Female patient diagnosed with gastroesophageal reflux disease (GERD)

1. You are caring for a 47-year-old female patient diagnosed with gastroesophageal reflux disease (GERD). She has been advised daily intake of a proton pump inhibitor. She still has some occasional breakthrough symptoms, especially when she is lying down at night.
Develop a patient education plan that focuses on conservative measures in the treatment of GERD. What are some of the things that she can do to alleviate her symptoms?
2. A 75-year-old patient has been admitted to the hospital with diverticulitis. He reports that he was diagnosed with something similar many years ago, but this is the first time he was ever required to be admitted to the hospital.
Based on your knowledge of the gastrointestinal system, what is the most likely initial diagnosis that this patient had? How does this diagnosis differ from his current admitting diagnosis? Discuss the potential treatment for both these disorders.
3. Crohn’s disease and ulcerative colitis are both inflammatory bowel diseases. A 38-year-old male patient that you are caring for has been diagnosed with ulcerative colitis. He reports that one of his aunts was diagnosed with Crohn’s disease years ago and wants to know whether there is any similarity.

Discuss what you would tell the patient about the portions of the gastrointestinal tract typically affected and the difference in treatment. Which of these two disorders is more serious in terms of complication?
Assignment 2 Grading Criteria Maximum Points
Patient 1
Created a patient education plan that focused on conservative measures in the treatment of GERD. 15
Suggested measures to alleviate symptoms of GERD. 6
Patient 2
Correctly guessed the initial diagnosis for the patient with diverticulitis, accurately stated the difference between the initial diagnosis and the current admitting diagnosis, and suggested appropriate treatment regimen for both the disorders. 21
Patient 3
Discussed aspects of patient education related to the parts of the gastrointestinal tract typically affected by Crohn’s disease and the difference in treatment; and also correctly identified the potentially more serious disorder. 21
Submitted the exam response document on time in the required format. 3
Used APA 6th edition style guidelines consistently and accurately. 3
Used correct spelling and grammar. 3
Total: 30

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Educational change case report stage 2: Discussion paper on leading education

Identification of a case study of educational change or initiative showing the strategic relevance of the ‘problem’ to be addressed locating this within policy, practice or academic literatures; Discussion of the conceptual readings related to contextualising the case study
‘problem’ and the contribution the inititiative will make to policy, practice or
academic literatures; Discussion of the focusing of the ‘problem’ and construction of this as a feasible case study or initiative. ( it is not my current assignment requirement).

(it is my current assignment requirement) Context- India
Referencing style- APA
Title: Educational change case report stage 2: Discussion paper on leading education work in a specific case or context:

Details of task:
Assignment task 2 develops from Assignment task 1. It requires a case study report on how as a leader you might address a ‘problem’ of educational change or introduce a new initiative in an educational context. The case report should include (in the form of a critical review of the literature) the selection and discussion of appropriate conceptual readings related to inner leadership and the strategies related to developing organisational change or innovations.

Task guidance

Identify the case of educational change that this report will address and succinctly summarise the understandings developed in assessment task
1 where the relevance, rationale and context of the case were identified and linked to the globalising policy literature (approx. 600-1000 words);
1. Critically consider your own role, identity and leadership style in the case of change and relate the discussion to the conceptual readings on leadership and inner leadership;
2. Develop and critically discuss strategies for educational change in the specific context you have identified in assessment task 1 to address the issue or problem. In this discussion critically analyse the organisational context, including people, cultures and practices to identify the mediating potential and activities of leadership work to enable change;
3. Critically reflect on the significance and contribution of this leadership work to modifying or mediating the effects of globalizing policies.

