Write an essay responding to the following question:

Patrice Lumumba’s vision for a unified, independent Congo was doomed from the beginning. Support or refute this statement with examples from the film Lumumba and class materials.

Essays must be five pages in length; shorter papers will receive a penalty. Please avoid silly formatting tricks such as triple spacing, enormous margins, and half page headings; these maneuvers will also incur a penalty. Please use 12 font and 1 inch margins, and double space your paper. Employ correct spelling and grammar to avoid point deductions; a quick spell check can save you points! Avoid use of the first person, contractions, present tense verbs, passive voice and sentences ending with prepositions

Do some research on the story of Karagoz (like the real story of the characters of karagoz), and some research on the history of Turkish shadow theater.

organize it and put it in a document of what you found.

and also make a ppt with words and pictures

Please answer to the the discussion posts. 1-2 questions write 50 word responses each, and 3-4 write 100 word responses each. It doesn’t have to be anything special, just make sure it ties to what the person has written and you respond accordingly. Thank you!

I need an A in this assignment and I can get that by answering the prompts and also at the grading rubric i have attached, thank you!

NO PLAGIARISM FROM OTHER WEBSITES!

It is necessary for an RN-BSN-prepared nurse to demonstrate an enhanced understanding of the pathophysiological processes of disease, the clinical manifestations and treatment protocols, and how they affect clients across the life span.

Evaluate the Health History and Medical Information for Mr. C., presented below.

Based on this information, formulate a conclusion based on your evaluation, and complete the Critical Thinking Essay assignment, as instructed below.

Health History and Medical Information

Health History

Mr. C., a 32-year-old single male, is seeking information at the outpatient center regarding possible bariatric surgery for his obesity. He currently works at a catalog telephone center. He reports that he has always been heavy, even as a small child, gaining approximately 100 pounds in the last 2-3 years. Previous medical evaluations have not indicated any metabolic diseases, but he says he has sleep apnea and high blood pressure, which he tries to control by restricting dietary sodium. Mr. C. reports increasing shortness of breath with activity, swollen ankles, and pruritus over the last 6 months.

Objective Data:

  1. Height: 68 inches; weight 134.5 kg
  2. BP: 172/98, HR 88, RR 26
  3. 3+ pitting edema bilateral feet and ankles
  4. Fasting blood glucose: 146 mg/dL
  5. Total cholesterol: 250 mg/dL
  6. Triglycerides: 312 mg/dL
  7. HDL: 30 mg/dL
  8. Serum creatinine 1.8 mg/dL
  9. BUN 32 mg/dl

Critical Thinking Essay

In 1,000 words, critically evaluate Mr. C.’s potential diagnosis and intervention(s). Include the following:

  1. Describe the clinical manifestations present in Mr. C.
  2. Describe the potential health risks for obesity that are of concern for Mr. C. Discuss whether bariatric surgery is an appropriate intervention.
  3. Assess each of Mr. C.’s functional health patterns using the information given. Discuss at least five actual or potential problems can you identify from the functional health patterns and provide the rationale for each. (Functional health patterns include health-perception, health-management, nutritional, metabolic, elimination, activity-exercise, sleep-rest, cognitive-perceptual, self-perception/self-concept, role-relationship, sexuality/reproductive, coping-stress tolerance.)
  4. Explain the staging of end-stage renal disease (ESRD) and contributing factors to consider.
  5. Consider ESRD prevention and health promotion opportunities. Describe what type of patient education should be provided to Mr. C. for prevention of future events, health restoration, and avoidance of deterioration of renal status.
  6. Explain the type of resources available for ESRD patients for nonacute care and the type of multidisciplinary approach that would be beneficial for these patients. Consider aspects such as devices, transportation, living conditions, return-to-employment issues.

You are required to cite to a minimum of two sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and relevant to nursing practice.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion. *please look into the attached rubric* thank you.

Compose a 2-3 page paper in which you respond to a simulated medical ethics dilemma by applying the three normative theories of ethics.

Introduction

The field of ethics is highly personalized; each individual has his or her own view of actions that are morally and ethically sound. Rather than relying solely on personal experiences and emotions to govern ethical views, however, individuals often use ethical theories as a foundation. Ethical theories are useful in a variety of ways:

  • To help people think through issues that arise in their everyday life.
  • To make decisions, particularly those involving moral and ethical challenges.
  • To justify decisions to others.
  • To recognize types of arguments that other individuals use.

You will learn about three traditions of normative ethics:

  • Virtue ethics.
  • Deontological ethics.
  • Consequentialist ethics.

