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Prompt: "What is cloud computing and how are deployment models used in cloud computing solutions? Explain its components and users."

Can only use provided sources. Thank you!



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Discuss gender stereotyping, with references to portrayals of gender in the media.

Discuss gender stereotyping, with references to portrayals of gender in the media.



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Case Study

Chief complaint: “I’m here for a medication refill because I ran out of my medicines”.

HPI: Mrs. Allen is a 68-year-old African American who presents to the clinic for prescription refills. The patient indicates that she has noticed shortness of breath which started about 3 months ago. The SOB gets worse with exertion, especially when she is walking fast, and it is resolved when she is resting. She reports that she is also bothered by shortness of breath that wakes her up intermittently during her sleep. Her symptoms of shortness of breath resolve after sitting upright on 3 pillows. She also has lower leg edema pitting 1+ which started 2 weeks ago. She indicates that she often feels light headed at times with intermittent syncope episodes while going up a flight of stairs, but it resolves after sitting down to rest. She has not tried any over the counter medications at home.

She started taking her medications, but failed to refill the prescriptions because she cannot afford the medications as she only works part-time and lives alone. In addition, she reports that she does not think taking all these medications would help her condition anyway.

PMH: Primary Hypertension, Previous history of MI 1 year ago

Surgeries:

1 year ago-Left Anterior Descending (LAD) cardiac stent placement

Allergies: Penicillin

Vaccination History: Up-to-date

Social history:

High school graduate married and no children. Drinks one 4-ounce glass of red wine daily. She is a former smoker and stopped 5 years ago.

Family history:

Both parents are alive. Father has history of MI and valvular heart disease; mother alive and cardiac history is unknown. He has one brother who is alive and has history of MI 5 years ago at age 52.

ROS:

Constitutional: Lightheaded and faint with exertion. Respiratory: Shortness of breath with exertion. + Orthopnea. Cardiovascular: + 2 pitting leg edema for 3 weeks.

Psychiatric: Non-contributory.

Physical examination:

Vital Signs: Height: 5 feet 1 inches Weight: 175 pounds BMI: 32, Obese, BP 160/92, T 98.0, P 111, R 22 and non-labored

HEENT: Normocephalic/Atraumatic, Bilateral cataracts; PERRLA, EOMI; Teeth intact. Negative for gum disease. NECK: Neck supple, no palpable masses, no lymphadenopathy, no thyroid enlargement. LUNGS: + Mild Crackles on inspiratory phase not clearing with cough. Equal breath sounds. Symmetrical respiration. No respiratory distress. HEART: Normal S1 with S2 during expiration. An S4 is noted at the apex; + systolic murmur noted at the right upper sternal border without radiation to the carotids. Pulses are 2+ in upper extremities and 2+ in pedal pulses bilaterally. 2+ pitting edema to her knees noted bilaterally. ABDOMEN: No abdominal distention. Nontender. Bowel sounds + x 4 quadrants. No organomegaly. Normal contour; No palpable masses. GENITOURINARY: No CVA tenderness bilaterally. GU exam deferred. MUSCULOSKELETAL: + Heberden’s nodes at the DIP joints, hands. + Crepitus, bilateral knees. Slow gait but steady. No Kyphosis. PSYCH: Normal affect. Cooperative. SKIN: No rashes. Positive for dry skin.

Labs: Hgb 13.2, Hct 38%, K+ 4.0, Na+137, Cholesterol 228, Triglycerides 187, HDL 37, LDL 190, TSH 3.7, glucose 98.

A:

Primary Diagnosis: Congestive Heart Failure (CHF)

Secondary Diagnoses: Primary Hypertension, Obesity, Osteoarthritis (OA)

Differential Diagnosis: Peripheral Vascular Disease (PVD)

Plan:

Medications: Tylenol 650 mg PO Q4 hours as needed for arthritis pain

Labs: UA; Brain natriuretic peptide (BNP); LFTs and TSH; 12-lead EKG, Chest X-ray; Initial 2D echo with Doppler; Ankle-brachial index.

