Consider a change initiative that you have led, supported, or observed and comment on how the change vision associated with the initiative was communicated. Was the communication effective and how did it influence the change initiative? Was the change initiative ultimately successful?

John Kotter suggests key elements in the effective communication of a change vision (1-Simplicity, 2-Metaphor, Analogy, Example, 3-Multiple Forums, and 4-Repetition). Lastly, to what extent did mutual trust between the leader and the followers influence the outcome and did communication influence this trust?

Identify the normal pathophysiology of gastric acid stimulation and production. Review Chapter 37 in the Huether and McCance text. Consider the pathophysiology of gastroesophageal reflux disease (GERD), peptic ulcer disease (PUD), and gastritis. Think about how these disorders are similar and different.

Assignment 1: Gastrointestinal Tract: Disorders of Motility Jamie is a 3-month-old female who presents with her mother for evaluation of throwing up. Mom reports that Jamie has been throwing up pretty much all the time since she was born. Jamie does not seem to be sick. In fact, she drinks her formula vigorously and often acts hungry. Jamie has normal soft brown bowel movements every day and, overall, seems like a happy and contented baby. She smiles readily and does not cry often. Other than the fact that she often throws up after drinking a bottle, she seems to be a very healthy, happy infant. A more precise history suggests that Jamie does not exactly throw upshe does not heave or act unwellbut rather it just seems that almost every time she drinks a bottle she regurgitates a milky substance. Mom thought that she might be allergic to her formula and switched her to a hypoallergenic formula. It didnt appear to help at all, and now Mom is very concerned. Cases like these are not uncommon. The mother was concerned and thinking her daughter may have an allergy; she changed to a different formula. However, sometimes babies have immature GI tracts that can lead to physiology reflux as they adapt to normal life outside the uterus. Parents often do not consider this possibility, prompting them to change formulas rather than seeking medical care. As in the case study above, GI alterations can often be difficult to identify because many cause similar symptoms. This same issue also arises with adultsadults may present with symptoms that have various potential causes. When evaluating patients, it is important for the advanced practice nurse to know the types of questions he or she needs to ask to obtain the appropriate information for diagnosis. For this reason, you must have an understanding of common GI disorders such as gastroesophageal reflux disease (GERD), peptic ulcer disease (PUD), and gastritis. To Prepare Review this weeks media presentation on the gastrointestinal system. Review Chapter 35 in the Huether and McCance text. Select a patient factor different from the one you selected in this weeks Discussion: genetics, gender, ethnicity, age, or behavior. Consider how the factor you selected might impact the pathophysiology of GERD, PUD, and gastritis. Reflect on how you would diagnose and prescribe treatment of these disorders for a patient based on this factor. Review the Mind MapsDementia, Endocarditis, and Gastro-oesophageal Reflux Disease (GERD) media in the Week 2 Learning Resources. Use the examples in the media as a guide to construct a mind map for gastritis. Consider the epidemiology and clinical presentation of gastritis. To Complete Write a 2- to 3-page paper that addresses the following: Describe the normal pathophysiology of gastric acid stimulation and production. Explain the changes that occur to gastric acid stimulation and production with GERD, PUD, and gastritis disorders. Explain how the factor you selected might impact the pathophysiology of GERD, PUD, and gastritis. Describe how you would diagnose and prescribe treatment of these disorders for a patient based on the factor you selected. Construct a mind map for gastritis. Include the epidemiology, pathophysiology, and clinical presentation, as well as the diagnosis and treatment you explained in your paper.
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Based upon the vitamin or mineral that you have chosen, what were your doctors observations and diagnosis?

Week 5: Focus on vitamins & minerals Contains unread posts TASK: Select a vitamin or mineral and address the associated question(s). AVOID DUPLICATES–scan your peers’ posts before making your selection. To that end, be sure to label your subject heading with the selected vitamin/mineral. Imagine you are attending your yearly health risk assessment. When you came to the appointment, you thought you had a proper diet and were of average health. It turns out, the doctor that examines you has a special interest in nutrition. She notices some inconsistencies with what you discuss with her and suggests that you may have a deficiency or toxicity of your selected vitamin or mineral. Your post should include the following information: Do you have a toxicity or deficiency? Explain any disorders associated with the deficiency or toxicity. Briefly describe what your recommended daily allowance based upon your profile (sex, age, physical status, etc.) should be, your present intake estimate, and your action plan (adjustment in diet, etc.). If left untreated, what might be some of the more serious long term and detrimental effects this might have on your body? Which special populations (pregnant women, children, etc.) are most affected and why? What other prevention, treatment, and safety measures might be beneficial to regulate your health?

Explain the pathophysiology of the alterations, including changes that occur in at least two body systems.