These three traditions have contributed to our understanding about ethics through the works of key thinkers in history. Understanding these ethical theories will help you support your positions on ethical issues you encounter. In this assessment, you will apply ethical theory to a scenario that will be provided for you.

Demonstration of Proficiency

By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies through the following scoring guide criteria:

  • Competency 1: Explain the nature of ethical issues.
    • Explain the ethical issue in a scenario.
  • Competency 2: Critically examine the contributions of key thinkers from the history of ethics.
    • Apply the three traditional theories of normative ethics to a situation.
  • Competency 3: Engage in ethical debate.
    • Describe the advantages and disadvantages of each of three approaches to ethical theory as they relate to a specific situation.
  • Competency 4: Develop a position on a contemporary ethical issue.
    • Apply ethical theory to justify an ethical position on an issue.
  • Competency 5: Communicate effectively in the context of personal and professional moral discourse.
    • Communicate in a manner that is scholarly, professional, and consistent with expectations for members of professional communities.

Overview

You have now studied the three approaches to ethical theory (deontological, consequentialist, and virtue theory) as exemplified in the work of Immanuel Kant, John Stuart Mill, and Aristotle. Your assessment is to write an essay applying these three approaches to the following practical case:

You are called to consult in the critical care unit of your local hospital. The hospital admits JoEllen, 53, after she takes an overdose of prescription medications with alcohol. On admission, she says, “Not supposed to be here . . . ” and soon becomes uncommunicative. As her condition deteriorates rapidly, her son arrives with a notarized advance directive in which JoEllen specifically asks not to be placed on life support. What should you recommend to the attending health professionals?

I

Write a critical response in which you write about a pattern (repeated word/s, colors, or other item) in relation to Achy Obejas’ “We Came All the Way From Cuba. . .,” [WDM1] Toni Morrison’s “1919,” F. Scott Fitgerald’s “Babylon Revisited,” or Charlotte Perkins Gilman’s “The Yellow Wallpaper.” Remember to avoid the close reading pitfalls that Purdue OWL (see link in the week 2 folder) warns of: plot summary syndrome; right answer roulette; the “everything is subjective” shuffle; and the “How Can You Write 500 Words About One Short Story?” Blues.


[WDM1]

Discussion 4

Week 1:

In order to properly implement a strategic plan, organizations use structure, various control systems (budgets, variance analysis, policies and procedures, company rules), and culture.

Let us revisit General Mills and determine the relative effectiveness of the company’s strategic controls. Choose two implementation controls, and discuss whether or not you believe the controls you’ve selected effectively support the company’s strategic choices. Be sure to defend your answer (critical thinking is required)!

Week 2:

Respond to the following:

As you’ve learned from the background readings, a key strategic control is that of organizational culture. Culture must fit with an organization’s strategic choices. Poor alignment between culture and strategic choice is a sure-fire way to doom any strategic choice.

Of course, some organizational theorists would assert that an organization’s culture cannot be “managed” in the truest sense of how one “manages” the processes and activities and things that exist within an organization. David Campbell (2000, p. 28) says that an organization

Is being constructed continuously on a daily, even momentary [italics added], basis through individual interactions with others. The organization never settles into an entity or a thing that can be labelled and described, because it is constantly changing, or reinventing itself, through the interactions going on within it. [At the same time, an organization] does have a certain character to it, such that, like driving on the motorway, not just anything goes (p. x).

Do you agree or disagree with the above? That is, can culture really be “managed”? What might this interpretation mean in the context of our current discussion related to “strategic controls”?

A few comments on the above: Many individuals believe that, while the notion of “culture” can be defined, no single individual (irrespective of his/her legitimate power) is capable of single-handedly moving an organization’s culture in one direction or another. These individuals suggest that the sheer number of formal and informal groups, structures, tasks, functional operations, and individual interactions that exist and occur within organizations (even moderate-sized ones) render the “management” of culture impossible (consider the potential number – and combination – of individual to individual, individual to group, and group to group interactions that are likely to occur within an organization at each and every moment (and then, there are endless numbers of contacts / interactions with external stakeholders as well). The possibilities are seemingly infinite — or at least they are indefinite. In this view, an organization’s culture is abstract, fragmentary, fluid — and even relative and momentary – how can such a thing be “managed” in the same sense that we “manage” people and organizational processes?

Reference:

Campbell, D. (2000). The socially constructed organization. London: Karnac Books.

Rubrics

  • MBA/MSHRM/MSL Discussion Grading Rubric – Timeliness v1

Module 4 Reflective Discussion

Course Integration and Reflection

In this final Discussion thread, please address the following:

1.What concepts were most interesting to you?

2.What concepts and ideas will be most useful to you?