Clear identification of a case of educational change or initiative; Explanation of why this is an issue/problem Discussion of your own role, identity and leadership style Relating the discussion on the case to the conceptual readings on leadership and inner leadership Critical analysis of the organization context of your case (including people, cultures and practices). Identification of the mediating potential and activities of leadership work to enable change Critical reflection on the significance and contribution of this leadership work to modifying or mediating the effects of globalizing policies Technical issues that must be demonstrated Clarity of written language; control of mechanics of expression Accurate and consistent employment of referencing conventions.

assignment criteria:
Clear identification of a case of educational change or initiative; Explanation of why this is
an issue/problem
Discussion of your own role, identity and leadership style
Relating the discussion on the case to the conceptual readings on leadership and inner
leadership
Critical analysis of the organization context of your case (including people, cultures and
practices).
Identification of the mediating potential and activities of leadership work to enable change
Critical reflection on the significance and contribution of this leadership work to modifying
or mediating the effects of globalizing policies

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Educational change case report stage 2: Discussion paper on leading education work in a specific case.

Identification of a case study of educational change or initiative showing the strategic relevance of the ‘problem’ to be addressed locating this within policy, practice or academic literatures; Discussion of the conceptual readings related to contextualising the case study
‘problem’ and the contribution the inititiative will make to policy, practice or
academic literatures; Discussion of the focusing of the ‘problem’ and construction of this as a feasible case study or initiative. ( it is not my current assignment requirement).

(It is my current assignment requirement) Context- India
Referencing style- APA
Title: Educational change case report stage 2: Discussion paper on leading education work in a specific case or context:

Details of task:
Assignment task 2 develops from Assignment task 1. It requires a case study report on how as a leader you might address a ‘problem’ of educational change or introduce a new initiative in an educational context. The case report should include (in the form of a critical review of the literature) the selection and discussion of appropriate conceptual readings related to inner leadership and the strategies related to developing organisational change or innovations.

Task guidance

Identify the case of educational change that this report will address and succinctly summarise the understandings developed in assessment task
1 where the relevance, rationale and context of the case were identified and linked to the globalising policy literature (approx. 600-1000 words);
1. Critically consider your own role, identity and leadership style in the case of change and relate the discussion to the conceptual readings on leadership and inner leadership;
2. Develop and critically discuss strategies for educational change in the specific context you have identified in assessment task 1 to address the issue or problem. In this discussion critically analyse the organisational context, including people, cultures and practices to identify the mediating potential and activities of leadership work to enable change;
3. Critically reflect on the significance and contribution of this leadership work to modifying or mediating the effects of globalizing policies.

Clear identification of a case of educational change or initiative; Explanation of why this is an issue/problem Discussion of your own role, identity and leadership style Relating the discussion on the case to the conceptual readings on leadership and inner leadership Critical analysis of the organization context of your case (including people, cultures and practices). Identification of the mediating potential and activities of leadership work to enable change Critical reflection on the significance and contribution of this leadership work to modifying or mediating the effects of globalizing policies Technical issues that must be demonstrated Clarity of written language; control of mechanics of expression Accurate and consistent employment of referencing conventions.

assignment criteria:
Clear identification of a case of educational change or initiative; Explanation of why this is
an issue/problem
Discussion of your own role, identity and leadership style
Relating the discussion on the case to the conceptual readings on leadership and inner
leadership
Critical analysis of the organization context of your case (including people, cultures and
practices).
Identification of the mediating potential and activities of leadership work to enable change
Critical reflection on the significance and contribution of this leadership work to modifying
or mediating the effects of globalizing policies

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Solve a case study: Henry Schein (HS) went from annual revenues of $225 million in 1989 to more than $9 billion, 800,000 customers

QUESTION 1
Henry Schein (HS) went from annual revenues of $225 million in 1989 to more than $9 billion, 800,000 customers, and nearly 16,000 employees around the world in 2013. What are the reasons behind its tremendous success so far?
QUESTION 2
Can other firms replicate the success of HS? What in your opinion prevents other companies from pursuing the ‘Team Schein’ approach?
QUESTION 3
What are the biggest challenges to the sustainability of HS? What can Stan Bergman do to prepare the company for these challenges?
QUESTION 4
How would you describe the corporate culture at HS? Where does this culture come from? What are the culture’s implications on HS’s overall strategy?
QUESTION 5
Where is the company today in 2015? In your opinion what should HS’s future strategy be? Justify and support your answer with examples.