Additional lab results: Echo results 1 week ago: Left ventricular EJ Fraction decreased to 35 %

BNP – not available.

As a future FNP, you need to determine the medications for CHF/ASCVD. (Arteriosclerotic Cardiovascular Disease).

Questions:

1. According to the ACC/AHA guidelines, what medications should this patient be prescribed?

2. Does he need medication(s) given his history of MI?

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Managerial Economics INDIVIDUAL ESSAY ASSIGNMENT
This assignment counts for 20% of your grade. Please submit a hard copy of your assignment to me no later than 2:00 pm Wednesday, March 4th at the latest.
Please discuss your topic and approach with me, in person (preferred) or by contacting me in Canvas, by February 26th at the latest.
I would like you to write about an organization that you have worked for, if at all possible. You will be evaluated by the clarity of your presentation, by your research and by the example chosen, and by your ability to apply concepts from the course to the problem that you are discussing.
The greatest weight will be placed on your ability to apply course concepts clearly. You may propose an alternative topic if you wish. I strongly prefer you to apply the course concepts to an organization with which you have first-hand experience. For any topic, 1/10 marks will be for the idea (i.e., why is this question interesting?), and 3/10 for the presentation (clarity, grammar and spelling, following format instructions). 3/3 = A+ 2.75 = A 2.5 = A- 2.25 = B+ 2 = B 1.75 = B- 1.5 = C+ etc…
Answer one of the following by writing a short essay of no more than 5 pages (double space, 12 point Times Roman font, 1 inch margins, 8 & 1/2 by 11-inch paper) excluding appendices and any charts or data (but don’t bury text in appendices; I won’t read it):

Question 1

1. Carefully consider one or more agency problems in your organization. (It is usually better to focus on one, in more depth.) Begin by briefly explaining the organization. Besides identifying principal and agent, I would like you to formally model the goals of each. Clearly define the ultimate goals (and potentially the instrumental goals – the means to achieve the ultimate goals) of both principal and agent. Show that these are not the same. Typically, we might expect top leadership to wish to maximize profit, and agents to maximize their own utility. Show how each depends on the actions of the agent (typically effort). Show that the goals are not the same.
Discuss monitoring as a solution. Explain the contracts and use marginal analysis to predict agent's choice of actions, given e.g., the extra benefits and costs of more effort. (Be sure to assume that the agent is optimizing – i.e., use marginal analysis.) Critically evaluate the current contracts and strategies and propose improvements.
Use marginal analysis to evaluate your proposal(s). Remember that the agency problem is the principal's problem: how to use monitoring and contracts that the agent will accept that will get the agent to choose the action that the principal would prefer. Don't forget to consider problems presented by imposing risks on the agent, and using incentives for one action or outcome when there is more than one that matters to the principal. 3/10 for discussion of the problem and the current solutions 3/10 for critical evaluation and new proposals (and evaluation of these)

Question 2 

2. Carefully analyze the demand for one of your organization’s/firm’s/industry’s products. Begin by briefly explaining the industry or business, and the product.
Carefully define the market with respect to geographic and product boundaries. Specify the demand function (i.e., the quantity demanded of the product per period depends on the following variables: …)
Determine what you believe to be the most important demand determinants. Discuss each of the important demand determinants.
Explain why it is important, how (in principle) it could be measured, and the qualitative effect (direct or inverse). Then, if possible, discuss the relevant elasticities.
Provide any empirical evidence that you can. (If you cannot, that is okay.) 3/10 for specification of the demand function (for including the most important determinants, and for defining the market well) 3/10 for discussion, and (if possible) for evidence

