As the manager of the Fortune 500 company selected in week one, you may need to evaluate the financial performance. Think about some of the influences and measures of company performance that you read about this week. Share information about the return on assets (ROA) and price-to-earnings (PE) ratio for the Fortune 500 company. What do these metrics tell you about the financial health of the company? Which economic and market factors may have influenced the financial health?

 
As the manager of the Fortune 500 company selected in week one, you may need to evaluate the financial performance. Think about some of the influences and measures of company performance that you read about this week.
Share information about the return on assets (ROA) and price-to-earnings (PE) ratio for the Fortune 500 company. What do these metrics tell you about the financial health of the company? Which economic and market factors may have influenced the financial health?
Use Apple.

What is the nurses responsibility with a perspective organ donation?  What are some absolute contraindications for donation, and what is the difference between organ and tissue donation?

 
MY NUMBER ASSIGNED WAS 1 WHICH IS:  **What is the nurse’s responsibility with a perspective organ donation?  What are some absolute contraindications for donation, and what is the difference between organ and tissue donation?
Each student will be assigned a number randomly.  Whatever your number is, select the corresponding topic below, then post a minimum of 5 bullet points about the topic.  
Your bullet points should address key components of the topic, such as what, how, who, & why.  This information should not be basic things you learned in Med/Surg, but rather advanced critical care based.  
Think about this as a group effort to create a study guide. Use ONLY your textbook, but do not cut & paste from the book.  
Then create, find, or borrow a test style question about your topic & post at the bottom of your bullet points. The format needs to be multiple choice or select all that apply. Think NCLEX style.  

Identify a bill that relates to health care, a social issue, or nursing practice. You may select a federal or state bill. Who introduced/sponsored the bill? Where was it introduced? (U.S. Congress or a state legislature)

 Identify a bill that relates to health care, a social issue, or nursing practice. You may select a federal or state bill.
FAQ which outlines how the bill was introduced and the process for approval by including answers to the following questions:

State the legislation name and summarize the purpose of the bill
Who introduced/sponsored the bill?
Where was it introduced? (U.S. Congress or a state legislature)
Who helped to draft the legislation?
Did nursing organizations such as the American Nurses Association identify support or opposition for the law? Look at two or more organizations, and you may need to review their lobbying information. If you can not find any evidence related to the legislation, list the organizations that you reviewed.
Which congressional or legislature committees were involved?
What happened to the legislation after it was introduced? Was it passed, enacted, or funded? If yes, when did it take effect?
What is the impact on health care or nursing practice?

Describe a human-technology interface that you have encountered in healthcare that you think needs improving.

Healthcare Informatics
substantially respond to at two other student posts that prompts further input or provides another viewpoint. Describe a situation from your professional experience that backs up your viewpoint and discuss the social, moral, political and economic factors impacting your position. add value to the discussion, and apply ideas, insights, or concepts from scholarly sources, such as: journal articles, assigned readings, textbook material, lectures, course materials, or authoritative websites. For specific details and criteria, refer to the discussion rubric in the Menu (?) or in the Course Overview Weekly Discussion Guidelines.
1st peer post:
Piper Sines
As a nurse in the ICU, a human-technology interface that I frequently use is the clinical monitor. Every ICU patient is hooked up to the monitor so the nurses can watch their vital signs. The monitor has ports to plug in different devices that measure vital signs, such as the blood pressure cuff, pulse ox, ECG, temperature probe, and various hemodynamic monitoring devices. The monitor is essential in the intensive care setting to ensure that patients remain stable. However, this technology needs improvement because the constant alarming of clinical monitors causes alarm fatigue. “Alarm fatigue, a desensitization caused by excessive alarms, causes nurses to turn off or mute alarms and slowing their response times because a large number of nonactionable alarms causes nurses to lose trust in the alarms” (Wang et al., 2023, p. 5532).
The clinical monitor interface should be improved to alleviate alarm fatigue and improve patient safety. Nurses could change clinical parameters for alarms based on each individual patient’s needs. Nurses could also wear a smart device that links to the monitor that personally notifies the nurse when there is an alarm. If the nurse is notified with a wearable device, they would be less likely to miss a life-saving alarm. Another solution would be to have flashing lights outside of the patient rooms to notify nurses in case noise pollution prevents them from hearing the alarm. Alarm fatigue is a serious problem that causes nurses to miss critical changes in patients, and a solution needs to be found.
References
Wang, L., He, W., Chen, Y., Wu, Q., Du, X., Li, Q., & Song, C. (2023). Intensive care unit nurses’ perceptions and practices regarding clinical alarms: A descriptive study. Nursing Open, 10(8), 5531–5540.
https://doi.org/10.1002/nop2.1792