Assignment 2: The Pathophysiology of Disorders During the last 5 weeks, you have explored various body systems: neurological, cardiovascular, respiratory, and hematological. These four systems work together along with other body systems to complete a myriad of functions. For this reason, when disorders occur within one body system, it can create potentially devastating effects throughout the entire body. For instance, Parkinsons disease is a disorder of the central nervous system, yet its alterations actually affect multiple body systems from the cardiovascular system to the gastrointestinal system. In this Assignment, you examine alterations associated with disorders, as well as the impact of the alterations on multiple body systems. To Prepare From the list below, select a disorder of interest to you: Alzheimers disease Asthma in children Chronic obstructive pulmonary disease (COPD) Congestive heart failure Hepatic disease (liver disease) Hypertension Hyperthyroidism and hypothyroidism Seizures Sepsis Identify alterations associated with your selected disorder. Consider the pathophysiology of the alterations. Think about how these alterations produce pathophysiological changes in at least two body systems. Reflect on how patient factors such as genetics, gender, ethnicity, age, and behavior might impact the pathophysiology of the alterations you identified, as well as the diagnosis and treatment of your selected disorder. Review the Mind mapsDementia, Endocarditis, and Gastro-oesophageal Reflux Disease (GERD) media in the Week 2 Learning Resources. Use the examples in the media as a guide to construct a mind map for the disorder you selected. Consider the epidemiology and clinical presentation of your selected disorder. To Complete Develop a 5- to 10-slide PowerPoint presentation that addresses the following: Describe your selected disorder, as well as associated alterations. Explain how genetics, gender, ethnicity, age, and behavior might impact the pathophysiology of the alterations you identified, as well as diagnosis and treatment of your selected disorder. Construct a mind map for the disorder you selected. Include the epidemiology, pathophysiology of alterations, risk factors, and clinical presentation, as well as the diagnosis and treatment of the disorder.
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Analyze the key concepts of patient-centered care Assignment Overview In this writing assignment, you will make recommendations to improve the literacy level of patient education materials.

Deliverables 1. A two-page (500-word) paper Step 1 a. Choose patient education material. Evaluate the material you choose for literacy: i. Choose a patient education material that you routinely give to your patients. ii. Alternatively, go to the National Institute on Aging and choose a health topic written for the older adult. b. Write the paper. Study the patient education material you chose. Then address the following prompts in your paper: i. Choose three items you could change to make the material easier to understand for a patient with a low health literacy level. ii. Describe the changes you would make. iii. For help with improving the literacy of the material you chose, go online to the Centers for Medicare & Medicaid Services and scan their Toolkit for Making Written Material Clear and Effective. Assignment Format Format Requirements Use the following format requirements on all submissions. Writing Style APA (American Psychological Association) Note: To find detailed information on APA manuscript style guidelines on the Internet, go to www.apastyle.org. Margins 1 all sides Paragraphs The entire document should be double-spaced on standard-sized paper (8.5″ x 11″) Headings Bold Type Style and Size Times New Roman, 12 point Software MS Word Student/Assignment Information The following information should be on the first page on the top left side of the page in the format provided below. Do not provide a cover sheet (unless the assignment requires one). Student Name: Denise Petrie Student Identification Number: AC108754 Course Number and Title: NS310A Professional Issues in Nursing Assignment Number and Title (5) Assignment 4 Date of Submission

How does the ad function in a way that motivates the target audience to action?

Essay 2: Analyzing Visual Rhetoric3-4 pages, MLA format.This essay focuses on analyzing the effectiveness of an example of visual rhetoric (print ad, video, poster, billboard, etc). These should be for causes, not products.Though there isnt a set format to follow, your essay should include the following elements:a. the service/message being communicated.
b. the name of the sender (company or organization).c. the nature of the medium (print, video, etc.d. the date the campaign went into play.A detailed discussion of the campaigns target audience.
An analysis of the ad itself. This would include a discussion of the ads use of appeals (emotional, rational, ethical), music, dialogue, situation, color, lighting, photography, imagery, text, and other elements. Choose from several of these as appropriate. You may use more than one example, or compare similar ads as well.
An assessment of the images effectiveness. This entails viewing the ad through the eyes of its intended audience (hence the importance of part II) to discern how well the ad might work. If youre discussing a historical ad, try placing yourself into the context of the time before assessing the material. What might seem trite or laughable now might have been terrifying in the past. Due: October 18.

What are the immediate concerns in the areas of officer safety, training, use of force, budgeting, etc?

On January 11, 2016, the US Court of Appeals for the 4th Circuit issued a ruling in the case of Armstrong v. Village of Pinehurst that could have a tremendous effect on law enforcement managers. It placed restrictions on the use of tasers to subdue subjects. This case applies to Virginia Law Enforcement Agencies and could alter training and use of force policies. Read over the case and the findings of the court and discuss areas of concern for law enforcement managers. Look for immediate areas that must be addressed and any far reaching results of this ruling. You must support and document your findings, and it may be necessary to interview a law enforcement manager to address local concerns.The assignment must be formatted following APA guidelines. Under APA Information, there is a sample paper with some common APA components (citations, direct quotes, etc.) highlighted. There are also links to various websites that will help you with APA formatting. You must have a minimum of 3 scholarly references, not including your text. Most internet sites are not considered scholarly but they can guide you to acceptable sources.

Consider how our actions at the individual and community level could help to reduce some trauma. Write an essay in which you use Moalem’s and Stillman’s ideas to propose ways to counteract the effects of trauma, inherited or otherwise.

Sharon Moalem posits that trauma not only negatively impacts our genetic expression, but it can also cause the altered DNA to be passed on to subsequent generations. Stillman solidifies Moalem’s argument by presenting clear examples of transgenerational trauma.