3.How do you believe you will use the concepts you have learned in MGT599 in the future?

4.What actions will you take in the future to improve yourself and your abilities in these two areas?

After responding to the Reflective Discussion questions above, please complete an anonymous Course Evaluation Survey. Instructors are not able to view course evaluation reports until after the grade submission period is over. Thank you for your feedback.

________________________________________________________________________________________________

Module 4 – Background

STRATEGY IMPLEMENTATION AND STRATEGIC CONTROLS

Strategy is implemented using organizational design (structure), people, culture, and control systems. Strategy must successfully work through these elements in order to produce performance. No matter how well a strategy is conceived, if an organization’s people cannot implement it, if the culture cannot support it, if the structure cannot coordinate it, and if the systems cannot measure and control it—the strategy will fail.

We will start by considering how of each of these components individually link to strategy. By way of the Case analysis, we will examine the integration or “fit” between the various components and strategy.

Structure

Organizational structure refers to the manner in which the lines of communication of authority are established, the manner in which work is divided up among organizational members, and the way that communication and work are coordinated. Different types of structures support different types of strategies. The key elements of structure that have the greatest effect on the success or failure of strategy implementation are centralization, boundaries, networks, and virtual organization.

Centralization

Centralization refers to the level of concentration of decision making. In a highly centralized organization, decisions are made by a relatively small number of people, usually concentrated at the highest levels of the organization. Standardization is common in centralized organizations, thus favoring economies of scale and efficient value chains.

Decentralized organizations are characterized by flexible and autonomous decision-making groups at operational levels in the organization. Such groups have the ability to rapidly adjust to changes in the marketplace and are well-suited to strategies that require innovation. However, because of duplication, economies of scale are difficult to achieve.

Emerging Structures

Borderless Organizations: Taking cross-functional teams to a new level, the borderless organization does not just assemble teams with members from different organizational levels and functions. Instead, the borderless organization removes barriers both vertically (between levels) and horizontally (between functions or departments). The implications for strategy implementation include increased information, transparency, and flexibility.

Alliance Networks: These are collections of suppliers, distributors, customers, and even competitors who have the ability to bring needed assets to bear on an urgent problem where there is insufficient time to develop the needed resources and capacities in-house. Organized and coordinated online, these networks can be mobilized and put to work instantaneously.

Virtual Corporations: An extension of Alliance Networks, the virtual corporation is an extra-organizational coalition of people and organizations brought together expressly to work on a specific problem or project. They can be assembled rapidly and dispersed as soon as the project is over, representing the ultimate in flexibility and speed in strategy implementation.

The following reading is an exposition on how various types of teams can be useful in strategy implementation:

Pryor, M.G., Singleton, L.P., Taneja, S., and Toobs, L.A. (2009). Teaming as a strategic and tactical tool: An analysis with recommendations. International Journal of Management, 26 (2), 320-334. Retrieved on November 6, 2012, from ProQuest.

Review this presentation on Organizational Design by Professor Anastasia M. Luca, Ph.D. MBA.

Strategic Controls (Systems)

Three organizational systems are essential to controlling strategy implementation:

Accounting and budgeting systems: These systems can be complex and not easily adapted. If a new strategy requires data that is not easily accessible through existing accounting systems, implementation can be slowed, and a potentially successful implementation can be jeopardized. If a new proposed strategy does not fit a familiar pattern, decision making can be become risky and unpredictable.

Information Systems: Information technology is playing an ever greater role in strategy implementation. IT provides point-of-sale information between retailers and manufacturers, streamlines logistics and distribution, and controls inventories. IT systems must be capable of providing the right information in the right format to the right people at the right time.

Measurement and Reward Systems: Rewards can be used to shape behavior in the direction of meeting strategic objectives. Rewards must be connected to measures of goal attainment (e.g., specific increases in market share), and proper time horizons (future rewards for future goals).

Review this presentation on Strategic Controls by Professor Anastasia M. Luca, PhD MBA.

People

Strategies that are based on distinctive competencies or unique capabilities are often dependent on people and their skills to carry them out. Thus, for successful implementation, sufficient numbers of people with the right skill sets are essential.

In-house or Import? Hiring raw talent and growing employees with the needed qualifications maximizes fit, but it can take years. Retraining existing workers with new skills can be problematic when old employees resist “learning new tricks.” Hiring employees with needed skills external to the organization is faster, but there is no guarantee that even they will fit well within the organization’s culture.