2nd peer post:
Dianna Miller
Describe a human-technology interface that you have encountered in healthcare that you think needs improving.
In labor and delivery, I believe the fetal monitoring system we have developed over the years is something that could use improving. Miesnik (2002) states, “The use of technology is not benign. As with any health care intervention, there are associated risks and benefits. The practitioner needs to constantly consider the benefits of the technology versus the naturalistic birth experience. The use of technology should optimize birth outcomes while maintaining a balance that provides for the best possible human birth experience.”
2. Describe what you would specifically like to see changed about this technology and why?
I believe that fetal monitoring in the process of labor and delivery is very important as it helps to ensure a safe delivery of the baby and is a direct access to see if the babies are in distress while still int he womb. However, in a hospital setting we seem to feel the need to continuously monitor the patients. A lot of times this decreases the patient’s mobility, and a lot of time hinders movement during the delivery process which can help patients get the baby in the correct position for delivery. What I have seen some facilities do is in the early stages of labor do intermittent monitoring which allows the patients frequent mobility and allows for an easier transition through labor.
Miesnik, S., (2002). Technology in the birthing room. Nurse Clinical North American Journal 37(4). 781-793. DOI: 10.1016/s0029-6465(02)00025-7

Collect participant observation data: For three consecutive days, collect data on how and where you see hegemonic ideals of manhood achieved and performed as you go about your regular routines (i.e., at school, at work, at the gym, on social media; and while socializing with friends or family). This can be an interaction between friends, a phrase you heard repeated or shouted, or from a television advertisement.Post your findings. Select the three observations you made that you think best exemplify the concept “hegemonic masculinity” and tell us where and when these observations took place.

Collect participant observation data: For three consecutive days, collect data on how and where you see hegemonic ideals of manhood achieved and performed as you go about your regular routines (i.e., at school, at work, at the gym, on social media; and while socializing with friends or family). This can be an interaction between friends, a phrase you heard repeated or shouted, or from a television advertisement.Post your findings. Select the three observations you made that you think best exemplify the concept “hegemonic masculinity” and tell us where and when these observations took place. Note, your data should be coming from a wide range of spaces/places (i.e., not only from a television show you watch or social media). Be sure to include an observation from at least one face-to-face experience. Do not, however, include identifying information – such as a person’s name – in your post.Peer review. Select a post from one of your peers and analyze their data from a sociological perspective – use their observations of masculinity to explain the relationship between hegemonic masculinity and gender inequalities (e.g., the legitimation of masculine domination).

Compare and contrast the model of medical practice between the U.S. (Western scientific paradigm of medicine) and another country with a different culture.

https://tlc.trident.edu/d2l/le/content/199460/viewContent/4978236/View 1/2

Module 4 – Case

CLAS STANDARDS

Case Assignment

For this assignment, watch the video from the link below:

U.S. Department of Health & Human Services. (n.d). Using language access services. Accessed from:
https://thinkculturalhealth.hhs.gov/resources/videos/using-language-access-services

In a 2- to 3-page paper:

Compare and contrast the range of medical language interpretation and describe what is considered “best practice.”

Consider and describe at least two scenarios in which patients are non-English speaking and qualified language
interpretation is not provided. What are the key ethical principles to be considered? What are the implications for the
patient in each scenario?

How would the scenario relate to the code of ethics in public health?

Compare and contrast the model of medical practice between the U.S. (Western scientific paradigm of medicine)
and another country with a different culture.

Which healthcare model is better and why?

Assignment Expectations

Length: 2 – 3 pages (excluding the cover page and the reference list).