Question 3

3. Evaluate a productivity measure used by your organization/firm/industry (or a firm/industry you are familiar with) for a specific product (good, service) or activity.
Begin by briefly explaining the organization, the product(s) and input(s). Clearly explain the measure of output per period and the measure of input per period. Try to provide numerical examples, show how it is used, and (if possible) benchmark (over time or against other organizations).
Critically evaluate the measure – do changes in what we mean by productivity of the input change this measure? Does the measure change, for reasons other than because of changes in what we mean by productivity of the input? This part is important; don’t ignore it. Consider alternative measures. If a productivity measure does not exist, devise one, and provide numerical examples.
Evaluate how well the existing or proposed measure corresponds to what it is trying to measure. 3/10 for the explaining the measure, providing numbers and, (if possible) for benchmarking 3/10 for critical evaluation of the measure

Question 4

4. Identify the long-run cost drivers for your organization/firm, or some part of its operation. Begin by briefly explaining the business/operation and product(s).
Discuss and illustrate the roles of economies of scale, scope and learning, where relevant.
Explain why you believe these economies exist and what the sources of the economies are. Carefully discuss the implications for firm strategy or operations, or for industry structure.
If possible, attempt to benchmark your position against that of rivals, or of other comparable organizations. 3/10 for discussion of the cost drivers and the analysis of the sources of the economies 3/10 for discussion of implications and (if possible) for benchmarking

Question 5

5. Describe and analyze one or more of the current institutional arrangements governing vertical transactions in your organization/firm/industry (for example, whether IT is contracted out, or whether you distribute your own products. It is usually better to focus on one, in more depth.)
Begin by briefly explaining the organization/firm/industry. Carefully explain the vertical relationship that you will analyze. Discuss the current arrangement (fully integrated, partially integrated, long term contract, bilateral relationship, spot market exchange etc…) Compare your firm’s arrangements to those of your rivals, if different.
Analyze the arrangements in terms of transaction cost economics or market power considerations in order to determine whether they are optimal. Using these tools, explain any differences among firms in your industry, or changes over time.
This is important; don’t ignore it! Propose and justify any profit-improving changes. 3/10 for description of the current arrangements and those of rivals (if different) 3/10 for critical evaluation, new proposals and justification of those Please note that any of these topics can apply to a non-profit or governmental organization as well as to a for-profit firm.




Please read and follow the instructions to your topic carefully. If you are confused by anything, please let me know. If your first language is not English and you have difficulty writing, please get someone to copy edit your paper before submitting. Everyone, regardless of language skills, should use the grammar and spell check functions ☺ Good luck!

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Explore the functions of communication in the strategic and program planning processes for a health care organization.

Consider the topics discussed thus far and clearly integrate at least five key concepts related to an effective and efficient strategic plan for organizational communication dissemination.

Identify three challenges with organization-wide strategic plan communication dissemination and recommend communication strategies to ameliorate these challenges.

Your paper must be three to five double-spaced pages (excluding title and reference pages) and formatted according to APA style as outlined in the Ashford Writing Center.

Utilize a minimum of two scholarly sources that were published within the last five years. One source must be obtained from the Ashford University Library.


All sources must be documented in APA style as outlined in the Ashford Writing Center.
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Identify and explain 3 reasons for the United States entering the Great War against Germany in 1917.



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resources
Rosenthal, L. D., & Burchum, J. R. (2018). Lehne’s pharmacotherapeutics for advanced practice providers. St. Louis, MO: Elsevier.

Chapter 1, “Prescriptive Authority” (pp. 1–3)
Chapter 2, “Rational Drug Selection and Prescription Writing” (pp. 5–9)
Chapter 3, “Promoting Positive Outcomes of Drug Therapy” (pp. 11–16)
Chapter 4, “Pharmacokinetics, Pharmacodynamics, and Drug Interactions” (pp. 17–40)
Chapter 5, “Adverse Drug Reactions and Medical Errors” (pp. 41–49)
Chapter 6, “Individual Variation in Drug Response” (pp. 51–56)
American Geriatrics Society 2019 Beers Criteria Update Expert Panel. (2019). American Geriatrics Society 2019 updated AGS Beers criteria for potentially inappropriate medication use in older adults. Journal of the American Geriatrics Society, 67(4), 674–694. doi:10.1111/jgs.15767

American Geriatrics Society 2019 updated AGS Beers criteria for potentially inappropriate medication use in older adults by American Geriatrics Society, in Journal of the American Geriatrics Society, Vol. 67/Issue 4. Copyright 2019 by Blackwell Publishing. Reprinted by permission of Blackwell Publishing via the Copyright Clearance Center.



