

Porter’s Value Chain Analysis (Level 1 heading – 3 to 6 pages)

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Start with an opening paragraph (or two) that previews the information included under this Level 1 heading. (1⁄2 to 1 page)

Based on the team’s research, apply Porter’s Value Chain model to the business. Describe (i.e., do not just list) the information systems used by the business that most likely will have strategic impacts on the support and primary activities. If the organization of analysis is a sub organizational unit within a larger organization, then the research team needs to decide whether to apply the model to the entire organization or the sub organizational unit. Also, the Research Team may want to support the narrative with a graphic as an appendix that depicts application of this analysis (Note: Do not include the graphic within the text).

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Assignment help

Assignment 2

Due: see the due date on e-learning

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It is WMU’s ongoing effort to recruit and retain students. President Montgomery asked your help to find ways to attract additional 500 students in 12 months starting 7/1/2018. Since state funding has been shrinking, there is not much money available for this project. There may be many ideas to accomplish this goal, and several of them can be done concurrently. In order to control the scope of this assignment, you will work on only one idea. Keep in mind that your idea should be implementable, with a clear result, and does not use tons of money (unless you have also identified funding sources for your idea).



  1. Project scope statement
  2. Project requirements (business requirements, quality requirements, functional requirements, non-functional requirements, etc.) Clearly list these requirements in sub-sections.
  3. Your idea in detail.
  4. Double-check if your project constraints cover all three aspects of triple constraints.
  5. Assumptions must be reasonable. If they incur extra cost just to implement your project, then your project is not going to be feasible.
  6. Project risks. Make sure major project risks are included.
    Keep in mind that project risks are those issues that may happen during the project life cycle (i.e., there is a probability for a risk to happen). You will be able to manage them before they happen and when they happen. This is the reason for the risk management plan in later chapters.
  7. WBS (see breakdown techniques in KCH11)
    1. Feel free to present your WBS in bullet points or a hierarchical chart.
    2. WBS must have at least three levels of the breakdown below level one.
    3. Double-check if further decomposition is still needed for tasks at lowest level of WBS. Pay attention to the following rules we have discussed in KCH11 when determining if a work package needs a further breakdown:
      1. Do you think the actual work can be clearly defined at this level? If not, break it down further.
      2. Do you think a clear picture of budget can be defined at this level? If not, break it down further.
  • 80-hour rule
  1. Is the duration longer than the reporting period? Let’s assume that we need to report our project progress once a month.
  1. Each WBS item should be numbered.
  2. Pay special attention to the 100% rule. Points will be taken off if the WBS has missing tasks for the scope.
  1. Project schedule in MS Project. Note the following requirements for the schedule.
    1. Before working on this item it is very important to practice the exercises in the CCH book. Chapters 4, 5 and 6 are most related to this item of the assignment, but chapters 1 – 3 are there to get you ready for these later chapters.
    2. Make sure the project plan is complete (resources are assigned, durations are estimated, task dependencies are defined, etc.)
    3. Most students find it very useful to use automatically scheduled tasks for ALL tasks in the project plan. See the textbook or search online for how to set all tasks to be automatically scheduled BEFORE you enter the first task.
    4. There should be some resources that work less than 100% of capacity on your project. Build this into your project plan in MS Project.
    5. Define a resource named John Wilson who works in the morning only (8 a.m. – noon) during the weekdays.
    6. Define a resource named Jane Smith who has multiple off days in her calendar.
    7. Define Joe Johnson who works 10 hours a day Tuesday through Friday, but has Monday off.
    8. There should be cost resources defined and used.
    9. July 4th is a holiday. Make July 5th and July 6th non-working days to give the team a longer holiday.
    10. All resources defined should be assigned to one or more tasks. Some tasks may need multiple resources.
    11. Additional pointers and reading (CCH book):
      1. See p. 85 for how to handle equipment resources.
      2. See p. 61 for more about how task duration can be more accurately measured. Ask yourself what the 8/80 rule is.
    12. Paste a screenshot of project statistics (e.g., duration, start date, end date, cost, etc.) to MS Word. See CCH 1 & 2 for details.


  1. Submit both MS Word and MS Project files to the Dropbox area on e-learning.


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