Assessment and Grading: Your paper will be assessed based on the performance assessment rubric. You can view it
under Assessments at the top of the page. Review it before you begin working on the assignment. Your work should

?Listen??

Examine what it means for an organization to have an inclusive culture.  Distinguish between diversity and inclusion. 

YOUR ROLE AS A MANAGER IN CREATING A POSITIVE, INCLUSIVE WORKPLACE CULTURE: TOWARD A MORE POSITIVE AND INCLUSIVE CULTUREFor your final presentation to managers, you will focus on helping managers to create a more positive, inclusive culture. As in the prior 2 weeks, provide 2–3 bullet points per slide, along with an accompanying script in the Notes section of each slide that you would use if you were delivering the presentation to a group of managers. As in Weeks 1 and 2, be sure your presentation ends with a clear, actionable Call to Action.
As you prepare your presentation and script, be sure to cover all items outlined, including the incorporation of references to appropriate academic sources, such as those found in the Learning Resources or those in the Walden Library.
RESOURCES
Be sure to review the Learning Resources before completing this activity.
Click the weekly resources link to access the resources. 
WEEKLY RESOURCES
To prepare for this Assignment:
Review, as needed, the following resource, which includes links to helpful information about using Microsoft PowerPoint:
Walden University Academic Skills Center. (n.d.). Microsoft PowerPointLinks to an external site..
Download the Week 3 Assignment Template (PowerPoint presentation) Download Week 3 Assignment Template (PowerPoint presentation).
BY DAY 7
Submit your presentation. Using the PowerPoint template provided, address the following topics and questions in approximately 9–10 slides, excluding references:
Part 1: Toward a More Positive Culture

Synthesize the effects of having a positive work culture—as well as the effects of not having one. 

How does this impact the organization?

How does this impact individuals and teams?

Call to Action: Propose a set of key steps that managers in your selected organization can take to move toward greater positivity. 
Part 2: Toward a More Inclusive Culture
Examine what it means for an organization to have an inclusive culture. 
Distinguish between diversity and inclusion. 
In what ways are they the same?
In what ways are they different?
Analyze the importance of diversity and inclusion to an organization.

What are the positive effects of incorporating diversity and inclusion into the culture?

What challenges might you encounter when incorporating these ideas into the culture?
Call to Action: Develop a list of key steps managers in your selected organization can take to better incorporate diversity and inclusion into organizational culture and practices. 

You are a medical professor in charge of creating college assignments and answers for medical college students. You design and conduct lectures, evaluate student performance and provide feedback through examinations and assignments. Answer each question separately. Include and Introduction. Provide an answer to this content

YOUR ROLE AS A MANAGER IN CREATING A POSITIVE, INCLUSIVE WORKPLACE CULTURE: TOWARD A MORE POSITIVE AND INCLUSIVE CULTUREFor your final presentation to managers, you will focus on helping managers to create a more positive, inclusive culture. As in the prior 2 weeks, provide 2–3 bullet points per slide, along with an accompanying script in the Notes section of each slide that you would use if you were delivering the presentation to a group of managers. As in Weeks 1 and 2, be sure your presentation ends with a clear, actionable Call to Action.
As you prepare your presentation and script, be sure to cover all items outlined, including the incorporation of references to appropriate academic sources, such as those found in the Learning Resources or those in the Walden Library.
RESOURCES
Be sure to review the Learning Resources before completing this activity.
Click the weekly resources link to access the resources. 
WEEKLY RESOURCES
To prepare for this Assignment:
Review, as needed, the following resource, which includes links to helpful information about using Microsoft PowerPoint:
Walden University Academic Skills Center. (n.d.). Microsoft PowerPointLinks to an external site..
Download the Week 3 Assignment Template (PowerPoint presentation) Download Week 3 Assignment Template (PowerPoint presentation).
BY DAY 7
Submit your presentation. Using the PowerPoint template provided, address the following topics and questions in approximately 9–10 slides, excluding references:
Part 1: Toward a More Positive Culture

Synthesize the effects of having a positive work culture—as well as the effects of not having one. 

How does this impact the organization?

How does this impact individuals and teams?