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Quotes—Pick out specific quotes that demonstrate the main ideas or clarify particular points

1) Citation—Provide the citation for the document you’re reading in the citation format for your profession (e.g., APA, MLA, Chicago). If you’re unsure, look it up first in the textbook or online (being able to find answers to questions you have is an essential workplace skill), and then ask me if you still need help.

2)Thesis—Write a one- to two-sentence summary of the reading. What is the main idea or point of the reading?

3)Notes—Use this section to jot down things you want to remember about the reading or things you think are important (e.g., key terms and points).

4)Quotes—Pick out specific quotes that demonstrate the main ideas or clarify particular points; be sure to include the page number.

5)Questions—Write down questions you have during or after reading. Leaving this section blank or saying that you don’t have questions demonstrates inadequate engagement with the text; active engagement with the reading should leave you with plenty of questions. The most obvious ones are about points you don’t understand, but you might also question a claim the author makes or how to apply a point to a particular situation.

6)Connections—Connect this reading to other things that you know, have read, or have experienced. Making connections helps us to better learn, remember, and apply our knowledge. Be creative here. Again, active engagement with the text should allow you to draw plenty of connections with your current knowledge and experiences.

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Compare and contrast two Jim Crow narratives from two different states

Compare and contrast two Jim Crow narratives from two different states.

Remember to explain what details and experiences these people gave in describing the institution of segregation and the practice of using Jim Crow laws in society. Compare the two narratives for similarities and differences.

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Confidentiality and Informed Consent Paper

Read the “Confidentiality After Tarasoff” article in this week’s Electronic Reserve Readings.

Imagine you are discussing confidentiality with you client.

Write a 750- to 1,050-word paper to your client covering the following

Explain the decision of Tarasoff v. the Board of Regents of the University of California.
Explain how that relates to the therapist-client relationship in regards to confidentiality.
Explain the process of informed consent and refusal.

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Develop a thesis that takes a side in the debate between Borg and Wright

Develop a thesis that takes a side in the debate between Borg and Wright. For whichever scholar you chose to support, explain their position thoroughly and its merits and deficiencies.

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At the start your heart rate, breathing frequency and ventilation have all increased

Read the case study below and place yourself in this scenario, consider all the physiological responses that occur throughout the event and how they are inter related. Then answer the questions at the end, they should NOT be one or two word answers. References are required where appropriate, you have 1500 words to use as you deem appropriate for each answer.

Background:
Competitive marathon running is an endurance event that is physically demanding and requires the runner to sustain an almost constant effort throughout the duration of the event (e.g. ~2:03-2:20; elite males). The marathon requires significant contribution from the aerobic energy systems to fully realize optimal performance. Just as importantly, all physiological systems need to be controlled and regulated so that they function in a coordinated way, they will be in what might be called a ‘steady state’ condition for large periods of the race and homeostasis will be challenged as they [physiological systems] continually adapt to new physiological stresses throughout the race.

Scenario: The race
Imagine you are standing on the start line of the men’s/women’s marathon, the weather is good, there is a clear blue sky and the temperature is 15 °C at the start of the race and is expected to rise to 20 °C by the end of the event. You are nervous, people around you are buffeting you, your heart rate has risen to 110 beats per minute (b.min-1) and you are sweating mildly, breathing 18 times per minute and your tidal volume has increased. The starter is ready, your muscles tense as you brace yourself for the start, the starting signal sounds, you leave line in an almost sprint like fashion to quickly get up to race speed. At the end of the first minute your heart rate is at 186 b.min-1, your breathing frequency is 50 breaths per minute, minute ventilation has increased to 105 L.min-1.

A few minutes later you pass the 1-mile mark, you are running slightly faster than your scheduled race pace and you are aware you need to stick to your own strategy if you want to complete the race in a personal best (PB) time. Over the next 4 miles you settle into your race pace, your heart rate has dropped slightly to 182 b.min-1 and your minute ventilation has stabilized to 115 L.min-1. Your oxygen uptake (VO2) is at 80% of your maximal. You have also started taking on a mixture of water and liquid carbohydrates at feed stations along the route; you do this as often as you can during this important stage of the race. Core temperature has risen to 38.3 °C during these early stages of the race.