This article is an update to the Beers Criteria, which includes lists of potentially inappropriate medications to be avoided in older adults as well as newly added criteria that lists select drugs that should be avoided or have their dose adjusted based on the individual's kidney function and select drug-drug interactions documented to be associated with harms in older adults.

Drug Enforcement Administration. (n.d.-a). Code of federal regulations. Retrieved February 1, 2019, from https://www.deadiversion.usdoj.gov/21cfr/cfr/1300/1300_01.htm



This website outlines the code of federal regulations for prescription drugs.

Drug Enforcement Administration. (n.d.-b). Mid-level practitioners authorization b


WEEK 1
As an advanced practice nurse assisting physicians in the diagnosis and treatment of disorders, it is important to not only understand the impact of disorders on the body, but also the impact of drug treatments on the body. The relationships between drugs and the body can be described by pharmacokinetics and pharmacodynamics.

Pharmacokinetics describes what the body does to the drug through absorption, distribution, metabolism, and excretion, whereas pharmacodynamics describes what the drug does to the body.


Photo Credit: Getty Images/Ingram Publishing

When selecting drugs and determining dosages for patients, it is essential to consider individual patient factors that might impact the patient’s pharmacokinetic and pharmacodynamic processes. These patient factors include genetics, gender, ethnicity, age, behavior (i.e., diet, nutrition, smoking, alcohol, illicit drug abuse), and/or pathophysiological changes due to disease.

For this Discussion, you reflect on a case from your past clinical experiences and consider how a patient’s pharmacokinetic and pharmacodynamic processes may alter his or her response to a drug.

To Prepare
Review the Resources for this module and consider the principles of pharmacokinetics and pharmacodynamics.
Reflect on your experiences, observations, and/or clinical practices from the last 5 years and think about how pharmacokinetic and pharmacodynamic factors altered his or her anticipated response to a drug.
Consider factors that might have influenced the patient’s pharmacokinetic and pharmacodynamic processes, such as genetics (including pharmacogenetics), gender, ethnicity, age, behavior, and/or possible pathophysiological changes due to disease.
Think about a personalized plan of care based on these influencing factors and patient history in your case study.
By Day 3 of Week 1
Post a description of the patient case from your experiences, observations, and/or clinical practice from the last 5 years. Then, describe factors that might have influenced pharmacokinetic and pharmacodynamic processes of the patient you identified. Finally, explain details of the personalized plan of care that you would develop based on influencing factors and patient history in your case. Be specific and provide examples.

By Day 6 of Week 1
Read a selection of your colleagues’ responses and respond to at least two of your colleagues on two different days by suggesting additional patient factors that might have interfered with the pharmacokinetic and pharmacodynamic processes of the patients they described. In addition, suggest how the personalized plan of care might change if the age of the patient were different and/or if the patient had a comorbid condition, such as renal failure, heart failure, or liver failure.