Call to Action: Propose a set of key steps that managers in your selected organization can take to move toward greater positivity. 
Part 2: Toward a More Inclusive Culture
Examine what it means for an organization to have an inclusive culture. 
Distinguish between diversity and inclusion. 
In what ways are they the same?
In what ways are they different?
Analyze the importance of diversity and inclusion to an organization.

What are the positive effects of incorporating diversity and inclusion into the culture?

What challenges might you encounter when incorporating these ideas into the culture?
Call to Action: Develop a list of key steps managers in your selected organization can take to better incorporate diversity and inclusion into organizational culture and practices. 

. Do not write who you are in the answer.

A patient is followed for several years with heart failure. His case is early at stage A. Which stage A patients would benefit from adding an angiotensin-converting enzyme inhibitor?

A patient is followed for several years with heart failure. His case is early at stage A. Which stage A patients would benefit from adding an angiotensin-converting enzyme inhibitor?
As the patient progresses through the heart disease stages, when are diuretics typically added? Are all heart failure patients candidates for diuretics at this stage

You are a medical professor in charge of creating college assignments and answers for medical college students. You design and conduct lectures, evaluate student performance and provide feedback through examinations and assignments. Answer each question separately. Include and Introduction. Provide an answer to this content

A patient is followed for several years with heart failure. His case is early at stage A.
Answer the following questions. 
Which stage A patients would benefit from adding an angiotensin-converting enzyme inhibitor?
As the patient progresses through the heart disease stages, when are diuretics typically added? Are all heart failure patients candidates for diuretics at this stage

. Do not write who you are in the answer.

Case study: A 42-year-old male comes into the clinic stating that he has noticed a “lump” in one of his testicles. It is not painful. He says it is behind the right testicle and just slightly above it. His ROS is negative. Explain your differential diagnoses, providing a minimum of three. List them from highest priority to lowest priority and include their CPT and ICD-10 codes for the diagnosis. What would your primary diagnosis be and why?

   
Two Parts:
Case Study
A 42-year-old male comes into the clinic stating that he has noticed a “lump” in one of his testicles. It is not painful. He says it is behind the right testicle and just slightly above it. His ROS is negative. Explain your differential diagnoses, providing a minimum of three. List them from highest priority to lowest priority and include their CPT and ICD-10 codes for the diagnosis. What would your primary diagnosis be and why? He has no history of testicular cancer in the family. He has tried manipulating it to see if anything changes but it does not help. He tried ice but it did not go away. He says for a couple of days it hurt a little and he tried elevating the scrotum and that seemed to make the pain go away. He says, “it is kind of like I have a third testicle!” 
Upon examination, his vital signs are stable and his assessment is unremarkable. You note a painless mass just superior and inferior to the right testicle. You are able to move it and it is freely movable.
 
Part 1- 
Use the Focused SOAP Note Template to address the following:
· Subjective: What details are provided regarding the patient’s personal and medical history?
· Objective: What observations did you make during the physical assessment? Include pertinent positive and negative physical assessment findings. Describe whether the patient presented with any morbidities or psychosocial issues.
· Assessment: Explain your differential diagnoses, providing a minimum of three. List them from highest priority to lowest priority and include their CPT and ICD-10 codes for the diagnosis. What would your primary diagnosis be and why?
· Plan: Explain your plan for diagnostics and primary diagnosis. What would your plan be for treatment and management? Include pharmacologic and non-pharmacologic treatments, alternative therapies, and follow-up parameters as well as a rationale for this treatment and management plan.
· Reflection notes: Describe your “aha!” moments from analyzing this case.

After watching the speeches, “First World Problems” and “ How Guinea Pigs Help Autistic Children” in the unit resources, critique the effectiveness of each speaker’s organization and delivery.  How did the choices made by the speaker impact the level of engagement you had with each speech?

  After watching the speeches, “First World Problems” and “ How Guinea Pigs Help Autistic Children” in the unit resources, critique the effectiveness of each speaker’s organization and delivery.  How did the choices made by the speaker impact the level of engagement you had with each speech?
Some areas to comment on are: an engaging introduction, smooth transitions, credible evidence to support main ideas, concise conclusion with memorable ending, varied tone of voice, eye contact and other body language.