You are now approaching the halfway point of the race; you still feel good and are on schedule to beat your PB, you pass through halfway in 1:11:54. Buoyed by this you start to increase your pacing slightly as you have planned to run a negatively split race (aiming for 2:20:00). The air temperature has risen by 2 °C and you have become aware that you are sweating more as your core temperature is also rising, it is now at 38.5 °C. The need to drink regularly now has become more important during the remainder of the race.

With 6 miles to go, you enter the most crucial phase of the race. You feel tired, but are still maintaining race pace. You core temperature is now 39.1 °C and remains at this for the remainder of the race. Your heart rate is now at 185 b.min-1, you focus on the athlete ahead of you to help keep your mind away from the feelings of tiredness during the next few miles.

Into the last mile, you are on schedule to beat your PB, but your legs feel heavy and leaden, your are running at the maximum speed you can, feeling tired and fatigued you keep pushing yourself as hard as you can, your minute ventilation, heart rate and breathing frequency have increased slightly again as you head toward the finish line. With 400 m to go you muster all the remaining energy you have to ‘sprint’ to the finish line.

Across the finish line, 10 seconds under 2:20:00, you have run a new personal best! You stop running – exhausted, you slump to the ground. You gasp for air, still breathing at 58 times per minute, your whole body is aching, and the burning feeling in your legs is starting to ease as your body begins to recover from the final push to the line. You now start to sweat profusely as your body tries to cool itself down; the sweat is dripping off you.

Five minutes later after a slow walk back to race control your heart rate, ventilation rate and VO2 are almost back to normal. Your core temperature is still high and you have lost 1.5 kg in body mass; your legs still feel heavy from your excursions, blood lactate remains elevated, indeed it has risen slightly since the end of the race.

Assessment questions:
(1500 words)

At the start

1. At the start your heart rate, breathing frequency and ventilation have all increased, what is responsible for raising these before you start the race? (20 marks)

One mile in

2. What factor(s) is/are responsible for the increase in core temperature during the initial stage of the race? (20 marks)

Halfway mark

3. What mechanisms are regulating acid base balance during the race? (15 marks)

4. How does drinking fluid alleviate detrimental increases (to performance) in core temperature? (15 marks)

The finish

5. You have stopped running and you are at rest, but your heart rate and breathing frequency are still very high, why is this still the case? (10 marks)

6. Discuss the likely mechanisms of fatigue that can occur during this event? (15 marks)

7. Your average cardiac output for the race was 28.58 L.min-1 and your average heart rate was 185 b.min-1. Calculate average stroke volume during the marathon (give correct units and round to 1 dp)? (5 marks)

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Where did idea come from

Introduction: Q- where did idea come from ? a. ( delete and replace with your answers) the staff in my clinic would like to understand and explore in more details the barriers to communication within our workplace. Overall aim: Q- which project have you chosen from 1-4 options page 28 from attached form( option 1: facilitation opportunities(a) group workshop face to face, option 2: team building workshop,option 3- group dynamic option 4-co-facilitation. Q- What do you propose to do in your project? Describe your intentions briefly detailing the issue you will study, the people you are involving and benefits to your workplace. Methods: Describe briefly how you plan to do this and specifically ( project time frame, facilitation methods you might use and how you might evaluate how this project performed. Literature review: what pieces of literature have you influenced project and it is design ( minimum 3 references ) ?

note:I want to outline the project proposal which is related to my work as clinical pharmacist in medical ward hospital dealing with patients and other health care team. I would like to collect data from patients during medical ward in intensive care unit to conduct survey about patient compliance to their treatment regimen to prevent any further complication that might happened later on ward in hospital. I would like to choice option 1 of facilitation because in my clinical practice, as pharmacist being a part of medical care team in hospital to provide better care plan for those patients. by survey either questionnaire or making checklist or etc.. Look at page 28 from attached form called GM51018_Week_2_Study_Guide and choice one of options that can be suit for for my project.
also, I want the project writing: easy grammar, easy words, easy writing style to be not suspicious to the lecturers.
The project should be small and time frame about 2 weeks that would be enough to collect the data for 10-20 patients.

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