Motivation: It is not enough to have the right number of people with the right skills; people must also be motivated to work toward successful strategy implementation. Much is known about motivation, and many tools are available; these include tangible rewards (e.g., bonuses) and intangible rewards such as self-fulfillment. Perhaps the motivator with the most potential for eliciting long-term commitment to fulfilling the firm’s strategic goals is that of empowerment, which gives employees the discretion and autonomy to use their initiative.

The following article highlights the importance of having the right people in place to achieve strategic goals:

Garrow, V. and Hirsh, W. (2008). Talent management: Issues of focus and fit. Public Personnel Management, 37(4), 389-403. Retrieved on August 29, 2014 from ProQuest.

Culture

The fit between an organization’s culture and its strategy is critical. If a firm is depending on innovation to achieve differentiation, but the culture is risk averse or has a tendency to punish mistakes, the strategy will in all likelihood fail. Culture can support the strategy when three elements are in alignment:

Shared values that are aligned with the corporate vision and strategic focus along with a management style that fosters behavior that will support the competencies that confer competitive advantage.

Norms can act as strong controls for strategic implementation. They encourage behavior that is in alignment with shared values. People can circumvent rules, and they cannot be watched all of the time, but norms can promote the desired behavior even when nobody is watching.

Symbols model for employees what values and norms are important. Some important symbols include the vision and style of the founder of the company and folklore or stories that embody company values, rituals, and routines, and which reinforce the types of events and behaviors that are most desired and celebrated.

The following reading ties together the importance of systems, strategy, structure, and culture. It is highly readable and will help you see how all of these elements are interdependent and must align to achieve successful implementation:

Heneman, R. L., Fisher, M. M., and Dixon, K. E. (2001). Reward and organizational systems alignment: An expert system. Compensation & Benefits Review, 33(6), 18-29. Retrieved on November 6, 2012, from ProQuest.

Optional Reading

Aligning organizational culture with business strategy. (2013, November). Towers Watson. Retrieved on August 29, 2014 from http://www.towerswatson.com/en-US/Insights/Newslet…

Durden, C. (2012). The linkages between management control systems and strategy: An organic approach. Proceedings from The International Conference on Accounting and Finance. Singapore: Global Science and Technology Forum. Retrieved on August 29, 2014 from ProQuest.

Klosowski, S. (2012). The application of organizational restructuring in enterprise strategic management process. Management, 16(2), 54-62. Retrieved on August 29, 2014 from ProQuest.

Evidence-based practice and Quadruple aim.

Healthcare organizations continually seek to optimize healthcare performance. For years, this approach was a three-pronged one known as the Triple Aim, with efforts focused on improved population health, enhanced patient experience, and lower healthcare costs.

More recently, this approach has evolved to a Quadruple Aim by including a focus on improving the work life of healthcare providers. Each of these measures are impacted by decisions made at the organizational level, and organizations have increasingly turned to EBP to inform and justify these decisions.

To Prepare:

  • Read the articles by Sikka, Morath, & Leape (2015); Crabtree, Brennan, Davis, & Coyle (2016); and Kim et al. (2016) provided in the Resources.
  • Reflect on how EBP might impact (or not impact) the Quadruple Aim in healthcare.
  • Consider the impact that EBP may have on factors impacting these quadruple aim elements, such as preventable medical errors or healthcare delivery.

To Complete:

Write a brief analysis (no longer than 2 pages) of the connection between EBP and the Quadruple Aim.

Your analysis should address how EBP might (or might not) help reach the Quadruple Aim, including each of the four measures of:

  • Patient experience
  • Population health
  • Costs
  • Work life of healthcare providers

Complete the Self-Reflection Log for Topics 1- 4. Submit the logs for Topics 1-4 to your instructor for a grade. Use your experiences during this course drive your responses.

Just complete topics 1-4 on the log template.

See attached for topic 1-4 assignments.

Structure:

The term paper should be 5 pages in length and follow this structure:

Question / Problem Definition:

In this section you should outline the topic for the paper and ask a specific question. Please remember that I do not want a descriptive paper but rather one that answers a question.

Analysis:

In this section of the paper you should analyze the information that you have collected. State both sides of the argument and make sure that you are treating the subject objectively.

Conclusion and Recommendations:

In this section make sure you answer the question from the first section, that the analysis in the third section supports your answer and that your answer is definitive. Make sure that you make at least two practical recommendations.

Bibliography:

Clearly list all reference materials.

Topic:

You will be assigned a general topic via e-mail which you must refine and customize to your preferences. You may switch topics before the Term Paper Workshop but will require written approval from the professor (e-mail request and response from the professor.)

The term paper is an independent research paper which the student must complete on a course related topic of their choosing. This paper is due on the last day of class, must be submitted on the www.turnitin.com website and is worth 30% of the final mark.