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ESOURCES

Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., & Stewart, R. W. (2019). Seidel's guide to physical examination: An interprofessional approach (9th ed.). St. Louis, MO: Elsevier Mosby.Chapter 1, “The History and Interviewing Process”This chapter explains the process of developing relationships with patients in order to build an effective health history. The authors offer suggestions for adapting the creation of a health history according to age, gender, and disability.Chapter 5, “Recording Information”This chapter provides rationale and methods for maintaining clear and accurate records. The authors also explore the legal aspects of patient records.Sullivan, D. D. (2019). Guide to clinical documentation (3rd ed.). Philadelphia, PA: F. A. Davis.Chapter 2, "The Comprehensive History and Physical Exam" (pp. 19–29)Deckx, L., van den Akker, M., Daniels, L., De Jonge, E. T., Bulens, P., Tjan-Heijnen, V. C. G., … Buntinx, F. (2015). Geriatric screening tools are of limited value to predict decline in functional status and quality of life: Results of a cohort study. BMC Family Practice, 16, 1–12. https://doi-org.ezp.waldenulibrary.org/10.1186/s12875-015-0241- xWu, R. R., & Orlando, L. A. (2015). Implementation of health risk assessments with family health history: Barriers and benefits. Postgraduate Medical Journal, (1079), 508–513.Lushniak, B. D. (2015). Surgeon general’s perspectives: Family health history: Using the past to improve future health. Public Health Reports, (1), 3.Jardim, T. V., Sousa, A. L. L., Povoa, T. I. R., Barroso, W. K. S., Chinem, B., Jardim, L., … Jardim, P. C. B. V. (2015). The natural history of cardiovascular risk factors in health professionals: 20-year follow-up. BMC Public Health, 15(1111), 1–7. https://doi-org.ezp.waldenulibrary.org/10.1186/s12889-015-2477-8Shadow Health Support and Orientation ResourcesDiscussion: Building a Health HistoryEffective communication is vital to constructing an accurate and detailed patient history. A patient’s health or illness is influenced by many factors, including age, gender, ethnicity, and environmental setting. As an advanced practice nurse, you must be aware of these factors and tailor your communication techniques accordingly. Doing so will not only help you establish rapport with your patients, but it will also enable you to more effectively gather the information needed to assess your patients’ health risks.For this Discussion, you will take on the role of a clinician who is building a health history for a particular new patient assigned by your Instructor.Photo Credit: Getty Images/CaiaimageTo prepare:With the information presented in Chapter 1 of Ball et al. in mind, consider the following:By Day 1 of this week, you will be assigned a new patient profile by your Instructor for this Discussion. Note: Please see the “Course Announcements” section of the classroom for your new patient profile assignment.How would your communication and interview techniques for building a health history differ with each patient?How might you target your questions for building a health history based on the patient’s social determinants of health?What risk assessment instruments would be appropriate to use with each patient, or what questions would you ask each patient to assess his or her health risks?Identify any potential health-related risks based upon the patient’s age, gender, ethnicity, or environmental setting that should be taken into consideration.Select one of the risk assessment instruments presented in Chapter 1 or Chapter 5 of the Seidel's Guide to Physical Examination text, or another tool with which you are familiar, related to your selected patient.Develop at least five targeted questions you would ask your selected patient to assess his or her health risks and begin building a health history.SAMPLE 1 FROM THE SAME ASSIGNMENT PLEASE FOLLOW THISNURS 6512N: Advanced Health Assessment and Diagnostic ReasoningWeek 1: Building a Comprehensive Health HistoryBuilding a Health HistoryBall et al., (2015), acknowledges that building a health history is more than just asking patients questions. The health history interview is a conversation with a purpose, “primary objective is to discover the details about a patient’s concern, explore expectations for the encounter, and display genuine interest, curiosity, and partnership” (Ball et al., 2015, p. 1). Using techniques that promote trust and convey respect allows the patient’s story to be told. Establishing a supportive interaction helps the patient feel more at ease when sharing information creating a foundation for therapeutic clinician-patient relationships.Patient ScenarioA 76-year-old Black/African-American male with disabilities living in an urban setting. Because the geriatric a multidimensional assessment the advance practice nurse must “understand the physiologic changes unique to this population, as well as the differences between normal aging-related changes and health alterations caused by illnesses and social changes” (American Nurses Association, 2011, para. 2). Before the physical assessment begins, collection of the health history by interviewing the patient (and family members, if present) with a patient centered open-ended question approach would be used. The information gathered will help focus on particular areas of concern during the physical examination. This technique will also aid in building a rapport, encourage compliance with treatment and targets the patient’s concerns.Interview and Communication TechniquePatient centered interview and communication technique allows the patient a platform to speak freely and provide relevant information. To promote an efficient information exchange and enhance rapport with the patient, distractions would be minimized. Facing the patient, a reason for the interview and overview of the process would be explained. Addressing the patient open-ended questions would be presented clearly. Paraphrasing would be used to attain clarity which is also important in the development of developing building rapport. A collaborating technique would also be used to aid in developing common goals which affirms ways to work together to improve the well-being of the patient.Risk Assessment InstrumentThe comprehensive geriatric assessment (CGA) tool would be the risk assessment instrument utilized on this patient. This assessment instrument is a process which is used to manage frail or vulnerable older adults. The CGA is a comprehensive assessment that looks not only at a patient’s physical medical condition but also their mental health, functionality, social circumstances, and environment. “By assessing each of these domains of health, a comprehensive assessment can be made, and the full bio-psycho-social nature of the individual's problems can be identified” (Welsh et al., 2014, p. 290). The CGA identifies risks such as falls, functional status, ADL’s capability, gait, social support, and financial status that affect elderly patients. Geriatric conditions such as functional impairment and dementia are common and frequently unrecognized or inadequately addressed in older adults. Deck et al., (2015) acknowledges that geriatric screening tools such as the CGA provides valuable information by identifying patients at risk for functional decline or decline in quality of life, prompting physicians to consider different aspects of functioning. Identifying geriatric conditions by performing a geriatric assessment can help clinicians manage these conditions and prevent or delay their complications.Five Targeted Questions1.) Do you have any difficulties with completing your daily activities such as grooming, meal preparations, grocery shopping, taking medication, bathing, etc.?2.) Do you have a support system?3.) What are things that make you happy/sad?4.) Do you have any problems ambulating in your home (assessing for falls and any ambulatory assistance aids)?5.) Do you have any concerns or further questions for me at this time?ReferencesAmerican Nurses Association. (2011). Geriatric assessment: Essential skills for nurses.American Nurse Today, 6(7). Retrieved fromhttps://www.americannursetoday.com/geriatric-assessment-essential-skills-for-nurses/Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., & Stewart, R. W. (2015). Seidel's guide tophysical examination (8th ed.). St. Louis, MO: Elsevier Mosby.Deck, L., Akker, M., Daniels, L., DeJonge, E. T., Bulens, P., Tjan-Heijnen, V., L Van Abbema,D. & Buntinx, F. (2015). Geriatric screening tools are of limited value to predict declinein functional status and quality of life: results of a cohort study. BMC Family Practice,16(30), 1–12. doi 10.1186/s12875-015-0241-x. Retrieved fromhttp://bmcfampract.biomedcentral.com/articles/10.1186/s12875-015-0241-xWelsh, T. J., Gordon, A. L., & Gladman, J. R. (2014). Comprehensive geriatric assessment-aguide for the non-specialist. International Journal of Clinical Practice, 68(3), 290-3. doi:10.1111/ijcp.12313 Retrieved fromhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4282277/

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In Chapter 9 of A General Theory of Love the authors discuss several aspects of contemporary life that make it hard to fulfill the needs of the limbic system. For this assignment you will reflect on an aspect of contemporary life, not discussed by the authors, that you believe undermines the needs of the limbic system. Describe the phenomenon you have in mind and explain in detail how it affects the limbic system.

Minimum length 500 words.

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For this assignment you will select a subject who requires therapy for some problem related to love (you can be quite broad in the problems you consider). The subject should be someone you have a good deal of information about, but also someone that you can be objective towards. So the subject should not be you yourself, nor anyone with whom you have a close personal relationship. A good subject could be a fictional character or a real person whose biography is familiar to you.Your task in the paper will be to identify your subject in some detail and then explain how your subject can be treated using the therapeutic model discussed in Chapter 8 of A General Theory of Love.Minimum length 500 words.

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